Email UpdatesBrief Negotiated Interview (BNI) Adherence & Competency Checklist
Developed for residency programs, measures practitioner competence in delivering BNI by listing the critical steps and providing space for feedback to improve performance
Instrument/Protocol
Generally these forms are for screening and assessment purposes. Other examples include intake forms and inventory sheets.
Readiness Ruler
A 2-question tool that helps providers assess patient readiness for behavior change using a 1-10 scale
DSM-5 11-Item Alcohol Symptom Checklist
Checklist used after a high AUDIT-C score to engage a patient in dialogue on alcohol and other drug-related symptoms; provides guidance on assessing the severity of an alcohol and/or other drug use disorder
Brief Screen for Substance Use
Questions to screen for substance use and guidance around positive screen criteria
Brief Health Screen
Patient self-report screening tool with 3 items that can be administered by health professionals to assess for substance use; can be followed by full screens such as the AUDIT
Addiction Severity Index (ASI), Fifth Ed.; Baseline (ASI-B), Addiction Severity Index, Fifth Ed.; Follow-Up (ASI-F)
Semi-structured interview addressing seven potential problem areas in substance-abusing patients: medical status, employment and support, drug use, alcohol use, legal status, family/social status, and psychiatric status
Tolerance, Worried, Eye-opener, Amnesia, K-Cut Down (TWEAK) Screening Test
Tool that consists of 5 questions to screen pregnant women for harmful drinking habits
T-ACE Screening Tool
Screens pregnant women for risky drinking with 4 questions
Behavioral Health Risks Screening Tool 5PS: For Pregnant Women
Screening tool for pregnant women for alcohol, tobacco, substance use and violence
TAPS Tobacco, Alcohol, Prescription Medication, and Other Substance Use Tool (electronic)
Online version of TAPS that allows users to select patient or clinician and complete the assessment online;upon completion, offers risk levels for each substance, suggested actions, and additional resources