Ages 19-40 Mental Health and Substance Use Screenings

Anxiety Disorders Population

Adults ≤64 years, including pregnant and postpartum persons

Anxiety Disorders Recommendation

Screen for anxiety disorders

Anxiety Disorders USPSTF Grade

B

Anxiety Disorders Prevalence

40% for women, 26% for men

Anxiety Disorders Screening

GAD-7

Depression Population

Adults, including pregnant and postpartum persons, and older adults (65+)

Depression Recommendation

Screen for depression

Depression Prevalence

10th leading cause of death

Depression Risk if Untreated

can interfere with daily functioning, associated with increased risk of cardiovascular events, exacerbation of comorbid conditions, increased mortality

Depression Screening

PHQ-9

Depression USPSTF Grade

B

Intimate Partner Violence Population

Women of reproductive age

Intimate Partner Violence Recommendation

Screen for intimate partner violence in women of reproductive age and provide or refer women who screen positive to ongoing support services

Intimate Partner Violence USPSTF Grade

B

Intimate Partner Violence Refers to:

physical violence, sexual violence, psychological aggression, stalking by a romantic or sexual partner

Intimate Partner Violence Screenings

screening tests: HARK (humiliation, afraid, rape, kick), HITS (hurt, insult, threaten, scream), WAST (woman abuse screening tool)

Alcohol Population

Adults 18+ including pregnant people

Alcohol Recommendation

Screen for unhealthy alcohol use in primary care settings in adults 18+, including pregnant people, and providing persons engaged in risky or hazardous drinking with brief behavioral counseling interventions to reduce unhealthy alcohol use

Alcohol USPSTF Grade

B

Alcohol Use mortality/morbidity

exacerbation of illnesses, psychiatric disorders, cancers, traffic fatalities, drowning, suicide

Alcohol Use increases risk of

HTN, alcohol induced cardiomyopathy, Afib

Alcohol Screenings

M SASQ (often in ER), AUDIT, CAGE questions

Moderate drinking - low risk for alcohol problems

- Females <65

≤1 drink/day and <7/week

- Males <65

≤2 drinks/day and <14/week

- Anyone ≥65

≤1 drink/day and <7/week

Heavy Drinking - at risk for alcohol problems

- Females:

>3 drinks/day or >7/week

- Males:

>4 drinks/day or >14/week

Binge Drinking

- Females:

≥4 or more drinks/occasion

- Males:

≥5 or more drinks/occasion

Unhealthy Drug Use Population

Adults 18+

Unhealthy Drug Use Recommendations

Screen by asking questions about unhealthy drug use in adults 18+. Screening should be implemented

Unhealthy Drug Use USPSTF Grade

B

Unhealthy Drug Use Intervention

- screen when services for accurate diagnosis, effective treatment, and appropriate care can be offered or referred. Screening refers to asking questions, not testing specimens

Unhealthy Drug Use Screening

NIDA Quick Screen