OFAM EMPL REL HCWORK OTHER Employer / co-worker 4 Religious advisor 5 Health care worker (e.g. traditional healer, nurse/doctor, specialist) 6 Other (specify) 77 B14 Did you seek any treatment for your use of alcohol at any time in the past 12 months? No [go to B32] 0 AUDTX Yes 1 Don’t know [go to B16] 888 B15 From whom did you receive professional treatment? [Choose all that apply before continuing. Complete both sections from B16 and B24 if necessary.] Any others? [If interviewee saw any ‘generalist’ in B15, go to B24.] [If interviewee did not see any ‘generalist’ in B15, go to PHQ9 and Treatment.] Specialist doctor: Psychiatrist [go to B16] 1 AUDTX_ _PSY _OSPEC _GENDOC _OGEN _REL _TRAD Specialist other: Other mental health professional, eg psychologist / counselor/mental health nurse [go to B16] 2 Generalist doctor: Any other medical doctor [go to B24] 3 Generalist other: e.g. General social worker, community health worker, nurse [go to B24] 4 Religious or spiritual advisor [go to B32] 5 Traditional healer, herbalist or spiritualist [go to B32] 6
services you received from your specialist(s) in the past 12 months? Satisfied 2 Neither satisfied or dissatisfied 3 Dissatisfied 4 Very dissatisfied 5 Don’t know 888 Generalist AUD Care B24 How many visits did you make in the past 12 months to the generalists named above? ___ visits AUDGVISIT B25 How many minutes did these visits last on average? ___ minutes AUDGMINS B26 What was the nature of the treatment provided by the generalist(s)? Medication 1 AUDGTX AUDGTXO Counselling [go to B28] 2 Other [specify] [go to B28] 77 B27 What is the name and daily dosage of the medication(s) provided by the generalist(s) named above? How long were you taking this medication? 1. _____ weeks AUDGRX1 AUDGRX2 AUDGRX3 2. _____ weeks 3. _____ weeks 4. Don’t know 888 B28 Did you complete the full recommended course of treatment? No 0 AUDGDONE Yes 1 Don’t know 888 B29 Are you still seeing a generalist? No 0 AUDGSTOP Yes 1 B30 How much has the treatment helped you? A lot 1 AUDGHELP Some 2
A little 3 Not at all 4 Don’t know 888 B31 How satisfied are you with the treatments and services you received from your generalist(s) in the past 12 months? Very satisfied 1 AUDGSAT Satisfied 2 Neither satisfied or dissatisfied 3 Dissatisfied 4 Very dissatisfied 5 Don’t know 888 B32 Did you ever go to a self-help group like Alcoholics Anonymous for help with your use of alcohol? No [go to PHQ9 and Treatment] 0 AUDAA Yes 1 Don’t know [go to PHQ9 and Treatment] 888 B33 How many meetings of such a group did you attend in the past 12 months? ______ meetings AUDAANO Don’t know 888 PHq-9 and treatment Over the last two weeks, how often have you been bothered by any of the following problems? See (Kroenke et al., 2001) P1 PHQ1 P2 PHQ2 P3 PHQ3 P4 PHQ4 P5 PHQ5 P6 PHQ6 P7 PHQ7 P8 PHQ8
DEPSTXO Other (specify) [go to P31] ✍ 77 What is the name and daily dosage of the medication(s) provided by [all specialists named above]? How long were you taking this medication? [Ask to see prescriptions if literacy/recall is poor] Name Dose Duration DEPSRX1 DEPSRX2 DEPSRX3 1. 2. 3. 4. Don’t know 888 Did you complete the full recommended course of treatment? No 0 Yes 1 Don’t know 888 Are you still seeing [any specialists named above]? No 0 Yes 1 How much has the treatment helped you? A lot 1 Some 2 A little 3 Not at all 4 Don’t know 888 How satisfied are you with the treatments and services you received from [all specialists named above] in the past 12 months? Very satisfied 1 DEPSSAT Satisfied 2 Neither satisfied or dissatisfied 3 Dissatisfied 4 Very dissatisfied 5 Don’t know 888 [If interviewee saw any generalist in P26 go to P35] [If interviewee did not see any generalist in P26 go to suicidal ideation section] Generalist depression care How many visits did you make in the past 12 months to the [all generalists named above]? DEPGVISIT How many minutes did these visits last on average? DEPGMINS What was the nature of the treatment provided by the [all generalists named above]? Medication 1 DEPGTX Counselling [go to P39] 2
In the past 12 months, have you spoken to anyone about thinking about or attempting to take your own life? No [go to next section] 0 SUIDISC Yes 1 To whom have you spoken? (Circle all that apply) Anyone else? Friend / neighbour 1 SUIDISC_ _FRIEND _SPOUSE _OFAM _EMPL _REL _HCWORK _OTHER SUIDISCO Spouse/partner 2 Other family member 3 Employer/co-worker 4 Traditional healer 5 Health care worker (e.g. nurse/doctor, specialist) 6 Religious or spiritual advisor 7 Other (specify) ✍ 77 Did you receive any treatment for thinking about or attempting to take your own life? No [go to next section] 0 SUITX Yes 1 Don’t know [go to next section] 888 What treatment did you receive? ✍ [go to next section] SUITXO Selection for full individual interview AUDIT total <Cut-off score Go to next question >=Cut-off score Go to C1 PHQ9 total <=Cut-off score Go to next question > Cut-off score Go to C1 B44 (Recent depression) =0 Go to next question =1 Go to C1 Random selection table 0 Go to Record end time 1 Go to C1 [Record end time] HH : MM T1
KITCHEN FLOOR Individual characteristics What is your marital status? Single 1 MARIT Married 2 Divorced 3 Widowed 4 Married but not living together 5 Cohabitating 6 [For female interviewees] Are you pregnant? No 0 PREG Yes 1 Not applicable 66 Don’t know 888 Do you have children? No 0 KIDS Yes 1 How old is your youngest child? months years YOUNG What is your religion? 1 RELIG RELIGO 2 3 Other [Specify] ✍ 77 What is your occupation? Home worker (e.g. housewife) 1 OCC Unskilled labourer (e.g. farmhand) 2 Skilled labourer (e.g. builder) 3 Services / sales (e.g. shop worker) 4 Clerical worker (e.g. secretary) 5 Professional (e.g. nurse, lawyer, doctor) 6 Other [Specify] 77
Health care visit details See (Kowal et al., 2012) SAGE Individual Questionnaire B-Mexico Q5028, 5029, 5029c, 5031, 5033F Visit No. What were the main features of the visit? (list up to three elements) 1 = assessment and/or diagnosis 2 = drug prescription (for condition listed on left) 3 = drug prescription (for other condition) 4 = psychosocial support / care 5 = follow-up visit 6 = referral (to other provider) 77 = other 888 = don’t know How long did you wait for your consultation? (minutes) How long was the consultation (excluding waiting time)? (minutes) 1 2 3 Fees Travel VISNO# HC#_WHO ✍ HC#WHOO HC#_WHERE HC#WHY ✍ HC#WHYO HC#_F1 HC#_F2 HC#_F3 HC#_TRAVEL HC#_WAIT HC#_LONG Mins Mins Mins Mins Mins Mins