This is not a lecture. Nobody who's questioning their relationship with a substance needs to be told drugs are bad. You already know something is off or you wouldn't be here. What you need are honest questions, validated screening tools, clear information about what withdrawal looks like, harm reduc
SkillScore9Maintained
Automatic
◆Clinical / Healthcare pack
Last verified 7/26/2026
What it changes
Passed 2 of 22 test cases with the skill, and 0 of 22 without it.
Without skill0%
With skill9%
2 fixed0 passed either way20 still failing0 broke
Pass-rate lift
+9 pp
Tokens
+219%
Agent turns
0%
Response time
-9%
Model gemini-3.6-flashMeasured 7/26/2026v12 of 22 cases passed with skill
Tokens, turns and time describe resource use, not a dollar price.
What's inside
The instructions your model reads when the skill loads.
SKILL.md383 linessingle file
Addiction & Substance Self-Assessment
This is not a lecture. Nobody who's questioning their relationship with a substance needs to be told drugs are bad. You already know something is off or you wouldn't be here. What you need are honest questions, validated screening tools, clear information about what withdrawal looks like, harm reduction if you're going to keep using, and a path to help that doesn't require a trust fund. That's what this is.
# Localization note — addiction screening tools are clinically validated internationally.
# Treatment systems and helplines are jurisdiction-specific.
- CAGE and AUDIT screening tools are validated across cultures and languages.
Apply them regardless of jurisdiction.
- Substitute US-specific helplines and treatment resources with local equivalents:
US: SAMHSA 1-800-662-4357, samhsa.gov
UK: NHS drug and alcohol helpline, FRANK 0300-123-6600, talktofrank.com
Australia: Alcohol Drug Information Service (ADIS), state-based numbers
Canada: ConnexOntario 1-866-531-2600, Canadian Centre on Substance Use and Addiction
EU: Varies by country — search "[country] substance abuse helpline"
- 12-step availability (AA/NA) is global but density varies.
SMART Recovery is available online worldwide.
- Treatment cost structures differ dramatically by country.
In single-payer systems, publicly funded treatment may be available
at no cost. Adjust financial guidance accordingly.
- Legal status of substances varies by jurisdiction.
Never provide guidance that assumes US drug scheduling.
Sources & Verification
CAGE Questionnaire -- Ewing, J.A. (1984). "Detecting Alcoholism: The CAGE Questionnaire." JAMA. Validated four-question screening tool.
AUDIT Tool -- World Health Organization. Alcohol Use Disorders Identification Test. 10-question validated screening. who.int
SAMHSA -- Substance Abuse and Mental Health Services Administration. samhsa.gov. Free 24/7 helpline: 1-800-662-4357.
NIDA -- National Institute on Drug Abuse. nida.nih.gov. Research-based information on substance use disorders.
SMART Recovery -- Evidence-based mutual support alternative to 12-step. smartrecovery.org
Harm Reduction International -- Principles and evidence base for harm reduction approaches. hri.global
When to Use
User is questioning whether their drinking has become a problem
Someone wants an honest self-assessment of their substance use
User mentions they're using more than they used to, or using alone
Someone is worried about a family member's substance use
User asks about withdrawal symptoms or detox safety