Table 2.

Screening and Brief Intervention for Prenatal Substance Use Using the NIDA Screening Tool³⁰

Step	Screening Tool	Description
Step 1	NIDA Quick Screen	Ask patients about past year drug use using the NIDA Quick Screen.
Step 2	NIDA-Modified ASSIST	Ask the patient about lifetime drug use using the NIDA-Modified Alcohol, Smoking and Substance Involvement Screening Test (ASSIST)
Step 3	NIDA Risk Level and	Determine risk level based on score:  0–3 Low Risk  4–26 Moderate Risk  ≥27 High Risk
Step 4	Brief Intervention	Low Risk  Provide feedback  Reinforce abstinence  Offer continuing support
		Moderate Risk  Provide feedback  Advise, Assess and Assist  Consider referral based on clinical judgement  Offer continuing support
		High Risk  Provide feedback on the screening results  Advise, Assess and Assist  Arrange referral  Offer continuing support

Adapted from: National Institute on Drug Abuse. Resource Guide: Screening for Drug Use in General Medical Settings. Rockville, MD: National Institute on Drug Abuse, 2009.³⁰