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Screening for alcohol problems among the unemployed.

G R Jacobson, D Lindsay

    Currents in Alcoholism
    |January 1, 1979
    PubMed
    Summary
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    This study evaluated alcohol screening tools for welfare recipients. Combining the Michigan Alcoholism Screening Test (MAST) and Criteria for the Diagnosis of Alcoholism (CRIT) offered a more accurate estimate of problem drinking prevalence.

    Area of Science:

    • Public Health
    • Psychiatry
    • Social Work

    Background:

    • Assessing alcohol problems in welfare recipients is crucial for targeted interventions.
    • Existing screening tools may have limitations in accuracy and applicability to this population.

    Purpose of the Study:

    • To evaluate the effectiveness of the At-Risk Questionnaire (ARQ), Michigan Alcoholism Screening Test (MAST), and Criteria for the Diagnosis of Alcoholism (CRIT) in identifying alcohol problems among welfare recipients.
    • To explore combined scoring methods of MAST and CRIT for improved diagnostic accuracy.

    Main Methods:

    • A 10% sample (N=309) of welfare recipients applying for CETA benefits were screened.
    • Participants voluntarily completed the ARQ, MAST, and a modified CRIT interview.
    • Data were analyzed to assess the correlation between tools and to determine prevalence estimates with error rates.

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    Main Results:

    • The ARQ showed limited discriminatory value but correlated with MAST and CRIT.
    • Conventional MAST scoring indicated high prevalence (53.6%), while CRIT identified fewer (31.9%).
    • Combined MAST+CRIT scoring yielded revised estimates of 25.41% problem drinkers with reduced false positive/negative rates.

    Conclusions:

    • Modified combined scoring of MAST and CRIT appears more effective for identifying alcohol problems in this population.
    • Further refinement of screening procedures is recommended for improved accuracy and intervention planning.