09.02.2014 Views

COSIG CONFERENCE BROCHURE.pdf - Drexel University College ...

COSIG CONFERENCE BROCHURE.pdf - Drexel University College ...

COSIG CONFERENCE BROCHURE.pdf - Drexel University College ...

SHOW MORE
SHOW LESS

You also want an ePaper? Increase the reach of your titles

YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.

4<br />

Drug Use Functional Analysis<br />

Date:________________________<br />

Patient: ______________________<br />

I am going to ask you some questions about your drug use. Tell me about the drugs you use<br />

when you are not in the hospital. It will also be helpful if you could talk about the situations in<br />

which you typically use, and the people with whom you often use.<br />

Triggers<br />

Before using do you usually feel …<br />

Angry? _____<br />

Jittery? ____<br />

Nervous? ____<br />

Upset? ____<br />

Bored? ____<br />

Sad? ____<br />

Lonely? ____<br />

Before using I usually feel<br />

____________________________________________________________________________<br />

____________________________________________________________________________<br />

____________________________________________________________________________<br />

____________________________________________________________________________<br />

What are you thinking before you use?<br />

____________________________________________________________________________<br />

____________________________________________________________________________<br />

____________________________________________________________________________<br />

____________________________________________________________________________<br />

Probes:<br />

I want to get out of here … . I need some fun …. I need to feel good…I need to escape<br />

(stress)<br />

Tell me more.<br />

What events usually set off drug use? What usually happens to trigger drug use?<br />

____________________________________________________________________________<br />

____________________________________________________________________________<br />

____________________________________________________________________________<br />

____________________________________________________________________________<br />

____________________________________________________________________________<br />

Who do you most often use with?

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!