| # | Name | Location | Type | Details | Index | Description |
|---|---|---|---|---|---|---|
| .01 | id number(+) | 0;1 | NUMERIC | B | This is the Addiction Severity Index Fifth Edition interview question: G1. I.D. Number | |
| .02 | name | 0;2 | POINTER | 2 | C | This is the patients name. Pointer to Patient File. |
| .0203 | date of birth | COMPUTED | ||||
| .0209 | ssn | COMPUTED | ||||
| .02111 | street line 1 | COMPUTED | ||||
| .021112 | zip+4 | COMPUTED | ||||
| .02112 | street line 2 | COMPUTED | ||||
| .02113 | street line 3 | COMPUTED | ||||
| .02114 | city | COMPUTED | ||||
| .02115 | state | COMPUTED | ||||
| .02116 | zip | COMPUTED | ||||
| .02131 | phone | COMPUTED | ||||
| .033 | resolved adm date | 11;10 | FREE TEXT | |||
| .04 | class | 0;4 | SET OF CODES | 1:FULL 2:LITE 3:FOLLOWUP 4:ASI-MV | D | This is the Addiction Severity Index Fifth Edition interview question: G8. Class: '1' FOR FULL '2' FOR LITE '3' FOR FOLLOWUP '4' FOR ASI-MV |
| .044 | age | COMPUTED | ||||
| .05 | date of interview | 0;5 | DATE-TIME | AD | This is the Addiction Severity Index Fifth Edition interview question: G5. Date of Interview | |
| .051 | time interview began | 0;13 | FREE TEXT | This is the Addiction Severity Index Fifth Edition interview question: G5. TIME BEGUN | ||
| .052 | time interview ended | 2;4 | FREE TEXT | This is the Addiction Severity Index Fifth Edition interview question: G7. TIME ENDED? | ||
| .07 | contact code | 0;7 | SET OF CODES | 1:IN PERSON 2:PHONE 3:ASI-MV | This is the Addiction Severity Index Fifth Edition interview question: G9. CONTACT CODE: '1' FOR In Person '2' FOR Phone '3' FOR ASIMV | |
| .08 | gender | 0;8 | SET OF CODES | 1:MALE 2:FEMALE | This is the Addiction Severity Index Fifth Edition interview question: G10. GENDER: 1 - Male 2 - Female | |
| .09 | interviewer | 0;9 | POINTER | 200 | This is the Addiction Severity Index Fifth Edition interview question: G11. INTERVIEWER CODE NUMBER | |
| .11 | special | 0;11 | SET OF CODES | 1:PATIENT TERMINATED 2:PATIENT REFUSED 3:PATIENT UNABLE TO RESPOND N:INTERVIEW COMPLETED | This is the Addiction Severity Index Fifth Edition interview question: G12. SPECIAL: 1 - Patient terminated 2 - Patient refused 3 - Patient unable to respond | |
| .12 | record initialized date time | 0;12 | DATE-TIME | This field contains the date/time the ASI was started. | ||
| .125 | record completed date time | 12;1 | DATE-TIME | |||
| .14 | record initialized by (trans) | 0;14 | POINTER | 200 | This field contains the pointer value of the transcriber(user who enters the data) of the ASI. | |
| .16 | race | 0;16 | SET OF CODES | 1:WHITE (not Hisp) 2:BLACK (not Hisp) 3:AMERICAN INDIAN 4:ALASKAN NATIVE 5:ASIAN/PACIFIC 6:HISPANIC-MEXICAN 7:HISPANIC-PUERTO RICAN 8:HISPANIC-CUBAN 9:HISPANIC-OTHER | This is the Addiction Severity Index Fifth Edition interview question: G17. RACE 1 WHITE (not Hisp) 2 BLACK (not Hisp) 3 AMERICAN INDIAN 4 ALASKAN NATIVE 5 ASIAN/PACIFIC 6 HISPANIC-MEXICAN 7 HISPANIC-PUERTO RICAN 8 HISPANIC-CUBAN 9 HISPANIC-OTHER | |
| .17 | religious preference | 0;17 | SET OF CODES | 1:PROTESTANT 2:CATHOLIC 3:JEWISH 4:ISLAMIC 5:OTHER 6:NONE | This is the Addiction Severity Index Fifth Edition interview question: G18. RELIGIOUS PREFERENCE 1 PROTESTANT 2 CATHOLIC 3 JEWISH 4 ISLAMIC 5 OTHER 6 NONE | |
| .51 | electronically signed | .5;1 | BOOLEAN | 0:NO 1:YES | This field is a set of codes used to store the value of whether the ASI was electronically signed or not. '0' FOR no '1' FOR yes | |
| .52 | e signature interviewer | .5;2 | POINTER | 200 | This field contains the value of the interviewer/manager from file #200, field .01 who electronically signs the ASI. | |
| .6 | general comment | .6;0 | WORD-PROCESSING | This field contains general comments the user can enter by "^C" at any prompt of the On-Line ASI. | ||
| .61 | cs medical | COMPUTED | ||||
| .62 | cs employment | COMPUTED | ||||
| .63 | cs alcohol | COMPUTED | ||||
| .635 | cs drug | COMPUTED | ||||
| .64 | cs legal | COMPUTED | ||||
| .65 | cs family | COMPUTED | ||||
| .66 | cs psychiatric | COMPUTED | ||||
| .71 | e signature transcriber | .7;1 | POINTER | 200 | This field contains the pointer value to the New Person file #200 of the user transcribing the ASI and electronically signing when the ASI is completed. | |
| .81 | person allowed to edit | .8;1 | POINTER | 200 | This field contains the value of the person allowed to edit the ASI. A pointer to the New Person file (#200). | |
| 1 | admission date | 0;10 | DATE-TIME | This is the Addiction Severity Index Fifth Edition interview question: G4. DATE OF ADMISSION This is not to be confused with the Inpatient Date of Admission in the Patient Movement file #405. This will be clinically defined. | ||
| 1.201 | addr lived yrs | 1.2;1 | FREE TEXT | This is the Addiction Severity Index Fifth Edition interview question: G14. How long have you lived at this address? In years. | ||
| 1.202 | addr lived mos | 1.2;2 | FREE TEXT | Part of G14. How long have you lived at this address? In Months. | ||
| 1.203 | addr own | 1.2;3 | SET OF CODES | 0:NO 1:YES X:QUESTION NOT ANSWERED N:QUESTION NOT APPLICABLE | This is the Addiction Severity Index Fifth Edition interview question: G15. Is this residence owned by you or your family? 0 - No 1 - Yes | |
| 2 | program | 0;15 | POINTER | 604.26 | This is the Addiction Severity Index Fifth Edition interview question: G3. PROGRAM NUMBER | |
| 2.01 | controlled environment | 2;1 | SET OF CODES | 1:NO 2:JAIL 3:ALCOHOL OR DRUG TREATMENT 4:MEDICAL TREATMENT 5:PSYCHIATRIC TREATMENT 6:OTHER X:QUESTION NOT ANSWERED N:QUESTION NOT APPLICABLE | This is the Addiction Severity Index Fifth Edition interview question: G19. Have you been in a controlled environment in the past 30 days? 1 NO 2 JAIL 3 ALCOHOL OR DRUG TREATMENT 4 MEDICAL TREATMENT 5 PSYCHIATRIC TREATMENT 6 OTHER | |
| 2.02 | other | 2;2 | FREE TEXT | This is the Addiction Severity Index Fifth Edition interview question: G19. If "other" is selected the user can enter a comment to explain. | ||
| 2.03 | how many days | 2;3 | FREE TEXT | This is the Addiction Severity Index Fifth Edition interview question: G20. How many days? | ||
| 3.01 | shipley c.q. | 3;1 | NUMERIC | This is the Addiction Severity Index Fifth Edition interview question: G21. Shipley C.Q. | ||
| 3.02 | shipley i.q. | 3;2 | NUMERIC | This is the Addiction Severity Index Fifth Edition interview question: G22. Shipley I.Q. | ||
| 3.03 | beck total score | 3;3 | NUMERIC | This is the Addiction Severity Index Fifth Edition interview question: G23. Beck Total Score | ||
| 5.5 | awaiting transmission | 5;3 | SET OF CODES | 1:AWAITING TRANSMISSION | ATR | SET AUTOMATICALLY |
| 5.6 | transmission date | 5;4 | DATE-TIME | |||
| 8.01 | hospitalizations | 8;1 | FREE TEXT | This is the Addiction Severity Index Fifth Edition interview question: M1. How many times in your life have you been hospitalized for medical problems? (Include o.d.'s, d.t.'s, exclude detox.) | ||
| 8.02 | last hospitalization yrs | 8;2 | FREE TEXT | This is the Addiction Severity Index Fifth Edition interview question: M2. How long ago was your last hospitalization for a physical problem? In Yrs. | ||
| 8.025 | last hospitalization mos | 8;10 | FREE TEXT | This is the Addiction Severity Index Fifth Edition interview question: M2. How lon was your last hospitalization for a physical problem? In Mos. | ||
| 8.03 | chronic problem | 8;3 | SET OF CODES | 0:NO 1:YES X:QUESTION NOT ANSWERED N:QUESTION NOT APPLICABLE | This is the Addiction Severity Index Fifth Edition interview question: M3. Do you have any chronic medical problems which continue to interfere with your life? 0 - No 1 - Yes | |
| 8.04 | chronic medical specify | 8;4 | FREE TEXT | This is the Addiction Severity Index Fifth Edition interview question: M3. If the answer to this question is 1 - Yes, please specify. | ||
| 8.05 | medication | 8;5 | SET OF CODES | 0:NO 1:YES X:QUESTION NOT ANSWERED N:QUESTION NOT APPLICABLE | This is the Addiction Severity Index Fifth Edition interview question: M4. Are you taking any prescribed medications on a regular basis for a physical problem? 0 - No 1 - Yes | |
| 8.06 | disability pension | 8;6 | SET OF CODES | 0:NO 1:YES X:QUESTION NOT ANSWERED N:QUESTION NOT APPLICABLE | This is the Addiction Severity Index Fifth Edition interview question: M5. Do you receive a pension for a physical disability? (Exclude psychiatric disability.) 0 - N0 1 - Yes | |
| 8.07 | specify pension | 8;7 | FREE TEXT | This is the Addiction Severity Index Fifth Edition interview question: M5. If the answer was 1 - Yes, specify the amount of the pension. | ||
| 8.08 | problem past 30 days | 8;8 | FREE TEXT | This is the Addiction Severity Index Fifth Edition interview question: M6. How many days have you experienced medical problems in the past 30? | ||
| 8.09 | scale med problem past 30d | 8;9 | POINTER | 604.45 | This is the Addiction Severity Index Fifth Edition interview question: M7. How troubled or bothered have you been by these medical problems in the past 30 days? For question M7 please ask patient to use the Patient's Rating Scale | |
| 8.11 | importance medical treatment | 8;11 | POINTER | 604.45 | This is the Addiction Severity Index Fifth Edition interview question: M8. How important to you is treatment for these medical problems? For question M8 please ask patient to use thhe Patient's Rating Scale | |
| 8.12 | interviewer's rating medical | 8;12 | FREE TEXT | This is the Addiction Severity Index Fifth Edition interview question: INTEREVIEWER SEVERITY RATING M9. How would you rate the patient's need for medical treatment? | ||
| 8.14 | patient misrep medical | 8;14 | SET OF CODES | 0:NO 1:YES X:QUESTION NOT ANSWERED N:QUESTION NOT APPLICABLE | This is the Addiction Severity Index Fifth Edition interview question: M10. Patients misrepresentation? 0 - No 1 - Yes | |
| 8.15 | patient inab undstnd medical | 8;15 | SET OF CODES | 0:NO 1:YES X:QUESTION NOT ANSWERED N:QUESTION NOT APPLICABLE | This is the Addiction Severity Index Fifth Edition interview question: M11. Patient's inability to understand? 0 - No 1 - Yes | |
| 8.5 | medical comment | 8.5;0 | WORD-PROCESSING | This field contains any comments on the patient's medical status. | ||
| 9.01 | years education completed | 9;1 | FREE TEXT | This is the Addiction Severity Index Fifth Edition interview question: E1. Education completed YRS (GED = 12 years) | ||
| 9.02 | months education completed | 9;2 | FREE TEXT | This is the Addiction Severity Index Fifth Edition interview question: E1. Education completed MOS. | ||
| 9.03 | months training or tech | 9;3 | FREE TEXT | This is the Addiction Severity Index Fifth Edition interview question: E2. Training or technical education completed MOS. | ||
| 9.04 | profession trade or skill | 9;4 | SET OF CODES | 0:NO 1:YES X:QUESTION NOT ANSWERED N:QUESTION NOT APPLICABLE | This is the Addiction Severity Index Fifth Edition interview question: E3. Do you have a profession, trade or skill? 0 - No 1 - Yes | |
| 9.05 | specify pts | 9;5 | FREE TEXT | If question E3 is answered 1 - Yes, specify the profession, trade or skill. | ||
| 9.06 | valid drivers license | 9;6 | SET OF CODES | 0:NO 1:YES X:QUESTION NOT ANSWERED N:QUESTION NOT APPLICABLE | This is the Addiction Severity Index Fifth Edition interview question: E4. Do you have a valid driver's license? 0 - No 1 - Yes | |
| 9.09 | automobile | 9;9 | SET OF CODES | 0:NO 1:YES N:QUESTION NOT APPLICABLE X:QUESTION NOT ANSWERED | This is the Addiction Severity Index Fifth Edition interview question: E5. Do you have an automobile available for use? (Answer No if no valid driver's license) 0 - No 1 - Yes | |
| 9.11 | longest full-time job yrs | 9;11 | FREE TEXT | This is the Addiction Severity Index Fifth Edition interview question: E6. How long was your longest full-time job? YRS. | ||
| 9.12 | longest full-time job mos | 9;12 | FREE TEXT | This is the Addiction Severity Index Fifth Edition interview question: E6. In MOS. | ||
| 9.14 | usual or last occupation | 9;14 | FREE TEXT | This is the Addiction Severity Index Fifth Edition interview question: E7. Usual (or last) occupation. This is selected from the Hollingshead categories. | ||
| 9.145 | usual or last occ text | 9;10 | FREE TEXT | This field contains the description of the patients Usual (or last) occupation. | ||
| 9.15 | support | 9;15 | SET OF CODES | 0:NO 1:YES X:QUESTION NOT ANSWERED N:QUESTION NOT APPLICABLE | This is the Addiction Severity Index Fifth Edition interview question: E8. Does someone contribute to your support in any way? 0 - No 1 - Yes | |
| 9.16 | majority of support | 9;16 | SET OF CODES | 0:NO 1:YES N:QUESTION NOT APPLICABLE X:QUESTION NOT ANSWERED | This is the Addiction Severity Index Fifth Edition interview question: E9. (ONLY IF ITEM 8 IS YES) Does this constitute the majority of your support? 0 - No 1 - Yes | |
| 9.17 | employment pattern | 9;17 | SET OF CODES | 1:FULL TIME (40 HRS./WK) 2:PART TIME (REG. HRS.) 3:PART TIME (IRREG., DAYWORK) 4:STUDENT 5:SERVICE 6:RETIRED/DISABILITY 7:UNEMPLOYED 8:IN CONTROLLED ENVIRONMENT X:QUESTION NOT ANSWERED N:QUESTION NOT APPLICABLE | This is the Addiction Severity Index Fifth Edition interview question: E10. Usual employment pattern, past 3 years. Choose from: 1 FULL TIME (40 HRS./WK) 2 PART TIME (REG. HRS.) 3 PART TIME (IRREG., DAYWORK) 4 STUDENT 5 SERVICE 6 RETIRED/DISABILITY 7 UNEMPLOYED 8 IN CONTROLLED ENVIRONMENT | |
| 9.18 | days paid last 30 days | 9;18 | FREE TEXT | This is the Addiction Severity Index Fifth Edition interview question: E11. How many days were you paid for working in the past 30? (Include "under the table" work.) | ||
| 9.19 | employment income | 9;19 | FREE TEXT | This is the Addiction Severity Index Fifth Edition interview question: How much money did you receive in the last 30 days? E12. Employment (net income) | ||
| 9.21 | unemployment compensation | 9;21 | FREE TEXT | This is the Addiction Severity Index Fifth Edition interview question: How much money did you receive in the last 30 days? E13 Unemployment compensation | ||
| 9.22 | welfare income | 9;22 | FREE TEXT | |||
| 9.23 | pension | 9;23 | FREE TEXT | |||
| 9.24 | mate family friends income | 9;24 | FREE TEXT | This is the Addiction Severity Index Fifth Edition interview question: How much money did you receive in the last 30 days? E16. Mate, family, or friends (Money for personal expenses). | ||
| 9.245 | mate family friends specify | 11;20 | FREE TEXT | |||
| 9.25 | illegal income | 9;25 | FREE TEXT | This is the Addiction Severity Index Fifth Edition interview question: How much money did you receive in the last 30 days? E17. Illegal | ||
| 9.29 | number of dependents | 9;29 | FREE TEXT | This is the Addiction Severity Index Fifth Edition interview question: E18. How many people depend on you for the majority of their food, shelter, etc.? | ||
| 9.31 | days emp prob last 30 | 9;31 | FREE TEXT | This is the Addiction Severity Index Fifth Edition interview question: E19. How many days have you experienced employment problems in the past 30? | ||
| 9.32 | employment prob 30 days | 9;32 | POINTER | 604.45 | This is the Addiction Severity Index Fifth Edition interview question: For question E20 please ask patient to use the Patient's rating scale E20. How troubled or bothered have you been by these employment problems in the past 30 days? | |
| 9.33 | emp counseling important | 9;33 | POINTER | 604.45 | This is the Addiction Severity Index Fifth Edition interview question: For question E21 please ask patient to use the Patient's rating scale E21. How important to you now is counseling for these employment problems? | |
| 9.34 | interviewer's rating empl | 9;34 | FREE TEXT | This is the Addiction Severity Index Fifth Edition interview question: E22. How would you rate the patient's need for employment counseling? | ||
| 9.35 | patient misrep emp | 9;35 | SET OF CODES | 0:NO 1:YES X:QUESTION NOT ANSWERED N:QUESTION NOT APPLICABLE | This is the Addiction Severity Index Fifth Edition interview question: E23. Patients misrepresentation? 0 - No 1 - Yes | |
| 9.36 | patient inab undstnd emp | 9;36 | SET OF CODES | 0:NO 1:YES X:QUESTION NOT ANSWERED N:QUESTION NOT APPLICABLE | This is the Addiction Severity Index Fifth Edition interview question: E24. Patient's inability to understand? 0 - No 1 - Yes | |
| 9.5 | employment comment | 9.5;0 | WORD-PROCESSING | |||
| 10.01 | alcohol any use l30days | 10;1 | FREE TEXT | This is the Addiction Severity Index Fifth Edition interview question: D1. Alcohol - any use at all PAST 30 days | ||
| 10.02 | alcohol any use lifetime yrs | 10;2 | FREE TEXT | This is the Addiction Severity Index Fifth Edition interview question: D1. Alcohol - any use at all LIFETIME Yrs. | ||
| 10.03 | alcohol any use roa | 10;3 | POINTER | 604.48 | This is the Addiction Severity Index Fifth Edition interview question: D1. Alcohol - any use at all USE Rt of adm. | |
| 10.04 | alcohol intox use l30days | 10;4 | FREE TEXT | This is the Addiction Severity Index Fifth Edition interview question: D2. Alcohol - To intoxication PAST 30 Days | ||
| 10.05 | alcohol intox lifetime yrs | 10;5 | FREE TEXT | This is the Addiction Severity Index Fifth Edition interview question: D2. Alcohol - To intoxication LIFETIME Yrs. | ||
| 10.06 | alcohol intox roa | 10;6 | POINTER | 604.48 | This is the Addiction Severity Index Fifth Edition interview question: D2. Alcohol - To intoxication USE Rt of adm. | |
| 10.07 | heroin l30days | 10;7 | FREE TEXT | This is the Addiction Severity Index Fifth Edition interview question: D3. Heroin PAST 30 Days | ||
| 10.08 | heroin lifetime yrs | 10;8 | FREE TEXT | This is the Addiction Severity Index Fifth Edition interview question: D3. Heroin LIFETIME Yrs. | ||
| 10.09 | heroin roa | 10;9 | POINTER | 604.48 | This is the Addiction Severity Index Fifth Edition interview question: D3. Heroin USE Rt of adm. | |
| 10.11 | methadone l30days | 10;11 | FREE TEXT | This is the Addiction Severity Index Fifth Edition interview question: D4. Methadone PAST 30 Days | ||
| 10.12 | methadone lifetime yrs | 10;12 | FREE TEXT | This is the Addiction Severity Index Fifth Edition interview question: D4. Methadone LIFETIME Yrs. | ||
| 10.14 | methadone roa | 10;14 | POINTER | 604.48 | This is the Addiction Severity Index Fifth Edition interview question: D4. Methadone USE Rt of adm. | |
| 10.15 | other opiates/ana l30days | 10;15 | FREE TEXT | This is the Addiction Severity Index Fifth Edition interview question: D5. Other opiates/analgesics PAST 30 Days | ||
| 10.16 | other opiates/ana lifetime yrs | 10;16 | FREE TEXT | This is the Addiction Severity Index Fifth Edition interview question: D5. Other opiates/analgesics LIFETIME Yrs. | ||
| 10.17 | other opiates/ana roa | 10;17 | POINTER | 604.48 | This is the Addiction Severity Index Fifth Edition interview question: D5. Other opiates/analgesics USE Rt of adm. | |
| 10.18 | barbituates l30days | 10;18 | FREE TEXT | This is the Addiction Severity Index Fifth Edition interview question: D6. Barbiturates PAST 30 Days | ||
| 10.19 | barbituates lifetime yrs | 10;19 | FREE TEXT | This is the Addiction Severity Index Fifth Edition interview question: D6. Barbiturates LIFETIME Yrs. | ||
| 10.21 | barbituates roa | 10;21 | POINTER | 604.48 | This is the Addiction Severity Index Fifth Edition interview question: D6. Barbiturates USE Rt of adm. | |
| 10.22 | other s h t l30days | 10;22 | FREE TEXT | This is the Addiction Severity Index Fifth Edition interview question: D7. Other sed/hyp/tranq. PAST 30 Days | ||
| 10.23 | other s h t lifetime yrs | 10;23 | FREE TEXT | This is the Addiction Severity Index Fifth Edition interview question: D7. Other sed/hyp/tranq. LIFETIME Yrs. | ||
| 10.24 | other s h t roa | 10;24 | POINTER | 604.48 | This is the Addiction Severity Index Fifth Edition interview question: D7. Other sed/hyp/tranq. USE Rt of adm. | |
| 10.25 | cocaine l30days | 10;25 | FREE TEXT | This is the Addiction Severity Index Fifth Edition interview question: D8. Cocaine PAST 30 Days | ||
| 10.26 | cocaine lifetime yrs | 10;26 | FREE TEXT | This is the Addiction Severity Index Fifth Edition interview question: D8. Cocaine LIFETIME Yrs. | ||
| 10.27 | cocaine roa | 10;27 | POINTER | 604.48 | This is the Addiction Severity Index Fifth Edition interview question: D8. Cocaine USE Rt of adm. | |
| 10.28 | amphetamines l30days | 10;28 | FREE TEXT | This is the Addiction Severity Index Fifth Edition interview question: D9. Amphetamines PAST 30 Days | ||
| 10.29 | amphetamines lifetime yrs | 10;29 | FREE TEXT | This is the Addiction Severity Index Fifth Edition interview question: D9. Amphetamines LIFETIME Yrs. | ||
| 10.31 | amphetamines roa | 10;31 | POINTER | 604.48 | This is the Addiction Severity Index Fifth Edition interview question: D9. Amphetamines Rt of adm. | |
| 10.32 | cannabis l30days | 10;32 | FREE TEXT | This is the Addiction Severity Index Fifth Edition interview question: D10. Cannabis PAST 30 Days | ||
| 10.33 | cannabis lifetime yrs | 10;33 | FREE TEXT | This is the Addiction Severity Index Fifth Edition interview question: D10. Cannabis LIFETIME Yrs | ||
| 10.34 | cannabis roa | 10;34 | POINTER | 604.48 | This is the Addiction Severity Index Fifth Edition interview question: D10. Cannabis USE Rt of adm. | |
| 10.35 | hallucinogens l30days | 10;35 | FREE TEXT | This is the Addiction Severity Index Fifth Edition interview question: D11. Hallucinogens PAST 30 Days | ||
| 10.36 | hallucinogens lifetime yrs | 10;36 | FREE TEXT | This is the Addiction Severity Index Fifth Edition interview question: D10. Hallucinogens LIFETIME Yrs. | ||
| 10.37 | hallucinogens roa | 10;37 | POINTER | 604.48 | This is the Addiction Severity Index Fifth Edition interview question: D11. Hallucinogens USE Rt of adm. | |
| 10.38 | inhalants l30days | 10;38 | FREE TEXT | This is the Addiction Severity Index Fifth Edition interview question: D12. Inhalants PAST 30 Days | ||
| 10.39 | inhalants lifetime yrs | 10;39 | FREE TEXT | This is the Addiction Severity Index Fifth Edition interview question: D12. Inhalants LIFETIME Yrs. | ||
| 10.41 | inhalants roa | 10;41 | POINTER | 604.48 | This is the Addiction Severity Index Fifth Edition interview question: D12. Inhalants USE Rt of adm. | |
| 10.42 | mt1pd l30days | 10;42 | FREE TEXT | This is the Addiction Severity Index Fifth Edition interview question: D13. More than one substance per day (Incl. alcohol) PAST 30 Days | ||
| 10.43 | mt1pd lifetime yrs | 10;43 | FREE TEXT | This is the Addiction Severity Index Fifth Edition interview question: D13. More than one substance per day (Incl. alcohol). LIFETIME Yrs. | ||
| 10.45 | major problem | 10;45 | POINTER | 604.77 | This is the Addiction Severity Index Fifth Edition interview question: D14. Which substance is the major problem? Please code as above or 00-No problem;15-Alcohol & Drug (Dual addiction); 16-Polydrug; when not clear ask patient. | |
| 10.5 | drug/alcohol comment | 10.5;0 | WORD-PROCESSING | This field contains the comments made by the interviewer from the patients drug/alcohol use section of the ASI. | ||
| 11.01 | abstinent months | 11;1 | FREE TEXT | This is the Addiction Severity Index Fifth Edition interview question: D15. How long was your last period of voluntary abstinence from this major substance? (00 - never abstinent) MOS. | ||
| 11.02 | abstinent ended months ago | 11;2 | FREE TEXT | This is the Addiction Severity Index Fifth Edition interview question: D16 How many months ago did this abstinence end? (00 - still abstinent) | ||
| 11.03 | times had alcohol d.t.'s | 11;3 | FREE TEXT | This is the Addiction Severity Index Fifth Edition interview question: D17. How many times have you: Had alcohol d.t's. | ||
| 11.04 | times overdosed on drugs | 11;4 | FREE TEXT | This is the Addiction Severity Index Fifth Edition interview question: D18. How many times have you: Overdosed on drugs | ||
| 11.05 | alcohol abuse lifetime | 11;5 | FREE TEXT | This is the Addiction Severity Index Fifth Edition interview question: D19. How many times in your life have you been treated for: Alcohol Abuse: | ||
| 11.06 | drug abuse lifetime | 11;6 | FREE TEXT | This is the Addiction Severity Index Fifth Edition interview question: D20. How many times in your life have you been treated for: Drug Abuse: | ||
| 11.07 | times detox only alcohol | 11;7 | FREE TEXT | This is the Addiction Severity Index Fifth Edition interview question: D21. How many of these were detox only? Alcohol | ||
| 11.08 | times detox only drug | 11;8 | FREE TEXT | This is the Addiction Severity Index Fifth Edition interview question: D22. How many of these were detox only? Drug? | ||
| 11.09 | spent l30d alcohol | 11;9 | FREE TEXT | This is the Addiction Severity Index Fifth Edition interview question: D23. How much would you say you spent during the past 30 days on: Alcohol | ||
| 11.11 | spent l30d drugs | 11;11 | FREE TEXT | This is the Addiction Severity Index Fifth Edition interview question: D24. How much would you say you spent during the past 30 days on: Drugs | ||
| 11.12 | days tmt d/a l30d outp | 11;12 | FREE TEXT | This is the Addiction Severity Index Fifth Edition interview question: D25. How many days have you been treated in an outpatient setting for alcohol or drugs in the past 30 days (Include NA, AA). | ||
| 11.14 | days l30d alcohol prob | 11;14 | FREE TEXT | This is the Addiction Severity Index Fifth Edition interview question: D26. How many days in the past 30 have you experienced: Alcohol Problems | ||
| 11.15 | days l30d drug prob | 11;15 | FREE TEXT | This is the Addiction Severity Index Fifth Edition interview question: D27. How many days in the past 30 have you experienced: Drug Problems | ||
| 11.16 | troubled alcohol l30d | 11;16 | POINTER | 604.45 | This is the Addiction Severity Index Fifth Edition interview question: FOR QUESTION D28 PLEASE ASK PATIENT TO USE THE PATIENTS RATING SCALE D28. How troubled or bothered have you been in the past 30 days by these: Alcohol Problems | |
| 11.165 | tmt important alcohol | 11;24 | POINTER | 604.45 | This is the Addiction Severity Index Fifth Edition interview question: FOR QUESTION D30 PLEASE ASK PATIENT TO USE THE PATIENTS RATING SCALE D30. How important to you now is treatment for these: Alcohol Problems | |
| 11.17 | troubled drug l30d | 11;17 | POINTER | 604.45 | This is the Addiction Severity Index Fifth Edition interview question: FOR QUESTION D29 PLEASE ASK PATIENT TO USE THE PATIENTS RATING SCALE D29. How troubled or bothered have you been in the past 30 days by these: Drug Problems | |
| 11.175 | tmt important drug | 11;25 | POINTER | 604.45 | This is the Addiction Severity Index Fifth Edition interview question: FOR QUESTION D31 PLEASE ASK PATIENT TO USE THE PATIENTS RATING SCALE D31. How important to you now is treatment for these: Drug Problems | |
| 11.18 | interviewer's rating alcohol | 11;18 | FREE TEXT | This is the Addiction Severity Index Fifth Edition interview question: INERVIEWER SEVERITY RATING D31. How would you rate the patient's need for treatment for: Alcohol Abuse | ||
| 11.185 | interviewer's rating drug | 11;13 | FREE TEXT | This is the Addiction Severity Index Fifth Edition interview question: INERVIEWER SEVERITY RATING D33. How would you rate the patient's need for treatment for: Drug Abuse | ||
| 11.19 | patient misrep d/a | 11;19 | SET OF CODES | 0:NO 1:YES X:QUESTION NOT ANSWERED N:QUESTION NOT APPLICABLE | This is the Addiction Severity Index Fifth Edition interview question: CONFIDENCE RATINGS Is the above information significantly distorted by: D34. Patient's misrepresentation? 0 - No 1 - Yes | |
| 11.21 | patient inab undstnd d/a | 11;21 | BOOLEAN | 0:NO 1:YES | This is the Addiction Severity Index Fifth Edition interview question: CONFIDENCE RATINGS Is the above information significantly distorted by: D35. Patient's inability to understand? 0 - No 1 - Yes | |
| 14.01 | adm prompted by cjs | 14;1 | SET OF CODES | 0:NO 1:YES X:QUESTION NOT ANSWERED N:QUESTION NOT APPLICABLE | This is the Addiction Severity Index Fifth Edition interview question: L1. Was this admission prompted or suggested by the criminal justice system (judge, probation/parole officer, etc.) 0 - No 1 - Yes | |
| 14.02 | on probation or parole | 14;2 | SET OF CODES | 0:NO 1:YES X:QUESTION NOT ANSWERED N:QUESTION NOT APPLICABLE | This is the Addiction Severity Index Fifth Edition interview question: L2. Are you on probation or parole? 0 - No 1 - Yes | |
| 14.03 | shoplifting/vandalism | 14;3 | FREE TEXT | This is the Addiction Severity Index Fifth Edition interview question: How many times in your life have you been arrested and charged with the following: L3 - shoplifting,vandalism | ||
| 14.04 | parole/probation violations | 14;4 | FREE TEXT | This is the Addiction Severity Index Fifth Edition interview question: How many times in your life have you been arrested and charged with the following: L4 - parole/probation violations | ||
| 14.05 | drug charges | 14;5 | FREE TEXT | This is the Addiction Severity Index Fifth Edition interview question: How many times in your life have you been arrested and charged with the following: L5 - drug charges | ||
| 14.06 | forgery | 14;6 | FREE TEXT | This is the Addiction Severity Index Fifth Edition interview question: How many times in your life have you been arrested and charged with the following: L6 - forgery | ||
| 14.07 | weapons offense | 14;7 | FREE TEXT | This is the Addiction Severity Index Fifth Edition interview question: How many times in your life have you been arrested and charged with the following: L7 - weapons offense | ||
| 14.08 | burglary larceny b & e | 14;8 | FREE TEXT | This is the Addiction Severity Index Fifth Edition interview question: How many times in your life have you been arrested and charged with the following: L8 - burglary, larceny, B & E | ||
| 14.09 | robbery | 14;9 | FREE TEXT | This is the Addiction Severity Index Fifth Edition interview question: How many times in your life have you been arrested and charged with the following: L9 - robbery | ||
| 14.11 | assault | 14;11 | FREE TEXT | This is the Addiction Severity Index Fifth Edition interview question: How many times in your life have you been arrested and charged with the following: L10 - assault | ||
| 14.12 | arson | 14;12 | FREE TEXT | This is the Addiction Severity Index Fifth Edition interview question: How many times in your life have you been arrested and charged with the following: L11 - arson | ||
| 14.14 | rape | 14;14 | FREE TEXT | This is the Addiction Severity Index Fifth Edition interview question: How many times in your life have you been arrested and charged with the following: L12 - rape | ||
| 14.15 | homicide manslaughter | 14;15 | FREE TEXT | This is the Addiction Severity Index Fifth Edition interview question: How many times in your life have you been arrested and charged with the following: L13 - homicide, manslaugter | ||
| 14.16 | prostitution | 14;16 | FREE TEXT | This is the Addiction Severity Index Fifth Edition interview question: How many times in your life have you been arrested and charged with the following: L14 - prostitution | ||
| 14.17 | contempt of court | 14;17 | FREE TEXT | This is the Addiction Severity Index Fifth Edition interview question: How many times in your life have you been arrested and charged with the following: L15 - contempt of court | ||
| 14.18 | other charges | 14;18 | FREE TEXT | This is the Addiction Severity Index Fifth Edition interview question: How many times in your life have you been arrested and charged with the following: L16 - other | ||
| 14.19 | convictions | 14;19 | FREE TEXT | This is the Addiction Severity Index Fifth Edition interview question: L17. How many of these charges resulted in convictions? | ||
| 14.21 | dcvpi | 14;21 | FREE TEXT | This is the Addiction Severity Index Fifth Edition interview question: How many times in your life have you been charged with the following: L18. Disorderly conduct, vagrancy, public intoxication | ||
| 14.22 | driving while intoxicated | 14;22 | FREE TEXT | This is the Addiction Severity Index Fifth Edition interview question: How many times in your life have you been charged with the following: L19. Driving while intoxicated | ||
| 14.23 | major driving violations | 14;23 | FREE TEXT | This is the Addiction Severity Index Fifth Edition interview question: How many times in your life have you been charged with the following: L20. Major driving violations (reckless driving, speeding, no license, etc.) | ||
| 14.24 | month incarcerated lifetime | 14;24 | FREE TEXT | This is the Addiction Severity Index Fifth Edition interview question: L21. How many months were you incarcerated in your life? MOS. | ||
| 14.25 | months last incarceration | 14;25 | FREE TEXT | This is the Addiction Severity Index Fifth Edition interview question: L22. How long was your last incarceration? MOS. | ||
| 14.26 | last incarcerated for | 14;26 | POINTER | 604.3 | This is the Addiction Severity Index Fifth Edition interview question: L23. What was it for? (Use ocde 3-16, 18-20. If multiple charges, code most severe) | |
| 14.265 | incarceration code | COMPUTED | ||||
| 14.27 | awaiting cts | 14;27 | SET OF CODES | 0:NO 1:YES X:QUESTION NOT ANSWERED N:QUESTION NOT APPLICABLE | This is the Addiction Severity Index Fifth Edition interview question: L24. Are you presently awaiting charges, trial or sentence? 0 - No 1 - Yes | |
| 14.28 | for what | 14;28 | POINTER | 604.3 | This is the Addiction Severity Index Fifth Edition interview question: L25. What for (If multiple charges, use most severe). | |
| 14.29 | detained/incarcerated l30d | 14;29 | FREE TEXT | This is the Addiction Severity Index Fifth Edition interview question: L26. How many days in the past 30 were you detained or incarcerated? | ||
| 14.31 | illegal activities/profit l30d | 14;31 | FREE TEXT | This is the Addiction Severity Index Fifth Edition interview question: L27. How many days in the past 30 have you engaged in illegal activities for profit? | ||
| 14.32 | legal prob scale | 14;32 | POINTER | 604.45 | This is the Addiction Severity Index Fifth Edition interview question: FOR QUESTION L28 PLEASE ASK PATIENT TO USE THE PATIENT'S RATING SCALE L28. How serious do you feel your present legal problems are? (Exclude civil problems) | |
| 14.33 | legal importance scale | 14;33 | POINTER | 604.45 | This is the Addiction Severity Index Fifth Edition interview question: FOR QUESTION L29 PLEASE ASK PATIENT TO USE THE PATIENT'S RATING SCALE L29. How important to you now is counseling or referral for these legal problems? | |
| 14.34 | interviewer's rating legal | 14;34 | FREE TEXT | This is the Addiction Severity Index Fifth Edition interview question: L30. How would you rate the patient's need for legal services or counseling? | ||
| 14.35 | patient misrep legal | 14;35 | SET OF CODES | 0:NO 1:YES X:QUESTION NOT ANSWERED N:QUESTION NOT APPLICABLE | This is the Addiction Severity Index Fifth Edition interview question: L30. Patient's misrepresentation? 0 - No 1 - Yes | |
| 14.36 | patient inab undstnd legal | 14;36 | SET OF CODES | 0:NO 1:YES X:QUESTION NOT ANSWERED N:QUESTION NOT APPLICABLE | This is the Addiction Severity Index Fifth Edition interview question: L32. Patient's inability to understand? 0 - No 1 - Yes | |
| 14.5 | legal comment | 14.5;0 | WORD-PROCESSING | This field contains comments on the patient's Legal Status. | ||
| 15.01 | ms grandmother alc | 15;1 | POINTER | 604.5 | This is the Addiction Severity Index Fifth Edition interview question: Have any of your relatives had what you call a significant drinking, drug use or psych problem - one that did or should have led to treatment? Mother's Side H1. Grandmother Alcohol Direction: Place "0" in relative category where the answer is clearly no for all relatives in the category;"1" where the answer is clearly yes for any relative within the category; "X" where the answer is uncertain or "I don't know" and "N" where there never was a relative from that category. Code most problematic relative in cases of multiple members per category. | |
| 15.02 | ms grandmother drug | 15;2 | POINTER | 604.5 | This is the Addiction Severity Index Fifth Edition interview question: Have any of your relatives had what you call a significant drinking, drug use or psych problem - one that did or should have led to treatment? Mother's Side H1. Grandmother Drug Direction: Place "0" in relative category where the answer is clearly no for all relatives in the category; "1" where the answer is clearly yes for any relative within the category; "X" where the answer is uncertain or "I don't know" and "N" where there never was a relative from that category. Code most problematic relative in cases of multiple members per category. | |
| 15.03 | ms grandmother psych | 15;3 | POINTER | 604.5 | This is the Addiction Severity Index Fifth Edition interview question: Have any of your relatives had what you call a significant drinking, drug use or psych problem - one that did or should have led to treatment? Mother's Side H. Grandmother Psych Direction: Place "0" in relative category where the answer is clearly no for all relatives in the category; "1" where the answer is clearly yes for any relative within the category; "X" where the answer is uncertain or "I don't know" and "N" where there never was a relative from that category. Code most problematic relative in cases of multiple members per category. | |
| 15.04 | ms grandfather alc | 15;4 | POINTER | 604.5 | This is the Addiction Severity Index Fifth Edition interview question: Have any of your relatives had what you call a significant drinking, drug use or psych problem - one that did or should have led to treatment? Mother's Side H2. Grandfather Alcohol Direction: Place "0" in relative category where the answer is clearly no for all relatives in the category; "1" where the answer is clearly yes for any relative within the category; "X" where the answer is uncertain or "I don't know" and "N" where there never was a relative from that category. Code most problematic relative in cases of multiple members per category. | |
| 15.05 | ms grandfather drug | 15;5 | POINTER | 604.5 | This is the Addiction Severity Index Fifth Edition interview question: Have any of your relatives had what you call a significant drinking, drug use or psych problem - one that did or should have led to treatment? Mother's Side H2. Grandfather Drug Direction: Place "0" in relative category where the answer is clearly no for all relatives in the category; "1" where the answer is clearly yes for any relative within the category; "X" where the answer is uncertain or "I don't know" and "N" where there never was a relative from that category. Code most problematic relative in cases of multiple members per category. | |
| 15.06 | ms grandfather psych | 15;6 | POINTER | 604.5 | This is the Addiction Severity Index Fifth Edition interview question: Have any of your relatives had what you call a significant drinking, drug use or psych problem - one that did or should have led to treatment? Mother's Side H2. Grandfather Psych Direction: Place "0" in relative category where the answer is clearly no for all relatives in the category; "1" where the answer is clearly yes for any relative within the category; "X" where the answer is uncertain or "I don't know" and "N" where there never was a relative from that category. Code most problematic relative in cases of multiple members per category. | |
| 15.07 | ms mother alc | 15;7 | POINTER | 604.5 | This is the Addiction Severity Index Fifth Edition interview question: Have any of your relatives had what you call a significant drinking, drug use or psych problem - one that did or should have led to treatment? Mother's Side H3. Mother Alcohol Direction: Place "0" in relative category where the answer is clearly no for all relatives in the category; "1" where the answer is clearly yes for any relative within the category; "X" where the answer is uncertain or "I don't know" and "N" where there never was a relative from that category. Code most problematic relative in cases of multiple members per category. | |
| 15.08 | ms mother drug | 15;8 | POINTER | 604.5 | This is the Addiction Severity Index Fifth Edition interview question: Have any of your relatives had what you call a significant drinking, drug use or psych problem - one that did or should have led to treatment? Mother's Side H3. Mother Drug Direction: Place "0" in relative category where the answer is clearly no for all relatives in the category; "1" where the answer is clearly yes for any relative within the category; "X" where the answer is uncertain or "I don't know" and "N" where there never was a relative from that category. Code most problematic relative in cases of multiple members per category. | |
| 15.09 | ms mother psych | 15;9 | POINTER | 604.5 | This is the Addiction Severity Index Fifth Edition interview question: Have any of your relatives had what you call a significant drinking, drug use or psych problem - one that did or should have led to treatment? Mother's Side H3. Mother Psych Direction: Place "0" in relative category where the answer is clearly no for all relatives in the category; "1" where the answer is clearly yes for any relative within the category; "X" where the answer is uncertain or "I don't know" and "N" where there never was a relative from that category. Code most problematic relative in cases of multiple members per category. | |
| 15.11 | ms aunt alc | 15;11 | POINTER | 604.5 | This is the Addiction Severity Index Fifth Edition interview question: Have any of your relatives had what you call a significant drinking, drug use or psych problem - one that did or should have led to treatment? Mother's Side H4. Aunt Alcohol Direction: Place "0" in relative category where the answer is clearly no for all relatives in the category; "1" where the answer is clearly yes for any relative within the category; "X" where the answer is uncertain or "I don't know" and "N" where there never was a relative from that category. Code most problematic relative in cases of multiple members per category. | |
| 15.12 | ms aunt drug | 15;12 | POINTER | 604.5 | This is the Addiction Severity Index Fifth Edition interview question: Have any of your relatives had what you call a significant drinking, drug use or psych problem - one that did or should have led to treatment? Mother's Side H4. Aunt Drug Direction: Place "0" in relative category where the answer is clearly no for all relatives in the category;"1" where the answer is clearly yes for any relative within the category; "X" where the answer is uncertain or "I don't know" and "N" where there never was a relative from that category. Code most problematic relative in cases of multiple members per category. | |
| 15.14 | ms aunt psych | 15;14 | POINTER | 604.5 | This is the Addiction Severity Index Fifth Edition interview question: Have any of your relatives had what you call a significant drinking, drug use or psych problem - one that did or should have led to treatment? Mother's Side H4. Aunt Psych Direction: Place "0" in relative category where the answer is clearly no for all relatives in the category; "1" where the answer is clearly yes for any relative within the category; "X" where the answer is uncertain or "I don't know" and "N" where there never was a relative from that category. Code most problematic relative in cases of multiple members per category. | |
| 15.15 | ms uncle alc | 15;15 | POINTER | 604.5 | This is the Addiction Severity Index Fifth Edition interview question: Have any of your relatives had what you call a significant drinking, drug use or psych problem - one that did or should have led to treatment? Mother's Side H5. Uncle Alcohol Direction: Place "0" in relative category where the answer is clearly no for all relatives in the category; "1" where the answer is clearly yes for any relative within the category; "X" where the answer is uncertain or "I don't know" and "N" where there never was a relative from that category. Code most problematic relative in cases of multiple members per category. | |
| 15.16 | ms uncle drug | 15;16 | POINTER | 604.5 | This is the Addiction Severity Index Fifth Edition interview question: Have any of your relatives had what you call a significant drinking, drug use or psych problem - one that did or should have led to treatment? Mother's Side H5. Uncle Drug Direction: Place "0" in relative category where the answer is clearly no for all relatives in the category; "1" where the answer is clearly yes for any relative within the category; "X" where the answer is uncertain or "I don't know" and "N" where there never was a relative from that category. Code most problematic relative in cases of multiple members per category. | |
| 15.17 | ms uncle psych | 15;17 | POINTER | 604.5 | This is the Addiction Severity Index Fifth Edition interview question: Have any of your relatives had what you call a significant drinking, drug use or psych problem - one that did or should have led to treatment? Mother's Side H5. Uncle Psych Direction: Place "0" in relative category where the answer is clearly no for all relatives in the category; "1" where the answer is clearly yes for any relative within the category; "X" where the answer is uncertain or "I don't know" and "N" where there never was a relative from that category. Code most problematic relative in cases of multiple members per category. | |
| 15.18 | fs grandmother alc | 15;18 | POINTER | 604.5 | This is the Addiction Severity Index Fifth Edition interview question: Have any of your relatives had what you call a significant drinking, drug use or psych problem - one that did or should have led to treatment? Father's Side H6. Grandmother Alcohol Direction: Place "0" in relative category where the answer is clearly no for all relatives in the category; "1" where the answer is clearly yes for any relative within the category; "X" where the answer is uncertain or "I don't know" and "N" where there never was a relative from that category. Code most problematic relative in cases of multiple members per category. | |
| 15.19 | fs grandmother drug | 15;19 | POINTER | 604.5 | This is the Addiction Severity Index Fifth Edition interview question: Have any of your relatives had what you call a significant drinking, drug use or psych problem - one that did or should have led to treatment? Father's Side H6. Grandmother Drug Direction: Place "0" in relative category where the answer is clearly no for all relatives in the category; "1" where the answer is clearly yes for any relative within the category; "X" where the answer is uncertain or "I don't know" and "N" where there never was a relative from that category. Code most problematic relative in cases of multiple members per category. | |
| 15.21 | fs grandmother psych | 15;21 | POINTER | 604.5 | This is the Addiction Severity Index Fifth Edition interview question: Have any of your relatives had what you call a significant drinking, drug use or psych problem - one that did or should have led to treatment? Father's Side H6. Grandmother Psych Direction: Place "0" in relative category where the answer is clearly no for all relatives in the category; "1" where the answer is clearly yes for any relative within the category; "X" where the answer is uncertain or "I don't know" and "N" where there never was a relative from that category. Code most problematic relative in cases of multiple members per category. | |
| 15.22 | fs grandfather alc | 15;22 | POINTER | 604.5 | This is the Addiction Severity Index Fifth Edition interview question: Have any of your relatives had what you call a significant drinking, drug use or psych problem - one that did or should have led to treatment? Father's Side H7. Grand Alcohol Direction: Place "0" in relative category where the answer is clearly no for all relatives in the category;"1" where the answer is clearly yes for any relative within the category; "X" where the answer is uncertain or "I don't know" and "N" where there never was a relative from that category. Code most problematic relative in cases of multiple members per category. | |
| 15.23 | fs grandfather drug | 15;23 | POINTER | 604.5 | This is the Addiction Severity Index Fifth Edition interview question: Have any of your relatives had what you call a significant drinking, drug use or psych problem - one that did or should have led to treatment? Father's Side H7. Grandfather Drug Direction: Place "0" in relative category where the answer is clearly no for all relatives in the category; "1" where the answer is clearly yes for any relative within the category; "X" where the answer is uncertain or "I don't know" and "N" where there never was a relative from that category. Code most problematic relative in cases of multiple members per category. | |
| 15.24 | fs grandfather psych | 15;24 | POINTER | 604.5 | This is the Addiction Severity Index Fifth Edition interview question: Have any of your relatives had what you call a significant drinking, drug use or psych problem - one that did or should have led to treatment? Father's Side H7. Grandfather Psych Direction: Place "0" in relative category where the answer is clearly no for all relatives in the category; "1" where the answer is clearly yes for any relative within the category; "X" where the answer is uncertain or "I don't know" and "N" where there never was a relative from that category. Code most problematic relative in cases of multiple members per category. | |
| 15.25 | fs father alc | 15;25 | POINTER | 604.5 | This is the Addiction Severity Index Fifth Edition interview question: Have any of your relatives had what you call a significant drinking, drug use or psych problem - one that did or should have led to treatment? Father's Side H6. Father Alcohol Direction: Place "0" in relative category where the answer is clearly no for all relatives in the category; "1" where the answer is clearly yes for any relative within the category; "X" where the answer is uncertain or "I don't know" and "N" where there never was a relative from that category. Code most problematic relative in cases of multiple members per category. | |
| 15.26 | fs father drug | 15;26 | POINTER | 604.5 | This is the Addiction Severity Index Fifth Edition interview question: Have any of your relatives had what you call a significant drinking, drug use or psych problem - one that did or should have led to treatment? Father's Side H8. Father Drug Direction: Place "0" in relative category where the answer is clearly no for all relatives in the category; "1" where the answer is clearly yes for any relative within the category; "X" where the answer is uncertain or "I don't know" and "N" where there never was a relative from that category. Code most problematic relative in cases of multiple members per category. | |
| 15.27 | fs father psych | 15;27 | POINTER | 604.5 | This is the Addiction Severity Index Fifth Edition interview question: Have any of your relatives had what you call a significant drinking, drug use or psych problem - one that did or should have led to treatment? Father's Side H8. Father Psych Direction: Place "0" in relative category where the answer is clearly no for all relatives in the category;"1" where the answer is clearly yes for any relative within the category; "X" where the answer is uncertain or "I don't know" and "N" where there never was a relative from that category. Code most problematic relative in cases of multiple members per category. | |
| 16.01 | fs aunt alc | 16;1 | POINTER | 604.5 | This is the Addiction Severity Index Fifth Edition interview question: Have any of your relatives had what you call a significant drinking, drug use or psych problem - one that did or should have led to treatment? Father's Side H9. Aunt Alcohol Direction: Place "0" in relative category where the answer is clearly no for all relatives in the category; "1" where the answer is clearly yes for any relative within the category; "X" where the answer is uncertain or "I don't know" and "N" where there never was a relative from that category. Code most problematic relative in cases of multiple members per category. | |
| 16.02 | fs aunt drug | 16;2 | POINTER | 604.5 | This is the Addiction Severity Index Fifth Edition interview question: Have any of your relatives had what you call a significant drinking, drug use or psych problem - one that did or should have led to treatment? Father's Side H9. Aunt Drug Direction: Place "0" in relative category where the answer is clearly no for all relatives in the category;"1" where the answer is clearly yes for any relative within the category; "X" where the answer is uncertain or "I don't know" and "N" where there never was a relative from that category. Code most problematic relative in cases of multiple members per category. | |
| 16.03 | fs aunt psych | 16;3 | POINTER | 604.5 | This is the Addiction Severity Index Fifth Edition interview question: Have any of your relatives had what you call a significant drinking, drug use or psych problem - one that did or should have led to treatment? Father's Side H9. Aunt Psych Direction: Place "0" in relative category where the answer is clearly no for all relatives in the category;"1" where the answer is clearly yes for any relative within the category; "X" where the answer is uncertain or "I don't know" and "N" where there never was a relative from that category. Code most problematic relative in cases of multiple members per category. | |
| 16.04 | fs uncle alc | 16;4 | POINTER | 604.5 | This is the Addiction Severity Index Fifth Edition interview question: Have any of your relatives had what you call a significant drinking, drug use or psych problem - one that did or should have led to treatment? Father's Side H10. Uncle Alcohol Direction: Place "0" in relative category where the answer is clearly no for all relatives in the category; "1" where the answer is clearly yes for any relative within the category; "X" where the answer is uncertain or "I don't know" and "N" where there never was a relative from that category. Code most problematic relative in cases of multiple members per category. | |
| 16.05 | fs uncle drug | 16;5 | POINTER | 604.5 | This is the Addiction Severity Index Fifth Edition interview question: Have any of your relatives had what you call a significant drinking, drug use or psych problem - one that did or should have led to treatment? Father's Side H10. Uncle Drug Direction: Place "0" in relative category where the answer is clearly no for all relatives in the category;"1" where the answer is clearly yes for any relative within the category; "X" where the answer is uncertain or "I don't know" and "N" where there never was a relative from that category. Code most problematic relative in cases of multiple members per category. | |
| 16.06 | fs uncle psych | 16;6 | POINTER | 604.5 | This is the Addiction Severity Index Fifth Edition interview question: Have any of your relatives had what you call a significant drinking, drug use or psych problem - one that did or should have led to treatment? Father's Side H10. Uncle Psych Direction: Place "0" in relative category where the answer is clearly no for all relatives in the category;"1" where the answer is clearly yes for any relative within the category; "X" where the answer is uncertain or "I don't know" and "N" where there never was a relative from that category. Code most problematic relative in cases of multiple members per category. | |
| 16.07 | brother alc | 16;7 | POINTER | 604.5 | This is the Addiction Severity Index Fifth Edition interview question: Have any of your relatives had what you call a significant drinking, drug use or psych problem - one that did or should have led to treatment? Siblings H11. Brother Alcohol Direction: Place "0" in relative category where the answer is clearly no for all relatives in the category; "1" where the answer is clearly yes for any relative within the category; "X" where the answer is uncertain or "I don't know" and "N" where there never was a relative from that category. Code most problematic relative in cases of multiple members per category. | |
| 16.08 | brother drug | 16;8 | POINTER | 604.5 | This is the Addiction Severity Index Fifth Edition interview question: Have any of your relatives had what you call a significant drinking, drug use or psych problem - one that did or should have led to treatment? Siblings H11. Brother Drug Direction: Place "0" in relative category where the answer is clearly no for all relatives in the category; "1" where the answer is clearly yes for any relative within the category; "X" where the answer is uncertain or "I don't know" and "N" where there never was a relative from that category. Code most problematic relative in cases of multiple members per category. | |
| 16.09 | brother psych | 16;9 | POINTER | 604.5 | This is the Addiction Severity Index Fifth Edition interview question: Have any of your relatives had what you call a significant drinking, drug use or psych problem - one that did or should have led to treatment? Siblings H11. Brother Psych Direction: Place "0" in relative category where the answer is clearly no for all relatives in the category; "1" where the answer is clearly yes for any relative within the category; "X" where the answer is uncertain or "I don't know" and "N" where there never was a relative from that category. Code most problematic relative in cases of multiple members per category. | |
| 16.11 | sister alc | 16;11 | POINTER | 604.5 | This is the Addiction Severity Index Fifth Edition interview question: Have any of your relatives had what you call a significant drinking, drug use or psych problem - one that did or should have led to treatment? Siblings H12. Sister Alcohol Direction: Place "0" in relative category where the answer is clearly no for all relatives in the category; "1" where the answer is clearly yes for any relative within the category; "X" where the answer is uncertain or "I don't know" and "N" where there never was a relative from that category. Code most problematic relative in cases of multiple members per category. | |
| 16.12 | sister drug | 16;12 | POINTER | 604.5 | This is the Addiction Severity Index Fifth Edition interview question: Have any of your relatives had what you call a significant drinking, drug use or psych problem - one that did or should have led to treatment? Siblings H12. Sister Drug Direction: Place "0" in relative category where the answer is clearly no for all relatives in the category; "1" where the answer is clearly yes for any relative within the category; "X" where the answer is uncertain or "I don't know" and "N" where there never was a relative from that category. Code most problematic relative in cases of multiple members per category. | |
| 16.14 | sister psych | 16;14 | POINTER | 604.5 | This is the Addiction Severity Index Fifth Edition interview question: Have any of your relatives had what you call a significant drinking, drug use or psych problem - one that did or should have led to treatment? Siblings H12. Sister Psych Direction: Place "0" in relative category where the answer is clearly no for all relatives in the category; "1" where the answer is clearly yes for any relative within the category; "X" where the answer is uncertain or "I don't know" and "N" where there never was a relative from that category. Code most problematic relative in cases of multiple members per category. | |
| 16.5 | family history comment | 16.5;0 | WORD-PROCESSING | This field contains comments on the patient's Family History. | ||
| 17.01 | maritial status | 17;1 | SET OF CODES | 1:MARRIED 2:REMARRIED 3:WIDOWED 4:SEPARATED 5:DIVORCED 6:NEVER MARRIED X:QUESTION NOT ANSWERED N:QUESTION NOT APPLICABLE | This is the Addiction Severity Index Fifth Edition interview question: F1. Marital Status 1 - Married 4 - Separated 2 - Remarried 5 - Divorced 3 - Widowed 6 - Never Married | |
| 17.02 | maritial status yrs | 17;2 | FREE TEXT | This is the Addiction Severity Index Fifth Edition interview question: F2. How long have you been in this marital status? YRS. (If never married, since age 18). | ||
| 17.03 | maritial status mos | 17;3 | FREE TEXT | This is the Addiction Severity Index Fifth Edition interview question: F2. How long have you been in this marital status? MOS. (If never married, since age 18). | ||
| 17.04 | satisfied with situation | 17;4 | SET OF CODES | 0:NO 1:INDIFFERENT 2:YES X:QUESTION NOT ANSWERED N:QUESTION NOT APPLICABLE | This is the Addiction Severity Index Fifth Edition interview question: F3. Are you satisfied with this situation? 0 - No 1 - Indifferent 2 - Yes | |
| 17.05 | usual living argments p3y | 17;5 | POINTER | 604.4 | This is the Addiction Severity Index Fifth Edition interview question: F4. Usual living arrangements (past 3 yr.) 1 WITH SEXUAL PARTNER & CHILDREN 2 WITH SEXUAL PARTNER ALONE 3 WITH CHILDREN ALONE 4 WITH PARENTS 5 WITH FAMILY 6 WITH FRIENDS 7 ALONE 8 CONTROLLED ENVIRONMENT 9 NO STABLE ARRANGEMENT | |
| 17.06 | arrangements lot yrs | 17;6 | FREE TEXT | This is the Addiction Severity Index Fifth Edition interview question: F5. How long have you lived in these arrangements? YRS. (If with parents or family, since age 18). | ||
| 17.07 | arrangements lot mos | 17;7 | FREE TEXT | This is the Addiction Severity Index Fifth Edition interview question: F5. How long have you lived in these arrangements? MOS. (If with parents or family, since age 18). | ||
| 17.08 | arrangements satisfaction | 17;8 | SET OF CODES | 0:NO 1:INDIFFERENT 2:YES X:QUESTION NOT ANSWERED N:QUESTION NOT APPLICABLE | This is the Addiction Severity Index Fifth Edition interview question: F3. Are you satisfied with these living arrangements? 0 - No 1 - Indifferent 2 - Yes | |
| 17.09 | live w/ anyone w/ alc prob | 17;9 | SET OF CODES | 0:NO 1:YES X:QUESTION NOT ANSWERED N:QUESTION NOT APPLICABLE | This is the Addiction Severity Index Fifth Edition interview question: Do you live wwith anyone who: 0 - No 1 - Yes F7. Has a current alcohol problem? | |
| 17.11 | live w/ anyone w/ drug prob | 17;11 | SET OF CODES | 0:NO 1:YES X:QUESTION NOT ANSWERED N:QUESTION NOT APPLICABLE | This is the Addiction Severity Index Fifth Edition interview question: Do you live wwith anyone who: 0 - No 1 - Yes F8 Uses non-prescribed drugs? | |
| 17.12 | spend free time with | 17;12 | SET OF CODES | 1:FAMILY 2:FRIENDS 3:ALONE X:QUESTION NOT ANSWERED N:QUESTION NOT APPLICABLE | This is the Addiction Severity Index Fifth Edition interview question: F9. With whom do you spend most of your free time: 1 - Family 2 - Friends 3 - Alone | |
| 17.14 | satisfied spending free time | 17;14 | SET OF CODES | 0:NO 1:INDIFFERENT 2:YES X:QUESTION NOT ANSWERED N:QUESTION NOT APPLICABLE | This is the Addiction Severity Index Fifth Edition interview question: F10. Are you satisfied with spending your free time this way? 0 - No 1 - Indifferent 2 - Yes | |
| 17.15 | how many close friends | 17;15 | FREE TEXT | This is the Addiction Severity Index Fifth Edition interview question: F11. How many close friends do you have? | ||
| 17.16 | close with mother | 17;16 | POINTER | 604.5 | This is the Addiction Severity Index Fifth Edition interview question: Direction for F12: Place "0" in relative category where the answer is clearly no for all relatives in that category; "1" where the answer is clearly yes for any relative within the category; "X" where the answer is uncertain or "I don't know" and "N" where there never was a relative from that category. Would you say you have haf close, long, lasting, personal relationships with any of the following people in your life: F12. Mother | |
| 17.17 | close with father | 17;17 | POINTER | 604.5 | This is the Addiction Severity Index Fifth Edition interview question: Direction for F13: Place "0" in relative category where the answer is clearly no for all relatives in that category; "1" where the answer is clearly yes for any relative within the category; "X" where the answer is uncertain or "I don't know" and "N" where there never was a relative from that category. Would you say you have haf close, long, lasting, personal relationships with any of the following people in your life: F13. Father | |
| 17.18 | close with brothers/sisters | 17;18 | POINTER | 604.5 | This is the Addiction Severity Index Fifth Edition interview question: Direction for F14: Place "0" in relative category where the answer is clearly no for all relatives in that category; "1" where the answer is clearly yes for any relative within the category; "X" where the answer is uncertain or "I don't know" and "N" where there never was a relative from that category. Would you say you have haf close, long, lasting, personal relationships with any of the following people in your life: F14. Brothers/Sisters | |
| 17.19 | close with sex partner/spouse | 17;19 | POINTER | 604.5 | This is the Addiction Severity Index Fifth Edition interview question: Direction for F15: Place "0" in relative category where the answer is clearly no for all relatives in that category; "1" where the answer is clearly yes for any relative within the category; "X" where the answer is uncertain or "I don't know" and "N" where there never was a relative from that category. Would you say you have haf close, long, lasting, personal relationships with any of the following people in your life: F15. Sexual Partner/Spouse | |
| 17.21 | close with children | 17;21 | POINTER | 604.5 | This is the Addiction Severity Index Fifth Edition interview question: Direction for F16: Place "0" in relative category where the answer is clearly no for all relatives in that category; "1" where the answer is clearly yes for any relative within the category; "X" where the answer is uncertain or "I don't know" and "N" where there never was a relative from that category. Would you say you have haf close, long, lasting, personal relationships with any of the following people in your life: F16. Children | |
| 17.22 | close with friends | 17;22 | POINTER | 604.5 | This is the Addiction Severity Index Fifth Edition interview question: Direction for F17: Place "0" in relative category where the answer is clearly no for all relatives in that category; "1" where the answer is clearly yes for any relative within the category; "X" where the answer is uncertain or "I don't know" and "N" where there never was a relative from that category. Would you say you have haf close, long, lasting, personal relationships with any of the following people in your life: F17. Friends | |
| 18.01 | problem w/ mother p30d | 18;1 | SET OF CODES | 0:NO 1:YES N:N/A X:uncertain/don't know | This is the Addiction Severity Index Fifth Edition interview question: Direction for F18: Place "0" in relative category where the answer is clearly no for all relatives in that category; "1" where the answer is clearly yes for any relative within the category; "X" where the answer is uncertain or "I don't know" and "N" where there never was a relative from that category. Have you had significant periods in which you have experienced serious problems getting along with: 0 - No 1 - Yes PAST 30 DAYS F18. Mother | |
| 18.02 | problem w/ mother life | 18;2 | SET OF CODES | 0:NO 1:YES N:N/A X:uncertain/don't know | This is the Addiction Severity Index Fifth Edition interview question: Direction for F19: Place "0" in relative category where the answer is clearly no for all relatives in that category; "1" where the answer is clearly yes for any relative within the category; "X" where the answer is uncertain or "I don't know" and "N" where there never was a relative from that category. Have you had significant periods in which you have experienced serious problems getting along with: 0 - No 1 - Yes IN YOUR LIFE F18. Mother | |
| 18.03 | problem w/ father p30d | 18;3 | SET OF CODES | 0:NO 1:YES N:N/A X:uncertain/don't know | This is the Addiction Severity Index Fifth Edition interview question: Direction for F19: Place "0" in relative category where the answer is clearly no for all relatives in that category; "1" where the answer is clearly yes for any relative within the category; "X" where the answer is uncertain or "I don't know" and "N" where there never was a relative from that category. Have you had significant periods in which you have experienced serious problems getting along with: 0 - No 1 - Yes PAST 30 DAYS F19. Father | |
| 18.04 | problem w/ father life | 18;4 | SET OF CODES | 0:NO 1:YES N:N/A X:uncertain/don't know | This is the Addiction Severity Index Fifth Edition interview question: Direction for F19: Place "0" in relative category where the answer is clearly no for all relatives in that category; "1" where the answer is clearly yes for any relative within the category; "X" where the answer is uncertain or "I don't know" and "N" where there never was a relative from that category. Have you had significant periods in which you have experienced serious problems getting along with: 0 - No 1 - Yes IN YOUR LIFE F19. Father | |
| 18.05 | problem w/ bro/sis p30d | 18;5 | SET OF CODES | 0:NO 1:YES N:N/A X:uncertain/don't know | This is the Addiction Severity Index Fifth Edition interview question: Direction for F20: Place "0" in relative category where the answer is clearly no for all relatives in that category; "1" where the answer is clearly yes for any relative within the category; "X" where the answer is uncertain or "I don't know" and "N" where there never was a relative from that category. Have you had significant periods in which you have experienced serious problems getting along with: 0 - No 1 - Yes PAST 30 DAYS F20. Brothers/Sisters | |
| 18.06 | problem w/ bro/sis life | 18;6 | SET OF CODES | 0:NO 1:YES N:N/A X:uncertain/don't know | This is the Addiction Severity Index Fifth Edition interview question: Direction for F20: Place "0" in relative category where the answer is clearly no for all relatives in that category; "1" where the answer is clearly yes for any relative within the category; "X" where the answer is uncertain or "I don't know" and "N" where there never was a relative from that category. Have you had significant periods in which you have experienced serious problems getting along with: 0 - No 1 - Yes IN YOUR LIFE F20. Brothers/Sisters | |
| 18.07 | problem w/ sex partner/sp p30d | 18;7 | SET OF CODES | 0:NO 1:YES N:N/A X:uncertain/don't know | This is the Addiction Severity Index Fifth Edition interview question: Direction for F21: Place "0" in relative category where the answer is clearly no for all relatives in that category; "1" where the answer is clearly yes for any relative within the category; "X" where the answer is uncertain or "I don't know" and "N" where there never was a relative from that category. Have you had significant periods in which you have experienced serious problems getting along with: 0 - No 1 - Yes PAST 30 DAYS F21. Sexual partner/spouse | |
| 18.08 | problem w/ sex partner/sp life | 18;8 | SET OF CODES | 0:NO 1:YES N:N/A X:uncertain/don't know | This is the Addiction Severity Index Fifth Edition interview question: Direction for F21: Place "0" in relative category where the answer is clearly no for all relatives in that category; "1" where the answer is clearly yes for any relative within the category; "X" where the answer is uncertain or "I don't know" and "N" where there never was a relative from that category. Have you had significant periods in which you have experienced serious problems getting along with: 0 - No 1 - Yes IN YOUR LIFE F21. Sexual partner/ spouse | |
| 18.09 | problem w/ children p30d | 18;9 | SET OF CODES | 0:NO 1:YES N:N/A X:uncertain/don't know | This is the Addiction Severity Index Fifth Edition interview question: Direction for F22: Place "0" in relative category where the answer is clearly no for all relatives in that category; "1" where the answer is clearly yes for any relative within the category; "X" where the answer is uncertain or "I don't know" and "N" where there never was a relative from that category. Have you had significant periods in which you have experienced serious problems getting along with: 0 - No 1 - Yes PAST 30 DAYS F22. Children | |
| 18.11 | problem w/ children life | 18;11 | SET OF CODES | 0:NO 1:YES N:N/A X:uncertain/don't know | This is the Addiction Severity Index Fifth Edition interview question: Direction for F22: Place "0" in relative category where the answer is clearly no for all relatives in that category; "1" where the answer is clearly yes for any relative within the category; "X" where the answer is uncertain or "I don't know" and "N" where there never was a relative from that category. Have you had significant periods in which you have experienced serious problems getting along with: 0 - No 1 - Yes IN YOUR LIFE F22. Children | |
| 18.12 | problem w/ osf p30d | 18;12 | SET OF CODES | 0:NO 1:YES N:N/A X:uncertain/don't know | This is the Addiction Severity Index Fifth Edition interview question: Direction for F23: Place "0" in relative category where the answer is clearly no for all relatives in that category; "1" where the answer is clearly yes for any relative within the category; "X" where the answer is uncertain or "I don't know" and "N" where there never was a relative from that category. Have you had significant periods in which you have experienced serious problems getting along with: 0 - No 1 - Yes PAST 30 DAYS F23. Other significant family | |
| 18.125 | problem w/ osf specify | 18;10 | FREE TEXT | This is the Addiction Severity Index Fifth Edition interview question: Direction for F23: Place "0" in relative category where the answer is clearly no for all relatives in that category; "1" where the answer is clearly yes for any relative within the category; "X" where the answer is uncertain or "I don't know" and "N" where there never was a relative from that category. Have you had significant periods in which you have experienced serious problems getting along with: 0 - No 1 - Yes PAST 30 DAYS F23. This field contains the "Other significant family" member. | ||
| 18.14 | problem w/ osf life | 18;14 | SET OF CODES | 0:NO 1:YES N:N/A X:uncertain/don't know | This is the Addiction Severity Index Fifth Edition interview question: Direction for F23: Place "0" in relative category where the answer is clearly no for all relatives in that category; "1" where the answer is clearly yes for any relative within the category; "X" where the answer is uncertain or "I don't know" and "N" where there never was a relative from that category. Have you had significant periods in which you have experienced serious problems getting along with: 0 - No 1 - Yes IN YOR LIFE F23. Other significant family | |
| 18.15 | problem w/ cf p30d | 18;15 | SET OF CODES | 0:NO 1:YES N:N/A X:uncertain/don't know | This is the Addiction Severity Index Fifth Edition interview question: Direction for F24: Place "0" in relative category where the answer is clearly no for all relatives in that category; "1" where the answer is clearly yes for any relative within the category; "X" where the answer is uncertain or "I don't know" and "N" where there never was a relative from that category. Have you had significant periods in which you have experienced serious problems getting along with: 0 - No 1 - Yes PAST 30 DAYS F24. Close Friends | |
| 18.16 | problem w/ cf life | 18;16 | SET OF CODES | 0:NO 1:YES N:N/A X:uncertain/don't know | This is the Addiction Severity Index Fifth Edition interview question: Direction for F24: Place "0" in relative category where the answer is clearly no for all relatives in that category; "1" where the answer is clearly yes for any relative within the category; "X" where the answer is uncertain or "I don't know" and "N" where there never was a relative from that category. Have you had significant periods in which you have experienced serious problems getting along with: 0 - No 1 - Yes INYOUR LIFE F24. Close friends | |
| 18.17 | problem w/ neighbors l30d | 18;17 | SET OF CODES | 0:NO 1:YES N:N/A X:uncertain/don't know | This is the Addiction Severity Index Fifth Edition interview question: Direction for F25: Place "0" in relative category where the answer is clearly no for all relatives in that category; "1" where the answer is clearly yes for any relative within the category; "X" where the answer is uncertain or "I don't know" and "N" where there never was a relative from that category. Have you had significant periods in which you have experienced serious problems getting along with: 0 - No 1 - Yes PAST 30 DAYS F25. Neighbors | |
| 18.18 | problem w/ neighbors life | 18;18 | SET OF CODES | 0:NO 1:YES N:N/A X:uncertain/don't know | This is the Addiction Severity Index Fifth Edition interview question: Direction for F25: Place "0" in relative category where the answer is clearly no for all relatives in that category; "1" where the answer is clearly yes for any relative within the category; "X" where the answer is uncertain or "I don't know" and "N" where there never was a relative from that category. Have you had significant periods in which you have experienced serious problems getting along with: 0 - No 1 - Yes IN YOUR LIFE F25. Neighbors | |
| 18.185 | problem w/co wkrs p30d | 18;13 | SET OF CODES | 0:NO 1:YES N:N/A X:uncertain/don't know | This is the Addiction Severity Index Fifth Edition interview question: Direction for F26: Place "0" in relative category where the answer is clearly no for all relatives in that category; "1" where the answer is clearly yes for any relative within the category; "X" where the answer is uncertain or "I don't know" and "N" where there never was a relative from that category. Have you had significant periods in which you have experienced serious problems getting along with: 0 - No 1 - Yes PAST 30 DAYS F26. Co-Workers | |
| 18.186 | problem w/co wkrs life | 18;20 | SET OF CODES | 0:NO 1:YES N:N/A X:uncertain/don't know | This is the Addiction Severity Index Fifth Edition interview question: Direction for F26: Place "0" in relative category where the answer is clearly no for all relatives in that category; "1" where the answer is clearly yes for any relative within the category; "X" where the answer is uncertain or "I don't know" and "N" where there never was a relative from that category. Have you had significant periods in which you have experienced serious problems getting along with: 0 - No 1 - Yes IN YOU LIFE F26. Co-Workers | |
| 18.19 | abuse emotionally l30d | 18;19 | SET OF CODES | 0:NO 1:YES X:QUESTION NOT ANSWERED N:QUESTION NOT APPLICABLE | This is the Addiction Severity Index Fifth Edition interview question: Did any of these people (F18-F26) 0 - No 1 - Yes PAST 30 DAYS F27. Emotionally (make you fell bad through harsh words)? | |
| 18.195 | abuse emotionally life | 18;30 | SET OF CODES | 0:NO 1:YES X:QUESTION NOT ANSWERED N:QUESTION NOT APPLICABLE | This is the Addiction Severity Index Fifth Edition interview question: Did any of these people (F18-F26) abuse you: 0 - No 1 - Yes IN YOUR LIFE F27. Emotionally (make you feel bad through harsh words)? | |
| 18.21 | abuse physically l30d | 18;21 | SET OF CODES | 0:NO 1:YES X:QUESTION NOT ANSWERED N:QUESTION NOT APPLICABLE | This is the Addiction Severity Index Fifth Edition interview question: Did any of these people (F18-F26) abuse you: 0 - No 1 - Yes PAST 30 DAYS F28. Physically (cause you physical harm)? | |
| 18.215 | abuse physically life | 18;33 | SET OF CODES | 0:NO 1:YES X:QUESTION NOT ANSWERED N:QUESTION NOT APPLICABLE | This is the Addiction Severity Index Fifth Edition interview question: Did any of these people (F18-F26) abuse you: 0 - No 1 - Yes IN YOUR LIFE F28. Physically (cause you physical harm)? | |
| 18.22 | abuse sexually l30d | 18;22 | SET OF CODES | 0:NO 1:YES X:QUESTION NOT ANSWERED N:QUESTION NOT APPLICABLE | This is the Addiction Severity Index Fifth Edition interview question: Did any of these people (F18-F26) abuse you: 0 - No 1 - Yes PAST 30 DAYS F29. Sexually (force sexual advances or sexual acts)? | |
| 18.225 | abuse sexually life | 18;34 | SET OF CODES | 0:NO 1:YES X:QUESTION NOT ANSWERED N:QUESTION NOT APPLICABLE | This is the Addiction Severity Index Fifth Edition interview question: Did any of these people (F18-F26) abuse you: 0 - No 1 - Yes IN YOUR LIFE F29. Sexually (force sexual advances or sexual acts)? | |
| 18.23 | conflict family p30d | 18;23 | FREE TEXT | This is the Addiction Severity Index Fifth Edition interview question: How many days in the past 30 have you had serious conflicts: F30. with your family? | ||
| 18.24 | confilct other p30d | 18;24 | FREE TEXT | This is the Addiction Severity Index Fifth Edition interview question: How many days in the past 30 have you had serious conflicts: F31. with other people? (excluding family) | ||
| 18.25 | troubled family problems | 18;25 | POINTER | 604.45 | This is the Addiction Severity Index Fifth Edition interview question: FOR QUESTION F32 PLEASE ASK PATIENT TO USE THE PATIENT'S RATING SCALE How troubled or bothered have you been in the past 30 days by these: F32. Family problems | |
| 18.26 | troubled social problems | 18;26 | POINTER | 604.45 | This is the Addiction Severity Index Fifth Edition interview question: FOR QUESTION F33 PLEASE ASK PATIENT TO USE THE PATIENT'S RATING SCALE How troubled or bothered have you been in the past 30 days by these: F33. Social problems | |
| 18.27 | treatment family problems | 18;27 | POINTER | 604.45 | This is the Addiction Severity Index Fifth Edition interview question: FOR QUESTION F34 PLEASE ASK PATIENT TO USE THE PATIENT'S RATING SCALE How important to you now is treatment or counseling for these: F34. Family problems | |
| 18.28 | treatment social problems | 18;28 | POINTER | 604.45 | This is the Addiction Severity Index Fifth Edition interview question: FOR QUESTION F34 PLEASE ASK PATIENT TO USE THE PATIENT'S RATING SCALE How troubled or bothered have you been in the past 30 days by these: F34. Social problems | |
| 18.29 | interviewer's rating family | 18;29 | FREE TEXT | This is the Addiction Severity Index Fifth Edition interview question: F36. How would you rate the patient's need for family and/or social counseling? | ||
| 18.31 | family/soc confidence misrep | 18;31 | SET OF CODES | 0:NO 1:YES X:QUESTION NOT ANSWERED N:QUESTION NOT APPLICABLE | This is the Addiction Severity Index Fifth Edition interview question: F37. Patient Misrepresentation? 0 - No 1 - Yes | |
| 18.32 | family/soc confidence itu | 18;32 | SET OF CODES | 0:NO 1:YES X:QUESTION NOT ANSWERED N:QUESTION NOT APPLICABLE | This is the Addiction Severity Index Fifth Edition interview question: F38. Patient's inability to understand? 0 - No 1 - Yes | |
| 18.5 | family/social comment | 18.5;0 | WORD-PROCESSING | This field contains comments about the patient's Family/Social relationships. | ||
| 19.01 | treated in hospital | 19;1 | FREE TEXT | This is the Addiction Severity Index Fifth Edition interview question: P1. How many times have you been treated for any psychological or emotional problems? In a hospital | ||
| 19.02 | treated as opt or priv pt | 19;2 | FREE TEXT | This is the Addiction Severity Index Fifth Edition interview question: P1. How many times have you been treated for any psychological or emotional problems? As an Opt. or Priv. patient | ||
| 19.03 | pension for psy dis | 19;3 | SET OF CODES | 0:NO 1:YES X:QUESTION NOT ANSWERED N:QUESTION NOT APPLICABLE | This is the Addiction Severity Index Fifth Edition interview question: P2. Do you receive a pension for a pschiatric disability? 0 - No 1 - Yes | |
| 19.04 | exp depression p30d | 19;4 | SET OF CODES | 0:NO 1:YES X:QUESTION NOT ANSWERED N:QUESTION NOT APPLICABLE | This is the Addiction Severity Index Fifth Edition interview question: Have you had a significant period, (that was not a direct result of drug/alcohol use), in which you have: 0 - No 1 - Yes PAST 30 DAYS P33. Experienced serious depression | |
| 19.05 | exp depression life | 19;5 | SET OF CODES | 0:NO 1:YES X:QUESTION NOT ANSWERED N:QUESTION NOT APPLICABLE | This is the Addiction Severity Index Fifth Edition interview question: Have you had a significant period, (that was not a direct result of drug/alcohol use), in which you have: 0 - No 1 - Yes IN YOUR LIFE P33. Experienced serious depression | |
| 19.06 | exp anxiety p30d | 19;6 | SET OF CODES | 0:NO 1:YES X:QUESTION NOT ANSWERED N:QUESTION NOT APPLICABLE | This is the Addiction Severity Index Fifth Edition interview question: Have you had a significant period, (that was not a direct result of drug/alcohol use), in which you have: 0 - No 1 - Yes PAST 30 DAYS P4. Experienced serious anxiety or tension | |
| 19.07 | exp anxiety life | 19;7 | SET OF CODES | 0:NO 1:YES X:QUESTION NOT ANSWERED N:QUESTION NOT APPLICABLE | This is the Addiction Severity Index Fifth Edition interview question: Have you had a significant period, (that was not a direct result of drug/alcohol use), in which you have: 0 - No 1 - Yes IN YOUR LIFE P4. Experienced serious anxiety or tension | |
| 19.08 | exp hallucinations l30d | 19;8 | SET OF CODES | 0:NO 1:YES X:QUESTION NOT ANSWERED N:QUESTION NOT APPLICABLE | This is the Addiction Severity Index Fifth Edition interview question: Have you had a significant period, (that was not a direct result of drug/alcohol use), in which you have: 0 - No 1 - Yes PAST 30 DAYS P5. Experienced Hallucinations | |
| 19.09 | exp hallucinations life | 19;9 | SET OF CODES | 0:NO 1:YES X:QUESTION NOT ANSWERED N:QUESTION NOT APPLICABLE | This is the Addiction Severity Index Fifth Edition interview question: Have you had a significant period, (that was not a direct result of drug/alcohol use), in which you have: 0 - No 1 - Yes IN YOUR LIFE P5. Experienced Hallucinations | |
| 19.11 | exp ucr l30d | 19;11 | SET OF CODES | 0:NO 1:YES X:QUESTION NOT ANSWERED N:QUESTION NOT APPLICABLE | This is the Addiction Severity Index Fifth Edition interview question: Have you had a significant period, (that was not a direct result of drug/alcohol use), in which you have: 0 - No 1 - Yes PAST 30 DAYS P6. Experienced trouble understanding, concetrating or remembering | |
| 19.12 | exp ucr life | 19;12 | SET OF CODES | 0:NO 1:YES X:QUESTION NOT ANSWERED N:QUESTION NOT APPLICABLE | This is the Addiction Severity Index Fifth Edition interview question: Have you had a significant period, (that was not a direct result of drug/alcohol use), in which you have: 0 - No 1 - Yes IN YOUR LIFE P6. Experienced trouble understanding, concetrating or remembering | |
| 19.14 | exp cont vio behavior l30d | 19;14 | SET OF CODES | 0:NO 1:YES X:QUESTION NOT ANSWERED N:QUESTION NOT APPLICABLE | This is the Addiction Severity Index Fifth Edition interview question: Have you had a significant period, (that was not a direct result of drug/alcohol use), in which you have: 0 - No 1 - Yes PAST 30 DAYS P7. Experienced trouble controlling violent behavior | |
| 19.15 | exp cont vio behavior life | 19;15 | SET OF CODES | 0:NO 1:YES X:QUESTION NOT ANSWERED N:QUESTION NOT APPLICABLE | This is the Addiction Severity Index Fifth Edition interview question: Have you had a significant period, (that was not a direct result of drug/alcohol use), in which you have: 0 - No 1 - Yes IN YOUR LIFE P7. Experienced trouble controlling violent behavior | |
| 19.16 | exp thoughts suicide l30d | 19;16 | SET OF CODES | 0:NO 1:YES X:QUESTION NOT ANSWERED N:QUESTION NOT APPLICABLE | This is the Addiction Severity Index Fifth Edition interview question: Have you had a significant period, (that was not a direct result of drug/alcohol use), in which you have: 0 - No 1 - Yes PAST 30 DAYS P8. Experienced serious thoughts of suicide | |
| 19.17 | exp thoughts sucide life | 19;17 | SET OF CODES | 0:NO 1:YES X:QUESTION NOT ANSWERED N:QUESTION NOT APPLICABLE | This is the Addiction Severity Index Fifth Edition interview question: Have you had a significant period, (that was not a direct result of drug/alcohol use), in which you have: 0 - No 1 - Yes IN YOUR LIFE P8. Experienced serious thoughts of suicide | |
| 19.18 | exp attempted suicide l30d | 19;18 | SET OF CODES | 0:NO 1:YES X:QUESTION NOT ANSWERED N:QUESTION NOT APPLICABLE | This is the Addiction Severity Index Fifth Edition interview question: Have you had a significant period, (that was not a direct result of drug/alcohol use), in which you have: 0 - No 1 - Yes PAST 30 DAYS P9. Attempted suicide | |
| 19.19 | exp attempted suicide life | 19;19 | SET OF CODES | 0:NO 1:YES X:QUESTION NOT ANSWERED N:QUESTION NOT APPLICABLE | This is the Addiction Severity Index Fifth Edition interview question: Have you had a significant period, (that was not a direct result of drug/alcohol use), in which you have: 0 - No 1 - Yes IN YOUR LIFE P9. Attempted suicide | |
| 19.21 | meds for psy prob l30d | 19;21 | SET OF CODES | 0:NO 1:YES X:QUESTION NOT ANSWERED N:QUESTION NOT APPLICABLE | This is the Addiction Severity Index Fifth Edition interview question: Have you had a significant period, (that was not a direct result of drug/alcohol use), in which you have: 0 - No 1 - Yes PAST 30 DAYS P10. Been prescribed medication for any psychological emotional problem | |
| 19.22 | meds for psy prob life | 19;22 | SET OF CODES | 0:NO 1:YES X:QUESTION NOT ANSWERED N:QUESTION NOT APPLICABLE | This is the Addiction Severity Index Fifth Edition interview question: Have you had a significant period, (that was not a direct result of drug/alcohol use), in which you have: 0 - No 1 - Yes IN YOUR LIFE P10. Been prescribed medication for any psychological emotional problem | |
| 19.23 | days exp prob l30d | 19;23 | FREE TEXT | This is the Addiction Severity Index Fifth Edition interview question: P11. How many days in the past 30 have you experienced these psychological or emotional problems? | ||
| 19.24 | psy prob l30d rating | 19;24 | POINTER | 604.45 | This is the Addiction Severity Index Fifth Edition interview question: FOR QUESTION P12 PLEASE ASK PATIENT TO USE THE PATIENT'S RATING SCALE P12. How much have you been troubled or bothered by these psychological or emotional problems in the past 30 days? | |
| 19.25 | psy tmt rating | 19;25 | POINTER | 604.45 | This is the Addiction Severity Index Fifth Edition interview question: FOR QUESTION P13 PLEASE ASK PATIENT TO USE THE PATIENT'S RATING SCALE P13. How important to you now is treatment for these psychological problems? | |
| 19.26 | intv depressed/withdrawn | 19;26 | SET OF CODES | 0:NO 1:YES X:QUESTION NOT ANSWERED N:QUESTION NOT APPLICABLE | This is the Addiction Severity Index Fifth Edition interview question: At the time of the interview, is patient: 0 - No 1 - Yes P14. Obviously depressed/withdrawn | |
| 19.27 | intv hostile | 19;27 | SET OF CODES | 0:NO 1:YES X:QUESTION NOT ANSWERED N:QUESTION NOT APPLICABLE | This is the Addiction Severity Index Fifth Edition interview question: At the time of the interview, is patient: 0 - No 1 - Yes P15. Obviously hostile | |
| 19.28 | intv anxious/nervous | 19;28 | SET OF CODES | 0:NO 1:YES X:QUESTION NOT ANSWERED N:QUESTION NOT APPLICABLE | This is the Addiction Severity Index Fifth Edition interview question: At the time of the interview, is patient: 0 - No 1 - Yes P16. Obviously anxious/nervous | |
| 19.29 | intv trouble with rttdpt | 19;29 | SET OF CODES | 0:NO 1:YES X:QUESTION NOT ANSWERED N:QUESTION NOT APPLICABLE | This is the Addiction Severity Index Fifth Edition interview question: At the time of the interview, is patient: 0 - No 1 - Yes P17. Having trouble with reality testing thought disorders, paranoid thinking | |
| 19.31 | intv trouble ccr | 19;31 | SET OF CODES | 0:NO 1:YES X:QUESTION NOT ANSWERED N:QUESTION NOT APPLICABLE | This is the Addiction Severity Index Fifth Edition interview question: At the time of the interview, is patient: 0 - No 1 - Yes P18. Having trouble comprehending, concentrating, remembering. | |
| 19.32 | intv suicidal thoughts | 19;32 | SET OF CODES | 0:NO 1:YES X:QUESTION NOT ANSWERED N:QUESTION NOT APPLICABLE | This is the Addiction Severity Index Fifth Edition interview question: At the time of the interview, is patient: 0 - No 1 - Yes P19. Having suicidal thoughts | |
| 19.33 | interviewer's rating psy | 19;33 | FREE TEXT | This is the Addiction Severity Index Fifth Edition interview question: P20. How would you rate the patient's need for psychiatric/psychological treatment? | ||
| 19.34 | psy patient's misrepresentatin | 19;34 | SET OF CODES | 0:NO 1:YES X:QUESTION NOT ANSWERED N:QUESTION NOT APPLICABLE | This is the Addiction Severity Index Fifth Edition interview question: P21. Patient's misrepresentation? 0 - N0 1 - Yes | |
| 19.35 | psy patient's inability to und | 19;35 | SET OF CODES | 0:NO 1:YES X:QUESTION NOT ANSWERED N:QUESTION NOT APPLICABLE | This is the Addiction Severity Index Fifth Edition interview question: P22. Patient's inability to understand? 0 - No 1 - Yes | |
| 19.5 | psychiatric comment | 19.5;0 | WORD-PROCESSING | This field contains comments about the patient's Psychiatric Status. | ||
| 187 | leisure time issues | 200;0 | WORD-PROCESSING | This field contains comments about the patient's Leisure Time Issues. | ||
| 188 | spiritual issues | 201;0 | WORD-PROCESSING | This field contains comments about the patient's Spiritual Issues. |
Not Referenced