Identifying At-Risk Drinking or Drug Use With ONE Question

Identifying At-Risk Drinking or Drug Use With ONE Question – seriously?

The National Institute on Drug Abuse (NIDA) has created an online tool —  QUICK SCREEN — a single question — to help clinician’s screen their patients for at-risk drinking or drug use. [Note: "At-risk" drinking or drug use means "at risk" for developing a substance abuse problem and/or addiction.]

This Quick Screen asks a simple question:

In the past YEAR, how many times have you used the following?

The choices include: alcohol, tobacco products, prescription drugs for non-medical reasons, and/or illegal drugs.

In the case of alcohol, for example, a man answering “more than five drinks in a day once or twice [in the past YEAR],” puts him in the at-risk drinking category. From there, the clinician can click on a link that takes him/her to NIAAA’s Clinician’s Guide: How to Help Patients Who Drink Too Much: A Clinicians Guide. If the Clinician were dealing with questions related to drugs or tobacco products, different resources for helping a patient are presented.

While this service was established for use by medical professionals (clinicians), anyone concerned about their own drinking or drug use patterns might find it a helpful starting point. Remember: all alcoholics, for example, go through a period of alcohol abuse (that’s what sets up the chemical and structural changes to the brain) and alcohol abuse starts with at-risk drinking. The sooner a person brings their at-risk drinking (or drug use) under control, the better.

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Lisa Frederiksen
Lisa Frederiksen is the author of nine books and a national keynote speaker with over 25 years public speaking experience. She has been consulting, researching, writing and speaking on alcohol abuse, drug addiction, secondhand drinking, treatment, mental illness, underage drinking, and help for the family since 2003. Her 40+ years experience with family and friends’ alcohol abuse and alcoholism, her own therapy and recovery work around those experiences, and her research for her blog posts and books, including her most recent - "Crossing The Line From Alcohol Use to Abuse to Dependence," "Loved One In Treatment? Now What!" and "If You Loved Me, You’d Stop!" - frame her work with medical school students, families, individuals, students and administrators, businesses, public agencies, social workers, family law attorneys, treatment providers and the like.

2 Responses to Identifying At-Risk Drinking or Drug Use With ONE Question

  1. Seems like a very comprehensive question and gets right to the point. This is a great place to start when thinking about making a behavioral change.

    • I so agree, Cathy. It gets right to the point and helps a person (and a clinician) not slice and dice the situation (e.g., it’s only on the week-ends or I go to work every day or I’m never mean or I’ve never driven a car drunk). It’s a simple question, and if the answer is yes, there are great resources to help explain why it’s risky and what can be done. Thanks for your comment!

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