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Version":null,"enteredBy":"SCHULTZ,ROGER F","entryDate":"2009-10-26","fullText":true,"id":318,"interpretiveText":" Guide for interpreting BAM-IOP scores (range 0-24):\r\n\r\n A high score on the subscales Use (above 0) and Risk Factors (
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above 11) calls for further examination. \r\n A score below 13 on Protective Factors is clinically significant.","lastEditDate":3230817.1815,"lastEditedBy":"Schultz, Roger","legacy":false,"licenseCurrent":false,"name":"BAM-IOP-CSG-SUD","n
ational":true,"normSample":"Norms have not been developed. The initial evaluation of BAM psychometrics was performed on data from 150 veterans in the Philadelphia VAMC SUD specialty care program. ","operational":"Y","printTitle":"Brief Add
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Brief Addiction Monitor: IOP version (BAM-IOP-CSG-SUD)\r\n| \r\n| Date Given: <.Date_Given.>\r\n| Clinician: <.Staff_Ordered_By.>\r\n| Location: <.Location.>\r\n| \r\n| Veteran: <.Patient_Name_Last_First.>\r\n| SSN:
<.Patient_SSN.>\r\n| DOB: <.Patient_Date_Of_Birth.> (<.Patient_Age.>)\r\n| Gender: <.Patient_Gender.>\r\n| \r\n| \r\n| Clinical Subscales:\r\n| \r\n| Use: <-Use->\r\n| Items 4, 5A, 6. A high score indicates more
use, range is 0 to 12. If\r\n| a patient scores a 1 or greater, it calls for further assessment and \r\n| clinical attention, e.g., consider addition\/change of pharmacotherapy\r\n| or psychosocial intervention.\r\n| \
r\n| Risk Factors: <-Risk Factors->\r\n| Items 1, 2, 3, 8, 11, 15. A high score indicates increased risk, range\r\n| is 0 to 24. Clinicians are encouraged to consider scores on individual\r\n| Risk items in offering
interventions as indicated during initial \r\n| treatment planning and following re-assessment.\r\n| \r\n| Protective Factors: <-Protective Factors->\r\n| Items 9, 10, 12, 13, 14, 16. A high score indicates greater p
1,"introId":1062,"introText":
rotective\r\n| factors, range is 0 to 24. Clinicians are encouraged to consider scores
\r\n| on individual Protective items in offering interventions as indicated \r\n| during initial treatment planning and following re-assessment.\r\n|\r\n| Average Drinks (5B): <*Answer_9156*> \r\n| Highest Consumed
(5C): <*Answer_9157*>\r\n| Items 5B and 5C should be reviewed and interpreted at the item-level \r\n| and are not included in any composite scores. These items provide \r\n| additional, clinically useful information about
quantity of alcohol use\r\n| that users are encouraged to review and monitor, in addition to the \r\n| frequency of use, risk and protective composite scores, to inform \r\n| treatment planning and treatment progress.\r\n
| \r\n| Questions and Answers\r\n| \r\n| A. Date of administration:\r\n| <*Answer_9131*>\r\n| B. Method of administration:\r\n| <*Answer_9132*>\r\n| \r\n| 1. In the past 7 days, how would you say your phy
sical health has been?\r\n| <*Answer_9133*>\r\n| \r\n| 2. In the past 7 days, how many nights did you have trouble falling\r\n| asleep or staying asleep?\r\n| <*Answer_9134*>\r\n| \r\n| 3. In the past 7 da
ys, how many days have you felt depressed, anxious,\r\n| angry or very upset throughout most of the day?\r\n| <*Answer_9135*>\r\n| \r\n| 4. In the past 7 days, how many days did you drink ANY alcohol?\r\n| <*Answ
er_9136*>\r\n| \r\n| 5A. In the past 7 days, how many days did you have at least 5 drinks (if \r\n| you are a man) or at least 4 drinks (if you are a woman)?\r\n| [One drink is considered one shot of hard liquor (1.5 oz.
) or 12-ounce\r\n| can\/bottle of beer or 5 ounce glass of wine.]\r\n| <*Answer_9137*>\r\n|\r\n| 5B. In the past 7 days, on the days that you consumed alcohol, what was\r\n| the average number of drinks you consumed
on those days?\r\n| <*Answer_9156*>\r\n| \r\n| 5C. In the past 7 days, on the days that you consumed alcohol, what was \r\n| the highest number of drinks you consumed in one day?\r\n| <*Answer_9157*>\r\n| \r\n|
"Instructions|This is a standard set of questions about several areas of your life such as your health, alcohol and drug use, etc. The questions generally ask about the past 7 days. Please consider \r\neach question and answer as accurate
6. In the past 7 days, how many days did you use any illegal or street\r\n| drugs or abuse any prescription medications?\r\n| <*Answer_9138*>\r\n| \r\n| 7. In the past 7 days, how many days did you use any of the foll
owing \r\n| drugs:\r\n| \r\n| 7A. Marijuana (cannabis, pot, weed)?\r\n| <*Answer_9139*>\r\n| 7B. Sedatives and\/or Tranquilizers (benzos, Valium, Xanax, Ativan,\r\n| Ambien, barbs, Phenobarbital
, downers, etc.)?\r\n| <*Answer_9140*>\r\n| 7C. Cocaine and\/or Crack?\r\n| <*Answer_9141*>\r\n| 7D. Other Stimulants (amphetamine, methamphetamine, Dexedrine,\r\n| Ritalin, Adderall, speed, cr
ystal meth, ice, etc.)?\r\n| <*Answer_9142*>\r\n| 7E. Opiates (Heroin, Morphine, Dilaudid, Demerol, Oxycontin, oxy,\r\n| codeine (Tylenol 2,3,4), Percocet, Vicodin, Fentanyl, etc.)?\r\n| <*Answer_9143
*>\r\n| 7F. Inhalants (glues, adhesives, nail polish remover, paint thinner, \r\n| etc.)?\r\n| <*Answer_9144*>\r\n| 7G. Other drugs (steroids, non-prescription sleep and diet pills, \r\n| Benad
ryl, Ephedra, other over-the-counter or unknown medications)?\r\n| <*Answer_9145*>\r\n| \r\n| 8. In the past 7 days, how much were you bothered by cravings or urges\r\n| to drink alcohol or use drugs?\r\n| <*
Answer_9146*>\r\n| \r\n| 9. How confident are you that you will NOT use alcohol and drugs in the\r\n| next 7 days?\r\n| <*Answer_9147*>\r\n| \r\n| 10. In the past 7 days, how many days did you attend self-help mee
tings\r\n| like AA or NA to support your recovery?\r\n| <*Answer_9148*>\r\n|
\r\n| 11. In the past 7 days, how many days were you in any situations or with \r\n| any people that might put you at an increased risk for using alcohol\r\n| or drugs (i.e., around risky \"people, places or things\")?\r\n|
<*Answer_9149*>\r\n| \r\n| 12. Does your religion or spirituality help support your recovery?\r\n| <*Answer_9150*>\r\n| \r\n| 13. In the past 7 days, how many days did you spend much of the time at\r\n| wor
ly as possible. ","max":0,"min":0,"questionDisplay":56846,"questionId":9135,"questionText":"In the past 7 days, how many days have you felt depressed, anxious, angry or very upset throughout most of the day?","required":false,"responseType
k, school, or doing volunteer work?\r\n| <*Answer_9151*>\r\n| \r\n| 14. Do you have enough income (from legal sources) to pay for necessities\r\n| such as housing, transportation, food and clothing for yourself and\r\n|
your dependents?\r\n| <*Answer_9152*>\r\n| \r\n| 15. In the past 7 days, how much have you been bothered by arguments or \r\n| problems getting along with any family members or friends?\r\n| <*Answer_9153*>
\r\n| \r\n| 16. In the past 7 days, how many days did you contact or spend time with\r\n| any family members or friends who are supportive of your recovery?\r\n| <*Answer_9154*>\r\n| \r\n| 17. How satisfied are you
with your progress toward achieving your\r\n| recovery goals?\r\n| <*Answer_9155*>\r\n| \r\n| Information contained in this note is based on a self-report assessment and is not sufficient to use alone for diagnostic pu
rposes. \r\nAssessment results should be verified for accuracy and used in conjunction with other diagnostic activities and procedures."},"rule":[{"booleanOperator":"AND","consistencyCheck":null,"id":408,"indexOperator":"Equals","indexQues
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datives and\/or Tranquilizers (benzos, Valium, Xanax, Ativan, Ambien, barbs,\r\n Phenobarbital, downers, etc.)?\",
at least 5 drinks (if you are a man) or at least 4 drinks (if you are a woman)? [One drink is considered one shot of hard liquor (1.5 oz.) or 12-ounce \r\ncan\/bottle of beer or 5-ounce glass of wine.]","required":false,"responseTypeId":1,
\r\n \"intro\": \"7. In the past 7 days, how many days did you use any of the following drugs: \", \r\n \"columns\": 2, \r\n \"choices\":[\r\n {\"id\": \"c1\", \"text\": \"0. None\", \"quickKey\": 0}, \r\n {\"id\": \"c3161
\", \"text\": \"1. One day\", \"quickKey\": 1}, \r\n {\"id\": \"c3162\", \"text\": \"2. Two days\", \"quickKey\": 2}, \r\n {\"id\": \"c3163\", \"text\": \"3. Three days\", \"quickKey\": 3}, \r\n {\"id\": \"c3164\", \"text\": \"4
. Four or more days\", \"quickKey\": 4}\r\n ]}, \r\n {\"id\": \"q9141\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": true, \r\n \"text\": \"7C. Cocaine and\/or Crack?\", \r\n \"intro\": \"7. In the past 7 days,
how many days did you use any of the following drugs: \", \r\n \"columns\": 2, \r\n \"choices\":[\r\n {\"id\": \"c1\", \"text\": \"0. None\", \"quickKey\": 0}, \r\n {\"id\": \"c3161\", \"text\": \"1. One day\", \"quickKey\":
1}, \r\n {\"id\": \"c3162\", \"text\": \"2. Two days\", \"quickKey\": 2}, \r\n {\"id\": \"c3163\", \"text\": \"3. Three days\", \"quickKey\": 3}, \r\n {\"id\": \"c3164\", \"text\": \"4. Four or more days\", \"quickKey\": 4}\r\n
]}, \r\n {\"id\": \"q9142\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": true, \r\n \"text\": \"7D. Other Stimulants (amphetamine, methamphetamine, Dexedrine, Ritalin, Adderall,\r\n speed, crystal meth, ice, etc.)?
\", \r\n \"intro\": \"7. In the past 7 days, how many days did you use any of the following drugs: \", \r\n \"columns\": 2, \r\n \"choices\":[\r\n {\"id\": \"c1\", \"text\": \"0. None\", \"quickKey\": 0}, \r\n {\"id\": \"c
3161\", \"text\": \"1. One day\", \"quickKey\": 1}, \r\n {\"id\": \"c3162\", \"text\": \"2. Two days\", \"quickKey\": 2}, \r\n {\"id\": \"c3163\", \"text\": \"3. Three days\", \"quickKey\": 3}, \r\n {\"id\": \"c3164\", \"text\":
\"4. Four or more days\", \"quickKey\": 4}\r\n ]}, \r\n {\"id\": \"q9143\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": true, \r\n \"text\": \"7E. Opiates (Heroin, Morphine, Dilaudid, Demerol, Oxycontin, oxy, code
ine\r\n (Tylenol 2,3,4), Percocet, Vicodin, Fentanyl, etc.)?\", \r\n \"intro\": \"7. In the past 7 days, how many days did you use any of the following drugs: \", \r\n \"columns\": 2, \r\n \"choices\":[\r\n {\"id\": \"c1\", \"
ext":"Self Report","ien":68276,"legacyValue":2,"sequence":2},{"choiceId":2420,"choiceText":"Phone","ien":68277,"legacyValue":3,"sequence":3}],"choiceDisplay":56840,"choiceIdentifier":1,"choiceIdentifierIen":21677,"choiceTypeId":30234,"desig
"responseTypeText":"MCHOICE","sequence":80},{"choiceDisplay":56851,"choiceTypeId":null,"designator":"5B.","hint":null,"id":9221,"instrument":318,"introDisplay":56841,"introId":1062,"introText":"Instructions|This is a standard set of questio
text\": \"0. None\", \"quickKey\": 0}, \r\n {\"id\": \"c3161\", \"text\": \"1. One day\", \"quickKey\": 1}, \r\n {\"id\": \"c3162\", \"text\": \"2. Two days\", \"quickKey\": 2}, \r\n {\"id\": \"c3163\", \"text\": \"3. Three days
\", \"quickKey\": 3}, \r\n {\"id\": \"c3164\", \"text\": \"4. Four or more days\", \"quickKey\": 4}\r\n ]}, \r\n {\"id\": \"q9144\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": true, \r\n \"text\": \"7F. Inhala
nts (glues, adhesives, nail polish remover, paint thinner, etc.)?\", \r\n \"intro\": \"7. In the past 7 days, how many days did you use any of the following drugs: \", \r\n \"columns\": 2, \r\n \"choices\":[\r\n {\"id\": \"c1\
", \"text\": \"0. None\", \"quickKey\": 0}, \r\n {\"id\": \"c3161\", \"text\": \"1. One day\", \"quickKey\": 1}, \r\n {\"id\": \"c3162\", \"text\": \"2. Two days\", \"quickKey\": 2}, \r\n {\"id\": \"c3163\", \"text\": \"3. Three
days\", \"quickKey\": 3}, \r\n {\"id\": \"c3164\", \"text\": \"4. Four or more days\", \"quickKey\": 4}\r\n ]}, \r\n {\"id\": \"q9145\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": true, \r\n \"text\": \"7G. O
ther drugs (steroids, non-prescription sleep and diet pills, Benadryl,\r\n Ephedra, other over-the-counter or unknown medications)?\", \r\n \"intro\": \"7. In the past 7 days, how many days did you use any of the following drugs: \", \r
\n \"columns\": 2, \r\n \"choices\":[\r\n {\"id\": \"c1\", \"text\": \"0. None\", \"quickKey\": 0},
\r\n {\"id\": \"c3161\", \"text\": \"1. One day\", \"quickKey\": 1}, \r\n {\"id\": \"c3162\", \"text\": \"2. Two days\", \"quickKey\": 2}, \r\n {\"id\": \"c3163\", \"text\": \"3. Three days\", \"quickKey\": 3}, \r\n {\"id\":
\"c3164\", \"text\": \"4. Four or more days\", \"quickKey\": 4}\r\n ]}, \r\n {\"id\": \"q9146\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": true, \r\n \"text\": \"8. In the past 7 days, how much were you bothered
by cravings or urges to drink\r\n alcohol or use drugs?\", \r\n \"intro\": \"7. In the past 7 days, how many days did you use any of the following drugs: \", \r\n \"columns\": 2, \r\n \"choices\":[\r\n {\"id\": \"c212\", \"te
ns about several areas of your life such as your health, alcohol and drug use, etc. The questions generally ask about the past 7 days. Please consider \r\neach question and answer as accurately as possible. ","max":999,"min":0,"questionD
xt\": \"0. Not at all\", \"quickKey\": 0}, \r\n {\"id\": \"c717\", \"text\": \"1. Slightly\", \"quickKey\": 1}, \r\n {\"id\": \"c685\", \"text\": \"2. Moderately\", \"quickKey\": 2}, \r\n {\"id\": \"c2312\", \"text\": \"3. Consi
derably\", \"quickKey\": 3}, \r\n {\"id\": \"c687\", \"text\": \"4. Extremely\", \"quickKey\": 4}\r\n ]}, \r\n {\"id\": \"q9147\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": true, \r\n \"text\": \"9. How confi
dent are you in your ability to be completely abstinent (clean) from\r\n alcohol and drugs in the next 7 days?\", \r\n \"intro\": \"7. In the past 7 days, how many days did you use any of the following drugs: \", \r\n \"columns\": 2,
\r\n \"choices\":[\r\n {\"id\": \"c212\", \"text\": \"0. Not at all\", \"quickKey\": 0}, \r\n {\"id\": \"c717\", \"text\": \"1. Slightly\", \"quickKey\": 1}, \r\n {\"id\": \"c685\", \"text\": \"2. Moderately\", \"quickKey\":
2}, \r\n {\"id\": \"c2312\", \"text\": \"3. Considerably\", \"quickKey\": 3}, \r\n {\"id\": \"c687\", \"text\": \"4. Extremely\", \"quickKey\": 4}\r\n ]}, \r\n {\"id\": \"q9148\", \"type\": \"ChoiceQuestion\", \"required\": fal
se, \"inline\": true, \r\n \"text\": \"10. In the past 7 days, how many days did you attend self-help meetings like AA\r\n or NA to support your recovery?\", \r\n \"intro\": \"7. In the past 7 days, how many days did you use any of th
e following drugs: \", \r\n \"columns\": 2, \r\n \"choices\":[\r\n {\"id\": \"c1\", \"text\": \"0. None\", \"quickKey\": 0}, \r\n {\"id\": \"c3161\", \"text\": \"1. One day\", \"quickKey\": 1}, \r\n {\"id\": \"c3162\", \"
text\": \"2. Two days\", \"quickKey\": 2}, \r\n {\"id\": \"c3163\", \"text\": \"3. Three days\", \"quickKey\": 3}, \r\n {\"id\": \"c3164\", \"text\": \"4. Four or more days\", \"quickKey\": 4}\r\n ]}, \r\n {\"id\": \"q9149\", \"
type\": \"ChoiceQuestion\", \"required\": false, \"inline\": true, \r\n \"text\": \"11. In the past 7 days, how many days were you in any situations or with any\r\n people that might put you at an increased risk for using alcohol or drug
s (i.e.,\r\n around risky \\u0022people, places or things\\u0022)?\", \r\n \"intro\": \"7. In the past 7 days, how many days did you use any of the following drugs: \", \r\n \"columns\": 2, \r\n \"choices\":[\r\n {\"id\": \"c1
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\", \"text\": \"0. None\", \"quickKey\": 0}, \r\n {\"id\": \"c3161\", \"text\": \"1. One day\", \"quickKey\": 1}, \r\n {\"id\": \"c3162\", \"text\": \"2. Two days\", \"quickKey\": 2}, \r\n {\"id\": \"c3163\", \"text\": \"3. Thre
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Does your religion or spirituality help support your recovery?\", \r\n \"intro\": \"7. In the past 7 days, how many days did you use any of the following drugs: \", \r\n \"columns\": 2, \r\n \"choices\":[\r\n {\"id\": \"c212\"
, \"text\": \"0. Not at all\", \"quickKey\": 0}, \r\n {\"id\": \"c717\", \"text\": \"1. Slightly\", \"quickKey\": 1},
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{\"id\": \"q9151\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": true, \r\n \"text\": \"13. In the past 7 days, how many days did you spend much of the time at work,\r\n school, or doing volunteer work?\", \r\n \"
intro\": \"7. In the past 7 days, how many days did you use any of the following drugs: \", \r\n \"columns\": 2, \r\n \"choices\":[\r\n {\"id\": \"c1\", \"text\": \"0. None\", \"quickKey\": 0}, \r\n {\"id\": \"c3161\", \"text
\": \"1. One day\", \"quickKey\": 1}, \r\n {\"id\": \"c3162\", \"text\": \"2. Two days\", \"quickKey\": 2}, \r\n {\"id\": \"c3163\", \"text\": \"3. Three days\", \"quickKey\": 3}, \r\n {\"id\": \"c3164\", \"text\": \"4. Four or
more days\", \"quickKey\": 4}\r\n ]}, \r\n {\"id\": \"q9152\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": true, \r\n \"text\": \"14. Do you have enough income (from legal sources) to pay for necessities such as\r\
n housing, transportation, food and clothing for yourself and your dependents?\", \r\n \"intro\": \"7. In the past 7 days, how many days did you use any of the following drugs: \", \r\n \"columns\": 2, \r\n \"choices\":[\r\n {
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text\": \"15. In the past 7 days, how much have you been bothered by arguments or problems\r\n getting along with any family members or friends?\", \r\n \"intro\": \"7. In the past 7 days, how many days did you use any of the following d
rugs: \", \r\n \"columns\": 2, \r\n \"choices\":[\r\n {\"id\": \"c212\", \"text\": \"0. Not at all\", \"quickKey\": 0}, \r\n {\"id\": \"c717\", \"text\": \"1. Slightly\", \"quickKey\": 1}, \r\n {\"id\": \"c685\", \"text\"
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