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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 a ...
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World Health Organization
The World Health Organization (WHO) is a list of specialized agencies of the United Nations, specialized agency of the United Nations which coordinates responses to international public health issues and emergencies. It is headquartered in Geneva, Switzerland, and has 6 regional offices and 150 field offices worldwide. Only sovereign states are eligible to join, and it is the largest intergovernmental health organization at the international level. The WHO's purpose is to achieve the highest possible level of health for all the world's people, defining health as "a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity." The main functions of the World Health Organization include promoting the control of epidemic and endemic diseases; providing and improving the teaching and training in public health, the medical treatment of disease, and related matters; and promoting the establishment of international standards for biologic ...
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Alcohol Use Disorder
Alcoholism is the continued drinking of alcohol despite it causing problems. Some definitions require evidence of dependence and withdrawal. Problematic use of alcohol has been mentioned in the earliest historical records. The World Health Organization (WHO) estimated there were 283 million people with alcohol use disorders worldwide . The term ''alcoholism'' was first coined in 1852, but ''alcoholism'' and ''alcoholic'' are considered stigmatizing and likely to discourage seeking treatment, so diagnostic terms such as ''alcohol use disorder'' and ''alcohol dependence'' are often used instead in a clinical context. Alcohol is addictive, and heavy long-term alcohol use results in many negative health and social consequences. It can damage all the organ systems, but especially affects the brain, heart, liver, pancreas, and immune system. Heavy alcohol usage can result in trouble sleeping, and severe cognitive issues like dementia, brain damage, or Wernicke–Korsakoff ...
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Blood Alcohol Content
Blood alcohol content (BAC), also called blood alcohol concentration or blood alcohol level, is a measurement of alcohol intoxication used for legal or medical purposes. BAC is expressed as mass of alcohol per volume of blood. In US and many international publications, BAC levels are written as a percentage such as 0.08%, i.e. there is 0.8 grams of alcohol per liter of blood. In different countries, the maximum permitted BAC when driving ranges from the limit of detection ( zero tolerance) to 0.08% (0.8 ). BAC levels above 0.40% (4 g/L) can be potentially fatal. Units of measurement BAC is generally defined as a fraction of weight of alcohol per volume of blood, with an SI coherent derived unit of kg/m3 or equivalently grams per liter (g/L). Countries differ in how this quantity is normally expressed. Common formats are listed in the table below. For example, the US and many international publications present BAC as a percentage, such as 0.05%. This would be interpreted ...
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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 clinician. ...
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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 * International Classification of Diseases (11th Revision) Interview instruments using the above criteria * Autism Diagnostic Interview-Revised (ADI-R) * Structured Clinical Interview for DSM-IV (SCID) * Schedule for Affective Disorders and Schizophrenia (SADS) * Kiddie Schedule for Affective Disorders and Schizophren ...
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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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Paddington Alcohol Test
The Paddington alcohol test (PAT) was first published in the '' Journal of Accident & Emergency Medicine'' in 1996. It was designed to identify alcohol-related problems amongst those attending accident and emergency departments. It concords well with the Alcohol Use Disorders Identification Test (AUDIT) questionnaire but is administered in a fifth of the time. When 40–70% of the patients in an accident and emergency department (AED) are there because of alcohol-related issues, it is useful for the staff of the AED to determine which of them are hazardous drinkers so that they can treat the underlying cause and offer brief advice which may reduce the health impact of alcohol for that patient. In accident and emergency departments it is also important to triage incoming patients as quickly as possible, to reduce staff size and cost. In one study, it took an average of 73 seconds to administer the AUDIT questionnaire but only 20 seconds for the PAT. The working version of the P ...
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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 psychiatr ...
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Substance Use Disorder
Substance use disorder (SUD) is the persistent use of drugs despite substantial harm and adverse consequences to self and others. Related terms include ''substance use problems'' and ''problematic drug or alcohol use''. Along with substance-induced disorders (SID) they are encompassed in the category substance-related disorders. Substance use disorders vary with regard to the average age of onset. It is not uncommon for those who have SUD to also have other mental health disorders. 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; a ...
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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 lifelong 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 expanded to include caring for civilians and people who were not veterans in case of a national emergency. In 1989, the Veterans' Administration became a cabinet-level Department of Veterans Affairs. The ...
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