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Modified Simple Screening Instrument for Substance Abuse (MSSISA) Scoring Sheet Name/ID No: Date: Place/Location: Name of Clinician Completing Screen: Items 1 and 15 are not scored. The following.

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How to fill out the Mssi Sa online

The Modified Simple Screening Instrument for Substance Abuse (MSSI-SA) is a crucial tool for evaluating risk for substance abuse. This guide will help you navigate the online filling process for this important form effectively.

Follow the steps to complete the Mssi Sa online

  1. Press the ‘Get Form’ button to access the MSSI-SA document and open it in your interface.
  2. Fill in your name and identification number in the designated fields. Ensure that the information is accurate for proper identification.
  3. Enter the date on which you are completing the form, placing it in the corresponding section.
  4. Provide the place or location where the screening is taking place. This can include the name of the facility or address.
  5. Write the name of the clinician completing the screening in the appropriate field to ensure accountability.
  6. Review items 1 and 15, noting that these questions are not scored. Focus on completing the remaining items accurately.
  7. For the scored items (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 16), mark either ‘yes’ (1) or ‘no’ (0) based on the responses.
  8. Calculate the total score by adding the values of the marked items. This value will determine the risk level.
  9. Refer to the preliminary interpretation of responses to understand the degree of risk for substance abuse based on the total score.
  10. Once all fields are completed and reviewed, you can save any changes, download, print, or share the MSSI-SA form for further processing.

Complete the MSSI-SA online to effectively assess substance abuse risk.

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The AUDIT and AUDIT-C, which screen for unhealthy alcohol use in adults 18 years or older, including pregnant women, are available from the Substance Abuse and Mental Health Services Administration, as well as other resources.

Modified Simple Screening Instrument for Substance Abuse (MSSI-SA) The Modified Simple Screening Instrument for Substance Abuse (MSSI-SA) can be used to screen for alcohol and drug dependence, including prescription and over-the-counter medicines.

The Drug Abuse Screen Test (DAST-10) was designed to provide a brief, self-report instrument for population screening, clinical case finding and treatment evaluation research. It can be used with adults and older youth. The DAST-10 yields a quantitative index of the degree of consequences related to drug abuse.

The ASSIST (alcohol, smoking and substance involvement screening test) is an easy-to-use tool that detects substance use and related problems. It asks 8 questions and takes about 5 to 10 minutes to complete.

The Simple Screening Instrument for Alcohol and Other Drugs (SSI-AOD) is a 16-item screening instrument developed by a consensus panel of experts, sponsored by the Center for Substance Abuse Treatment (CSAT) of the U.S. Department of Health and Human Services.

The Drug Abuse Screening Test (DAST-10) is a 10-item brief screening tool that can be administered by a clinician or self-administered. Each question requires a yes or no response, and the tool can be completed in less than 8 minutes.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232