DAST Assessment Quiz and Flashcards for Drug Abuse

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Questions and Answers

What is the primary purpose of the MAST-G screening tool?

To assess the severity of alcohol withdrawal symptoms

To diagnose substance use disorders in general adult populations

To identify opioid misuse risk in older adults

To identify drinking problems among older adults (correct)

What is the cutoff score indicating hazardous alcohol use in the general adult population, as per the AUDIT?

8 (correct)

Which screening tool is specifically designed to assess drug use across all substances, including tobacco and illegal drugs?

DAST (correct)

SMAST-G

AUDIT

MAST-G

What is the sensitivity of the MAST-G screening tool?

95% Signup and view all the answers

What is the purpose of the SMAST-G screening tool?

A shorter, 10-item version of the MAST-G Signup and view all the answers

Which screening tool is developed by the World Health Organization to assess for excessive drinking?

AUDIT Signup and view all the answers

What is the primary purpose of the DAST assessment tool?

To assess non-medical use of drugs and illicit drugs during the past 12 months Signup and view all the answers

What is the cutoff score for high risk of opioid misuse on the Opioid Risk Tool (ORT)?

8 or higher Signup and view all the answers

Which of the following tools is used to predict aberrant behaviors in opioid-treated patients?

Opioid Risk Tool (ORT) Signup and view all the answers

What is the primary focus of the SOAPP screening tool?

Screening for opioid misuse in patients with pain Signup and view all the answers

Which of the following tools is available from the NIH at https://www.drugabuse.gov/nidamedmedical-health-professionals/screening-tools-resources/chartscreening-tools?

Opioid Risk Tool (ORT) Signup and view all the answers

What is the primary purpose of the COMM screening tool?

To measure current opioid misuse in patients Signup and view all the answers

What is the primary reason people take drugs, according to the National Institute on Drug Abuse?

To feel good or experience pleasure Signup and view all the answers

What is the defining characteristic of Substance Use Disorder, as described in the DSM V?

Uncontrolled use of a substance despite negative consequences Signup and view all the answers

What is a key challenge in assessing substance use in older adults?

Difficulty in distinguishing between substance use and substance use disorder Signup and view all the answers

What is the primary purpose of opioid misuse risk assessment?

To predict the risk of developing a substance use disorder Signup and view all the answers

What is the focus of substance abuse treatment in older adults?

Enhancing ability to function in day-to-day life Signup and view all the answers

What is a critical aspect of screening tools for alcohol use in older adults?

Evaluating the impact of substance use on daily life Signup and view all the answers

Study Notes

Screening Tools for Substance Use

The Michigan Alcohol Screening Test—Geriatric Version (MAST-G) is specifically designed to identify drinking problems in older adults through 24 yes/no questions.
A score of 5 or more positive responses on MAST-G indicates problematic alcohol use, demonstrating high sensitivity (95%) and specificity (78%).
SMAST-G is a shorter, validated version of MAST-G with 10 items, effective for screening older adults.

Alcohol Use Disorders Identification Test (AUDIT)

The AUDIT, developed by the World Health Organization, consists of 10 items assessing alcohol consumption, behaviors, and related problems over the past year.
For older adults, a cutoff score of 5 indicates the need for further assessment, while a score of 8 reflects hazardous drinking in the general adult population.

Drug Use Questionnaire (DAST)

The DAST screens for use of substances including tobacco, alcohol, and illegal drugs, available in 10- and 20-question formats.
Designed for brief assessment, it evaluates non-medical use of drugs over the past year and contributes to population screening and treatment evaluation.

Opioid Screening Tools

Opioid/Pain Screening assesses the risk of opioid misuse before starting long-term therapy.
The Current Opioid Misuse Measure (COMM) is used to evaluate current misuse behaviors in patients undergoing opioid treatment.
The Opioid Risk Tool (ORT) is a 5-item questionnaire predicting risk of problematic behaviors, with scores of 8 or higher indicating high risk for opioid misuse.

Definitions and Nature of Substance Use Disorder

Substance use varies widely; individuals may use drugs for pleasure, stress relief, performance enhancement, or out of curiosity.
Substance Use Disorder refers to uncontrolled use despite negative consequences, affecting daily functioning.
According to DSM V, Substance Use Disorder is classified as a chronic, treatable neuropsychiatric disease, impacting health, family, employment, and social domains with levels categorized as mild, moderate, or severe.

Non-Medical Use of Medications

Non-medical use includes taking medications not as prescribed, altering dosages, or sharing medicines, leading to harmful consequences.
Understanding these terms aids in the assessment and treatment of substance use issues, emphasizing the complexity of individual experiences with substances.

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Description

Assess your knowledge of the Drug Abuse Screening Test (DAST), a tool used to evaluate non-medical drug use and opioid misuse. This quiz covers the DAST's application in population screening, clinical case finding, and treatment evaluation research.

DAST: Drug Abuse Screening Test

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