Adolescent SBIRT

Helping social workers and nurses prevent adolescent substance use


Screening Tools and Examples

Alcohol, Tobacco, and Drug Use


(Clinician Interview)


Spanish (Spain)
Español 2.0
Spanish (LatAm) 
Español 2.0 and 2.1
COWS - Clinical Opiate Withdrawal Scale
USAUDIT - The Alcohol Use Disorders Identification Test, Adapted for Use in the United States: A Guide for Primary Care Practitioners

Pocket Guide for Alcohol Screening and Brief Intervention for Youth


NIAAA 3 Question Screen

AUDIT Screening Tool

NIDA Chart of Evidence-Based Screening Tools and Assessments for Adults and Adolescents


World Health Organization


World Health Organization


Screening & Assessment of Cannabis Use Disorders

by Susan Stoner, PhD
LEVEL 2 Substance Use (Child Age 11–17) - Adapted from the NIDA-Modified ASSIST

NIDA Online Screening Tools: BSTAD & S2BI

DAST (multiple versions)


DAST 10-Item (Spanish)

Depression, Suicide, and Anxiety
PHQ-A Severity Measure for Depression—Child Age 11–17 (adapted from PHQ-9 modified for Adolescents [PHQ-A]).  Depression pre-screen PHQ-2A (items 1-2). Depression and suicide pre-screen PHQ3A (items 1-2 and 9).

Severity Measure for Generalized Anxiety Disorder, Child Age 11 to 17

Trauma or Traumatic Stress
Severity of Posttraumatic Stress Symptoms—Child Age 11–17 (National Stressful Events Survey PTSD Short Scale [NSESSS])
Child PTSD Symptom Scale (CPSS; age 8-18)