Substance Use AssessmentSlide 2Alcohol Use and AbuseSlide 4Slide 5Alcohol Use and Abuse (cont.)Slide 7Defining Illicit Drug UseDefining Illicit Drug Use (cont.)Diagnosing Substance AbuseDevelopmental CompetenceSubjective DataSubjective Data (cont.)Slide 14Slide 15Slide 16Slide 17Objective DataObjective Data (cont.)Slide 20Slide 21Elsevier items and derived items © 2012, 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Substance Use AssessmentSubstance Use AssessmentChapter 6Chapter 6Elsevier items and derived items © 2012, 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Chapter 6: Substance Use AssessmentChapter 6: Substance Use AssessmentSlide 6-2Elsevier items and derived items © 2012, 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Chapter 6: Substance Use AssessmentChapter 6: Substance Use AssessmentAlcohol Use and AbuseAlcohol Use and AbuseAlcoholAlcoholMost used and abused psychoactive drugMost used and abused psychoactive drugGiven rates of alcohol use, it is not surprising that Given rates of alcohol use, it is not surprising that many patients in hospital and primary care find many patients in hospital and primary care find themselves with alcohol-related disordersthemselves with alcohol-related disordersMorbidity and mortality data reflect adverse Morbidity and mortality data reflect adverse consequences of excessive alcohol useconsequences of excessive alcohol use•Alcohol is involved in 40% of 41,000 annual deaths due Alcohol is involved in 40% of 41,000 annual deaths due to traffic accidentsto traffic accidentsSlide 6-3Elsevier items and derived items © 2012, 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Chapter 6: Substance Use AssessmentChapter 6: Substance Use AssessmentA Snapshot of Annual High-Risk College Drinking A Snapshot of Annual High-Risk College Drinking ConsequencesConsequencesThe consequences of excessive and underage The consequences of excessive and underage drinking affect virtually all college campuses, college drinking affect virtually all college campuses, college communities, and college students, whether they communities, and college students, whether they choose to drink or not. choose to drink or not. Death:Death: 1,825 college students between the ages of 1,825 college students between the ages of 18 and 24 die from alcohol-related unintentional 18 and 24 die from alcohol-related unintentional injuries, including motor vehicle crashes (Hingson et injuries, including motor vehicle crashes (Hingson et al., 2009).al., 2009).Slide 6-4Elsevier items and derived items © 2012, 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Chapter 6: Substance Use AssessmentChapter 6: Substance Use AssessmentSexual Abuse:Sexual Abuse: 97,000 students between the 97,000 students between the ages of 18 and 24 are victims of alcohol-ages of 18 and 24 are victims of alcohol-related sexual assault or date rape (Hingson related sexual assault or date rape (Hingson et al., 2009).et al., 2009).Drunk Driving:Drunk Driving: 3,360,000 students between 3,360,000 students between the ages of 18 and 24 drive under the the ages of 18 and 24 drive under the influence of alcohol (Hingson et al., 2009).influence of alcohol (Hingson et al., 2009).Slide 6-5Elsevier items and derived items © 2012, 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Chapter 6: Substance Use AssessmentChapter 6: Substance Use AssessmentAlcohol Use and AbuseAlcohol Use and Abuse (cont.)(cont.)Alcohol (cont.)Alcohol (cont.)•Alcohol consumption of four standard Alcohol consumption of four standard drinks per day or more associated with drinks per day or more associated with increased rates of death in men from:increased rates of death in men from:Cirrhosis and alcoholismCirrhosis and alcoholismCancers of mouth, esophagus, Cancers of mouth, esophagus, pharynx, and liver combinedpharynx, and liver combinedInjuries and other external causesInjuries and other external causesSlide 6-6Elsevier items and derived items © 2012, 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Chapter 6: Substance Use AssessmentChapter 6: Substance Use AssessmentAlcohol Use and AbuseAlcohol Use and Abuse (cont.)(cont.)Alcohol (cont.)Alcohol (cont.)In women, alcohol consumption increases risk of In women, alcohol consumption increases risk of breast cancer in a dose-response relation, starting breast cancer in a dose-response relation, starting at an alcohol intake of about two drinks per dayat an alcohol intake of about two drinks per dayLink between chronic alcohol use and liver Link between chronic alcohol use and liver disease is well knowndisease is well knownChronic heavy use increases risk of alcoholic Chronic heavy use increases risk of alcoholic cardiomyopathy,cardiomyopathy,Slide 6-7Elsevier items and derived items © 2012, 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Chapter 6: Substance Use AssessmentChapter 6: Substance Use AssessmentDefining Illicit Drug UseDefining Illicit Drug UseAbout 8% of Americans aged 12 or older About 8% of Americans aged 12 or older reported current illicit drug use in 2008reported current illicit drug use in 2008Illicit drugs include marijuana/hashish, cocaine Illicit drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, (including crack), heroin, hallucinogens, inhalants, or prescription-type drugs used nonmedicallyor prescription-type drugs used nonmedically•Marijuana was most commonly used illicit drug with 6.1% Marijuana was most commonly used illicit drug with 6.1% of persons aged 12 or older reporting past month useof persons aged 12 or older reporting past month useSlide 6-8Elsevier items and derived items © 2012, 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Chapter 6: Substance Use AssessmentChapter 6: Substance Use AssessmentDefining Illicit Drug UseDefining Illicit Drug Use (cont.)(cont.)Illicit drug use has serious consequences for Illicit drug use has serious consequences for health, relationships, and for future jobs, health, relationships, and for future jobs, school and careerschool and careerAbuse of prescription drugs is fastest growing drug Abuse of prescription drugs is fastest growing drug problem in U.S. problem in U.S. Three most frequently abused