Addition Behaviors Checklist (ABC) |
Instructions: Code only for patients prescribed opioid or sedative analgesics on behaviors exhibited "since last visit" and "within the current visit" (NA = not assessed). |
|
Addiction behaviors - since last visit |
- Patient used illicit drugs or evidences problem drinking*
| Y | N | NA |
- Patient has hoarded meds
| Y | N | NA |
- Patient used more narcotic than prescribed
| Y | N | NA |
- Patient ran out of meds early
| Y | N | NA |
- Patient has increased use of narcotics
| Y | N | NA |
- Patient used analgesics PRN when prescription is for time contingent use
| Y | N | NA |
- Patient received narcotics from more than one provider
| Y | N | NA |
- Patient bought meds on the streets
| Y | N | NA |
Addiction behaviors - within current visit |
- Patient appears sedated or confused (eg, slurred speech, unresponsive)
| Y | N | NA |
- Patient expresses worries about addiction
| Y | N | NA |
- Patient expressed a strong preference for a specific type of analgesic or a specific route of administration
| Y | N | NA |
- Patient expresses concern about future availability of narcotic
| Y | N | NA |
- Patient reports worsened relationships with family
| Y | N | NA |
- Patient misrepresents analgesic prescription or use
| Y | N | NA |
- Patient indicates she or he "needs" or "must have" analgesic meds
| Y | N | NA |
- Discussion of analgesic meds is the predominant issue of visit
| Y | N | NA |
- Patient exhibits lack of interest in rehab or self-management
| Y | N | NA |
- Patient reports minimal/inadequate relief from narcotic analgesic
| Y | N | NA |
- Patient indicates difficulty with using medication agreement
| Y | N | NA |
Other |
- Significant others express concern over patient's use of analgesics
| Y | N | NA |
|
ABC SCORE: | |
Score of ≥3 indicated possible inappropriate opioid use and should flag for further examination of specific signs of misuse and more careful patient monitoring (ie, urine screening, pill counts, removal of opioid). |