Person completing the CAGE alcohol questionnaire, AUDIT-C test, CRAFFT, and TICS, on a tablet

Scoring & Interpretation (TICS)

Total score = sum of item scores (0–12).

  • Score = number of “Yes” answers (0–2).
  • 0: No immediate indication for substance-use assessment; continue routine monitoring.
  • ≥1: Screen positive — schedule a full substance-use assessment (for example, AUDIT, ASSIST, or clinical interview).

TICS Screen Questions

Answer the two questions for the past 12 months.

1. In the last 12 months, have you ever drunk or used drugs more than you meant to?
2. In the last 12 months, have you felt you wanted or needed to cut down on your drinking or drug use?

Hakron Specialist Care Center

Two-Item Conjoint Screen

TICS gives clinicians a fast way to detect possible alcohol or other drug problems. This tool has become a significant instrument for effective drug rehab program. Answer two simple yes/no questions about the past 12 months. One or more “Yes” answers suggest a deeper assessment. Review the official TICS screening tool from the University of Washington for guidelines and question wording.

How It Works

  • Ask both TICS questions about drinking or drug use over the last year.
  • Count the “Yes” responses.
  • Interpret the score: any positive response indicates risk.
  • Use the result to plan a follow-up or referral.

Safety, Limits, & Next Steps

TICS screens for probable alcohol or drug problems; it does not diagnose. If a person shows severe intoxication, withdrawal, or expresses self-harm thoughts, call emergency services immediately. When this test returns positive, follow with a structured assessment, document findings, and offer brief intervention or referral.

Who Benefit from TICS

  • Primary care clinicians: quick triage during routine visits.
  • Behavioral health teams: rapid intake screen.
  • Programs & outreach: efficient population screening when time is limited.

Sources:

  • Brown RL, Leonard T, Saunders LA, Papasouliotis O. A two-item conjoint screen for alcohol and other drug problems. J Am Board Fam Pract. 2001;14:95-106.

Disclaimer

  • This test screen provides educational information only. It does not replace professional diagnosis. If you worry about alcohol use, contact a qualified healthcare provider.
  • All calculations regarding TICS occur on your device. No information you enter is transmitted to our servers.

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