DAST: Drug Abuse Screening Test

Transcription

1 DAST: Drug Abuse Screening Test These questions refer to the 12 months prior to today. Place this sheet in front of the offender and read the information aloud as you work through it together. Circle one answer for each question and add up the score at the bottom. YES NO 1 In the last 12 months did you use drugs other than alcohol and those required for medical reason? (If response is no then go to page 6) In the last 12 months did you abuse more than one drug at a time? In the last 12 months were you always able to stop using drugs when you wanted to? In the last 12 months have you had blackouts or flashbacks as a result of drug use? In the last 12 months have you ever felt bad or guilty about your drug use? In the last 12 months has your spouse (or parents) complained about your involvement with drugs? In the last 12 months have you neglected your family because of your drug use? In the last 12 months have you engaged in illegal activities in order to obtain drugs? In the last 12 months have you ever experienced withdrawal symptoms (felt sick) when you stopped taking drugs? In the last 12 months have you had medical problems as a result of your drug use (e.g. memory loss, hepatitis, convulsions, bleeding, etc)? 1 0 DAST Score Add all the numbers you have circled, to obtain the total DAST Score. If the score is 1 or 2 go to page 5. A total score of 3 or more means the offender has a harmful pattern of drug use. Copyright 1982 by Harvey A. Skinner, PhD and the Centre for Addiction and Mental Health, Toronto, Canada. (Test author: Dr. Harvey A. Skinner, Dean, Faculty of Health, York University, Toronto, Canada. harvey.skinner@yorku.ca

2 DAST (continued) Drug Use The DAST focuses on the consequences of use rather than its nature and frequency. Some offenders do not reach its cut-off because they lack insight into the consequences. The next set of questions can be used with offenders who scored 1 or 2 on the Responsivity DAST. The following questions are about your use of drugs not including alcohol during the 12 months before today. Which of these classes of drugs have you used? DRUG HOW OFTEN? USUAL EFFECT Cannabis (e.g. marijuana, hashish, hash oil) Solvents (e.g. glue) Tranquilisers (e.g. Valium, benzos, rolys) Barbiturates (e.g. Bennys) Cocaine Stimulants (e.g. Ritalin, amphetamines) Hallucinogens (e.g. LSD, acid, mushrooms, datura) Narcotics (e.g. heroin, MST, homebake, smack, codeine) Other (e.g. rivatril, mondrax, doradin, temgesic, fortral, digesic)

3 B F1 NEW ARRIVAL RISK ASSESSMENT FORM Both sides of this form are to be completed on reception for all prisoners Prisoner Name: PRN/D.L. No: Prison: Staff Member: Date: Time: Pre-reception Information: Is there any pre-reception information about the prisoner that gives you cause for concern? Officer Questions: Is this your first time in prison? Are there any family difficulties? Is your family angry with you? Do you have any drug or alcohol problems? Have you ever seen a psychiatrist or psychologist for any problem or have you ever been admitted to a mental hospital? Have you ever tried to kill or harm yourself? Do you want to kill or harm yourself now? Is there anything special about you that we need to know so that we may be able to help you? Are there any cultural issues that we need to know about? Officer Observation: Does the prisoner: Refuse to speak or have slurred speech Appear ill or very sad? Appear irrational or threatening? Officer Assessment: Is there anything about this prisoner that makes you think that he or she is at risk? If yes, please state what (e.g. self harm) Y/N Comments If there are two or more yes answers, or if in your judgment the prisoner is at risk of self harm and has less than two yes answers, they are deemed to be at risk until assessed by appropriate support personnel.

4 I (Prisoner name) realise that this information is for my safety and protection and I certify that I have answered these questions truthfully and to the best of my knowledge. Signature (Prisoner) Time: Date: A. Prisoner not deemed at risk: No further action required: Signature: (Officer completing assessment) Date: B. Prisoner is deemed at risk: The following actions were taken: (Person s name) was contacted at (Time) on (Day) and advised that this prisoner may be at risk of self-harm and requires further assessment. The prisoner was placed in (location) placed under 15 minute/continuous observations (delete or enter number). for their protection and Officer Name: Time: Signature: Date: C. Unit Manager/ On Call Officer or delegated person to complete: (where prisoner is referred) The result of the assessment of the at risk status of this prisoner is that: Manager/Delegated Officer Name: Time: Signature: Date:

5 Reception Health Screen Prison:... Surname:... Given Names:... Received Date.../.../... Time...am/pm. Examined Date.../.../... Time...am/pm Remand Sentenced Examined By Designation: A Physical Screen: 1 Describe any injuries. Where, what and how they were reported to have occurred. 2 Illness observed or reported. B Mental state: Describe observations and record any reported information. C Substances of Abuse: Current User. Yes/No Withdrawing from use. Yes/No What drug(s)? D. Current medication needs reported by inmate. Medications in inmates possession taken by nurse. Yes /No / Nil E Immediate health care needs implemented. Yes/No/Nil They were:

6 General Comments Signed:... Designation:... Date.../.../...