Assist v3 English

8/11/2019 Assist v3 English

1/12

A. WHO - ASSIST V3.0

IIIINTERVIEWERNTERVIEWERNTERVIEWERNTERVIEWER IDIDIDID CCCCOUNTRYOUNTRYOUNTRYOUNTRY CCCCLINICLINICLINICLINIC

PPPPATIENTATIENTATIENTATIENT IDIDIDID DDDDATEATEATEATE

IIIINTRODUCTIONNTRODUCTIONNTRODUCTIONNTRODUCTION ((((Please read to patien tPlease read to patien tPlease read to patien tPlease read to patien t ))))

Thank you for ag reeing to take p art in th is brief interv iew about alcohol , tobacco produ cts and other

dru gs. I am goin g to ask you some questions about you r experien ce of using these substances across

your l i fet ime and in th e past thr ee month s. These substances can be smoked , sw allow ed, snor ted,

inhaled, injected or taken in the form of pi l ls (show drug card).

Some of the substances listed may be p rescribed by a do ctor (l ike amp hetam ines, sedatives, pain

medicat ions). For this interv iew, w e w i l l not record medicat ions that are used as prescribed by your

doctor. How ever, i f you have taken such medicat ions for reasons other than pr escript ion, or taken them

more frequent ly or at h igher doses than pr escribed, please let me know . Whi le w e are also interested in

know ing ab out your use of various i l lici t drugs, please be assured tha t infor mat ion on such use w i l l betreat ed as strictly conf identia l.

NNNNOTEOTEOTEOTE::::BBBBEFORE ASKING QUESTIOEFORE ASKING QUESTIOEFORE ASKING QUESTIOEFORE ASKING QUESTION SNSNSNS,,,,GIVEGIVEGIVEGIVE ASSISTASSISTASSISTASSISTRRRRESPONSEESPONSEESPONSEESPONSECCCCARD TO PATIENTARD TO PATIENTARD TO PATIENTARD TO PATIENT

QQQQuestion 1uestion 1uestion 1uestion 1

( i f complet ing fol low(i f complet ing fol low(i f complet ing fol low(i f complet ing fol low ----up please cross check the pat ient s answers w i th the answers given for Q 1 atup please cross check the pat ient s answers w i th the answers given for Q 1 atup please cross check the pat ient s answers w i th the answers given for Q 1 atup please cross check the pat ient s answers w i th the answers given for Q 1 at

baseline. Any di f f erences on this quest ion should be queried)baseline. Any di f ferences on this quest ion should be queried)baseline. Any di f f erences on this quest ion should be queried)baseline. Any di f ferences on this quest ion should be queried)

In your l ife, which of the fol lowing substances have youIn your l ife, which of the fol lowing substances have youIn your l ife, which of the fol lowing substances have youIn your l ife, which of the fol lowing substances have you

ever usedever usedever usedever used???? (NON(NON(NON(NON ----M EDICAL UMEDICAL UMEDICA L UMEDICAL USE ON LY)SE ON LY)SE ON LY)SE ON LY)NoNoNoNo YesYesYesYes

a. Tobacco products (cigarettes, chewing tobacco, cigars, etc.) 0 3

b. Alcohol ic beverages (beer, wine, spirits, etc.) 0 3

c. Cannabis (mari juana, pot, grass, hash, etc.) 0 3

d. Cocaine (coke, crack, etc.) 0 3

e. Amphetamine type stimulants (speed, diet pil ls, ecstasy, etc.) 0 3

f. Inhalants (nitrous, glue, petrol, paint thinner, etc.) 0 3

g. Sedatives or Sleeping Pill s (Valium, Serepax, Rohypnol , etc.) 0 3

h. Hal lucinogens (LSD, acid, mushrooms, PCP, Special K, etc.) 0 3

i. Opio ids (heroin, morphine, methadone, codeine, etc.) 0 3

j. Other - specify: 0 3

Probe i f all answers are negative:Probe i f all answers are negative:Probe i f all answers are negative:Probe if all answers are negative: Not even when you were in school? Not even when you were in school? Not even when you were in school? Not even when you were in school?

I f "No" to all items, stop interview .If "No" to all items, stop in terview .If "No" to all items, stop interview .If "No" to all items, stop in terview .

If "Yes" to a ny o f th ese items, ask Q uestionIf "Yes" to an y of these items, ask Qu estionIf "Yes" to a ny o f th ese items, ask Q uestionIf "Yes" to any of these items, ask Q uestion 2 f or2 for2 for2 for

each substeach substeach substeach substance ever used.an ce ever used.an ce ever used.an ce ever used.


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Question 2Question 2Question 2Question 2

In theIn theIn theIn the past three monthspast three monthspast three monthspast three months, how o ften have you used, how often have you used, how often have you used, how of ten have you used

the substances you mentionedthe substances you mentionedthe substances you mentionedthe substances you mentioned (FIRST DRUG ,(FIRST DRUG ,(FIRST DRUG ,(FIRST DRUG ,

SECON D DRUG , ETC)SECON D DRUG , ETC)SECON D DRUG , ETC)SECON D DRUG , ETC)????Never

Never

Never

Never

Onceor

Onceor

Onceor

Onceor

Twice

Twice

Twice

Twice

Monthly

Monthly

Monthly

Monthly

Weekly

Weekly

Weekly

Weekly

Dailyor

Dailyor

Dailyor

Dailyor

Almost

Almost

Almost

Almost

Daily

Daily

Daily

Daily

a. Tobacco products (cigarettes, chewing tobacco, cigars, etc.) 0 2 3 4 6

b. Alcohol ic beverages (beer, wine, spirits, etc.) 0 2 3 4 6

c. Cannabis (mar ijuana, pot, grass, hash, etc.) 0 2 3 4 6

d. Cocaine (coke, crack, etc.) 0 2 3 4 6

e. Amphetamine type stimulants (speed, diet pil ls, ecstasy, etc.) 0 2 3 4 6

f. Inhalants (nitrous, glue, petrol, paint thinner, etc.) 0 2 3 4 6

g. Sedatives or Sleeping Pill s (Valium, Serepax, Rohypn ol, etc.) 0 2 3 4 6

h. Hal lucinogens (LSD, acid, mushrooms, PCP, Special K, etc.) 0 2 3 4 6

i. Opio ids (heroin, morph ine, methadone, codeine, etc.) 0 2 3 4 6

j. Other - specify: 0 2 3 4 6

I f "Never" to al l i tems in Quest ion 2, skip to Quest ion 6.I f "Never" to al l i tems in Quest ion 2, skip to Qu est ion 6.I f "Never" to al l i tems in Quest ion 2, skip to Quest ion 6.I f "Never" to al l i tems in Quest ion 2, skip to Qu est ion 6.

I f any substances in Q uest ion 2 w ere used in the pr evious three months, cont inue w ithIf any substances in Q uest ion 2 w ere used in the pr evious three months, cont inue w ithIf any substances in Q uest ion 2 w ere used in the pr evious three months, cont inue w ithIf any substances in Q uest ion 2 w ere used in th e previous three months, cont inue w ith

Qu est ions 3, 4 & 5 forQuest ions 3, 4 & 5 forQu est ions 3, 4 & 5 forQu estions 3, 4 & 5 for each substanceach substanceach substanceach substanceeee used.used.used.used.


During theDuring theDuring theDuring the past three monthspast three monthspast three monthspast three months, how often have you, how of ten have you, how often have you, how often have you

had a strong desire or u rge to usehad a strong desire or urge to usehad a strong desire or u rge to usehad a strong desire or urge to use (FIRST DRUG , SECOND(FIRST DRUG , SECOND(FIRST DRUG , SECOND(FIRST DRUG , SECOND

DRUG, ETC)DRUG, ETC)DRUG, ETC)DRUG, ETC)????Never

Never

Never

Never

Once

or

Once

or

Once

or

Once

or

Twice

Twice

Twice

Twice

Mont

hly

Monthly

Monthly

Mont

hly

Weekly

Weekly

Weekly

Weekly

Daily

or

Daily

or

Daily

or

Daily

or

Almost

Almost

Almost

Almost

Daily

Daily

Daily

Daily












3/12


During theDuring theDuring theDuring the past three monthspast three monthspast three monthspast three months, how often has your, how of ten has your, how often has your, how often has your

use ofuse ofuse ofuse of (FIRST DRUG, SECOND DRUG , ETC(FIRST DRUG , SECOND DRUG , ETC(FIRST DRUG, SECOND DRUG , ETC(FIRST DRUG , SECOND DRUG , ETC))))

led to health, social, legal o r financial problems?led to health, social, legal or financial problems?led to health, social, legal o r financial problems?led to health, social, legal or financial problems?Never

Never

Never

Never

Onceor

Onceor

Onceor

Onceor

Twice

Twice

Twice

Twice

Monthly

Monthly

Monthly

Monthly

Weekly

Weekly

Weekly

Weekly

Dailyor

Dailyor

Dailyor

Dailyor

Almost

Almost

Almost

Almost

Daily

Daily

Daily

Daily












During theDuring theDuring theDuring the past three monthspast three monthspast three monthspast three months, how often have you failed, how of ten have you fail ed, how often have you fail ed, how often have you failed

to do what was normally expected ofto do what was normally expected ofto do what was normally expected ofto do w hat was normall y expected of you because ofyou because ofyou because ofyou because of

your use ofyour use ofyour use ofyour use of (FIRST DRUG , SECOND DRUG , ETC(FIRST DRUG , SECON D DRUG , ETC(FIRST DRUG , SECOND DRUG , ETC(FIRST DRUG , SECON D DRUG , ETC)?)?)?)?Never

Never

Never

Never

Onceor

Onceor

Onceor

Onceor

Twice

Twice

Twice

Twice

Monthly

Monthly

Monthly

Monthly

Weekly

Weekly

Weekly

Weekly

Dailyor

Dailyor

Dailyor

Dailyor

Almost

Almost

Almost

Almost

Daily

Daily

Daily

Daily

a. Tobacco products











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Ask Qu estions 6 & 7 for a ll substan ces ever used (i.e.Ask Qu estions 6 & 7 for a ll substances ever used (i.e.Ask Qu estions 6 & 7 for a ll substan ces ever used (i.e.Ask Qu estions 6 & 7 for al l substances ever used (i.e. those endorsed in Q uestion 1)those endorsed in Q uest ion 1)those endorsed in Q uest ion 1)those endorsed in Quest ion 1)


Has a friend or relative or anyone elseHas a friend or relative or anyone elseHas a friend or relative or anyone elseHas a friend or relative or anyone else everevereverever

expressed concern about your use ofexpressed concern about your use ofexpressed concern about your use ofexpressed concern about your use of

(FIRST DRUG , SECOND DRUG , ETC.)?(FIRST DRUG , SECOND DRUG , ETC.)?(FIRST DRUG , SECOND DRUG , ETC.)?(FIRST DRUG , SECOND DRUG , ETC.)? No,Never

No,Never

No,Never

No,Never

Yes,inthe

Yes,inthe

Yes,inthe

Yes,inthe

past3

past3

past3

past3

months

months

months

months

Yes,but

Yes,but

Yes,but

Yes,but

notinthe

notinthe

notinthe

notinthe

past3

past3

past3

past3

months

months

months

months

a. Tobacco products (cigarettes, chewing tobacco, cigars, etc.) 0 6 3

b. Alcohol ic beverages (beer, wine, spirits, etc.) 0 6 3

c. Cannabis (mar ijuana, pot, grass, hash, etc.) 0 6 3

d. Cocaine (coke, crack, etc.) 0 6 3

e. Amphetamine type stimulants (speed, diet pil ls, ecstasy, etc.) 0 6 3

f. Inhalants (nitrous, glue, petrol, paint thinner, etc.) 0 6 3

g. Sedatives or Sleeping Pill s (Valium, Serepax, Rohypnol , etc.) 0 6 3

h. Hal lucinogens (LSD, acid, mushrooms, PCP, Special K, etc.) 0 6 3

i. Opio ids (heroin, morphine, methadone, codeine, etc.) 0 6 3

j. Other specify: 0 6 3


Have youHave youHave youHave you everevereverever tri ed and failed to control, cut down or stop usingtried and fai led to control, cut down or stop usingtried and fai led to control, cut down or stop usingtried and fai led to control, cut down or stop using

(FIRST DRUG , SECOND DRUG , ETC.)?(FIRST DRUG , SECOND DRUG , ETC.)?(FIRST DRUG , SECOND DRUG , ETC.)?(FIRST DRUG , SECOND DRUG , ETC.)?

No,Never

No,Never

No,Never

No,Never

Yes,inthe

Yes,inthe

Yes,inthe

Yes,inthe

past3

past3

past3

past3

months

months

months

months

Yes,but

Yes,but

Yes,but

Yes,but

notinthe

notinthe

notinthe

notinthe

past3

past3

past3

past3

months

months

months

months

a. Tobacco products (cigarettes, chewing tobacco, cigars, etc.) 0 6 3

b. Alcohol ic beverages (beer, wine, spirits, etc.) 0 6 3

c. Cannabis (mar ijuana, pot, grass, hash, etc.) 0 6 3

d. Cocaine (coke, crack, etc.) 0 6 3

e. Amphetamine type stimulants (speed, diet pil ls, ecstasy, etc.) 0 6 3

f. Inhalants (nitrous, glue, petrol, paint thinner, etc.) 0 6 3

g. Sedatives or Sleeping Pill s (Valium, Serepax, Rohypnol , etc.) 0 6 3

h. Hal lucinogens (LSD, acid, mushrooms, PCP, Special K, etc.) 0 6 3

i. Opio ids (heroin, morphine, methadone, codeine, etc.) 0 6 3

j. Other specify: 0 6 3


5/12


No,Never

No,Never

No,Never

No,Never

Yes,inthe

Yes,inthe

Yes,inthe

Yes,inthe

past3

past3

past3

past3

months

months

months

months

Yes,but

Yes,but

Yes,but

Yes,but

notinthe

notinthe

notinthe

notinthe

past3

past3

past3

past3

months

months

months

months

Have youHave youHave youHave you everevereverever used any drug by injection?used any drug by injection?used any drug by in jection?used any drug by injection?

(NON(NON(NON(NON ----MEDICA L USE ON LY)MEDICA L USE ON LY)MEDICA L USE ON LY)MEDICA L USE ON LY) 0 2 1

IMPORTANTNOTE:

Patients who have injected drugs in the last 3 months should be asked about their pattern of injecting

during this period, to determine their risk levels and the best course of in tervention.

PATTERN OF INJECTING INTERVENTION GUIDELINES

Once weekly or leOnce weekly or leOnce weekly or leOnce weekly or lessssssss or

Fewer than 3 days in a rowFewer than 3 days in a rowFewer than 3 days in a rowFewer than 3 days in a row

Brief Intervention including risksBrief Intervention including risksBrief Intervention including risksBrief Intervention including risksassociated with i njecting cardassociated with i njecting cardassociated with i njecting cardassociated with injecting card

More than once per weekMore than once per weekMore than once per weekMore than once per week or

3 or mor e days in a row3 or mor e days in a row3 or mor e days in a row3 or mor e days in a row

Further assessment and more intensiveFurther assessment and more intensiveFurther assessment and more intensiveFurther assessment and more intensivetreatment*treatment*treatment*treatment*

HHHHOW TO CALCULATE A SOW TO CALCULATE A SOW TO CALCULATE A SOW TO CALCULATE A SPECIFIC SUBSTANCE INPECIFIC SUBSTAN CE INPECIFIC SUBSTANCE INPECIFIC SUBSTAN CE IN VOLVEMENT SCOREVOLVEMENT SCOREVOLVEMENT SCOREVOLVEMENT SCORE....

For each substance (labelled a. to j.) add up the scores received for questions 2 through 7 i nclusive. Donot include the results from either Q 1 or Q 8 in thi s score. For example, a score for cannabi s would becalculated as: Q2c + Q3c + Q4c + Q5c + Q6c + Q7cQ2c + Q3c + Q4c + Q5c + Q6c + Q7cQ2c + Q3c + Q4c + Q5c + Q6c + Q7cQ2c + Q3c + Q4c + Q5c + Q6c + Q7c

Note that Q5 for tobacco is not coded, and is calculated as: Q2a + Q3a + Q4a + Q6a + Q7aQ2a + Q3a + Q4a + Q6a + Q7aQ2a + Q3a + Q4a + Q6a + Q7aQ2a + Q3a + Q4a + Q6a + Q7a

TTTTHE TYPE OF IN TERVENTHE TYPE OF IN TERVENTHE TYPE OF IN TERVENTHE TYPE OF INTERVENTIO N IS DETERMINED BYION IS DETERMINED BYION IS DETERMINED BYION IS DETERMIN ED BY THE PATIENTTHE PATIENTTHE PATIENTTHE PATIENTS SPECIFIC SUBSTANCES SPECIFIC SUBSTANCES SPECIFIC SUBSTANCES SPECIFIC SUBSTANCE INVOLVEMENT SCOREIN VOLVEMENT SCOREIN VOLVEMENT SCOREIN VOLVEMENT SCORE

Record specificRecord specificRecord specificRecord specific

substance scsubstance scsubstance scsubstance scoreoreoreore

no interventionno interventionno interventionno intervention receive briefreceive briefreceive briefreceive brief

interventioninterventioninterventionintervention

more intensivemore intensivemore intensivemore intensive

treatment *treatment *treatment *treatment *

a. tobacco 0 - 3 4 - 26 27+

b. alcohol 0 - 10 11 - 26 27+

c. cannabis 0 - 3 4 - 26 27+

d. cocaine 0 - 3 4 - 26 27+

e. amphetamine 0 - 3 4 - 26 27+

f. inhalants 0 - 3 4 - 26 27+g. sedatives 0 - 3 4 - 26 27+

h. hallucinogens 0 - 3 4 - 26 27+

i. opioids 0 - 3 4 - 26 27+

j. other drugs 0 - 3 4 - 26 27+

NOTE:NOTE:NOTE:NOTE: *F*F*F*FURTHER ASSESSMEN T ANURTHER ASSESSMEN T ANURTHER ASSESSMEN T ANURTHER ASSESSMENT AN D MORE IN TENSIVE TRED MORE INTENSIVE TRED MORE INTENSIVE TRED MORE INTENSIVE TREATMENTATMENTATMENTATMENT may be provided by the health professional(s)may be provided by the health professional(s)may be provided by the health professional(s)may be provided by the health professional(s)

within your pwithin your pwithin your pwithin your primary care setting, or, by a speciali st drug and al cohol treatment service when avail able.rimary care setting, or, by a speciali st drug and a lcohol treatment service when available.rimary care setting, or, by a specialist drug and a lcohol treatment service when available.rimary care setting, or, by a speciali st drug and a lcohol treatment service when available.


6/12

B. WHO ASSIST V3.0 RESPONSE CARD FOR PATIENTS

Respon se CardRespon se Car dRespon se CardRespon se Card ---- substancessubstancessubstancessubstances

a. Tobacco products (cigarettes, chewing tobacco, cigars, etc.)

b. Alcoholic beverages (beer, wine, spirits, etc.)

c. Cannabis (marijuana, pot, grass, hash, etc.)

d. Cocaine (coke, crack, etc.)

e. Amphetamine type stimulants (speed, diet pills, ecstasy, etc.)

f. Inhalants (nitrous, glue, petrol , paint thi nner, etc.)

g. Sedatives or Sleeping Pills (Valium, Serepax, Rohypnol , etc.)

h. Hallucinogens (LSD, acid, mushrooms, PCP, Special K, etc.)

i. Op ioids (heroin, mor phine, methadone, codeine, etc.)

j. Other - specify:

Respon se Car d (ASSIST Question s 2Respon se Car d (ASSIST Question s 2Respon se Car d (ASSIST Question s 2Respon se Car d (ASSIST Qu estions 2 5)5)5)5)

Never:Never:Never:Never: no t used in the last 3 months

Once or twice:Once or twice:Once or twice:Once or tw ice: 1 to 2 tim es in the last 3 months.

Monthly:Monthly:Monthly:Monthly: 1 to 3 times in one month.

Weekly:Weekly:Weekly:Weekly: 1 to 4 tim es per week.

Daily or almost daily:Daily or almost daily:Daily or almost daily:Daily or alm ost daily: 5 to 7 days per week.

Respon se Card (ASSIST Qu estions 6 to 8)Respon se Card (ASSIST Qu estions 6 to 8)Respon se Card (ASSIST Qu estions 6 to 8)Respon se Card (ASSIST Qu estions 6 to 8)

No, N ever

Yes, but not in the past 3 months

Yes, in the past 3 m onths


7/12

C. ALCOHOL, SMOKING AND SUBSTANCE

INVOLVEMENT SCREENING TEST (WHO ASSIST

V3.0) FEEDBACK REPORT CARD FOR PATIENTS

Name________________________________ Test Date _____________________Name________________________________ Test Date _____________________Name________________________________ Test Date _____________________Name________________________________ Test Date _____________________

Specific Substance Involvement ScorSpecific Substance Involvement ScorSpecific Substance Involvement ScorSpecific Substance Involvement Scoreseseses

SubstanceSubstanceSubstanceSubstance ScoreScoreScoreScore Risk LevelRisk LevelRisk LevelRisk Level

a. Tobacco p roducts0-3 Low4-26 Moderate27+ High

b. Alcoholic Beverages0-10 Low11-26 Moderate27+ High

c. Cannabis

0-3 Low

4-26 Moderate27+ High

d. Cocaine0-3 Low4-26 Moderate27+ High

e. Amphetamine type stimulants0-3 Low4-26 Moderate27+ High

f. Inhalants0-3 Low4-26 Moderate27+ High

g. Sedatives or Sleeping Pills0-3 Low4-26 Moderate27+ High

h. Hall ucinogens0-3 Low4-26 Moderate27+ High

i. Opioids0-3 Low4-26 Moderate27+ High

j. Other - specify0-3 Low4-26 Moderate27+ High

What do your scores mean?What do your scores mean?What do your scores mean?What do your scores mean?LowLowLowLow: You are at low risk of health and other problems from your current pattern of use.

ModerateModerateModerateModerate: You are at risk of health and other problems from your current pattern of substance use.

High:High:High:High: You are at high risk of experiencing severe problems (health, social, financial, legal,relationship) as a result of you r current pattern of use and are likely to be dependent

Are you concernedAre you concernedAre you concernedAre you concerned about your substance use?about your substance use?about your substance use?about your substance use?


8/12

a.a.a.a.tobaccotobaccotobaccotobacco

Your risk of experiencing these harms is:

Regular tobacco smoking is associated with:Regular tobacco smoking is associated with:Regular tobacco smoking is associated with:Regular tobacco smoking is associated with:

LowLowLowLow ModerateModerateModerateModerate HighHighHighHigh (tick one)

Premature aging, wrinkling of the skin

Respiratory infections and asthma

High blood pressure, diabetes

Respiratory infections, allergies and asthma in children of smokers

Miscarriage, premature labour and low birth weight babies for pregnant women

Kidney disease

Chronic obstructive airways disease

Heart disease, stroke, vascular disease

Cancers

b.b.b.b.alcoholalcoholalcoholalcohol


Regular excessive al cohol use is associated w ith:Regular excessive al cohol use is associated w ith:Regular excessive al cohol use is associated w ith:Regular excessive alcohol use is associated wi th:


Hangovers, aggressive and violent behaviour, accidents and injur y

Reduced sexual performance, premature ageing

Digestive problems, ulcers, inflam mation of the pancreas, high blood pressure

Anxiety and depression, relationship difficulties, financial and work problems

Difficulty remembering things and solving pr oblems

Deformities and brain damage in babies of pregnant women

Stroke, permanent brain injur y, muscle and nerve damage

Liver di sease, pancreas disease

Cancers, suicide

cccc.cannabiscannabiscannabiscannabis


Regular use of caRegular use of caRegular use of caRegular use of cannabis is associated with:nnabis is associated with:nnabis is associated with:nnabis is associated with:


Problems with attention a nd motivation

Anxiety, par anoia, panic, depression

Decreased memor y and problem solving abil ity

High blood pr essure

Asthma, bronchitis

Psychosis in those with a personal or family history of schizophrenia

Heart disease and chronic obstructive airways disease

Cancers


9/12

d.d.d.d.cocainecocainecocainecocaine

Your risk of experiencing these harms is:.

Regular use of cocaine is associated w ith:Regular use of cocaine is associated w ith:Regular use of cocaine is associated w ith:Regular use of cocaine is associated with:


Diffi culty sleeping, hear t racing, headaches, weight loss

Num bness, tingli ng, clamm y skin, skin scratching or picking

Accidents and inju ry, financial problems

Irrational thoughts

Mood swings - anxiety, depression, mania

Aggression and paranoia

Intense craving, stress from the lifestyle

Psychosis after repeated use of high doses

Sudden death fr om heart p roblems

e.e.e.e.amphetamineamphetamineamphetamineamphetaminetype stimulantstype stimulantstype stimulantstype stimulants

Your risk of experiencing these harms is:.

Regular use of am phetamine type sRegular use of amphetamine type sRegular use of am phetamine type sRegular use of amphetami ne type stimulants istimulants istimulants istimulants isassociated with:associated with:associated with:associated with:


Difficulty sleeping, loss of appetite and weight loss, dehydration

jaw clenching, headaches, muscle pain

Mood swings anxiety, depression, agitation, mania, panic, pa ranoia

Tremors, irregular heartbeat, shortness of breath

Aggressive and violent behaviour

Psychosis after repeated use of high doses

Permanent damage to brain cells

Liver damage, brain haemorrhage, sudden death (ecstasy) in rar e situations

ffff.inhalantsinhalantsinhalantsinhalants

Your risk of experiencing these harms is:..

Regular use of inhalants is associated with:Regular use of inhalants is associated with:Regular use of inhalants is associated with:Regular use of inhalants is associated with:


Dizziness and hallucinations, drow siness, disorientation, blur red vision

Flu like symptoms, sinusitis, nosebleeds

Indigestion, stomach ulcers

Accidents and injur y

Memory loss, confusion, depression, aggression

Coordination difficulties, slowed reactions, hypoxia

Delirium, seizures, coma, organ damage (heart, lungs, li ver, k idneys)

Death from heart failure


10/12

g.g.g.g.sedativessedativessedativessedatives


Regular use of sedatives is associated w ith:Regular use of sedatives is associated w ith:Regular use of sedatives is associated w ith:Regular use of sedatives is associated w ith:

Low Moderate High (tick one)

Drow siness, dizziness and confusion

Difficulty concentrating and remembering thi ngs

Nausea, headaches, unsteady gai t

Sleeping problems

Anxiety and depression

Tolerance and dependence after a short period of use.

Severe withd rawa l symptoms

Overdose and death if used w ith al cohol, op ioids or other depressant drugs.

h.h.h.h.hallhallhallhallucinogensucinogensucinogensucinogens

Your risk of experiencing these harms is:..

Regular use of hallucinogens is associated with:Regular use of hallucinogens is associated with:Regular use of hallucinogens is associated with:Regular use of hallucinogens is associated with:


Hallucinations (pleasant or unpleasant) visual, a uditor y, tactile, olf actory

Difficulty sleeping

Nausea and vomiting

Increased heart r ate and blood pressure

Mood swings

Anxiety, panic, paranoia

Flash-backs

Increase the effects of mental i llnesses such as schizophrenia

i.i.i.i.opioidsopioidsopioidsopioids


Regular use of opRegular use of opRegular use of opRegular use of opioids is associated with:ioids is associated with:ioids is associated with:ioids is associated with:


Itching, nausea and vomitin g

Drowsiness

Constipation , tooth decay

Difficulty concentrating and remembering thi ngs

Reduced sexual desire and sexual performance

Relationship difficulties

Financial and work problems, violations of law

Tolerance and dependence, withdr awal symptoms

Overdose and death from respiratory failure


11/12

D. RISKS OF INJECTING CARD INFORMATION FOR

PATIENTS

Using substances by in jection increases the rUsing substances by in jection increases the rUsing substances by in jection increases the rUsing substances by injection increases the risk of harm from substance use.isk of harm from substance use.isk of harm from substance use.isk of harm from substance use.

This harm can come from:This harm can come from :This harm can come from:This harm can come from :

The substanceThe substanceThe substanceThe substance

If you inject any drug you are more likely to become dependent. If you inject amphetamines or cocaine you are more likely to experience psychosis. If you inject heroin or o ther sedatives you are m ore lik ely to overdose.

The injecting behaviourThe in jecting behaviourThe injecting behaviourThe injecting behaviour

If you inject you may damage your skin and veins and get infections. You may cause scars, bruises, swelling, abscesses and ulcers. Your veins might collapse. If you inject into the neck you can cause a stroke.

Sharing of in jecting equipmentSharing of inj ecting equipm entSharing of in jecting equipmentSharing of injecting equipment

If you share injecting equipment (needles & syringes, spoons, filters, etc.) you are more likely to spreadblood borne virus infections like Hepatitis B, Hepatitis C and HIV.

It is safer not to injectIt is safer not to injectIt is safer not to injectIt is safer not to inject

If you do i nject:If you do inject:If you do i nject:If you do inject:

always use clean equipment (e.g., needles & syringes, spoons, filters, etc.) always use a new needle and syringe dont share equipment with other people

clean the preparation area

clean your hands

clean the injecting site

use a different injecting site each time

inject slowly put your used needle and syringe in a hard container and dispose of it safely

If you use stimulant drugs like amphetamines or cocaine the follow ing tips will help you reduce your risk ofIf you use stimulant drugs like amphetamines or cocaine the following tips will help you r educe your risk ofIf you use stimulant drugs like amphetamines or cocaine the follow ing tips will help you reduce your risk ofIf you use stimulant drugs like amphetamines or cocaine the following tips will help you r educe your risk ofpsychosis.psychosis.psychosis.psychosis.

avoid injecting and smoking

avoid using on a daily basis

If you use depressant drugs like heroin the follow ing tips wil l help you reduce your r isk of overdose.If you use depressant dru gs like heroin the follow ing tips will help you reduce your risk of overdose.If you use depressant drugs like heroin the follow ing tips wil l help you reduce your r isk of overdose.If you use depressant dru gs like heroin the follow ing tips will help you reduce your risk of overdose.

avoid using other dr ugs, especially sedatives or alcohol, on the same day

use a small amount an d always have a trial taste of a new batch

have someone with you when you are using

avoid injecting in places where no-one can get to you if you do overdose

know the telephone num bers of the ambulance service


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E. TRANSLATION AND ADAPTATION TO LOCAL

LANGUAGES AND CULTURE: A RESOURCE FOR

CLINICIANS AND RESEARCHERS

The ASSIST instrument, instructions, drug cards, response scales and resource manua ls

may need to be translated into local languages for use in particular countries or regions.Translation from English should be as direct as possible to maintain the integri ty of thetools and documents. However, in some cultural settings and linguistic groups, aspects ofthe ASSIST and its companion documents may not be able to be translated l iterally andthere may be socio-cultural factors that will need to be taken into account in addition tosemantic meaning. In particular , substance names may requi re adaptation to conform tolocal conditions, and it is also worth noting that the definition of a standard drink may varyfrom country to country.

Translation should be undertaken by a bi-li ngual translator, preferably a healthprofessional wi th experience in interviewing . For the ASSIST instrument itself, translations

should be reviewed by a bi-lingual expert panel to ensure that the instrument is notambiguous. Back translation in to Engl ish should then be carr ied out by anotherindependent translator whose main language is English to ensure that no meaning hasbeen lost in the translation. This strict translat ion procedure is critical for the ASSISTinstrument to ensure that comparab le in formation is obtained wherever the ASSIST is usedacross the world .

Translation of this manual and companion documents may also be undertaken if required.These do not need to undergo the full p rocedure described above, but should include anexpert bi-lingual panel.

Before attempting to translate the ASSIST and related documents into other languages,interested individuals should consult with the WHO about the procedures to be followedand the availabili ty of other translations. Wri te to the Department of Mental Health andSubstance Dependence, World Heal th O rgan isation, 1211 Geneva 27, Swi tzerland.

Assist v3 English

Documents