Further evaluation should be performed of lower cut points for TWEAK, CAGE, and AUDIT.
TWEAK, CAGE, and AUDIT have already been evaluated to some extent.
Just 17 miles (27 km) from Kauai, the 73-sq mile (189-sq km) island of Niihau (nee-ee-how) is called  The Forbidden Island  because it is privately owned and cannot be visited without an invitation from one of the 225 inhabitants.