The Opiate Treatment Index (OTI)

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1 The Opiate Treatment Index (OTI) (Drug use, criminality and health status components) Adapted from: Darke, S., Ward, J., Hall, W., Heather, N. & Wodak, A. (1991). The Opiate Treatment Index (OTI) Researcher's Manual. National Drug and Alcohol Research Centre Technical Report Number 11. Sydney: National Drug and Alcohol Research Centre

2 OPIATE TREATMENT INDEX (OTI) Part 1: DRUG USE First, I'm going to ask you some questions on your use of drugs. I'll emphasise again that the information you give me is completely confidential. [Note: For all categories, if the subject responds that their last use of the drug was more than a month ago, score zero for that category. Do not include use on day of interview.] Heroin Now I'm going to ask you some questions about heroin (smack, hammer, horse, scag, etc.). 1. How many days ago did you last use heroin? / 2. How many hits, smokes, snorts, etc. did you have on that day? / 3. How many days before that did you use heroin? / 4. And how many hits, smokes, snorts, etc. did you have on that day? / 5. And when was the day before that? / Other Opiates These questions are about your use of opiates other than heroin (e.g. street methadone, morphine, pethidine, codeine) 6. How many days ago did you last use opiates other than heroin? (do not include legally obtained methadone) / 7. How many pills, doses, etc. did you have on that day? / 8. How many days before that did you use opiates other than heroin? / 9. And how many pills, doses etc. did you have on that day? / 10. And when was the day before that? /

3 Cannabis These questions are about your use of marijuana (cannabis, dope, grass, hash, pot, etc.). 11. How many days ago did you last use marijuana? / 12. How many joints, bongs, etc. did you have on that day? / 13. How many days before that did you use marijuana? / 14. And how many joints, bongs, etc. did you have on that day? / 15. And when was the day before that? / Amphetamines These questions are about your use of amphetamines (speed). 16. How many days ago did you last use amphetamines? / 17. How many tablets, snorts, hits, etc. did you have on that day? / 18. How many days before that did you use amphetamines? / 19. And how many tablets, snorts, hits, etc. did you have on that day? / 20. And when was the day before that? / Cocaine These questions are about your use of cocaine (coke, snow, crack, etc.). 21. How many days ago did you last use cocaine? / 22. How many snorts, hits, smokes, etc. did you have on that day? / 23. How many days before that did you use cocaine? / 24. And how many snorts, hits, smokes, etc. did you have on that day? / 25. And when was the day before that? / Benzodiazepines These questions are about your use of tranquillisers (e.g. benzos, Serepax, Rohypnol, Mogadon, Valium). 26. How many days ago did you last use tranquillisers? / 27. How many pills did you have on that day? / 28. How many days before that did you use tranquillisers? / 29. And how many pills did you have on that day? / 30. And when was the day before that? /

4 Barbiturates These questions are about your use of barbiturates (e.g. Nembutal, Seconal,etc.). 31. How many days ago did you last use barbiturates? / 32. How many pills did you have on that day? / 33. How many days before that did you use barbiturates? / 34. And how many pills did you have on that day? / 35. And when was the day before that? / Hallucinogens These questions are about your use of hallucinogens (e.g. LSD/acid, ecstasy, magic magic mushrooms). 36. How many days ago did you last use hallucinogens? / 37. How many tabs, pills, etc. did you have on that day? / 38. How many days before that did you use hallucinogens? / 39. And how many tabs, pills, etc. did you have on that day? / 40. And when was the day before that? / Inhalants These questions are about your use of inhalants (e.g. amyl nitrite/rush, glue, laughing gas, aerosols, petrol). 41. How many days ago did you last use inhalants? / (do not include asthma sprays) 42. How many sniffs did you have on that day? / 43. How many days before that did you use inhalants? / 44. And how many sniffs did you have on that day? / 45. And when was the day before that? / Tobacco Finally, these questions are about your use of cigarettes. 46. How many days ago did you last use tobacco? / 47. How many cigarettes did you have on that day? / 48. How many days before that did you use tobacco? / 49. And how many cigarettes did you have on that day? / 50. And when was the day before that? /

5 General Comments On Drug Use DRUG USE SUMMARY: Q SCORES a. Heroin f. Benzodiazepines b. Other Opiates g. Barbiturates c. Cannabis h. Hallucinogens d. Amphetamines i. Inhalants e. Cocaine j. Tobacco

6 Part 2: CRIME In this section I am interested in any crimes that you may have committed. Any information that you give here is completely confidential. [Give Response Card to participant] Property Crime First, I am going to ask you some questions on property crime. By property crime I mean things such as break and enter, robbery without violence, shoplifting, stealing a prescription pad, stealing a car, or receiving stolen goods. I am interested in the number of times that you committed a property crime, not the number of times you've been caught. 1. How often, on average, during the last month have you committed a property crime? Dealing 0 No property crime 1 Less than once a week 2 Once a week 3 More than once a week (but less than daily) 4 Daily Now I am going to ask you some questions about dealing. By dealing I mean selling drugs to someone. I am interested in the number of times that you've dealt drugs, not the number of times you've been caught. 2. How often, on average, during the last month have you sold drugs to someone? Fraud 0 No drug dealing 1 Less than once a week 2 Once a week 3 More than once a week (but less than daily) 4 Daily Now I am going to ask you some questions about fraud scams. By fraud I mean things such as forging cheques, forging prescriptions, social security scams, or using someone else's credit card. I am interested in the number of times that you've committed fraud, not the number of times that you've been caught. 3. How often, on average, during the last month have you committed a fraud? 0 No fraud 1 Less than once a week 2 Once a week 3 More than once a week (but less than daily) 4 Daily

7 Crimes Involving Violence Finally, I am going to ask you some questions about crimes involving violence. By crimes involving violence I mean things such as using violence in a robbery, armed robbery, assault, rape, etc. I am interested in the number of times that you've committed a crime involving violence, not the number of times that you've been caught. 4. How often, on average, during the last month have you committed a crime involving violence? 0 No violent crime 1 Less than once a week 2 Once a week 3 More than once a week (but less than daily) 4 Daily CRIME TOTAL: Part 3: HEALTH These questions are about your health. I am going to read out a list of health problems. Please answer Yes if you have had any of these problems over the last month. [Note: Circle Yes or No responses as indicated by participant, and count the number of Yes responses in each group of symptoms to give a sub-total] 1. General a. fatigue/energy loss Yes No b. poor appetite Yes No c. weight loss/underweight Yes No d. trouble sleeping Yes No e. fever Yes No f. night sweats Yes No g. swollen glands Yes No h. jaundice Yes No i. bleeding easily Yes No j. teeth problems Yes No k. eye/vision problems Yes No l. ear/hearing problems Yes No m. cuts needing stitches Yes No N. SUB-TOTAL

8 2. Injection Related Problems a. overdose Yes No b. abscesses/infections from injecting Yes No c. dirty hit (made feel sick) Yes No d. prominent scarring/bruising Yes No e. difficulty injecting Yes No F. SUB-TOTAL 3. Cardio/Respiratory a. persistent cough Yes No b. coughing up phlegm Yes No c. coughing up blood Yes No d. wheezing Yes No e. sore throat Yes No f. shortness of breath Yes No g. chest pains Yes No h. heart flutters/racing Yes No i. swollen ankles Yes No J. SUB-TOTAL 4. Genito-urinary a. painful urination Yes No b. loss of sex urge Yes No c. discharge from genitals Yes No d. rash on/around genitals Yes No E. SUB-TOTAL 5. Gynaecological (WOMEN ONLY) (in the last few months) a. irregular period Yes No b. miscarriage Yes No C. SUB-TOTAL

9 6. Musculo-skeletal a. Joint pains/stiffness Yes No b. Broken bones Yes No c. Muscle pain Yes No D. SUB-TOTAL 7. Neurological a. headaches Yes No b. blackouts Yes No c. tremors (shakes) Yes No d. numbness/tingling Yes No e. dizziness Yes No f. fits/seizures Yes No g. difficulty walking Yes No h. head injury Yes No i. forgetting things Yes No J. SUB-TOTAL 8. Gastro-intestinal a. nausea Yes No b. vomiting Yes No c. stomach pains Yes No d. constipation Yes No e. diarrhoea Yes No F. SUB-TOTAL HEALTH TOTAL:

10 Response Card OTI (Part 2: Questions 1 4) None Less than once a week Once a week More than once a week (but less than daily) Daily

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