Withdrawal Assessment Tool (WAT-1) for Pediatric Withdrawal

Screens for clinically important opioid and benzodiazepine withdrawal symptoms in pediatric patients.

Any loose or watery stools*

Any vomiting, retching, or gagging*

Temperature greater than 100.0 °F (37.8 °C)*

State Behavioral Scale (SBS)*

≤0 or asleep or awake and calm0

≥1 or awake and distressed+1

Tremor*

None or mild0

Moderate to severe+1

Any sweating*

Uncoordinated and/or repetitive movement*

None or mild0

Moderate to severe+1

Yawning or sneezing*

0-1 time0

≥2 times+1

Startle to touch*

None or mild0

Moderate to severe+1

Muscle tone*

Normal0

Increased+1

Time to gain calm state*

<2 min0

2-5 min+1

>5 min+2