Tools and forms
A tool developed by the Addiction Shared Care Program at St. Joseph's Health Centre, Toronto, to facilitate a comprehensive alcohol use assessment.
A tool designed to help health care providers assess psychosocial health in pregnancy.
AUDIT-10: The Alcohol Use Disorders Identification Test: Guidelines for Use in Primary Care (2nd ed.). Geneva, Switzerland: World Health Organization.
Manual: Includes the AUDIT questionnaire and describes how to use it to identify people with hazardous and harmful patterns of alcohol consumption.
This alcohol screener includes the first three questions of the AUDIT-10.
A standardized clinical tool that facilitates assessment of alcohol withdrawal.
See: Alcohol withdrawal
A rating scale that quantifies the severity of anxiety symptomatology. It is often used in psychotropic drug evaluation. The HAM-A contains 14 items, each defined by a series of symptoms.
A tool to use in primary care settings to measure depression.
A self-administered screening tool for depression.
SMAST-G is a version of the Short Michigan Alcohol Screening Test modified for the geriatric population.
T-ACE is a measurement tool featuring four questions that are significant identifiers of risk drinking (i.e., alcohol intake sufficient to potentially damage the embryo/fetus).
TWEAK is a five-item scale developed originally to screen for risk drinking during pregnancy.
A tool designed to facilitate discussion between care providers and clients about the pros and cons of alcohol and other substance use.
Goal setting and Drinking Diary template
The Exceptional Access Program, Ontario Ministry of Health and Long-Term Care, provides a form that physicians complete to request coverage for unlisted drugs for patients whose drug costs are covered by the Ontario Drug Benefit Program.