Process - Physician - Fraser Health Authority

21 CAGEHow many drinks might you have in a typical week? . . . . . . . . . . . . . . . . . . . . . . . .Are you concerned about your alcohol use? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Cut down – Have you ever tried to cut down?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Annoyed – Do you get annoyed when others comment on your drinking? . . . . . . . .Guilty – Do you ever feel guilty about your drinking? . . . . . . . . . . . . . . . . . . . . . . . .Eye opener – Have you ever had a drink rst thing in the day to feel better? . . . . . .22 SubstancesDo you use other substances? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .What? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .How often? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Are you concerned about your drug use? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .23 Is there a family history of depression, anxiety, schizophrenia, bipolar or substanceabuse?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .24 What medications have you been on? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .What medications are you on now? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .For how long? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .What percentage improvement have you felt on your present medications? . . . . . .CBIS MANUAL | MAY 2009ASSESSMENT | 1725