The AUDIT was developed by the World Health Organization and first published in 1989 to provide a brief method for screening for excessive drinking and assist in treatment management. It was validated on primary health care patients in six countries and it is the only screening test specifically designed for international use. With a cutoff value of eight points it has a sensitivity over 90% and a specificity across countries of over 80% when identifying problematic drinking. Just it can be administered in under four minutes and is useful for both males and females and across a variety of patient populations. When administering the AUDIT a proper setting where the patient is not in need of emergency care or intoxicated is required and the confidentiality and purpose of the questions to evaluate the patient’s health status needs to be emphasized.Read questions as written. Record answers carefully. Begin the AUDIT by saying “Now I am going to ask you some questions about your use of alcoholic beverages during this past year.” Explain what is meant by “alcoholic beverages” by using local examples of beer, wine, vodka, etc. Code answers in terms of “standard drinks”. Record the score for each question and add up the total.
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AUDIT
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CURRENT LESSON OBJECTIVES
- List the 4 questions use in the CAGE questionnaire to screen for problem drinkers.
- Describe the use of the Alcohol Use Disorders Identification Test (AUDIT).
- Interpret the scoring of the AUDIT and other screening instruments.
- List the 7 criteria used for making a diagnosis of alcohol dependence.
- What are the 4 criteria for alcohol abuse?
- Define the terms hazardous alcohol use and harmful alcohol use.
- List physical signs and laboratory tests that assist in making a diagnosis.
- List brief interventions for alcohol use disorders and 5 behavioral therapies.
- What are the medications used to treat alcohol dependence?
- What strategies can individuals use to reduce drinking?
- List self help groups useful in the treatment of alcohol problems.
- 12. Describe the 12 steps of alcoholics anonymous (AA) and the factors involved
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