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OR SBIRT Alcohol Screening Questionnaire (AUDIT) 2015 free printable template

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Alcohol screening questionnaire (AUDIT) Patient name: Our clinic asks all patients about alcohol use at least once a year. Drinking alcohol can affect your health and some medications you may take.
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How to fill out OR SBIRT Alcohol Screening Questionnaire AUDIT

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How to fill out OR SBIRT Alcohol Screening Questionnaire (AUDIT)

01
Begin by reading the instructions provided with the questionnaire carefully.
02
Take note of the different sections in the AUDIT questionnaire, which typically includes questions about alcohol consumption, drinking behavior, and alcohol-related problems.
03
Answer each question honestly, based on your own drinking patterns and experiences.
04
For questions related to frequency and quantities of alcohol consumed, think about your typical week and make your best estimate.
05
After completing the questionnaire, total your scores according to the guidelines provided.
06
Review the scoring interpretation to determine your level of risk regarding alcohol use.

Who needs OR SBIRT Alcohol Screening Questionnaire (AUDIT)?

01
Individuals who may be at risk for alcohol use disorders.
02
Healthcare providers assessing patients for potential alcohol-related issues.
03
Public health professionals conducting screenings in various settings.
04
Patients seeking help for alcohol use or related problems.
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Four clinical interview questions, the CAGE questions, have proved useful in helping to make a diagnosis of alcoholism. The questions focus on Cutting down, Annoyance by criticism, Guilty feeling, and Eye-openers. The acronym “CAGE” helps the physician to recall the questions.
Responses to each question are scored from 0 to 4, giving a maximum possible score of 40. Among those diagnosed as having hazardous or harmful alcohol use, 92% had an AUDIT score of 8 or more, and 94% of those with non-hazardous consumption had a score of less than 8.
The AUDIT-C is scored on a scale of 0-12 (scores of 0 reflect no alcohol use). In men, a score of 4 or more is considered positive; in women, a score of 3 or more is considered positive. Generally, the higher the AUDIT-C score, the more likely it is that the patient's drinking is affecting his/her health and safety.
The AUDIT was developed as a simple method of screening for excessive drinking and to assist in brief assessment. It can help identify excessive drinking as the cause of the presenting illness.
AUDIT C score Scoring: ● A total of 5 or more is a positive screen. ● 0 to 4 indicates low risk. ● 5 to 7 indicates increasing risk. ● 8 to10 indicates higher risk.
AUDIT is a 10-item screening questionnaire with 3 questions on the amount and frequency of drinking, 3 questions on alcohol dependence, and 4 on problems caused by alcohol.
The most commonly used alcohol screening tests are: Alcohol Use Disorders Identification Test (AUDIT). This test contains 10 multiple choice questions about how much and how often you drink alcohol and if you have any alcohol-related problems or reactions. The answers are scored on a point system.
The Alcohol Use Disorders Identification Test (AUDIT) (PDF) focuses on drinking patterns and alcohol-related behaviors. Research supports use of the AUDIT for adolescents ages 14 to 18, with cut points of 2 for identifying any alcohol problem use and 3 for alcohol abuse or dependence (Knight et al., 2003 ).
The AUDIT (Alcohol Use Disorders Identification Test) is an effective and reliable screening tool for detecting risky and harmful drinking patterns1.
1) How often do you have a drink containing alcohol? 2) How many drinks containing alcohol do you have on a typical day when you are drinking? 3) How often do you have 5 or more drinks on one occasion? 4) How often during the last year have you found that you were not able to stop drinking once you had started?
Concise: Keep questions brief and to the point, avoiding jargon. Write questions in a way that non-experts can easily understand, since not all auditors will be familiar with the process. LPAs should take less than 15 minutes to complete, another important reason to make questions as straightforward as possible.

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The OR SBIRT Alcohol Screening Questionnaire (AUDIT) is a screening tool used to identify individuals who are at risk of alcohol use disorders. It consists of a series of questions designed to assess consumption, dependence, and harmful consequences related to alcohol use.
Typically, healthcare providers and organizations that implement Screening, Brief Intervention, and Referral to Treatment (SBIRT) programs are required to file the OR SBIRT Alcohol Screening Questionnaire (AUDIT) for patients who receive services related to substance use.
To fill out the OR SBIRT Alcohol Screening Questionnaire (AUDIT), individuals need to read each question carefully and select the appropriate response based on their drinking behaviors over the past year. The responses are then scored to determine the level of risk associated with alcohol use.
The purpose of the OR SBIRT Alcohol Screening Questionnaire (AUDIT) is to identify individuals who may be experiencing problems related to alcohol use and to facilitate early intervention or treatment as necessary to reduce alcohol-related harm.
The information that must be reported on the OR SBIRT Alcohol Screening Questionnaire (AUDIT) includes details about alcohol consumption patterns, frequency and quantity of drinks, experiences of dependence, and negative consequences arising from alcohol use.
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