File ADDICTION_SEVERITY_INDEX(604) Data List

ID NUMBER NAME DATE OF BIRTH SSN STREET LINE 1 ZIP+4 STREET LINE 2 STREET LINE 3 CITY STATE ZIP PHONE RESOLVED ADM DATE CLASS AGE DATE OF INTERVIEW TIME INTERVIEW BEGAN TIME INTERVIEW ENDED CONTACT CODE GENDER INTERVIEWER SPECIAL RECORD INITIALIZED DATE TIME RECORD COMPLETED DATE TIME RECORD INITIALIZED BY (TRANS) RACE RELIGIOUS PREFERENCE ELECTRONICALLY SIGNED E SIGNATURE INTERVIEWER GENERAL COMMENT CS MEDICAL CS EMPLOYMENT CS ALCOHOL CS DRUG CS LEGAL CS FAMILY CS PSYCHIATRIC E SIGNATURE TRANSCRIBER PERSON ALLOWED TO EDIT ADMISSION DATE ADDR LIVED YRS ADDR LIVED MOS ADDR OWN ALCOHOL ANY USE L30DAYS ALCOHOL ANY USE LIFETIME YRS ALCOHOL ANY USE ROA ALCOHOL INTOX USE L30DAYS ALCOHOL INTOX LIFETIME YRS ALCOHOL INTOX ROA HEROIN L30DAYS HEROIN LIFETIME YRS HEROIN ROA METHADONE L30DAYS METHADONE LIFETIME YRS METHADONE ROA OTHER OPIATES/ANA L30DAYS OTHER OPIATES/ANA LIFETIME YRS OTHER OPIATES/ANA ROA BARBITUATES L30DAYS BARBITUATES LIFETIME YRS BARBITUATES ROA OTHER S H T L30DAYS OTHER S H T LIFETIME YRS OTHER S H T ROA COCAINE L30DAYS COCAINE LIFETIME YRS COCAINE ROA AMPHETAMINES L30DAYS AMPHETAMINES LIFETIME YRS AMPHETAMINES ROA CANNABIS L30DAYS CANNABIS LIFETIME YRS CANNABIS ROA HALLUCINOGENS L30DAYS HALLUCINOGENS LIFETIME YRS HALLUCINOGENS ROA INHALANTS L30DAYS INHALANTS LIFETIME YRS INHALANTS ROA MT1PD L30DAYS MT1PD LIFETIME YRS MAJOR PROBLEM DRUG/ALCOHOL COMMENT ABSTINENT MONTHS ABSTINENT ENDED MONTHS AGO TIMES HAD ALCOHOL D.T.'S TIMES OVERDOSED ON DRUGS ALCOHOL ABUSE LIFETIME DRUG ABUSE LIFETIME TIMES DETOX ONLY ALCOHOL TIMES DETOX ONLY DRUG SPENT L30D ALCOHOL SPENT L30D DRUGS DAYS TMT D/A L30D OUTP DAYS L30D ALCOHOL PROB DAYS L30D DRUG PROB TROUBLED ALCOHOL L30D TMT IMPORTANT ALCOHOL TROUBLED DRUG L30D TMT IMPORTANT DRUG INTERVIEWER'S RATING ALCOHOL INTERVIEWER'S RATING DRUG PATIENT MISREP D/A PATIENT INAB UNDSTND D/A ADM PROMPTED BY CJS ON PROBATION OR PAROLE SHOPLIFTING/VANDALISM PAROLE/PROBATION VIOLATIONS DRUG CHARGES FORGERY WEAPONS OFFENSE BURGLARY LARCENY B & E ROBBERY ASSAULT ARSON RAPE HOMICIDE MANSLAUGHTER PROSTITUTION CONTEMPT OF COURT OTHER CHARGES CONVICTIONS DCVPI DRIVING WHILE INTOXICATED MAJOR DRIVING VIOLATIONS MONTH INCARCERATED LIFETIME MONTHS LAST INCARCERATION LAST INCARCERATED FOR INCARCERATION CODE AWAITING CTS FOR WHAT DETAINED/INCARCERATED L30D ILLEGAL ACTIVITIES/PROFIT L30D LEGAL PROB SCALE LEGAL IMPORTANCE SCALE INTERVIEWER'S RATING LEGAL PATIENT MISREP LEGAL PATIENT INAB UNDSTND LEGAL LEGAL COMMENT MS GRANDMOTHER ALC MS GRANDMOTHER DRUG MS GRANDMOTHER PSYCH MS GRANDFATHER ALC MS GRANDFATHER DRUG MS GRANDFATHER PSYCH MS MOTHER ALC MS MOTHER DRUG MS MOTHER PSYCH MS AUNT ALC MS AUNT DRUG MS AUNT PSYCH MS UNCLE ALC MS UNCLE DRUG MS UNCLE PSYCH FS GRANDMOTHER ALC FS GRANDMOTHER DRUG FS GRANDMOTHER PSYCH FS GRANDFATHER ALC FS GRANDFATHER DRUG FS GRANDFATHER PSYCH FS FATHER ALC FS FATHER DRUG FS FATHER PSYCH FS AUNT ALC FS AUNT DRUG FS AUNT PSYCH FS UNCLE ALC FS UNCLE DRUG FS UNCLE PSYCH BROTHER ALC BROTHER DRUG BROTHER PSYCH SISTER ALC SISTER DRUG SISTER PSYCH FAMILY HISTORY COMMENT MARITIAL STATUS MARITIAL STATUS YRS MARITIAL STATUS MOS SATISFIED WITH SITUATION USUAL LIVING ARGMENTS P3Y ARRANGEMENTS LOT YRS ARRANGEMENTS LOT MOS ARRANGEMENTS SATISFACTION LIVE W/ ANYONE W/ ALC PROB LIVE W/ ANYONE W/ DRUG PROB SPEND FREE TIME WITH SATISFIED SPENDING FREE TIME HOW MANY CLOSE FRIENDS CLOSE WITH MOTHER CLOSE WITH FATHER CLOSE WITH BROTHERS/SISTERS CLOSE WITH SEX PARTNER/SPOUSE CLOSE WITH CHILDREN CLOSE WITH FRIENDS PROBLEM W/ MOTHER P30D PROBLEM W/ MOTHER LIFE PROBLEM W/ FATHER P30D PROBLEM W/ FATHER LIFE PROBLEM W/ BRO/SIS P30D PROBLEM W/ BRO/SIS LIFE PROBLEM W/ SEX PARTNER/SP P30D PROBLEM W/ SEX PARTNER/SP LIFE PROBLEM W/ CHILDREN P30D PROBLEM W/ CHILDREN LIFE PROBLEM W/ OSF P30D PROBLEM W/ OSF SPECIFY PROBLEM W/ OSF LIFE PROBLEM W/ CF P30D PROBLEM W/ CF LIFE PROBLEM W/ NEIGHBORS L30D PROBLEM W/ NEIGHBORS LIFE PROBLEM W/CO WKRS P30D PROBLEM W/CO WKRS LIFE ABUSE EMOTIONALLY L30D ABUSE EMOTIONALLY LIFE ABUSE PHYSICALLY L30D ABUSE PHYSICALLY LIFE ABUSE SEXUALLY L30D ABUSE SEXUALLY LIFE CONFLICT FAMILY P30D CONFILCT OTHER P30D TROUBLED FAMILY PROBLEMS TROUBLED SOCIAL PROBLEMS TREATMENT FAMILY PROBLEMS TREATMENT SOCIAL PROBLEMS INTERVIEWER'S RATING FAMILY FAMILY/SOC CONFIDENCE MISREP FAMILY/SOC CONFIDENCE ITU FAMILY/SOCIAL COMMENT LEISURE TIME ISSUES SPIRITUAL ISSUES TREATED IN HOSPITAL TREATED AS OPT OR PRIV PT PENSION FOR PSY DIS EXP DEPRESSION P30D EXP DEPRESSION LIFE EXP ANXIETY P30D EXP ANXIETY LIFE EXP HALLUCINATIONS L30D EXP HALLUCINATIONS LIFE EXP UCR L30D EXP UCR LIFE EXP CONT VIO BEHAVIOR L30D EXP CONT VIO BEHAVIOR LIFE EXP THOUGHTS SUICIDE L30D EXP THOUGHTS SUCIDE LIFE EXP ATTEMPTED SUICIDE L30D EXP ATTEMPTED SUICIDE LIFE MEDS FOR PSY PROB L30D MEDS FOR PSY PROB LIFE DAYS EXP PROB L30D PSY PROB L30D RATING PSY TMT RATING INTV DEPRESSED/WITHDRAWN INTV HOSTILE INTV ANXIOUS/NERVOUS INTV TROUBLE WITH RTTDPT INTV TROUBLE CCR INTV SUICIDAL THOUGHTS INTERVIEWER'S RATING PSY PSY PATIENT'S MISREPRESENTATIN PSY PATIENT'S INABILITY TO UND PSYCHIATRIC COMMENT PROGRAM CONTROLLED ENVIRONMENT OTHER HOW MANY DAYS SHIPLEY C.Q. SHIPLEY I.Q. BECK TOTAL SCORE AWAITING TRANSMISSION TRANSMISSION DATE HOSPITALIZATIONS LAST HOSPITALIZATION YRS LAST HOSPITALIZATION MOS CHRONIC PROBLEM CHRONIC MEDICAL SPECIFY MEDICATION DISABILITY PENSION SPECIFY PENSION PROBLEM PAST 30 DAYS SCALE MED PROBLEM PAST 30D IMPORTANCE MEDICAL TREATMENT INTERVIEWER'S RATING MEDICAL PATIENT MISREP MEDICAL PATIENT INAB UNDSTND MEDICAL MEDICAL COMMENT YEARS EDUCATION COMPLETED MONTHS EDUCATION COMPLETED MONTHS TRAINING OR TECH PROFESSION TRADE OR SKILL SPECIFY PTS VALID DRIVERS LICENSE AUTOMOBILE LONGEST FULL-TIME JOB YRS LONGEST FULL-TIME JOB MOS USUAL OR LAST OCCUPATION USUAL OR LAST OCC TEXT SUPPORT MAJORITY OF SUPPORT EMPLOYMENT PATTERN DAYS PAID LAST 30 DAYS EMPLOYMENT INCOME UNEMPLOYMENT COMPENSATION WELFARE INCOME PENSION MATE FAMILY FRIENDS INCOME MATE FAMILY FRIENDS SPECIFY ILLEGAL INCOME NUMBER OF DEPENDENTS DAYS EMP PROB LAST 30 EMPLOYMENT PROB 30 DAYS EMP COUNSELING IMPORTANT INTERVIEWER'S RATING EMPL PATIENT MISREP EMP PATIENT INAB UNDSTND EMP EMPLOYMENT COMMENT