Answers| Updated
CAGE
• The briefest and most widely used.
• Only four questions asked directly to the person.
• If someone answers yes to one of the questions then there is an indicator that
their might be a problem that needs to be further investigated.
• If they answer yes to two or more they are sent for further testing.
• Advantages-yes or no questions
• Disadvantages-not asking about time frame, self report, not in depth about
environment, not in depth
MAST
• Widely used
• Good reliability and validity
• Original had 25 self administered questions the one now has only 22.
• Advantages-it could be a reality check to someone taking it, not very time
consuming, simple yes and no
• Disadvantage-it doesn't ask you to explain, doesn't ask time frame
AUDIT
,• Ten items 1-3 frequency and quantity 4-6 alcohol dependence 7-10 how harmful
alcohol use.
• Advantages-you can use it in an interview, it's not that long, it's more specific
• Disadvantage-not specific enough, doesn't add in the times when drinking is
more acceptable like vacation etc., not valid
• Can be self report questionnaire or an interview
DAST
Screen drugs other than alcohol
POSIT
139 items on it
Used for substance use problems and social, behavioral, and learning problems
Disadvantages-too long, repetitious, lack of consistency
Advantages-more detailed
SASSI
• Doesn't directly question about alcohol/drug use (not like the previous ones)
• Around 50 questions
• Asks questions about alcohol/drug use on one side and don't on the other
• Looking for defensiveness, looking at others, personal affect
• Disadvantages-could be hard to profile
,DSM Axises
o Axis I-Clinical syndromes
• Alcohol abuse, cannabis dependency
o Axis II-Personality disorders/mental retardation
• Not used very often in alcohol or chemical use
o Axis III-Medical Conditions
• Psoriasis of the liver
o Axis IV-Psychosocial/environmental stressors
• Losing kids because of substance abuse, lacks good social support system
o Axis V-Global assessment of functioning
• 0-100 how the person is functioning overall
Narcotics possible effects
Euphoria, drowsiness, respiratory depression, constricted pupils, nausea
Narcotics effects of OD
Slow/shallow breathing, clammy skin, convulsions, coma, and possible death
Narcotics withdrawal syndrome
Water eyes, runny nose, yawning, loss of appetite, irritability, tremors, panic,
cramps, nausea, chills, sweating.
Narcotics
, Heroin, Morphine, Hydrocodone, Hydromorphone, Oxycodone, Codeine
Depressants
Hydroxybutyric Acid, gamma, Benzodiazepines etc.
Depressant effects
slurred speech, disorientation, drunken behavior without odor of alc., impaired
memory of events, interacts with alc.
Depressant overdose
shallow respiration, clammy skin, dilated pupils, weak and rapid pulse, coma, and
possible death.
Depressant withdrawal
Anxiety, insomnia, tremors, delirium, convulsions, possible death.
Stimulants
Cocaine half life=one hour, Amphetamine=6-12 hours, Methylphenidate=2 hours
Stimulant effects
Increased alertness, excitation, euphoria, increased pulse rate, increased blood
pressure, insomnia, and loss of appetite, dilated pupils.