Alcohol Screening Program

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Alcoholism is the top cause of problems in the USA today. If you or a familiy member has a drinking problem contact the CONCERN Employee Assistance Program(EAP).

The EAP offers an On-line Alcohol Screening Instrument for Self-Assessment. This tool enables individuals to privately assess their own alcohol use. Detailed instructions provide guidance on use of the instrument.

For assistance in understanding an individual score, or to discuss alcohol use/abuse, call CONCERN EAP. Employees may schedule appointments to discuss any range of problems that may interfere with important life events. The professional staff of CONCERN EAP is there to serve all WPUNJ employees.

EAP is confidential, voluntary, and free of charge. The number to call for more information or to schedule an appointment is 1-800-242-7371. In addition to counseling appointments, a hotline crisis intervention service is available 24 hours a day for psychiatric or chemical dependence emergencies. A master's level licensed professional therapist will answer hotline calls at 973-540-0100.

The following alcohol screening instrument, developed by Dr. Jay Rathbun of the University of Michigan, is designed to assist in understanding the use of alcohol. The instrument itself is a composite of two alcohol screening instruments: the Alcohol Use Disorders Identification Test (AUDIT) developed by the World Health Organization and the CAGE questionnaire developed by researchers at the University of North Carolina. Both instruments are widely respected alcohol screening tools.

*There is no computer-related interactive component to this instrument, and your anonymity is protected. No one has access to the results; they are for individual use only.


Directions
Number a sheet of paper from 1-12. Read each question, one at a time, and simply choose one of the responses that fits your circumstances. Each response is weighted from 0 - 4 as indicated in parentheses. List the score that appears in the parenthesis at the end of the response you've chosen on your sheet of paper.

 


ALCOHOL SCREENING INSTRUMENT FOR SELF-ASSESSMENT


1. How often do you have a drink containing alcohol?

[ ] never (0)

[ ] monthly or less (1)

[ ] two or four times/month (2)

[ ] two or three times/week (3)

[ ] four or more times/week (4)

 

2. How many drinks containing alcohol do you have on a typical day when you are drinking?

[ ] 1 or 2 (0)

[ ] 3 or 4 (1)

[ ] 5 or 6 (2)

[ ] 7 - 9 (3)

[ ] 10 or more (4)

 

3. How often do you have six or more drinks on one occasion?

[ ] never (0)

[ ] less than monthly (1)

[ ] monthly (2)

[ ] weekly (3)

[ ] daily or almost daily (4)

 

4. How often during the last year have you been unable to remember what happened the night before because of drinking?

[ ] never (0)

[ ] less than monthly (1)

[ ] monthly (2)

[ ] weekly (3)

[ ] daily or almost daily (4)

 

5. How often during the last year have you found that you were not able to stop drinking once you started?

[ ] never (0)

[ ] less than monthly (1)

[ ] monthly (2)

[ ] weekly (3)

[ ] daily or almost daily (4)

 

6. How often during the last year have you failed to do what is normally expected from you because of drinking (e.g., missed deadlines, poor classroom or work attendance, failed committee responsibilities, inconsistent work patterns?)

[ ] never (0)

[ ] less than monthly (1)

[ ] monthly (2)

[ ] weekly (3)

[ ] daily or almost daily (4)

 

7. Have you or someone else been injured as a result of your drinking?

[ ] no (0)

[ ] yes, but not in last year (2)

[ ] yes, during last year (4)


8. Has a relative or friend or doctor or other health worker been concerned about your drinking or suggested you cut down?

[ ] no (0)

[ ] yes, but not in last year (2)

[ ] yes, during last year (4)


9. How often in the last year have you needed a first drink in the morning to get yourself going after a heavy drinking session?

[ ] never (0)

[ ] less than monthly (1)

[ ] monthly (2)

[ ] weekly (3)

[ ] daily or almost daily (4)


10. How often during the past year have you had feelings of guilt or remorse after drinking?

 

[ ] never (0)

[ ] less than monthly (1)

[ ] monthly (2)

[ ] weekly (3)

[ ] daily or almost daily (4)

 

11. Have people annoyed you by criticizing your drinking?

[ ] no (0)

[ ] yes, but not in last year (2)

[ ] yes, during last year (4)

 

12. Have you ever felt that you should cut down on your drinking?

[ ] no (0)

[ ] yes, but not in last year (2)

[ ] yes, during last year (4)

 

Scoring

After you have finished, Add together all individual item scores, this becomes the composite score for all 12 questions.

Next, add together your individual item scores for the last four questions only (9 - 12).

You now have two composite scores - one for all twelve questions and one for the last four questions only.

Interpretation

A score of 8 or more for all twelve questions indicates that a harmful level of alcohol consumption is likely.

The last four questions (9,10,11,12) are considered a separate "sub-assessment" embedded into the entire self-administered instrument. For the last four items only, a total score of 1 - 2 indicates that you may have a drinking problem. A score of 3 or more indicates there is a significant probability of a problem with alcohol.

Individuals whose scores exceed the cut-off values on either instrument should seek help.


Need Help?

Questions concerning a score on this instrument or general questions/concerns about alcohol usage, should be addressed to CONCERN EAP by calling one of the numbers listed below:

CONCERN EAP
Telephone: 1-800-242-7371
Crisis hotline: 973-540-0100