Positive Parenting

Screening Tools

Pic 0: The title card “Screening Tools” appears, then the screen fades to Dr. Eber and Austin sitting together at the round table.

Dr. Eber: Now that you’ve spoken with Antoine, what do you think is going on with him? 

Pic 1: The camera moves to a close-up of Austin. A text box with the title “Antoine” and a picture of Antoine has a list that contains “PTSD” and “Risky Substance Use.” 

Austin: Well, based on the warning signs we talked about, I’m seeing indications that he’s suffering from PTSD and risky substance use. The stress he’s under is likely exacerbating his pain. 

Pic 2: The screen changes to a close-up of Dr. Eber

Dr. Eber: (to users) If you believe a client may have a mental health disorder, you can use a screening tool to further determine if the disorder is present, if you haven’t already. Although useful in aiding in the detection of a disorder, screening tools are not substitutes for thoughtful, clinical evaluations. 

Pic 3: A text box with the title “Screenings” appears next to Dr. Eber. Underneath is a list that contains the items “Before appointment,” “After talking with client,” and “While in waiting room.” 

Screenings can be administered by a provider or nurse beforean appointment beginsor after talking with a client. Some screening tools can even be filled out by clients while they’re in the waiting room.

Pic 4: The text box disappears and is replaced with a banner with the logo and title “SAMHSA,” which underneath reads “Substance Abuse and Mental Health Services Administration.”

The following evidence-based tools are recommended by SAMHSA, the Substance Abuse and Mental Health Services Administration.

Pic 5: The screen changes to a slide with the title “Screening Tools” at the top and the subtitle “Depression.” It shows a screenshot of “The Patient Health Questionnaire (PHQ-2)” which has the question “Over the past two weeks, how often have you been bothered by any of the following problems?” Following are two prompts, one being “Little interest or pleasure in doing things” and the other “Feeling down, depressed, or hopeless” with options being 0 (not at all), 1 (several days), 2 (more than half the days), and 3 (nearly every day).

Pic 6: The slide changes to one subtitled “Substance Use” which shows a screenshot of the “WHO – ASSIST V3.0”

Pic 7: The slide changes to one subtitled “Alcohol Use” which shows a screenshot of the “AUDIT-C Questionnaire,” which is three questions with multiple choices.

Pic 8: The slide changes to one subtitled “GAD” and the screenshot changes to the “Generalized Anxiety Disorder 7-item (GAD-7) Scale,” which has the question “Over the last two weeks, how often have you been bothered by the following problems?” and a series of seven prompts, with options being 0 (not at all sure), 1 (several days), 2 (over half the days), and 3 (nearly every day).

Pic 9: The screen changes to one subtitled “PTSD.” It shows a screenshot of “PC-PTSD” screening tool, which has a series of four questions with yes/no boxes. The instructions at the top read “In your life, have you ever had any experience that was so frightening, horrible, or upsetting that, in the past month, you:”

  1. Have had nightmares about it or thought about it when you did not want to?
  2. Tried hard not to think about it or went out of your way to avoid situations that reminded you of it?
  3. Were constantly on guard, watchful, or easily startled?
  4. Felt numb or detached from others, activities, or your surroundings.
    • Designed for primary care, currently used by the VA to screen veterans
    • Positive if client answers ‘yes’ to three or more questions