Protocol - Substance Abuse and Dependence - Past Year - Drugs

CHECK ITEM 3.11

For every drug category marked in 1a, mark the corresponding category below and ask 2a-g for each marked drug category.

2a. How old were you when you FIRST used (Name of drug category)?

b. Did you use (Name of drug category) in the last 12 months only, before the last 12 months only, or during both time periods?

c. During the last 12 months, about how often did you use (Name of drug category)?

SHOW FLASHCARD 41

d. When was the most recent time you used (Name of drug category)?

e. Think about the time when you were using (Name of drug category) the MOST. At that time about how often did you use (it/them)?

(SHOW FLASHCARD 42)

f. About how old were you when you FIRST BEGAN using (Name of drug category) that frequently?

g. About how long did that period last when you were using (Name of drug category) that frequently? (If less than 1 week enter 1 week)

1[ ]Sedatives or Tranquilizers

______ Age

1[ ]Last 12 months only

2[ ]Prior to last 12 months only - Go to next drug category

3[ ]Both time periods

|__|__|

___ Day(s) ago OR

___ Week(s) ago OR

___ Month(s) ago OR

___ Year(s) ago

|__|__|

______ Age

____ Week(s)

OR

____ Month(s)

OR

____ Year(s)

2[ ]Painkillers

______ Age

1[ ]Last 12 months only

2[ ]Prior to last 12 months only - Go to next drug category

3[ ]Both time periods

|__|__|

___ Day(s) ago OR

___ Week(s) ago OR

___ Month(s) ago OR

___ Year(s) ago

|__|__|

______ Age

____ Week(s)

OR

____ Month(s)

OR

____ Year(s)

3[ ]Marijuana

______ Age

1[ ]Last 12 months only

2[ ]Prior to last 12 months only - Go to next drug category

3[ ]Both time periods

|__|__|

___ Day(s) ago OR

___ Week(s) ago OR

___ Month(s) ago OR

___ Year(s) ago

|__|__|

______ Age

____ Week(s)

OR

____ Month(s)

OR

____ Year(s)

4[ ]Cocaine or Crack

______ Age

1[ ]Last 12 months only

2[ ]Prior to last 12 months only - Go to next drug category

3[ ]Both time periods

|__|__|

___ Day(s) ago OR

___ Week(s) ago OR

___ Month(s) ago OR

___ Year(s) ago

|__|__|

______ Age

____ Week(s)

OR

____ Month(s)

OR

____ Year(s)

5[ ]Stimulants

______ Age

1[ ]Last 12 months only

2[ ]Prior to last 12 months only - Go to next drug category

3[ ]Both time periods

|__|__|

___ Day(s) ago OR

___ Week(s) ago OR

___ Month(s) ago OR

___ Year(s) ago

|__|__|

______ Age

____ Week(s)

OR

____ Month(s)

OR

____ Year(s)

6[ ]Club drugs

______ Age

1[ ]Last 12 months only

2[ ]Prior to last 12 months only - Go to next drug category

3[ ]Both time periods

|__|__|

___ Day(s) ago OR

___ Week(s) ago OR

___ Month(s) ago OR

___ Year(s) ago

|__|__|

______ Age

____ Week(s)

OR

____ Month(s)

OR

____ Year(s)

7[ ]Hallucinogens

______ Age

1[ ]Last 12 months only

2[ ]Prior to last 12 months only - Go to next drug category

3[ ]Both time periods

|__|__|

___ Day(s) ago OR

___ Week(s) ago OR

___ Month(s) ago OR

___ Year(s) ago

|__|__|

______ Age

____ Week(s)

OR

____ Month(s)

OR

____ Year(s)

8[ ]Inhalants/Solvents

______ Age

1[ ]Last 12 months only

2[ ]Prior to last 12 months only - Go to next drug category

3[ ]Both time periods

|__|__|

___ Day(s) ago OR

___ Week(s) ago OR

___ Month(s) ago OR

___ Year(s) ago

|__|__|

______ Age

____ Week(s)

OR

____ Month(s)

OR

____ Year(s)

9[ ]Heroin

______ Age

1[ ]Last 12 months only

2[ ]Prior to last 12 months only - Go to next drug category

3[ ]Both time periods

|__|__|

___ Day(s) ago OR

___ Week(s) ago OR

___ Month(s) ago OR

___ Year(s) ago

|__|__|

______ Age

____ Week(s)

OR

____ Month(s)

OR

____ Year(s)

10 OTHER

______ Age

1[ ]Last 12 months only

2[ ]Prior to last 12 months only - Go to next drug category

3[ ]Both time periods

|__|__|

___ Day(s) ago OR

___ Week(s) ago OR

___ Month(s) ago OR

___ Year(s) ago

|__|__|

______ Age

____ Week(s)

OR

____ Month(s)

OR

____ Year(s)

CHECK ITEM 3.12

What is the time period marked in 2b for marijuana?

When did respondent use marijuana?

1[ ]Last 12 months only

2[ ]Before last 12 months only - SKIP to 4

3[ ]Both time periods

4[ ]Never - SKIP to Check Item 3.13

3. Now I would like to know a little more about your use of marijuana.

On the days that you used marijuana in the last 12 months, about how many joints did you usually smoke in a single day?

______ Number

4. (Now I would like to know a little more about your use of marijuana.)

At the time you were using marijuana the MOST, about how many joints did you usually smoke in a single day?

______ Number

CHECK ITEM 3.13

What is the time period marked in 2b for cocaine or crack?

When did respondent use cocaine or crack?

1[ ]Last 12 months only

2[ ]Before last 12 months only - SKIP to 6

3[ ]Both time periods

4[ ]Never - SKIP to Check Item 3.13A

5. Now I would like to know a little more about your use of cocaine or crack.

On the days that you used cocaine or crack in the last 12 months, about how many grams, lines or rocks did you usually use in a single day?

_____ Gram(s)

OR

_____ Line(s)

OR

_____ Rock(s)

6. (Now I would like to know a little more about your use of cocaine or crack.)

At the time you were using cocaine or crack the MOST, about how many grams, lines or rocks did you usually use in a single day?

_____ Gram(s)

OR

_____ Line(s)

OR

_____ Rock(s)

7a. In which of the following ways have you used cocaine or crack?

Read each response category.

Mark (X) all that apply,

1[ ]IV, through the veins?

2[ ]Injection under the skin?

3[ ]Smoking, freebasing?

4[ ]Snorting, sniffing, breathing?

5[ ]By mouth, drinking?

6[ ]Other method?

CHECK ITEM 3.13A

Is respondent only a marijuana user?

1[ ]Yes - END QUESTIONS

2[ ]No

CHECK ITEM 3.13B

Did respondent use stimulants in the last 12 months?

1[ ]Yes

2[ ]No - SKIP to Check Item 3.13C

7b. In the last 12 months, did you use Add’-erall, Concerta, Sy’-lert, Pro-vig’-il, Ritalin, Dexedrine, or any other prescription stimulants ON YOUR OWN?

1[ ]Yes

2[ ]No

c. In the last 12 months, did you use a stimulant other than a prescription stimulant?

1[ ]Yes

2[ ]No

CHECK ITEM 3.13C

Did respondent use stimulants before 12 months ago?

1[ ]Yes

2[ ]No - SKIP to 8

7d. Did you use Add’-erall, Concerta, Sy’-lert, Pro-vig’-il, Ritalin, Dexedrine, or any other prescription stimulants ON YOUR OWN before 12 months ago?

1[ ]Yes

2[ ]No

e. Did you use a stimulant other than a prescription stimulant before 12 months ago?

1[ ]Yes

2[ ]No

8. Have you EVER taken ANY medicines or drugs that we just talked about ON YOUR OWN by injection with a needle?

1[ ]Yes

2[ ]No - END QUESTIONS

9. Did you take ANY medicines or drugs that we just talked about ON YOUR OWN by injection with a needle in the last 12 months?

1[ ]Yes

2[ ]No - SKIP to 12

10. About how often in the last 12 months, did you inject a medicine or drug with a needle?

1[ ]Every day

2[ ]Nearly every day

3[ ]3 to 4 times a week

4[ ]1 to 2 times a week

5[ ]2 to 3 times a month

6[ ]Once a month

7[ ]7 to 11 times in the last year

8[ ]3 to 6 times in the last year

9[ ]2 times in the last year

10[ ]Once in the last year

11. Did you take ANY medicines or drugs that we just talked about ON YOUR OWN by injection with a needle BEFORE 12 months ago?

1[ ]Yes

2[ ]No - SKIP to 13

(SHOW FLASHCARD 41)

12. Think about a time when you were taking a medicine or drug by injection with a needle the MOST. At that time about how often did you inject a medicine or drug?

1[ ]Every day

2[ ]Nearly every day

3[ ]3 to 4 times a week

4[ ]1 to 2 times a week

5[ ]2 to 3 times a month

6[ ]Once a month

7[ ]7 to 11 times in the last year

8[ ]3 to 6 times in the last year

9[ ]2 times in the last year

10[ ]Once in the last year

13. About how long did that period last when you were taking a medicine or drug by injection the MOST?

(If less than 1 week enter 1 week)

____ Week(s)

OR

____ Month(s)

OR

____ Year(s)

14. About how old were you when you first injected any medicine or drug?

______ Age

CHECK ITEM 3.13D

Did respondent inject any medicines or drugs in the last 12 months?

1[ ]Yes

2[ ]No - SKIP to 16

15. I would like to ask you a few questions about needle sharing. By needle sharing, I mean using someone else’s needles, syringes, or other injection equipment, like filters, spoons, cookers or washers, or letting someone else use yours.

In the last 12 months did you take ANY medicines or drugs using a needle or other injection equipment that you knew or suspected had been used by someone else, or did you let someone else use yours?

1[ ]Yes

2[ ]No

CHECK ITEM 3.13E

Did respondent inject any medicine or drug before 12 months ago?

1[ ]Yes

2[ ]No - SKIP to 17

16. (I would like to ask you a few questions about needle sharing. By needle sharing, I mean using someone else’s needles, syringes, or other injection equipment, like filters, spoons, cookers or washers, or letting someone else use yours.

BEFORE 12 months ago did you take ANY medicines or drugs using a needle or other injection equipment that you knew or suspected had been used by someone else, or did you let someone else use yours? Did this happen BEFORE 12 months ago?

1[ ]Yes

2[ ]No

CHECK ITEM 3.14

Is 15 or 16 marked "Yes"?

1[ ]Yes

2[ ]No - END QUESTIONS

17. About how many people shared a needle or other injection equipment the last time you shared?

1[ ]1

2[ ]2

3[ ]3

4[ ]4

5[ ]5 or more