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ASSIST Substance Use Screen

This substance use screening may be used to identify substance use and related problems. Please answer all questions as honestly and openly as possible. If you are taking this on behalf of a loved one, please note that all of these questions will be phrased as if that person were taking this screening. If suggested, contact us as soon as you can.

Please note, this screening does not serve as a diagnosis tool but can aid your clinician in determining our recommended course of action.


SCORE

0 – 3 > None-minimal

ACTION – None

3.01 – 26 > Mild

ACTION – Please schedule a consultation with Dr. Cruz or your physician.

26.01 or higher > Moderate/Severe Treatment Recommended

ACTION – Please schedule a consultation with Dr. Cruz or your physician.

Sources

Humeniuk RE, Ali RA, Babor TF, Farrell M, Formigoni ML, Jittiwutikarn J, Boerngen de Larcerda R, Ling W, Marsden J, Monteiro M, Nhiwhatiwa S, Pal H, Poznyak V & Simon S (2008). Validation of the Alcohol Smoking and Substance Involvement Screening Test (ASSIST). Addiction 103(6): 1039-1047
For more information, visit: https://www.who.int/publications/i/item/978924159938-2