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Field 10 – Indication of any substance abuse
Substance abuse is a serious problem with the potential for danger to public safety as well as significant demand on health and social services. The CAGE questionnaire is a useful tool for screening individuals at increased risk for alcohol abuse. It asks four questions:
Have you ever felt that you should Cut down on your drinking?
Have people ever Annoyed you by criticizing your drinking?
Have you ever felt bad or Guilty about drinking?
Have you ever taken a drink first thing in the morning (Eye-opener) to steady your nerves or get rid of a hangover?
If applicants answer “yes” to two or more of these questions, or if addiction is suspected, then a detailed assessment of their substance-related abuse or dependence status is necessary. This specialist's assessment report must include the clinical history, assessment for end-organ changes on physical, cognitive and laboratory examination, reports from relevant investigations, the diagnosis including the Axis V Global Assessment of Functioning score, history of abstinence and an opinion on prognosis.