consistency for the total substance involvement as well as for specific substance involvement as assessed with Cronbach's ␣ , ranging from 0.74 to 0.93. When possibly computed, AS-SIST cutoff scores have interesting sensitivity and specificity for discrimination between use and abuse and between abuse and dependence. The findings demonstrated that the French version of ASSIST is a valid screening test for identifying substance use disorders in various health care settings, including psychiatric settings.