At-Home Evaluation
Do you have a substance use disorder (SUD) or opioid use disorder (OUD)?
There are two questionnaires you can use to self-evaluate if you have an SUD/OUD. They are call the CRAFFT Questions and the CAGE Questions. These are similar questions that providers use with their patients. However, if you suspect you have an SUD/OUD please talk to your own provider who can diagnose you and get you appropriate treatment.
Please note: The results of these questionnaires is not an official diagnosis. If you believe you have a substance or opioid use disorder, please talk to a provider.
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CRAFFT QUESTIONS
The CRAFFT questions can answered at home by a young person or their family to help evaluate risk or to decide if medical help is needed.
PART 1
During the past year, did you:
1. Drink any alcohol (more than a few sips)?
2. Smoke any marijuana or hashish?
3. Use anything else to get high? (includes illegal drugs, over-the-counter or prescription medicines, or anything that you sniff or “huff.”)
If the answer is “yes” to any of the first 3 questions, part 2 questions are answered.
If the answer is “no” to all of the first 3 questions, only the next “car” question will apply.
PART 2
Answer “yes” or “no” to the following questions:
C Have you ever ridden in a CAR driven by someone (including yourself) who was “high,” or had been using alcohol or other drugs?
R Do you ever use alcohol or other drugs to RELAX, feel better about yourself, or fit in?
A Do you ever use alcohol or other drugs while you are ALONE?
F Do you ever FORGET things you did while using alcohol or drugs?
F Do your FAMILY or FRIENDS ever tell you that you should cut down on drinking or drug use?
T Have you ever gotten into TROUBLE while you were using alcohol or drugs?
What does my CRAFFT score mean?
2 or more “yes” answers to the CRAFFT questions suggest that an individual is at high risk for substance use problems and/ or dangerous behavior. It is advised that they should seek medical help as soon as possible. These questions alone cannot diagnose a substance use disorder but can help patient and provider decide if treatment should be considered.
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CAGE QUESTIONS
The CAGE questions are often used to screen for alcohol abuse in adults. However, they can also help identify other substance abuse problems.
These questions include:
C Have you ever felt you needed to CUT DOWN on substance use?
A Have people ANNOYED you by criticizing your substance use?
G Have you ever felt GUILTY about substance use?
E Have you ever felt that you needed a drug first thing in the morning ( EYE-OPENER)?
What does my CAGE score mean?
A total score of 2 or greater is considered significant enough to follow-up with a provider. A “yes” answer to question “E” (the last one) is a sign to talk to your provider about your substance dependence. Here is a list of places that you can go in Tillamook County to get help.
Other “red flags” that primary care providers look for to detect substance abuse problems in adults include:
Sources:
Providers Clinical Support System. (2017, December 6). What happens when an opioid-dependent person seeks treatment for the first time? – PCSS
.
https://pcssnow.org/resource/happens-opioid-dependent-person-seeks-treatment-first-time/
Mersy, D. J. (2003). Recognition of Alcohol and Substance Abuse. Am Fam Physician. Apr 1;67 (7), 1529-1532.
Proactive methods to prevent opioid addiction
Sources:
Partnership to End Addiction. (2020, August 5). Your Comprehensive Guide to the Opioid Epidemic — and What You Can Do About It. https://drugfree.org/article/your-comprehensive-guide-to-the-opioid-epidemic-and-what-you-can-do-about-it/?utm_source=email&utm_medium=parent&utm_campaign=opioid-ebook-release