Services and Medications - Subject Baseline
This measure appears in the following time-points: Baseline.
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Related Construct
Description of Measure
Participation in both residential and community-based social services is assessed through a modified version of the Child and Adolescent Services Assessment (CASA; Burns, et al., 1992). At the baseline interview, subjects are asked if they have received services in a range of settings (e.g., alcohol/drug treatment, psychiatric treatment, hospitalizations, foster care, family counseling, detention/prison/jail stays, priest/minister/clergy visitations) across both the juvenile justice and the mental health sector. Once endorsed, follow-up questions obtain the age at the initial receipt of the treatment and the recency of this service use.
A history of prescribed medication use is also obtained. Medications were elicited through the following question: "Have you ever had a prescription for a medication that was to help you with your emotions or behavior?". We obtain medications used prior to the past six months, those used during the past six months, and medications used at the time of the baseline interview as well as the recency of last dose. Each unique medication was subsequently assigned a three-digit code based on the medication name and a three-digit medication classification code (e.g., anti-psychotic vs. antidepressant, etc.). This coding scheme was originally developed for the MacArthur Risk Assessment study (see Monahan et al, 2001) with new medications added as necessary.
The following summary variables are available:
- A count of the number of community services ever received [s0commun]
- A count of the number of residential services ever received [s0overnt]
- A marker for cases which have had at least 1 community service [s0anycom]
- A marker for cases which have at least 1 residential service [s0anyin]
- A marker for cases which have been involved with the following service categories: Individual services in the community [s0indiv], group services in the community [s0group], in-home services [s0hofam], and school-based services[s0school]
- A marker for having ever been on medication [s0medsev]
The following individual items are also available:
- Ever had any overnight residential stays in:
- Drug or alcohol treatment unit [S0Ser1]
- Psychiatric hospital or psychiatric unit of a general hospital [S0Ser4]
- Residential treatment center or group home [S0Ser7]
- Foster home [S0Ser10]
- Detention center/prison/jail [S0Ser14]
- Shelter [S0Ser17]
- Any other type of place not already mentioned [S0Ser20]
- The subject's age the first time they had an overnight stay in:
- Drug or alcohol treatment unit [S0Ser2]
- Psychiatric hospital or psychiatric unit of a general hospital [S0Ser5]
- Residential treatment center or group home [S0Ser8]
- Foster home [S0Ser12]
- Detention center/prison/jail [S0Ser15]
- Shelter [S0Ser18]
- Any other type of place not already mentioned [S0Ser22]
- Whether they had an overnight stay during the last six months in:
- Drug or alcohol treatment unit [S0Ser3]
- Psychiatric hospital or psychiatric unit of a general hospital [S0Ser6]
- Residential treatment center or group home [S0Ser9]
- Foster home [S0Ser13]
- Foster Home: Number of different foster families lived with [S0Ser11]
- Detention center/prison/jail [S0Ser16]
- Shelter [S0Ser19]
- Any other type of place not already mentioned [S0Ser23]
- Ever received the following community based services:
- Psychologist/counselor/social worker [S0Ser24]
- Community support groups [S0Ser28]
- Priest/minister/clergy/healer [S0Ser32]
- Had people come into home for counseling [S0Ser36]
- Partial hospitalization/day program [S0Ser52]
- Went to the ER [S0Ser40]
- Counselor/special teacher at school [S0Ser44]
- School for kids with special needs [S0Ser48]
- Age first received each of the following community based services:
- Psychologist/counselor/social worker [S0Ser25]
- Community support groups [S0Ser29]
- Priest/minister/clergy/healer [S0Ser33]
- Had people come into home for counseling [S0Ser37]
- Partial hospitalization/day program [S0Ser53]
- ER [S0Ser41]
- Counselor/special teacher at school [S0Ser45]
- School for kids with special needs [S0Ser49]
- Whether received each of the following community based service in the last six months:
- Psychologist/counselor/social worker [S0Ser26]
- Community support groups [S0Ser30]
- Priest/minister/clergy/healer [S0Ser34]
- Had people come into home for counseling [S0Ser38]
- Partial hospitalization/day program [S0Ser54]
- ER [S0Ser42]
- Counselor/special teacher at school [S0Ser46]
- School for kids with special needs [S0Ser50]
- Whether each of the following community based services was specifically for d/a treatment:
- Psychologist/counselor/social worker [S0Ser27]
- Community support groups [S0Ser31]
- Priest/minister/clergy/healer [S0Ser35]
- Had people come into home for counseling [S0Ser39]
- Partial hospitalization/day program [S0Ser55]
- ER [S0Ser43]
- Counselor/special teacher at school [S0Ser47]
- School for kids with special needs [S0Ser51]
- Descriptive information regarding history of medication use.
- Age the first time on prescription medications [S0Med53]
- Medications used prior to the past six months.
- Number of medications taken prior to the last six months [S0Med54]
- Medication #1 - Coded medication name [S0PriorMed01]
- Medication #1 - Medication category [S0PriorMedCategory01]
- Medication #2 - Coded medication name [S0PriorMed02]
- Medication #2 - Medication category [S0PriorMedCategory02]
- Medication #3 - Coded medication name [S0PriorMed03]
- Medication #3 - Medication category [S0PriorMedCategory03]
- Medication #4 - Coded medication name [S0PriorMed04]
- Medication #4 - Medication category [S0PriorMedCategory04]
- Medication #5 - Coded medication name [S0PriorMed05]
- Medication #5 - Medication category [S0PriorMedCategory05]
- Medication #6 - Coded medication name [S0PriorMed06]
- Medication #6 - Medication category [S0PriorMedCategory06]
- Medications used during the past six months and currently.
- Number of medications taken during the past six months [S0Med54]
- Medication #1 - Coded medication name [S0Past6moMed01]
- Medication #1 - Medication category [S0Past6moMedCategory01]
- Medication #1 - Currently taking this medication [S0Med631]
- Medication #1 - Before interview, when was the last dose (in hours) [S0NHrs9]
- Medication #2 - Coded medication name [S0Past6moMed02]
- Medication #2 - Medication category [S0Past6moMedCategory02]
- Medication #2 - Currently taking this medication [S0Med632]
- Medication #2 - Before interview, when was the last dose (in hours) [S0NHrs10]
- Medication #3 - Coded medication name [S0Past6moMed03]
- Medication #3 - Medication category [S0Past6moMedCategory03]
- Medication #3 - Currently taking this medication [S0Med633]
- Medication #3 - Before interview, when was the last dose (in hours) [S0NHrs11]
- Medication #4 - Coded medication name [S0Past6moMed04]
- Medication #4 - Medication category [S0Past6moMedCategory04]
- Medication #4 - Currently taking this medication [S0Med634]
- Medication #4 - Before interview, when was the last dose (in hours) [S0NHrs12]
- Medication #5 - Coded medication name [S0Past6moMed05]
- Medication #5 - Medication category [S0Past6moMedCategory05]
- Medication #5 - Currently taking this medication [S0Med635]
- Medication #5 - Before interview, when was the last dose (in hours) [S0NHrs13]
Data Issues
- In some situations, both the generic and brand name for the same medication was listed within the same time-point. After consulting with a practicing psychiatrist, we merged these medications into one, as it is unlikely that they would have been simultaneously prescribed both the generic and brand name of the same medication.
- Each subject was allowed to report up to six medications used during the past six months, but the maximum number of medications reported in any one case was five.
References
- The inventory of services was adapted from previous services research regarding adolescent services. The categories of services were based on the CASA.
- Ascher, B.H., Farmer, E.M.Z., Burns, B.J., Angold, A. (1996). The Child and Adolescent Services Assessment (CASA): Description and psychometrics. Journal of Emotional & Behavioral Disorders, 4(1), 12-20.
- Burns, B. J., Angold, A., Magruder-Habib,K., Costello, E.J., Patrick, M. K. S. (1992). The child and adolescent services assessment (CASA). Durham, NC: Duke University Medical Center.
- Monahan, J., Steadman, H., Silver, E., Appelbaum, P., Robbins, P., Mulvey, E., Roth, L., Grisso, T., & Banks, S. (2001). Rethinking Risk Assessment: The MacArthur Study of Mental Disorder and Violence. New York: Oxford University Press.