Alcohol, Drugs and Addictive Behaviours
The Unit works globally to improve health and well-being of populations by articulating, promoting, supporting and monitoring evidence-informed policies, strategies and interventions to reduce the burden associated with alcohol, drugs and addictive behaviours.

The ASSIST project - Alcohol, Smoking and Substance Involvement Screening Test

There is substantial evidence for the benefits of screening and brief intervention in primary health care for alcohol problems. However, there is a need for screening and brief interventions with cross-cultural relevance for substances other than alcohol or tobacco, such as cannabis, amphetamines, cocaine and opiates.

The Alcohol, Smoking and Substance Involvement Screening Test (ASSIST) was developed for the World Health Organization (WHO) by an international group of substance abuse researchers to detect and manage substance use and related problems in primary and general medical care settings. Primary health care professionals are well-positioned to provide interventions targeted to all substances irrespective of their legal status.

Related activities:

Screening and brief intervention for alcohol problems in primary health care

The ASSIST-linked brief intervention for hazardous and harmful substance use

This manual is a companion to ‘The Alcohol, Smoking and Substance Involvement Screening Test (ASSIST): manual for use in primary care’. The...

Self-help strategies for cutting down or stopping substance use (ASSIST)

Substance use problems can arise as a result of acute intoxication, regular use or dependence - and from the way in which substances are used. This guide...

Project phases

The ASSIST has undergone significant testing in three sequential phases (I, II and III) to ensure that it is feasible, reliable, valid, flexible, comprehensive and cross-culturally relevant, and able to be linked to brief interventions. ASSIST is currently in its fourth Phase aimed at world wide dissemination. See more information about the four phases in the right column.

 

Phase I (1997-1999)

Planning and ASSIST development. International feasibility and reliability study of the ASSIST.

Phase II (2000-2002)

International validity study of the ASSIST. Feasibility study of brief interventions linked to the ASSIST.

Phase III (2002-2007)

International study of effectiveness of a brief intervention linked to the ASSIST (randomized controlled trial).

Phase IV (2008-2011)

Development of effective and sustainable models of ASSIST-based interventions. Dissemination, implementation and evaluation of ASSIST-based interventions in different settings and contexts.