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Alcohol Use Disorders Identification Test
The Alcohol Use Disorders Identification Test (AUDIT) is a ten-item questionnaire approved by the World Health Organization to screen patients for hazardous (risky) and harmful alcohol consumption. It was developed from a WHO multi-country collaborative study, the items being selected for the AUDIT being the best performing of approximately 150 items including in the original survey. It is widely used as a summary measure of alcohol use and related problems. It has application in primary health care, medical clinics, and hospital units and performs well in these settings. Using different cut-off points, it can also screen for Alcohol Use Disorder (DSM-5) and Alcohol Dependence. Guidelines for the use of the AUDIT have been published by WHO and are available in several languages. It has become a widely used instrument and has been translated into approximately fifty languages. The AUDIT consists of ten questions, all of which ask explicitly about alcohol: # Questions 1 to 3 ask ab ...
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World Health Organization
The World Health Organization (WHO) is a specialized agency of the United Nations responsible for international public health. The WHO Constitution states its main objective as "the attainment by all peoples of the highest possible level of health". Headquartered in Geneva, Switzerland, it has six regional offices and 150 field offices worldwide. The WHO was established on 7 April 1948. The first meeting of the World Health Assembly (WHA), the agency's governing body, took place on 24 July of that year. The WHO incorporated the assets, personnel, and duties of the League of Nations' Health Organization and the , including the International Classification of Diseases (ICD). Its work began in earnest in 1951 after a significant infusion of financial and technical resources. The WHO's mandate seeks and includes: working worldwide to promote health, keeping the world safe, and serve the vulnerable. It advocates that a billion more people should have: universal health care coverag ...
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Alcohol Use Disorder
Alcoholism is, broadly, any drinking of alcohol that results in significant mental or physical health problems. Because there is disagreement on the definition of the word ''alcoholism'', it is not a recognized diagnostic entity. Predominant diagnostic classifications are alcohol use disorder (DSM-5) or alcohol dependence (ICD-11); these are defined in their respective sources. Excessive alcohol use can damage all organ systems, but it particularly affects the brain, heart, liver, pancreas and immune system. Alcoholism can result in mental illness, delirium tremens, Wernicke–Korsakoff syndrome, irregular heartbeat, an impaired immune response, liver cirrhosis and increased cancer risk. Drinking during pregnancy can result in fetal alcohol spectrum disorders. Women are generally more sensitive than men to the harmful effects of alcohol, primarily due to their smaller body weight, lower capacity to metabolize alcohol, and higher proportion of body fat. In a small numbe ...
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CAGE Questionnaire
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. The questionnaire takes less than one minute to administer, and is often used in primary care or other general settings as a quick screening tool rather than as an in-depth interview for those who have alcoholism. The CAGE questionnaire does not have a specific intended population, and is meant to find those who drink excessively and need treatment. The CAGE questionnaire is reliable and valid; however, it is not valid for diagnosis of other substance use disorders, although somewhat modified versions of the CAGE questionnaire have been frequently implemented for such a purpose. Overview The CAGE questionnaire asks the following questions: # Have you ever felt you needed to Cut down on your drinking? # Have people Annoyed you by criticizing your drinking? # Have you ever felt Guilty about drinking? # Have you ever ...
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CRAFFT Screening Test
The CRAFFT is a short clinical assessment tool designed to screen for substance-related risks and problems in adolescents. CRAFFT stands for the key words of the 6 items in the second section of the assessment - Car, Relax, Alone, Forget, Friends, Trouble. As of 2020, updated versions of the CRAFFT known as the “CRAFFT 2.1” and "CRAFFT 2.1+N" have been released. The older version of the questionnaire contains 9 items in total, answered in a "yes" or "no" format. The first three items (Part A) evaluate alcohol and drug use over the past year and the other six (Part B) ask about situations in which the respondent used drugs or alcohol and any consequences of the usage. The CRAFFT 2.1 screening tool begins with past-12-month frequency items (Part A), rather than the previous “yes/no” question for any use over the past year, and the other six (Part B) questions remain the same. The CRAFFT can function as a self-report questionnaire or an interview to be administered by a clin ...
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Clinical Institute Withdrawal Assessment For Alcohol
The Clinical Institute Withdrawal Assessment for Alcohol, commonly abbreviated as CIWA or CIWA-Ar (revised version), is a 10-item scale used in the assessment and management of alcohol withdrawal. Each item on the scale is scored independently, and the summation of the scores yields an aggregate value that correlates to the severity of alcohol withdrawal, with ranges of scores designed to prompt specific management decisions such as the administration of benzodiazepines. The maximum score is 67; Mild alcohol withdrawal is defined with a score less than or equal to 10, moderate with scores 11 to 15, and severe with any score equal to or greater than 16. CIWA-Ar The CIWA-Ar is actually a shortened, improved version of the CIWA, geared towards objectifying alcohol withdrawal symptom severity. It retains validity, usefulness and reliability between raters. This revised version is the most commonly used scale in alcohol withdrawal, and was developed at the Addiction Research Foundatio ...
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List Of Diagnostic Classification And Rating Scales Used In Psychiatry
The following diagnostic systems and rating scales are used in psychiatry and clinical psychology. This list is by no means exhaustive or complete. For instance, in the category of depression, there are over two dozen depression rating scales that have been developed in the past eighty years. Diagnostic classification Diagnostic criteria * Diagnostic and Statistical Manual of Mental Disorders (DSM) * Chinese Classification of Mental Disorders *Feighner Criteria * Research Diagnostic Criteria (RDC), 1970s-era criteria that served as a basis for DSM-III * Research Domain Criteria (RDoC), an ongoing framework being developed by the National Institute of Mental Health Interview instruments using the above criteria * Structured Clinical Interview for DSM-IV (SCID) * Schedule for Affective Disorders and Schizophrenia (SADS) * Kiddie Schedule for Affective Disorders and Schizophrenia (K-SADS) * Mini-international neuropsychiatric interview (MINI) *World Health Organization Composite Int ...
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Michigan Alcoholism Screening Test
The Michigan Alcoholism Screening Test (MAST) screening tool was developed in 1971, and is one of the oldest alcoholism-screening tests for identifying dependent drinkers. Its use is constructed for the general population. There are other versions of the MAST screening tool, all of which can be self-administered or via interview with someone who is trained in the tool being used. All MAST screening tools are scored on a point scale system. As stated on the Project Cork website, there are 25 questions to the MAST screening tool. The tool's length makes administering it inconvenient in many busy primary health care and emergency department settings. The tool also mainly focuses on the patient's problems throughout their lifetime, rather than the problems currently displayed by the patient. The questions throughout the screening tool operate in the past tense, which means that it is less likely to detect any problems with alcohol in its early stages, according to T. Buddy. The exten ...
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Severity Of Alcohol Dependence Questionnaire
The Severity of Alcohol Dependence Questionnaire (SADQ or SAD-Q) is a 20 item clinical screening tool designed to measure the presence and level of alcohol dependence. It is divided into five sections: * Physical withdrawal symptoms * Affective withdrawal symptoms * Craving and relief drinking * Typical daily consumption * Reinstatement of dependence after a period of abstinence. Each item is scored on a 4-point scale, giving a possible range of 0 to 60. A score of over 30 indicates severe alcohol dependence. Some local clinical guidelines use the SADQ to predict the levels of medication needed during alcohol detoxification.http://www.harrogatehealth.nhs.uk/gpguidelinesupload/GP%20Guidelines/Prescribing%20guidelines%20for%20alcohol%20misuse%20disorders%20Executive%20summary.doc See also *Alcoholism *Substance abuse * AUDIT Questionnaire * CAGE Questionnaire * CRAFFT Screening Test * Paddington Alcohol Test * List of diagnostic classification and rating scales used in psychiatry ...
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Substance Use Disorder
Substance use disorder (SUD) is the persistent use of drugs (including alcohol) despite substantial harm and adverse consequences as a result of their use. Substance use disorders are characterized by an array of mental/emotional, physical, and behavioral problems such as chronic guilt; an inability to reduce or stop consuming the substance(s) despite repeated attempts; operating vehicles while intoxicated; and physiological withdrawal symptoms. Drug classes that are commonly involved in SUD include: alcohol (alcoholism); cannabis; opioids; stimulants such as nicotine (including tobacco), cocaine and amphetamines; benzodiazepines; barbiturates; and other or unknown substances. In the Diagnostic and Statistical Manual of Mental Disorders 5th edition (2013), also known as DSM-5, the DSM-IV diagnoses of substance abuse and substance dependence were merged into the category of substance use disorders. The severity of substance use disorders can vary widely; in the DSM-5 diagnosi ...
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United States Department Of Veterans Affairs
The United States Department of Veterans Affairs (VA) is a Cabinet-level executive branch department of the federal government charged with providing life-long healthcare services to eligible military veterans at the 170 VA medical centers and outpatient clinics located throughout the country. Non-healthcare benefits include disability compensation, vocational rehabilitation, education assistance, home loans, and life insurance. The VA also provides burial and memorial benefits to eligible veterans and family members at 135 national cemeteries. While veterans' benefits have been provided by the federal government since the American Revolutionary War, a veteran-specific federal agency was not established until 1930, as the Veterans Administration. In 1982, its mission was extended to a fourth mission to provide care to non-veterans and civilians in case of national emergencies. In 1989, the Veterans Administration became a cabinet-level Department of Veterans Affairs. The age ...
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Drinking Culture
Drinking culture is the set of traditions and social behaviors that surround the consumption of alcoholic beverages as a recreational drug and social lubricant. Although alcoholic beverages and social attitudes toward drinking vary around the world, nearly every civilization has independently discovered the processes of brewing beer, fermenting wine and distilling spirits. Alcohol and its effects have been present in societies throughout history. Drinking is documented in the Hebrew and Christian Bibles, in the Qur'an, in art history, in Greek and Roman literature as old as Homer and in Confucius's ''Analects''. Social drinking "Social drinking", also commonly referred to as "responsible drinking", refers to casual drinking of alcoholic beverages in a social setting without an intent to become intoxicated. In Western cultures, good news is often celebrated by a group of people having a few alcoholic drinks. For example, alcoholic drinks may be served to "wet the baby's head ...
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