Addiction Resources

Brief Screens

Brief screens can help people decide whether to seek formal evaluation of their mental health or substance use problems, which often translates into earlier care and better treatment outcomes. Brief screens also can help healthcare providers identify patients or clients who need further evaluation. As a service to our readers, we present some brief screens for addiction and conditions that often co-occur with addiction. If you are at all concerned about your responses to any of these screens, we urge you to share these concerns with a healthcare professional. To find a behavioral health professional near you in the United States, click here.

  • Gambling: The BBGS: The 3-item Brief Biosocial Gambling Screen (BBGS) is based on the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders’s criteria for Gambling Disorder.
    1. During the past 12 months, have you become restless, irritable, or anxious when trying to stop/cut down on gambling?
    2. During the past 12 months, have you tried to keep your family or friends from knowing how much you gambled?
    3. During the past 12 months did you have such financial trouble as a result of your gambling that you had to get help with living expenses from family, friends or welfare?

A “yes” response to any single item indicates potential gambling-related problems and the need for additional evaluation. Click here to use the BBGS Gambling e-Screener and Intervention System – available in 22 languages!

  • Drinking: The CAGE: The CAGE is a 4-question screener designed for healthcare providers to ask their patients about their drinking behavior. It is a mnemonic device to remind treatment providers to ask patients these questions:
    1. Have you ever felt you should Cut down on your drinking?
    2. Have people Annoyed you by criticizing your drinking?
    3. Have you ever felt bad or Guilty about your drinking?
    4. Have you ever had a drink first thing in the morning to steady your nerves or to get rid of a hangover (Eye-opener)?

Someone who answers “yes” to at least two questions is considered to have a positive result and should be evaluated further. Visit the National Institute on Alcohol Abuse and Alcoholism website on screening for alcohol problems for more information

  • Substance use: The CRAFFT: The CRAFFT is a brief substance use screening tool for healthcare providers to ask their adolescent patients.
    1. Have you ever ridden in a Car driven by someone (including yourself) who was “high” or had been using alcohol or drugs?
    2. Do you ever use alcohol or drugs to Relax, feel better about yourself, or fit in?
    3. Do you ever use alcohol/drugs while you are by yourself, Alone?
    4. Do your family or Friends ever tell you that you should cut down on your drinking or drug use?
    5. Do you ever Forget things you did while using alcohol or drugs?
    6. Have you gotten into Trouble while you were using alcohol or drugs?

A “yes” to two or more questions suggests a significant problem. Visit the Center for Adolescent Substance Abuse Research website, created by Children’s Hospital Boston, for more information about The CRAFFT.

  • Depression and Anxiety: The PHQ-2 and the GAD-2: The PHQ-2 and the GAD-2 are brief screens for depression and anxiety, respectively. These conditions often co-occur with expressions of addiction. If you suspect you are experiencing depression or anxiety, consider these questions:
    1. Over the last 2 weeks, have you had little interest or pleasure in doing things?
    2. Over the last 2 weeks, have you felt down, depressed, or hopeless?
    3. Over the last 2 weeks, have you felt nervous, anxious, or on edge?
    4. Over the last 2 weeks, have you not been able to stop or control worrying?

Someone who answers “yes” to either Question 1 or 2 (the PHQ-2) could benefit from speaking with a health professional about possible depression. Someone who answers “yes” to either Question 3 or 4 (the GAD-2) could benefit from speaking to a health professional about possible anxiety.

Self-help Tools

Your First Step to Change is a free, evidence-based workbook for individuals who are thinking about changing their gambling behavior. This resource supports the first step in the change process, including building awareness, better understanding gambling patterns, and considering whether change is needed.

This self-guided workbook helps people:

  • Learn more about how gambling works and how it can become a problem for some people
  • Reflect on and evaluate their own gambling behavior
  • Explore practical strategies for making changes, should they decide change is the best course

Your First Step to Change is available in multiple languages, including English, Spanish, Simplified Chinese, Traditional Chinese, and Vietnamese.

Download a PDF or order free print copies through the Massachusetts Health Promotion Clearinghouse.

Key Hotlines

Hotlines and helplines are available for individuals to speak with trusted professionals and get connected with local resources, support, and treatment. Below is a list of national hotlines and helplines. Visit the Division on Addiction’s website for a more comprehensive list.

Division on Addiction Online Courses

At the Division on Addiction, our goal is to alleviate addiction-related social, medical, and economic burdens through research, education, training, and outreach. We offer continuing education courses to a diverse group of learners, including health care providers, policy makers, and scientists. Click here to browse our course list and enroll for free!

Expressions of Addiction

Expressions of Addiction is an exhibit of original photographic portraits that depict people during various stages and expressions of addiction. Each portrait includes biographical information about each subject derived from in-person interviews. These photographs are part of an exhibition that helps the public better understand addiction by reaching hundreds of thousands through gallery exhibitions, television programming, and websites. Click here for more information.

Addiction Quizzes

What do you know about addiction? Test your knowledge with our free Kahoot! quizzes.

  • Gambling and Gambling Disorder 101 – Take this 10-question quiz to test your knowledge of the basics of gambling and Gambling Disorder.
  • Addiction Knowledge Bowl – This 16-question quiz covers the basics of addiction and adolescence. Share this quiz with teens to test their knowledge of addiction risk factors, how drugs and alcohol affect the developing brain, and more!
  • Responsible Gambling – Test your knowledge of responsible gambling and low-risk gambling guidelines with this 15-question quiz.

The Division on Addiction’s Library

The Division on Addiction has produced more than 200 publications to date, including peer-reviewed articles and book chapters, reports, and books. We provide access to these and other materials, including academic posters, in our free online library.