| SPECIFICATION |
{"test":[{"content":[{"choiceDisplay":57146,"choiceTypeId":null,"designator":"A.","hint":null,"id":9157,"instrument":316,"introDisplay":57128,"introId":null,"introText":null,"max":0,"min":0,"questionDisplay":57145,"questionId":9092,"questio
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":2,"responseTypeText":"INTEGER","sequence":50},{"choi
ast session, how many days did you use any of the following drugs: \", \r\n \"controlWidth\": 60, \"min\": 0, \"max\": 30}, \r\n {\"id\": \"q9103\", \"type\": \"IntegerQuestion\", \"required\": false, \r\n \"text\": \"4G. Other drug
s (steroids, non-prescription sleep and diet pills, Benadryl,\r\n Ephedra, other over-the-counter or unknown medications)?\", \r\n \"intro\": \"4. Since the last session, how many days did you use any of the following drugs: \", \r\n
\"controlWidth\": 60, \"min\": 0, \"max\": 30}], \r\n \"rules\":[\r\n {\"question\": \"q9094\", \"operator\": \"EQ\", \"value\": 0,
\r\n \"skips\":[\"q9095\"]}, \r\n {\"question\": \"q9096\", \"operator\": \"EQ\", \"value\": 0, \r\n \"skips\":[\"q9097\",\"q9098\",\"q9099\",\"q9100\",\"q9101\",\"q9102\",\"q9103\"]}]\r\n}","instrument":316,"lastUpdate":"2023-12-27
T13:54:44","specIen":168},"verify":["601.71:316","601.72:9092","601.72:9093","601.72:9094","601.72:9095","601.72:9096","601.72:9097","601.72:9098","601.72:9099","601.72:9100","601.72:9101","601.72:9102","601.72:9103","601.73:2527","601.73:2
528","601.75:2418","601.75:2419","601.75:2420","601.751:68607","601.751:68608","601.751:68609","601.76:9157","601.76:9158","601.76:9159","601.76:9160","601.76:9161","601.76:9162","601.76:9163","601.76:9164","601.76:9165","601.76:9166","601.
76:9167","601.76:9168","601.79:1998","601.79:1999","601.79:2000","601.79:2001","601.79:2002","601.79:2003","601.79:2004","601.79:2005","601.82:404","601.82:405","601.83:510","601.83:511","601.86:372","601.87:1503","601.87:1504","601.87:1505
","601.88:57128","601.88:57145","601.88:57146","601.88:57147","601.88:57148","601.88:57149","601.88:57150","601.88:57151","601.88:57152","601.88:57153","601.88:57154","601.88:57155","601.88:57156","601.88:57157","601.88:57158","601.88:57159
","601.88:57160","601.88:57161","601.88:57162","601.88:57163","601.88:57164","601.88:57165","601.88:57166","601.88:57167","601.88:57168","601.88:57169","601.88:57170","601.89:21791"]},{"content":[{"choiceDisplay":56838,"choiceTypeId":null,"
designator":"A.","hint":null,"id":9196,"instrument":318,"introDisplay":56822,"introId":null,"introText":null,"max":0,"min":0,"questionDisplay":56837,"questionId":9131,"questionText":"Date of administration:","required":false,"responseTypeId
ceDisplay":57155,"choiceTypeId":null,"designator":"3.","hint":null,"id":9161,"instrument":316,"introDisplay":57149,"introId":2527,"introText":"Instructions\r\n|This is a standard set of questions about alcohol and drug use since the last se
":4,"responseTypeText":"DATE","sequence":10},{"choice":[{"choiceId":2418,"choiceText":"Clinician Interview","ien":68275,"legacyValue":1,"sequence":1},{"choiceId":2419,"choiceText":"Self Report","ien":68276,"legacyValue":2,"sequence":2},{"ch
oiceId":2420,"choiceText":"Phone","ien":68277,"legacyValue":3,"sequence":3}],"choiceDisplay":56840,"choiceIdentifier":1,"choiceIdentifierIen":21677,"choiceTypeId":30234,"designator":"B.","hint":null,"id":9197,"instrument":318,"introDisplay"
:56822,"introId":null,"introText":null,"max":0,"min":0,"questionDisplay":56839,"questionId":9132,"questionText":"Method of administration:","required":false,"responseTypeId":1,"responseTypeText":"MCHOICE","sequence":20},{"choice":[{"choiceI
d":1059,"choiceText":"Excellent","ien":68278,"legacyValue":1,"sequence":1},{"choiceId":1060,"choiceText":"Very good","ien":68279,"legacyValue":2,"sequence":2},{"choiceId":1061,"choiceText":"Good","ien":68280,"legacyValue":3,"sequence":3},{"
choiceId":1062,"choiceText":"Fair","ien":68281,"legacyValue":4,"sequence":4},{"choiceId":1063,"choiceText":"Poor","ien":68282,"legacyValue":5,"sequence":5}],"choiceDisplay":56843,"choiceIdentifier":0,"choiceIdentifierIen":21678,"choiceTypeI
d":30235,"designator":"1.","hint":null,"id":9198,"instrument":318,"introDisplay":56841,"introId":1062,"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 7 days. Please consider \r\neach question and answer as accurately as possible. ","max":0,"min":0,"questionDisplay":56842,"questionId":9133,"questionText":"In the past 7 days, how would you
say your physical health has been?","required":false,"responseTypeId":1,"responseTypeText":"MCHOICE","sequence":40},{"choice":[{"choiceId":1,"choiceText":"None","ien":68283,"legacyValue":0,"sequence":1},{"choiceId":3157,"choiceText":"One n
ight","ien":68284,"legacyValue":1,"sequence":2},{"choiceId":3158,"choiceText":"Two nights","ien":68285,"legacyValue":2,"sequence":3},{"choiceId":3159,"choiceText":"Three nights","ien":68286,"legacyValue":3,"sequence":4},{"choiceId":3160,"ch
oiceText":"Four or more nights","ien":68287,"legacyValue":4,"sequence":5}],"choiceDisplay":56845,"choiceIdentifier":0,"choiceIdentifierIen":21679,"choiceTypeId":
ssion. Please\r\n answer the requested items as accurately as possible and indicate the method of assessment\r\n in item B above. |","max":30,"min":0,"questionDisplay":57154,"questionId":9096,"questionText":"Since the last session, how many
30236,"designator":"2.","hint":null,"id":9199,"instrument":318,"introDisplay":56841,"introId":1062,"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 7 days. Please consider \r\neach question and answer as accurately as possible. ","max":0,"min":0,"questionDisplay":56844,"questionId":9134,"questionText":"In the past 7 days, how many nights
did you have trouble falling asleep or staying asleep?","required":false,"responseTypeId":1,"responseTypeText":"MCHOICE","sequence":50},{"choice":[{"choiceId":1,"choiceText":"None","ien":68288,"legacyValue":0,"sequence":1},{"choiceId":3161,
"choiceText":"One day","ien":68289,"legacyValue":1,"sequence":2},{"choiceId":3162,"choiceText":"Two days","ien":68290,"legacyValue":2,"sequence":3},{"choiceId":3163,"choiceText":"Three days","ien":68291,"legacyValue":3,"sequence":4},{"choic
eId":3164,"choiceText":"Four or more days","ien":68292,"legacyValue":4,"sequence":5}],"choiceDisplay":56847,"choiceIdentifier":0,"choiceIdentifierIen":21680,"choiceTypeId":30237,"designator":"3.","hint":null,"id":9200,"instrument":318,"intr
oDisplay":56841,"introId":1062,"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 7 days. Please consider
\r\neach question and answer as accurately 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,"responseTypeId":1,"responseTypeText":"MCHOICE","sequence":60},{"choice":[{"choiceId":1,"choiceText":"None","ien":68293,"legacyValue":0,"sequence":1},{"choiceId":3161,"choiceText":"One day","ien":68294,"legacyV
alue":1,"sequence":2},{"choiceId":3162,"choiceText":"Two days","ien":68295,"legacyValue":2,"sequence":3},{"choiceId":3163,"choiceText":"Three days","ien":68296,"legacyValue":3,"sequence":4},{"choiceId":3164,"choiceText":"Four or more days",
"ien":68297,"legacyValue":4,"sequence":5}],"choiceDisplay":56849,"choiceIdentifier":0,"choiceIdentifierIen":21681,"choiceTypeId":30238,"designator":"4.","hint":null,"id":9201,"instrument":318,"introDisplay":56841,"introId":1062,"introText":
days did you use any illegal or street drugs or abuse any prescription medications?","required":false,"responseTypeId":2,"responseTypeText":"INTEGER","sequence":60},{"choiceDisplay":57158,"choiceTypeId":null,"designator":"4A.","hint":null,
"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
ly as possible. ","max":0,"min":0,"questionDisplay":56848,"questionId":9136,"questionText":"In the past 7 days, how many days did you drink ANY alcohol?","required":false,"responseTypeId":1,"responseTypeText":"MCHOICE","sequence":70},{"cho
ice":[{"choiceId":1,"choiceText":"None","ien":68298,"legacyValue":0,"sequence":1},{"choiceId":3161,"choiceText":"One day","ien":68299,"legacyValue":1,"sequence":2},{"choiceId":3162,"choiceText":"Two days","ien":68300,"legacyValue":2,"sequen
ce":3},{"choiceId":3163,"choiceText":"Three days","ien":68301,"legacyValue":3,"sequence":4},{"choiceId":3164,"choiceText":"Four or more days","ien":68302,"legacyValue":4,"sequence":5}],"choiceDisplay":56851,"choiceIdentifier":0,"choiceIdent
ifierIen":21682,"choiceTypeId":30239,"designator":"5A.","hint":null,"id":9202,"instrument":318,"introDisplay":56841,"introId":1062,"introText":"Instructions|This is a standard set of questions about several areas of your life such as your h
ealth, 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":0,"min":0,"questionDisplay":56850,"questionId":9137,"questionText":
"In the past 7 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 liquor (1.5 oz.) or 12-ounce \r\ncan\/bottle of beer or 5-ounce glass
of wine.]","required":false,"responseTypeId":1,"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 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 accurat
ely as possible. ","max":999,"min":0,"questionDisplay":56850,"questionId":9156,"questionText":"In the past 7 days, on the days that you consumed alcohol, what was the average number of drinks you consumed on those days?","required":false,"
"id":9162,"instrument":316,"introDisplay":57156,"introId":2528,"introText":"4. Since the last session, how many days did you use any of the following drugs: ","max":30,"min":0,"questionDisplay":57157,"questionId":9097,"questionText":"Mariju
responseTypeId":2,"responseTypeText":"INTEGER","sequence":83},{"choiceDisplay":56851,"choiceTypeId":null,"designator":"5C.","hint":null,"id":9222,"instrument":318,"introDisplay":56841,"introId":1062,"introText":"Instructions|This is a stand
ard 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 accurately as possible. ","max":999,
"min":0,"questionDisplay":56850,"questionId":9157,"questionText":"In the past 7 days, on the days that you consumed alcohol, what was the highest number of drinks you consumed in one day?","required":false,"responseTypeId":2,"responseTypeTe
xt":"INTEGER","sequence":87},{"choice":[{"choiceId":1,"choiceText":"None","ien":68303,"legacyValue":0,"sequence":1},{"choiceId":3161,"choiceText":"One day","ien":68304,"legacyValue":1,"sequence":2},{"choiceId":3162,"choiceText":"Two days","
ien":68305,"legacyValue":2,"sequence":3},{"choiceId":3163,"choiceText":"Three days","ien":68306,"legacyValue":3,"sequence":4},{"choiceId":3164,"choiceText":"Four or more days","ien":68307,"legacyValue":4,"sequence":5}],"choiceDisplay":56853
,"choiceIdentifier":0,"choiceIdentifierIen":21683,"choiceTypeId":30240,"designator":"6.","hint":null,"id":9203,"instrument":318,"introDisplay":56841,"introId":1062,"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 7 days. Please consider \r\neach question and answer as accurately as possible. ","max":0,"min":0,"questionDisplay":56852,"ques
tionId":9138,"questionText":"In the past 7 days, how many days did you use any illegal or street drugs or abuse any prescription medications?","required":false,"responseTypeId":1,"responseTypeText":"MCHOICE","sequence":90},{"choice":[{"choi
ceId":1,"choiceText":"None","ien":68308,"legacyValue":0,"sequence":1},{"choiceId":3161,"choiceText":"One day","ien":68309,"legacyValue":1,"sequence":2},{"choiceId":3162,"choiceText":"Two days","ien":68310,"legacyValue":2,"sequence":3},{"cho
iceId":3163,"choiceText":"Three days","ien":68311,"legacyValue":3,"sequence":4},{"choiceId":3164,"choiceText":"Four or more days","ien":68312,"legacyValue":4,"sequence":5}],"choiceDisplay":56856,"choiceIdentifier":0,"choiceIdentifierIen":21
ana (cannabis, pot, weed)?","required":false,"responseTypeId":2,"responseTypeText":"INTEGER","sequence":80},{"choiceDisplay":57160,"choiceTypeId":null,"designator":"4B.","hint":null,"id":9163,"instrument":316,"introDisplay":57156,"introId":
684,"choiceTypeId":30241,"designator":"7A.","hint":null,"id":9204,"instrument":318,"introDisplay":56854,"introId":1063,"introText":"7. In the past 7 days, how many days did you use any of the following drugs: ","max":0,"min":0,"questionDis
play":56855,"questionId":9139,"questionText":"Marijuana (cannabis, pot, weed)?","required":false,"responseTypeId":1,"responseTypeText":"MCHOICE","sequence":110},{"choice":[{"choiceId":1,"choiceText":"None","ien":68313,"legacyValue":0,"seque
nce":1},{"choiceId":3161,"choiceText":"One day","ien":68314,"legacyValue":1,"sequence":2},{"choiceId":3162,"choiceText":"Two days","ien":68315,"legacyValue":2,
"sequence":3},{"choiceId":3163,"choiceText":"Three days","ien":68316,"legacyValue":3,"sequence":4},{"choiceId":3164,"choiceText":"Four or more days","ien":68317,"legacyValue":4,"sequence":5}],"choiceDisplay":56858,"choiceIdentifier":0,"choi
ceIdentifierIen":21685,"choiceTypeId":30242,"designator":"7B.","hint":null,"id":9205,"instrument":318,"introDisplay":56854,"introId":1063,"introText":"7. In the past 7 days, how many days did you use any of the following drugs: ","max":0,"
min":0,"questionDisplay":56857,"questionId":9140,"questionText":"Sedatives and\/or Tranquilizers (benzos, Valium, Xanax, Ativan, Ambien, barbs, Phenobarbital, downers, etc.)?","required":false,"responseTypeId":1,"responseTypeText":"MCHOICE"
,"sequence":120},{"choice":[{"choiceId":1,"choiceText":"None","ien":68318,"legacyValue":0,"sequence":1},{"choiceId":3161,"choiceText":"One day","ien":68319,"legacyValue":1,"sequence":2},{"choiceId":3162,"choiceText":"Two days","ien":68320,"
legacyValue":2,"sequence":3},{"choiceId":3163,"choiceText":"Three days","ien":68321,"legacyValue":3,"sequence":4},{"choiceId":3164,"choiceText":"Four or more days","ien":68322,"legacyValue":4,"sequence":5}],"choiceDisplay":56860,"choiceIden
tifier":0,"choiceIdentifierIen":21686,"choiceTypeId":30243,"designator":"7C.","hint":null,"id":9206,"instrument":318,"introDisplay":56854,"introId":1063,"introText":"7. In the past 7 days, how many days did you use any of the following drug
s: ","max":0,"min":0,"questionDisplay":56859,"questionId":9141,"questionText":"Cocaine and\/or Crack?","required":false,"responseTypeId":1,"responseTypeText":"MCHOICE","sequence":130},{"choice":[{"choiceId":1,"choiceText":"None","ien":6832
2528,"introText":"4. Since the last session, how many days did you use any of the following drugs: ","max":30,"min":0,"questionDisplay":57159,"questionId":9098,"questionText":"Sedatives and\/or Tranquilizers (benzos, Valium, Xanax, Ativan,
3,"legacyValue":0,"sequence":1},{"choiceId":3161,"choiceText":"One day","ien":68324,"legacyValue":1,"sequence":2},{"choiceId":3162,"choiceText":"Two days","ien":68325,"legacyValue":2,"sequence":3},{"choiceId":3163,"choiceText":"Three days",
"ien":68326,"legacyValue":3,"sequence":4},{"choiceId":3164,"choiceText":"Four or more days","ien":68327,"legacyValue":4,"sequence":5}],"choiceDisplay":56862,"choiceIdentifier":0,"choiceIdentifierIen":21687,"choiceTypeId":30244,"designator":
"7D.","hint":null,"id":9207,"instrument":318,"introDisplay":56854,"introId":1063,"introText":"7. In the past 7 days, how many days did you use any of the following drugs: ","max":0,"min":0,"questionDisplay":56861,"questionId":9142,"questio
nText":"Other Stimulants (amphetamine, methamphetamine, Dexedrine, Ritalin, Adderall, speed, crystal meth, ice, etc.)?","required":false,"responseTypeId":1,"responseTypeText":"MCHOICE","sequence":140},{"choice":[{"choiceId":1,"choiceText":"
None","ien":68328,"legacyValue":0,"sequence":1},{"choiceId":3161,"choiceText":"One day","ien":68329,"legacyValue":1,"sequence":2},{"choiceId":3162,"choiceText":"Two days","ien":68330,"legacyValue":2,"sequence":3},{"choiceId":3163,"choiceTex
t":"Three days","ien":68331,"legacyValue":3,"sequence":4},{"choiceId":3164,"choiceText":"Four or more days","ien":68332,"legacyValue":4,"sequence":5}],"choiceDisplay":56864,"choiceIdentifier":0,"choiceIdentifierIen":21688,"choiceTypeId":302
45,"designator":"7E.","hint":null,"id":9208,"instrument":318,"introDisplay":56854,"introId":1063,"introText":"7. In the past 7 days, how many days did you use any of the following drugs: ","max":0,"min":0,"questionDisplay":56863,"questionI
d":9143,"questionText":"Opiates (Heroin, Morphine, Dilaudid, Demerol, Oxycontin, oxy, codeine (Tylenol 2,3,4), Percocet, Vicodin, Fentanyl, etc.)?","required":false,"responseTypeId":1,"responseTypeText":"MCHOICE","sequence":150},{"choice":[
{"choiceId":1,"choiceText":"None","ien":68333,"legacyValue":0,"sequence":1},{"choiceId":3161,"choiceText":"One day","ien":68334,"legacyValue":1,"sequence":2},{"choiceId":3162,"choiceText":"Two days","ien":68335,"legacyValue":2,"sequence":3}
,{"choiceId":3163,"choiceText":"Three days","ien":68336,"legacyValue":3,"sequence":4},{"choiceId":3164,"choiceText":"Four or more days","ien":68337,"legacyValue":
Ambien, barbs, Phenobarbital, downers, etc.)?","required":false,"responseTypeId":2,"responseTypeText":"INTEGER","sequence":90},{"choiceDisplay":57162,
4,"sequence":5}],"choiceDisplay":56866,"choiceIdentifier":0,"choiceIdentifierIen":21689,"choiceTypeId":30246,"designator":"7F.","hint":null,"id":9209,"instrument":318,"introDisplay":56854,"introId":1063,"introText":"7. In the past 7 days, h
ow many days did you use any of the following drugs: ","max":0,"min":0,"questionDisplay":56865,"questionId":9144,"questionText":"Inhalants (glues, adhesives, nail polish remover, paint thinner, etc.)?","required":false,"responseTypeId":1,"
responseTypeText":"MCHOICE","sequence":160},{"choice":[{"choiceId":1,"choiceText":"None","ien":68338,"legacyValue":0,"sequence":1},{"choiceId":3161,"choiceText":"One day","ien":68339,"legacyValue":1,"sequence":2},{"choiceId":3162,"choiceTex
t":"Two days","ien":68340,"legacyValue":2,"sequence":3},{"choiceId":3163,"choiceText":"Three days","ien":68341,"legacyValue":3,"sequence":4},{"choiceId":3164,"choiceText":"Four or more days","ien":68342,"legacyValue":4,"sequence":5}],"choic
eDisplay":56868,"choiceIdentifier":0,"choiceIdentifierIen":21690,"choiceTypeId":30247,"designator":"7G.","hint":null,"id":9210,"instrument":318,"introDisplay":56854,"introId":1063,"introText":"7. In the past 7 days, how many days did you us
e any of the following drugs: ","max":0,"min":0,"questionDisplay":56867,"questionId":9145,"questionText":"Other drugs (steroids, non-prescription sleep and diet pills, Benadryl, Ephedra, other over-the-counter or unknown medications)?","re
quired":false,"responseTypeId":1,"responseTypeText":"MCHOICE","sequence":170},{"choice":[{"choiceId":212,"choiceText":"Not at all","ien":68343,"legacyValue":1,"sequence":1},{"choiceId":717,"choiceText":"Slightly","ien":68344,"legacyValue":2
,"sequence":2},{"choiceId":685,"choiceText":"Moderately","ien":68345,"legacyValue":2,"sequence":3},{"choiceId":2312,"choiceText":"Considerably","ien":68346,"legacyValue":4,"sequence":4},{"choiceId":687,"choiceText":"Extremely","ien":68347,"
legacyValue":4,"sequence":5}],"choiceDisplay":56870,"choiceIdentifier":0,"choiceIdentifierIen":21691,"choiceTypeId":30248,"designator":"8.","hint":null,"id":9211,"instrument":318,"introDisplay":56854,"introId":1063,"introText":"7. In the pa
st 7 days, how many days did you use any of the following drugs: ","max":0,"min":0,"questionDisplay":56869,"questionId":9146,"questionText":"In the past 7 days, how much were you bothered by cravings or urges to drink alcohol or use drugs?
"choiceTypeId":null,"designator":"4C.","hint":null,"id":9164,"instrument":316,"introDisplay":57156,"introId":2528,"introText":"4. Since the last session, how many days did you use any of the following drugs: ","max":30,"min":0,"questionDisp
","required":false,"responseTypeId":1,"responseTypeText":"MCHOICE","sequence":180},{"choice":[{"choiceId":212,"choiceText":"Not at all","ien":68348,"legacyValue":1,"sequence":1},{"choiceId":717,"choiceText":"Slightly","ien":68349,"legacyVal
ue":2,"sequence":2},{"choiceId":685,"choiceText":"Moderately","ien":68350,"legacyValue":2,"sequence":3},{"choiceId":2312,"choiceText":"Considerably","ien":68351,"legacyValue":4,"sequence":4},{"choiceId":687,"choiceText":"Extremely","ien":68
352,"legacyValue":4,"sequence":5}],"choiceDisplay":56872,"choiceIdentifier":0,"choiceIdentifierIen":21692,"choiceTypeId":30249,"designator":"9.","hint":null,"id":9212,"instrument":318,"introDisplay":56854,"introId":1063,"introText":"7. In t
he past 7 days, how many days did you use any of the following drugs: ","max":0,"min":0,"questionDisplay":56871,"questionId":9147,"questionText":"How confident are you in your ability to be completely abstinent (clean) from alcohol and dru
gs in the next 7 days?","required":false,"responseTypeId":1,"responseTypeText":"MCHOICE","sequence":190},{"choice":[{"choiceId":1,"choiceText":"None","ien":68353,"legacyValue":0,"sequence":1},{"choiceId":3161,"choiceText":"One day","ien":68
354,"legacyValue":1,"sequence":2},{"choiceId":3162,"choiceText":"Two days","ien":68355,"legacyValue":2,"sequence":3},{"choiceId":3163,"choiceText":"Three days","ien":68356,"legacyValue":3,"sequence":4},{"choiceId":3164,"choiceText":"Four or
more days","ien":68357,"legacyValue":4,"sequence":5}],"choiceDisplay":56874,"choiceIdentifier":0,"choiceIdentifierIen":21693,"choiceTypeId":30250,"designator":
"10.","hint":null,"id":9213,"instrument":318,"introDisplay":56854,"introId":1063,"introText":"7. In the past 7 days, how many days did you use any of the following drugs: ","max":0,"min":0,"questionDisplay":56873,"questionId":9148,"questio
nText":"In the past 7 days, how many days did you attend self-help meetings like AA or NA to support your recovery?","required":false,"responseTypeId":1,"responseTypeText":"MCHOICE","sequence":200},{"choice":[{"choiceId":1,"choiceText":"Non
e","ien":68358,"legacyValue":0,"sequence":1},{"choiceId":3161,"choiceText":"One day","ien":68359,"legacyValue":1,"sequence":2},{"choiceId":3162,"choiceText":"Two days","ien":68360,"legacyValue":2,"sequence":3},{"choiceId":3163,"choiceText":
lay":57161,"questionId":9099,"questionText":"Cocaine and\/or Crack?","required":false,"responseTypeId":2,"responseTypeText":"INTEGER","sequence":100},{"choiceDisplay":57164,"choiceTypeId":null,"designator":"4D.","hint":null,"id":9165,"instr
"Three days","ien":68361,"legacyValue":3,"sequence":4},{"choiceId":3164,"choiceText":"Four or more days","ien":68362,"legacyValue":4,"sequence":5}],"choiceDisplay":56876,"choiceIdentifier":0,"choiceIdentifierIen":21694,"choiceTypeId":30251,
"designator":"11.","hint":null,"id":9214,"instrument":318,"introDisplay":56854,"introId":1063,"introText":"7. In the past 7 days, how many days did you use any of the following drugs: ","max":0,"min":0,"questionDisplay":56875,"questionId":
9149,"questionText":"In the past 7 days, how many days were you in any situations or with any people that might put you at an increased risk for using alcohol or drugs (i.e., around risky \"people, places or things\")?","required":false,"re
sponseTypeId":1,"responseTypeText":"MCHOICE","sequence":210},{"choice":[{"choiceId":212,"choiceText":"Not at all","ien":68363,"legacyValue":1,"sequence":1},{"choiceId":717,"choiceText":"Slightly","ien":68364,"legacyValue":2,"sequence":2},{"
choiceId":685,"choiceText":"Moderately","ien":68365,"legacyValue":2,"sequence":3},{"choiceId":2312,"choiceText":"Considerably","ien":68366,"legacyValue":4,"sequence":4},{"choiceId":687,"choiceText":"Extremely","ien":68367,"legacyValue":4,"s
equence":5}],"choiceDisplay":56878,"choiceIdentifier":0,"choiceIdentifierIen":21695,"choiceTypeId":30252,"designator":"12.","hint":null,"id":9215,"instrument":318,"introDisplay":56854,"introId":1063,"introText":"7. In the past 7 days, how m
any days did you use any of the following drugs: ","max":0,"min":0,"questionDisplay":56877,"questionId":9150,"questionText":"Does your religion or spirituality help support your recovery?","required":false,"responseTypeId":1,"responseTypeT
ext":"MCHOICE","sequence":220},{"choice":[{"choiceId":1,"choiceText":"None","ien":68368,"legacyValue":0,"sequence":1},{"choiceId":3161,"choiceText":"One day","ien":68369,"legacyValue":1,"sequence":2},{"choiceId":3162,"choiceText":"Two days"
,"ien":68370,"legacyValue":2,"sequence":3},{"choiceId":3163,"choiceText":"Three days","ien":68371,"legacyValue":3,"sequence":4},{"choiceId":3164,"choiceText":"Four or more days","ien":68372,"legacyValue":4,"sequence":5}],"choiceDisplay":568
80,"choiceIdentifier":0,"choiceIdentifierIen":21696,"choiceTypeId":30253,"designator":"13.","hint":null,"id":9216,"instrument":318,"introDisplay":56854,"introId":1063,"introText":"7. In the past 7 days, how many days did you use any of the
nText":"Date of administration:","required":false,"responseTypeId":4,"responseTypeText":"DATE","sequence":10},{"choice":[{"choiceId":2418,"choiceText":"Clinician Interview","ien":68607,"legacyValue":1,"sequence":1},{"choiceId":2419,"choiceT
ument":316,"introDisplay":57156,"introId":2528,"introText":"4. Since the last session, how many days did you use any of the following drugs: ","max":30,"min":0,"questionDisplay":57163,"questionId":9100,"questionText":"Other Stimulants (amph
following drugs: ","max":0,"min":0,"questionDisplay":56879,"questionId":9151,"questionText":"In the past 7 days, how many days did you spend much of the time at work, school, or doing volunteer work?","required":false,"responseTypeId":1,"r
esponseTypeText":"MCHOICE","sequence":230},{"choice":[{"choiceId":237,"choiceText":"No","ien":68373,"legacyValue":"N","sequence":1},{"choiceId":241,"choiceText":"Yes","ien":68374,"legacyValue":"Y","sequence":2}],"choiceDisplay":56882,"choic
eIdentifier":0,"choiceIdentifierIen":21697,"choiceTypeId":30254,"designator":"14.","hint":null,"id":9217,"instrument":318,"introDisplay":56854,"introId":1063,"introText":"7. In the past 7 days, how many days did you use any of the following
drugs: ","max":0,"min":0,"questionDisplay":56881,"questionId":9152,"questionText":
"Do you have enough income (from legal sources) to pay for necessities such as housing, transportation, food and clothing for yourself and your dependents?","required":false,"responseTypeId":1,"responseTypeText":"MCHOICE","sequence":240},{"
choice":[{"choiceId":212,"choiceText":"Not at all","ien":68375,"legacyValue":1,"sequence":1},{"choiceId":717,"choiceText":"Slightly","ien":68376,"legacyValue":2,"sequence":2},{"choiceId":685,"choiceText":"Moderately","ien":68377,"legacyValu
e":2,"sequence":3},{"choiceId":2312,"choiceText":"Considerably","ien":68378,"legacyValue":4,"sequence":4},{"choiceId":687,"choiceText":"Extremely","ien":68379,"legacyValue":4,"sequence":5}],"choiceDisplay":56884,"choiceIdentifier":0,"choice
IdentifierIen":21698,"choiceTypeId":30255,"designator":"15.","hint":null,"id":9218,"instrument":318,"introDisplay":56854,"introId":1063,"introText":"7. In the past 7 days, how many days did you use any of the following drugs: ","max":0,"mi
n":0,"questionDisplay":56883,"questionId":9153,"questionText":"In the past 7 days, how much have you been bothered by arguments or problems getting along with any family members or friends?","required":false,"responseTypeId":1,"responseType
Text":"MCHOICE","sequence":250},{"choice":[{"choiceId":1,"choiceText":"None","ien":68380,"legacyValue":0,"sequence":1},{"choiceId":3161,"choiceText":"One day","ien":68381,"legacyValue":1,"sequence":2},{"choiceId":3162,"choiceText":"Two days
etamine, methamphetamine, Dexedrine, Ritalin, Adderall, speed, crystal meth, ice, etc.)?","required":false,"responseTypeId":2,"responseTypeText":"INTEGER","sequence":110},{"choiceDisplay":57166,"choiceTypeId":null,"designator":"4E.","hint":
","ien":68382,"legacyValue":2,"sequence":3},{"choiceId":3163,"choiceText":"Three days","ien":68383,"legacyValue":3,"sequence":4},{"choiceId":3164,"choiceText":"Four or more days","ien":68384,"legacyValue":4,"sequence":5}],"choiceDisplay":56
886,"choiceIdentifier":0,"choiceIdentifierIen":21699,"choiceTypeId":30256,"designator":"16.","hint":null,"id":9219,"instrument":318,"introDisplay":56854,"introId":1063,"introText":"7. In the past 7 days, how many days did you use any of the
following drugs: ","max":0,"min":0,"questionDisplay":56885,"questionId":9154,"questionText":"In the past 7 days, how many days were you in contact or spent time with any family members or friends who are supportive of your recovery?","req
uired":false,"responseTypeId":1,"responseTypeText":"MCHOICE","sequence":260},{"choice":[{"choiceId":212,"choiceText":"Not at all","ien":68385,"legacyValue":1,"sequence":1},{"choiceId":717,"choiceText":"Slightly","ien":68386,"legacyValue":2,
"sequence":2},{"choiceId":685,"choiceText":"Moderately","ien":68387,"legacyValue":2,"sequence":3},{"choiceId":2312,"choiceText":"Considerably","ien":68388,"legacyValue":4,"sequence":4},{"choiceId":687,"choiceText":"Extremely","ien":68389,"l
egacyValue":4,"sequence":5}],"choiceDisplay":56888,"choiceIdentifier":0,"choiceIdentifierIen":21700,"choiceTypeId":30257,"designator":"17.","hint":null,"id":9220,"instrument":318,"introDisplay":56854,"introId":1063,"introText":"7. In the pa
st 7 days, how many days did you use any of the following drugs: ","max":0,"min":0,"questionDisplay":56887,"questionId":9155,"questionText":"How satisfied are you with your progress toward achieving your recovery goals?","required":false,"
responseTypeId":1,"responseTypeText":"MCHOICE","sequence":270}],"display":[{"alignment":"L","columns":null,"component":null,"fontBold":false,"fontColor":"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderli
ned":false,"id":56822,"left":3,"mask":null},{"alignment":"L","columns":null,"component":null,"fontBold":false,"fontColor":"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":56837,"left":3,
"mask":null},{"alignment":"L","columns":0,"component":"DA","fontBold":false,"fontColor":"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":56838,"left":250,"mask":"120|NOW|S|"},{"alignment
null,"id":9166,"instrument":316,"introDisplay":57156,"introId":2528,"introText":"4. Since the last session, how many days did you use any of the following drugs: ","max":30,"min":0,"questionDisplay":57165,"questionId":9101,"questionText":"O
":"L","columns":null,"component":null,"fontBold":false,"fontColor":"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":
false,"id":56839,"left":3,"mask":null},{"alignment":"L","columns":3,"component":"RA","fontBold":false,"fontColor":"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":56840,"left":8,"mask":"
662|||"},{"alignment":"L","columns":null,"component":null,"fontBold":false,"fontColor":"clWindowText","fontItalic":true,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":56841,"left":3,"mask":null},{"alignment":"L","colum
ns":null,"component":null,"fontBold":false,"fontColor":"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":56842,"left":3,"mask":null},{"alignment":"L","columns":2,"component":"RA","fontBol
d":false,"fontColor":"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":56843,"left":8,"mask":"662|||"},{"alignment":"L","columns":null,"component":null,"fontBold":false,"fontColor":"clWin
dowText","fontItalic":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":56844,"left":3,"mask":null},{"alignment":"L","columns":2,"component":"RA","fontBold":false,"fontColor":"clWindowText","fontItalic":false,"fontN
ame":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":56845,"left":8,"mask":"658|||"},{"alignment":"L","columns":null,"component":null,"fontBold":false,"fontColor":"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","fontS
ize":10,"fontUnderlined":false,"id":56846,"left":3,"mask":null},{"alignment":"L","columns":2,"component":"RA","fontBold":false,"fontColor":"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id
":56847,"left":8,"mask":"658|||"},{"alignment":"L","columns":null,"component":null,"fontBold":false,"fontColor":"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":56848,"left":3,"mask":nul
l},{"alignment":"L","columns":2,"component":"RA","fontBold":false,"fontColor":"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":56849,"left":8,"mask":"658|||"},{"alignment":"L","columns":
piates (Heroin, Morphine, Dilaudid, Demerol, Oxycontin, oxy, codeine (Tylenol 2,3,4), Percocet, Vicodin, Fentanyl, etc.)?","required":false,"responseTypeId":2,"responseTypeText":"INTEGER","sequence":120},{"choiceDisplay":57168,"choiceTypeId
null,"component":null,"fontBold":false,"fontColor":"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":56850,"left":3,"mask":null},{"alignment":"L","columns":2,"component":"RA","fontBold":f
alse,"fontColor":"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":56851,"left":8,"mask":"658|||"},{"alignment":"L","columns":null,"component":null,"fontBold":false,"fontColor":"clWindowT
ext","fontItalic":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":56852,"left":3,"mask":null},{"alignment":"L","columns":2,"component":"RA","fontBold":false,"fontColor":"clWindowText","fontItalic":false,"fontName"
:"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":56853,"left":8,"mask":"658|||"},{"alignment":"L","columns":null,"component":null,"fontBold":false,"fontColor":"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","fontSize"
:10,"fontUnderlined":false,"id":56854,"left":3,"mask":null},{"alignment":"L","columns":null,"component":null,"fontBold":false,"fontColor":"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id"
:56855,"left":10,"mask":null},{"alignment":"L","columns":2,"component":"RA","fontBold":false,"fontColor":"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":56856,"left":8,"mask":"658|||"},
{"alignment":"L","columns":null,"component":null,"fontBold":false,"fontColor":"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":56857,"left":10,"mask":null},{"alignment":"L","columns":2,"
component":"RA","fontBold":false,"fontColor":"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":56858,"left":
8,"mask":"658|||"},{"alignment":"L","columns":null,"component":null,"fontBold":false,"fontColor":"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":56859,"left":10,"mask":null},{"alignment
":"L","columns":2,"component":"RA","fontBold":false,"fontColor":"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":56860,"left":8,"mask":"658|||"},{"alignment":"L","columns":null,"componen
":null,"designator":"4F.","hint":null,"id":9167,"instrument":316,"introDisplay":57156,"introId":2528,"introText":"4. Since the last session, how many days did you use any of the following drugs: ","max":30,"min":0,"questionDisplay":57167,"q
t":null,"fontBold":false,"fontColor":"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":56861,"left":10,"mask":null},{"alignment":"L","columns":2,"component":"RA","fontBold":false,"fontCol
or":"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":56862,"left":8,"mask":"658|||"},{"alignment":"L","columns":null,"component":null,"fontBold":false,"fontColor":"clWindowText","fontIta
lic":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":56863,"left":10,"mask":null},{"alignment":"L","columns":2,"component":"RA","fontBold":false,"fontColor":"clWindowText","fontItalic":false,"fontName":"MS Sans Se
rif","fontSize":10,"fontUnderlined":false,"id":56864,"left":8,"mask":"658|||"},{"alignment":"L","columns":null,"component":null,"fontBold":false,"fontColor":"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnd
erlined":false,"id":56865,"left":10,"mask":null},{"alignment":"L","columns":2,"component":"RA","fontBold":false,"fontColor":"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":56866,"left":
8,"mask":"658|||"},{"alignment":"L","columns":null,"component":null,"fontBold":false,"fontColor":"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":56867,"left":10,"mask":null},{"alignment
":"L","columns":2,"component":"RA","fontBold":false,"fontColor":"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":56868,"left":8,"mask":"658|||"},{"alignment":"L","columns":null,"componen
t":null,"fontBold":false,"fontColor":"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":56869,"left":3,"mask":null},{"alignment":"L","columns":2,"component":"RA","fontBold":false,"fontColo
r":"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":56870,"left":8,"mask":"662|||"},{"alignment":"L","columns":null,"component":null,"fontBold":false,"fontColor":"clWindowText","fontItal
ic":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":56871,"left":3,"mask":null},{"alignment":"L","columns":2,"component":"RA","fontBold":false,"fontColor":"clWindowText","fontItalic":false,"fontName":"MS Sans Seri
uestionId":9102,"questionText":"Inhalants (glues, adhesives, nail polish remover, paint thinner, etc.)?","required":false,"responseTypeId":2,"responseTypeText":"INTEGER","sequence":130},{"choiceDisplay":57170,"choiceTypeId":null,"designator
f","fontSize":10,"fontUnderlined":false,"id":56872,"left":8,"mask":"662|||"},{"alignment":"L","columns":null,"component":null,"fontBold":false,"fontColor":"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnder
lined":false,"id":56873,"left":3,"mask":null},{"alignment":"L","columns":2,"component":"RA","fontBold":false,"fontColor":"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":56874,"left":8,"
mask":"658|||"},{"alignment":"L","columns":null,"component":null,"fontBold":false,"fontColor":"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":56875,"left":3,"mask":null},{"alignment":"L
","columns":2,"component":"RA","fontBold":false,"fontColor":"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":56876,"left":8,"mask":"658|||"},{"alignment":"L","columns":null,"component":n
ull,"fontBold":false,"fontColor":"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":56877,"left":3,"mask":
null},{"alignment":"L","columns":2,"component":"RA","fontBold":false,"fontColor":"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":56878,"left":8,"mask":"662|||"},{"alignment":"L","column
s":null,"component":null,"fontBold":false,"fontColor":"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":56879,"left":3,"mask":null},{"alignment":"L","columns":2,"component":"RA","fontBold
":false,"fontColor":"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":56880,"left":8,"mask":"658|||"},{"alignment":"L","columns":null,"component":null,"fontBold":false,"fontColor":"clWind
owText","fontItalic":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":56881,"left":3,"mask":null},{"alignment":"L","columns":2,"component":"RA","fontBold":false,"fontColor":"clWindowText","fontItalic":false,"fontNa
me":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":56882,"left":8,"mask":"662|||"},{"alignment":"L","columns":null,"component":null,"fontBold":false,"fontColor":"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","fontSi
":"4G.","hint":null,"id":9168,"instrument":316,"introDisplay":57156,"introId":2528,"introText":"4. Since the last session, how many days did you use any of the following drugs: ","max":30,"min":0,"questionDisplay":57169,"questionId":9103,"q
ze":10,"fontUnderlined":false,"id":56883,"left":3,"mask":null},{"alignment":"L","columns":2,"component":"RA","fontBold":false,"fontColor":"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id"
:56884,"left":8,"mask":"662|||"},{"alignment":"L","columns":null,"component":null,"fontBold":false,"fontColor":"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":56885,"left":3,"mask":null
},{"alignment":"L","columns":2,"component":"RA","fontBold":false,"fontColor":"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":56886,"left":8,"mask":"658|||"},{"alignment":"L","columns":n
ull,"component":null,"fontBold":false,"fontColor":"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":56887,"left":3,"mask":null},{"alignment":"L","columns":2,"component":"RA","fontBold":fa
lse,"fontColor":"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":56888,"left":8,"mask":"662|||"}],"info":{"author":"D. DePhilippis, J. R. McKay, D. R. Kivlahan, E. J.","auxDate":null,"au
xVersion":"1.0.3.2","copyrightText":null,"copyrighted":false,"dllDate":null,"dllVersion":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 (above 11) calls for further examination. \r\n A score below 13 on Protective Factors is clinically significant.","lastEditDate":3230817.1815,"lastEditedBy":"S
chultz, Roger","legacy":false,"licenseCurrent":false,"name":"BAM-IOP-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 Philadelp
hia VAMC SUD specialty care program. ","operational":"Y","printTitle":"Brief Addiction Monitor - IOP version for CSG-SUD (BAM-IOP-CSG-SUD)","publicationDate":2010,"publisher":"Philadelphia CESATE","purpose":"To support symptom monitoring an
d measurement-based care in SUD specialty care settings.","reference":"Development and initial evaluation of the Brief Addiction Monitor (BAM) Submitted for publication in 2011.","requireSignature":false,"requiresLicense":"N","scoringRevis
uestionText":"Other drugs (steroids, non-prescription sleep and diet pills, Benadryl, Ephedra, other over-the-counter or unknown medications)?","required":false,"responseTypeId":2,"responseTypeText":"INTEGER","sequence":140}],"display":[{"a
ion":1,"scoringRoutine":null,"scoringTag":null,"staffOnly":null,"submitNational":true,"suicideriskRoutine":null,"suicideriskTag":null,"targetPopulation":"Adults (18 years of age and older) being treated in SUD specialty care settings.","ver
sion":"03-2012","wasOperational":true},"report":{"id":319,"instrument":318,"template":" Brief Addiction Monitor: IOP version for CSG-SUD (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| Item
s 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| tre
atment 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 24. Clinician
s are encouraged to consider\r\n| scores on individual Protective items in offering interventions as \r\n| indicated during initial treatment planning and following\r\n| 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| a
dditional, clinically useful information about quantity of alcohol\r\n| use that users are encouraged to review and monitor, in addition to \r\n| the frequency of use, risk and protective composite scores, to inform \r\n|
lignment":"L","columns":null,"component":null,"fontBold":false,"fontColor":"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":57128,"left":3,"mask":null},{"alignment":"L","columns":null,"c
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 physical 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| <*Answe
r_9134*>\r\n| \r\n| 3. In the past 7 days, 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| <*Answer_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\r\n| 12-ounce 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| 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 d
ays, how many days did you use any of the following \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, crystal meth, ice, etc.)?\r\n| <*Answer_9142*>\r\n| 7E. Opiates (Heroin,
omponent":null,"fontBold":false,"fontColor":"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":57145,"left":3,"mask":null},{"alignment":"L","columns":0,"component":"DA","fontBold":false,"f
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| Benadryl, Ephedra, other over-the-counter or unknown\r\n| 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 meetings\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, pl
aces 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| work, 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\r\n and is not sufficient to
ext":"Self Report","ien":68608,"legacyValue":2,"sequence":2},{"choiceId":2420,"choiceText":"Phone","ien":68609,"legacyValue":3,"sequence":3}],"choiceDisplay":57148,"choiceIdentifier":1,"choiceIdentifierIen":21791,"choiceTypeId":30348,"desig
ontColor":"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":57146,"left":250,"mask":"120|NOW|S|"},{"alignment":"L","columns":null,"component":null,"fontBold":false,"fontColor":"clWindowTe
use alone for diagnostic purposes. Assessment\r\n results should be verified for accuracy and used in conjunction with other\r\n diagnostic activities and procedures."},"rule":[{"booleanOperator":"AND","consistencyCheck":null,"id":408,"ind
exOperator":"Equals","indexQuestionId":9136,"indexValue":0,"indexValueDataType":"STRING","instrumentId":318,"instrumentQuestionId":9136,"instrumentRuleId":514,"messageText":null,"skippedQuestion":[{"id":2016,"instrumentId":318,"questionId":
9137,"ruleId":408},{"id":2024,"instrumentId":318,"questionId":9156,"ruleId":408},{"id":2025,"instrumentId":318,"questionId":9157,"ruleId":408}],"targetOperator":null,"targetQuestionId":null,"targetValue":null,"targetValueDataType":null},{"b
ooleanOperator":"AND","consistencyCheck":null,"id":409,"indexOperator":"Equals","indexQuestionId":9138,"indexValue":0,"indexValueDataType":"STRING","instrumentId":318,"instrumentQuestionId":9138,"instrumentRuleId":515,"messageText":null,"sk
ippedQuestion":[{"id":2017,"instrumentId":318,"questionId":9139,"ruleId":409},{"id":2018,"instrumentId":318,"questionId":9140,"ruleId":409},{"id":2019,"instrumentId":318,"questionId":9141,"ruleId":409},{"id":2020,"instrumentId":318,"questio
nId":9142,"ruleId":409},{"id":2021,"instrumentId":318,"questionId":9143,"ruleId":409},{"id":2022,"instrumentId":318,"questionId":9144,"ruleId":409},{"id":2023,
"instrumentId":318,"questionId":9145,"ruleId":409}],"targetOperator":null,"targetQuestionId":null,"targetValue":null,"targetValueDataType":null}],"scaleGroup":[{"grid1":0,"grid2":0,"grid3":0,"id":377,"instrument":318,"name":"Clinical Subsca
les","ordInc":3,"ordMax":25,"ordMin":0,"ordTitle":"Score","scale":[{"groupId":377,"id":1524,"name":"Use","scoringKey":[{"id":15316,"questionId":9136,"scaleId":1524,"targetText":"One day","value":1},{"id":15317,"questionId":9136,"scaleId":15
24,"targetText":"Two days","value":2},{"id":15318,"questionId":9136,"scaleId":1524,"targetText":"Three days","value":3},{"id":15319,"questionId":9136,"scaleId":1524,"targetText":"Four or more days","value":4},{"id":15320,"questionId":9137,"
scaleId":1524,"targetText":"One day","value":1},{"id":15321,"questionId":9137,"scaleId":1524,"targetText":"Two days","value":2},{"id":15322,"questionId":9137,"scaleId":1524,"targetText":"Three days","value":3},{"id":15323,"questionId":9137,
xt","fontItalic":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":57147,"left":3,"mask":null},{"alignment":"L","columns":3,"component":"RA","fontBold":false,"fontColor":"clWindowText","fontItalic":false,"fontName":
"scaleId":1524,"targetText":"Four or more days","value":4},{"id":15324,"questionId":9138,"scaleId":1524,"targetText":"One day","value":1},{"id":15325,"questionId":9138,"scaleId":1524,"targetText":"Two days","value":2},{"id":15326,"questionI
d":9138,"scaleId":1524,"targetText":"Three days","value":3},{"id":15327,"questionId":9138,"scaleId":1524,"targetText":"Four or more days","value":4}],"sequence":1,"xLabel":"Use"},{"groupId":377,"id":1525,"name":"Risk Factors","scoringKey":[
{"id":15328,"questionId":9133,"scaleId":1525,"targetText":"Very good","value":1},{"id":15329,"questionId":9133,"scaleId":1525,"targetText":"Good","value":2},{"id":15330,"questionId":9133,"scaleId":1525,"targetText":"Fair","value":3},{"id":1
5331,"questionId":9133,"scaleId":1525,"targetText":"Poor","value":4},{"id":15332,"questionId":9134,"scaleId":1525,"targetText":"One night","value":1},{"id":15333,"questionId":9134,"scaleId":1525,"targetText":"Two nights","value":2},{"id":15
334,"questionId":9134,"scaleId":1525,"targetText":"Three nights","value":3},{"id":15335,"questionId":9134,"scaleId":1525,"targetText":"Four or more nights","value":4},{"id":15336,"questionId":9135,"scaleId":1525,"targetText":"One day","valu
e":1},{"id":15337,"questionId":9135,"scaleId":1525,"targetText":"Two days","value":2},{"id":15338,"questionId":9135,"scaleId":1525,"targetText":"Three days","value":3},{"id":15339,"questionId":9135,"scaleId":1525,"targetText":"Four or more
days","value":4},{"id":15340,"questionId":9146,"scaleId":1525,"targetText":"Slightly","value":1},{"id":15341,"questionId":9146,"scaleId":1525,"targetText":"Moderately","value":2},{"id":15342,"questionId":9146,"scaleId":1525,"targetText":"Co
nsiderably","value":3},{"id":15343,"questionId":9146,"scaleId":1525,"targetText":"Extremely","value":4},{"id":15344,"questionId":9149,"scaleId":1525,"targetText":"One day","value":1},{"id":15345,"questionId":9149,"scaleId":1525,"targetText"
:"Two days","value":2},{"id":15346,"questionId":9149,"scaleId":1525,"targetText":"Three days","value":3},{"id":15347,"questionId":9149,"scaleId":1525,"targetText":"Four or more days","value":4},{"id":15348,"questionId":9153,"scaleId":1525,"
targetText":"Slightly","value":1},{"id":15349,"questionId":9153,"scaleId":1525,"targetText":"Moderately","value":2},{"id":15350,"questionId":9153,"scaleId":1525,"targetText":"Considerably","value":3},{"id":15351,"questionId":9153,"scaleId":
"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":57148,"left":8,"mask":"662|||"},{"alignment":"L","columns":null,"component":null,"fontBold":false,"fontColor":"clWindowText","fontItalic":true,"fontName":"MS Sans Serif","fontSize":1
1525,"targetText":"Extremely","value":4}],"sequence":2,"xLabel":"Risk"},{"groupId":377,"id":1526,"name":"Protective Factors","scoringKey":[{"id":15352,"questionId":9147,"scaleId":1526,"targetText":"Slightly","value":1},{"id":15353,"question
Id":9147,"scaleId":1526,"targetText":"Moderately","value":2},{"id":15354,"questionId":9147,"scaleId":1526,"targetText":"Considerably","value":3},{"id":15355,"questionId":9147,"scaleId":1526,"targetText":"Extremely","value":4},{"id":15356,"q
uestionId":9148,"scaleId":1526,"targetText":"One day","value":1},{"id":15357,"questionId":9148,"scaleId":1526,"targetText":"Two days","value":2},{"id":15358,
"questionId":9148,"scaleId":1526,"targetText":"Three days","value":3},{"id":15359,"questionId":9148,"scaleId":1526,"targetText":"Four or more days","value":4},{"id":15360,"questionId":9150,"scaleId":1526,"targetText":"Slightly","value":1},{
"id":15361,"questionId":9150,"scaleId":1526,"targetText":"Moderately","value":2},{"id":15362,"questionId":9150,"scaleId":1526,"targetText":"Considerably","value":3},{"id":15363,"questionId":9150,"scaleId":1526,"targetText":"Extremely","valu
e":4},{"id":15364,"questionId":9151,"scaleId":1526,"targetText":"One day","value":1},{"id":15365,"questionId":9151,"scaleId":1526,"targetText":"Two days","value":2},{"id":15366,"questionId":9151,"scaleId":1526,"targetText":"Three days","val
ue":3},{"id":15367,"questionId":9151,"scaleId":1526,"targetText":"Four or more days","value":4},{"id":15368,"questionId":9154,"scaleId":1526,"targetText":"One day","value":1},{"id":15369,"questionId":9154,"scaleId":1526,"targetText":"Two da
ys","value":2},{"id":15370,"questionId":9154,"scaleId":1526,"targetText":"Three days","value":3},{"id":15371,"questionId":9154,"scaleId":1526,"targetText":"Four or more days","value":4},{"id":15372,"questionId":9152,"scaleId":1526,"targetTe
xt":"Yes","value":4}],"sequence":3,"xLabel":"Prote"}],"sequence":1},{"grid1":0,"grid2":0,"grid3":0,"id":378,"instrument":318,"name":"Use Items","ordInc":1,"ordMax":5,"ordMin":0,"ordTitle":"Score","scale":[{"groupId":378,"id":1527,"name":"Da
ys Alcohol Use","scoringKey":[{"id":15373,"questionId":9136,"scaleId":1527,"targetText":"One day","value":1},{"id":15374,"questionId":9136,"scaleId":1527,"targetText":"Two days","value":2},{"id":15375,"questionId":9136,"scaleId":1527,"targe
0,"fontUnderlined":false,"id":57149,"left":3,"mask":null},{"alignment":"L","columns":null,"component":null,"fontBold":false,"fontColor":"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":5
tText":"Three days","value":3},{"id":15376,"questionId":9136,"scaleId":1527,"targetText":"Four or more days","value":4}],"sequence":1,"xLabel":"Alcoh"},{"groupId":378,"id":1528,"name":"Days Heavy Alcohol Use","scoringKey":[{"id":15377,"ques
tionId":9137,"scaleId":1528,"targetText":"One day","value":1},{"id":15378,"questionId":9137,"scaleId":1528,"targetText":"Two days","value":2},{"id":15379,"questionId":9137,"scaleId":1528,"targetText":"Three days","value":3},{"id":15380,"que
stionId":9137,"scaleId":1528,"targetText":"Four or more days","value":4}],"sequence":2,"xLabel":"Heavy"},{"groupId":378,"id":1529,"name":"Days Other Drug Use","scoringKey":[{"id":15381,"questionId":9138,"scaleId":1529,"targetText":"One day"
,"value":1},{"id":15382,"questionId":9138,"scaleId":1529,"targetText":"Two days","value":2},{"id":15383,"questionId":9138,"scaleId":1529,"targetText":"Three days","value":3},{"id":15384,"questionId":9138,"scaleId":1529,"targetText":"Four or
more days","value":4}],"sequence":3,"xLabel":"Drug"}],"sequence":2},{"grid1":0,"grid2":0,"grid3":0,"id":379,"instrument":318,"name":"Risk Items","ordInc":1,"ordMax":5,"ordMin":0,"ordTitle":"Score","scale":[{"groupId":379,"id":1530,"name":"
Physical Health","scoringKey":[{"id":15385,"questionId":9133,"scaleId":1530,"targetText":"Very good","value":1},{"id":15386,"questionId":9133,"scaleId":1530,"targetText":"Good","value":2},{"id":15387,"questionId":9133,"scaleId":1530,"target
Text":"Fair","value":3},{"id":15388,"questionId":9133,"scaleId":1530,"targetText":"Poor","value":4}],"sequence":1,"xLabel":"Phy"},{"groupId":379,"id":1531,"name":"Days Sleep Problems","scoringKey":[{"id":15389,"questionId":9134,"scaleId":15
31,"targetText":"One night","value":1},{"id":15390,"questionId":9134,"scaleId":1531,"targetText":"Two nights","value":2},{"id":15391,"questionId":9134,"scaleId":1531,"targetText":"Three nights","value":3},{"id":15392,"questionId":9134,"scal
eId":1531,"targetText":"Four or more nights","value":4}],"sequence":2,"xLabel":"Sleep"},{"groupId":379,"id":1532,"name":"Days Distressed","scoringKey":[{"id":15393,"questionId":9135,"scaleId":1532,"targetText":"One day","value":1},{"id":153
94,"questionId":9135,"scaleId":1532,"targetText":"Two days","value":2},{"id":15395,"questionId":9135,"scaleId":1532,"targetText":"Three days","value":3},{"id":
7150,"left":3,"mask":null},{"alignment":"L","columns":0,"component":"SP","fontBold":false,"fontColor":"clWindowText","fontItalic":false,"fontName":
15396,"questionId":9135,"scaleId":1532,"targetText":"Four or more days","value":4}],"sequence":3,"xLabel":"Depr"},{"groupId":379,"id":1533,"name":"Urges, Cravings","scoringKey":[{"id":15397,"questionId":9146,"scaleId":1533,"targetText":"Sli
ghtly","value":1},{"id":15398,"questionId":9146,"scaleId":1533,"targetText":"Moderately","value":2},{"id":15399,"questionId":9146,"scaleId":1533,"targetText":"Considerably","value":3},{"id":15400,"questionId":9146,"scaleId":1533,"targetText
":"Extremely","value":4}],"sequence":4,"xLabel":"Urges"},{"groupId":379,"id":1534,"name":"Days Risky Situations","scoringKey":[{"id":15401,"questionId":9149,"scaleId":1534,"targetText":"One day","value":1},{"id":15402,"questionId":9149,"sca
leId":1534,"targetText":"Two days","value":2},{"id":15403,"questionId":9149,"scaleId":1534,"targetText":"Three days","value":3},{"id":15404,"questionId":9149,"scaleId":1534,"targetText":"Four or more days","value":4}],"sequence":5,"xLabel":
"Risk"},{"groupId":379,"id":1535,"name":"Relationship Problems","scoringKey":[{"id":15405,"questionId":9153,"scaleId":1535,"targetText":"Slightly","value":1},{"id":15406,"questionId":9153,"scaleId":1535,"targetText":"Moderately","value":2},
{"id":15407,"questionId":9153,"scaleId":1535,"targetText":"Considerably","value":3},{"id":15408,"questionId":9153,"scaleId":1535,"targetText":"Extremely","value":4}],"sequence":6,"xLabel":"Rela"}],"sequence":3},{"grid1":0,"grid2":0,"grid3":
0,"id":380,"instrument":318,"name":"Protective Items","ordInc":1,"ordMax":5,"ordMin":0,"ordTitle":"Score","scale":[{"groupId":380,"id":1536,"name":"Confidence in No Use","scoringKey":[{"id":15409,"questionId":9147,"scaleId":1536,"targetText
":"Slightly","value":1},{"id":15410,"questionId":9147,"scaleId":1536,"targetText":"Moderately","value":2},{"id":15411,"questionId":9147,"scaleId":1536,"targetText":"Considerably","value":3},{"id":15412,"questionId":9147,"scaleId":1536,"targ
etText":"Extremely","value":4}],"sequence":1,"xLabel":"Confi"},{"groupId":380,"id":1537,"name":"Days Self-help","scoringKey":[{"id":15413,"questionId":9148,"scaleId":1537,"targetText":"One day","value":1},{"id":15414,"questionId":9148,"scal
eId":1537,"targetText":"Two days","value":2},{"id":15415,"questionId":9148,"scaleId":1537,"targetText":"Three days","value":3},{"id":15416,"questionId":9148,"scaleId":1537,"targetText":"Four or more days","value":4}],"sequence":2,"xLabel":"
"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":57151,"left":10,"mask":"60|0|N|"},{"alignment":"L","columns":null,"component":null,"fontBold":false,"fontColor":"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","fontSize
Self"},{"groupId":380,"id":1538,"name":"Spirituality Supportive","scoringKey":[{"id":15417,"questionId":9150,"scaleId":1538,"targetText":"Slightly","value":1},{"id":15418,"questionId":9150,"scaleId":1538,"targetText":"Moderately","value":2}
,{"id":15419,"questionId":9150,"scaleId":1538,"targetText":"Considerably","value":3},{"id":15420,"questionId":9150,"scaleId":1538,"targetText":"Extremely","value":4}],"sequence":3,"xLabel":"Sprit"},{"groupId":380,"id":1539,"name":"Days Work
\/School","scoringKey":[{"id":15421,"questionId":9151,"scaleId":1539,"targetText":"One day","value":1},{"id":15422,"questionId":9151,"scaleId":1539,"targetText":"Two days","value":2},{"id":15423,"questionId":9151,"scaleId":1539,"targetText"
:"Three days","value":3},{"id":15424,"questionId":9151,"scaleId":1539,"targetText":"Four or more days","value":4}],"sequence":4,"xLabel":"Work"},{"groupId":380,"id":1540,"name":"Adequate Income","scoringKey":[{"id":15425,"questionId":9152,"
scaleId":1540,"targetText":"Yes","value":4}],"sequence":5,"xLabel":"Incom"},{"groupId":380,"id":1541,"name":"Days Supportive Persons","scoringKey":[{"id":15426,"questionId":9154,"scaleId":1541,"targetText":"One day","value":1},{"id":15427,"
questionId":9154,"scaleId":1541,"targetText":"Two days","value":2},{"id":15428,"questionId":9154,"scaleId":1541,"targetText":"Three days","value":3},{"id":15429,"questionId":9154,"scaleId":1541,"targetText":"Four or more days","value":4}],"
sequence":6,"xLabel":"Sup"}],"sequence":4}],"spec":{"entryChecksum":4015355403,"entrySpec":"{\"name\": \"BAM-IOP-CSG-SUD\", \r\n \"restartDays\": 7,
\r\n \"printTitle\": \"Brief Addiction Monitor - IOP version for CSG-SUD (BAM-IOP-CSG-SUD)\", \r\n \"content\":[\r\n {\"id\": \"q9131\", \"type\": \"DateQuestion\", \"required\": false, \"inline\": true, \r\n \"text\": \"A. Date of adm
inistration:\", \r\n \"controlWidth\": 120, \"daysBack\": 30, \"daysAhead\": 0},\r\n {\"id\": \"q9132\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": true, \r\n \"text\": \"B. Method of administration:\", \r\n \
"columns\": 3, \r\n \"choices\":[\r\n {\"id\": \"c2418\", \"text\": \"1. Clinician Interview\", \"quickKey\": 1}, \r\n {\"id\": \"c2419\", \"text\": \"2. Self Report\", \"quickKey\": 2}, \r\n {\"id\": \"c2420\", \"text\": \"3
":10,"fontUnderlined":false,"id":57152,"left":3,"mask":null},{"alignment":"L","columns":0,"component":"SP","fontBold":false,"fontColor":"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":5
. Phone\", \"quickKey\": 3}\r\n ]}, \r\n {\"id\": \"i1062\", \"type\": \"IntroText\", \r\n \"text\": \"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 7 days. Please consider each question and answer as accurately\r\n as possible. \"\r\n }, \r\n {\"id\": \"q9133\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\
": true, \r\n \"text\": \"1. In the past 7 days, how would you say your physical health has been?\", \r\n \"intro\": \"Instructions<br \/>This is a standard set of questions about several areas of your\r\n life such as your health, al
cohol and drug use, etc. The questions generally ask\r\n about the past 7 days. Please consider each question and answer as accurately\r\n as possible. \", \r\n \"columns\": 2, \r\n \"choices\":[\r\n {\"id\": \"c1059\", \"text\
": \"0. Excellent\", \"quickKey\": 0}, \r\n {\"id\": \"c1060\", \"text\": \"1. Very good\", \"quickKey\": 1}, \r\n {\"id\": \"c1061\", \"text\": \"2. Good\", \"quickKey\": 2}, \r\n {\"id\": \"c1062\", \"text\": \"3. Fair\", \"qu
ickKey\": 3}, \r\n {\"id\": \"c1063\", \"text\": \"4. Poor\", \"quickKey\": 4}\r\n ]}, \r\n {\"id\": \"q9134\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": true, \r\n \"text\": \"2. In the past 7 days, how many
nights did you have trouble falling asleep or\r\n staying asleep?\", \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 quest
ions generally ask\r\n about the past 7 days. Please consider each question and answer as accurately\r\n as possible. \", \r\n \"columns\": 2, \r\n \"choices\":[\r\n {\"id\": \"c1\", \"text\": \"0. None\", \"quickKey\": 0}, \r\
n {\"id\": \"c3157\", \"text\": \"1. One night\", \"quickKey\": 1}, \r\n {\"id\": \"c3158\", \"text\": \"2. Two nights\", \"quickKey\": 2}, \r\n {\"id\": \"c3159\", \"text\": \"3. Three nights\", \"quickKey\": 3}, \r\n {\"id
\": \"c3160\", \"text\": \"4. Four or more nights\", \"quickKey\": 4}\r\n ]}, \r\n {\"id\": \"q9135\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": true, \r\n \"text\": \"3. In the past 7 days, how many days have yo
7153,"left":10,"mask":"60|0|N|"},{"alignment":"L","columns":null,"component":null,"fontBold":false,"fontColor":"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":57154,"left":3,"mask":null
u felt depressed, anxious, angry or\r\n very upset throughout most of the day?\", \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, et
c. The questions generally ask\r\n about the past 7 days. Please consider each question and answer as accurately\r\n as possible. \", \r\n \"columns\": 2, \r\n \"choices\":[\r\n {\"id\": \"c1\", \"text\": \"0. None\", \"quickKe
y\": 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\": \"q9136\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": true, \r\n \"text\": \"4. In the past 7 days, how many days did you drink ANY alcohol?\", \r\n \"intro\": \"Instructions<br \/>This is a standar
d 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 7 days. Please consider each question and answer as accurately\r\n as possible. \", \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\": \"q9137\", \"type\": \"ChoiceQuestion\"
, \"required\": false, \"inline\": true, \r\n \"text\": \"5A. In the past 7 days, how many days did you have at least 5 drinks (if you are\r\n a man) or at least 4 drinks (if you are a woman)? [One drink is considered one\r\n shot of ha
rd liquor (1.5 oz.) or 12-ounce can\/bottle of beer or 5-ounce glass of\r\n wine.]\", \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
},{"alignment":"L","columns":0,"component":"SP","fontBold":false,"fontColor":"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":57155,"left":10,"mask":"60|0|N|"},{"alignment":"L","columns"
, etc. The questions generally ask\r\n about the past 7 days. Please consider each question and answer as accurately\r\n as possible. \", \r\n \"columns\": 2, \r\n \"choices\":[\r\n {\"id\": \"c1\", \"text\": \"0. None\", \"qui
ckKey\": 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\": \"q9156\", \"type\": \"IntegerQuestion\", \"required\": false, \r\n \"text\": \"5B. In the past 7 days, on the days that you consumed
alcohol, what was the\r\n 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, e
tc. The questions generally ask\r\n about the past 7 days. Please consider each question and answer as accurately\r\n as possible. \", \r\n \"controlWidth\": 658, \"min\": 0, \"max\": 999}, \r\n {\"id\": \"q9157\", \"type\": \"Integ
erQuestion\", \"required\": false, \r\n \"text\": \"5C. In the past 7 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 st
andard 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 7 days. Please consider each question and answer as accurately\r\n as possible. \
", \r\n \"controlWidth\": 658, \"min\": 0, \"max\": 999}, \r\n {\"id\": \"q9138\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": true, \r\n \"text\": \"6. In the past 7 days, how many days did you use any illegal or
street drugs or\r\n abuse any prescription 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 gener
ally ask\r\n about the past 7 days. Please consider each question and answer as accurately\r\n as possible. \", \r\n \"columns\": 2, \r\n \"choices\":[\r\n {\"id\": \"c1\", \"text\": \"0. None\", \"quickKey\": 0}, \r\n {\"i
:null,"component":null,"fontBold":false,"fontColor":"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":57156,"left":3,"mask":null},{"alignment":"L","columns":null,"component":null,"fontBol
d\": \"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\": \"i1063\", \"type\": \"IntroText\", \r\n \"text\": \"
7. In the past 7 days, how many days did you use any of the following drugs: \"\r\n }, \r\n {\"id\": \"q9139\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": true, \r\n \"text\": \"7A. Marijuana (cannabis, pot, wee
d)?\", \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\": \"q9140\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": true, \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 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\", \"quic
kKey\": 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\
nator":"B.","hint":null,"id":9158,"instrument":316,"introDisplay":57128,"introId":null,"introText":null,"max":0,"min":0,"questionDisplay":57147,"questionId":9093,"questionText":"Method of administration:","required":false,"responseTypeId":1
d":false,"fontColor":"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":57157,"left":10,"mask":null},{"alignment":"L","columns":0,"component":"SP","fontBold":false,"fontColor":"clWindowTex
": \"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\", \"t
ext\": \"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, R
italin, 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\": \"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\": \"q9143\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": true, \r\n \"text\": \"7E. Opiates (Her
oin, Morphine, Dilaudid, Demerol, Oxycontin, oxy, codeine\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\", \"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. Inhalants (glues, adhesives, nail polish remover, paint thinner, etc.)?\", \r\n \"intro\": \"7. In the pas
t 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\", \"qu
t","fontItalic":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":57158,"left":25,"mask":"60|0|N|"},{"alignment":"L","columns":null,"component":null,"fontBold":false,"fontColor":"clWindowText","fontItalic":false,"fo
ickKey\": 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. Other drugs (steroids, non-prescription sleep and diet pills, Benadryl,\r\n Ephedra, other over-the-coun
ter 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 b
othered 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\
", \"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\": \"q9147\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": true, \r\n \"text\": \"9. Ho
w confident 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 \"column
s\": 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\", \"quic
ntName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":57159,"left":10,"mask":null},{"alignment":"L","columns":0,"component":"SP","fontBold":false,"fontColor":"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","fontSize
kKey\": 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
\": false, \"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 an
y 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\": \"c316
2\", \"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\": \"q914
9\", \"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 drugs (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\", \"text\": \"0. None\", \"quickKey\": 0}, \r\n {\"id\": \"c3
161\", \"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\": \"q9150\", \"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 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\":
":10,"fontUnderlined":false,"id":57160,"left":25,"mask":"60|0|N|"},{"alignment":"L","columns":null,"component":null,"fontBold":false,"fontColor":"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":fal
\"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\", \"te
xt\": \"4. Extremely\", \"quickKey\": 4}\r\n ]}, \r\n {\"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 w
ork,\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 {\"id\": \"c237\", \"text\": \"0. No\", \"quickKey\": 0}, \r\n {\"id\": \"c241\", \"text\": \"1. Yes\", \"quickKey\": 1}\r\n ]}, \r\n {\"id\": \"q9153\", \"type\": \"ChoiceQuesti
on\", \"required\": false, \"inline\": true, \r\n \"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 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\"
se,"id":57161,"left":10,"mask":null},{"alignment":"L","columns":0,"component":"SP","fontBold":false,"fontColor":"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":57162,"left":25,"mask":"6
: 4}\r\n ]}, \r\n {\"id\": \"q9154\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": true, \r\n \"text\": \"16. In the past 7 days, how many days were you in contact or spent time with any\r\n family members or friend
s who are supportive of 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\": \"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\": \"q9155\", \"type\": \"ChoiceQuestion
\", \"required\": false, \"inline\": true, \r\n \"text\": \"17. How satisfied are you with your progress toward achieving your recovery\r\n goals?\", \r\n \"intro\": \"7. In the past 7 days, how many days did you use any of the follow
ing 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\", \"t
ext\": \"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 \"rules\":[\r\n {\"question
\": \"q9136\", \"operator\": \"EQ\", \"value\": \"c1\", \r\n \"skips\":[\"q9137\",\"q9156\",\"q9157\"]}, \r\n {\"question\": \"q9138\", \"operator\": \"EQ\", \"value\": \"c1\", \r\n \"skips\":[\"q9139\",\"q9140\",\"q9141\",\"q9142\"
,\"q9143\",\"q9144\",\"q9145\"]}]\r\n}","instrument":318,"lastUpdate":"2023-12-27T13:55:10","specIen":170},"verify":["601.71:318","601.72:9131","601.72:9132","601.72:9133","601.72:9134","601.72:9135","601.72:9136","601.72:9137","601.72:9138
","601.72:9139","601.72:9140","601.72:9141","601.72:9142","601.72:9143","601.72:9144","601.72:9145","601.72:9146","601.72:9147","601.72:9148","601.72:9149","601.72:9150","601.72:9151","601.72:9152","601.72:9153","601.72:9154","601.72:9155",
0|0|N|"},{"alignment":"L","columns":null,"component":null,"fontBold":false,"fontColor":"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":57163,"left":10,"mask":null},{"alignment":"L","col
"601.72:9156","601.72:9157","601.73:1062","601.73:1063","601.75:1","601.75:212","601.75:237","601.75:241","601.75:685","601.75:687","601.75:717","601.75:1059","601.75:1060","601.75:1061","601.75:1062","601.75:1063","601.75:2312","601.75:241
8","601.75:2419","601.75:2420","601.75:3157","601.75:3158","601.75:3159","601.75:3160","601.75:3161","601.75:3162","601.75:3163","601.75:3164","601.751:68275","601.751:68276","601.751:68277","601.751:68278","601.751:68279","601.751:68280","
601.751:68281","601.751:68282","601.751:68283","601.751:68284","601.751:68285","601.751:68286","601.751:68287","601.751:68288","601.751:68289","601.751:68290","601.751:68291","601.751:68292","601.751:68293","601.751:68294","601.751:68295","
601.751:68296","601.751:68297","601.751:68298","601.751:68299","601.751:68300","601.751:68301","601.751:68302","601.751:68303","601.751:68304","601.751:68305","601.751:68306","601.751:68307","601.751:68308","601.751:68309","601.751:68310","
601.751:68311","601.751:68312","601.751:68313","601.751:68314","601.751:68315","601.751:68316","601.751:68317","601.751:68318","601.751:68319","601.751:68320","601.751:68321","601.751:68322","601.751:68323","601.751:68324","601.751:68325","
601.751:68326","601.751:68327","601.751:68328","601.751:68329","601.751:68330","601.751:68331","601.751:68332","601.751:68333","601.751:68334","601.751:68335","601.751:68336","601.751:68337","601.751:68338","601.751:68339","601.751:68340","
601.751:68341","601.751:68342","601.751:68343","601.751:68344","601.751:68345","601.751:68346","601.751:68347","601.751:68348","601.751:68349","601.751:68350","601.751:68351","601.751:68352","601.751:68353","601.751:68354","601.751:68355","
601.751:68356","601.751:68357","601.751:68358","601.751:68359","601.751:68360","601.751:68361","601.751:68362","601.751:68363","601.751:68364","601.751:68365","601.751:68366","601.751:68367","601.751:68368","601.751:68369","601.751:68370","
601.751:68371","601.751:68372","601.751:68373","601.751:68374","601.751:68375","601.751:68376","601.751:68377","601.751:68378","601.751:68379","601.751:68380",
"601.751:68381","601.751:68382","601.751:68383","601.751:68384","601.751:68385","601.751:68386","601.751:68387","601.751:68388","601.751:68389","601.76:9196","601.76:9197","601.76:9198","601.76:9199","601.76:9200","601.76:9201","601.76:9202
umns":0,"component":"SP","fontBold":false,"fontColor":"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":57164,"left":25,"mask":"60|0|N|"},{"alignment":"L","columns":null,"component":null,
","601.76:9203","601.76:9204","601.76:9205","601.76:9206","601.76:9207","601.76:9208","601.76:9209","601.76:9210","601.76:9211","601.76:9212","601.76:9213","601.76:9214","601.76:9215","601.76:9216","601.76:9217","601.76:9218","601.76:9219",
"601.76:9220","601.76:9221","601.76:9222","601.79:2016","601.79:2017","601.79:2018","601.79:2019","601.79:2020","601.79:2021","601.79:2022","601.79:2023","601.79:2024","601.79:2025","601.82:408","601.82:409","601.83:514","601.83:515","601.8
6:377","601.86:378","601.86:379","601.86:380","601.87:1524","601.87:1525","601.87:1526","601.87:1527","601.87:1528","601.87:1529","601.87:1530","601.87:1531","601.87:1532","601.87:1533","601.87:1534","601.87:1535","601.87:1536","601.87:1537
","601.87:1538","601.87:1539","601.87:1540","601.87:1541","601.88:56822","601.88:56837","601.88:56838","601.88:56839","601.88:56840","601.88:56841","601.88:56842","601.88:56843","601.88:56844","601.88:56845","601.88:56846","601.88:56847","6
01.88:56848","601.88:56849","601.88:56850","601.88:56851","601.88:56852","601.88:56853","601.88:56854","601.88:56855","601.88:56856","601.88:56857","601.88:56858","601.88:56859","601.88:56860","601.88:56861","601.88:56862","601.88:56863","6
01.88:56864","601.88:56865","601.88:56866","601.88:56867","601.88:56868","601.88:56869","601.88:56870","601.88:56871","601.88:56872","601.88:56873","601.88:56874","601.88:56875","601.88:56876","601.88:56877","601.88:56878","601.88:56879","6
01.88:56880","601.88:56881","601.88:56882","601.88:56883","601.88:56884","601.88:56885","601.88:56886","601.88:56887","601.88:56888","601.89:21677","601.89:21678","601.89:21679","601.89:21680","601.89:21681","601.89:21682","601.89:21683","6
01.89:21684","601.89:21685","601.89:21686","601.89:21687","601.89:21688","601.89:21689","601.89:21690","601.89:21691","601.89:21692","601.89:21693","601.89:21694","601.89:21695","601.89:21696","601.89:21697","601.89:21698","601.89:21699","6
01.89:21700","601.91:15316","601.91:15317","601.91:15318","601.91:15319","601.91:15320","601.91:15321","601.91:15322","601.91:15323","601.91:15324","601.91:15325","601.91:15326","601.91:15327","601.91:15328","601.91:15329","601.91:15330","6
01.91:15331","601.91:15332","601.91:15333","601.91:15334","601.91:15335","601.91:15336","601.91:15337","601.91:15338","601.91:15339","601.91:15340","601.91:15341","601.91:15342","601.91:15343","601.91:15344","601.91:15345","601.91:15346","6
"fontBold":false,"fontColor":"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":57165,"left":10,"mask":null},{"alignment":"L","columns":0,"component":"SP","fontBold":false,"fontColor":"clW
01.91:15347","601.91:15348","601.91:15349","601.91:15350","601.91:15351","601.91:15352","601.91:15353","601.91:15354","601.91:15355","601.91:15356","601.91:15357","601.91:15358","601.91:15359","601.91:15360","601.91:15361","601.91:15362","6
01.91:15363","601.91:15364","601.91:15365","601.91:15366","601.91:15367","601.91:15368","601.91:15369","601.91:15370","601.91:15371","601.91:15372","601.91:15373","601.91:15374","601.91:15375","601.91:15376","601.91:15377","601.91:15378","6
01.91:15379","601.91:15380","601.91:15381","601.91:15382","601.91:15383","601.91:15384","601.91:15385","601.91:15386","601.91:15387","601.91:15388","601.91:15389","601.91:15390","601.91:15391","601.91:15392","601.91:15393","601.91:15394","6
01.91:15395","601.91:15396","601.91:15397","601.91:15398","601.91:15399","601.91:15400","601.91:15401","601.91:15402","601.91:15403","601.91:15404","601.91:15405","601.91:15406","601.91:15407","601.91:15408","601.91:15409","601.91:15410","6
01.91:15411","601.91:15412","601.91:15413","601.91:15414","601.91:15415","601.91:15416","601.91:15417","601.91:15418","601.91:15419","601.91:15420","601.91:15421","601.91:15422","601.91:15423","601.91:15424","601.91:15425","601.91:15426","6
01.91:15427","601.91:15428","601.91:15429"]},{"content":[{"choiceDisplay":57247,"choiceTypeId":null,"designator":"A.","hint":null,"id":9169,"instrument":317,
"introDisplay":57248,"introId":null,"introText":null,"max":0,"min":0,"questionDisplay":57246,"questionId":9104,"questionText":"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,"choiceText":"Self Report","ien":68726,"legacyValue":2,"sequence":2},{"choiceId":2420,"choiceText":"Phone","ien":68727,"legacyVal
ue":3,"sequence":3}],"choiceDisplay":57250,"choiceIdentifier":1,"choiceIdentifierIen":21816,"choiceTypeId":30373,"designator":"B.","hint":null,"id":9170,"instrument":317,"introDisplay":57251,"introId":null,"introText":null,"max":0,"min":0,"
questionDisplay":57249,"questionId":9105,"questionText":"Method of administration:","required":false,"responseTypeId":1,"responseTypeText":"MCHOICE","sequence":20},{"choice":[{"choiceId":1059,"choiceText":"Excellent","ien":68728,"legacyValu
indowText","fontItalic":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":57166,"left":25,"mask":"60|0|N|"},{"alignment":"L","columns":null,"component":null,"fontBold":false,"fontColor":"clWindowText","fontItalic":f
e":1,"sequence":1},{"choiceId":1060,"choiceText":"Very good","ien":68729,"legacyValue":2,"sequence":2},{"choiceId":1061,"choiceText":"Good","ien":68730,"legacyValue":3,"sequence":3},{"choiceId":1062,"choiceText":"Fair","ien":68731,"legacyVa
lue":4,"sequence":4},{"choiceId":1063,"choiceText":"Poor","ien":68732,"legacyValue":5,"sequence":5}],"choiceDisplay":57254,"choiceIdentifier":0,"choiceIdentifierIen":21817,"choiceTypeId":30374,"designator":"1.","hint":null,"id":9171,"instru
ment":317,"introDisplay":57252,"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 question and answer as accurately as possible.| ","max":0,"min":0,"questionDisplay":57253,"questionId":9106,"questionText":"In the past 30 days, how would you say your physical health has been?","required":false,"
responseTypeId":1,"responseTypeText":"MCHOICE","sequence":40},{"choiceDisplay":57256,"choiceTypeId":null,"designator":"2.","hint":null,"id":9178,"instrument":317,"introDisplay":57252,"introId":1096,"introText":"Instructions|This is a standa
rd 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.| ","max":30,"m
in":0,"questionDisplay":57255,"questionId":9113,"questionText":"In the past 30 days, how many nights did you have trouble falling asleep or staying asleep?","required":false,"responseTypeId":2,"responseTypeText":"INTEGER","sequence":50},{"c
hoiceDisplay":57258,"choiceTypeId":null,"designator":"3.","hint":null,"id":9179,"instrument":317,"introDisplay":57252,"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 question and answer as accurately as possible.| ","max":30,"min":0,"questionDisplay":57257,"questionId":9114,"questionText":"I
n the past 30 days, how many days have you felt depressed, anxious, angry or very upset throughout most of the day?","required":false,"responseTypeId":2,"responseTypeText":"INTEGER","sequence":60},{"choiceDisplay":57260,"choiceTypeId":null,
alse,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":57167,"left":10,"mask":null},{"alignment":"L","columns":0,"component":"SP","fontBold":false,"fontColor":"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","
"designator":"4.","hint":null,"id":9180,"instrument":317,"introDisplay":57252,"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 question and answer as accurately as possible.| ","max":30,"min":0,"questionDisplay":57259,"questionId":9115,"questionText":"In the past 30 days, how many days did yo
u drink ANY alcohol?","required":false,"responseTypeId":2,"responseTypeText":"INTEGER","sequence":70},{"choiceDisplay":57262,"choiceTypeId":null,"designator":
"5A.","hint":null,"id":9181,"instrument":317,"introDisplay":57252,"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 ge
nerally ask about the past 30 days. Please consider \r\neach question and answer as accurately as possible.| ","max":30,"min":0,"questionDisplay":57261,"questionId":9116,"questionText":"In the past 30 days, how many days did you have at le
ast 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":2,"resp
onseTypeText":"INTEGER","sequence":80},{"choiceDisplay":57262,"choiceTypeId":null,"designator":"5B.","hint":null,"id":9194,"instrument":317,"introDisplay":57252,"introId":1096,"introText":"Instructions|This is a standard set of questions ab
out 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.| ","max":999,"min":0,"questionDispla
y":57261,"questionId":9129,"questionText":"In the past 30 days, on the days that you consumed alcohol, what was the average number of drinks you consumed on those days?","required":false,"responseTypeId":2,"responseTypeText":"INTEGER","sequ
ence":83},{"choiceDisplay":57262,"choiceTypeId":null,"designator":"5C.","hint":null,"id":9195,"instrument":317,"introDisplay":57252,"introId":1096,"introText":"Instructions|This is a standard set of questions about several areas of your lif
,"responseTypeText":"MCHOICE","sequence":20},{"choiceDisplay":57151,"choiceTypeId":null,"designator":"1.","hint":null,"id":9159,"instrument":316,"introDisplay":57149,"introId":2527,"introText":"Instructions\r\n|This is a standard set of que
fontSize":10,"fontUnderlined":false,"id":57168,"left":25,"mask":"60|0|N|"},{"alignment":"L","columns":null,"component":null,"fontBold":false,"fontColor":"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderli
e 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.| ","max":999,"min":0,"questionDisplay":57261,"questionId":9130,"q
uestionText":"In the past 30 days, on the days that you consumed alcohol, what was the highest number of drinks you consumed in one day?","required":false,"responseTypeId":2,"responseTypeText":"INTEGER","sequence":87},{"choiceDisplay":57264
,"choiceTypeId":null,"designator":"6.","hint":null,"id":9182,"instrument":317,"introDisplay":57252,"introId":1096,"introText":"Instructions|This is a standard set of questions about several areas of your life such as your health, alcohol an
d drug use, etc. The questions generally ask about the past 30 days. Please consider \r\neach question and answer as accurately as possible.| ","max":30,"min":0,"questionDisplay":57263,"questionId":9117,"questionText":"In the past 30 days,
how many days did you use any illegal or street drugs or abuse any prescription medications?","required":false,"responseTypeId":2,"responseTypeText":"INTEGER","sequence":90},{"choiceDisplay":57267,"choiceTypeId":null,"designator":"7A.","hi
nt":null,"id":9183,"instrument":317,"introDisplay":57265,"introId":1097,"introText":"7. In the past 30 days, how many days did you use any of the following drugs: ","max":30,"min":0,"questionDisplay":57266,"questionId":9118,"questionText":
"Marijuana (cannabis, pot, weed)?","required":false,"responseTypeId":2,"responseTypeText":"INTEGER","sequence":110},{"choiceDisplay":57269,"choiceTypeId":null,"designator":"7B.","hint":null,"id":9184,"instrument":317,"introDisplay":57265,"i
ntroId":1097,"introText":"7. In the past 30 days, how many days did you use any of the following drugs: ","max":30,"min":0,"questionDisplay":57268,"questionId":9119,"questionText":"Sedatives and\/or Tranquilizers (benzos, Valium, Xanax, At
ivan, Ambien, barbs, Phenobarbital, downers, etc.)?","required":false,"responseTypeId":2,"responseTypeText":"INTEGER","sequence":120},{"choiceDisplay":57271,"choiceTypeId":null,"designator":"7C.","hint":null,"id":9185,"instrument":317,"intr
oDisplay":57265,"introId":1097,"introText":"7. In the past 30 days, how many days did you use any of the following drugs: ","max":30,"min":0,"questionDisplay":
ned":false,"id":57169,"left":10,"mask":null},{"alignment":"L","columns":0,"component":"SP","fontBold":false,"fontColor":"clWindowText","fontItalic":false,
57270,"questionId":9120,"questionText":"Cocaine and\/or Crack?","required":false,"responseTypeId":2,"responseTypeText":"INTEGER","sequence":130},{"choiceDisplay":57273,"choiceTypeId":null,"designator":"7D.","hint":null,"id":9186,"instrument
":317,"introDisplay":57265,"introId":1097,"introText":"7. In the past 30 days, how many days did you use any of the following drugs: ","max":30,"min":0,"questionDisplay":57272,"questionId":9121,"questionText":"Other Stimulants (amphetamine
, methamphetamine, Dexedrine, Ritalin, Adderall, speed, crystal meth, ice, etc.)?","required":false,"responseTypeId":2,"responseTypeText":"INTEGER","sequence":140},{"choiceDisplay":57275,"choiceTypeId":null,"designator":"7E.","hint":null,"i
d":9187,"instrument":317,"introDisplay":57265,"introId":1097,"introText":"7. In the past 30 days, how many days did you use any of the following drugs: ","max":30,"min":0,"questionDisplay":57274,"questionId":9122,"questionText":"Opiates (H
eroin, Morphine, Dilaudid, Demerol, Oxycontin, oxy, codeine (Tylenol 2,3,4), Percocet, Vicodin, Fentanyl, etc.)?","required":false,"responseTypeId":2,"responseTypeText":"INTEGER","sequence":150},{"choiceDisplay":57277,"choiceTypeId":null,"d
esignator":"7F.","hint":null,"id":9188,"instrument":317,"introDisplay":57265,"introId":1097,"introText":"7. In the past 30 days, how many days did you use any of the following drugs: ","max":30,"min":0,"questionDisplay":57276,"questionId":
9123,"questionText":"Inhalants (glues, adhesives, nail polish remover, paint thinner, etc.)?","required":false,"responseTypeId":2,"responseTypeText":"INTEGER","sequence":160},{"choiceDisplay":57279,"choiceTypeId":null,"designator":"7G.","hi
nt":null,"id":9189,"instrument":317,"introDisplay":57265,"introId":1097,"introText":"7. In the past 30 days, how many days did you use any of the following drugs: ","max":30,"min":0,"questionDisplay":57278,"questionId":9124,"questionText":
"Other drugs (steroids, non-prescription sleep and diet pills, Benadryl, Ephedra, other over-the-counter or unknown medications)?","required":false,"responseTypeId":2,"responseTypeText":"INTEGER","sequence":170},{"choice":[{"choiceId":212,"
choiceText":"Not at all","ien":68733,"legacyValue":1,"sequence":1},{"choiceId":717,"choiceText":"Slightly","ien":68734,"legacyValue":2,"sequence":2},{"choiceId":685,"choiceText":"Moderately","ien":68735,"legacyValue":2,"sequence":3},{"choic
"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":57170,"left":25,"mask":"60|0|N|"}],"info":{"author":"D. DePhilippis, J. R. McKay, D. R. Kivlahan, E. J.","auxDate":null,"auxVersion":null,"copyrightText":null,"copyrighted
eId":2312,"choiceText":"Considerably","ien":68736,"legacyValue":4,"sequence":4},{"choiceId":687,"choiceText":"Extremely","ien":68737,"legacyValue":4,"sequence":5}],"choiceDisplay":57281,"choiceIdentifier":0,"choiceIdentifierIen":21818,"choi
ceTypeId":30375,"designator":"8.","hint":null,"id":9172,"instrument":317,"introDisplay":57265,"introId":1097,"introText":"7. In the past 30 days, how many days did you use any of the following drugs: ","max":0,"min":0,"questionDisplay":572
80,"questionId":9107,"questionText":"In the past 30 days, how much were you bothered by cravings or urges to drink alcohol or use drugs?","required":false,"responseTypeId":1,"responseTypeText":"MCHOICE","sequence":180},{"choice":[{"choiceId
":212,"choiceText":"Not at all","ien":68738,"legacyValue":1,"sequence":1},{"choiceId":717,"choiceText":"Slightly","ien":68739,"legacyValue":2,"sequence":2},{"choiceId":685,"choiceText":"Moderately","ien":68740,"legacyValue":2,"sequence":3},
{"choiceId":2312,"choiceText":"Considerably","ien":68741,"legacyValue":4,"sequence":4},{"choiceId":687,"choiceText":"Extremely","ien":68742,"legacyValue":4,"sequence":5}],"choiceDisplay":57283,"choiceIdentifier":0,"choiceIdentifierIen":2181
9,"choiceTypeId":30376,"designator":"9.","hint":null,"id":9173,"instrument":317,"introDisplay":57265,"introId":1097,"introText":"7. In the past 30 days, how many days did you use any of the following drugs: ","max":0,"min":0,"questionDispl
ay":57282,"questionId":9108,"questionText":"How confident are you that you will NOT use alcohol and drugs in the next 30 days?","required":false,"responseTypeId":
1,"responseTypeText":"MCHOICE","sequence":190},{"choiceDisplay":57285,"choiceTypeId":null,"designator":"10.","hint":null,"id":9190,"instrument":317,"introDisplay":57265,"introId":1097,"introText":"7. In the past 30 days, how many days did y
ou use any of the following drugs: ","max":30,"min":0,"questionDisplay":57284,"questionId":9125,"questionText":"In the past 30 days, how many days did you attend self-help meetings like AA or NA to support your recovery?","required":false,
"responseTypeId":2,"responseTypeText":"INTEGER","sequence":200},{"choiceDisplay":57287,"choiceTypeId":null,"designator":"11.","hint":null,"id":9191,"instrument":317,"introDisplay":57265,"introId":1097,"introText":"7. In the past 30 days, ho
":false,"dllDate":null,"dllVersion":null,"enteredBy":"SCHULTZ,ROGER F","entryDate":"2009-10-26","fullText":true,"id":316,"interpretiveText":" Guide for interpreting BAM-C scores (range 0-30):\r\n\r\n High scores indicate greater use. A s
w many days did you use any of the following drugs: ","max":30,"min":0,"questionDisplay":57286,"questionId":9126,"questionText":"In the past 30 days, how many days were you in any situations or with any people that might put you at an incr
eased risk for using alcohol or drugs (i.e., around risky \"people, places or things\")?","required":false,"responseTypeId":2,"responseTypeText":"INTEGER","sequence":210},{"choice":[{"choiceId":212,"choiceText":"Not at all","ien":68743,"leg
acyValue":1,"sequence":1},{"choiceId":717,"choiceText":"Slightly","ien":68744,"legacyValue":2,"sequence":2},{"choiceId":685,"choiceText":"Moderately","ien":68745,"legacyValue":2,"sequence":3},{"choiceId":2312,"choiceText":"Considerably","ie
n":68746,"legacyValue":4,"sequence":4},{"choiceId":687,"choiceText":"Extremely","ien":68747,"legacyValue":4,"sequence":5}],"choiceDisplay":57289,"choiceIdentifier":0,"choiceIdentifierIen":21820,"choiceTypeId":30377,"designator":"12.","hint"
:null,"id":9174,"instrument":317,"introDisplay":57265,"introId":1097,"introText":"7. In the past 30 days, how many days did you use any of the following drugs: ","max":0,"min":0,"questionDisplay":57288,"questionId":9109,"questionText":"Doe
s your religion or spirituality help support your recovery?","required":false,"responseTypeId":1,"responseTypeText":"MCHOICE","sequence":220},{"choiceDisplay":57291,"choiceTypeId":null,"designator":"13.","hint":null,"id":9192,"instrument":3
17,"introDisplay":57265,"introId":1097,"introText":"7. In the past 30 days, how many days did you use any of the following drugs: ","max":30,"min":0,"questionDisplay":57290,"questionId":9127,"questionText":"In the past 30 days, how many da
ys did you spend much of the time at work, school, or doing volunteer work?","required":false,"responseTypeId":2,"responseTypeText":"INTEGER","sequence":230},{"choice":[{"choiceId":237,"choiceText":"No","ien":68748,"legacyValue":"N","sequen
ce":1},{"choiceId":241,"choiceText":"Yes","ien":68749,"legacyValue":"Y","sequence":2}],"choiceDisplay":57293,"choiceIdentifier":0,"choiceIdentifierIen":21821,"choiceTypeId":30378,"designator":"14.","hint":null,"id":9175,"instrument":317,"in
troDisplay":57265,"introId":1097,"introText":"7. In the past 30 days, how many days did you use any of the following drugs: ","max":0,"min":0,"questionDisplay":57292,"questionId":9110,"questionText":"Do you have enough income (from legal s
core of one or greater is clinically significant.","lastEditDate":3230817.1815,"lastEditedBy":"Meldrum, Kevin","legacy":false,"licenseCurrent":false,"name":"BAM-C-CBT-SUD","national":true,"normSample":"Norms have not been developed. The in
ources) to pay for necessities such as housing, transportation, food and clothing for yourself and your dependents?","required":false,"responseTypeId":1,"responseTypeText":"MCHOICE","sequence":240},{"choice":[{"choiceId":212,"choiceText":"N
ot at all","ien":68750,"legacyValue":1,"sequence":1},{"choiceId":717,"choiceText":"Slightly","ien":68751,"legacyValue":2,"sequence":2},{"choiceId":685,"choiceText":"Moderately","ien":68752,"legacyValue":2,"sequence":3},{"choiceId":2312,"cho
iceText":"Considerably","ien":68753,"legacyValue":4,"sequence":4},{"choiceId":687,"choiceText":"Extremely","ien":68754,"legacyValue":4,"sequence":5}],"choiceDisplay":57295,"choiceIdentifier":0,"choiceIdentifierIen":21822,"choiceTypeId":3037
9,"designator":"15.","hint":null,"id":9176,"instrument":317,"introDisplay":57265,"introId":1097,"introText":
"7. In the past 30 days, how many days did you use any of the following drugs: ","max":0,"min":0,"questionDisplay":57294,"questionId":9111,"questionText":"In the past 30 days, how much have you been bothered by arguments or problems gettin
g along with any family members or friends?","required":false,"responseTypeId":1,"responseTypeText":"MCHOICE","sequence":250},{"choiceDisplay":57297,"choiceTypeId":null,"designator":"16.","hint":null,"id":9193,"instrument":317,"introDisplay
":57265,"introId":1097,"introText":"7. In the past 30 days, how many days did you use any of the following drugs: ","max":30,"min":0,"questionDisplay":57296,"questionId":9128,"questionText":"In the past 30 days, how many days did you conta
ct or spend time with any family members or friends who are supportive of your recovery?","required":false,"responseTypeId":2,"responseTypeText":"INTEGER","sequence":260},{"choice":[{"choiceId":212,"choiceText":"Not at all","ien":68755,"leg
acyValue":1,"sequence":1},{"choiceId":717,"choiceText":"Slightly","ien":68756,"legacyValue":2,"sequence":2},{"choiceId":685,"choiceText":"Moderately","ien":68757,"legacyValue":2,"sequence":3},{"choiceId":2312,"choiceText":"Considerably","ie
n":68758,"legacyValue":4,"sequence":4},{"choiceId":687,"choiceText":"Extremely","ien":68759,"legacyValue":4,"sequence":5}],"choiceDisplay":57299,"choiceIdentifier":0,"choiceIdentifierIen":21823,"choiceTypeId":30380,"designator":"17.","hint"
itial 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 - Consumption Items for CBT-SUD (BAM-C-CBT-SUD)","pu
:null,"id":9177,"instrument":317,"introDisplay":57265,"introId":1097,"introText":"7. In the past 30 days, how many days did you use any of the following drugs: ","max":0,"min":0,"questionDisplay":57298,"questionId":9112,"questionText":"How
satisfied are you with your progress toward achieving your recovery goals?","required":false,"responseTypeId":1,"responseTypeText":"MCHOICE","sequence":270}],"display":[{"alignment":"L","columns":null,"component":null,"fontBold":false,"fon
tColor":"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":57246,"left":3,"mask":null},{"alignment":"L","columns":0,"component":"DA","fontBold":false,"fontColor":"clWindowText","fontItalic
":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":57247,"left":250,"mask":"120|NOW|S|"},{"alignment":"L","columns":null,"component":null,"fontBold":false,"fontColor":"clWindowText","fontItalic":false,"fontName":"M
S Sans Serif","fontSize":8,"fontUnderlined":false,"id":57248,"left":1,"mask":null},{"alignment":"L","columns":null,"component":null,"fontBold":false,"fontColor":"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","fontSize":10,"fon
tUnderlined":false,"id":57249,"left":3,"mask":null},{"alignment":"L","columns":3,"component":"RA","fontBold":false,"fontColor":"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":57250,"lef
t":8,"mask":"662|||"},{"alignment":"L","columns":null,"component":null,"fontBold":false,"fontColor":"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","fontSize":8,"fontUnderlined":false,"id":57251,"left":1,"mask":null},{"alignmen
t":"L","columns":null,"component":null,"fontBold":false,"fontColor":"clWindowText","fontItalic":true,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":57252,"left":3,"mask":null},{"alignment":"L","columns":null,"component
":null,"fontBold":false,"fontColor":"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":57253,"left":3,"mask":null},{"alignment":"L","columns":2,"component":"RA","fontBold":false,"fontColor
":"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":57254,"left":8,"mask":"662|||"},{"alignment":"L","columns":null,"component":null,"fontBold":false,"fontColor":"clWindowText","fontItali
blicationDate":2012,"publisher":"Philadelphia CESATE","purpose":"To support symptom monitoring and measurement-based care in SUD specialty care settings.","reference":"Development and initial evaluation of the Brief Addiction Monitor (BAM).
c":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":57255,"left":3,"mask":null},{"alignment":"L","columns":0,"component":"SP","fontBold":
false,"fontColor":"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":57256,"left":15,"mask":"60|0|N|"},{"alignment":"L","columns":null,"component":null,"fontBold":false,"fontColor":"clWind
owText","fontItalic":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":57257,"left":3,"mask":null},{"alignment":"L","columns":0,"component":"SP","fontBold":false,"fontColor":"clWindowText","fontItalic":false,"fontNa
me":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":57258,"left":15,"mask":"60|0|N|"},{"alignment":"L","columns":null,"component":null,"fontBold":false,"fontColor":"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","font
Size":10,"fontUnderlined":false,"id":57259,"left":3,"mask":null},{"alignment":"L","columns":0,"component":"SP","fontBold":false,"fontColor":"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"i
d":57260,"left":15,"mask":"60|0|N|"},{"alignment":"L","columns":null,"component":null,"fontBold":false,"fontColor":"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":57261,"left":3,"mask":
null},{"alignment":"L","columns":0,"component":"SP","fontBold":false,"fontColor":"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":57262,"left":15,"mask":"60|0|N|"},{"alignment":"L","colu
mns":null,"component":null,"fontBold":false,"fontColor":"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":57263,"left":3,"mask":null},{"alignment":"L","columns":0,"component":"SP","fontBo
ld":false,"fontColor":"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":57264,"left":15,"mask":"60|0|N|"},{"alignment":"L","columns":null,"component":null,"fontBold":false,"fontColor":"cl
WindowText","fontItalic":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":57265,"left":3,"mask":null},{"alignment":"L","columns":null,"component":null,"fontBold":false,"fontColor":"clWindowText","fontItalic":false,
Submitted for publication in 2011.","requireSignature":false,"requiresLicense":"N","scoringRevision":1,"scoringRoutine":"YTSBAMCC","scoringTag":"DLL","staffOnly":null,"submitNational":true,"suicideriskRoutine":null,"suicideriskTag":null,"
"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":57266,"left":10,"mask":null},{"alignment":"L","columns":0,"component":"SP","fontBold":false,"fontColor":"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","fontS
ize":10,"fontUnderlined":false,"id":57267,"left":27,"mask":"60|0|N|"},{"alignment":"L","columns":null,"component":null,"fontBold":false,"fontColor":"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":
false,"id":57268,"left":10,"mask":null},{"alignment":"L","columns":0,"component":"SP","fontBold":false,"fontColor":"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":57269,"left":27,"mask"
:"60|0|N|"},{"alignment":"L","columns":null,"component":null,"fontBold":false,"fontColor":"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":57270,"left":10,"mask":null},{"alignment":"L","
columns":0,"component":"SP","fontBold":false,"fontColor":"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":57271,"left":27,"mask":"60|0|N|"},{"alignment":"L","columns":null,"component":nu
ll,"fontBold":false,"fontColor":"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":57272,"left":10,"mask":null},{"alignment":"L","columns":0,"component":"SP","fontBold":false,"fontColor":"
clWindowText","fontItalic":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":57273,"left":27,"mask":"60|0|N|"},{"alignment":"L","columns":null,"component":null,"fontBold":false,"fontColor":"clWindowText","fontItalic
":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":57274,"left":10,"mask":null},{"alignment":"L","columns":0,"component":"SP","fontBold":
false,"fontColor":"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":57275,"left":27,"mask":"60|0|N|"},{"alignment":"L","columns":null,"component":null,"fontBold":false,"fontColor":"clWind
owText","fontItalic":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":57276,"left":10,"mask":null},{"alignment":"L","columns":0,"component":"SP","fontBold":false,"fontColor":"clWindowText","fontItalic":false,"fontN
targetPopulation":"Adults (18 years of age and older) being treated in SUD specialty care settings.","version":"02-2012","wasOperational":true},"report":{"id":317,"instrument":316,"template":"Brief Addiction Monitor - Consumption Items for
ame":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":57277,"left":27,"mask":"60|0|N|"},{"alignment":"L","columns":null,"component":null,"fontBold":false,"fontColor":"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","fon
tSize":10,"fontUnderlined":false,"id":57278,"left":10,"mask":null},{"alignment":"L","columns":0,"component":"SP","fontBold":false,"fontColor":"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,
"id":57279,"left":27,"mask":"60|0|N|"},{"alignment":"L","columns":null,"component":null,"fontBold":false,"fontColor":"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":57280,"left":3,"mask
":null},{"alignment":"L","columns":2,"component":"RA","fontBold":false,"fontColor":"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":57281,"left":8,"mask":"662|||"},{"alignment":"L","colu
mns":null,"component":null,"fontBold":false,"fontColor":"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":57282,"left":3,"mask":null},{"alignment":"L","columns":2,"component":"RA","fontBo
ld":false,"fontColor":"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":57283,"left":8,"mask":"662|||"},{"alignment":"L","columns":null,"component":null,"fontBold":false,"fontColor":"clWi
ndowText","fontItalic":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":57284,"left":3,"mask":null},{"alignment":"L","columns":0,"component":"SP","fontBold":false,"fontColor":"clWindowText","fontItalic":false,"font
Name":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":57285,"left":15,"mask":"60|0|N|"},{"alignment":"L","columns":null,"component":null,"fontBold":false,"fontColor":"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","fo
ntSize":10,"fontUnderlined":false,"id":57286,"left":3,"mask":null},{"alignment":"L","columns":0,"component":"SP","fontBold":false,"fontColor":"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,
"id":57287,"left":15,"mask":"60|0|N|"},{"alignment":"L","columns":null,"component":null,"fontBold":false,"fontColor":"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":57288,"left":3,"mask
CBT-SUD (BAM-C-CBT-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_Dat
":null},{"alignment":"L","columns":2,"component":"RA","fontBold":false,"fontColor":"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":57289,"left":8,"mask":"662|||"},{"alignment":"L","colu
mns":null,"component":null,"fontBold":false,"fontColor":"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":57290,"left":3,"mask":null},{"alignment":"L","columns":0,"component":"SP","fontBo
ld":false,"fontColor":"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":57291,"left":15,"mask":"60|0|N|"},{"alignment":"L","columns":null,"component":null,"fontBold":false,"fontColor":"cl
WindowText","fontItalic":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":57292,"left":3,"mask":null},{"alignment":"L","columns":2,"component":"RA","fontBold":false,"fontColor":"clWindowText","fontItalic":false,"fo
ntName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":57293,"left":8,"mask":"662|||"},{"alignment":"L","columns":null,"component":null,"fontBold":
false,"fontColor":"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":57294,"left":3,"mask":null},{"alignment":"L","columns":2,"component":"RA","fontBold":false,"fontColor":"clWindowText","
fontItalic":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":57295,"left":8,"mask":"662|||"},{"alignment":"L","columns":null,"component":null,"fontBold":false,"fontColor":"clWindowText","fontItalic":false,"fontName
":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":57296,"left":3,"mask":null},{"alignment":"L","columns":0,"component":"SP","fontBold":false,"fontColor":"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","fontSize":10,"f
ontUnderlined":false,"id":57297,"left":15,"mask":"60|0|N|"},{"alignment":"L","columns":null,"component":null,"fontBold":false,"fontColor":"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id"
:57298,"left":3,"mask":null},{"alignment":"L","columns":2,"component":"RA","fontBold":false,"fontColor":"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":57299,"left":8,"mask":"662|||"}],
stions about alcohol and drug use since the last session. Please\r\n answer the requested items as accurately as possible and indicate the method of assessment\r\n in item B above. |","max":30,"min":0,"questionDisplay":57150,"questionId":90
e_Of_Birth.> (<.Patient_Age.>)\r\n| Gender: <.Patient_Gender.>\r\n| \r\n| \r\n| Days Alcohol Use: <-Days Alcohol Use->\r\n| Days of Heavy Alcohol Use: <-Days Heavy Alcohol Use->\r\n| Days Other Drug Use: <-Days Other Drug Use->\r
"info":{"author":"Dominick Dephilippis","auxDate":null,"auxVersion":"1.0.3.2","copyrightText":null,"copyrighted":false,"dllDate":null,"dllVersion":null,"enteredBy":"SCHULTZ,ROGER F","entryDate":"2009-10-26","fullText":true,"id":317,"interpr
etiveText":" 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 examination. \r\n A score below 13 on Protective Factors is clinically si
gnificant.","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 (BAM-R-CSG-SUD)","publicationDate":2010,"publisher":"Philadelphia CESATE
","purpose":"To support symptom monitoring and measurement-based care in SUD specialty care settings.","reference":"Development and initial evaluation of the Brief Addiction Monitor (BAM). Submitted for publication in 2011.","requireSignat
ure":false,"requiresLicense":"N","scoringRevision":1,"scoringRoutine":"YTSBAMRC","scoringTag":"DLL","staffOnly":null,"submitNational":true,"suicideriskRoutine":null,"suicideriskTag":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 for CSG-SUD (BAM-R-CSG-SUD)\r\n| \r\n| Date Given: <.D
ate_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| Gend
er: <.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 scores a 1 or greater, it calls for further assessment and cli
nical\r\n| attention, e.g., consider addition\/change of pharmacotherapy or\r\n| 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 is 0\r\n|
\n|\r\n| Range is 0 to 30. If a patient scores a 1 or greater, it calls for \r\n| further examination and clinical attention, e.g. consider addition of\r\n| pharmacotherapy or higher level of care, add motivational interviewing.\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\r\n| use (0-30). Clinicians are encouraged to consider scores on individual\r\n| Ri
sk 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 with ordinal\r\n| response options (0-4) were conve
rted to contribute proportionately\r\n| consistent with items on days of use (0-30). Clinicians are encouraged\r\n| to consider scores on individual Protective items in offering interventions\r\n| as indicated during initial treatment pl
anning 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 the item-level and\r\n| are 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 com
posite 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| <*Answe
r_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 trouble 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 da
ys 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\r\n| you are a man) or at least 4 drinks (if you are a woman)?\r\n| [One drink is consider
\r\n| Questions and Answers\r\n| \r\n| A. Date of administration:\r\n| <*Answer_9092*>\r\n| B. Method of administration:\r\n| <*Answer_9093*>\r\n| \r\n| 1. Since the last session, how many days did you drink ANY alcoh
ed 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 consumed alcohol, what was the\r\n| average num
ber 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 you 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. Marijuana (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, Morphine, 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, no
n-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 you bothered by cravings or urges to\r\n| drin
k 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\r\n| next 30 days?\r\n| <*Answer_9108*>\r\n| \r\n| 10. In the past 30 days, how many days did y
ou 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\r\n| any people that might put you at an increased risk for using alcohol or\r\n| drugs (i.e., around risky \"people, places or things\")?\r\n| <*An
ol?\r\n| <*Answer_9094*>\r\n| \r\n| 2. Since the last session, how many days did you have at least 5 drinks\r\n| (if you are a man) or at least 4 drinks (if you are a woman)?\r\n| [One drink is considered one shot of hard
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\r\n| any 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\r\n and is not sufficient to use alone for diagnostic purposes. Assessment\r\n results should be verified for accu
racy and used in conjunction with other\r\n diagnostic activities and procedures."},"rule":[{"booleanOperator":"AND","consistencyCheck":null,"id":406,"indexOperator":"Equals","indexQuestionId":9115,"indexValue":0,"indexValueDataType":"NUMBE
R","instrumentId":317,"instrumentQuestionId":9115,"instrumentRuleId":512,"messageText":null,"skippedQuestion":[{"id":2006,"instrumentId":317,"questionId":9116,"ruleId":406},{"id":2014,"instrumentId":317,"questionId":9129,"ruleId":406},{"id"
:2015,"instrumentId":317,"questionId":9130,"ruleId":406}],"targetOperator":null,"targetQuestionId":null,"targetValue":null,"targetValueDataType":null},{"booleanOperator":"AND","consistencyCheck":null,"id":407,"indexOperator":"Equals","index
QuestionId":9117,"indexValue":0,"indexValueDataType":"NUMBER","instrumentId":317,"instrumentQuestionId":9117,"instrumentRuleId":513,"messageText":null,"skippedQuestion":[{"id":2007,"instrumentId":317,"questionId":9118,"ruleId":407},{"id":20
08,"instrumentId":317,"questionId":9119,"ruleId":407},{"id":2009,"instrumentId":317,"questionId":9120,"ruleId":407},{"id":2010,"instrumentId":317,"questionId":9121,"ruleId":407},{"id":2011,"instrumentId":317,"questionId":9122,"ruleId":407},
liquor (1.5 oz.) or 12-ounce\r\n| can\/bottle of beer or 5-ounce glass of wine.]\r\n| <*Answer_9095*>\r\n| \r\n| 3. Since the last session, how many days did you use any illegal or\r\n| street drugs or abuse any prescrip
{"id":2012,"instrumentId":317,"questionId":9123,"ruleId":407},{"id":2013,"instrumentId":317,"questionId":9124,"ruleId":407}],"targetOperator":null,"targetQuestionId":null,"targetValue":null,"targetValueDataType":null}],"scaleGroup":[{"grid1
":0,"grid2":0,"grid3":0,"id":373,"instrument":317,"name":"Clinical Subscales","ordInc":10,"ordMax":184,"ordMin":0,"ordTitle":"Score","scale":[{"groupId":373,"id":1506,"name":"Use","sequence":1,"xLabel":"Use"},{"groupId":373,"id":1507,"name"
:"Risk Factors","sequence":2,"xLabel":"Risk"},{"groupId":373,"id":1508,"name":"Protective Factors","sequence":3,"xLabel":"Prote"}],"sequence":1},{"grid1":0,"grid2":0,"grid3":0,"id":374,"instrument":317,"name":"Use Items","ordInc":5,"ordMax"
:31,"ordMin":0,"ordTitle":"Days","scale":[{"groupId":374,"id":1509,"name":"Days Alcohol Use","sequence":1,"xLabel":"Alcoh"},{"groupId":374,"id":1510,"name":"Days Heavy Alcohol Use","sequence":2,"xLabel":"Heavy"},{"groupId":374,"id":1511,"na
me":"Days Other Drug Use","sequence":3,"xLabel":"Drug"}],"sequence":2},{"grid1":0,"grid2":0,"grid3":0,"id":375,"instrument":317,"name":"Risk Items","ordInc":5,"ordMax":31,"ordMin":0,"ordTitle":"Days\/Score","scale":[{"groupId":375,"id":1512
,"name":"Physical Health","sequence":1,"xLabel":"Heal"},{"groupId":375,"id":1513,"name":"Days Sleep Problems","sequence":2,"xLabel":"Sleep"},{"groupId":375,"id":
1514,"name":"Days Distressed","sequence":3,"xLabel":"Distr"},{"groupId":375,"id":1515,"name":"Urges, Cravings","sequence":4,"xLabel":"Urges"},{"groupId":375,"id":1516,"name":"Days Risky Situations","sequence":5,"xLabel":"Risky"},{"groupId":
375,"id":1517,"name":"Relationship Problems","sequence":6,"xLabel":"Relat"}],"sequence":3},{"grid1":0,"grid2":0,"grid3":0,"id":376,"instrument":317,"name":"Protective Items","ordInc":5,"ordMax":31,"ordMin":0,"ordTitle":"Days\/Score","scale"
:[{"groupId":376,"id":1518,"name":"Confidence in No Use","sequence":1,"xLabel":"Confi"},{"groupId":376,"id":1519,"name":"Days Self-help","sequence":2,"xLabel":"Self"},{"groupId":376,"id":1520,"name":"Spiritual Supportive","sequence":3,"xLab
el":"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","seque
tion medications?\r\n| <*Answer_9096*>\r\n| \r\n| 4. Since the last session, how many days did you use any of the following\r\n| drugs: \r\n|\r\n| 4A. Marijuana (cannabis, pot, weed)?\r\n| <*Answer_9097*>\r\n|
nce":6,"xLabel":"Sup"}],"sequence":4}],"spec":{"entryChecksum":3939848796,"entrySpec":"{\"name\": \"BAM-R-CSG-SUD\", \r\n \"restartDays\": 7, \r\n \"printTitle\": \"Brief Addiction Monitor - Revised for CSG-SUD (BAM-R-CSG-SUD)\", \r\n \"con
tent\":[\r\n {\"id\": \"q9104\", \"type\": \"DateQuestion\", \"required\": false, \"inline\": true, \r\n \"text\": \"A. Date of administration:\", \r\n \"controlWidth\": 120, \"daysBack\": 30, \"daysAhead\": 0},\r\n {\"id\": \"q91
05\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": true, \r\n \"text\": \"B. Method of administration:\", \r\n \"columns\": 3, \r\n \"choices\":[\r\n {\"id\": \"c2418\", \"text\": \"1. Clinician Interview\", \
"quickKey\": 1}, \r\n {\"id\": \"c2419\", \"text\": \"2. Self Report\", \"quickKey\": 2}, \r\n {\"id\": \"c2420\", \"text\": \"3. Phone\", \"quickKey\": 3}\r\n ]}, \r\n {\"id\": \"i1096\", \"type\": \"IntroText\", \r\n \"text
\": \"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 days. Please consider each question and answ
er as accurately\r\n as possible.<br \/> \"\r\n }, \r\n {\"id\": \"q9106\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": true, \r\n \"text\": \"1. In the past 30 days, how would you say your physical health has be
en?\", \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 days. Please consider
each question and answer as accurately\r\n as possible.<br \/> \", \r\n \"columns\": 2, \r\n \"choices\":[\r\n {\"id\": \"c1059\", \"text\": \"0. Excellent\", \"quickKey\": 0}, \r\n {\"id\": \"c1060\", \"text\": \"1. Very goo
d\", \"quickKey\": 1}, \r\n {\"id\": \"c1061\", \"text\": \"2. Good\", \"quickKey\": 2}, \r\n {\"id\": \"c1062\", \"text\": \"3. Fair\", \"quickKey\": 3}, \r\n {\"id\": \"c1063\", \"text\": \"4. Poor\", \"quickKey\": 4}\r\n ]}
, \r\n {\"id\": \"q9113\", \"type\": \"IntegerQuestion\", \"required\": false, \r\n \"text\": \"2. In the past 30 days, how many nights did you have trouble falling asleep or\r\n staying asleep?\", \r\n \"intro\": \"Instructions<br
\r\n| 4B. Sedatives and\/or Tranquilizers (benzos, Valium, Xanax, Ativan, \r\n| Ambien, barbs, Phenobarbital, downers, etc.)?\r\n| <*Answer_9098*>\r\n| \r\n| 4C. Cocaine and\/or Crack?\r\n| <*Answe
\/>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 days. Please consider each question and answer as accurately\r\n a
s possible.<br \/> \", \r\n \"controlWidth\": 60, \"min\": 0, \"max\": 30}, \r\n {\"id\": \"q9114\", \"type\": \"IntegerQuestion\", \"required\": false, \r\n \"text\": \"3. In the past 30 days, how many days have you felt depressed
, anxious, angry or\r\n very upset throughout most of the day?\",
\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 days. Please consider each qu
estion and answer as accurately\r\n as possible.<br \/> \", \r\n \"controlWidth\": 60, \"min\": 0, \"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 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 abo
ut the past 30 days. Please consider each question and answer as accurately\r\n as possible.<br \/> \", \r\n \"controlWidth\": 60, \"min\": 0, \"max\": 30}, \r\n {\"id\": \"q9116\", \"type\": \"IntegerQuestion\", \"required\": false,
\r\n \"text\": \"5A. In the past 30 days, how many days did you have at least 5 drinks (if you are\r\n a man) or at least 4 drinks (if you are a woman)? [One drink is considered one\r\n shot of hard liquor (1.5 oz.) or 12-ounce can\/bot
tle of beer or 5-ounce glass of\r\n wine.]\", \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 a
bout the past 30 days. Please consider each question and answer as accurately\r\n as possible.<br \/> \", \r\n \"controlWidth\": 60, \"min\": 0, \"max\": 30}, \r\n {\"id\": \"q9129\", \"type\": \"IntegerQuestion\", \"required\": false
r_9099*>\r\n| \r\n| 4D. Other Stimulants (e.g., amphetamine, methamphetamine, Dexedrine,\r\n| Ritalin, Adderall, \"speed\", \"crystal meth\", \"ice\", etc.)?\r\n| <*Answer_9100*>\r\n| \r\n| 4E. Opiates (H
, \r\n \"text\": \"5B. In the past 30 days, on the days that you consumed alcohol, what was the\r\n 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 ask\r\n about the past 30 days. Please consider each question and answer as accurately\r\n as possible.<br \/> \", \r\n \"controlWid
th\": 60, \"min\": 0, \"max\": 999}, \r\n {\"id\": \"q9130\", \"type\": \"IntegerQuestion\", \"required\": 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 drink
s you consumed in one day?\", \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
days. Please consider each question and answer as accurately\r\n as possible.<br \/> \", \r\n \"controlWidth\": 60, \"min\": 0, \"max\": 999}, \r\n {\"id\": \"q9117\", \"type\": \"IntegerQuestion\", \"required\": false, \r\n \"tex
t\": \"6. In the past 30 days, how many days did you use any illegal or street drugs or\r\n abuse any prescription medications?\", \r\n \"intro\": \"Instructions<br \/>This is a standard set of questions about several areas of your\r\n l
ife 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 \"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 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\": \"q9119\", \"type\": \"IntegerQuestion\", \"required\": false,
eroin, Morphine, Dilaudid, Demerol, Oxycontin, oxy, \r\n| codeine (Tylenol 2,3,4), Percocet, Vicodin, Fentanyl, etc.)?\r\n| <*Answer_9101*>
\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 m
any days did you use any of the following drugs: \", \r\n \"controlWidth\": 60, \"min\": 0, \"max\": 30}, \r\n {\"id\": \"q9121\", \"type\": \"IntegerQuestion\", \"required\": false, \r\n \"text\": \"7D. Other Stimulants (amphetami
ne, methamphetamine, Dexedrine, Ritalin, Adderall,\r\n speed, crystal meth, ice, 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, \"m
ax\": 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, \"min\": 0, \"max\": 30}, \r\n {\"id\": \"q9123\", \"type\": \"IntegerQuestion\", \"required\": fals
e, \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, \"mi
n\": 0, \"max\": 30}, \r\n {\"id\": \"q9124\", \"type\": \"IntegerQuestion\", \"required\": false, \r\n \"text\": \"7G. Other drugs (steroids, non-prescription sleep and diet pills, Benadryl,\r\n Ephedra, other over-the-counter or unkn
own medications)?\", \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\": \"q9107\", \"type\": \"ChoiceQuestion\", \"
required\": false, \"inline\": true, \r\n \"text\": \"8. In the past 30 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 30 days, how many days did you use an
\r\n| \r\n| 4F. Inhalants (glues, adhesives, nail polish remover, paint thinner,\r\n| etc.)?\r\n| <*Answer_9102*>\r\n| \r\n| 4G. Other drugs (steroids, non-prescription sleep and diet pills,\r\n|
y 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\": \"q9
108\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": true, \r\n \"text\": \"9. How confident are you that you will NOT use alcohol and drugs in the next 30\r\n days?\", \r\n \"intro\": \"7. In the past 30 days, how ma
ny 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\": \"q9125\", \"type\": \"IntegerQuestion\", \"required\": false, \r\n \"text\": \"10. In the past 30 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 30 days, how many days did you use any of the following drugs: \", \r\n \"controlWidth\": 60, \"min\": 0, \"max\": 30},
\r\n {\"id\": \"q9126\", \"type\": \"IntegerQuestion\", \"required\": false, \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 al
cohol 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 ma
94,"questionText":"Since the last session, how many days did you drink ANY alcohol?","required":false,"responseTypeId":2,"responseTypeText":"INTEGER","sequence":40},{"choiceDisplay":57153,"choiceTypeId":null,"designator":"2.","hint":null,"i
Benadryl, Ephedra, other over-the-counter or unknown medications)?\r\n| <*Answer_9103*>\r\n| \r\n| \r\n| Information contained in this note is based on a self-report assessment\r\n and is not sufficient to use alone for diag
ny 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\": \"q9127\", \"type\": \"IntegerQuestion\", \"required\": false, \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: \", \r\n \"controlWidth\": 60, \"min\": 0, \"max\": 30}, \r\n {\"id\": \"q9110\", \"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 30 days, how many days
did you use any of the following drugs: \", \r\n \"columns\": 2, \r\n \"choices\":[\r\n {\"id\": \"c237\", \"text\": \"0. No\", \"quickKey\": 0}, \r\n {\"id\": \"c241\", \"text\": \"1. Yes\", \"quickKey\": 1}\r\n ]}, \r\n
{\"id\": \"q9111\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": true, \r\n \"text\": \"15. In the past 30 days, how much have you been bothered by arguments or problems\r\n getting along with any family members or fr
iends?\", \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}, \r\n {\"id\": \"c2312\", \"text\": \"3. Considerably\", \"quickKey\": 3}, \r\n {\"id\": \"
c687\", \"text\": \"4. Extremely\", \"quickKey\": 4}\r\n ]}, \r\n {\"id\": \"q9128\", \"type\": \"IntegerQuestion\", \"required\": false, \r\n \"text\": \"16. In the past 30 days, how many days did you contact or spend time with any\
nostic purposes. Assessment\r\n results should be verified for accuracy and used in conjunction with other\r\n diagnostic activities and procedures."},"rule":[{"booleanOperator":"AND","consistencyCheck":null,"id":404,"indexOperator":"Equal
r\n family members or friends who are supportive of 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}, \r\n {\"
id\": \"q9112\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": true, \r\n \"text\": \"17. How satisfied are you with your progress toward achieving your recovery\r\n goals?\", \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\", \"qui
ckKey\": 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 \"rules\":[\r\n {\"question\": \"q9115\", \"operator\": \"EQ\", \"value
\": 0, \r\n \"skips\":[\"q9116\",\"q9129\",\"q9130\"]}, \r\n {\"question\": \"q9117\", \"operator\": \"EQ\", \"value\": 0, \r\n \"skips\":[\"q9118\",\"q9119\",\"q9120\",\"q9121\",\"q9122\",\"q9123\",\"q9124\"]}]\r\n}","instrument":3
17,"lastUpdate":"2023-12-27T13:55:30","specIen":169},"verify":["601.71:317","601.72:9104","601.72:9105","601.72:9106","601.72:9107","601.72:9108","601.72:9109","601.72:9110","601.72:9111","601.72:9112","601.72:9113","601.72:9114","601.72:91
15","601.72:9116","601.72:9117","601.72:9118","601.72:9119","601.72:9120","601.72:9121","601.72:9122","601.72:9123","601.72:9124","601.72:9125","601.72:9126","601.72:9127","601.72:9128","601.72:9129","601.72:9130","601.73:1096","601.73:1097
","601.75:212","601.75:237","601.75:241","601.75:685","601.75:687","601.75:717","601.75:1059","601.75:1060","601.75:1061","601.75:1062","601.75:1063","601.75:2312","601.75:2418","601.75:2419","601.75:2420","601.751:68725","601.751:68726","6
01.751:68727","601.751:68728","601.751:68729","601.751:68730","601.751:68731","601.751:68732","601.751:68733","601.751:68734","601.751:68735","601.751:68736","601.751:68737","601.751:68738","601.751:68739","601.751:68740","601.751:68741","6
s","indexQuestionId":9094,"indexValue":0,"indexValueDataType":"NUMBER","instrumentId":316,"instrumentQuestionId":9094,"instrumentRuleId":510,"messageText":null,"skippedQuestion":[{"id":1998,"instrumentId":316,"questionId":9095,"ruleId":404}
01.751:68742","601.751:68743","601.751:68744","601.751:68745","601.751:68746","601.751:68747","601.751:68748","601.751:68749","601.751:68750","601.751:68751","601.751:68752","601.751:68753","601.751:68754","601.751:68755","601.751:68756","6
01.751:68757","601.751:68758","601.751:68759","601.76:9169","601.76:9170","601.76:9171","601.76:9172","601.76:9173","601.76:9174","601.76:9175","601.76:9176","601.76:9177","601.76:9178","601.76:9179","601.76:9180","601.76:9181","601.76:9182
","601.76:9183","601.76:9184","601.76:9185","601.76:9186","601.76:9187","601.76:9188","601.76:9189","601.76:9190","601.76:9191","601.76:9192","601.76:9193","601.76:9194","601.76:9195","601.79:2006","601.79:2007","601.79:2008","601.79:2009",
"601.79:2010","601.79:2011","601.79:2012","601.79:2013","601.79:2014","601.79:2015","601.82:406","601.82:407","601.83:512","601.83:513","601.86:373","601.86:374","601.86:375","601.86:376","601.87:1506","601.87:1507","601.87:1508","601.87:15
09","601.87:1510","601.87:1511","601.87:1512","601.87:1513","601.87:1514","601.87:1515","601.87:1516","601.87:1517","601.87:1518","601.87:1519","601.87:1520","601.87:1521","601.87:1522","601.87:1523","601.88:57246","601.88:57247","601.88:57
248","601.88:57249","601.88:57250","601.88:57251","601.88:57252","601.88:57253","601.88:57254","601.88:57255","601.88:57256","601.88:57257","601.88:57258","601.88:57259","601.88:57260","601.88:57261","601.88:57262","601.88:57263","601.88:57
264","601.88:57265","601.88:57266","601.88:57267","601.88:57268","601.88:57269","601.88:57270","601.88:57271","601.88:57272","601.88:57273","601.88:57274","601.88:57275","601.88:57276","601.88:57277","601.88:57278","601.88:57279","601.88:57
280","601.88:57281","601.88:57282","601.88:57283","601.88:57284","601.88:57285","601.88:57286","601.88:57287","601.88:57288","601.88:57289","601.88:57290","601.88:57291","601.88:57292","601.88:57293","601.88:57294","601.88:57295","601.88:57
296","601.88:57297","601.88:57298","601.88:57299","601.89:21816","601.89:21817","601.89:21818","601.89:21819","601.89:21820","601.89:21821","601.89:21822","601.89:21823"]}],"xchg":{"date":3231228.102647,"description":"BAM Date Picker update
.","name":"YS*5.01*239 NEW BAM UPDATE","source":"LEE@CAMP MASTER","version":1.02}}
],"targetOperator":null,"targetQuestionId":null,"targetValue":null,"targetValueDataType":null},{"booleanOperator":"AND","consistencyCheck":null,"id":405,"indexOperator":"Equals","indexQuestionId":9096,"indexValue":0,"indexValueDataType":"NU
MBER","instrumentId":316,"instrumentQuestionId":9096,"instrumentRuleId":511,"messageText":null,"skippedQuestion":[{"id":1999,"instrumentId":316,"questionId":9097,"ruleId":405},{"id":2000,"instrumentId":316,"questionId":9098,"ruleId":405},{"
id":2001,"instrumentId":316,"questionId":9099,"ruleId":405},{"id":2002,"instrumentId":316,"questionId":9100,"ruleId":405},{"id":2003,"instrumentId":316,"questionId":9101,"ruleId":405},{"id":2004,"instrumentId":316,"questionId":9102,"ruleId"
:405},{"id":2005,"instrumentId":316,"questionId":9103,"ruleId":405}],"targetOperator":null,"targetQuestionId":null,"targetValue":null,"targetValueDataType":null}],"scaleGroup":[{"grid1":0,"grid2":0,"grid3":0,"id":372,"instrument":316,"name"
:"Use Items","ordInc":1,"ordMax":31,"ordMin":0,"ordTitle":"Days","scale":[{"groupId":372,"id":1503,"name":"Days Alcohol Use","sequence":1,"xLabel":"ETOH"},{"groupId":372,"id":1504,"name":"Days Heavy Alcohol Use","sequence":2,"xLabel":"Heavy
"},{"groupId":372,"id":1505,"name":"Days Other Drug Use","sequence":3,"xLabel":"Drug"}],"sequence":1}],"spec":{"entryChecksum":3064997577,"entrySpec":"{\"name\": \"BAM-C-CBT-SUD\", \r\n \"restartDays\": 7, \r\n \"printTitle\": \"Brief Addic
tion Monitor - Consumption Items for CBT-SUD (BAM-C-CBT-SUD)\", \r\n \"content\":[\r\n {\"id\": \"q9092\", \"type\": \"DateQuestion\", \"required\": false, \"inline\": true, \r\n \"text\": \"A. Date of administration:\", \r\n \"cont
d":9160,"instrument":316,"introDisplay":57149,"introId":2527,"introText":"Instructions\r\n|This is a standard set of questions about alcohol and drug use since the last session. Please\r\n answer the requested items as accurately as possibl
rolWidth\": 120, \"daysBack\": 30, \"daysAhead\": 0},\r\n {\"id\": \"q9093\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": true, \r\n \"text\": \"B. Method of administration:\", \r\n \"columns\": 3, \r\n \"choic
es\":[\r\n {\"id\": \"c2418\", \"text\": \"1. Clinician Interview\", \"quickKey\": 1}, \r\n {\"id\": \"c2419\", \"text\": \"2. Self Report\", \"quickKey\": 2}, \r\n {\"id\": \"c2420\", \"text\": \"3. Phone\", \"quickKey\": 3}\r\
n ]}, \r\n {\"id\": \"i2527\", \"type\": \"IntroText\", \r\n \"text\": \"Instructions <br \/>This is a standard set of questions about alcohol and drug use\r\n since the last session. Please answer the requested items as accurately a
s\r\n possible and indicate the method of assessment in item B above. <br \/>\"\r\n }, \r\n {\"id\": \"q9094\", \"type\": \"IntegerQuestion\", \"required\": false, \r\n \"text\": \"1. Since the last session, how many days did you dr
ink ANY alcohol?\", \r\n \"intro\": \"Instructions <br \/>This is a standard set of questions about alcohol and drug use\r\n since the last session. Please answer the requested items as accurately as\r\n possible and indicate the method
of assessment in item B above. <br \/>\", \r\n \"controlWidth\": 60, \"min\": 0, \"max\": 30},
\r\n {\"id\": \"q9095\", \"type\": \"IntegerQuestion\", \"required\": false, \r\n \"text\": \"2. Since the last session, 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)? [O
ne drink is considered\r\n one shot of hard liquor (1.5 oz.) or 12-ounce can\/bottle of beer or 5-ounce\r\n glass of wine.]\", \r\n \"intro\": \"Instructions <br \/>This is a standard set of questions about alcohol and drug use\r\n since
the last session. Please answer the requested items as accurately as\r\n possible and indicate the method of assessment in item B above. <br \/>\", \r\n \"controlWidth\": 60, \"min\": 0, \"max\": 30}, \r\n {\"id\": \"q9096\", \"type\"
: \"IntegerQuestion\", \"required\": false, \r\n \"text\": \"3. Since the last session, how many days did you use any illegal or street drugs\r\n or abuse any prescription medications?\", \r\n \"intro\": \"Instructions <br \/>This is
e and indicate the method of assessment\r\n in item B above. |","max":30,"min":0,"questionDisplay":57152,"questionId":9095,"questionText":"Since the last session, how many days did you have at least 5 drinks (if you are a man) or at least 4
a standard set of questions about alcohol and drug use\r\n since the last session. Please answer the requested items as accurately as\r\n possible and indicate the method of assessment in item B above. <br \/>\", \r\n \"controlWidth\": 6
0, \"min\": 0, \"max\": 30}, \r\n {\"id\": \"i2528\", \"type\": \"IntroText\", \r\n \"text\": \"4. Since the last session, how many days did you use any of the following drugs: \"\r\n }, \r\n {\"id\": \"q9097\", \"type\": \"Intege
rQuestion\", \"required\": false, \r\n \"text\": \"4A. Marijuana (cannabis, pot, weed)?\", \r\n \"intro\": \"4. Since the last session, how many days did you use any of the following drugs: \", \r\n \"controlWidth\": 60, \"min\": 0
, \"max\": 30}, \r\n {\"id\": \"q9098\", \"type\": \"IntegerQuestion\", \"required\": false, \r\n \"text\": \"4B. Sedatives and\/or Tranquilizers (benzos, Valium, Xanax, Ativan, Ambien, barbs,\r\n Phenobarbital, downers, etc.)?\", \r\n
\"intro\": \"4. Since the last session, how many days did you use any of the following drugs: \", \r\n \"controlWidth\": 60, \"min\": 0, \"max\": 30}, \r\n {\"id\": \"q9099\", \"type\": \"IntegerQuestion\", \"required\": false, \r\
n \"text\": \"4C. Cocaine and\/or Crack?\", \r\n \"intro\": \"4. Since the last session, how many days did you use any of the following drugs: \", \r\n \"controlWidth\": 60, \"min\": 0, \"max\": 30}, \r\n {\"id\": \"q9100\", \"ty
pe\": \"IntegerQuestion\", \"required\": false, \r\n \"text\": \"4D. Other Stimulants (amphetamine, methamphetamine, Dexedrine, Ritalin, Adderall,\r\n speed, crystal meth, ice, etc.)?\", \r\n \"intro\": \"4. Since the last session, ho
w many days did you use any of the following drugs: \", \r\n \"controlWidth\": 60, \"min\": 0, \"max\": 30}, \r\n {\"id\": \"q9101\", \"type\": \"IntegerQuestion\", \"required\": false, \r\n \"text\": \"4E. Opiates (Heroin, Morphine
, Dilaudid, Demerol, Oxycontin, oxy, codeine\r\n (Tylenol 2,3,4), Percocet, Vicodin, Fentanyl, etc.)?\", \r\n \"intro\": \"4. Since the last session, how many days did you use any of the following drugs: \", \r\n \"controlWidth\": 60,
\"min\": 0, \"max\": 30}, \r\n {\"id\": \"q9102\", \"type\": \"IntegerQuestion\", \"required\": false, \r\n \"text\": \"4F. Inhalants (glues, adhesives, nail polish remover, paint thinner, etc.)?\", \r\n \"intro\": \"4. Since the l
|
