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Protocol - Unmet Need for Alcohol or Drug Treatment

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Protocol Name from Source:

National Epidemiologic Survey on Alcohol and Related Conditions-III (NESARC-III)

Availability:

Publicly available

Description:

Respondents complete a set of self-administered questions from the National Epidemiologic Survey on Alcohol and Related Conditions-III (NESARC-III) related to alcohol and drug treatment needs and service utilization.

Protocol:

  1. Have you ever gone anywhere or seen anyone for a reason that was related in any way to your use of medicines or drugs - a physician, counselor, Narcotics Anonymous, or any other community agency or professional?

[ ] 1 Yes

[ ] 2 No - END QUESTIONS

  1. I am going to read you a list of community agencies and professionals. For each one, please tell me if you have ever gone there for any reason related to your medicine or drug use.

2a. In your entire life, did you EVER go to a/an…(Repeat phrase frequently)

2b. Did you go there in the last 12 months?

(1) Narcotics or Cocaine Anonymous, Alcoholics Anonymous or any 12-Step meeting?

[ ] 1 Yes

[ ] 2 No - Go to next agency

[ ] 1 Yes

[ ] 2 No

(2) Family services or another social service agency?

[ ] 1 Yes

[ ] 2 No - Go to next agency

[ ] 1 Yes

[ ] 2 No

(3) Drug or alcohol detoxification ward or clinic?

[ ] 1 Yes

[ ] 2 No - Go to next agency

[ ] 1 Yes

[ ] 2 No

(4) Inpatient ward of a psychiatric or general hospital or community mental health program?

[ ] 1 Yes

[ ] 2 No - Go to next agency

[ ] 1 Yes

[ ] 2 No

(5) Outpatient clinic, including outreach programs and day or partial patient programs?

[ ] 1 Yes

[ ] 2 No - Go to next agency

[ ] 1 Yes

[ ] 2 No

(6) Drug or alcohol rehabilitation program?

[ ] 1 Yes

[ ] 2 No - Go to next agency

[ ] 1 Yes

[ ] 2 No

(7) Methadone Maintenance Program?

[ ] 1 Yes

[ ] 2 No - Go to next agency

[ ] 1 Yes

[ ] 2 No

(8) Emergency room for any reason related to your drug use?

[ ] 1 Yes

[ ] 2 No - Go to next agency

[ ] 1 Yes

[ ] 2 No

(9) Halfway house, including therapeutic communities

[ ] 1 Yes

[ ] 2 No - Go to next agency

[ ] 1 Yes

[ ] 2 No

2c. For which medicines or drugs did you go there in the last 12 months?

2d. Did you go there before 12 months ago, that is before last (Month one year ago)?

2e. For which medicines or drugs did you go there before 12 months ago?

(1)

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

[ ] 1 Yes

[ ] No - Go to next agency

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

(2)

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

[ ] 1 Yes

[ ] No - Go to next agency

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

(3)

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

[ ] 1 Yes

[ ] No - Go to next agency

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

(4)

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

[ ] 1 Yes

[ ] No - Go to next agency

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

(5)

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

[ ] 1 Yes

[ ] No - Go to next agency

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

(6)

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

[ ] 1 Yes

[ ] No - Go to next agency

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

(7)

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

[ ] 1 Yes

[ ] No - Go to next agency

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

(8)

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

[ ] 1 Yes

[ ] No - Go to next agency

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

(9)

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

[ ] 1 Yes

[ ] No - Go to next agency

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

2a. In your entire life, did you EVER go to a/an…(Repeat phrase frequently)

2b. Did you go there in the last 12 months?

(10) Crisis center for any reason related to your drug use?

[ ] 1 Yes

[ ] 2 No - Go to next agency

[ ] 1 Yes

[ ] 2 No

(11) Employee Assistance Program (EAP)?

[ ] 1 Yes

[ ] 2 No - Go to next agency

[ ] 1 Yes

[ ] 2 No

(12) Clergyman priest, rabbi or any other religious counselor for any reason related to your drug use?

[ ] 1 Yes

[ ] 2 No - Go to next agency

[ ] 1 Yes

[ ] 2 No

(13) Private physician, psychiatrist, psychologist, social worker or any other professional?

[ ] 1 Yes

[ ] 2 No - Go to next agency

[ ] 1 Yes

[ ] 2 No

(14) Any other agency or professional?

[ ] 1 Yes

[ ] 2 No - Go to next agency

[ ] 1 Yes

[ ] 2 No

2c. For which medicines or drugs did you go there in the last 12 months?

2d. Did you go there before 12 months ago, that is before last (Month one year ago)?

2e. For which medicines or drugs did you go there before 12 months ago?

(10)

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

[ ] 1 Yes

[ ] No - Go to next agency

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

(11)

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

[ ] 1 Yes

[ ] No - Go to next agency

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

(12)

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

[ ] 1 Yes

[ ] No - Go to next agency

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

(13)

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

[ ] 1 Yes

[ ] No - Go to next agency

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

(14)

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

[ ] 1 Yes

[ ] No - Go to next agency

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

3a. How old were you the FIRST time you went anywhere for help or saw anyone for a reason that was related to your medicine or drug use?

___________ Age

3b. How old were you the MOST RECENT time you went anywhere for help or saw anyone for a reason that was related to your medicine or drug use?

___________ Age

OR

[ ] 0 Happened only once

4a. Was there ever a time when you thought you should see a doctor, counselor, or other health professional or seek any other help for your drug use, but you didn’t go?

[ ] 1 Yes

[ ] 2 No - END QUESTIONS

4b. Did this happen during the last 12 months?

[ ] 1 Yes

[ ] 2 No - Skip to 4d

4c. Did this happen before 12 months ago, that is, before last (Month one year ago)?

[ ] 1 Yes

[ ] 2 No

4d. What were your reasons for not getting help? (Check all that apply.)

[ ] 1 Wanted to go, but health insurance didn’t cover

[ ] 2 Didn’t think anyone could help

[ ] 3 Didn’t know any place to go for help

[ ] 4 Couldn’t afford to pay the bill

[ ] 5 Didn’t have any way to get there

[ ] 6 Didn’t have time

[ ] 7 Thought the problem would get better by itself

[ ] 8 Was too embarrassed to discuss it with anyone

[ ] 9 Was afraid of what my boss, friends, family, or others would think

[ ] 10 Thought it was something I should be strong enough to handle alone

[ ] 11 Was afraid they would put me into the hospital

[ ] 12 Was afraid of the treatment they would give me

[ ] 13 Hated answering personal questions

[ ] 14 The hours were inconvenient

[ ] 15 A member of my family objected

[ ] 16 My family thought I should go but I didn’t think it was necessary

[ ] 17 Can’t speak English very well

[ ] 18 Was afraid I would lose my job

[ ] 19 Couldn’t arrange for child care

[ ] 20 Had to wait too long to get into a program

[ ] 21 Wanted to keep using medicines or drugs

[ ] 22 Didn’t think medicine or drug problem was serious enough

[ ] 23 Didn’t want to go

[ ] 24 Stopped using medicines or drugs on my own

[ ] 25 Friends or family helped me stop using medicines or drugs

[ ] 26 Tried getting help before and it didn’t work

[ ] 27 Was afraid my children would be taken away

[ ] 28 My religious beliefs don’t allow me to go for treatment

[ ] 29 Other reasons

Personnel and Training Required

The interviewer must be trained and found competent to conduct personal interviews with individuals from the general population. The interviewer should be trained to prompt respondents further if a "don’t know" response is provided. It is preferable either to read the questionnaire aloud to the respondent or administer it in an audio-assisted computer interview (ACASI) format. The questions are sensitive in nature, and the interviewer should be trained to react appropriately to emotional responses. If a distressed respondent protocol is adopted, the interviewer should be trained to administer those procedures.

Equipment Needs

While the Alcohol Use Disorder and Associated Disabilities Interview Schedule-5 (AUDADIS-5) instrument was developed for administration by computer, the PhenX WG acknowledges that these questions can be administered in a noncomputerized format. Hasin et al. (1997) and Grant et al. (1995) used the AUDADIS in paper-and-pencil format, while Grant et al. (2003) obtained data with the computerized format.

Requirements

Requirement CategoryRequired
Average time of greater than 15 minutes in an unaffected individualNo
Major equipmentNo
Specialized requirements for biospecimen collectionNo
Specialized trainingNo

Mode of Administration

Self-administered

Life Stage:

Adult

Specific Instructions:

The Alcohol Use Disorder and Associated Disabilities Interview Schedule-Diagnostic and Statistical Manual of Mental Disorders-Fifth Edition Version (AUDADIS-5) Alcohol and Drug Use Disorders Scoring Algorithms are provided for data interpretation. Please click [link[www.phenxtoolkit.org/toolkit_content/supplemental_info/atos/additional_info/NESARC_III_Manual.pdf|here]] to access the scoring algorithm document. The algorithms were constructed by Yoanna McDowell, M.A, under the supervision of Dr. Kenneth Sher (University of Missouri) in 2017 and posted here with their permission. They were verified by diagnostic variables available in the NESARC-III data set and published NESARC-III diagnostic and severity prevalence data. Users are solely responsible for the use and interpretation of the algorithms and results.

Due to the complexity of the algorithms and associated analysis, Expert Review Panel 3 recommends analysis be performed by a statistician who has experience using NESARC datasets,

The Alcohol Use Disorder and Associated Disabilities Interview Schedule-Diagnostic and Statistical Manual of Mental Disorders-Fifth Edition Version (AUDADIS-5) is a complex diagnostic instrument that likely requires expertise with SAS and the NESARC dataset in order to successfully implement scoring algorithms. Investigators interested in briefer, screening-level assessments of alcohol and other substance use disorders are encouraged to review assessments of this collection:

[link[www.phenxtoolkit.org/index.php?pageLink=browse.conceptualgroups&id=3397&breadcrumbs=3394,3397|https://www.phenxtoolkit.org/index.php?pageLink=browse.conceptualgroups&id=3397&breadcrumbs=3394,3397]]

The following questions may gather sensitive information relating to the use of substances or illegal conduct. If the information is released it might be damaging to an individual’s employability, lead to social stigmatization, or result in other consequences.

For information on obtaining a Certificate of Confidentiality, which helps researchers protect the privacy of human research participants, please go to the National Human Genome Research Institute’s Institutional Review Board website: [link[www.genome.gov/10005108|http://www.genome.gov/10005108]].

Acronyms are listed in the protocol text. They are spelled out below:

SED = Sedatives or Tranquilizers

PAIN = Painkillers

MAR = Marijuana

COC = Cocaine or Crack

STIM = Stimulants

CLB = Club Drugs

HAL = Hallucinogens

SOLV = Inhalants/Solvents

HER = Heroin

OTH = Other

Research Domain Information

Release Date:

November 28, 2017

Definition

A measure of the treatment needs, service utilizations, and barriers of alcohol and drug treatment, based on data from the National Epidemiologic Survey on Alcohol and Related Conditions-III (NESARC-III).

Purpose

Using the National Epidemiologic Survey on Alcohol and Related Conditions-III (NESARC-III) treatment utilization variables, this measure examines the treatment needs, service utilizations, and barriers to alcohol and drug treatment in a given geographic area.

Selection Rationale

The National Epidemiologic Survey on Alcohol and Related Conditions-III (NESARC-III) captures "diagnostic" information via the Alcohol Use Disorder and Associated Disabilities Interview Schedule (AUDADIS-5). Therefore, the user can link diagnostic data from the NESARC directly to treatment utilization also collected from the NESARC.

Language

English

Standards

StandardNameIDSource

Process and Review

The [link[phenx.org/node/101|Expert Review Panel #3]] (ERP 3) reviewed the measures in the Alcohol, Tobacco and Other Substances domain and in the Substance Abuse and Addiction Collection.

Guidance from the ERP includes:

  • Updated protocol (same source)

Partially back-compatible (updated/similar protocol which would require some changes to the data dictionary), variable mapping between current and previous protocols can be found here ([link[www.phenxtoolkit.org/index.php?pageLink=browse.archive.protocols&id=550000|link]]).

Source

National Institute on Alcohol Abuse and Alcoholism (NIAAA). (N.d.). National Epidemiologic Survey on Alcohol and Related Conditions-III (NESARC-III). Rockville, MD: National Institutes of Health. Alcohol Use Disorder and Associated Disabilities Interview Schedule (AUDADIS-5), Section 3D - Treatment Utilization.

General References

Grant, B. F., Dawson, D. A., Stinson, F. S., Chou, P. S., Kay, W., & Pickering, R. (2003). The Alcohol Use Disorder and Associated Disabilities Interview Schedule-IV (AUDADIS-IV): Reliability of alcohol consumption, tobacco use, family history of depression and psychiatric diagnostic modules in a general population sample. Drug and Alcohol Dependence, 71(1), 7-16.

Grant, B. F., Goldstein, R. B., Smith, S. M., Jung, J., Zhang, H., Chou, S. P., Pickering, R. P., Ruan, W. J., Huang, B., Saha, T. D., Aivadyan, C., Greenstein, E., & Hasin, D. S. (2015). The Alcohol Use Disorder and Associated Disabilities Interview Schedule-5 (AUDADIS-5): Reliability of substance use and psychiatric disorder modules in a general population sample. Drug and Alcohol Dependence, 148, 27-33.

Grant, B. F., Harford, T. C., Dawson, D. A., Chou, P. S., & Pickering, R. P. (1995). The Alcohol Use Disorder and Associated Disabilities Interview Schedule (AUDADIS): Reliability of alcohol and drug modules in a general population sample. Drug and Alcohol Dependence, 39(1), 37-44.

Hasin, D., Carpenter, K. M., McCloud, S., Smith, M., & Grant, B. F. (1997). The alcohol use disorder and associated disabilities interview schedule (AUDADIS): Reliability of alcohol and drug modules in a clinical sample. Drug and Alcohol Dependence, 44(2-3), 133-141.

Protocol ID:

550702

Variables:

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