Substance Use Screening Tools & Assessment

SBIRT Pocket Card for Nurses

From APNA and Opioid Response Network - Screening, Brief Intervention and Referral to Treatment (SBIRT) Pocket Card for nurses. Share with your nursing colleagues.



SBIRT Fact Sheet for Medicare and Medicaid
CMS fact sheet provides an overview of Medicare and Medicaid coverage of SBIRT services: who may perform the services, documentation requirements, billing and coding guidance, payment information, and more. (pdf)


NIDA Online/Mobile App Screening Tool
Guides clinicians through series of questions to identify risky substance use in their adult patients. Accompanying resources assist clinicians in providing patient feedback and arranging for specialty care, where necessary, using the 5 As of intervention.


NIDA Clinician's Resource Guide
Provides more detailed instructions to clinicians on how to use the tool, discuss screening results, offer brief interventions, and make necessary referrals. Also includes information on conducting biological specimen screening and locating substance abuse treatment facilities.


ASSIST, Version 3.0
World Health Organization Alcohol, Smoking and Substance Involvement Screening Test (ASSIST) includes questionnaire for clinician, patient response card, patient feedback card, and risks of injecting card. (pdf)


APNA Position Paper: Adoption of SBIRT
2012 paper supporting the adoption of SBIRT into all clinical settings. The competencies and scope of practice of psychiatric-mental health nurses position them well to use and teach others about SBIRT.


NIDA Screening Tool: Quick Reference Guide
Designed to fit into a coat pocket, this guide provides an abbreviated, handy version of NIDA’s Drug Use Screening tool and instructions on its use. (pdf)


Drug & Alcohol Use Screening Tools
Gathered by the SAMHSA Center for Integrated Health Solutions, these tools are intended to encourage regular screenings in primary care and other healthcare settings in order to enable earlier identification of substance use disorders.


Clinical Guidelines for the Use of Buprenorphine in the Treatment of Opioid Addiction - Appendix B Assessment and Screening Instruments
A variety of  drug and alcohol assessment and screening instruments from the National Center for Biotechnology Information.


Clinical Opiate Withdrawal Scale

Source: Wesson, D. R., & Ling, W. (2003). The Clinical Opiate Withdrawal Scale (COWS). J Psychoactive Drugs, 35(2), 253–9.

NIDA Screening Tools for Adolescent Substance Use
Two brief online validated adolescent substance use screening tools from the National Institute on Drug Abuse: Brief Screener for Alcohol, Tobacco, and other Drugs (BSTAD) and Screening to Brief Intervention (S2BI).



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