4Ps Plus©

4Ps Plus© is the first validated instrument that has been developed to screen for alcohol, tobacco, and illicit drug use; depression; and domestic violence, specifically in pregnant women. In addition, brief intervention strategies, grounded in motivational interviewing techniques, are integrated into the screening process. “I am concerned…” is an interactive, multisensory psychoeducational approach that takes about five minutes and is administered to all women who are found through the screening process to be using alcohol, tobacco, or illicit drugs.

NTI Upstream, 1999

Evidence Rating: II

Cost: Yes

Additional Info:


Alcohol/Drug Services Depression Intimate Partner Violence Prenatal Care and Education Risk Assessment Tobacco Cessation

Perinatal Periods:


Resource types:

Screening Tools and Protocols

Back to Evidence-Based Practices »