Recommended Screening Tools for Substance Use in the Perinatal Period

Learn about DPH’s recommended screening tools for serving those experiencing substance use during the perinatal period

From the beginning of this list, the screening tools are organized from the highest to least recommended:

Screening Tool	Screening Tool Details	Access Screening Tool
5Ps (Parents, Peers, partner, pregnancy, past) or 4Ps Plus (parents, partner, past, present, pregnancy)	Provider-administered 5 questions 5-10 minutes Suggested provider responses Also includes a Brief Negotiated Interview	5Ps Screening Tool & Follow-up Questions (PDF) 5Ps Screening Tool & Follow-up Questions (DOCX)
Wayne Indirect Drug Use Screener (WIDUS)	Provider-administered Indirect questioning No free online access Note that WIDUS has a higher sensitivity for detecting alcohol use	No free online access available
Substance Use Risk Profile-Pregnancy (SURP-P)	Provider-administered 3 questions <5 minutes	Substance Use Risk Profile Pregnancy Scale (PDF) Substance Use Risk Profile Pregnancy Scale (DOCX)
CRAFFT (car, relax, alone, forget, friends and trouble)	For use among individuals ages 12-21 There are two versions of the CRAFFT 2.1: A Clinician Interview and a Self-administered Questionnaire. Research has found that adolescents report greater comfort and likelihood of honesty with self-administered questionnaires in the waiting room compared to face-to-face interviews	CRAFFT Clinician & Self-Administered Questionnaire (Version 2.1) (PDF) CRAFFT Clinician & Self-Administered Questionnaire (Version 2.1) (DOCX) CRAFFT Provider Manual (PDF) CRAFFT Provider Manual (DOCX)
National Institute on Drug Abuse (NIDA) Quick Screen-modified ASSIST	Provider-administered Quick screen and modified 70 questions 5-20 minutes	NIDA Quick Screen-modified ASSIST (PDF) NIDA Quick Screen-modified ASSIST (DOCX)
ASSIST	Provider-administered 8-item questionnaire 5-10 minutes Alcohol has a different scoring than other substances	ASSIST Manual for use in Primary Care
Alcohol Use Disorders Identification Test-Concise (AUDIT-C) (Specific for alcohol use)	Provider-administered 3 questions <1 minute	AUDIT-C Questionnaire
Drug Abuse Screening Test (DAST-10)	Provider-administered 10 questions 5-10 minutes	DAST-10

On a periodic basis, DPH will conduct a literature search to determine if any newly validated screening tools should be considered for inclusion in the DPH list of Recommended SUD Screening Tools. In addition, DPH will accept written requests of a validated postpartum depression screening tool for consideration to include in this list. If you are interested in submitting a request for consideration, please email your request (with subject line “Recommended SUD Screening Tools”) along with the screening tool and any relevant clinical publications to [e-mail].