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Modified Simple Screening Instrument for Substance Abuse MSSI-SA Scoring Sheet Name/ID No Date Place/Location Name of Clinician Completing Screen Items 1 and 15 are not scored. The following items are scored as 1 yes or 0 no 2 7 3 8 4 9 5 any items listed 10 16 11 Total score Score range 0-14 Preliminary interpretation of responses Score Degree of Risk for Substance Abuse 0-1.

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How to fill out the Mssi Sa Printable online

The Modified Simple Screening Instrument for Substance Abuse (MSSI-SA) is a valuable tool for assessing risk levels associated with substance abuse. This guide will walk you through the process of filling out the MSSI-SA Printable form online, ensuring a smooth and accurate completion.

Follow the steps to successfully complete the MSSI-SA form

  1. Click ‘Get Form’ button to access the MSSI-SA Printable form and open it in your PDF editor.
  2. Begin by entering the name and identification number in the designated fields. Ensure accuracy, as this information is critical for record-keeping and analysis.
  3. Next, record the date of assessment in the appropriate field. This helps identify when the screening was completed.
  4. Provide the place or location where the screening is being conducted. This information aids in understanding the context of the assessment.
  5. In the section for the clinician's name, input the name of the professional completing the screening. This is important for validation and follow-up purposes.
  6. Items 1 and 15 are not scored, so you can skip these. For the remaining items (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 16) mark each as either 1 (yes) or 0 (no) according to the individual's responses.
  7. Once all relevant items are scored, calculate the total score and write it in the designated space. The score will help determine the degree of risk for substance abuse.
  8. Refer to the preliminary interpretation of responses to assess the risk level based on the total score entered. This classification helps guide further actions if needed.
  9. Finally, review all the information for accuracy. Save changes, download a copy of the filled-out form, and print or share it as required.

Start filling out the MSSI-SA Printable form online today to support your assessment needs.

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The Adolescent SASSI-A2 is designed to identify individuals who have a high probability of having a substance use disorder, including both substance abuse and substance dependence, with its decision rules yielding an overall accuracy of 94 percent.

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.

Screening tool that identifies alcohol, drug use and substance-related driving risk among adolescents and young adults. Parents, Partners, Past and Pregnancy (The 4Ps) Screening tool developed to detect dug, alcohol, and tobacco use among pregnant women and women of childbearing age.

Overview. Screening, Brief Intervention and Referral to Treatment (SBIRT) is an evidence-based approach to identify individuals who use alcohol and other drugs (substances) at risky levels. SBIRT has been shown to be valid and reliable in identifying and improving outcomes for people who use substances.

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 CRAFFT is a series of 6 questions developed to screen adolescents for high-risk alcohol and other drug use disorders simultaneously.

This screening tool consists of frequency of use questions to categorize substance use by adolescent patients into different risk categories. The accompanying resources assist clinicians in providing patient feedback and resources for follow-up.

DRUG ABUSE SCREENING TEST (DAST) The DAST-10 (Drug Abuse Screening Test-10) is the shortened and more commonly used version of a 20-item (DAST-20) or the original 28-item version. The DAST is sometimes combined with the AUDIT or other alcohol screens to cover both alcohol- and drug-related problems.

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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
Help Portal
Legal Resources
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