This Resource Guide is intended to provide clinicians serving adult population* in general medical settings with the screening tools and procedures necessary to conduct screening, brief intervention, and/or treatment referral for patients who may have or be at risk of developing a substance use disorder. Screening and brief intervention provides an opportunity for clinicians to intervene early and potentially enhance medical care by increasing awareness of the likely impact of substance use on a patient’s overall health.
As a medical provider, you are an important figure in your patients' lives. In a very short conversation, you have a wonderful opportunity to let your patients know if and how their drug use may be putting their health at risk.
The Five A's of Intervention (Ask, Advise, Assess, Assist, Arrange) can be a useful framework for encouraging patients to quit smoking and may also be useful for screening and providing feedback related to other drug use.
ASK – Screening is the first A because it asks one or more questions related to drug use.
ADVISE – The second A involves strong direct personal advice by the provider to the patient to make a change, if it is clinically indicated.
ASSESS – The third A refers to determining how willing a patient is to change his or her behavior after hearing the provider's advice.
ASSIST – The fourth A refers to helping the patient make a change if he/she appears ready.
ARRANGE – The final A is to refer the patient for further assessment and treatment, if appropriate, and to set up followup appointments.
If you are not already doing so, we encourage you to incorporate drug use screening and brief intervention into your practice. The remainder of this Resource Guide provides detailed information to begin screening for:
* This resource guide does not specifically address the unique considerations that must be taken into account when screening adolescents or pregnant women.