MAST assessment
For each assessment that you select, you should download the instrument and review all directions, questions and scoring guidelines. Ask a friend or colleague to serve as a mock client to allow you to practice administering the assessment instrument. Advise your mock client that this is only for training purposes and that they do NOT need to provide honest responses.
After conducting your mock assessments, reflect on the value of each instrument and answer the following questions:
Which instrument did you find the most useful? Why?
Which instrument did you find the least useful? Why?
Are there particular populations, settings or situations in which one instrument would be more valuable than the others? Why?
What are the strengths and challenges of using assessment instruments, such as these, when identifying those who abuse substances?
Assignment Expectations
Length: 1500 – 2000 words; answers must thoroughly address the questions in a clear, concise manner. Indicate which assessment instrument you are using.
Structure: Include a title page and reference page in APA style. These do not count towards the minimum word count for this assignment.
The 3 assessments are:
Michigan Alcohol Screening Test (MAST) was developed in 1971, and is one of the oldest and
most accurate alcohol screening tests available, effective in identifying dependent drinkers with
up to 98 percent accuracy.
Questions on the MAST test relate to the patient’s self-appraisal of social, vocational, and family
problems frequently associated with heavy drinking. The test was developed to screen for
alcohol problems in the general population. The following is the 22-question, self-administered
MAST.
The MAST Test
The MAST Test is a simple, self-scoring test that helps assess if you have a drinking problem.
Answer yes or no to the following questions:
1. Do you feel you are a normal drinker? (“normal” is defined as drinking as much or less than
most other people)
___ Yes ___ No
2. Have you ever awakened the morning after drinking the night before and found that you could
not remember a part of the evening?
___ Yes ___ No
3. Does any near relative or close friend ever worry or complain about your drinking?
___ Yes ___ No
4. Can you stop drinking without difficulty after one or two drinks?
___ Yes ___ No
5. Do you ever feel guilty about your drinking?
___ Yes ___ No
6. Have you ever attended a meeting of Alcoholics Anonymous (AA)?
___ Yes ___ No
7. Have you ever gotten into physical fights when drinking?
___ Yes ___ No
8. Has drinking ever created problems between you and a near relative or close friend?
___ Yes ___ No
9. Has any family member or close friend gone to anyone for help about your drinking?
___ Yes ___ No
10. Have you ever lost friends because of your drinking?
___ Yes ___ No
11. Have you ever gotten into trouble at work because of drinking?
___ Yes ___ No
12. Have you ever lost a job because of drinking?
___ Yes ___ No
13. Have you ever neglected your obligations, family, or work for two or more days in a row
because you were drinking?
___ Yes ___ No
14. Do you drink before noon fairly often?
___ Yes ___ No
15. Have you ever been told you have liver trouble, such as cirrhosis?
___ Yes ___ No
16. After heavy drinking, have you ever had delirium tremens (DTs)2
, severe shaking, visual or
auditory (hearing) hallucinations?
___ Yes ___ No
17. Have you ever gone to anyone for help about your drinking?
___ Yes ___ No
18. Have you ever been hospitalized because of drinking?
___ Yes ___ No
19. Has your drinking ever resulted in your being hospitalized in a psychiatric ward?
___ Yes ___ No
20. Have you ever gone to any doctor, social worker, clergyman, or mental health clinic for help
with any emotional problem in which drinking was part of the problem?
___ Yes ___ No
21. Have you been arrested more than once for driving under the influence of alcohol?
___ Yes ___ No
22. Have you ever been arrested, or detained by an official for a few hours, because of other
behavior while drinking?
___ Yes ___ No
Scoring the MAST Test
Score one point if you answered “no” to the following questions: 1 or 4. Score one point if you
answered “yes” to the following questions: 2, 3, 5 through 22. A total score of six or more
indicates hazardous drinking or alcohol dependence and further evaluation by a healthcare
professional is recommended.
*S
The Alcohol Use Disorders Identification Test: Interview Version
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”. Place the correct answer number in the box at the right.
1. How often do you have a drink containing alcohol?
(0) Never [Skip to Qs 9-10]
(1) Monthly or less
(2) 2 to 4 times a month
(3) 2 to 3 times a week
(4) 4 or more times a week
2. How many drinks containing alcohol do you have
on a typical day when you are drinking?
(0) 1 or 2
(1) 3 or 4
(2) 5 or 6
(3) 7, 8, or 9
(4) 10 or more
3. How often do you have six or more drinks on one
occasion?
(0) Never
(1) Less than monthly
(2) Monthly
(3) Weekly
(4) Daily or almost daily
Skip to Questions 9 and 10 if Total Score
for Questions 2 and 3 = 0
4. How often during the last year have you found
that you were not able to stop drinking once you
had started?
(0) Never
(1) Less than monthly
(2) Monthly
(3) Weekly
(4) Daily or almost daily
5. How often during the last year have you failed to
do what was normally expected from you
because of drinking?
(0) Never
(1) Less than monthly
(2) Monthly
(3) Weekly
(4) Daily or almost daily
6. How often during the last year have you needed
a first drink in the morning to get yourself going
after a heavy drinking session?
(0) Never
(1) Less than monthly
(2) Monthly
(3) Weekly
(4) Daily or almost daily
7. How often during the last year have you had a
feeling of guilt or remorse after drinking?
(0) Never
(1) Less than monthly
(2) Monthly
(3) Weekly
(4) Daily or almost daily
8. How often during the last year have you been
unable to remember what happened the night
before because you had been drinking?
(0) Never
(1) Less than monthly
(2) Monthly
(3) Weekly
(4) Daily or almost daily
9. Have you or someone else been injured as a
result of your drinking?
(0) No
(2) Yes, but not in the last year
(4) Yes, during the last year
10. Has a relative or friend or a doctor or another
health worker been concerned about your drinking or suggested you cut down?
(0) No
(2) Yes, but not in the last year
(4) Yes, during the last year
Record total of specific items here
If total is greater than recommended cut-off, consult User’s Manual.
0 1 2 3 4
The Alcohol Use Disorders Identification Test: Self-Report Version
PATIENT: Because alcohol use can affect your health and can interfere with certain
medications and treatments, it is important that we ask some questions about
your use of alcohol. Your answers will remain confidential so please be honest.
Place an X in one box that best describes your answer to each question.
Questions
1. How often do you have Never Monthly 2-4 times 2-3 times 4 or more
a drink containing alcohol? or less a month a week times a week
2. How many drinks containing 1 or 2 3 or 4 5 or 6 7 to 9 10 or more
alcohol do you have on a typical
day when you are drinking?
3. How often do you have six or Never Less than Monthly Weekly Daily or
more drinks on one monthly almost
occasion? daily
4. How often during the last Never Less than Monthly Weekly Daily or
year have you found that you monthly almost
were not able to stop drinking daily
once you had started?
5. How often during the last Never Less than Monthly Weekly Daily or
year have you failed to do monthly almost
what was normally expected of daily
you because of drinking?
6. How often during the last year Never Less than Monthly Weekly Daily or
have you needed a first drink monthly almost
in the morning to get yourself daily
going after a heavy drinking
session?
7. How often during the last year Never Less than Monthly Weekly Daily or
have you had a feeling of guilt monthly almost
or remorse after drinking? daily
8. How often during the last year Never Less than Monthly Weekly Daily or
have you been unable to remem- monthly almost
ber what happened the night daily
before because of your drinking?
9. Have you or someone else No Yes, but Yes,
been injured because of not in the during the
your drinking? last year last year
10.Has a relative, friend, doctor, or No Yes, but Yes,
other health care worker been not in the during the
concerned about your drinking last year last year
or suggested you cut down?
Total
STANDARD
DRINK
EQUIVALENTS
APPROXIMATE
NUMBER OF
STANDARD DRINKS IN:
BEER or COOLER
12 oz.
~5% alcohol
12 oz. = 1
16 oz. = 1.3
22 oz. = 2
40 oz. = 3.3
MALT LIQUOR
8-9 oz.
~7% alcohol
12 oz. = 1.5
16 oz. = 2
22 oz. = 2.5
40 oz. = 4.5
TABLE WINE
5 oz.
~12% alcoa 750 mL (25 oz.) bottle = 5
80-proof SPIRITS (hard liquor)
1.5 oz.
~40% alcohol
a mixed drink = 1 or more*
a pint (16 oz.) = 11
a fifth (25 oz.) = 17
1.75 L (59 oz.) = 39
*Note: Depending on factors such as the type of spirits and the recipe, one mixed
drink can contain from one to three or more standard drinks.
The CAGE Adapted to Include Drugs (CAGE-AID) Questionnaire is an adaptation of the CAGE for the purpose of conjointly screening for alcohol and drug problems. The CAGE-AIDS focuses on lifetime use.
When thinking about drug use, include illegal drug use and the use of prescription drug use other than prescribed.
PointsQuestions
C: Have you ever felt that you ought to Cut down on your drinking or drug use?
Yes+1No+0
A: Have people Annoyed you by criticizing your drinking or drug use?
Yes+1No+0
G: Have you ever felt bad or Guilty about your drinking or drug use?
Yes+1No+0
E: Have you ever had a drink or used drugs first thing in the morning
to steady your nerves or to get rid of a hangover (Eye opener)?
Yes+1No+0
0 points
Interpretation:
One or more “yes” responses is regarded as a positive screening test, indication possible substance use and need for further evaluation.
Sources
This tool was developed by Richard Brown, MD and Laura Saunders at the University of Wisconsin.
Brown RL, Rounds LA. Conjoint screening questionnaires for alcohol and other drug abuse: criterion validity in a primary care practice. Wis Med J. 1995;94:135-40.
Hinkin CH, Castellon SA, Dickson-Fuhrman E, Daum G, Jaffe J, Jarvik L. Screening for drug and alcohol abuse among older adults using a modified version of the CAGE. Am J Addict. 2001;10:319-26.
This calculator operates entirely from your device.
No input variables or data is transmitted between your computer and our servers.
Interpretation:
One or more “yes” responses is regarded as a positive screening test, indication possible substance use and need for further evaluation.