Carolien Zeetsen

135 CHAPTER Summary and general discussion 7 To conclude… The MoCA is not the ‘ideal screener’ we were searching for, but at this point it is rather good second best. If an ideal screening tool exists, what should it look like? Are there other promising up–and–coming cognitive screening instruments? Or has the better and improved MoCA version 8 already overcome the shortcomings described in this thesis? So far, the MoCA does has some clear advantages and is the best we have. It has already found its way into the Dutch addiction health care centres, and awareness into the cognitive consequences of chronic substance use has risen over the past years. These are very important steps on our way to further reduce the societal impact of SUD and to plan well indicated treatment.