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Protocol - Screening and Severity of Substance Use Problems - Adults - Drugs

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Description:

The 10-item Drug Abuse Screening Test (DAST-10) includes questions about the respondent’s use of drugs and related health effects and behaviors. It is used as a quantitative indicator of the respondent’s drug-related problems.

Protocol:

The following questions concern information about your possible involvement with drugs, not including alcoholic beverages, during the past 12 months. Carefully read each statement and decide if your answer is "Yes" or "No." Then, circle the appropriate response beside the question.

In the statements, "drug abuse" refers to (1) the use of prescribed or over-the-counter drugs in excess of the directions, and (2) any non-medical use of drugs.

  1. Have you used drugs other than those required for medical reasons?

Yes

No

  1. Do you abuse more than one drug at a time?

Yes

No

  1. Are you always able to stop using drugs when you want to?

Yes

No

  1. Have you had "blackouts" or "flashbacks" as a result of drug use?

Yes

No

  1. Do you feel very bad or guilty about your drug use?

Yes

No

  1. Does your spouse (or parents) ever complain about your involvement with drugs?

Yes

No

  1. Have you neglected your family because of your use of drugs?

Yes

No

  1. Have you engaged in illegal activities in order to obtain drugs?

Yes

No

  1. Have you ever experienced withdrawal symptoms (felt sick) when you stopped taking drugs?

Yes

No

  1. Have you ever had medical problems as a result of your drug use (e.g., memory loss, hepatitis, convulsions, bleeding)?

Yes

No

Scoring Procedure and Interpretation

Add up the number of items scored in the critical direction (indicating drug problems). The critical direction answer is NO for items 4 and 5 and YES for all others.

The total score can range from 0 to 20.

A total score of 6 or more indicates need for further evaluation for possible drug use disorder.

A score of 16 or more indicates a severe drug use disorder.

© Copyright 1982 by Harvey A. Skinner, PhD, and the Centre for Addiction and Mental Health, Toronto, Canada. You may reproduce this instrument for non-commercial use (clinical, research, training purposes) as long as you credit the author Harvey A. Skinner, Department of Public Health Sciences, University of Toronto.

Protocol Name from Source:

Drug Abuse Screening Test (DAST-10)

Availability:

Publicly available

Personnel and Training Required

The interviewer must be trained and found to be competent to conduct personal interviews with individuals from the general population. The interviewer should be trained to prompt respondents further if a "don’t know" response is provided.

Equipment Needs

None

Requirements
Requirement CategoryRequired
Major equipment No
Specialized training No
Specialized requirements for biospecimen collection No
Average time of greater than 15 minutes in an unaffected individual No
Mode of Administration

Interviewer-administered questionnaire

Life Stage:

Adult, Senior

Participants:

Adults aged 18 years and older

Specific Instructions:

The Substance Abuse and Addiction Working Group acknowledges that the following questions may gather sensitive information relating to the use of substances and/or illegal conduct. If the information is released, it might be damaging to an individual’s employability, lead to social stigmatization, or lead to other consequences.

Most researchers assure confidentiality as part of their informed consent process, as required by their institutional review boards. Further assurance of confidentiality may be obtained by applying to the National Institutes of Health (NIH) for a Certificate of Confidentiality, which helps researchers protect the privacy of human research participants. The procedures for the Certificate of Confidentiality can be found at the Grants Policy website of the NIH (http://grants1.nih.gov/grants/policy/coc/index.htm).

Selection Rationale

The 10-item Drug Abuse Screening Test (DAST-10) is a shorter version of the 20-item and 28-item DAST protocols. The DAST-10 is widely used and has good reliability and diagnostic validity in a variety of settings.

Language

English

Standards
StandardNameIDSource
Common Data Elements (CDE) Drug Abuse Screening Test (DAST-10) Assessment Description Text 3332406 CDE Browser
Derived Variables

None

Process and Review

The Expert Review Panel #3 (ERP 3) reviewed the measures in Alcohol, Tobacco and Other Substances, and Substance Abuse and Addiction domains.

Guidance from ERP 3 includes:

• No significant changes to measure

Back-compatible: NA no changes to Data Dictionary

Source

Bohn, M. J., Babor, T. F., & Kranzler, H. R. (1991). Validity of the Drug Abuse Screening Test (DAST-10) in inpatient substance abusers: Problems of drug dependence. In Proceedings of the 53rd Annual Scientific Meeting. The Committee on Problems of Drug Dependence, Inc. (Department of Health and Human Services Publication No. ADM 92-1888; National Institute on Drug Abuse Research Monograph 119, p. 233). Rockville, MD: Department of Health and Human Services.

Skinner, H. A. (1982). The Drug Abuse Screening Test. Addictive Behaviors, 7(4), 363-371.

The 10-item Drug Abuse Screening Test (DAST), which is under copyright, may be obtained through:

Marketing Services Centre for Addiction and Mental Health 33 Russell Street Toronto, Ontario, Canada M5S 2S1 1-800-463-6273 www.camh.net

General References

None

Protocol ID:

510204

Variables:
Export Variables
Variable NameVariable IDVariable DescriptionVersiondbGaP Mapping
PX510204_Able_To_Stop_Using_Drugs PX510204030000 Are you always able to stop using drugs when you want to? 4 Variable Mapping
PX510204_Blackouts_Flashbacks PX510204040000 Have you had "blackouts" or "flashbacks" as a result of drug use? 4 N/A
PX510204_Experienced_Withdrawal_Symptoms PX510204090000 Have you ever experienced withdrawal symptoms (felt sick) when you stopped taking drugs? 4 N/A
PX510204_Feel_Guilty_About_Drug_Use PX510204050000 Do you feel very bad or guilty about your drug use? 4 N/A
PX510204_Illegal_Activities_To_Obtain_Drugs PX510204080000 Have you engaged in illegal activities in order to obtain drugs? 4 N/A
PX510204_Medical_Problems_From_Drug_Use PX510204100000 Have you ever had medical problems as a result of your drug use (e.g., memory loss, hepatitis, convulsions, bleeding, etc.)? 4 N/A
PX510204_More_Than_One_Drug PX510204020000 Do you abuse more than one drug at a time? 4 N/A
PX510204_Neglected_Family_Because_Of_Drugs PX510204070000 Have you neglected your family because of your use of drugs? 4 N/A
PX510204_Spouse_Complains_About_Drugs PX510204060000 Does your spouse (or parents) ever complain about your involvement with drugs? 4 N/A
PX510204_Used_Drugs PX510204010000 Have you used drugs other than those required for medical reasons? 4 N/A
Research Domain Information
Measure Name:

Screening and Severity of Substance Use Problems

Release Date:

November 21, 2016

Definition

Instruments used separately to screen for alcohol and other drug problems and to assess the severity of these problems.

Purpose

The purpose of this measure is to screen for alcohol-related and other drug-related problems (use) and to assess the severity of these problems by asking the respondent questions about use, withdrawal, and behaviors associated with substance use. This measure is not intended for abuse and dependence diagnoses based on the Diagnostic and Statistical Manual of Mental Disorders (DSM).

Keywords

Adolescent, Adult, Alcohol, Alcohol Abuse, Alcohol Use Disorders Identification Test, Arrests, AUDIT, Brief Michigan Alcoholism Screening Test, Brief MAST, DAST-10, Drug Abuse Screening Test, Drugs, Other Drugs, SAA, Screening, Simple Screening Instrument for Alcohol and Other Drugs, SSI-AOD, Substance Abuse, Assessment of Substance Use and Substance Use Disorders