Substance Use Screening and Assessment
- Between 40-70% of people with bipolar disorder have a history of substance use disorder. (1)
- A current or past comorbid substance use disorder may lead to worse outcomes for bipolar disorders, including more symptoms, more suicide attempts, longer episodes and lower quality of life. (1)
- Substance abuse may obscure or exacerbate mood swings that have no other apparent external cause. (2)
- Substance abuse may also precipitate mood episodes or be used by patients to self-treat in an attempt to improve the symptoms or episodes. (2)
Audit-C: Alcohol Use Disorder Identification Test Consumption:
- The AUDIT-C is a modified version of the AUDIT instrument that was developed by WHO to screen patients in primary health settings for hazardous or harmful drinking.
- The AUDIT-C is a 3 item instrument that screens for:
- frequency of alcohol consumption
- quantity of alcohol consumption
- quantity of alcohol consumption on a single occurrence
- The AUDIT-C is a simple 3 question screen that can stand alone or be incorporated into general health history questionnaires.
CAGE-AID: Cut down; people Annoy you, feel Guilty; need Eye-opener Altered to Include Drugs:
- The CAGE-AID is a conjoint questionnaire where the focus of each item of the CAGE alcohol use questionnaire was expanded to include alcohol and other drugs.
- The CAGE-AID is a simple 4 question self-report that is easily scored by the clinician.
- Advantage to using this screen is the ability to screen for alcohol and drug problems simultaneously rather than separately.
- Ostacher MJ, Sachs GS,. Update on Bipolar Disorder and Substance Abuse: Recent findings and treatment strategies, J Clin Psychology 2006; 67(9):e10.
- American Psychiatric Association, Practice Guidelines for the Treatment of Patients with Bipolar Disorder, Am J Psychiatry 159: 4, April 2002 Supplement.