Page 176 - QAP Manual 2020
P. 176
NCI™ ADULT IN-PERSON SURVEY (IPS) 2020-21
BI-30 Does this person currently take medications to treat mood disorders, anxiety, and/or
psychotic disorders?
Medications for mood disorders: Any drug prescribed to elevate or stabilize mood (reduce
mood swings) – for example, to treat depression, mania, or bipolar disorder.
Medications for anxiety: Any drug prescribed to treat anxiety disorders (including obsessive
disorders and panic disorders) or to reduce anxiety symptoms.
Medications for psychotic disorders: Any drug (e.g., anti-psychotic or “neuroleptic”) used to
treat psychotic disorders such as schizophrenia or psychotic symptoms such as hallucinations.
□ 1. No →Code BI-31 as ‘Not applicable’
□ 2. Yes
□ 99. Don’t know →Code BI-31 as ‘Don’t know’
BI-31 If yes, how many medications to treat mood disorders, anxiety, and/or psychotic disorders
does this person take?
□ 98. Not applicable – does not take medication for these disorders
□ 1. One or two medications
□ 2. Three or four medications
□ 3. Five to ten medications
□ 4. Eleven or more medications
□ 99. Don’t know
BI-32 Does this person currently take medications for behavioral challenges?
Medications for behavioral challenges: Any drug prescribed for a behavior modification
purpose (e.g., stimulant, sedative, or beta-blocker to treat ADHD, aggression, self-injurious
behavior, etc.).
□ 1. No →Code BI-33 as ‘Not applicable’
□ 2. Yes
□ 99. Don’t know →Code BI-33 as ‘Don’t know’
BI-33 If yes, how many medications to treat behavioral challenges does this person take?
□ 98. Not applicable — does not take medication for these disorders
□ 1. One or two medications
□ 2. Three or four medications
□ 3. Five to ten medications
□ 4. Eleven or more medications
□ 99. Don’t know
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