Cage substance abuse screening tool johns hopkins medicine. Fiellin da 2000 cage is designed for adults and adolescents 16 years. The questionnaire takes less than one minute to administer, and is often used in primary care or other general settings as a quick screening tool rather than as an indepth interview for those who have alcoholism. Jan 31, 2020 alcohol screening and brief counseling can reduce drinking on an occasion by 25% in people who drink too much, but only 1 in 6 people has ever talked with their doctor or other health professional about alcohol use. The exact wording that can be used in research studies can be found in. Twoitem conjoint screen tics for alcohol and other drug. This file may not be suitable for users of assistive. The questions focus on cutting down, annoyance by criticism, guilty feeling, and. Sep 23, 2019 buddy t is an anonymous writer and founding member of the online alanon outreach committee with decades of experience writing about alcoholism. Assessing alcohol problems a guide for clinicians and researchers, second edition. The cage test the alcoholism screening test of choice for hospitals and those working in the addiction field. Questions are usually phrased as have you ever but may also be focused to delineate past or present alcohol problems. This easytouse patient questionnaire is a screening test for problem drinking and potential alcohol problems. A fourquestion screening test that can help to identify an alcohol use disorder at any point in the persons life.
Have you ever felt you should cut down on your drinking. Cage is considered a validated screening technique, with one study determining that cage test scores. Michigan alcohol screening test, which consists of 24 ques. The cage assessment, which was based on the results of a patient study, is one of the most popular alcohol addiction assessments designed to test for potential alcoholism. Some tests are alcohol specific others cover alcohol and other drugs. The cage assessment is a quick questionnaire to help determine if an alcohol assessment is needed. The cage questions for alcohol use screen for excessive drinking and alcoholism. It is one of the oldest alcoholism tests having been developed in 1971. Screening for alcoholism is best undertaken with questionnaires, like the michigan alcohol screening test mast and the alcohol use disorders identification test audit. University of north carolina at cahpel hill, cage is an internationally used assessment instrument.
If a person answers yes to two or more questions, a complete assessment is advised. Please help us provide you with the best medical care by answering the questions below. Item bias in the cage screening test for alcohol use disorders. The audit can identify an alcohol use issue experienced by the patient within the last year.
Validation of the cage alcoholism screening test in a. The michigan alcoholism screening test mast the michigan alcoholism screening test mastis a very simple, selfscoring test that helps assess if you have a drinking problem. Pdf the cage questionnaire for detection of alcoholism. Alcohol abuse and dependence in latinos living in the united. Drinking alcohol can affect your health and some medications you may take. An alcohol screening test helps determine if you abuse alcohol or have alcohol use disorder. Jun 01, 2017 the alcohol use screening tests can be used by health professionals as a tool to assess a service users level of risk to alcohol harm. The university of north carolinas cage cut down, annoyed, guilty, eye openerquestionnaire is now so familiar that it is sometimes used without its source1 being cited. Keep in mind, the questions refer to your feelings and behaviors over your entire lifetime. Dast10 drug abuse screening test, dast10 drug abuse. Screening and assessment tools chart national institute on. For 124 patients of an academic, community family practice, the conjoint questionnaires and their forerunners were compared with dsmiiir diagnoses of substance use disorders as.
Other atrisk populations where cage or another alcohol screening assessment is indicated include. Cage, a widely used screening questionnaire, asks the questions. It includes 24 questions that ask about both behavior and negative consequences. To test these hypotheses, we examined 1 the prevalence of alcoholism in latinos primarily of caribbean and central american origin, who were presenting for primary medical care in the united states, and 2 the operating characteristics of 2 alcohol screening tests recommended for use in primary care settings, the cage and the alcohol use. The cage can identify alcohol problems over the lifetime. A portuguese version of the cage alcoholism screening test was administered to 68 alcoholic and 46 nonalcoholic male inpatients in a psychiatric hospital in sao paulo.
Jan 16, 2020 alcohol screening and testing consists of selfadministered psychological and behavioral questionnaires as well as similar tests administered by clinical or educational professionals. If the patient answers yes to one or both questions, it is considered a positive screening result and may suggest a current alcohol or drug problem. To take the questionnaire, please click the radio button next to the selection which. National council on alcoholism and drug dependence of the san fernando valley. Tics twoitem conjoint screen tics for alcohol and other drug problems. Psych test homepage one of the oldest and most popular screening tools for alcohol abuse is the cage test, which is a short, fourquestion test that diagnoses alcohol problems over a lifetime. Have you ever felt you needed to cut down on your drinking. Cage questionnaire for detecting alcoholism substance.
Longer tests, such as the 25question michigan alcoholism screening test mast 11 or the 10question alcohol use disorders identification test audit 12, may be used to obtain more qualitative information about a patients alcohol consumption. It is the most commonly used screening tool for signs of alcoholism and is a widely respected alcoholism test due to its reliability. Below is a chart with characteristics of each for easy comparison. Screening for alcohol abuse using the cage questionnaire. The cage questionnaire, the name of which is an acronym of its four questions, is a widely used screening test for problem drinking and potential alcohol problems. The sensitivity in the detection of patients with alcohol dependence or misuse. Cage questionnaire, a screening test for alcohol dependence. The tace, which is based on the cage, is valuable for identifying a range of use, including lifetime use and prenatal use, based on the dsmiiir criteria. Canadian guideline for safe and effective use of opioids for. An emergency room might use a short test that makes a determination based on the first question, while a. The cage is a simple screening questionnaire to id potential problems with alcohol. The last revealed a higher sensitivity, compared to the cage and the item short michigan alcoholism screening test smast. A psychological selfassessment tool for determining alcohol abuse potential.
Conjoint screening questionnaires for alcohol and other drug. Commonly used substance use disorder screening instruments instrument populations description accessmore information alcohol, smoking, and substance involvement screening test assist adults, adolescents an 8item screening tool developed for the world health organization who by an international group of substance abuse researchers to. The cage questionnaire was developed in 1970 and remains one of the most reliable and easy screening instruments for the detection of alcoholism. Two conjoint screening questionnaires for alcohol and other drug abuse were adapted from the cage questions and the short michigan alcoholism screening test smast. The recommendation of the national institute of alcohol abuse and alcoholism is that all patients who drink alcohol should be screened with the cage questions. Ask your patients these four questions and use the scoring method described below to determine if substance abuse exists and needs to be addressed. Screening for alcoholism using cage jama jama network.
National institute on alcoholism and alcohol abuse. The cage acronym is a 4item questionnaire that can indicate potential problems with alcohol abuse. Cage questionnaire an overview sciencedirect topics. Testing and screening for alcoholism the recovery village. Have people annoyed you by criticizing your drinking.
Apr 25, 2011 test yourself and your own use or abuse of alcohol with this 22question quiz. This screening tool has been used also in a software package to teach basic. A positive response to at least one question detects a current substance use disorder with a sensitivity. The cage is considered a covert measure of alcoholism because it does not directly assess alcohol consumption. Niaaa publications national institute on alcohol abuse. Alcohol screening questionnaire audit our clinic asks all patients about alcohol use at least once a year. This is one of the oldest screening tests for alcohol use disorder. It can be selfadministered or be provided by a family doctor or other health care providers. Apr 25, 2011 cage questionnaire, a screening test for alcohol dependence counsellingresource research staff with just 4 questions, this simple self test has nonetheless proven accurate in identifying usage patterns that may reflect problems with alcohol. Quick screen nmassist see apa adapted nm assist tools.
The cage questionnaire, among other methods, has been extensively validated for use in identifying alcoholism. Several hundred screening instruments are available today to aid clinicians and. Two positive responses are considered a positive test and indicate further assessment is warranted. Alcohol screening tests ideal for healthcare settings. In the original study, the patients were randomly chosen to participate in an indepth interview that included the four questions the current cage questions. The cage test is a straightforward alcoholism screening test, used by many professionals in the alcohol addiction field. This test will only be scored correctly if you answer each one of the questions. Focusing specifically on alcohol use, this selftest does not address the use of other drugs. Validation of the cage alcoholism screening test in a brazilian psychiatric inpatient hospital setting. The alcohol use screening tests can be used by health professionals as a tool to assess a service users level of risk to alcohol harm. Some are designed for selfadministration and others for use in clinical interviews. Creating an account is free, easy, and takes about 60 seconds.