CONTENTS

About This Course

Table of Contents

1. Introduction to the Issues
2. Understanding Alcohol Abuse
3. Understanding Violence Against Women
4. Alcohol and Domestic Violence
5. Alcohol, Sexual Assault, and Rape
6. Prevention and Early Intervention
7. Screening and Assessment
8. Diagnosis and Treatment
9. Legal and Ethical Issues

Supplements
Fact Sheets
Videos
Resources

Silence Hurts
Alcohol Abuse and Violence Against Women

Health Screening Survey (HSS), Revised

Check the appropriate answer.

1.	In the past 3 months, have you been dieting to lose weight?
	___YES	___NO
	IF YES: How many pounds have you managed to lose?
	___0	___1-3	___4-7	___8 or more
2	In the past 3 months, have you performed physical activity or exercise in your leisure time at least 20 minutes without stopping, enough to make you breathe hard and/or sweat?
	___YES	___NO
	IF YES: On average, how many days per week have you been exercising?
	___1-2	___3-4	___5-6	___Everyday
3.	In the past 3 months, have you been smoking cigarettes at all?
	___YES	___NO
	IF YES: On average, how many cigarettes have you been smoking each day?
	___1-9	___10-19	___20-29	___30 or more
4.	In the past 3 months, have you been drinking alcoholic drinks at all (e.g., beer, wine, sherry, vermouth, or hard liquor)?
	___YES	___NO
	IF NO, go to question 5.
	IF YES, ANSWER 4a through 4c.
4a.	On average, how many days per week have you been drinking beer or wine coolers?
	___None	___1-2	___3-4	___5-6	___Everyday
	On a day when you have had beer or wine coolers to drink, how many glasses, bottles, or cans have you been drinking?
	___1-2	___3-4	___5-8	___9-14	___15 or more
	AND
4b.	On average how many days per week have you been drinking wine, sherry, or vermouth?
	___None	___1-2	___3-4	___5-6	___Everyday
	On a day when you have had wine, sherry, or vermouth to drink, how many glasses have you been drinking?
	___1-2	___3-4	___5-8	___9-14	___15 or more
	AND
4c.	On average how many days per week have you been drinking liquor (gin, vodka, rum, brandy, whiskey, etc.)?
	___None	___1-2	___3-4	___5-6	___Everyday
	On a day when you have had liquor to drink, how many single shots have you been drinking?
	___1-2	___3-4	___5-8	___9-14	___15 or more
5.	In the past 3 months, have you felt you should:
	a. Lose some weight	___No	___Sometimes	___Quite Often	___Very Often
	b. Cut down or stop smoking	___No	___Sometimes	___Quite Often	___Very Often
	c. Cut down or stop drinking	___No	___Sometimes	___Quite Often	___Very Often
	d. Do more to keep fit	___No	___Sometimes	___Quite Often	___Very Often
6.	In the past 3 months, has anyone annoyed you or gotten on your nerves by telling you to:
	a. Change your weight	___No	___Sometimes	___Quite Often	___Very Often
	b. Cut down or stop smoking	___No	___Sometimes	___Quite Often	___Very Often
	c. Cut down or stop drinking	___No	___Sometimes	___Quite Often	___Very Often
	d. Do more to keep fit	___No	___Sometimes	___Quite Often	___Very Often
7.	In the past 3 months, have you felt guilty or bad about:
	a. Your weight	___No	___Sometimes	___Quite Often	___Very Often
	b. How much you smoke	___No	___Sometimes	___Quite Often	___Very Often
	c. How much you drink	___No	___Sometimes	___Quite Often	___Very Often
	d. How unfit you are	___No	___Sometimes	___Quite Often	___Very Often
8.	In the past 3 months, have you been waking up wanting to:
	a. Exercise to keep fit	___No	___Sometimes	___Quite Often	___Very Often
	b. Smoke a cigarette	___No	___Sometimes	___Quite Often	___Very Often
	c. Have an alcoholic drink	___No	___Sometimes	___Quite Often	___Very Often
	d. Have something to eat	___No	___Sometimes	___Quite Often	___Very Often
9.	Now that you have completed this form, do you think you currently have:
	a. a weight problem	___Definitely	___Probably	___No
	b. a smoking problem	___Definitely	___Probably	___No
	c. a drinking problem	___Definitely	___Probably	___No
	d. a fitness problem	___Definitely	___Probably	___No
10.	Thinking back, would you say at any time in the past you had:
	a. a weight problem	___Definitely	___Probably	___No
	b. a smoking problem	___Definitely	___Probably	___No
	c. a drinking problem	___Definitely	___Probably	___No
	d. a fitness problem	___Definitely	___Probably	___No

Scoring: The HSS contains four subscales: one measuring amount of alcohol consumption (question 4 a, b, c¹), the CAGE questionnaire (questions 5-8²), one for self-perception of current problem with alcohol (question 9), and one for self-perception of past problems with alcohol (question 10). Consumption of 20 or more drinks per week, two or more positive responses to the four CAGE questions, self-perception of a current problem with alcohol use, or self-perception of a past problem with alcohol use indicates problem drinking.

Source: Fleming, M.F., and Barry, K.L. (1991). A three-sample test of a masked alcohol screening questionnaire. Alcohol and Alcoholism, 26(1):81-91.

References

1. Kristenson, H., and Trell, E. (1982). Indicators of alcohol consumption: Comparisons between a questionnaire (Mm-MAST), interviews, and serum g-glutamyl transferase (GGT) in a health survey of middle-aged males. British Journal of Addiction 77, 297-304.
2. Mayfield, D., McLeod, G., and Hall, P. (1974). The CAGE questionnaire: Validation of a new alcoholism screening instrument. American Journal of Psychiatry 131,1121-1128.