Screening Tools
Substance Abuse Screenings in Tennessee (SBIRT-TN)
Screening, Brief Intervention, and Referral to Treatment (SBIRT) is a substance abuse screening and referral to treatment initiative. It is patient-centered and offers education and early intervention to identify and address substance misuse in primary care settings. Patients are asked about their substance use confidentially.
Alcohol, Smoking, and Substance Involvement Screening Test (ASSIST)
Population(s): Adults, Adolescents
An 8-item screening tool developed for the World Health Organization (WHO) by an international group of substance abuse researchers to detect and manage substance use and related problems in primary and general medical care settings. Includes a patient feedback report card. Available in several languages.
Alcohol Use Disorders Identification Test (AUDIT)
Population(s): Adults, Adolescents
A 10-item screening tool developed by WHO to identify persons whose alcohol consumption has become hazardous or harmful to their health. Available in English-, Spanish-, and Slovenian-language versions.
AUDIT-C
Population(s): Adults
The first 3 questions of AUDIT (those that focus on alcohol consumption).
Brief Alcohol Screening Instrument for Medical Care (BASIC)
Population(s): Adults
This very brief questionnaire (6 items) screens for alcohol use disorders and for at-risk drinking. Self-administered questionnaire.
CAGE (Cut down, Annoyed, Guilty, Eyeopener)
Population(s): Adults (people older than age 16)
A 4-item, nonconfrontational questionnaire for detecting alcohol problems. Questions are usually phrased as “have you ever” but may also focus on present alcohol problems.
CRAFFT (Car, Relax, Alone, Forget, Family or Friends, Trouble)
Population(s): Adolescents
A 6-item screening instrument. Test covers alcohol and drugs and situations that are relevant to adolescents.
Drug Abuse Screening Test (DAST)
Population(s): Adults
A 20- and 28-item adaptation of the Michigan Alcohol Screening Test (MAST) to detect consequences related to drug abuse without being specific about the drug, thus alleviating the necessity of using different instruments specific to each drug.
DAST-A
Population(s): Adolescents
A 28-item DAST for adolescents.
Fagerstrom Test for Nicotine Dependence
Population(s): Adults
A 6-item test evaluating cigarette consumption, the compulsion to use, and dependence. Screens for nicotine dependence. Severity rating can be used for treatment planning.
Michigan Alcohol Screening Test (MAST)
Population(s): Adults, Adolescents, Seniors
A 25-item instrument providing a general measure of lifetime alcohol problem severity that can be used for choosing treatment intensity and guiding inquiry into alcohol-related problems. A 13-item version (Short MAST) and geriatric version (MAST-G) are available.
NIDA Drug Use Screening Tool
Population(s): Adults
A 1- to 7-question screening tool adapted by the National Institute on Drug Abuse from the WHO’s ASSIST.
TWEAK (Tolerance, Worried, Eye-openers, Amnesia, [K] Cut down)
Population(s): Adults, Pregnant women
A 5-item scale to screen for risky drinking.
Institute for Research, Education & Training in Addictions (IRETA) SBIRT Toolkit
University of Washington Substance Use Screening & Assessments Instrument Database
Crisis Intervention Tools
Tennessee REDLINE:
24/7/365 resource for substance abuse treatment referrals. Anyone can call or text 800-889-9789 for confidential referrals.
TN Statewide Crisis Phone Line:
Available 24 hours/365 days for anyone experiencing a mental health crisis; provides support, guidance, and appropriate community supports.
855-274-7471
Websites
Amerigroup: Tennessee Medicaid | Amerigroup
UnitedHealthcare: Tennessee UnitedHealthcare Community Plan
Project Rural Recovery: Mobile health clinics to serve behavioral and physical health needs of rural Tennessee.
Substance Use Prevention Coalitions across Tennessee
SAMHSA’s national youth substance use prevention campaign “Talk. They Hear You.”
Resources for parents, caregivers, educators, and community members.
Non-stigmatizing language guides:
Shatterproof’s Addiction Language Guide,
End The Syndemic Language Guidance
Infographics
Brain Injury & Opioid Overdose: Fast Facts – NASHIA
Trainings
National Institute on Alcohol Abuse and Alcoholism
Provides up to 14 CME credits.
Regional Overdose Prevention Specialists (ROPS): Provide training and education on opioid overdose and distribute naloxone for overdose prevention.
Support Groups
SAMHSA provides the best resource for finding local support groups that accommodate many different types of recovery and support needs:
https://www.samhsa.gov/find-support/health-care-or-support/support-group-or-local-program
Lifeline Peer Project:
Representatives help start Alcoholics Anonymous, Narcotics Anonymous, Celebrate Recovery, and other self-help support groups. They help connect individuals with treatment and speak publicly about their own lived experience with recovery.
Lifeline and Faith-Based Coordinators Contact Info and Map