ASSIST Tool

 

The World Health Organization created a substance use evaluation survey called the ASSIST v3.0 (Alcohol, Smoking, and Substance Involvement Screening Test). This instrument was designed to help determine an individual's substance use patterns and assess his/her risk of harm.  We have created a printable form based on that tool so that you may assess your own (or, assess someone else’s) risk of harm.

For more information on the WHO ASSIST project or to see the questionnaire in its original form, Click here

 

  

DISCLAIMER:

This survey instrument and scoring process is being provided through the Wyoming Department of Health website to the public for educational purposes only and is not to be used in place of a professional clinical assessment of substance abuse or mental health issues.  Although you are encouraged to consider the results of your survey and take action to better your health, the Department of Health is not responsible for any such action or lack thereof.

 

The Wyoming Department of Health, Mental Health and Substance Abuse Services Division has created a web-based version of the ASSIST Tool. This version will score the questionaire for you and give you the results. Click Here to take this test.

 

The Division also has a "paper and pen" version for you to take. Follow the instructions below to take the ASSIST on paper. *Note: if you use this version, you must add up your own score. If you would rather take the automated version, see above.

Instructions:

    1. Print:

            Question Sheet

            Answer Sheet

    2. Answer the questions and tally scores for each substance using the Answer Sheet.

    3. Based on your score, determine the effects on your health by substance. The Health Risks sheet lists common conditions associated with each substance.

     4. See also the Risks of Injecting sheet

     5. If you determine that you need to talk to someone about substance use or would like further assessent, Click here for  a local provider.

  

If your ASSIST score is in the ‘moderate’ or ‘high’ risk range, the Connections 24/7 Hotline is available to assist you. Just dial: 1-866-569-1311