Attachment D: Cognitive Interview Instrument
Section 1. Basic demographic and Incarceration Characteristics
The first section of this interview asks about you and how you came to this facility.
ALTDEM1
How old are you?
________
DEM1b
[IF ALTDEM1 LESS THAN 18, ASK]
I'm sorry. You must be at least 18 years of age to participate in this study.
[END INTERVIEW]
DEM2
[LOOK AT ADMISSION DATE FROM ROSTER FILE.]
Next I’d like to confirm the date you were admitted to this facility. This means the date you arrived at this facility, not the date of your arrest or sentencing. According to our records, this date was [ADMISSION DATE]. Is this correct?
1 YES [WRITE DOWN ADMISSION DATE: ___\_____\_____]
2 NO
[IF DEM2=YES, GO TO DEM3. IF DEM2=NO, GO TO DEM2A.]
DEM2a
[ASK IF DEM2=NO.]
OK. When were you admitted here?
IF RESPONDENT CAN’T REMEMBER, ASK ABOUT THE APPROXIMATE AMOUNT OF TIME THEY HAVE BEEN AT THE FACILITY AND ESTIMATE ADMISSION DATE.
ADMISSION DATE: ___\_____\_____
DEM2a_COG
How did you know the admission date was wrong?
IF KNOW THE CORRECT DATE, ASK: How did you know the correct date?
IF KNOW THE CORRECT DATE, ASK: Was it difficult to remember the correct date? Why?
IF DIFFICULT TO REMEMBER OR DID NOT KNOW, ASK: How long have you been at this facility? Is this easier to answer than the question about the date of admission?
DEM3
Are you being held here in this facility…
YES NO
A to stand trial for an offense? 1 2
B to await a hearing for revocation of probation/parole or community
release? 1 2
C To await sentencing for an offense? 1 2
D To serve a sentence in this facility? 1 2
E For another reason? 1 2
DON’T KNOW
REFUSED
[if DEM3e=YES, go to DEM3e1]
DEM3e1
SPECIFY OTHER REASON
DEM3_COG
IF ONLY CHOSE ONE REASON, ASK: Did you feel like you could only choose one reason?
Please describe to me why you’re being held in this jail? Any other reasons? Are these reasons specific to this jail or are you including reasons that you were held at other jails or prisons?
IF THE DESCRIPTION DOES NOT MATCH THE ANSWERS TO DEM3, ASK: For each reason I listed before, could you describe what it means to you? Let’s start with standing trial for an offense. What does it mean to be in jail to stand trial for an offense? …
IF THE DESCRIPTION DOES NOT MATCH THE ANSWERS TO DEM3, AND THE DESCRIPTIONS DID NOT CLEARLY ELICIT THE REASON FOR THE MISMATCH, ASK: Based on your description, I would have said [yes/no] to [FILL IN THE REASON]. Could you explain a little more about why you said [yes/no] to [FILL IN THE REASON].
DEM4
Are you currently being held in this facility because you have been accused of any of the following offenses? Please do not provide additional details about the offense for which you have been charged.
YES NO
A A violent offense, such as physical or sexual assault, rape, robbery,
manslaughter, attempted murder, or murder? 1 2
B A drug offense, such as possessing, selling, or manufacturing drugs? 1 2
C A property offense, such as burglary, larceny, auto theft, bad checks,
fraud, forgery, or other theft? 1 2
D A gun offense? 1 2
E A probation or parole violation? 1 2
F Some other offense [if DEM4F=YES, go to DEM3e1] 1 2
DON’T KNOW
REFUSED
DEM4e1
SPECIFY OTHER OFFENSE
DEM4_COG
IF ONLY CHOSE ONE REASON, ASK: Did you feel like you could only choose one offense?
Did you say yes to any items for which you’ve already been convicted?
Did you only include items for which you’ve already been convicted or did you also include items for which you’ve been arraigned but not yet tried?
DEM5
INTERVIEWER – USING A BLANK CALENDAR PAGE, WRITE THE YEAR AT THE TOP OF THAT PAGE.
In the interview, we are going to refer to this calendar to help you remember certain dates. First, I’m going to circle the date that you were admitted to this facility – [FILL WITH ADMDATE].
Now I’m going to mark the date that was 6 months before you were admitted to this facility. That date would be: [FILL WITH CALCULATED 6MDATE (ADMDATE – 6 MONTHS)]. INTERVIEWER – CIRCLE THIS DATE.
Most of the questions in this interview ask about things that happened the 6 months before you were admitted to this facility, between this date [POINT TO 6MDATE] and the date that you were admitted here [POINT TO ADMDATE].
To help you remember what was going on during this time, let’s think about major events within this period such as:
birthdays
family events
changes in your living situation
changes in your job situation
holidays
births or deaths
graduations
any other important events you’d like to add
INTERVIEWER – PAUSE AFTER EACH ITEM AND FILL OUT MAJOR EVENTS ON REFERENCE CALENDAR.
DEM5_COG
How difficult was it to remember dates and events for each of these items?
Section 2. Pre-incarceration Housing, Family, and Employment Characteristics
HOU1
Next I’d like to ask where you lived most of the time during the 6 months before you were admitted here. Did you live mostly in one place or did you move around from place to place?
1 ONE PLACE WHERE R MOSTLY LIVED
2 MOVED AROUND FROM PLACE TO PLACE
DON’T KNOW
REFUSED
HOU1a
[ASK HOU1A IF HOU1=ONE PLACE. ELSE, SKIP TO HOU2A.]
Did you mostly live…
REFER TO SHOWCARD 1.
[ALLOW ONLY ONE RESPONSE. IF RESPONDENT INTERRUPTS WHILE READING THE RESPONSES, ASK HIM/HER TO SKIM THE REST OF THE LIST TO MAKE SURE THE RESPONSE IS THE BEST CHOICE.]
1 In your own house or apartment, meaning your name was on the title, mortgage, or lease
2 In someone else’s house or apartment, including your parents’ or other family member’s place
3 In a group home or transitional housing facility where you were free to come and go without permission
4 In a shelter
5 In a hospital, nursing home, or rest home
6 In a residential drug or alcohol treatment facility;
7 In a residential facility for people with disabilities or mental health care needs
8 In an adult or juvenile correctional facility, including a jail or prison
9 In another type of place where you were not free to come and go without permission, such as a halfway house
10 On the street or some other place like an abandoned building, a park, or car
DON’T KNOW
REFUSED
HOU1_COG
Did you have a hard time choosing an answer? Why?
Please describe the place that you’ve been living most of the time.
IF THE DESCRIPTION DOES NOT MATCH THE ANSWER TO HOU1, ASK: For each place I listed before, could you describe what it means to you? Let’s start with your own house or apartment. Could you describe what this would include? …
IF THE DESCRIPTION DOES NOT MATCH THE ANSWER TO HOU1, AND THE DESCRIPTIONS DID NOT CLEARLY ELICIT THE REASON FOR THE MISMATCH, ASK: Based on your description of where you lived most of the time, I would have categorized it as [FILL IN THE OPTION]. Could you explain a little more about why you said [FILL IN THE OPTION].
IF RESPONDENT HAS NOT YET DESCRIBED ALL THE OPTIONS, ASK: I have a few questions about the third and ninth option on the card – 3. In a group home or transitional housing facility where you were free to come and go without permission and 9. In another type of place where you were not free to come and go without permission, such as a halfway house. Could you describe the difference you see between these two options?
HOU1b
About how many days did you live in this place during this 6-month period?
[REFER TO REFERENCE CALENDAR. CALCULATE ANSWER IN DAYS]
____ DAYS [1-185]
HOU1a_COG
How did you come up with a number?
How difficult was it to come up with a number?
What if I had asked how many months were you living there? Or, what percent of the time were you living there? Would that have been more or less difficult to answer?
Did you move at any point during this 6-month period? IF YES, ASK: Did you move to the same type of place or a different type of place? For example, moving from one apartment to another. IF YES, ASK: What did you include in your count of number of days?
[IF TOTAL NUMBER OF DAYS IN HOU1B IS GE180, SKIP TO HOU4. ELSE, GO TO HOU1C.]
HOU1c
Did you live anywhere else in the 6 months before coming here?
1 YES
2 NO
DON’T KNOW
REFUSED
[IF HOU1C=1, ASK HOU2A. ELSE GO TO HOU4.]
HOU2A
[ASK IF HOU1=2 OR (HOU1C=YES and HOU1A NE 1)] Did you live in any of the following types of places at any point during the 6 months before coming here? Please answer yes to all that apply, even if you just lived there for a short period of time.
Your own house or apartment, meaning your name was on the title, mortgage, or lease?
1 YES
2 NO
DON’T KNOW
REFUSED
HOU2B
[ASK IF HOU2A=YES]
About how many days did you live in your own place during this time period?
[REFER TO REFERENCE CALENDAR. HELP RESPONDENT CALCULATE ANSWER IN DAYS]
____ DAYS [1-185]
HOU3A
[ASK IF HOU1=2 OR (HOU1C=YES and HOU1A NE 2)]
In someone else’s house or apartment, including your parents’ or other family members’ place?
1 YES
2 NO
DON’T KNOW
REFUSED
HOU3B
[ASK IF HOU3A=YES]
About how many days did you live in someone else’s place during this time period?
[REFER TO REFERENCE CALENDAR. HELP RESPONDENT CALCULATE ANSWER IN DAYS]
____ DAYS [1-185]
HOU4A
[ASK IF HOU1=2 OR (HOU1C=YES and HOU1A NE 3)]
In a group home or transitional housing facility where you were free to come and go without permission?
1 YES
2 NO
DON’T KNOW
REFUSED
HOU4B
[ASK IF HOU4A=YES]
How many days did you live in this type of place during this time period?
[REFER TO REFERENCE CALENDAR. HELP RESPONDENT CALCULATE ANSWER IN DAYS]
____ DAYS [1-185]
HOU5A
[ASK IF HOU1=2 OR (HOU1C=YES and HOU1A NE 4)]
In a shelter?
1 YES
2 NO
DON’T KNOW
REFUSED
HOU5B
[ASK IF HOU5A=YES]
How many days did you live in shelter during this time period?
[REFER TO REFERENCE CALENDAR. HELP RESPONDENT CALCULATE ANSWER IN DAYS]
____ DAYS [1-185]
HOU6A
[ASK IF HOU1=2 OR (HOU1C=YES and HOU1A NE 5)]
In a hospital, nursing home, or rest home?
1 YES
2 NO
DON’T KNOW
REFUSED
HOU6B
[ASK IF HOU6A=YES]
How many days did you spend in a hospital, nursing home, or rest home during this time period?
[REFER TO REFERENCE CALENDAR. HELP RESPONDENT CALCULATE ANSWER IN DAYS]
____ DAYS [1-185]
HOU7A
[ASK IF HOU1=2 OR (HOU1C=YES and HOU1A NE 6)]
In a residential drug or alcohol treatment facility?
1 YES
2 NO
DON’T KNOW
REFUSED
HOU7B
[ASK IF HOU7A=YES]
How many days did you live in a residential drug or alcohol treatment facility during this time period?
[REFER TO REFERENCE CALENDAR. HELP RESPONDENT CALCULATE ANSWER IN DAYS]
____ DAYS [1-185]
HOU8A
[ASK IF HOU1=2 OR (HOU1C=YES and HOU1A NE 7)]
In a residential facility for people with disabilities or mental health care needs?
1 YES
2 NO
DON’T KNOW
REFUSED
HOU8B
[ASK IF HOU8A=YES]
How many days did you live in this type of place during this time period?
[REFER TO REFERENCE CALENDAR. HELP RESPONDENT CALCULATE ANSWER IN DAYS]
____ DAYS [1-185]
HOU9A
[ASK IF HOU1=2 OR (HOU1C=YES and HOU1A NE 8)]
In an adult or juvenile correctional facility, including a jail or prison?
1 YES
2 NO
DON’T KNOW
REFUSED
HOU9B
[ASK IF HOU9A=YES]
How many days did you live in a correctional facility during this time period?
[REFER TO REFERENCE CALENDAR. HELP RESPONDENT CALCULATE ANSWER IN DAYS]
____ DAYS [1-185]
HOU10A
[ASK IF HOU1=2 OR (HOU1C=YES and HOU1A NE 9)]
In another type of place where you were not free to come and go without permission, such as a halfway house?
1 YES
2 NO
DON’T KNOW
REFUSED
HOU10B
[ASK IF HOU10A=YES]
How many days did you live in this type of place during this time period?
[REFER TO REFERENCE CALENDAR. HELP RESPONDENT CALCULATE ANSWER IN DAYS]
____ DAYS [1-185]
HOU11A
[ASK IF HOU1=2 OR (HOU1C=YES and HOU1A NE 10)]
On the street or some other place like an abandoned building, a park, or car?
1 YES
2 NO
DON’T KNOW
REFUSED
HOU11B
[ASK IF HOU11A=YES]
How many days did you spend in this type of place during this time period?
[REFER TO REFERENCE CALENDAR. HELP RESPONDENT CALCULATE ANSWER IN DAYS]
____ DAYS [1-185]
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
HOU11c_COG
Did you stay anywhere else for at least one night? Where?
Did you live there or were you visiting?
HOU12
[IF THE PERSON SPENT THE ENTIRE 6 MONTHS PERIOD IN ONE OF THE SITUATIONS BELOW, PLEASE SKIP TO SECTION 6].
In a hospital, nursing home, or rest home
In a residential drug or alcohol treatment facility;
In a residential facility for people with disabilities or mental health care needs
In an adult or juvenile correctional facility, including a jail or prison
Section 3. Violent Crimes: Prevalence and Incidence
VCRIMINTRO
The next questions ask about crimes that may have happened to you during the 6 months before you were admitted to this facility. [REFER TO REFERENCE CALENDAR.]
The first few questions ask about times when a person used violence or threatened violence against you. These incidents may have happened to you at home, on the street, at work or school, or somewhere else, and they may have been committed by someone you know, a stranger, or even a family member.
Remember that your answers to all survey questions will be kept completely confidential. [FI NOTE: DURING THE INTERVIEW, IF THE RESPONDENT BRINGS UP VICTIMIZATION THAT HAPPENED WHILE IN JAIL, PLEASE SAY SOMETHING LIKE “I’M SORRY TO HEAR ABOUT THIS EXPERIENCE. THIS INTERVIEW FOCUSES ON THINGS THAT HAPPENED TO YOU DURING THE 6 MONTHS BEFORE YOU WERE ADMITTED HERE, SO PLEASE THINK ABOUT THAT 6 MONTH PERIOD.” PRESS 1 TO CONTINUE.]
VCRIM1
During the 6 months before coming here, did anyone physically attack you or try to physically attack you? Include times when:
someone attacked you or tried to attack you with a gun, knife, or some other weapon
someone forced you or tried to force you to do something sexual that you didn’t want to do
someone took something or tried to take something from you by using force or by threatening to harm you
Someone physically attacked you or tried to physically attack you in some other way
[REFER TO SHOWCARD 2]
1 YES
2 NO
DON’T KNOW
REFUSED
[IF VCRIM1=NO, DK OR REF, GO TO THEFTINTRO. ELSE, ASK VCTIM1A]
VCRIM1_COG
What types of events do you think this question includes?
What types of events do you think it does NOT include?
[Did you/Would you] include times that someone threatened to attack you or tried to attack you but was unsuccessful?
[Did you/Would you] include threats or attempts at attach that you did not take seriously?
VCRIM2
[ASK IF VCRIM1=YES]
How many times did someone physically attack you or try to physically attack you during those 6 months? Remember, we are talking about times when someone did any of these things to you [REFER TO SHOWCARD 2].
____ TIMES [1-100]
DON’T KNOW
REFUSED
[IF R SAYS “TOO MANY TO COUNT”, CODE AS DK]
[WRITE THE TOTAL NUMBER OF TIMES ON SHOWCARD 2]
VCRIM2_COG
How did you come to an answer?
What time frame were you thinking about?
How did you know whether the event was within the 6 months since you were admitted here?
Now talking about the sheet in front of you, did it help you to come up with a total number of physical attacks or attempted attacks?
Did it help you to decide what types of things to include in your count? Did it help to determine what you should exclude?
VCRIM2A
[ASK IF VCRIM2=DK]
Did it happen fewer than 6 times or did it happen 6 or more times?
1 FEWER THAN 6 TIMES
2 6 OR MORE TIMES
[WRITE “LESS THAN 6 TIMES” OR “6 OR MORE TIMES” ON SHOWCARD 2]
VCRIM3
[ASK IF VCRIM1=YES]
The next questions ask about these times [REFER TO SHOWCARD 2] that you told me about.
How many of these incidents did the police know about? This could be because you reported it or because they found out about it in another way. As a reminder, please do not provide additional details about the offense for which you have been charged.
VCRIM3_COG
How did you come to an answer?
VCRIM3B
[ASK IF VCRIM3=0]
Why weren’t the police told? Again, please do not provide additional details about the offense for which you have been charged.
|
YES 1 |
NO 2 |
|
1 |
2 |
|
1 |
2 |
|
1 |
2 |
|
1 |
2 |
|
1 |
2 |
|
1 |
2 |
VCTIM3B_COG
Besides the ones we already discussed, were there other reasons why the police were not notified?
VCRIM4
For how many of these incidents did you suffer any physical injuries?
____ TIMES [0-100]
DON’T KNOW
REFUSED
VCRIM4_COG
What type of injuries did you think you should include?
What types of injuries did you think should be excluded from the count?
Did you include all injuries – even those for which you didn’t go to get fixed by a doctor or nurse? Even small ones such as a small cut?
VCRIM5
For how many of these incidents did you seek any professional or medical help, such as counseling, visiting a doctor or clinic, or other types of professional care?
____ TIMES [0-100]
DON’T KNOW
REFUSED
VCRIM5_COG
How did you come to an answer?
What types of visits did you include? Did you/Would you include visits to a therapist?
What did you think ‘other types of professional care’ included? Would you include people like priests or others that may offer guidance as part of their job?
VCTIM5A
[ASK IF VCRIM5=0]
Why didn’t you seek any professional or medical help? Was it because…
YES NO
A You did not need any services? 1 2
B You were not aware of any available services? 1 2
C You could not access services because of lack of insurance or money? 1 2
D You could not access services because of transportation barriers? 1 2
E You could not access services because of language barriers? 1 2
F You did not want anyone to know about what happened to you? 1 2
G Doctors, nurses, or counselors would not be able to help you? 1 2
H Doctors, nurses, or counselors would treat you poorly or not
understand? 1 2
I You thought that someone might find out and cause problems for you? 1 2
J You might get in trouble with the police or the police
would be notified? 1 2
VCRIM5A_COG
Other than the reasons I listed, were there any other reasons that you didn’t seek professional or medical help?
One of the reasons listed above was ‘you did not seek any professional or medical help because you could not access services because of lack of insurance or money.’ Could you give some examples of what you would include?
IF NOT MENTIONED, ASK: Would you include having insurance but not knowing how to use it?
VCRIM6
[REFER TO SHOWCARD 2]
For how many of these incidents did you seek any assistance for people who experience crimes, such as shelter, financial assistance, or legal aid?
____ TIMES [0-100]
DON’T KNOW
REFUSED
VCRIM6_COG
How did you come to an answer?
What types of assistance did you consider in your answer?
VCTIM6A
[ASK IF VCRIM6=0]
Why didn’t you seek any assistance for people who experience crimes? Was it because…
YES NO
A You did not need any such services? 1 2
B You were not aware of any available services? 1 2
C You could not access services because of transportation barriers? 1 2
D You could not access services because of language barriers? 1 2
E You did not want anyone to know about what happened to you? 1 2
F Service providers would not be able to help you? 1 2
G Service providers would treat you poorly or not understand? 1 2
H You thought that someone might find out and cause problems for you? 1 2
I You might get in trouble with the police or the police
would be notified? 1 2
VCTIM6A_COG
Besides the ones we already discussed, were there other reasons that you did not seek any assistance?
VCRIM7
How many of these incidents did you tell a family member or friend about?
____ TIMES [0-100]
DON’T KNOW
REFUSED
VCRIM7_COG
How did you come to an answer?
VCRIM12
How many of these incidents [POINT TO SHOWCARD 2] involved someone attacking you with a gun or a knife, or something else used as a weapon?
____ TIMES [0-100]
DON’T KNOW
REFUSED
[IF R SAYS “TOO MANY TO COUNT”, CODE AS DK]
VCRIM12A
[ASK IF VCRIM12=DK]
Did it happen fewer than 6 times or did it happen 6 or more times?
1 FEWER THAN 6 TIMES
2 6 OR MORE TIMES
VCRIM13
How many of these incidents [POINT TO SHOWCARD 2] involved someone forcing you or trying to force you to do something sexual that you didn’t want to do?
____ TIMES [0-100]
DON’T KNOW
REFUSED
[IF R SAYS “TOO MANY TO COUNT”, CODE AS DK]
VCRIM13A
[ASK IF VCRIM13=DK]
Did it happen fewer than 6 times or did it happen 6 or more times?
1 FEWER THAN 6 TIMES
2 6 OR MORE TIMES
VCRIM14
How many of these incidents [POINT TO SHOWCARD 2] involved someone physically taking something or trying to take something from you by using force or by threatening to harm you?
____ TIMES [0-100]
DON’T KNOW
REFUSED
[IF R SAYS “TOO MANY TO COUNT”, CODE AS DK]
VCRIM14A
[ASK IF VCRIM14=DK]
Did it happen fewer than 6 times or did it happen 6 or more times?
1 FEWER THAN 6 TIMES
2 6 OR MORE TIMES
VCRIM14A_COG
Now that we’ve completed this section, I have a few questions about the sheet in front of you. Was it helpful to see the total number of attacks and attempted attacks written down? Why or why not?
Section 4. Property Crimes: Prevalence and Incidence
THEFTINTRO
The next questions ask about other types of incidents you may have experienced in the 6 months before you were admitted here. [IF YES TO VCRIM1, FILL “Do not include any of these incidents that you already told us about [REFER TO SHOWCARD 2].”
[PRESS 1 TO CONTINUE]
THEFT1
During the 6 months before you were admitted here, did anyone steal, or try to steal something that belonged to you, like money or possessions, but without using force? This could include times when someone stole something when you weren’t looking, picked your pocket, or took something from your home or car.
1 YES
2 NO
DON’T KNOW
REFUSED
[IF THEFT1=NO, DK, OR REF, GO TO THEFT2. ELSE, GO TO THEFT1A.]
THEFT1_COG
What types of events do you think this question includes?
What types of events do you think it does NOT include?
[Did you/Would you] include times that someone threatened to or tried to steal something from you but was unsuccessful?
[Did you/Would you] include small items or things that didn’t matter to you?
[Did you/Would you] include things that they took from you directly? From your home? Workplace? Car?
IF VCRIM1=YES AND THEFT1=YES, ASK: Did the person that stole from you or tried to steal from you also attack or try to attach you? IF YES, ASK: Did you already tell me about that event while discussing attacks?
THEFT1A
[ASK IF THEFT1=1(YES)]
How many times did this happen to you during those 6 months?
____ TIMES [1-100]
DON’T KNOW
REFUSED
[IF R SAYS “TOO MANY TO COUNT”, CODE AS DK]
[WRITE THE TOTAL NUMBER OF TIMES ON SHOWCARD 3]
THEFT1A_COG
How did you come to an answer?
Did you count the number of events or the number of things stolen?
Have you already told me about any of these events in the previous section about attacks and attempted attacks?
What time frame were you thinking about?
How did you know whether the event was within the 6 months since you were admitted here?
Now talking about the sheet in front of you, was it helpful to see the types of things that you should include? Why or why not?
THEFT1B
[ASK IF THEFT1A=DK]
Did it happen fewer than 6 times or did it happen 6 or more times?
1 FEWER THAN 6 TIMES
2 6 OR MORE TIMES
[WRITE “LESS THAN 6 TIMES” OR “6 OR MORE TIMES” ON THE FIRST ROW OF THEFTS WORKSHEET]
THEFT1C
[ASK IF THEFT1=1 (YES)]
How many of these incidents [REFER TO SHOWCARD 3] did the police know about? This could be because you reported it or because they found out about in another way.
____ TIMES [0-100]
DON’T KNOW
REFUSED
THEFT1C_COG
How did you come to an answer?
THEFT1E
[ASK IF THEFT1C=0]
Why weren’t the police were told? As a reminder, please do not provide additional details about the offense for which you have been charged.
|
YES 1 |
NO 2 |
|
1 |
2 |
|
1 |
2 |
|
1 |
2 |
|
1 |
2 |
|
1 |
2 |
|
1 |
2 |
|
1 |
2 |
|
1 |
2 |
THEFT1E_COG
Besides the ones we already discussed, were there other reasons why the police were not notified?
THEFT1F
[ASK IF THEFT1=1 (YES)]
How many of these incidents [REFER TO SHOWCARD 3] involved someone stealing something, or trying to steal something of yours after they broke into a place where you were staying?
____ TIMES [0-100]
DON’T KNOW
REFUSED
[IF R SAYS “TOO MANY TO COUNT”, CODE AS DK]
THEFT1G
[ASK IF THEFT1F=DK]
Did it happen fewer than 6 times or did it happen 6 or more times?
1 FEWER THAN 6 TIMES
2 6 OR MORE TIMES
THEFT1H
[ASK IF THEFT1=1 (YES)]
How many of these incidents [REFER TO SHOWCARD 3] involved someone stealing something from you, or trying to steal something, while you were out in public?
____ TIMES [0-100]
DON’T KNOW
REFUSED
[IF R SAYS “TOO MANY TO COUNT”, CODE AS DK]
THEFT1I
[ASK IF THEFT1H=DK]
Did it happen fewer than 6 times or did it happen 6 or more times?
1 FEWER THAN 6 TIMES
2 6 OR MORE TIMES
THEFT2
During the 6 months before coming here, did anyone intentionally damage or vandalize something belonging to you?
1 YES
2 NO
DON’T KNOW
REFUSED
THEFT2_COG
How did you come to an answer?
What time frame were you thinking about?
How did you know whether the event was within the 6months since you were admitted here?
Could you please tell me what you think I mean by damage or vandalize?
THEFT2A
[ASK IF THEFT2=1(YES)]
How many times did this happen to you during those 6 months?
____ TIMES [0-100]
DON’T KNOW
REFUSED
[IF R SAYS “TOO MANY TO COUNT”, CODE AS DK]
THEFT2A_COG
How did you come to an answer?
Section 5. Resource Utilization, Availability, and Neighborhood Characteristics before Incarceration
[IF VCRIM1=YES OR THEFT1=YES, GO TO SECTION 7]
These next few questions ask more about what things were like in the 6 months before you were admitted to this facility.
RESOURCE1
Were there any times during the 6 month period that you were hurt and needed medical care? Include any injuries from accidents, car wrecks, drug overdoses, work related accidents, or other injuries.
REFER TO REFERENCE CALENDAR.
1 YES
2 NO
DON’T KNOW
REFUSED
RESOURCE1_COG
What types of events do you think this question includes?
What types of events do you think it does NOT include?
[Did you/Would you] include times that you needed medical care but did not receive it?
RESOURCE1A
[ASK IF YES TO RESOURCE1]
Did you receive professional medical care for any of these injuries, such as at a hospital, emergency room, doctor’s office, or urgent care facility?
1 YES
2 NO
DON’T KNOW
REFUSED
RESOURCE1A_COG
What types of places do you think this question includes?
What types of places do you think it does NOT include?
What do you think ‘professional medical care’ includes?
RESOURCE1B
[ASK IF NO TO RESOURCE1A]
Why didn’t you seek any medical help? Was it because…
YES NO
A You felt that you did not need any services? 1 2
B You got sufficient medical care from a family member or friend? 1 2
C You were not aware of any services that might have been available? 1 2
D You could not access services because of lack of insurance or money? 1 2
E You could not access services because of transportation barriers? 1 2
F You could not access services because of language barriers? 1 2
G You did not want anyone to know about what happened to you? 1 2
H You felt that doctors or service providers would not be able to help you? 1 2
I You felt that doctors or service providers would treat you poorly or not
understand? 1 2
J You thought that someone might find out and cause problems for you? 1 2
K You felt that you might get in trouble with the police or that the police
would be notified? 1 2
RESOURCE2
At any time during the 6 month period did you receive help for a drug or alcohol problem?
REFER TO REFERENCE CALENDAR.
1 YES
2 NO
DON’T KNOW
REFUSED
RESOURCE2_COG
What do you consider a drug or alcohol “problem”?
Did you have concerns about the term “problem”?
What would you include when I asked about receiving help?
RESOURCE2A
[ASK IF YES TO RESOURCE2]
At any time during the 6 month period did you try to find help for a drug or alcohol problem, but you were unable to get it?
1 YES
2 NO
DON’T KNOW
REFUSED
RESOURCE3
At any time during the 6 month period did you receive help for a mental health problem?
REFER TO REFERENCE CALENDAR.
1 YES
2 NO
DON’T KNOW
REFUSED
RESOURCE3_COG
What do you consider a mental health problem?
What would you include when I asked about receiving help?
RESOURCE3B
[ASK IF RESOURCE2=NO]
At any time during the 6 month period did you try to obtain help for a possible mental health problem, but were unable to get the help you wanted?
1 YES
2 NO
DON’T KNOW
REFUSED
RESOURCE4
During the 6 months before you were admitted here, did you feel stressed out because of …?
YES NO
A Money/financial issues? 1 2
B Employment issues? 1 2
C Difficulties with illness or injury? 1 2
D Problems with a partner or spouse, boyfriend or girlfriend? 1 2
E Problems with children or other family responsibilities? 1 2
F Problems with having a regular place to live? 1 2
G Not feeling safe in your neighborhood? 1 2
RESOURCE4_COG
Were you stressed for any other reasons? What were they?
RESOURCE5
Think about the community where you mostly lived during the 6 months before coming here. Were there places like churches, hospitals, shelters, or community services where people could get help or support if they needed it because they experienced violence or some other form of crime?
1 YES
2 NO
DON’T KNOW
REFUSED
RESOURCE5_COG
What were you thinking of when I said “the community where you mostly lived during the 6 months before coming here.” What is a community?
What types of things were you thinking about when you came up with your answer? Did you limit yourself to places or did you include people or other things? Were you thinking only of places or people who provide services to people who experience a crime?
What types of places offer help to people who experience crime? Did you include these places in your answer?
IF NOT VOLUNTEERED, ASK: Do you include everything that is near where you live or only places you visit? Do you include things that are far away from where you live because you have a sense of belonging?
RESOURCE6
Were there people or places in the community where people could turn to if they needed help because they were being hurt, hassled or threatened by others? People or places such as community police, clergy, community organizations, social workers, or others.
1 YES
2 NO
DON’T KNOW
REFUSED
RESOURCE6_COG
What types of people and places did you include in your answer?
Do you think there’s a difference between the last question (RESOURCE 5) and this question (RESOURCE 6)? IF YES, ASK: What is it?
RESOURCE7
For some types of crime, there may be agencies to help reimburse people for some of the costs associated with being a victim of crime. Are you aware of any groups or agencies that provide help with some of these financial costs?
1 YES
2 NO
DON’T KNOW
REFUSED
RESOURCE8
In the community where you lived, were there any areas that felt dangerous at night?
1 YES
2 NO
DON’T KNOW
REFUSED
RESOURCE8_COG
What would you consider dangerous?
RESOURCE9
In the community where you lived, did you ever hear gunshots?
1 YES
2 NO
DON’T KNOW
REFUSED
RESOURCE9A
[ASK IF RESOURCE9=YES]
About how often did you hear gunshots? Would you say it was…
1 Once in the 6 month period
2 2-5 times
3 6 or more times
RESOURCE9A_COG
How did you arrive at your answer?
RESOURCE10
Not including any violence that directly involved you, did you see any violence against other people in the community where you lived? Only include violence that you saw with your own eyes.
1 YES
2 NO
DON’T KNOW
REFUSED
RESOURCE10A_COG
How did you arrive at your answer?
RESOURCE10B
[ASK IF RESOURCE10=YES]
Did you ever call the police when you saw violence?
1 YES
2 NO
DON’T KNOW
REFUSED
RESOURCE11
Would the police have been helpful if you or someone else in your community experienced a crime?
1 YES
2 NO
DON’T KNOW
REFUSED
RESOURCE12
Did you have friends or family that you could turn to if you needed help because you experienced a crime?
1 YES
2 NO
DON’T KNOW
REFUSED
Section 6. Gun Use/Victimization before Incarceration
WEAP1
The next set of questions ask about protecting yourself. People often own guns and other weapons for self-protection and for other reasons. During the 6 months before coming here, did you have access to any guns?
1 YES
2 NO
DON’T KNOW
REFUSED
WEAP1_COG
What do you think it means to have ‘access to any guns’? IF NOT VOLUNTEERED, ASK: Does having access mean just ownership, not owning but having a gun in the house, knowing where you could purchase a gun, or something else?
Does having access to a gun include only guns obtained legally, illegally, or both?
What types of guns did you consider? IF NOT VOLUNTEERED, ASK: Did you include any guns that may not work? What about guns for which you don’t have bullets?
WEAP2
Has anyone ever shot a gun at you?
1 YES
2 NO
DON’T KNOW
REFUSED
WEAP2_COG
Did you consider times when someone shot at you but did not hit you?
Did you consider times when you were shot, but the shooter wasn’t aiming at you?
Did you consider times when you may have shot yourself, by accident or not?
Did you consider times when someone pointed a gun at you but did not shoot it?
WEAP2A
[ASK IF WEAP2=YES]
When was the last time someone shot at you?
[SELECT ONE]
1 During the 6 months before you were admitted here
2 About 7-12 months before you were admitted here
3 Between one and two years before you were admitted here
4 Between two and five years before you were admitted here
5 More than five years before you were admitted here
WEAP2A_COG
How did you arrive at your answer?
WEAP2D
[ASK IF WEAP2=YES]
Were you ever hit by any bullets when someone shot at you?
1 YES
2 NO
DON’T KNOW
REFUSED
WEAP2E
[ASK IF WEAP2D=YES]
When you were shot, did you ever receive medical care for your injuries at a hospital or doctor’s office?
1 YES
2 NO
DON’T KNOW
REFUSED
WEAP2F
[ASK IF WEAP2E=NO]
When you were shot, did you ever receive medical care from someone at a place other than a hospital or doctor’s office?
1 YES
2 NO
DON’T KNOW
REFUSED
WEAP2F_COG
I just read two questions about medical care. Did you think they were different or the same? How?
IF WEAP2E AND WEAP2F=NO, ASK: Did you receive any medical care? IF YES, ASK: Where? Who provided the care?
WEAP2G
[ASK IF WEAP2D=YES]
Did the police find out about the time(s) you were shot?
1 YES
2 NO
DON’T KNOW
REFUSED
WEAP2I
[IF WEAP2=YES, fill “Aside from the incident(s) you just told me about,] Have you ever been threatened, but not shot, by someone who was pointing a gun at you?
1 YES
2 NO
DON’T KNOW
REFUSED
WEAP2I_COG
What does ‘threaten’ in this context mean to you?
WEAP2J
[ASK IF WEAP2I=YES]
When was the last time you were threatened with a gun?
[SELECT ONE]
1 During the 6 months before you were admitted here
2 About 7-12 months before you were admitted here
3 Between one and two years before you were admitted here
4 Between two and five years before you were admitted here
5 More than five years before you were admitted here
WEAP2J_COG
How did you arrive at your answer?
WEAP2K
[ASK IF WEAP2I=YES]
Did the police find out about this incident?
1 YES
2 NO
DON’T KNOW
REFUSED
DEM5_MORECOG
Those are all the questions I have about the past. Before we go to the next section, I’d like to ask you some general questions about this interview.
When considering your answers throughout the questionnaire, what time period were you thinking about?
Did you think about different time periods for different questions?
Was it difficult to remember if something occurred in that time period? IF YES, ASK: Why was it difficult?
What helped you remember?
IF DID NOT VOLUNTEER THE CALENDAR, ASK: Did the calendar help you decide if something happened within the 6 months prior to arriving here or was it not helpful?
Section 8. Attitudes
RESPV8
Next, I’d like to know how you feel about the police in your community. How much do you agree or disagree with the following statements.
The police in your community treat people respectfully.
1 Strongly disagree
2 Disagree
3 Uncertain
4 Agree
5 Strongly agree
DON’T KNOW
REFUSED
RESPV9
The police in your community treat people fairly, regardless of who they are.
1 Strongly disagree
2 Disagree
3 Uncertain
4 Agree
5 Strongly agree
DON’T KNOW
REFUSED
RESPV9_COG
What does fairly mean to you?
RESPV10
The police in your community can be trusted to make decisions that are right.
1 Strongly disagree
2 Disagree
3 Uncertain
4 Agree
5 Strongly agree
DON’T KNOW
REFUSED
RESPV10_COG
What does “decisions that are right” mean to you?
RESPV11
The police in your community are good at solving crimes that are reported to them.
1 Strongly disagree
2 Disagree
3 Uncertain
4 Agree
5 Strongly agree
DON’T KNOW
REFUSED
RESPV12
Now thinking about other persons who work in the criminal justice system, please tell me how much you agree or disagree.
Prosecutors are good at resolving cases fairly.
1 Strongly disagree
2 Disagree
3 Uncertain
4 Agree
5 Strongly agree
DON’T KNOW
REFUSED
RESPV13
Defense attorneys are good at resolving cases fairly.
1 Strongly disagree
2 Disagree
3 Uncertain
4 Agree
5 Strongly agree
DON’T KNOW
REFUSED
Section 8. Criminal History and System Contact Before Incarceration
CRIMH4
In your entire life, have you ever been locked up in any kind of juvenile detention or correctional facility?
1 YES
2 NO
DON’T KNOW
REFUSED
CRIMH5
[IF CRIMH4 = 1]
How many times have you been locked up in any kind of juvenile detention or correctional facility?
[RANGE - 0-100]
DON’T KNOW
REFUSED
CRIMH_COG
EVEN IF CRIMH4=NO, ASK: What types of facilities did you consider in your answer?
IF CRIMH4=YES, ASK: Where were you held?
Section 9. Additional Demographics
ADEM1a
Was your sex assigned as male or female at birth?
1 Male
2 Female
ADEM1b
Do you currently describe yourself as male, female, or transgender?
1 Male
2 Female
3 Transgender
4 Do not identify as male, female or transgender
ADEM1c
Just to confirm, you were assigned [male/ female] at birth and now describe yourself as [male/female/transgender/does not identify]. Is that correct?
1 Yes, that is correct
2 No, that is not correct
[IF ADEM1c=2, RETURN TO ADEM1a. ELSE GO TO SURVEY_COG]
SURVEY_COG
Now I have a few questions about this interview as a whole. Many of the questions that I asked about were very personal. Some people would rather not answer a question or not tell the truth than admit some things.
On a scale from 1 to 10 with 10 being very personal and invasive and 1 being not personal at all, how would you rate this survey? Which questions did you find personal and invasive?
I won’t ask you which questions and you won’t be penalized, but I’d like to know, were there any questions that you provided a less that honest response?
Finally, were there any questions that you would have felt more comfortable answering if I had given you the laptop and you could enter your answers yourself? Which questions?
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | Lauritsen, Janet L. |
| File Modified | 0000-00-00 |
| File Created | 2021-01-22 |