Universal Screening Resources

Universal Screening

Universal screening improves equity and patient outcomes. It helps providers reduce bias and missed cases by ensuring all patients are screened.

This allows us to normalize sensitive conversations and not single out patients.
Universal screening also aligns with evidence-based guidelines.

All perinatal patients should be screened at least once through their pregnancy.

There are many options for providers for universal screening.

- The Tobacco, Alcohol, Prescription medications, and other Substances (TAPS) Tool
  - Tobacco, Alcohol, Prescription medication, and other Substance use (TAPS) Tool
  - AMHSU for Moms- Screening Tools for Substance Use in Pregnancy: TAPS | Videos & Movies on Vimeo

Consists of a 4-item screening for tobacco use, alcohol use, prescription medication misuse, and illicit substance use in the past year. This instrument is used to assess patients for tobacco, alcohol, prescription drug, and illicit substance use and problems related to their use and is available for self-administration and interviewer-administration to detect substance use, sub-threshold substance use disorder, and substance use disorders.

- 5Ps
  - 5-Ps-Screening-Questions-with-suggested-verbal-prompts-8.17.2022.pdf
  - AMHSU for Moms- Screening Tools for Substance Use in Pregnancy: 4Ps and 5Ps | Videos & Movies on Vimeo

With ‘5Ps’ being a mnemonic representing each question in this five-item measure: parents, peers, partner, pregnancy, past. This is an adaptation of the 4Ps measure designed for use in pregnancy

- CRAFFT
  - Get the CRAFFT – CRAFFT
  - AMHSU for Moms- Screening Tools for Substance Use in Pregnancy: CRAFFT | Videos & Movies on Vimeo

This is a screening tool designed to identify substance use, substance-related riding/driving risk, and substance use disorder among youth ages 12-21. It has been implemented as part of universal screening efforts in thousands of busy medical and community health settings, as it yields information that can serve as the basis for early intervention and patient-centered counseling.

- SBIRT
  - Screening, Brief Intervention, and Referral to Treatment (SBIRT) | SAMHSA

SBIRT is a comprehensive, integrated, public health approach to the delivery of early intervention and treatment services for persons with substance use disorders, as well as those who are at risk of developing these disorders. Primary care centers, hospital emergency rooms, trauma centers, and other community settings provide opportunities for early intervention with at-risk substance users before more severe consequences occur.

For more information on universal screening and other resources, please check out the ACCESS Mental Health and Substance Use for Moms website.