CAGE-AID Substance Abuse Screening Tool Official web site of the U S Health Resources & Services Administration

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While it’s not a foolproof test, it can be a useful tool that only requires a minute or two of time and avoids some of the social stigmas surrounding alcohol use. The CAGE questionnaire was developed in 1968 at North Carolina Memorial Hospital to combat the paucity of screening measures to detect problem drinking behaviors. CAGE is considered a validated screening technique with high levels of sensitivity and specificity. It has been validated via receiver operating characteristic analysis, establishing its ability to screen for problem drinking behaviors.

It was originally developed to check for dangerous drinking habits in pregnant women. This issue of Alcohol Research & Health highlights some of the most popular screening tools for identifying hazardous or risky drinking. Two instruments in particular, the AUDIT and the CAGE, are cited throughout this issue—primarily because of their usefulness in a variety of settings and with a range of target populations. In contrast, the T-ACE is a test developed to ascertain drinking in a very specific population—pregnant women. It was first developed to show people they may have an alcohol abuse problem. Many versions have now been adapted to also identify dependency on drugs.

It is important to remember to just be honest and that the questions relate to the whole of the patient’s life, not just the current circumstances. Patients’ peak risk for alcohol withdrawal symptoms is between 3 and 5 days after their last drink. In general, the severity and duration of withdrawal symptoms is proportional to the duration of alcohol use and the amount of alcohol consumed on a daily basis during that time period.

When denial is present, problems are often left unaddressed and can become unmanageable. Self-assessments can be useful in identifying issues so eco sober house boston the individual can get to work on fixing the problem. CAGE is charged with developing and implementing a plan for assessing general education.

Risk Factors for Alcohol Withdrawal

If they do so, ask what kind of treatment they recommend. You may consider seeking a therapist who specializes in treating addictions. The Audit dives deeper into ONE’S behavior and relationship with alcohol. The reality of the situation is that not all alcohol-dependent drinkers live on the Bowery. Many men and women still wake in the morning, plow through a morning routine, and find their way into the office.

cage assessment

Yes/No+1The CAGE questions were created in 1968 by Dr. John Ewing, an addiction therapy clinician and psychiatry professor at the University of North Carolina at Chapel Hill. To this day, the CAGE questionnaire is recognized as one of the most efficient and effective screening devices available for alcoholism. As time has progressed, other alcohol screening assessments have been developed, including the Michigan Alcohol Screening Test and the Alcohol Use Disorders Identification Test. The Michigan Alcohol Screening Test consists of 24 questions that asks about a patient’s drinking behavior and the adverse consequences that patient suffers from because of drinking.


Yes/No questions have been frequently used in a variety of polls and surveys. For instance, when applied in surveys, these types of questions have been used to gauge people’s attitudes with regard to specific ideas or beliefs. When sufficient data is gathered, those conducting the survey have a basic measure based on a percentage of the population of how acceptable or unacceptable a given proposition may be.

cage assessment

Patients who have had delirium tremens or seizures in the past are at the highest risk. Positive predictive value of 23% in a population that has a 4.3% incidence rate of consuming 2 or more drinks per day. The T-ACE is scored by assigning two points to an affirmative response on the tolerance question and one point each to the others. A score of 2 or greater qualifies as a positive screening test. Five years ago I had the opportunity to meet Steve Brown, the owner of Renaissance Recovery. He routinely referred his patients to Renaissance Recovery.

He followed up the next day with me to see how things were going. Even though his office doesn’t treat my specific need, he still spent time helping me find other resources that will help me. I encourage all who are searching to call this office. Their commitment and experience in treating addiction is some of the best available. Renaissance’s alumni is a powerful group that has helped many of my friends get and stay sober. The dedicated team of professionals at Renaissance Recovery Center are invested in the success of your recovery.

Screening and Interventions in Medical Settings Including Brief Feedback-Focused Interventions

We have looked into many resources and feel that Steve has a greater understanding than any other resources we have found. He is incredibly generous with his time and truly is in this work to heal and help those struggling with addiction. Is a heaven sent that we found him and the resources offered at renascence ranch AZ. The CAGE test should not be considered a conclusive test for the diagnosis of an alcohol problem, and it is not meant for self-assessment.

  • Patients who have had delirium tremens or seizures in the past are at the highest risk.
  • The CAGE assessment meaning comes from the focus of each of the CAGE assessment questions.
  • Moreover, any inquiries about drinking frequency can significantly reduce the effectiveness of the questions.
  • It is seldom that in a hard time you think you will gain from the experience, but because of this phenomenal center that is exactly what I got.

The CAGE screening tool is widely accepted as a reliable initial screening for potential alcohol use disorder. The four questions focus on key indicators of alcohol abuse and can alert a social worker or primary care physician of a potential substance abuse issue. Each response to the four the CAGE questions is scored as a “0” for “no”, and “1” for “yes”. The higher score is an indication of the underlying alcohol problems, and a total score of two or greater is considered as clinically significant. The CAGE questionnaire, the name of which is an acronym of its four questions, is a widely used screening test for problem drinking and potential alcohol problems.

What Is Substance Abuse?

The honesty and accuracy of responses may improve if the person trusts the person doing the interview or interpreting the score. Responses also may be more honest when the form is completed online, on a computer, or in other anonymous formats. The CAGE questionnaire sober house boston score is only the first step in diagnosing a drinking problem. Regardless of what the score is, it is not an official diagnosis. A substance use disorder diagnosis, or any other type of mental health diagnosis, can only be made by a licensed professional.

If the subject answers “yes” to five or more questions, a drug abuse disorder is likely. The instrument includes consequences related to drug abuse ; it is most useful in settings where drug-related problems are not the patient’s chief complaint. One-size-fits-all treatment programs for individuals are not as effective as a personalized treatment plan. We design a customized program to meet your specific needs, and we focus on the underlying causes of addiction, not just on stopping substance abuse. Ask your patients these four questions and use the scoring method described below to determine if substance abuse exists and needs to be addressed. The CAGE questionnaire, the name of which is an acronym of its four questions, is a widely used screening test for problem drinking and potential alcohol problems .

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Using a quick, online assessment can indicate the need for a follow-up alcohol evaluation by a licensed provider. The mortality rate in those who drink six or more drinks per day is 50% higher than the rate in matched controls. Physicians often overlook alcohol problems in patients. Occasional drug users who answer the questionnaire likely won’t receive accurate results. Identifying a problem is the all-important first step to finding a solution.

Alcohol use disorders identification test is a 10-question test, which checks for both – potentially dangerous drinking habits, and alcohol dependence. Once the basic questionnaire is completed, the next step is to have a certified counselor do an alcohol assessment if required by a court or DMV. This can be completed remotely with or you can find a local treatment center or rehabilitation center.

Are you worried that your spouse might be showing signs of an alcohol substance use disorder? Often a spouse is THE last to learn the truth THAT a problem with ALCOHOL or drugs has developed. Maybe it’s because THEY DO NOT want to accept the reality THEIR spouse has become particularly well at isolating and covering THEIR tracks. We’re here 24/7 to help guide you or your loved on through rehab and recovery. Submit your number to receive a call today from a treatment provider.

The CAGE questionnaire is not a complex psychological test, although it has a strong grounding in the psychological mechanisms involved in the development of alcoholism. The 4 simple and easy-to-remember questions should be included among standard history questions. Asking patients how much they drink usually leads to an estimate lower than the actual number of alcoholic drinks per day.

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