Screening instruments far substance abuse can be expeditious and effec
tive clinical tools. A training needs assessment conducted with a rand
omly selected sample of substance abuse treatment providers (n = 1684)
in licensed facilities in New England identified the adequacy of trai
ning, interest in training, clinical skill, and training need in the u
se of 13 substance abuse screening instruments. The results revealed t
hat New England substance abuse treatment providers are not skilled in
the use of screening instruments and have a high level of training ne
ed in this area. Differences in screening skill were found among the N
ew England stares. In addition, women and those with less treatment ex
perience have lower screening skill; similarly women, those having les
s experience in the field, and social workers and nurses evidenced hig
her training need in screening. The discussion considers skill, adequa
cy of training, training interest, and training need. The conclusion s
uggests that one approach to the coexisting increased need for screeni
ng skills due to managed care requirements and the lack of interest in
these skills is to study managed care marketplace demands to determin
e training priorities. (C) 1997 Elsevier Science.