SUBSTANCE ABUSE SYMPTOMS CHECKLIST

1. Frequent intoxication

• Does the person report or appear to be frequently high or intoxicated?
• Do recreational activities center around drinking or other drug use, including getting, using, and recovering from use?

2. Atypical social settings

• Does the immediate peer group of the individual suggest that substance abuse may be encouraged?
• Is the person socially isolated from others and is substance abuse occurring alone?
• Is the person reluctant to attend social events where chemicals won't be available?

3. Intentional heavy use

• Does the person use "social drugs" with prescribed medications?
• Does the person use more than is safe in light of medications or compromised tolerance?
• Does the person have an elevated tolerance as evidenced by the use of large quantities of alcohol or other drugs without appearing intoxicated?

4. Symptomatic drinking

• Are there predictable patterns of use which are well known to others?
• Is there a reliance on chemicals to cope with stress?
• Has the person made lifestyle changes yet the drug use has stayed the same or increased? (eg. changed friends or moved to another area)

5. Psychological dependence

• Does the person rely on drugs as a means of coping with negative emotions?
• Does the person believe that pain can't be coped with without medication?
• Does the person obviously feel guilty about some aspect of the person's use of alcohol or other drugs?

6. Health problems

• Are there medical conditions which decrease tolerance or increase the risk of substance abuse problems?
• Are there recurring bladder infections, chronic infections, bed sores, seizures, or other medical situations which are aggravated by repeated alcohol or other drug use?
• Did the disability occur when the individual was under the influence, even if it is denied by the person?

7. Job problems

• Is the person underemployed or unemployed?
• Has the person missed work or gone to work late due to use of alcohol or other drugs?
• Does the person blame the disability for work related problems?

8. Problems with significant others

• Has a family member or friend expressed concern about the person's use?
• Have important relationships been lost or impaired due to chemical use?

9. Problems with law or authority

• Has the person been in trouble with authorities or arrested for any alcohol or drug related offenses?
• Have there been instances when the person could have been arrested but wasn't?
• Does the person seem angry at "the system" and at authority figures in general?

10. Financial problems

• Is the person's spending money easily accounted for?
• Does the person frequently miss making payments when they are due?

11. Belligerence

• Does the person appear angry or defensive but doesn't know why?
• Is the person defensive or angry when confronted about chemical use?

12. Isolation

• Does increasing isolation suggest heavier substance abuse?
• Is the person giving up or changing social and family activities in order to use?

13. "Handicapism"

• Does the person focus on disability to the exclusion of other aspects of life?
• Does the person blame the disability for what goes wrong?

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