CHAT Tool - Offender Health Research Network

Tick No or Yes as appropriate for each question and include additional notes No Yes
PSYCHOSES
Do you hear voices that other people cannot hear
If Yes please explain (clarify if using alcohol or drugs at the time)
Do you sometimes see things that other people cannot see
If Yes please explain (clarify if using alcohol or drugs at the time)
Do you have any unusual thoughts that other people do not seem to have
If Yes, please explain (clarify if using alcohol or drugs at the time)
Do you ever feel controlled by a force or power outside yourself, controlling
your thoughts or actions
If Yes please explain (clarify if using alcohol or drugs at the time)
Surname:
DOB:
Forenames:
NHS Number:
CHAT Tool Secure Estate (Version 3 - June 2013)
74 | P age