Question details

PCN100.RS.Topic 4: Screening and Assessment Tools Chart
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Topic 4: Screening and Assessment Tools Chart

Directions:Compete the following chart. An example has been provided for you in the first row. Include in-text citations in the table as well as an APA reference listing below. A minimum of two to three scholarly references should be included

Assessment Tool

Include the full name, description of the tool, and what the tool measures (i.e., opioids, process, withdrawal)

Tool Description

Type of tool (paper, pen, structured, unstructured), how it is administered, how many questions, and general scoring information

Appropriateness of Use

When/where the tool is appropriate or inappropriate to use, where the tool will most likely be used (i.e., online, in-patient, outpatient, clinic), and what specific population the tool is used for (i.e., adolescents, elderly, pregnant.)

CAGE Questionnaire

A brief 4 item, widely used questionnaire designed to assess alcohol use. CAGE is acronym for:

C=Cut down



E=Eye opener






Paper and pen or orally administered Takes less than 1 minute, Yes or No response

Typically administered by health care professional or clinician and is client’s self- report, scored by tester

CAGE Questionnaire-4 questions

1. Have you ever felt you should Cut down on your drinking?


2. Have people Annoyed you by criticizing your drinking?


3. Have you ever felt bad or Guilty about your drinking?


4. Have you ever had a drink first thing in the morning to steady your nerves or to get rid of a hangover (Eye opener)?

Scoring: Item responses on the CAGE are scored as 0 or 1. A higher score is an indication of alcohol problems. A total score of 2 or greater is considered to be clinically ToollTsignificant Ewing, 1984; NIAAA, 2002)

Often used in medical settings

Several adaptations of tool available for use including computerized and self- administered versions.

Free, in public domain and translated into many languages


Not used to assess for drugs but adapted CAGE-AID questionnaire can be used for drug use.

Best use is in adult populations


Criticism of the CAGE- not gender-sensitive. Women who are problem drinkers less likely to screen positive than men.

It identifies alcohol-dependent persons, but may not identify binge drinkers.

 CAGE asks about "lifetime" experience rather than current drinking. A person who no longer drinks may screen positive unless the clinician directs the questions to focus on a more current time frame (ADAI, 2016).


















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