| RPT |
.| .| Stages of Change Readiness and Treatment Eagerness Scale - 8D| | Date Given: <.Date_Given.>| Clinician: <.Staff_Ordered_By.>| Location: <.Location.>| |
7. I am a problem a drug problem.| <*Answer_6912*>| 8. I'm not just thinking about changing my drug use, I'm already doing something about it.| <*Answer_6913*>| 9. I
have already changed my drug use, and I am looking for ways to keep from slipping| back to my old pattern.| <*Answer_6914*>| 10. I have serious problems with drugs.|
<*Answer_6915*>| 11. Sometimes I wonder if I am in control of my drug use.| <*Answer_6916*>| 12. My drug use is causing a lot of harm.| <*Answer_6917*>| 13. I am
actively doing things now to cut down or stop my use of drugs.| <*Answer_6918*>| 14. I want help to keep from going back to the drug problems that I had before.|
<*Answer_6919*>| 15. I know that I have a drug problem.| <*Answer_6920*>| 16. There are times when I wonder if I use drugs too much.| <*Answer_6921*>| 17. I am an
drug addict.| <*Answer_6922*>| 18. I am working hard to change my drug use.| <*Answer_6923*>| 19. I have made some changes in my drug use, and I want some help to keep
from going back to the way I used before.| <*Answer_6924*>| | | Information contained in this note is based on a self-report assessment and is not sufficient to use alone for
diagnostic purposes. Assessment results should be verified for accuracy and used in conjunction with other diagnostic activities and procedures.| $~
Veteran: <.Patient_Name_Last_First.>| SSN: <.Patient_SSN.>| DOB: <.Patient_Date_Of_Birth.> (<.Patient_Age.>)| Gender: <.Patient_Gender.>| | | Guide for interpreting
SOCRATES scores:| | RAW SCORES| Indicator DECILE Recognition Ambivalence Taking Steps| Score Score Score Score |
| Very High 90 19-20 39-40 | 80 18 37-38| High 70 35 17 36|
60 34 16 34-35| Medium 50 32-33 15 33| 40 31 14 31-32| Low 30
29-30 12-13 30| 20 27-28 9-11 26-29| Very Low 10 7-26 4-8 8-25| | <.DLL_String.>| |
Questions and Answers| | 1. I really want to make changes in my use of drugs.| <*Answer_6906*>| 2. Sometimes I wonder if I am an addict.| <*Answer_6907*>| 3. If
I don't change my drug use soon, my problems are going to get worse.| <*Answer_6908*>| 4. I have already started making some changes in my use of drugs.| <*Answer_6909*>|
5. I was using drugs too much at one time, but I've managed to change that.| <*Answer_6910*>| 6. Sometimes I wonder if my drug use is hurting other people.| <*Answer_6911*>|
|
