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Scoring and interpretation: A score of 1 is given for each YES response, except for items 4,5, and 7, for which a NO response is given a score of 1. Based on data from a heterogeneous psychiatric patient population, cutoff scores of 6 through 11 are considered to be optimal for screening for substance use disorders
Table 69: Interpreting DAST-10 score ScoreDegree of problems related to drug abuseSuggested action 1-2 Low level Monitor, reassess at a later date 3-5 Moderate level Further investigation 6-8 Substantial level Intensive assessment 9-10 Severe level Intensive assessment1 more row
Professional organizations recommend universal drug screening using a tool such as the 4Ps ( Pregnancy, Past, Partner, and Parental Use) to identify risk factors for substance abuse. This screening tool has been validated in non-pregnant subjects but not in pregnancy.
The overall marks for the DAST vary depending on the version used, but typically the scoring ranges from 0 to 20 for the DAST-20 version. Each yes answer contributes one point to the total score.
In the SAMHSA Panel, five drugs (Amphetamines, Opiates, Ecstasy, Hydrocodone, and Oxycodone) require detection of both the parent and the metabolite due to their presence and concentration levels in the .

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The DAST-10 yields a quantitative index of the degree of consequences related to drug abuse. The instrument takes approximately 5 minutes to administer and may be given in either a self-report or interview format. The DAST may be used in a variety of settings to provide a quick index of drug abuse problems.
21 The highest hit rate of 81% was obtained at the cut-off score of 5 or 6 for DAST-10. The sensitivity changed to 95% to 41%, and the specificity changed to 68% to 99%, when cut-off scores from 1.2 to 3.4 were used.

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