CHAT Tool - Offender Health Research Network

Tick No or Yes as appropriate for each question and include additional notes
SUBSTANCE USE PRACTICES
Have you ever injected drugs
No
Yes
Have you ever been injected with drugs by another person
If Yes:-
Have you ever used needles/syringes
Have you ever shared needles and syringes
Do you ever share other equipment (filters, spoons, water, cookers, swabs etc.)
Have you ever had a problem with your veins
NB observe the young person’s veins/check findings from physical assessment of CHAT
Have you ever had an infection resulting from injecting
Have you ever had an abscess where you have injected
DRUG/ALCOHOL SUPPLY
Where do you get tobacco and/or alcohol and/or drugs from e.g. family, friends; internet; over the
counter; off-licence/supermarket; dealer
Surname:
DOB:
Forenames:
NHS Number:
CHAT Tool Secure Estate (Version 3 - June 2013)
53 | P age