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Behavioral Health Laboratory

Alcohol

SCREENING PROCESS

  • Screening in primary care is the initial step in identifying whether a patient screens positive or negative for alcohol abuse.
  • Some of the more common alcohol-screening measures include pencil-and-paper questionnaires such as the Alcohol Use Disorders Identification Test (AUDIT), CAGE (Cut-down, Annoyed, Guilty, Eye-opener), Michigan Alcohol Screening Test (MAST), and Rapid Alcohol Problems Screen (RAPS).
  • Screening measures vary in their ability to detect different patterns and levels of drinking and in the degree to which they apply to various populations and settings.
  • The VA uses the AUDIT-C, a shortened version of the AUDIT, as its annual alcohol-screening measure.
  • The AUDIT is relatively free of gender and cultural bias and has proven useful in various healthcare sites, such as medical and psychiatric inpatients units, emergency rooms, and the workplace 1. The AUDIT-C is well-suited to busy primary care settings because it is comprised of 3 straightforward questions and takes less than a minute to complete.
  • After screening, a comprehensive assessment is a necessary second step. The Behavioral Health Lab conducts such an assessment in order to fully explore the nature and extent of a person’s problems with alcohol.

Click here to see AUDIT-C