| SPECIFICATION |
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TZ,ROGER F","entryDate":"2009-10-26","fullText":true,"id":317,"interpretiveText":" Guide for interpreting BAM-R scores (range 0-180):\r\n\r\n A high score on the subscales Use (above 0) and Risk Factors (above 11) calls for further exami
nation. \r\n A score below 13 on Protective Factors is clinically significant.","lastEditDate":3230817.1815,"lastEditedBy":"HOWELL,LYNN","legacy":false,"licenseCurrent":false,"name":"BAM-R-CSG-SUD","national":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 Addiction Monitor - Revised for CSG-SUD (B
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introId":1096,"introText":"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 30 days. Please consider \r\neach questi
ion Monitor (BAM). Submitted for publication in 2011.","requireSignature":false,"requiresLicense":"N","scoringRevision":1,"scoringRoutine":"YTSBAMRC","scoringTag":"DLL","staffOnly":null,"submitNational":true,"suicideriskRoutine":null,"suic
ideriskTag":null,"targetPopulation":"Adults (18 years of age and older) being treated in SUD specialty care settings.","version":"03-2012","wasOperational":true},"report":{"id":318,"instrument":317,"template":"| Brief Addiction Monitor
- Revised (BAM-R-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 90. If a\r\n| patient scor
es a 1 or greater, it calls for further assessment and clinical\r\n| attention, e.g., consider addition\/change of pharmacotherapy or psychosocial\r\n| 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 is 0\r\n| to 180. For subscale scores, items with ordinal response options (0-4) were\r\n| converted to contribute proportionately consistent with items on days of use\r\n| (0-30). Clinician
s are encouraged to consider scores on individual Risk\r\n| items in offering interventions as indicated during initial treatment
\r\n| 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 protective\r\n| factors, range is 0 to 180. For subscale scores, items wit
h ordinal response\r\n| options (0-4) were converted to contribute proportionately consistent with\r\n| items on days of use (0-30). Clinicians are encouraged to consider scores on\r\n| individual Protective items in offering interventio
ns as indicated during\r\n| initial treatment planning and following re-assessment.\r\n|\r\n| Average Drinks (5B): <*Answer_9129*>\r\n| Highest Consumed (5C): <*Answer_9130*>\r\n| Items 5B and 5C should be reviewed and interpreted at
on and answer as accurately as possible.| ","max":30,"min":0,"questionDisplay":57257,"questionId":9114,"questionText":"In the past 30 days, how many days have you felt depressed, anxious, angry or very upset throughout most of the day?","r
the item-level and are\r\n| not included in any composite scores. These items provide additional, \r\n| clinically useful information about quantity of alcohol use that users are \r\n| encouraged to review and monitor, in addition to the
frequency of use, risk \r\n| and protective composite scores, to inform treatment planning and treatment \r\n| progress.\r\n| \r\n|\r\n| Questions and Answers \r\n|\r\n| A. Date of administration:\r\n| <*Answer_9104*>\r\n| \r\
n| B. Method of administration:\r\n| <*Answer_9105*>\r\n| \r\n| 1. In the past 30 days, how would you say your physical health has been?\r\n| <*Answer_9106*>\r\n| \r\n| 2. In the past 30 days, how many nights did you have tro
uble falling asleep\r\n| or staying asleep?\r\n| <*Answer_9113*>\r\n|\r\n| 3. In the past 30 days, how many days have you felt depressed, anxious,\r\n| angry or very upset throughout most of the day?\r\n| <*Answer_9114*>\r\
n| \r\n| 4. In the past 30 days, how many days did you drink ANY alcohol?\r\n| <*Answer_9115*>\r\n| \r\n| 5A. In the past 30 days, how many days did you have at least 5 drinks (if you\r\n| 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_9116*>\r\n| \r\n| 5B. In the past 30 days, on the days that you co
nsumed alcohol, what was the\r\n| average number of drinks you consumed on those days?\r\n| <*Answer_9129*>\r\n| \r\n| 5C. In the past 30 days, on the days that you consumed alcohol, what was the\r\n| highest number of drinks y
ou consumed in one day?\r\n| <*Answer_9130*>\r\n| \r\n| 6. In the past 30 days, how many days did you use any illegal or street\r\n| drugs or abuse any prescription medications?\r\n| <*Answer_9117*>\r\n| \r\n| 7A. Marijua
na (cannabis, pot, weed)?\r\n| <*Answer_9118*>\r\n| \r\n| 7B. Sedatives and\/or Tranquilizers (benzos, Valium, Xanax, Ativan, Ambien,\r\n| barbs, Phenobarbital, downers, etc.)?\r\n| <*Answer_9119*>\r\n| \r\n| 7C. Cocaine and
\/or Crack?\r\n| <*Answer_9120*>\r\n| \r\n| 7D. Other Stimulants (amphetamine, methamphetamine, Dexedrine, Ritalin,\r\n| Adderall, speed, crystal meth, ice, etc.)?\r\n| <*Answer_9121*>\r\n| \r\n| 7E. Opiates (Heroin, Morphin
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e, Dilaudid, Demerol, Oxycontin, oxy, codeine\r\n| (Tylenol 2,3,4), Percocet, Vicodin, Fentanyl, etc.)?\r\n| <*Answer_9122*>\r\n| \r\n| 7F. Inhalants (glues, adhesives, nail polish remover, paint thinner, etc.)?\r\n| <*Answer_
9123*>\r\n| \r\n| 7G. Other drugs (steroids, non-prescription sleep and diet pills, Benadryl,\r\n| Ephedra, other over-the-counter or unknown medications)?\r\n| <*Answer_9124*>\r\n| \r\n| 8. In the past 30 days, how much were y
ou bothered by cravings or urges to\r\n| drink alcohol or use drugs?\r\n| <*Answer_9107*>\r\n| \r\n| 9. How confident are you that you will NOT use alcohol and drugs in the next\r\n| 30 days?\r\n| <*Answer_9108*>\r\n| \
r\n| 10. In the past 30 days, how many days did you attend self-help meetings like\r\n| AA or NA to support your recovery?\r\n| <*Answer_9125*>\r\n|
\r\n| 11. In the past 30 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 drugs\r\n| (i.e., around risky \"people, places or things\")?\r\n| <*An
swer_9126*>\r\n| \r\n| 12. Does your religion or spirituality help support your recovery?\r\n| <*Answer_9109*>\r\n| \r\n| 13. In the past 30 days, how many days did you spend much of the time at\r\n| work, school, or doing volun
teer work?\r\n| <*Answer_9127*>\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 your\r\n| dependents?\r\n| <*Ans
wer_9110*>\r\n| \r\n| 15. In the past 30 days, how much have you been bothered by arguments or\r\n| problems getting along with any family members or friends?\r\n| <*Answer_9111*>\r\n| \r\n| 16. In the past 30 days, how many day
s did you contact or spend time with any\r\n| family members or friends who are supportive of your recovery?\r\n| <*Answer_9128*>\r\n| \r\n| 17. How satisfied are you with your progress toward achieving your recovery\r\n| goal
s?\r\n| <*Answer_9112*>\r\n| \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 purposes. Assessment results should be verified \r\nfor accuracy
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 30 days. Please consider \r\neach question and answer as accurately as possible.
and used in conjunction with other diagnostic activities and procedures."},"rule":[{"booleanOperator":"AND","consistencyCheck":null,"id":406,"indexOperator":"Equals","indexQuestionId":9115,"indexValue":0,"indexValueDataType":"NUMBER","inst
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Spiri"},{"groupId":376,"id":1521,"name":"Days Work\/School","sequence":4,"xLabel":"Work"},{"groupId":376,"id":1522,"name":"Adequate Income","sequence":5,"xLabel":"Incom"},{"groupId":376,"id":1523,"name":"Days Supportive Persons","sequence":
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\"max\": 30}, \r\n {\"id\": \"q9115\", \"type\": \"IntegerQuestion\", \"required\": false, \r\n \"text\": \"4. In the past 30 days, how many days did you drink ANY alcohol?\", \r\n \"intro\": \"Instructions<br \/>This is a standard
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set of questions about several areas of your\r\n life such as your health, alcohol and drug use, etc. The questions generally ask\r\n about the past 30 days. Please consider each question and answer as accurately\r\n as possible.<br \/> \"
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average number of drinks you consumed on those days?\", \r\n \"intro\": \"Instructions<br \/>This is a standard set of questions about several areas of your\r\n life such as your health, alcohol and drug use, etc. The questions generally
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ed\": false, \r\n \"text\": \"5C. In the past 30 days, on the days that you consumed alcohol, what was the\r\n highest number of drinks you consumed in one day?\", \r\n \"intro\": \"Instructions<br \/>This is a standard set of questio
ns about several areas of your\r\n life such as your health, alcohol and drug use, etc. The questions generally ask\r\n about the past 30 days. Please consider each question and answer as accurately\r\n as possible.<br \/> \", \r\n \"co
ntrolWidth\": 60, \"min\": 0, \"max\": 999}, \r\n {\"id\": \"q9117\", \"type\": \"IntegerQuestion\", \"required\": false, \r\n \"text\": \"6. In the past 30 days, how many days did you use any illegal or street drugs or\r\n abuse any p
nText":"Date of administration:","required":false,"responseTypeId":4,"responseTypeText":"DATE","sequence":10},{"choice":[{"choiceId":2418,"choiceText":"Clinician Interview","ien":68725,"legacyValue":1,"sequence":1},{"choiceId":2419,"choiceT
"min":0,"questionDisplay":57261,"questionId":9116,"questionText":"In the past 30 days, how many days did you have 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 liq
rescription medications?\", \r\n \"intro\": \"Instructions<br \/>This is a standard set of questions about several areas of your\r\n life such as your health, alcohol and drug use, etc. The questions generally ask\r\n about the past 30 d
ays. Please consider each question and answer as accurately\r\n as possible.<br \/> \", \r\n \"controlWidth\": 60, \"min\": 0, \"max\": 30}, \r\n {\"id\": \"i1097\", \"type\": \"IntroText\", \r\n \"text\": \"7. In the past 30 days,
how many days did you use any of the following drugs: \"\r\n }, \r\n {\"id\": \"q9118\", \"type\": \"IntegerQuestion\", \"required\": false, \r\n \"text\": \"7A. Marijuana (cannabis, pot, weed)?\", \r\n \"intro\": \"7. In the p
ast 30 days, how many days did you use any of the following drugs: \", \r\n \"controlWidth\": 60, \"min\": 0, \"max\": 30}, \r\n {\"id\": \"q9119\", \"type\": \"IntegerQuestion\", \"required\": false, \r\n \"text\": \"7B. Sedatives
and\/or Tranquilizers (benzos, Valium, Xanax, Ativan, Ambien, barbs,\r\n Phenobarbital, downers, etc.)?\",
\r\n \"intro\": \"7. In the past 30 days, how many days did you use any of the following drugs: \", \r\n \"controlWidth\": 60, \"min\": 0, \"max\": 30}, \r\n {\"id\": \"q9120\", \"type\": \"IntegerQuestion\", \"required\": false, \
r\n \"text\": \"7C. Cocaine and\/or Crack?\", \r\n \"intro\": \"7. In the past 30 days, how many days did you use any of the following drugs: \", \r\n \"controlWidth\": 60, \"min\": 0, \"max\": 30}, \r\n {\"id\": \"q9121\", \"ty
pe\": \"IntegerQuestion\", \"required\": false, \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 30 days, how m
any days did you use any of the following drugs: \", \r\n \"controlWidth\": 60, \"min\": 0, \"max\": 30}, \r\n {\"id\": \"q9122\", \"type\": \"IntegerQuestion\", \"required\": false, \r\n \"text\": \"7E. Opiates (Heroin, Morphine,
Dilaudid, Demerol, Oxycontin, oxy, codeine\r\n (Tylenol 2,3,4), Percocet, Vicodin, Fentanyl, etc.)?\", \r\n \"intro\": \"7. In the past 30 days, how many days did you use any of the following drugs: \", \r\n \"controlWidth\": 60, \"m
uor (1.5 oz.) or 12-ounce \r\ncan\/bottle of beer or 5-ounce glass of wine.]","required":false,"responseTypeId":2,"responseTypeText":"INTEGER","sequence":80},{"choiceDisplay":57262,"choiceTypeId":null,"designator":"5B.","hint":null,"id":919
in\": 0, \"max\": 30}, \r\n {\"id\": \"q9123\", \"type\": \"IntegerQuestion\", \"required\": false, \r\n \"text\": \"7F. Inhalants (glues, adhesives, nail polish remover, paint thinner, etc.)?\", \r\n \"intro\": \"7. In the past 30
days, how many days did you use any of the following drugs: \", \r\n \"controlWidth\": 60, \"min\": 0, \"max\": 30}, \r\n {\"id\": \"q9124\", \"type\": \"IntegerQuestion\", \"required\": false, \r\n \"text\": \"7G. Other drugs (ste
roids, non-prescription sleep and diet pills, Benadryl,\r\n Ephedra, other over-the-counter or unknown medications)?\", \r\n \"intro\": \"7. In the past 30 days, how many days did you use any of the following drugs: \", \r\n \"contro
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\"quickKey\": 3}, \r\n {\"id\": \"c687\", \"text\": \"4. Extremely\", \"quickKey\": 4}\r\n ]}, \r\n {\"id\": \"q9125\", \"type\": \"IntegerQuestion\", \"required\": false, \r\n \"text\": \"10. In the past 30 days, how many days d
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id you attend self-help meetings like AA\r\n or NA to support your recovery?\", \r\n \"intro\": \"7. In the past 30 days, how many days did you use any of the following drugs: \", \r\n \"controlWidth\": 60, \"min\": 0, \"max\": 30},
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\r\n \"text\": \"11. In the past 30 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 drugs (i.e.,\r\n around risky \\u0022people, places or things\\u0022)?
\", \r\n \"intro\": \"7. In the past 30 days, how many days did you use any of the following drugs: \", \r\n \"controlWidth\": 60, \"min\": 0, \"max\": 30}, \r\n {\"id\": \"q9109\", \"type\": \"ChoiceQuestion\", \"required\": false
, \"inline\": true, \r\n \"text\": \"12. Does your religion or spirituality help support your recovery?\", \r\n \"intro\": \"7. In the past 30 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}
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, \r\n \"text\": \"13. In the past 30 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 30 days, how many days did you use any of the following drugs:
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"intro\": \"7. In the past 30 days, how many days did you use any of the following drugs: \", \r\n \"controlWidth\": 60, \"min\": 0, \"max\": 30}, \r\n {\"id\": \"q9112\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\":
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. In the past 30 days, how many days did you use any of the following drugs: ","max":0,"min":0,"questionDisplay":57280,"questionId":9107,"questionText":"In the past 30 days, how much were you bothered by cravings or urges to drink alcohol
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