Appendix C: Male Follow-up Survey Instrument
MFS-IP Instrument (Male FOLLOW-UP: ALL WAVES)
Table of Contents
PART ONE LIFETIME EXPERIENCES AND FAMILY STRUCTURE 2
Domain A: Demographics 2
Domain B: Incarceration Characteristics 2
Domain D: Genogram 4
Domain F: Relationship Status 5
Domain G: Family Structure 7
PART THREE EXPERIENCES SINCE INCARCERATION 9
Domain L: Social Support 9
Domain Q: Impact of Incarceration on Relationship with Partner 9
Domain R: Impact of Incarceration on Relationship with Children 14
PART FOUR EXPERIENCES SINCE PREVIOUS INTERVIEW 19
Domain H: Street Time 19
Domain S: Service Need and Receipt 20
Domain N: Parenting 29
PART FIVE EXPERIENCES SINCE RELEASE 30
Domain U: First 24 Hours 30
Domain I: Employment Status 31
Domain K: Income 34
Domain J: Housing 36
Domain L: Social Support 39
Domain M: Intimate Partner Violence 42
Domain V: Partner Relationship Quality 46
Domain N: Parenting 48
Domain O: Substance Use 51
Domain P: Physical and Mental Health 54
Domain W: Criminal Behavior 55
Domain X: Reincarceration Characteristics 58
Domain T: Community Involvement 60
PART SIX PERSONAL CHARACTERISTICS/CURRENT FEELINGS 61
Domain Z: Personal Traits 61
Domain P: Mental and Physical Health 66
Domain V: Partner Relationship Quality 70
Domain N: Parenting and Child Well-Being 77
Domain L: Social Support 84
ACASI SEGMENT 85
Domain J: Housing 85
Domain O: Substance Use 86
Domain V: Partner Relationship Quality 88
Domain M: Intimate Partner Violence 89
PART SEVEN EXPECTATIONS FOR POST-RELEASE PERIOD 94
Domain W: Criminal Behavior 94
Domain O: Substance Use 95
Domain L: Social Support 95
Domain K: Income 96
Domain I: Employment 97
Domain J: Housing 97
Domain V: Partner Relationship Quality 98
Domain N: Parenting 100
Locator information 102
MFS-IP MALE FOLLOW-UP INSTRUMENT DRAFT
{Y_bconBEGIN}
BCON1
[INTERVIEWER: LOOK AROUND YOU IN ALL DIRECTIONS. ARE YOU OUT OF EARSHOT OF OTHER PEOPLE, INCLUDING PEOPLE WHO MAY BE IN AN ADJACENT ROOM OR OUTSIDE, AND ARE YOU CONFIDENT THE INTERVIEW SETTING IS PRIVATE?
FOR AN INTERVIEW SETTING TO BE CONSIDERED PRIVATE, YOU MUST BE CERTAIN THAT THE QUESTIONS YOU READ AND THE RESPONDENT’S ANSWERS CANNOT BE (1) OVERHEARD OR (2) ASCERTAINED BY SOMEONE LOOKING THROUGH A WINDOW.]:YES NO
{if BCON1=yes, go on with existing interview; if=no, go to BCON2}
BCON2
[INTERVIEWER: BECAUSE YOU HAVE INDICATED THAT THE INTERVIEW SETTING IS NOT PRIVATE, YOU CANNOT PROCEED WITH THE INTERVIEW. YOU WILL NEED TO BREAK OFF THE INTERVIEW AND RESCHEDULE FOR A TIME WHEN YOU CAN CONDUCT THE INTERVIEW IN PRIVATE.]
{go to Y_bconEND}
{if BCON1=yes}
BCON3
[HAND R INTERVIEW CONSENT FORM. USE THE FACILITY CONSENT FORM FOR INCARCERATED RESPONDENTS AND THE COMMUNITY CONSENT FOR ALL OTHER RESPONDENTS.]
This document is called a consent form, and I’m going to read it out loud to you. It will explain the study and what we are asking you to do. After I’m done reading it, I will answer any questions you may have.
[READ THE CONSENT FORM TO THE RESPONDENT.]
BCON4
[IF R AGREES TO PARTICIPATE IN THE INTERVIEW, HAND R PEN AND INSTRUCT R TO SIGN THE INTERVIEW CONSENT FORM. THEN YOU SHOULD SIGN THE CONSENT FORM.
GIVE R AN {bold}UNSIGNED{normal} COPY OF THE INTERVIEW CONSENT FORM. RETURN YOUR COPY OF THE CONSENT FORM TO YOUR INTERVIEWING MATERIALS FOR LATER SHIPMENT TO YOUR FS.]
[DID R CONSENT TO THE INTERVIEW OR DID R REFUSE THE INTERVIEW?]
(Consent “R CONSENTED TO THE INTERVIEW,”
Refused “R REFUSED THE INTERVIEW”)
IS R CURRENTLY INCARCERATED?
YES
NO
WHAT IS R’S GENDER?
Male
Female
Transgendered
PART
ONE
LIFETIME EXPERIENCES AND FAMILY STRUCTURE
First, I’d like to get some updated information about your education and citizenship.
Educational attainment
NSAF (modified)
1. What is the highest grade or level of school you have ever completed?
8th grade or less
Some high school
GED
High school diploma
Vocational/tech/business certificate or diploma
Some college
Associate’s degree (AA, AS)
Bachelor’s degree (BA, BS)
Graduate/professional
degree (MA, MS, PhD, EdD, medicine/MD,
dentistry/DDS,
law/JJ/LLB, etc.)
2. (If answer is high school diploma): PROBE: Do you have a high school diploma or GED?
Citizenship
3. Are you a U.S. citizen?
YES
NO
Domain B: Incarceration Characteristics
(If R is not incarcerated, skip to next domain)
The next set of questions is about your current incarceration. [REFER TO REFERENCE CALENDAR.]
Incarceration duration
Created
4. Please tell me the date you were admitted for this term of incarceration. I’m asking for the date you entered incarceration this time, not the date of your sentencing. [REFER TO REFERENCE CALENDAR.]
___________ (MM/DD/YYYY)
5. That means you have been incarcerated for {calculated length of incarceration based on current date and response to above item}. Is this correct?
YES
NO
Created
6. Do you expect to be released from this incarceration?
YES
NO
7. (If yes) When do you expect to be released from this incarceration?
___________ (MM/DD/YYYY)
Instant offense
8. Are you currently serving time because of a parole or probation violation?
YES
NO
9. (If yes to either parole or probation violation) Was the [parole/probation] violation for a technical violation, like failing to report or having a dirty analysis, or for a new crime? [ALLOW BOTH.]
Technical violation
New crime
10. (If yes to new crime) What crime were you charged with for the new crime? Select all that apply. [USE SHOWCARD.]
Homicide
Rape
Other sex offense (not rape)
Robbery
Assault
Burglary
Theft
Car theft
Fraud or forgery
Weapons offense
Drug dealing
Drug possession
DWI or DUI
Other (SPECIFY)
11. (If no to parole/probation violation) What crimes were you convicted of for this prison term? Select all that apply. [USE SHOWCARD.]
Homicide
Rape
Other sex offense (not rape)
Robbery
Assault
Burglary
Theft
Car theft
Fraud or forgery
Weapons offense
Drug dealing
Drug possession
DWI or DUI
Other (SPECIFY)
Disciplinary actions
Created
12. During this term of incarceration, how many disciplinary infractions have you received?
_______ (# infractions)
13. During this term of incarceration, how many days have you served in administrative segregation?
This is sometimes referred to as spending time “in the hole.”
_________ (# TIMES)
Institutional transfers
Created
14. During this incarceration, how many times have you been transferred? By transferred I mean moved from one correctional facility to another or between a jail and a correctional facility. Do not include times you were transferred out for court or medical appointments and returned to the same facility after less than 7 days.
______ (# TRANSFERS)
15. REFER TO GENOGRAM. Since we last interviewed you, has anything changed in terms of who is in your family?
YES
NO
(If yes): UPDATE GENOGRAM TO REFLECT ANY CHANGES.
Marital history and current relationship status
Next, I’d like to ask you about some of the relationships you’ve had in your life, using our drawing as a starting point. [REFER TO GENOGRAM.]
Created
16. So, just to confirm, have you ever been married?
YES
NO
17. (If ever married) How many times? _____
18. (If ever married) And just to confirm, are you currently married?
YES
NO
19. (If currently married) How long have you been married to your current spouse? [REFER TO REFERENCE CALENDAR.]
|___|___| |___|___|
MONTHS YEARS
20. (If ever married) Just to confirm, have you ever been divorced?
YES
NO
21. (If ever divorced) How many times have you been divorced? _____
22. (If currently married) Are you currently romantically involved with your spouse? That is, do you still consider yourselves to be a couple?
YES
NO
23. (If not romantically involved with spouse) Are you legally separated?
YES
NO
24. (If romantically involved with spouse) And this person’s name is (NAME), correct? [RECORD.] For the rest of the interview, I will use the term “spouse” to refer to this person.
[IF PRELOADED, CONFIRM THAT THIS PERSON IS THE OTHER STUDY PARTICIPANT.]
25. (If other than married or separated, or report not being in a romantic relationship with the spouse) And just to confirm, are you in a romantic relationship with anyone? (Do you have a partner, or someone you are in a serious relationship with?)
YES
NO
26. (If in romantic relationship) And this person’s name is (NAME), correct? [RECORD.] For the rest of the interview, I will use the term “partner” to refer to this person.
[IF PRELOADED, CONFIRM THAT THIS PERSON IS THE OTHER STUDY PARTICIPANT.]
Duration of current relationship
27. (If in romantic relationship with spouse or someone else) Were you in a relationship with (SPOUSE/PARTNER) before you were incarcerated this time?
YES
NO
28. (If in romantic relationship) How long have you and (SPOUSE/PARTNER) been together? [REFER TO REFERENCE CALENDAR.]
|___|___| |___|___|
MONTHS YEARS
SVORI (modified)
29. During the 6 months before your incarceration, were you living with (SPOUSE/PARTNER) at any point? [REFER TO REFERENCE CALENDAR.]
YES
NO
Reasons for ending relationship with partner
30. (If R reports divorce, breakup or separation with original spouse/partner) What are the main reasons you and (SPOUSE/PARTNER) split up?
You had conflicts or disagreements you could not work out
(If R is not incarcerated) You did not feel close to one another after you
were released
You just drifted apart or lost interest in the relationship
She became involved with someone else during your incarceration
You become involved with someone else during your incarceration
(If R is not incarcerated) She became involved with someone else after
you were released
(If R is not incarcerated) You become involved with someone else after
you were released
Co-parenting relationships
31. (If R has any children) How many adults do you share parenting responsibilities with for any of your children? This could include ex-spouses or ex-partners who are fathers of your children, or another adult such as a grandparent with whom you are raising one of your children.
_______ (# COPARENTS)
Now, I’m going to ask you some questions about your family life. You were asked many of these questions during your last interview, and I’d like to see if there have been any changes.
[QUESTIONS IN FOLLOWING SECTION MAY BE SKIPPED AT FI DISCRETION IF R BECOMES TOO DISTRESSED.]
Detailed child characteristics (all children) – gender, age, relationship to child, relationship with mother, residence with child, financial support, frequency of contact
32. (If R has children) First, I’m going to ask you some questions about each of the children you have, using our drawing as a starting point. For these questions, we’ll include all children that you are parenting in some way. [REFER TO GENOGRAM.] That would be {number] child(ren) total, correct? [ENTER TOTAL NUMBER OF CHILDREN FROM GENOGRAM.]
___________ (# CHILDREN)
Let’s start with your oldest child.
33. The child’s name is (state name from genogram), correct? [FILL IN FIRST NAME.]
34. What is the child’s age? (PROBE IF NEEDED: Your best estimate is fine.)
___________ (AGE IN YEARS)
35. And (fill child name) is (male/female), correct?
Male
Female
36. And just to confirm, (fill child name) is (SELECT RELATIONSHIP FROM BELOW), correct?
Your biological child
A child of your spouse or ex-spouse
A child of your spouse/partner or ex-partner
A child of another blood relative
A child of a non-relative
A legally adopted child
37. (If other than “child of your spouse”) And just to confirm, what is your relationship to (fill child name)’s mother?
You’ve never been married
You’re divorced or separated
You’re currently married
38. (If other than “child of your spouse/partner” or “child of your spouse”) And you (are/are not) currently in a committed romantic relationship with (fill child name)’s mother, correct?
In a committed relationship
Not in a committed relationship
39. Did you live with this child at any point since your last interview? [REFER TO REFERENCE CALENDAR.]
YES
NO
40. (If not living with child) Since your last interview, how far away from (fill child name) were you living? Please tell me about how long it would take for you to travel from the place you were primarily living to (fill child name)’s home.
__________(# MINUTES)
More than a 12-hour drive
[REPEAT QUESTIONS ABOVE FOR ALL CHILDREN.]
(If R has children under 18): Child support payments (any children)
BSF
41. Are you required by a court to pay child support for any of your children? [REFER TO REFERENCE CALENDAR.]
Yes
No
42. (If R is required to pay child support) How many children were you required to pay child support for?
_____(# of children)
43. (If R is required to pay child support) Since your last interview, how many of those court-ordered child support payments did you make?
All required payments
Some required payments
No required payments
SVORI
44. (If R is required to pay child support) Has the court order for child support been changed since your last interview?
Yes
No
45. (If R is required to pay child support) Do you owe back child support?
Yes
No
PART
THREE
EXPERIENCES SINCE INCARCERATION
(If R is incarcerated)
Next, I’m going to ask you about your experiences since you were incarcerated.
In-prison contact with other family members
SVORI (modified)
1. How often do you currently receive personal visits from family members other than (SPOUSE/PARTNER) and child(ren)? [REFER TO REFERENCE CALENDAR.]
One or more times a week
A couple of times a month
About once a month
Every couple of months
Only a couple of times
Never
Domain Q: Impact of Incarceration on Relationship with Partner
Importance of partner contact during incarceration
The next set of questions is about keeping in touch with your spouse/partner during this incarceration. First, I’d like to know how much you agree or disagree with each of the following statements.
2. Keeping in touch with (SPOUSE/PARTNER) during this incarceration is very important to you.
Strongly agree
Agree
Disagree
Strongly disagree
Institutional support for partner contact during incarceration
3. You are satisfied with the amount of help you’ve received with staying in touch with (SPOUSE/PARTNER) during this incarceration. This could be help from outside programs or agencies, program staff at your facility, clergy, correctional officers, or other staff.
Strongly agree
Agree
Disagree
Strongly disagree
Contact with partner during incarceration
Now, I’d like to ask about specific contact you may have had. [REFER TO REFERENCE CALENDAR.] [USE SHOWCARD.]
SVORI (modified)
4. About how often do you currently talk on the phone with (SPOUSE/PARTNER)?
One or more times a week
A couple of times a month
About once a month
Every couple of months
Only a couple of times
Never
5. (If R currently talks on the phone with SPOUSE/PARTNER) About how long is your average phone call with (SPOUSE/PARTNER)?
_______ (# MINUTES)
6. How often do you currently send mail to your (SPOUSE/PARTNER)?
One or more times a week
A couple of times a month
About once a month
Every couple of months
Only a couple of times
Never
7. How often do you currently receive mail from your (SPOUSE/PARTNER)?
One or more times a week
A couple of times a month
About once a month
Every couple of months
Only a couple of times
Never
8. How often do you currently receive personal visits from your (SPOUSE/PARTNER)?
One or more times a week
A couple of times a month
About once a month
Every couple of months
Only a couple of times
Never
9. (If R has received any personal visits from SPOUSE/PARTNER) About how much time do you spend visiting with (SPOUSE/PARTNER) on an average visit?
_______ (# MINUTES)
Barriers to contact with partner during incarceration
Returning Home (modified)
Thinking about your time in prison, please tell me how much you agree or disagree with each of the following statements.
10. The prison is located too far away for (SPOUSE/PARTNER) to make regular visits or is too hard to get to because of transportation issues.
Strongly agree
Agree
Disagree
Strongly disagree
11. Visitor admission rules (such as background checks, dress codes, searches, metal detectors) are hard for (SPOUSE/PARTNER) to deal with.
Strongly agree
Agree
Disagree
Strongly disagree
12. The cost of visiting makes it hard for (SPOUSE/PARTNER) to visit as often as she would like to.
Strongly agree
Agree
Disagree
Strongly disagree
13. Schedule issues, like limited visiting hours and (SPOUSE/PARTNER)’s work schedule, make it hard for her to find time for visits.
Strongly agree
Agree
Disagree
Strongly disagree
14. The cost of receiving calls is too high for (SPOUSE/PARTNER), or you do not have access to a phone.
Strongly agree
Agree
Disagree
Strongly disagree
15. The prison is not a pleasant place to visit, or not a place you want (SPOUSE/PARTNER) to see you.
Strongly agree
Agree
Disagree
Strongly disagree
16. (SPOUSE/PARTNER) does not want to maintain close contact with you while you are incarcerated.
Strongly agree
Agree
Disagree
Strongly disagree
17. You do not want to maintain close contact with (SPOUSE/PARTNER) while you are incarcerated.
Strongly agree
Agree
Disagree
Strongly disagree
18. What would you say are the two biggest difficulties in staying in touch with (SPOUSE/PARTNER) during your incarceration? [SHOW ONLY ITEMS FOR WHICH R ANSWERED “STRONGLY AGREE” OR “AGREE” ABOVE.]
The prison is located too far away for (SPOUSE/PARTNER) to make
regular visits or is too hard to get to because of
transportation issues
Visitor admission rules (such as background checks, dress codes,
searches, metal detectors) are hard for (SPOUSE/PARTNER)
to
deal with
The cost of visiting makes it hard for (SPOUSE/PARTNER) to visit as
often as she would like to.
Schedule issues, like limited visiting hours and (SPOUSE/PARTNER)’s
work schedule, make it hard for her to find time for visits.
The cost of receiving calls is too high for (SPOUSE/PARTNER), or you
do not have access to a phone.
The prison is not a pleasant place to visit, or not a place you want
(SPOUSE/PARTNER) to see you.
(SPOUSE/PARTNER) does not want to maintain close contact with
you
while you are incarcerated.
You do not want to maintain close contact with (SPOUSE/PARTNER)
while you are incarcerated.
Impact of incarceration on partner relationship
19. (If R was with partner prior to this incarceration) How has your time in prison changed your relationship with (SPOUSE/PARTNER), if at all? Has it made you closer, has it made you drift apart, or has there been no change?
Made you closer
Made you drift apart
No change
20. What concerns or worries do you have about your relationship with (SPOUSE/PARTNER) during your incarceration? Mark all that apply.
Your time in prison will make you drift apart
It is hard for you to know what your place in her life is when you’re
in
prison
You don’t know whether she will accept collect charges for your
calls or
be at home when you call
She is concerned about your lifestyle in prison
She won’t forgive you for problems or conflicts you’ve had
Being in prison makes it hard to open up to her or let yourself get
close to her
You don’t know whether she will get involved with someone else
while
you’re in prison
Or some other concern that I haven’t mentioned (SPECIFY) _____________________________________
21. Of the concerns you mentioned, which one is your biggest concern? Mark one only. [SHOW ONLY RESPONSE OPTIONS THAT WERE SELECTED ABOVE.]
Your time in prison will make you drift apart
It is hard for you to know what your place in her life is when you’re
in
prison
You don’t know whether she will accept collect charges for your
calls or
be at home when you call
She is concerned about your lifestyle in prison
She won’t forgive you for problems or conflicts you’ve had
Being in prison makes it hard to open up to her or let yourself get
close
to her
You don’t know whether she will get involved with someone else
while
you’re in prison
Or some other concern that I haven’t mentioned (SPECIFY) _____________________________________
Domain R: Impact of Incarceration on Relationship with Children
Importance of child contact during incarceration
The next set of questions is about keeping in touch with your child(ren) during this incarceration. First, I’d like to know how much you agree or disagree with each of the following statements.
22. Keeping in touch with your child(ren) during your incarceration is very important to you. Do you...
Strongly agree
Agree
Disagree
Strongly disagree
Institutional support for child contact during incarceration
23. You are satisfied with amount of help you’ve received with staying in touch with your child(ren) during this incarceration. This could be help from outside programs or agencies, program staff at your facility, clergy, correctional officers, or other staff. Do you...
Strongly agree
Agree
Disagree
Strongly disagree
Contact with children during incarceration & Contact with focal child during incarceration
Now, I’d like to ask about specific contact you may have had. [REFER TO REFERENCE CALENDAR.] [USE SHOWCARD.]
SVORI (modified)
24. How often do you currently talk on the phone with (your child/any of your children)?
One or more times a week
A couple of times a month
About once a month
Every couple of months
Only a couple of times
Never
(If never, skip to question about sending mail.)
25. (If R has more than 1 child) How many of your children do you currently talk on the phone with?
[RECORD NUMBER.] ______________
26. (If R has more than 1 child) Do you currently talk on the phone with (FOCAL CHILD)?
YES
NO
27. (If R currently talks on the phone with any children) About how long is your average phone call with (your child/any of your children)?
_______ (# MINUTES)
28. How often do you currently send mail to (your child/any of your children)?
One or more times a week
A couple of times a month
About once a month
Every couple of months
Only a couple of times
Never
(If never, skip to question about sending audiotapes.)
29. (If R has more than 1 child) How many of your children do you currently send mail to?
_______ (# of children)
30. (If R has more than 1 child) Do you currently send mail to (FOCAL CHILD)?
YES
NO
31. Have you been able to send any audiotapes to (your child/any of your children)?
YES
NO
32. How often do you currently receive mail from (your child/any of your children)?
One or more times a week
A couple of times a month
About once a month
Every couple of months
Only a couple of times
Never
(If never, skip to question about receiving photographs.)
33. (If R has more than 1 child) How many of your children do you currently receive mail from?
_______ (# of children)
34. (If R has more than 1 child) Do you currently receive mail from (FOCAL CHILD)?
YES
NO
35. Have you received any photographs or audiotapes of (your child/any of your children)?
YES
NO
36. How often do you currently receive personal visits from (your child/any of your children)?
One or more times a week
A couple of times a month
About once a month
Every couple of months
Only a couple of times
Never
(If never, skip to next construct.)
37. (If R has more than 1 child) How many of your children do you currently receive personal visits from?
_______ (# of children)
38. (If R has more than 1 child) Do you currently receive personal visits from (FOCAL CHILD)?
YES
NO………………………………………………………………………………..
Barriers to contact with children during incarceration
Returning Home (modified)
Thinking about your time in prison, please tell me how much you agree or disagree with each of the following statements.
39. The prison is located too far away for your child(ren) to have regular visits, or is too hard for the child(ren)’s mother or caretaker to get to because of transportation issues.
Strongly agree
Agree
Disagree
Strongly disagree
40. Visitor admission rules (such as background checks, dress codes, searches, metal detectors) are hard for your child(ren) to deal with.
Strongly agree
Agree
Disagree
Strongly disagree
41. The cost of visiting is too high for the child(ren)’s mother or caretaker to bring them as often as she would like to.
Strongly agree
Agree
Disagree
Strongly disagree
42. Schedule issues, like limited visiting hours and the child(ren)’s mother’s or caretaker’s work schedules, make it hard to find time for visits.
Strongly agree
Agree
Disagree
Strongly disagree
43. The cost of calling or receiving calls is too high, or you do not have access to a phone.
Strongly agree
Agree
Disagree
Strongly disagree
44. The prison is not a pleasant place to visit, or not a place you want your child(ren) to see you.
Strongly agree
Agree
Disagree
Strongly disagree
45. Your child(ren)’s mother or caretaker does not want (him/her/them) to maintain close contact with you while you are incarcerated.
Strongly agree
Agree
Disagree
Strongly disagree
46. You do not want to maintain close contact with your child(ren) while you are incarcerated.
Strongly agree
Agree
Disagree
Strongly disagree
47. Your child(ren)(do/does) not want to maintain close contact with you.
Strongly agree
Agree
Disagree
Strongly disagree
48. You were not in close contact with your child(ren) before this incarceration.
Strongly agree
Agree
Disagree
Strongly disagree
49. What are the two biggest challenges in staying in touch with your child(ren) while you are incarcerated? [MARK TWO ONLY.] [SHOW ONLY OPTIONS FOR WHICH THE R ANSWERED “Yes” ABOVE, PLUS THE “OTHER, SPECIFY” OPTION.]
The prison is located too far away for your child(ren) to have
regular visits,
or is too hard for the child(ren)’s
mother or caretaker to get to because of
transportation
issues
Visitor admission rules (such as background checks, dress codes,
searches, metal detectors) are hard for your child(ren) to deal
with.
The cost of visiting is too high for the child(ren)’s mother or
caretaker
to bring them as often as she would like to. .
Schedule issues, like limited visiting hours and the child(ren)’s
mother’s
or caretaker’s work schedules, make it
hard to find time for visits.
The cost of calling or receiving calls is too high, or you do not
have
access to a phone
The prison is not a pleasant place to visit, or not a place you want
your child(ren) to see you
Your child(ren)’s mother or caretaker does not want
(him/her/them)
to maintain close contact with you while you are
incarcerated
You do not want to maintain close contact with your child(ren) while
you are incarcerated
Your child(ren) (do/does) not want to maintain close contact with you
You were not in close contact with your child(ren) before the
incarceration
Some other reason (SPECIFY) _______________________________
Impact of incarceration on relationship with focal child
50. How has your time in prison changed your relationship with (FOCAL CHILD), if at all? Has it made you closer, has it made you drift apart, or has there been no change?
Made you closer
Made you drift apart
No change
51. What concerns or worries do you have about (FOCAL CHILD) during your incarceration? MARK ALL THAT APPLY. [USE SHOWCARD.]
Concerns about there being enough money to support him/her
Concerns about how s/he is doing in school
Concerns about his/her happiness
Concerns about him/her getting teased or threatened by peers
Concerns that you will not be as close emotionally as you were before
this incarceration
Concerns that s/he won’t have a male role model
Concerns that s/he will get in trouble
Or some other concern that I haven’t mentioned (SPECIFY)
52. What is your biggest concern or worry about (FOCAL CHILD) during your incarceration? MARK ONE ONLY. [(SHOW ONLY RESPONSE OPTIONS THAT WERE SELECTED ABOVE.]
Concerns about there being enough money to support him/her
Concerns about how s/he is doing in school
Concerns about his/her happiness
Concerns about him/her getting teased or threatened by peers
Concerns that you will not be as close emotionally as you were before
this incarceration
Concerns that s/he won’t have a male role model
Concerns that s/he will get in trouble
Other (SPECIFY)
PART
FOUR
EXPERIENCES SINCE PREVIOUS INTERVIEW
Street time
(If R has not been released at any point since previous interview, skip to next domain.)
1. In the time since we last interviewed you, how many days were you incarcerated in a prison, jail or juvenile facility?
_____ (# DAYS)
2. Since we last interviewed you, how many days were you hospitalized?
_____ (# DAYS)
3. Since we last interviewed you, how many days were you in a residential treatment program?
_____ (# DAYS)
Domain S: Service Need and Receipt
Now, I’m going to ask you about services you might have received and programs you might have participated in since your last interview. [REFER TO REFERENCE CALENDAR.] I will also ask you which services you might have wanted or needed. We are asking these questions for research purposes only; your answers will not affect the services you receive.
Marriage education (need, receipt, attendance with partner, duration, completion, reasons for not completing)
Created
4. Since your last interview, have you attended any group classes or workshops on healthy marriage or romantic relationships? These sessions would have included other people, not just you or your (SPOUSE/PARTNER).
YES
NO
5. Have you wanted or felt that you needed to attend any group classes or workshops on healthy marriage or romantic relationships?
YES
NO
6. (If received marriage education) How many times have you attended any group classes or workshops on healthy marriage or romantic relationships during this incarceration?
# TIMES |___|___|
7. (If received marriage education and R is not incarcerated) Did you attend these classes or workshops...
While you were still incarcerated,
Since you have been released,
Or both?
Created
8. (If received marriage education) Since your last interview, how many times have you and (SPOUSE/PARTNER) gone together to any group classes or workshops on healthy marriage or romantic relationships?
# TIMES |___|___|
BSF
9. (If received marriage education) About how long did each class, workshop, or group session usually last?
PROBE: In other words, for how many hours did you meet each time?
# HOURS |___|___|
(FI confirmation: So, you had about X sessions each lasting about Y hours?)
Created
10. (If received marriage education) Did you attend some or all of the classes or workshops that were offered or did you stop attending before the classes were over?
Attended all
Attended most
Attended a few
11. (If other than “attended all”) Why did you
stop attending the classes or workshops?
MARK ALL THAT APPLY.
[USE SHOWCARD.]
You were not interested in the classes/workshops
The classes/workshops were not helpful
(SPOUSE/PARTNER) objected
(SPOUSE/PARTNER) lacked transportation, child care, or had
conflicts
with her work schedule and couldn’t attend with
you
The location of the classes was not convenient
You or (SPOUSE/PARTNER) had a conflict with the instructor
You or (SPOUSE/PARTNER) had a conflict with participants
You or (SPOUSE/PARTNER) did not agree with discussions/message
You got released or transferred to another institution
You got kicked out
Some other reason (SPECIFY) _____________________________
Marriage and relationship counseling (need, receipt, attendance with partner, duration)
BSF/SMH
12. Since your last interview, have you met with a counselor, therapist, or social worker to work on your relationship with (SPOUSE/PARTNER) in sessions that were not part of a workshop, class, or group? In other words, individual or couple’s counseling sessions that did not include other people besides you or (SPOUSE/PARTNER).
YES
NO
13. Have you wanted or felt that you needed to participate in individual or couple’s counseling sessions to work on your relationship with (SPOUSE/PARTNER)?
YES
NO
BSF
14. (If received marriage counseling) Since your last interview, about how many times have you had these counseling sessions to work on your (marriage/relationship)?
# TIMES |___|___|
15. (If received service and R is not incarcerated) Did you receive this counseling...
While you were still incarcerated,
Since you have been released,
Or both?
Created
16. (If received marriage counseling) Since your last interview, about how many times have you and (SPOUSE/PARTNER) attended these counseling sessions together?
# TIMES |___|___|
BSF
17. (If received marriage counseling) About how long did each session usually last?
# HOURS |___|___|
(FI confirmation: So, you had about X sessions each lasting about Y hours?)
How heard of relationship strengthening services
Created
18. (If received any marriage education or counseling) How did
you hear about the relationship strengthening activities in which you
participated? PROBE: Who told you about the classes?
MARK ALL
THAT APPLY.
Heard about it at an orientation or information session
Heard about it from a friend or fellow inmate
Heard about it from PARTNER/SPOUSE
Saw poster, brochure, or other ad
Referred by case manager or other staff member
Referred by other service agency
Other (SPECIFY) ____________________________________
Skills learned from relationship strengthening services
CHMI
19. (If received any marriage education or counseling) What knowledge or skills did you learn in relationship classes or relationship counseling that helped you improve your relationship with (SPOUSE/PARTNER)? Please select all that apply. [USE SHOWCARD.]
How to talk with (SPOUSE/PARTNER) about things that matter
How to work through problems calmly and fairly
How to calm down when things get heated
How to work together on caring for the child(ren)
How to build and keep each other’s trust
How to work with each other’s feelings about other family
members,
ex-partners, and friends
How to deal with stress and life changes together
Other (SPECIFY) ___________________________________
20. (If R selects more than 1 response above) What would you say is the most important skill you learned in your relationship classes or relationship counseling?
How to talk with (SPOUSE/PARTNER) about things that matter
How to work through problems calmly and fairly
How to calm down when things get heated
How to work together on caring for the child(ren)
How to build and keep each other’s trust
How to work with each other’s feelings about other family members,
ex-partners, and friends
How to deal with stress and life changes together
Other (SPECIFY) ___________________________________
Created
21. (If received any marriage education or counseling) How much has your relationship with (SPOUSE/PARTNER) improved as a result of the classes or workshops? Would you say…
A lot
A little
Not at all
Parenting education (need, receipt, duration)
Modified from BSF
22. Since your last interview, have you attended any classes, groups, or workshops to help you improve your parenting skills or learn to be a better parent?
YES
NO
23. Have you wanted or felt that you needed this service?
YES
NO
24. (If received parenting) How many times have you attended any parenting classes, groups, or workshops during this incarceration?
# TIMES |___|___|
25. (If received service and R is not incarcerated) Did you attend these classes/groups/workshops...
While you were still incarcerated,
Since you have been released,
Or both?
BSF
26. (If received parenting) About how long did each class, workshop, or group session usually last? PROBE: In other words, for how many hours did you meet each time?
# HOURS |___|___|
(FI confirmation: So, you had about X sessions each lasting about Y hours?)
Case management (need, receipt, duration, referrals, follow-up)
SVORI
27. Since your last interview, have you met with a staff member who talks with you about issues or needs you have, tries to get you into services or programs, helps you get benefits or assistance, and/or monitors your progress? These services are called case management and the person might be called a case manager, case worker, social worker, transition coordinator, or systems navigator.
YES
NO
28. Have you wanted or felt that you needed this service?
YES
NO
29. (If received case management) How many sessions of case management have you received during this incarceration?
___( # SESSIONS)
30. (If received service and R is not incarcerated) Did you receive this case management...
While you were still incarcerated,
Since you have been released,
Or both?
31. (If received case management) Has a case manager referred you to any of the following kinds of services or benefits? Please select all that apply. [USE SHOWCARD.]
Marriage or relationship education
Parenting education
Job training or employment readiness
Money management training
Other life skills training
Support groups
Marriage or relationship counseling
Mental health treatment
Substance abuse treatment
Other counseling
Housing program
Health benefits program
Public assistance, such as TANF or food stamps
Legal services
32. (If received case management) Has a case manager followed up to make sure you received those services?
YES
NO
Substance abuse and mental health treatment (need, receipt)
Modified from BSF
33. Since your last interview, have you received counseling, therapy, or other treatment to help you deal with an emotional or mental health problem?
YES
NO
34. Have you wanted or felt that you needed this service?
YES
NO
35. (If received service and R is not incarcerated) Did you receive this counseling/therapy/treatment...
While you were still incarcerated,
Since you have been released,
Or both?
36. Since your last interview, have you received counseling, self-help groups, group sessions, or other treatment to help you deal with alcohol or substance abuse?
YES
NO
37. Have you wanted or felt that you needed this service?
YES
NO
38. (If received service and R is not incarcerated) Did you receive this alcohol or substance abuse treatment...
While you were still incarcerated,
Since you have been released,
Or both?
Other support services (need, receipt)
BSF modified
39. Since your last interview, have you received services or taken a course to help you manage anger?
YES
NO
40. Have you wanted or felt that you needed this service?
YES
NO
41. (If received service and R is not incarcerated) Did you participate in anger management services...
While you were still incarcerated,
Since you have been released,
Or both?
Created
42. Since your last interview, have you received services or taken a course for men to learn how to avoid hurting or abusing their partners?
YES
NO
43. Have you wanted or felt that you needed this service?
YES
NO
44. (If received service and R is not incarcerated) Did you participate in these services...
While you were still incarcerated,
Since you have been released,
Or both?
Created
45. Since your last interview, have you participated in any GED, adult basic education, or college courses?
YES
NO
46. Have you wanted or felt that you needed this service?
YES
NO
47. (If received service and R is not incarcerated) Did you participate in these courses...
While you were still incarcerated,
Since you have been released,
Or both?
SVORI
48. Since your last interview, have you participated in any employment readiness, vocational or job training programs?
YES
NO
49. Have you wanted or felt that you needed this service?
YES
NO
50. (If received service and R is not incarcerated) Did you participate in this training...
While you were still incarcerated,
Since you have been released,
Or both?
Created
51. Since your last interview, have you participated in any money management or financial planning programs?
YES
NO
52. Have you wanted or felt that you needed this service?
YES
NO
53. (If received service and R is not incarcerated) Did you participate in money management or financial planning classes...
While you were still incarcerated,
Since you have been released,
Or both?
54. Since your last interview, have you participated in any other life skills education?
YES
NO
55. Have you wanted or felt that you needed this service?
YES
NO
56. (If received service and R is not incarcerated) Did you participate in other life skills education...
While you were still incarcerated,
Since you have been released,
Or both?
57. Since your last interview, have you received any help finding housing or paying for housing for when you are released?
YES
NO
58. Have you wanted or felt that you needed this service?
YES
NO
59. (If received service and R is not incarcerated) Did you receive this housing-related help...
While you were still incarcerated,
Since you have been released,
Or both?
60. Since your last interview, have you received any assistance with retaining your parental rights or changing child custody arrangements?
YES
NO
61. Have you wanted or felt that you needed this service?
YES
NO
62. (If received service and R is not incarcerated) Did you receive this assistance...
While you were still incarcerated,
Since you have been released,
Or both?
63. Since your last interview, have you participated in any family group conferencing or family mediation? We mean meetings with your family members, such as your (SPOUSE/PARTNER), child(ren), or other family members to discuss issues and set goals for the future.,
YES
NO
64. Have you wanted or felt that you needed this service?
YES
NO
65. (If received service and R is not incarcerated) Did you participate in family group conferencing/family mediation...
While you were still incarcerated,
Since you have been released,
Or both?
66. Since your last interview, have you participated in any support groups? We mean a group of individuals who meet regularly to discuss personal or interpersonal issues.
YES
NO
67. Have you wanted or felt that you needed this service?
YES
NO
68. (If received service and R is not incarcerated) Did you participate in support groups...
While you were still incarcerated,
Since you have been released,
Or both?
69. Since your last interview, have you received spiritual or religious assistance from any faith-based organizations or people? For example, this would include meeting with a chaplain, minister, or other clergy member.
YES
NO
70. Have you wanted or felt that you needed this service?
YES
NO
71. (If received service and R is not incarcerated) Did you receive this spiritual or religious assistance...
While you were still incarcerated,
Since you have been released,
Or both?
Financial support for focal child
72. Since your last interview, have you financially supported (FOCAL CHILD) in any way?
YES
NO
73. (If yes) In what way or ways have you provided financial support for (FOCAL CHILD) since your last interview? Please include support you provided to the child directly as well as support you provided to the child’s other parent or caretaker. [USE SHOWCARD.]
Giving (FOCAL CHILD) birthday or holiday gifts
Taking (FOCAL CHILD) shopping for clothing, school supplies, or other
things s/he needs
Helping out occasionally with bills, rent or other expenses in the child’s
household
Providing steady, regular financial support of up to $100 per month
Providing steady, regular financial support of $100-$200 per month
Providing steady, regular financial support of $200-$300 per month
Providing steady, regular financial support of over $300 per month
PART
FIVE
EXPERIENCES SINCE RELEASE
(If R has not yet been released, skip to Part 4: Expectations for Release)
The next set of questions deal with your experiences since you were released from prison for the term during which we first interviewed you. [REFER TO REFERENCE CALENDAR]
First 24 hours
First, I’m going to ask you about things that happened to you during the first 24 hours after you were released.
SVORI
1. On the day that you were released from incarceration, was anyone at the institution to meet you when you were released?
YES
NO
2. (If yes) Who was there to meet you? Please indicate all that apply.
(SPOUSE/PARTNER)
Your child/children
Other family member(s)
A friends/friends
A parole or probation officer
A case worker or case manager
A mentor
Some other type of person (SPECIFY:)
3. On the day that you were released from incarceration, did you report to a parole or probation officer?
YES
NO
4. On the day that you were released from incarceration, did you see or talk to anyone from a service agency?
YES
NO
5. Where did you sleep the first night out of incarceration? Please indicate all that apply.
In your own house or apartment, meaning your name is on the title,
mortgage, or lease
In someone else’s house or apartment
In a transitional housing building or halfway house
In a motel/hotel or rooming house
In a residential treatment facility
In a shelter
On the street
In an outdoor location where you camped out
In an abandoned building or vacant unit
In some other place
6. At the time of release, did you have a photo ID?
YES
NO
7. (If no) Have you gotten a new photo ID since your release from prison?
YES
NO
8. Overall, in the first 24 hours after your release from incarceration, how prepared did you feel to live on the outside?
Very prepared
Prepared
Unprepared
Very unprepared
NSAF
Next, I’d like to ask a few questions about your employment.
9. At any point since you were released from incarceration, have you worked at a job? [REFER TO REFERENCE CALENDAR.] (IF R HAD A JOB BUT WAS TEMPORARILY NOT WORKING BECAUSE OF SICKNESS, VACATION, STRIKE, BAD WEATHER, ETC, COUNT AS EMPLOYED.)
YES
NO
10. (If R has had a job and is not reincarcerated) Are you currently working at a job?
YES
NO
Employment duration
11. (If R has had a job) How many months have you worked since your release from prison?
_____ (# MONTHS)
Full/part time
SVORI
12. (If R has had a job) Is your current/most recent job…
Part time
Full time
Type of employment
SVORI
13. (If R has had a job) Is your current/most recent job…
Formal pay (a job that has a pay stub)
Self-employment
Casual pay (a job that is “under the table” or “off the books”)
Earnings
SVORI
14. (If R has had a job) How much do/did you earn from your current/most recent job before taxes including any tips, bonuses, and commissions? Responses could be per hour, per day, per week, per two weeks, per month, or per year.
___________ dollars
per hour
per day
per week
every 2 weeks
per month
per year
Benefits
SVORI
15. (If R has had a job) Does your current/did your most recent job provide health insurance coverage?
YES
NO
SVORI
16. (If R has had a job) Are/were you entitled to any fully paid leave, such as sick leave, paid holidays or vacation leave from your employer?
YES
NO
Difficulty finding/keeping a job
17. How easy or hard (if R is currently working: was it) has it been to get a job?
Very easy
Pretty easy
Pretty hard
Very hard
18. (If R has had a job since release) How easy or hard has it been to keep a job?
Very easy
Pretty easy
Pretty hard
Very hard
Barriers to employment
19. Please tell me whether any of the following factors have made it difficult for you to look for a job, get a job or keep a job. Select all that apply.
Not having work experience
Not having child care
Lack of transportation
Not speaking English well
Lack of reading skills
Lack of vocational training or certification
Lack of educational background
Having a disability or serious medical condition
Lack of jobs in the neighborhood
Having a drug or alcohol problem
The job required drug tests
Having a criminal record
Discrimination other than having a criminal record
Being on parole or community supervision
Some other reason, specify: __________________________
Number of employer contacts/interviews
20. How many employers have you contacted since your release?
None
1
2-5
6-10
More than 10
21. How many job interviews have you had since your release?
None
1
2-5
6-10
More than 10
Unemployment insurance
22. Have you collected any Unemployment Insurance since your release?
YES
NO
Difficulty supporting oneself
Returning Home
23. How easy or hard has it been to make enough money to support yourself?
Very easy
Pretty easy
Pretty hard
Very hard
Income sharing with partner
24. Do you and your partner share income and expenses with each other? This could include sharing rent, splitting bills or other expenses, or sharing assets like a bank account. [REFER TO REFERENCE CALENDAR.]
YES
NO
Sources of support
BSF (modified)
Next I’m going to read a list of income sources. For each, tell me if you have received income from this source since your release from incarceration. [REFER TO REFERENCE CALENDAR.] [USE SHOWCARD.]
25. Cash welfare, also known as TANF? You may have received this benefit as an electronic transfer, a check or on a bank or debit card. PROBE: TANF is Temporary Assistance for Needy Families.
YES
NO
26. (If partner shares expenses with R) Has (SPOUSE/PARTNER) received income from this source since your release?
YES
NO
27. Other public assistance, such as food stamp benefits, support from the Indian Health Service, disability insurance such as Supplemental Security Income (SSI), Social Security Disability Insurance (SSDI), or unemployment insurance benefits (UI)? You may have received these benefits as coupons, electronic transfer, or as an EBT or debit card.
YES
NO
28. (If partner shares expenses with R) Has (SPOUSE/PARTNER) received income from this source since your release?
YES
NO
29. Child support payments?
YES
NO
30. (If partner shares expenses with R) Has (SPOUSE/PARTNER) received income from this source since your release?
YES
NO
31. Money from friends or relatives who do not live with you?
YES
NO
32. (If partner shares expenses with R) Has (SPOUSE/PARTNER) received income from this source since your release?
YES
NO
33. Formal employment? By “formal,” we mean a job that you received a pay stub for, and for which taxes were taken out of your pay.
YES
NO
34. (If partner shares expenses with R) Has (SPOUSE/PARTNER) received income from this source since your release?
YES
NO
35. “Under the table” or casual work. By “under the table,” we mean work that you did not receive a pay stub for, for which taxes were not taken out of your pay. This could include things you were paid in cash for, like babysitting or mowing lawns.
YES
NO
36. (If partner shares expenses with R) Has (SPOUSE/PARTNER) received income from this source since your release?
YES
NO
37. Illegal activities, such as selling drugs, breaking and entering , etc.
YES
NO
38. (If partner shares expenses with R) Has (SPOUSE/PARTNER) received income from this source since your release?
YES
NO
Type of housing
Multi-Site Adult Drug Court Study
39. At any point since your release from incarceration, have you lived in these places? [REFER TO REFERENCE CALENDAR.] [USE SHOWCARD.] (SELECT ALL THAT APPLY.)
In your own house or apartment, meaning your name is on the title, mortgage, or lease
In someone else’s house or apartment
In a transitional housing building or halfway house
In a motel/hotel or rooming house
In a residential treatment facility
In a shelter
On the street
In an outdoor location where you camped out
In an abandoned building or vacant unit
In some other place
40. (if R lived in more than one place) Since your release, where have you mostly lived? (SELECT ONE.)
In your own house or apartment, meaning your name is on the title, mortgage, or lease
In someone else’s house or apartment
In a transitional housing building or halfway house
In a motel/hotel or rooming house
In a residential treatment facility
In a shelter
On the street
In an outdoor location where you camped out
In an abandoned building or vacant unit
In some other place
41. (If R only lived OR mostly lived in own home or someone else’s home) Is the (house/apartment) public housing? Public housing is defined as a unit in a building owned by a public housing authority.
YES
NO
42. (if no) Is the (house/apartment) Section 8? Section 8 housing is where a section 8 voucher is being used to pay for part or all of your rent for a privately owned unit.
YES
NO
Number of places lived
43. Since your release, how many different places have you lived?
______ (NUMBER)
People living with & Living with partner
44. Since your release, have you lived with (SPOUSE/PARTNER)?
YES
NO
45. (If yes) Are you currently living with (SPOUSE/PARTNER)?
YES
NO
46. Since your release, have you lived with (FOCAL CHILD)?
YES
NO
47. (If yes) Are you currently living with (FOCAL CHILD)?
YES
NO
Ask for each of R’s remaining children:
48. Since your release, have you lived with (CHILD)?
YES
NO
49. Who else have you lived with since your release? Please list everyone who has lived with you at some point since your release. [SELECT ALL THAT APPLY.]
NO ONE ELSE
SPOUSE OR ROMANTIC PARTNER
EX-SPOUSE OR ROMANTIC PARTNER
MOTHER/STEPMOTHER
FATHER/STEPFATHER
Sister/stepsister
Brother/stepbrother
Aunt/Uncle, Great Aunt/Uncle
Cousin
Grandparent
other Children/stepchildren
Friend OF R
FRIEND OF R’S PARTNER
SOME Other PERSON, NOT A FRIEND OR FAMILY MEMBER
(SPECIFY) _____________________________________________
Barriers to housing
50. Since your release, have you had trouble finding a place to live?
YES
NO
51. (If yes to above): Why did you have trouble finding a place to live? (SELECT ALL THAT APPLY.)
You were unable to obtain public housing or a Section 8 voucher
You were unable to stay with friends or family who
live in public housing
or a Section 8 unit
You were unable to obtain a lease on a non-public
housing home
or apartment
You were unable to stay with friends or family in
a non-public housing
home or apartment
You were unable to find a bed in a long-term
shelter or supportive
housing
You had no money for a housing deposit
There were no public housing vouchers available
It was too expensive in your neighborhood
Some other reason, specify: ____________________
Neighborhood characteristics
SVORI/Returning Home
52. Please tell me whether you strongly disagree, disagree, agree, or strongly agree with the following statements about the neighborhood where you mainly live (if reincarcerated: lived).
It is hard to stay out of trouble in your neighborhood or community.
Strongly agree
Agree
Disagree
Strongly disagree
Drug selling is a major problem in your neighborhood or community.
Strongly agree
Agree
Disagree
Strongly disagree
Your neighborhood or community is a good place to live.
Strongly agree
Agree
Disagree
Strongly disagree
Your neighborhood or community is a good place to find a job.
Strongly agree
Agree
Disagree
Strongly disagree
This next set of questions deals with the kinds of support you have received from your friends and family since your release.
Number of friends
Social Capital Community Benchmark Survey
First, I will ask about your friends. Please do not count any family members as you answer these questions.
53. How many close friends do you have? These are people you feel at ease with, can talk to about private matters, or can call on for help. Would you say you have no close friends, one or two, 3-5, 6-10, or more than that?
No close friends
One or two
Three to five
Six to ten
More than ten
Negative/positive peer exposure
Returning Home/SVORI (modified)
Think about the people you have spent time with since your release, other than your partner and other family members.
54. Of the people you spend time with, how many have ever been in prison? [USE SHOWCARD.]
All
Most
Some
None
55. Of the people you spend time with, how many are employed full time?
All
Most
Some
None
56. Of the people you spend time with, how many can you hang out with and know that you won’t get in trouble?
All
Most
Some
None
57. Of the people you spend time with, how many use illegal drugs?
All
Most
Some
None
Created
58. How often do the people you spend time with convince you to do things you know you shouldn’t be doing?
Often
Sometimes
Rarely
Never
Support from friends
59. Do you have a friend who will loan you money if you need it?
YES
NO
60. Do you have a friend who will provide you with a place to live if you need it?
YES
NO
61. Do you have a friend who will help you with transportation to work or other appointments if you need it?
YES
NO
62. Have your friends been as helpful as you hoped they would be after your release from incarceration?
YES
NO
Number of close family members
Next, I’d like to know about family members other than your spouse/partner or children.
63. How many close family members do you currently have? These are people you feel at ease with, can talk to about private matters, or can call on for help. Would you say you have no close family members, one or two, 3-5, 6-10, or more than that?
No close family members
One or two
Three to five
Six to ten
More than ten
Support from “other family members”
Created
64. Do you have a family member who will loan you money if you need it?
YES
NO
65. Do you have a family member who will provide you with a place to live if you need it?
YES
NO
66. Do you have a family member who will help you with transportation to work or other appointments if you need it?
YES
NO
67. Have your family been as helpful as you hoped they would be after your release from incarceration?
YES
NO
Domain M: Intimate Partner Violence
(If R is incarcerated)
Now, I’m going to ask you some questions about your romantic relationship since your release (If reincarcerated: but before your reincarceration). [REFER TO REFERENCE CALENDAR.] Please remember that your answers cannot be shared with your family, friends or acquaintances under any circumstances.
Psychological abuse
Thinking about the time since your release, please tell me how much of the time each of these statements was true.
68. How often have you felt safe in your relationship with your spouse/partner? Would you say…
Often
Sometimes
Rarely
Never
TX HM
69. Your spouse/partner has become jealous or possessive. Would you say…
Often
Sometimes
Rarely
Never
TX HM
70. Your spouse/partner has made you feel like you were not good enough. Would you say…
Often
Sometimes
Rarely
Never
Conflict tactics
SMH/BSF (Modified from Conflict Tactics Scale)
No matter how well a couple gets along, there are times when they disagree or have fights. I am going to read a list of things that might happen when you have differences. First, tell me how many times since your release from incarceration (If reincarcerated: but prior to your reincarceration) you have done the following. Then I’ll ask you how many times (SPOUSE/PARTNER) has done the following. [REFER TO REFERENCE CALENDAR.] [USE SHOWCARD.]
71. Since your release from incarceration, how many times have you thrown something at your spouse/partner?
None
1 time
2 times
3-5 times
6 or more times
72. Since your release from incarceration, how many times has your spouse/partner thrown something at you?
None
1 time
2 times
3-5 times
6 or more times
73. Since your release from incarceration, how many times have you pushed, shoved, hit, slapped, or grabbed your spouse/partner?
None
1 time
2 times
3-5 times
6 or more times
74. Since your release from incarceration, how many times has your spouse/partner pushed, shoved, hit, slapped, or grabbed you?
None
1 time
2 times
3-5 times
6 or more times
75. Since your release from incarceration, how many times have you used a knife or gun on your spouse/partner?
None
1 time
2 times
3-5 times
6 or more times
76. Since your release from incarceration, how many times has your spouse/partner used a knife or gun on you?
None
1 time
2 times
3-5 times
6 or more times
77. Since your release from incarceration, how many times have you choked, slammed, kicked, burned, or beat your spouse/partner?
None
1 time
2 times
3-5 times
6 or more times
78. Since your release from incarceration, how many times has your spouse/partner choked, slammed, kicked, burned, or beat you?
None
1 time
2 times
3-5 times
6 or more times
79. Since your release from incarceration, how many times have you used force to make your spouse/partner have sex? (PROBE: Force means things like hitting, holding down, or using a weapon)
None
1 time
2 times
3-5 times
6 or more times
80. Since your release from incarceration, how many times has your spouse/partner used force to make you have sex? (PROBE: Force means things like hitting, holding down, or using a weapon)
None
1 time
2 times
3-5 times
6 or more times
81. Since your release from incarceration, how many times have you threatened to hurt your spouse/partner?
None
1 time
2 times
3-5 times
6 or more times
82. Since your release from incarceration, how many times has your spouse/partner threatened to hurt you?
None
1 time
2 times
3-5 times
6 or more times
83. Since your release from incarceration, how many times have you threatened to hurt your spouse/partner’s children, family members, or other loved ones?
None
1 time
2 times
3-5 times
6 or more times
84. Since your release from incarceration, how many times has your spouse/partner threatened to hurt your children, family members, or other loved ones?
None
1 time
2 times
3-5 times
6 or more times
85. Since your release from incarceration, how many times have you tried to keep your spouse/partner from seeing or talking with her friends or family?
None
1 time
2 times
3-5 times
6 or more times
86. Since your release from incarceration, how many times has your spouse/partner tried to keep you from seeing or talking with your friends or family?
None
1 time
2 times
3-5 times
6 or more times
87. Since your release from incarceration, how many times have you kept money from your spouse/partner, made her ask for money, or taken money from her?
None
1 time
2 times
3-5 times
6 or more times
88. Since your release from incarceration, how many times has your spouse/partner tried to keep money from you, made you ask for money, or taken money from you?
None
1 time
2 times
3-5 times
6 or more times
Domain V: Partner Relationship Quality
Difficulty establishing/re-establishing relationship with partner
Returning Home
89. How easy or hard has it been to have a good relationship with SPOUSE/PARTNER since your release?
Very easy
Pretty easy
Pretty hard
Very hard
90. Since your release, what have been the biggest challenges in your relationship with your partner? [MARK ALL THAT APPLY.]
Finding her
Being able to feel close to her again after the time in prison
Being able to trust her after the time in prison
Problems or new situations that came up during your incarceration
Having missed out on so much that happened in her life while you were
incarcerated
Trying to meet her expectations for you related to finding a job,
staying clean,
helping her financially
Being angry at her or not wanting to see her
Her being angry at you or not wanting to see you
Some other challenge (SPECIFY):___________________________
Support to/from partner
Please tell me whether you strongly agree, agree, disagree, or strongly disagree with the following statements about you and (SPOUSE/PARTNER) have treated one another since your release.
91. Since your release, you have stood by (SPOUSE/PARTNER) no matter what.
Strongly agree
Agree
Disagree
Strongly disagree
92. You have loved (SPOUSE/PARTNER) and made her feel wanted.
Strongly agree
Agree
Disagree
Strongly disagree
93. You have helped (SPOUSE/PARTNER) with problems she has faced.
Strongly agree
Agree
Disagree
Strongly disagree
94. Since your release, (SPOUSE/PARTNER) has stood by you no matter what.
Strongly agree
Agree
Disagree
Strongly disagree
95. (SPOUSE/PARTNER) has loved you and made you feel wanted.
Strongly agree
Agree
Disagree
Strongly disagree
96. (SPOUSE/PARTNER) has helped you with problems you have faced.
Strongly agree
Agree
Disagree
Strongly disagree
This next set of questions is about your experiences with parenting (FOCAL CHILD) since your release from incarceration.
Co-parental conflict about focal child
97. (If spouse/partner is coparent to focal child) How often have you and (SPOUSE/PARTNER) stood by a discipline or parenting decision, even if one of you did not like the decision? [REFER TO REFERENCE CALENDAR.]
Often
Sometimes
Rarely
Never
98. Have you and (SPOUSE/PARTNER) often, sometimes, hardly ever, or never had arguments about (FOCAL CHILD)?
Often
Sometimes
Rarely
Never
Decision-making about focal child
99. Who has made major decisions about things such as child care and health care for (FOCAL CHILD)? Would you say...
You and the child's mother or main caretaker have made most decisions
together
The child's mother or main caretaker has made most decisions herself
You have made most decisions yourself
(If R is not incarcerated, and has any children whom he does not live with))
The next set of questions is about keeping in touch with your child(ren) since you have been released.
Importance of contact with non-resident children
Thinking about your child(ren) who do(es) not live with you, I’d like to know how much you agree or disagree with the following statement.
100. Keeping in touch with your child(ren) is very important to you. Do you...
Strongly agree
Agree
Disagree
Strongly disagree
Post-release contact with non-resident children
Now, I’d like to ask about specific contact you may have had with the child(ren) of yours who do(es) not live with you. [REFER TO REFERENCE CALENDAR.] [USE SHOWCARD.]
SVORI (modified)
101. How often do you currently talk on the phone with this child/any of these child(ren)?
One or more times a week
A couple of times a month
About once a month
Every couple of months
A couple of times a year or less
Never
(If never, skip to question about sending mail.)
102. (If R has more than 1 child) How many of your children do you currently talk on the phone with?
[RECORD NUMBER.] ______________
103. (If focal child is non-resident) Do you currently talk on the phone with (FOCAL CHILD)?
YES
NO
104. How often do you currently send mail to your child(ren)?
One or more times a week
A couple of times a month
About once a month
Every couple of months
A couple of times a year or less
Never
(If never, skip to question about receiving mail.)
105. (If R has more than 1 child) How many of your children do you currently send mail to?
_______ (# of children)
106. (If focal child is non-resident) Do you currently send mail to (FOCAL CHILD)?
YES
NO
107. How often do you see your child(ren) in person?
One or more times a week
A couple of times a month
About once a month
Every couple of months
A couple of times a year or less
Never
(If never, skip to next domain.)
108. (If R has more than 1 child) How many of your children do you currently see in person?
_______ (# CHILDREN)
109. (If R does not live with focal child): How often do you see (FOCAL CHILD) in person?
One or more times a week
A couple of times a month
About once a month
Every couple of months
Only a couple of times
Never
Frequency of eating meals with focal child
110. (If R lives with focal child, or sees focal child one or more times a week) In a typical week since your last interview, how many days did you eat at least one meal with (FOCAL CHILD)? [REFER TO REFERENCE CALENDAR.]
ONE DAY
TWO DAYS ……….
THREE DAYS
FOUR DAYS
FIVE DAYS ……….
SIX DAYS
SEVEN DAYS
Difficulty establishing/re-establishing relationship with focal child
111. How easy or hard has it been to have a good relationship with (FOCAL CHILD) since your release?
Very easy
Pretty easy
Pretty hard
Very hard
Created
112. What have been the biggest challenges in your relationship with (FOCAL CHILD) since your release? [MARK ALL THAT APPLY.]
Finding him/her
Having missed out on so much that happened with him/her while you
were
incarcerated
Getting (FOCAL CHILD) to trust you or open up to you after the time apart
Finding transportation for visits or activities with (FOCAL CHILD)
Dealing with people who don’t want you to see (FOCAL CHILD)
Not being in a stable enough housing and financial situation to be
able to
spend time with (FOCAL CHILD)
Your lifestyle not being a healthy one for kids
(FOCAL CHILD) being angry at you or not wanting to see you
Some other challenge (SPECIFY)___________________________
Impact of incarceration on relationship with focal child
113. How has your relationship with (FOCAL CHILD) changed since you were released? Has being released made you closer, has it made you drift apart, or has there been no change?
Made you closer
Made you drift apart
No change
(If R is incarcerated)
Substance use
114. Please tell me which of the following substances you have used since your release, even just once. [REFER TO REFERENCE CALENDAR.] [SELECT ALL THAT APPLY.] [USE SHOWCARD.]
Alcohol
Marijuana or hashish
Powder cocaine
Crack cocaine
Heroin (this includes smoking, sniffing, snorting, and injecting heroin)
Methamphetamine
Other amphetamines, such as monster, crank, or ice
Hallucinogens or designer drugs, such as ecstasy, LSD or acid,
mushrooms, mescaline,
peyote, green, PCP, or angel dust
Prescription medication without a prescription or for other reasons
than were prescribed,
or in larger amounts, or more often than
your doctor ordered. This includes sedatives,
tranquilizers,
stimulants, pain relievers, opiates, or anabolic steroids.
Methadone without a prescription or for other reasons than were
prescribed, or in larger
amounts, or more often than your
doctor ordered.
Did not use any alcohol or drugs
(If R reports no alcohol or drug use since release, skip to Physical and Mental Health domain.)
115. Which of the following have you used the most since your release? (SELECT ONE.) READ LIST OUT LOUD. (Show only response categories that were selected by the R in the prior question.)
Alcohol
Marijuana or hashish
Powder cocaine
Crack cocaine
Heroin (this includes smoking, sniffing, snorting, and injecting heroin)
Methamphetamine
Other amphetamines, such as monster, crank, or ice
Hallucinogens or designer drugs, such as ecstasy, LSD or acid,
mushrooms, mescaline,
peyote, green, PCP, or angel dust
Prescription medication without a prescription or for other reasons
than were prescribed,
or in larger amounts, or more often than
your doctor ordered. This includes sedatives,
tranquilizers,
stimulants, pain relievers, opiates, or anabolic steroids.
Methadone without a prescription or for other reasons than were
prescribed, or in larger
amounts, or more often than your
doctor ordered.
Addiction severity
CAGE
116. Since your release from incarceration, [REFER TO REFERENCE CALENDAR.]
(If R reported any alcohol use) Have you felt you should cut down on your drinking?
YES
NO
(If R reported any alcohol use) Have people complained about your drinking?
YES
NO
(If R reported any alcohol use) Have you felt bad or guilty about your drinking?
YES
NO
(If R reported any alcohol use) Have you had a drink first thing in the morning to steady your nerves or get rid of a hangover (eye-opener)?
YES
NO
(If R reported any drug use) Have you felt you should cut down on your drug use?
YES
NO
(If R reported any drug use) Have people annoyed you by complaining about your drug use?
YES
NO
(If R reported any drug use) Have you felt bad or guilty about your drug use?
YES
NO
Anger and addiction
117. (If R reported any AOD use) Since your release from incarceration, how often have you experienced problems with anger when you have been drinking or using drugs? [REFER TO REFERENCE CALENDAR.]
Often
Sometimes
Rarely
Never
118. (If R reported any AOD use) Since your release from incarceration, how often have you physically hurt or gotten rough with your (SPOUSE/PARTNER) or other family members when you have been drinking or using drugs?
Often
Sometimes
Rarely
Never
Binge drinking
National Survey on Drug Use and Health
119. (If R reported any alcohol use) Since your release from incarceration, how often have you had 5 or more drinks of beer, wine, or liquor on the same occasion? By "drink," we mean a bottle or can of beer, a wine cooler or a glass of wine, a shot of liquor, or a mixed drink or cocktail. By "occasion," we mean at the same time or within a couple of hours of each other. [REFER TO REFERENCE CALENDAR.]
Often
Sometimes
Rarely
Never
Domain P: Physical and Mental Health
The next questions are about your experiences with health care and health insurance during your incarceration and since you were released.
Continuity of medication use
120. During your most recent incarceration, were you taking prescription medications on a regular basis?
YES
NO
121. Did the prison give you a supply of medications or a prescription to take with you upon your release?
YES
NO
122. Are you still taking all of the same type of medication(s) you had been taking in prison?
YES
NO
123. (If no) What is the main reason you stopped taking the medication(s) you were taking in prison? Of these, which best describes the main reason.
You couldn’t afford it
You couldn’t afford to see a doctor to get a prescription
You decided you don’t need it
You didn’t like the side effects
You forgot about it
Something else (SPECIFY)
Health insurance
124. Since your release from incarceration, have you been covered by Medicaid, (CA: Medi-Cal), Medicare, Champus, Indian Health Services, or any other government program that pays for medical care? [REFER TO REFERENCE CALENDAR.]
YES
NO
125. Since your release from incarceration, have you been covered by health insurance through your or someone else’s employer, or insurance you purchased directly from a private insurance company?
YES
NO
Unmet need
126. Since your release from incarceration, have you, your spouse/partner or your child(ren) ever needed to see a doctor or go to the hospital but couldn’t go because of the cost?
YES
NO
Supervision status
127. At any point since your release, have you been on probation or parole?
Yes, probation
Yes, parole
Neither probation nor parole
128. (If R has been on probation or parole, ask) Are you currently on probation/parole?
YES
NO
Duration of supervision
129. (If currently on probation/parole) How much more of your supervision term do you have left to serve?
_____ (# MONTHS)
Compliance with supervision
130. (If R has been on probation or parole, ask) Since you were released from incarceration (if reincarcerated: the term of incarceration you were serving when we first interviewed you), have you ever failed to comply with any conditions of your supervision?
YES
NO
Criminal behavior
131. Now, I would like to ask you about any illegal activity you may have participated in since your release from prison. Since your release, have you committed any of the following? (CHECK ALL THAT APPLY.)
Burglary
Robbery
Assault
Car theft
Theft
Fraud or forgery
Drug dealing
Drug possession
Other crime types (specify)
Arrests
132. Since your release, have you been arrested? Please count all arrests, not just those that led to a conviction.
YES
NO
133. (If arrested) How many times have you been arrested since your release?
_____ (# ARRESTS)
Reincarceration
134. Since your release, have you been back in a jail or prison for more than 24 hours at one time?
YES
NO
135. (If yes) How many separate times have you been sent to prison or jail since your release?
_____ (# TIMES)
Factors associated with desistance
136. (If R has not been back in jail/prison) What do you think has made the most difference in terms of keeping you out of trouble since being released from incarceration? Select all that apply.
You found a good job
Your spouse/partner is supportive
Other family members are supportive
You wanted to change for your children’s sake
You stopped associating with friends that got you into trouble
You found a good place to live
You live in a safe neighborhood where it is easy to stay out of trouble
You stopped using drugs or alcohol
You got the services you needed
You learned how to deal with the stress or pressure in your life
Your religion or spirituality has helped you stay out of trouble
137. (If R has not been back in jail/prison) Of the reasons that you just indicated, which three do you think have made the most difference in terms of keeping you out of trouble since being released from incarceration?
You found a good job
Your spouse/partner is supportive
Other family members are supportive
You wanted to change for your children’s sake
You stopped associating with friends that got you into trouble
You found a good place to live
You live in a safe neighborhood where it is easy to stay out of trouble
You stopped using drugs or alcohol
You got the services you needed
You learned how to deal with the stress or pressure in your life
Your religion or spirituality has helped you stay out of trouble
Factors associated with recidivism
138. (If R has been back in jail/prison) What would you say are the main reasons that you got in trouble and went back to a correctional facility? Select all that apply.
You could not find a good job
You experienced problems with your spouse/partner
You experienced problems with other family members
You associated with friends that got you into trouble
You could not find a place to live
You lived in a neighborhood where it was easy to get in trouble
You were using drugs or alcohol
You couldn’t get the services you needed
You were under too much stress or pressure
139. (If R has been back in jail/prison) Of the reasons that you just indicated, what would you say are the three main reasons that you got in trouble and went back to a correctional facility?
You could not find a good job
You experienced problems with your spouse/partner
You experienced problems with other family members
You associated with friends that got you into trouble
You could not find a place to live
You lived in a neighborhood where it was easy to get in trouble
You were using drugs or alcohol
You couldn’t get the services you needed
You were under too much stress or pressure
Readiness for change regarding criminal behavior
SVORI
Please tell me whether you strongly agree, agree, disagree, or strongly disagree with the following statements.
140. You are tired of the problems caused by the crimes you committed.
Strongly agree
Agree
Disagree
Strongly disagree
141. You want to get your life straightened out.
Strongly agree
Agree
Disagree
Strongly disagree
142. You will give up friends and hangouts that get you into trouble.
Strongly agree
Agree
Disagree
Strongly disagree
143. You are willing to accept help to not commit crimes.
Strongly agree
Agree
Disagree
Strongly disagree
Domain X: Reincarceration Characteristics
Incarceration duration
144. (If reincarcerated) Please tell me the date you were incarcerated for this term of incarceration. I’m asking for the date you entered incarceration this time, not the date of your sentencing.
___________________(MM/DD/YYYY)
145. (If reincarcerated) That means you have been incarcerated for {calculated length of incarceration based on current date and response to above item}. Is this correct?
YES
NO
Created
146. (If reincarcerated) Do you expect to be released from this incarceration?
YES
NO
147. (If yes) When do you expect to be released from this incarceration?
___________ (MM/DD/YYYY)
Instant offense
148. (If reincarcerated) Are you currently serving time because of a parole or probation violation?
YES
NO
149. (if yes to either parole or probation violation) Was the [parole/probation] violation for a technical violation, like failing to report or having a dirty analysis, or for a new crime? (ALLOW BOTH)
Technical violation
New crime
150. (If yes to new crime) What crime were you charged with for the new crime? Select all that apply. [USE SHOWCARD.]
Homicide
Rape
Other sex offense (not rape)
Robbery
Assault
Burglary
Theft
Car theft
Fraud or forgery
Weapons offense
Drug dealing
Drug possession
DWI or DUI
Other (specify)
151. (If no to parole/probation violation) What crimes were you convicted of for this prison term? Select all that apply. [USE SHOWCARD.]
Homicide
Rape
Other sex offense (not rape)
Robbery
Assault
Burglary
Theft
Car theft
Fraud or forgery
Weapons offense
Drug dealing
Drug possession
DWI or DUI
Other (specify)
Disciplinary actions
152. (If reincarcerated) During this term of incarceration, how many disciplinary infractions have you received?
_______ (# INFRACTIONS)
153. (If reincarcerated) During this term of incarceration, how many days have you served in administrative segregation? This is sometimes referred to as spending time “in the hole.”
_________ (# TIMES IN SEGREGATION)
Domain T: Community Involvement
Community involvement
154. Since your release, have you done any of the following? (CHECK ALL THAT APPLY.)
a. Attended a church, mosque, synagogue or any other type of
religious
service?
b. Participated in any community volunteer work?
c. Voted in any political election, such as a general election,
primary
election or special referendum?
d. Taken part in any local organizations like clubs, sports teams,
ethnic or
racial pride groups, political organizations, or
other community groups?
155. Do you belong to a church, synagogue, mosque, or other religious organization?
YES
NO
PART
SIX
PERSONAL CHARACTERISTICS/CURRENT FEELINGS
These next questions deal with your feelings, attitudes, and how things are going for you currently.
Locus of control
1. How often do you feel that you are not able to control the important things in your life? [USE SHOWCARD.]
Often
Sometimes
Rarely
Never
Anger management
Created
2. How often do you feel angry or mad? Would you say...
Often
Sometimes
Rarely
Never
3. In general, how much of the time does your anger cause problems in your relationships?
Often
Sometimes
Rarely
Never
4. How much of the time does your anger cause problems in your job or work life?
Often
Sometimes
Rarely
Never
Emotional reactivity
Reactive Responding Measure
For each of the following items, please tell me how much you agree or disagree. There are no correct or incorrect answers. [USE SHOWCARD.]
5. You often respond quickly and emotionally when something happens.
Strongly agree
Agree
Disagree
Strongly disagree
6. You let your emotions cool before you act.
Strongly agree
Agree
Disagree
Strongly disagree
Spirituality
These next questions are about the role that religion or spirituality plays in your life. Please tell me how much you agree or disagree with each of these statements.
SVORI
7. You find strength in your religion or spirituality.
Strongly agree
Agree
Disagree
Strongly disagree
8. You pray or meditate regularly.
Strongly agree
Agree
Disagree
Strongly disagree
9. You read the Bible, Koran, or other religious books regularly.
Strongly agree
Agree
Disagree
Strongly disagree
10. The religious services or groups you participate in matter a great deal to you.
Strongly agree
Agree
Disagree
Strongly disagree
Not applicable
Self-efficacy
SVORI
The next questions are about how you currently feel about your life.
11. You can do just about anything you really set your mind to.
Strongly agree
Agree
Disagree
Strongly disagree
12. Sometimes you feel like you’re being pushed around in your life.
Strongly agree
Agree
Disagree
Strongly disagree
13. You often feel helpless dealing with the problems of life.
Strongly agree
Agree
Disagree
Strongly disagree
Goal orientation
Shelley Taylor
14. It’s important for you to take time to plan out where you’re going in life.
Strongly agree
Agree
Disagree
Strongly disagree
15. You have many goals that you will work to achieve.
Strongly agree
Agree
Disagree
Strongly disagree
Attachment
Collins & Read 1991, partial
For each of the following statements, please tell me how much you agree or disagree when it comes to close relationships.
16. You find it difficult to allow yourself to depend on others.
Strongly agree
Agree
Disagree
Strongly disagree
17. You find it difficult to trust others completely.
Strongly agree
Agree
Disagree
Strongly disagree
18. You are nervous when anyone gets too close to you emotionally.
Strongly agree
Agree
Disagree
Strongly disagree
Cooperation
Cloninger Temperament Scale
19. You often consider another person’s feelings as much as your own.
Strongly agree
Agree
Disagree
Strongly disagree
20. People involved with you have to learn how to do things your way.
Strongly agree
Agree
Disagree
Strongly disagree
Relationship skills/knowledge
These next questions are about your opinions about romantic relationships. Please tell me how much you agree or disagree.
21. Once a couple starts to have problems, it usually is not possible to fix them.
Strongly agree
Agree
Disagree
Strongly disagree
22. Couples should not have to work on their relationships in order to have a happy relationship.
Strongly agree
Agree
Disagree
Strongly disagree
23. Most people can learn to communicate better with their spouse.
Strongly agree
Agree
Disagree
Strongly disagree
24. When one spouse says something mean or hurtful, it is OK for the other spouse to say something mean or hurtful back.
Strongly agree
Agree
Disagree
Strongly disagree
25. When wives and husbands have very different views about important things in the family, it is best to not talk about those things.
Strongly agree
Agree
Disagree
Strongly disagree
26. People can learn to avoid situations where they might be tempted to cheat on their spouse/partner.
Strongly agree
Agree
Disagree
Strongly disagree
27. It is sometimes OK for couples to get a little rough physically, like pushing or hitting.
Strongly agree
Agree
Disagree
Strongly disagree
Domain P: Mental and Physical Health
Now I’d like to ask you some questions about your health and how you have been feeling over the last 1 month. [REFER TO REFERENCE CALENDAR.]
Overall physical health
CIDI-SF WHO Composite International Diagnostic Interview Short Form–edited
28. In general, how is your health? Would you say it is . . .
Excellent
Very good
Good
Fair
Poor
Physical health limitations
CIDI-SF WHO Composite International Diagnostic Interview Short Form–edited
29. Do you have a serious health problem that limits the amount or kind of work you can do?
YES
NO
Overall mental health
Created
30. In general, would you say your current emotional or psychological health is excellent, very good, good, fair, or poor?
Excellent
Very good
Good
Fair
Poor
ADHD
Copeland Symptom Checklist for Attention Deficit Disorders
Thinking about the past 1 month, please tell me how much you agree or disagree with each of the following statements.
31. You are easily distracted.
Strongly agree
Agree
Disagree
Strongly disagree
32. You get frustrated easily.
Strongly agree
Agree
Disagree
Strongly disagree
33. You do not think before acting.
Strongly agree
Agree
Disagree
Strongly disagree
PTSD
PC-PTSD
34. In your life, have you ever had any experience that was so frightening, horrible, or upsetting that, in the past 1 month, you have had nightmares about it or thought about it when you did not want to?
YES
NO
35. In your life, have you ever had any experience that was so frightening, horrible, or upsetting that, in the past 1 month, you tried hard not to think about it or went out of your way to avoid situations that reminded you of it?
YES
NO
36. In your life, have you ever had any experience that was so frightening, horrible, or upsetting that, in the past 1 month, you were constantly on guard, watchful, or easily startled?
YES
NO
37. In your life, have you ever had any experience that was so frightening, horrible, or upsetting that, in the past 1 month, you felt numb or detached from others, activities, or your surroundings?
YES
NO
Depression
CES-D Short
Below is a list of ways you might have felt or behaved recently. Please tell me how often you have felt this way during the past week. [USE SHOWCARD.] [REFER TO REFERENCE CALENDAR.]
During the past week….
38. You were bothered by things that don’t usually bother you.
All of the time
Most of the time
Some of the time
A little of the time
None of the time
39. You had trouble keeping your mind on what you were doing.
All of the time
Most of the time
Some of the time
A little of the time
None of the time
40. You felt depressed.
All of the time
Most of the time
Some of the time
A little of the time
None of the time
41. You felt that everything you did was an effort.
All of the time
Most of the time
Some of the time
A little of the time
None of the time
42. You felt hopeful about the future.
All of the time
Most of the time
Some of the time
A little of the time
None of the time
43. You felt fearful.
All of the time
Most of the time
Some of the time
A little of the time
None of the time
44. Your sleep was restless.
All of the time
Most of the time
Some of the time
A little of the time
None of the time
45. You were happy.
All of the time
Most of the time
Some of the time
A little of the time
None of the time
46. You felt lonely.
All of the time
Most of the time
Some of the time
A little of the time
None of the time
Domain V: Partner Relationship Quality
Now, I’m going to ask you some questions about your romantic relationship with (SPOUSE/PARTNER). Please remember that all information you provide will be kept strictly confidential.
Happiness with relationship
DAS-8
47. On a scale from 1 to 10 where 1 means not at all happy and 10 means perfectly happy, which number best describes your happiness with your relationship? [USE SHOWCARD.]
_______ [ALLOW 1-10.]
Dyadic adjustment
DAS-8
48. How often do you and (SPOUSE/PARTNER) agree on displays of affection? By displays of affection, I mean holding hands, hugging, kissing, or other kinds of physical affection. [USE SHOWCARD.]
Often
Sometimes
Rarely
Never
49. How often have you discussed or considered divorce, separation, or ending your current relationship?
Often
Sometimes
Rarely
Never
50. In general, how often do you think that things between you and (SPOUSE/PARTNER) are going well?
Often
Sometimes
Rarely
Never
51. Do you confide in (SPOUSE/PARTNER)? By confide, I mean share secrets or personal, sensitive information.
Often
Sometimes
Rarely
Never
52. Do you ever regret getting into your current relationship?
Often
Sometimes
Rarely
Never
53. How often do you and (SPOUSE/PARTNER) calmly discuss something?
Often
Sometimes
Rarely
Never
54. How often do you and (SPOUSE/PARTNER) work together on something?
Often
Sometimes
Rarely
Never
Communication
BSF
55. Even when arguing, you and (SPOUSE/PARTNER) can keep a sense of humor. Would you say…
Often
Sometimes
Rarely
Never
56. Your arguments get very heated. Would you say…
Often
Sometimes
Rarely
Never
BSF
57. Small issues suddenly become big arguments. Would you say…
Often
Sometimes
Rarely
Never
58. You are good at working out your differences with each other. Would you say…
Often
Sometimes
Rarely
Never
Communication skills
Stanley and Markman
59. When discussing issues, you repeat back what (SPOUSE/PARTNER) says to make sure you understand her. Would you say…
Often
Sometimes
Rarely
Never
60. When your talks begin to get out of hand, you agree to stop them and talk later. Would you say…
Often
Sometimes
Rarely
Never
61. When discussing issues you allow (SPOUSE/PARTNER) to finish talking before you respond. Would you say…
Often
Sometimes
Rarely
Never
62. (SPOUSE/PARTNER) interrupts you when you are talking. Would you say…
Often
Sometimes
Rarely
Never
Forgiveness
KY BHMP
63. You are usually able to forgive (SPOUSE/PARTNER). Would you say…
Often
Sometimes
Rarely
Never
Relationship fidelity
(If R is incarcerated)
CHMI (modified)
64. How often are you tempted to have sexual or romantic contact with someone other than your spouse/partner?
Often
Sometimes
Rarely
Never
Created
65. During your relationship with your spouse/partner, was there ever a time when you had sexual or romantic contact with someone else?
Yes
No
Maybe
How much do you agree or disagree with the following statements?
66. You know you can count on your spouse/partner to remain faithful to you. By faithful, we mean never having sexual contact with anyone except you.
Strongly agree
Agree
Disagree
Strongly disagree
67. You know how to avoid situations where you might be tempted to cheat on your spouse/partner.
Strongly agree
Agree
Disagree
Strongly disagree
Relationship commitment
BSF
Here are some statements about your relationship with (SPOUSE/PARTNER). For each one, please tell me if you strongly agree, agree, disagree, or strongly disagree.
68. It is very important to you to be completely faithful to your spouse/partner. By faithful, we mean never having sexual contact with anyone except your spouse/partner.
Strongly agree
Agree
Disagree
Strongly disagree
69. It is very important to you that your spouse/partner be completely faithful to you.
Strongly agree
Agree
Disagree
Strongly disagree
70. You may not want to be with your spouse/partner a few years from now.
Strongly agree
Agree
Disagree
Strongly disagree
Positive connections, bonding, friendship
Stanley and Markman
71. You and (SPOUSE/PARTNER) have fun together. Would you say…
Strongly agree
Agree
Disagree
Strongly disagree
Stanley and Markman
72. You believe you and (SPOUSE/PARTNER) can handle whatever conflicts will arise in the future. Would you say…
Strongly agree
Agree
Disagree
Strongly disagree
73. You feel good about your chances to make this relationship work for a lifetime.
Strongly agree
Agree
Disagree
Strongly disagree
Intimacy and support
BSF
74. Your (SPOUSE/PARTNER) encourages or helps you to do things that are important to you.
Strongly agree
Agree
Disagree
Strongly disagree
BSF
For this next question, I’d like you to tell me how often the following is true for you.
75. When you have problems, (SPOUSE/PARTNER) really understands what you’re going through. [USE SHOWCARD.] Would you say…
Often
Sometimes
Rarely
Never
Attitudes about marriage
The next questions are about your opinions on marriage. Please tell me how much you agree or disagree with this statement.
76. (If R is unmarried or no longer romantically involved with spouse) Getting and staying married is an important goal for you.
Strongly agree
Agree
Disagree
Strongly disagree
77. (If R is married and still romantically involved with spouse) Staying married to your spouse for the rest of your life is an important goal for you.
Strongly agree
Agree
Disagree
Strongly disagree
The next questions are about your thoughts on what could happen in your relationship with (SPOUSE/PARTNER) in the future. No one knows what the future holds, but we would like your best guess about what you expect. Please answer based on your realistic expectations, rather than what you wish for or hope will happen.
Marriage plans
78. (If R is in a romantic relationship with someone other than a spouse): What do you think the chances are that you will marry (PARTNER) in the future? Would you say…
No chance
A little chance
A 50–50 chance
A pretty good chance
An almost certain chance
Perceived life changes if split up
NSFH-90, Sec. SE-7, Q.13-14 (modified)
Even though it may be very unlikely, think for a moment about how various areas of your life might be different if you and (SPOUSE/PARTNER) split up. Then, I’ll ask how you think things might be different for (SPOUSE/PARTNER). For each of the following areas, please tell me whether you would you expect it to get better, worse, or stay the same if you split up? Let’s start with you.
79. How would your financial situation change if you split up? Would it get....
Better
Worse
Stay the same
CAN’T PREDICT
80. How would your overall happiness change if you split up? Would it get...
Better
Worse
Stay the same
CAN’T PREDICT
Now, let’s think about (SPOUSE/PARTNER).
81. How would her financial situation change if you split up? Would it get...
Better
Worse
Stay the same
CAN’T PREDICT
82. How would her overall happiness change if you split up? Would it get...
Better
Worse
Stay the same
CAN’T PREDICT
83. (If R has any children) Next, let’s think about your child(ren). How would your child(ren)’s overall happiness change if you and (SPOUSE/PARTNER) split up? Would it get...
Better
Worse
Stay the same
CAN’T PREDICT
Perceptions of support from R’s parents for continuing the relationship
Created
Please tell me how much you agree or disagree with the following statements about your parents’ feelings about your relationship with (SPOUSE/PARTNER).
84. Your parents want you and (SPOUSE/PARTNER) to stay together as a couple.
Strongly agree
Agree
Disagree
Strongly disagree
85. (SPOUSE/PARTNER)’s parents want you and (SPOUSE/PARTNER) to stay together as a couple.
Strongly agree
Agree
Disagree
Strongly disagree
Domain N: Parenting and Child Well-Being
Residence of focal child
The next items ask about your relationship with (FOCAL CHILD).
86. With whom does (FOCAL CHILD) currently live? [USE SHOWCARD.]
The child’s mother
The child’s maternal grandparent(s)
The child’s paternal grandparent(s)
The child’s step-grandparent(s)
Other blood relatives of the child
The child’s stepparent
Other non-blood relatives
The child is in custody of social services
Other (SPECIFY)
Parental efficacy (focal child)
Fragile Families
87. Please think about how you feel about yourself as a parent to (FOCAL CHILD). Would you say you are...
An excellent parent
A very good parent
A good parent
Not a very good parent
Quality of relationship with focal child
Parent-Child Relational Quality Scale (Umbersome, 1989)
88. Would you say your current relationship with (FOCAL CHILD) is excellent, good, fair, or poor?
Excellent
Good
Fair
Poor
Does focal child know R is incarcerated
(If R is incarcerated)
89. Does (FOCAL CHILD) know that you are incarcerated?
YES
NO
Co-parental conflict about focal child
ECLS-B, 9 and 24-Month Surveys Resident Father Questionnaires
Parenting with another person can be challenging.
90. Do you and (SPOUSE/PARTNER) have arguments about (FOCAL CHILD) often, sometimes, rarely, or never?
Often
Sometimes
Rarely
Never
Shared decision making about focal child
NLSY-97
91. Who makes major decisions about things such as child care and health care for (FOCAL CHILD)? .
You and the child's mother or main caretaker make most decisions
together
The child's mother or main caretaker makes most decisions
herself/
himself
You make most decisions yourself
Focal child’s relationship with mother
92. Please rate (FOCAL CHILD)’s relationship with his/her mother or main caretaker. Would you say it is...
Excellent
Good
Fair
Poor
Partner’s role as coparent to focal child
93. Does (SPOUSE/PARTNER) coparent (FOCAL CHILD) with you? By coparent, we mean that (SPOUSE/PARTNER) is involved in raising (FOCAL CHILD).
YES
NO
Focal child’s school attendance & performance
94. (If focal child is 4 years or older) Does (FOCAL CHILD) attend school? ( By school I mean kindergarten through college.)
YES
NO
Created
95. (If focal child does attend school) What grade is (FOCAL CHILD) in?
KINDERGARTEN
1st GRADE
2nd GRADE
3RD GRADE
4TH GRADE
5TH GRADE
6TH GRADE
7TH GRADE
8TH GRADE
9TH GRADE
10TH GRADE
11TH GRADE
12th GRADE
COLLEGE
OTHER, SPECIFY: _________________________________
96. (If focal child does attend school) Based on your knowledge of (FOCAL CHILD)’s school work, including (HIS/HER) most recent report cards, how is (HE/SHE) doing in school overall? Would you say...
Well below average
Below average
Average
Above average
Well above average
Focal child’s extracurricular participation
97. (If focal child does attend school) Based on your knowledge, does (HE/SHE) participate in any sports, clubs, organizations, or programs after school or on weekends?
YES
NO
Focal child’s social skills/behavior
NSCH
I’m going to read a list of behaviors that sometimes describe children. For each item, please tell me how often this is true for (FOCAL CHILD) during the past 1 month. [REFERENCE CALENDAR] [USE SHOWCARD.]
98. (If focal child is older than 4 years) (FOCAL CHILD) bullies, or is cruel or mean to others. Would you say…
Always
Usually
Sometimes
Never
Don’t know
99. (If focal child is older than 4 years) (FOCAL CHILD) shows respect for teachers and neighbors
Always
Usually
Sometimes
Never
Don’t know
100. (If focal child is older than 4 years) …gets along well with other children
Always
Usually
Sometimes
Never
Don’t know
101. (If focal child is older than 4 years) …is disobedient
Always
Usually
Sometimes
Never
Don’t know
102. (If focal child is older than 4 years) …is stubborn, sullen, or irritable
Always
Usually
Sometimes
Never
Don’t know
103. (If focal child is older than 4 years) …feels worthless or inferior
Always
Usually
Sometimes
Never
Don’t know
104. (If focal child is older than 4 years) …is unhappy, sad, or depressed
Always
Usually
Sometimes
Never
Don’t know
105. (If focal child is older than 4 years) …is withdrawn, and does not get involved with others
Always
Usually
Sometimes
Never
Don’t know
New Hope (modified)
Raising children can be difficult these days. Has (FOCAL CHILD) ever had any of the following problems?
106. (If focal child does attend school) Being suspended or expelled from school?
YES
NO
107. (If focal child does attend school) Needing to repeat a grade in school?
YES
NO
108. (If focal child is 10 or older) Running away?
YES
NO
109. Being placed in foster care, or being sent to live with a friend or relative?
YES
NO
110. (If focal child is 10 or older) Getting into trouble for using alcohol or drugs?
YES
NO
111. (If focal child is 10 or older) Getting into trouble with the police?
YES
NO
Parental warmth
(If R is incarcerated and reports no contact with focal child during this incarceration, skip this subsection)
For the next set of questions, I’d like you to think about what things are like when you see or communicate with (FOCAL CHILD) (If R is incarcerated, add: now, during this incarceration.)
On average, how often do you do each of the following with (FOCAL CHILD) when you communicate with him/her? [USE SHOWCARD.]
112. (If R is incarcerated and reports no visits with focal child, skip this question) Hug or show physical affection to your child?
Always
Usually
Sometimes
Never
Physical contact is not permitted during visits at your facility
113. Tell (FOCAL CHILD) that you love (him/her)?
Always
Usually
Sometimes
Never
114. Communicate with (FOCAL CHILD) about things (he/she) is interested in?
Always
Usually
Sometimes
Never
115. Praise (FOCAL CHILD)? By praise, we mean tell the child that s/he is good in some way or that s/he has done something well.
Always
Usually
Sometimes
Never
Attitudes about children and fatherhood
Here are some statements that men have made about their role as fathers. For each of the following statements, please indicate how strongly you agree or disagree.
CHMI (ECLS-B Fathers SAQ Q16)
116. It’s hard for men to act loving toward children.
Strongly agree
Agree
Disagree
Strongly disagree
117. Fathers should spend as much time taking care of their children as mothers.
Strongly agree
Agree
Disagree
Strongly disagree
118. The way a father treats his child will affect the child later in life.
Strongly agree
Agree
Disagree
Strongly disagree
119. The activities a father does with his children don’t matter. What matters more is whether he supports them financially.
Strongly agree
Agree
Disagree
Strongly disagree
120. It is sometimes OK for fathers to physically discipline their children, such as hitting or spanking them.
Strongly agree
Agree
Disagree
Strongly disagree
Created
121. Incarcerated fathers can still be good role models for their children.
Strongly agree
Agree
Disagree
Strongly disagree
122. Incarcerated fathers can still be involved in making decisions about their children’s lives.
Strongly agree
Agree
Disagree
Strongly disagree
Emotional support from extended family
SVORI/Returning Home (modified)
Now I’d like to ask about how you currently feel about your relationships with your family members other than (SPOUSE/PARTNER) or children. This would mean your parents, siblings, cousins, or other family members. Please tell me whether you strongly agree, agree, disagree, or strongly disagree with the following statements.
123. You feel close to your family.
Strongly agree
Agree
Disagree
Strongly disagree
124. You have family members who will stand by you no matter what.
Strongly agree
Agree
Disagree
Strongly disagree
125. You want your family to be involved in your life.
Strongly agree
Agree
Disagree
Strongly disagree
126. You are criticized a lot or put down by your family.
Strongly agree
Agree
Disagree
Strongly disagree
127. You have someone in your family to talk to about yourself or your problems.
Strongly agree
Agree
Disagree
Strongly disagree
128. You have someone in your family to love you and make you feel wanted.
Strongly agree
Agree
Disagree
Strongly disagree
(If R is not incarcerated)
Criminal/AOD behavior of people living with
129. Has anyone you are currently living with ever been to jail, prison, or some other correctional institution?
Yes
No
130. Do any of the people you are currently living with use illegal drugs?
Yes
No
Addiction severity
CAGE
131. Now, I’d like you to think about your current drug and alcohol use. [REFER TO REFERENCE CALENDAR.]
a. (If R reported any alcohol use) Do you feel you should cut down on your drinking?
YES
NO
b. (If R reported any alcohol use) Do people ever annoy you by complaining about your drinking?
YES
NO
c. (If R reported any alcohol use) Do you ever feel bad or guilty about your drinking?
YES
NO
d. (If R reported any alcohol use) Do you ever have a drink first thing in the morning to steady your nerves or get rid of a hangover (“eye-opener”)?
YES
NO
e. (If R reported any drug use) Do you ever feel you should cut down on your drug use?
YES
NO
f. (If R reported any drug use) Do people ever annoy you by complaining about your drug use?
YES
NO
g. (If R reported any drug use) Do you ever feel bad or guilty about your drug use?
YES
NO
Anger and addiction
138. How often do you experience problems with anger when you have been drinking or using drugs? [REFER TO REFERENCE CALENDAR.]
Often
Sometimes
Rarely
Never
139. How often do you physically hurt or get rough with your spouse/partner or other family members when you have been drinking or using drugs?
Often
Sometimes
Rarely
Never
Binge drinking
National Survey on Drug Use and Health
140. How often do you have 5 or more drinks of beer, wine, or liquor on the same occasion? By "drink," we mean a bottle or can of beer, a wine cooler or a glass of wine, a shot of liquor, or a mixed drink or cocktail. By "occasion," we mean at the same time or within a couple of hours of each other. [REFER TO REFERENCE CALENDAR.]
Often
Sometimes
Rarely
Never
Substance use
141. Please tell me which of the following substances you have used since your last interview, even just once. [REFER TO REFERENCE CALENDAR.] [SELECT ALL THAT APPLY.] [USE SHOWCARD.]
Alcohol
Marijuana or hashish
Powder cocaine
Crack cocaine
Heroin (this includes smoking, sniffing, snorting, and injecting heroin)
Methamphetamine
Other amphetamines, such as monster, crank, or ice
Hallucinogens or designer drugs, such as ecstasy, LSD or acid,
mushrooms, mescaline,
peyote, green, PCP, or angel dust
Prescription medication without a prescription or for other reasons
than were prescribed,
or in larger amounts, or more often than
your doctor ordered. This includes sedatives,
tranquilizers,
stimulants, pain relievers, opiates, or anabolic steroids
Methadone without a prescription or for other reasons than were
prescribed, or in larger
amounts, or more often than your
doctor ordered
Did not use any alcohol or drugs
(If R reports no alcohol or drug use since last interview, skip to next domain.)
142. Which of the following have you used the most since your last interview? (SELECT ONE.) READ LIST OUT LOUD. (Show only response categories that were selected by the R in the prior question.)
Alcohol
Marijuana or hashish
Powder cocaine
Crack cocaine
Heroin (this includes smoking, sniffing, snorting, and injecting heroin)
Methamphetamine
Other amphetamines, such as monster, crank, or ice
Hallucinogens or designer drugs, such as ecstasy, LSD or acid,
mushrooms, mescaline,
peyote, green, PCP, or angel dust
Prescription medication without a prescription or for other reasons
than were prescribed,
or in larger amounts, or more often than
your doctor ordered. This includes sedatives,
tranquilizers,
stimulants, pain relievers, opiates, or anabolic steroids.
Methadone without a prescription or for other reasons than were
prescribed, or in larger
amounts, or more often than your
doctor ordered.
Domain V: Partner Relationship Quality
Relationship fidelity
CHMI (modified)
143. How often are you tempted to have sexual or romantic contact with someone other than your spouse/partner?
Often
Sometimes
Rarely
Never
Created
144. During your relationship with your spouse/partner, was there ever a time when you had sexual or romantic contact with someone else?
Yes
No
Maybe
How much do you agree or disagree with the following statements?
145. You know you can count on your spouse/partner to remain faithful to you. By faithful, we mean never having sexual contact with anyone except you.
Strongly agree
Agree
Disagree
Strongly disagree
146. You know how to avoid situations where you might be tempted to cheat on your spouse/partner.
Strongly agree
Agree
Disagree
Strongly disagree
Domain M: Intimate Partner Violence
Now, I’m going to ask you some questions about your romantic relationship since you were released (If reincarcerated: but before you were reincarcerated). [REFER TO REFERENCE CALENDAR.] Please remember that your answers cannot be shared with your family, friends or acquaintances under any circumstances.
Psychological abuse
Thinking about the time since your spouse/partner was released, please tell me how much of the time each of these statements was true.
147. How often have you felt safe in your relationship with your spouse/partner? Would you say…
Often
Sometimes
Rarely
Never
TX HM
148. Your spouse/partner has become jealous or possessive. Would you say…
Often
Sometimes
Rarely
Never
TX HM
149. Your spouse/partner has made you feel like you were not good enough. Would you say…
Often
Sometimes
Rarely
Never
Conflict tactics
SMH/BSF (Modified from Conflict Tactics Scale)
No matter how well a couple gets along, there are times when they disagree or have fights. I am going to read a list of things that might happen when you have differences. First, tell me how many times since your spouse/partner was released from incarceration (If reincarcerated: but prior to his reincarceration) you have done the following. Then I’ll ask you how many times your spouse/partner has done the following. [REFER TO REFERENCE CALENDAR.] [USE SHOWCARD.]
150. Since your spouse/partner was released from incarceration, how many times have you thrown something at him?
None
1 time
2 times
3-5 times
6 or more times
151. Since your spouse/partner was released from incarceration, how many times has he thrown something at you?
None
1 time
2 times
3-5 times
6 or more times
152. Since your spouse/partner was released from incarceration, how many times have you pushed, shoved, hit, slapped, or grabbed him?
None
1 time
2 times
3-5 times
6 or more times
153. Since your spouse/partner was released from incarceration, how many times has he pushed, shoved, hit, slapped, or grabbed you?
None
1 time
2 times
3-5 times
6 or more times
154. Since your spouse/partner was released from incarceration, how many times have you used a knife or gun on him?
None
1 time
2 times
3-5 times
6 or more times
155. Since your spouse/partner was released from incarceration, how many times has he used a knife or gun on you?
None
1 time
2 times
3-5 times
6 or more times
156. Since your spouse/partner was released from incarceration, how many times have you choked, slammed, kicked, burned, or beat him?
None
1 time
2 times
3-5 times
6 or more times
157. Since your spouse/partner was released from incarceration, how many times has he choked, slammed, kicked, burned, or beat you?
None
1 time
2 times
3-5 times
6 or more times
158. Since your spouse/partner was released from incarceration, how many times have you used force to make him have sex? (PROBE: Force means things like hitting, holding down, or using a weapon)
None
1 time
2 times
3-5 times
6 or more times
159. Since your spouse/partner was released from incarceration, how many times has he used force to make you have sex? (PROBE: Force means things like hitting, holding down, or using a weapon,)
None
1 time
2 times
3-5 times
6 or more times
160. Since your spouse/partner was released from incarceration, how many times have you threatened to hurt him?
None
1 time
2 times
3-5 times
6 or more times
161. Since your spouse/partner was released from incarceration, how many times has he threatened to hurt you?
None
1 time
2 times
3-5 times
6 or more times
162. Since your spouse/partner was released from incarceration, how many times have you threatened to hurt his children, family members, or other loved ones?
None
1 time
2 times
3-5 times
6 or more times
163. Since your spouse/partner was released from incarceration, how many times has he threatened to hurt your children, family members, or other loved ones?
None
1 time
2 times
3-5 times
6 or more times
164. Since your spouse/partner was released from incarceration, how many times have you tried to keep him from seeing or talking with his friends or family?
None
1 time
2 times
3-5 times
6 or more times
165. Since your spouse/partner was released from incarceration, how many times has he tried to keep you from seeing or talking with your friends or family?
None
1 time
2 times
3-5 times
6 or more times
166. Since your spouse/partner was released from incarceration, how many times have you kept money from him, made him ask for money, or taken money from him?
None
1 time
2 times
3-5 times
6 or more times
167. Since your spouse/partner was released from incarceration, how many times has he tried to keep money from you, made you ask for money, or taken money from you?
None
1 time
2 times
3-5 times
6 or more times
PART
SEVEN
EXPECTATIONS FOR POST-RELEASE PERIOD
(If R is incarcerated.)
(If R reported serving a life sentence with no expectation of release, skip to end)
The next set of questions deals with your release from prison and transition back into the community. No one knows what the future holds, but we would like your best guess about what you expect. Please answer based on your realistic expectations, rather than what you wish for or hope will happen.
IF NEEDED, REPEAT THIS STATEMENT (We would like your best guess about what you expect. Please answer based on your realistic expectations.) AS A PROBE FOR ITEMS IN THIS SECTION.
Post-release supervision
(If R is incarcerated)
Created
1. When you are released from this incarceration, will you be on some type of post-release supervision, such as parole?
YES
NO
Readiness for change regarding criminal behavior
(If R is incarcerated)
SVORI
Please tell me whether you strongly agree, agree, disagree, or strongly disagree with the following statements.
2. You will give up friends and hangouts that get you into trouble after you are released.
Strongly agree
Agree
Disagree
Strongly disagree
3. You are willing to accept help to not commit crimes after you are released.
Strongly agree
Agree
Disagree
Strongly disagree
Expectations about reincarceration
4. Do you think you will ever be sent back to jail or prison again, after you are released from this incarceration?
YES
NO
(If R is incarcerated)
Expectations about substance use
5. How likely is it that you will use any illegal drugs after release?
Very likely
Likely
Unlikely
Very unlikely
Expectations about support from “other family members”
The next set of questions are about your expectations for your relationships with family members other than your spouse/partner or child(ren) after your release from prison.
Created
6. Do you have a family member who will loan you money if you need it?
YES
NO
7. Do you have a family member who will provide you with a place to live if you need it?
YES
NO
8. Do you have a family member who will help you with transportation to work or other appointments if you need it?
YES
NO
Expectations about support from friends
Next, I’d like to know about your expectations for your relationships with friends after your release from prison.
Created
9. Do you have a friend who will loan you money if you need it?
YES
NO
10. Do you have a friend who will provide you with a place to live if you need it?
YES
NO
11. Do you have a friend who will help you with transportation to work or other appointments if you need it?
YES
NO
Next, I’d like to know more about your plans for your financial and living situation when you are released.
Expectations about sources of financial support
Returning Home
12. What sources of financial support do you expect to have in the first 1 month following your release? [USE SHOWCA RD.]
None
Pay from a job
Your own savings
Money from your spouse/partner’s job or savings
Money from other family members
Money from your friends
Public assistance
Money from illegal sources
Some other source (SPECIFY______________)
Perceived difficulty supporting oneself
13. How easy or hard do you think it will be to make enough money to support yourself?
Very easy
Pretty easy
Pretty hard
Very hard
Perceived difficulty finding/keeping a job
14. Based on past experience, how easy or hard do you think it will be to find a decent job?
Very easy
Pretty easy
Pretty hard
Very hard
15. Based on past experience, how easy or hard do you think it will be to keep a job?
Very easy
Pretty easy
Pretty hard
Very hard
Expectations about living with partner
Created
16. Do you expect to live with (SPOUSE/PARTNER) after release?
YES
NO
Expectations about living with focal child and other children
Created
17. Do you expect to live with (FOCAL CHILD) after release?
YES
NO
18. (Ask for each child): Do you plan to live with (CHILD) after you are released?
YES
NO
Unsure
Expectations about living with anyone else
Created
19. Do you expect to live with anyone else after you are released?
YES
NO
Domain V: Partner Relationship Quality
Intentions for continuing relationship
20. Do you want to remain in a committed romantic relationship with (SPOUSE/PARTNER) after you are released? Would you say...
Yes
No
Don’t know
21. Do you think (SPOUSE/PARTNER) wants to remain in a committed romantic relationship with you after you are released? Would you say...
Yes
No
Don’t know
Perceived difficulty establishing/re-establishing relationship with partner
Returning Home
22. (If R answers “yes” or “don’t know” to intentions for continuing relationship) How easy or hard do you think it will be to have a good relationship with (SPOUSE/PARTNER) after you get out?
Very easy
Pretty easy
Pretty hard
Very hard
23. (If R answers “yes” or “don’t know” to intentions for continuing relationship) Thinking about when you are released, what do you expect will be the biggest challenges in your relationship with your partner? MARK ALL THAT APPLY.
Finding her
Being able to feel close to her again after the time in prison
Being able to trust her after the time in prison
Problems or new situations that have come up since you were incarcerated
Having missed out on so much that happened in her life while you were
incarcerated
Trying to meet her expectations for you related to finding a job,
staying clean,
helping her financially
Being angry at her or not wanting to see her
Her being angry at you or not wanting to see you
Some other challenge (SPECIFY)___________________________
Expectations about support to/from partner
(If R answers “yes” or “don’t know” to intentions for continuing relationship)
Please tell me whether you strongly agree, agree, disagree, or strongly disagree with the following statements about your expectations about how you and (SPOUSE/PARTNER) will treat one another after you are released.
24. After you are released, you will stand by (SPOUSE/PARTNER) no matter what.
Strongly agree
Agree
Disagree
Strongly disagree
25. You will love (SPOUSE/PARTNER) and make her feel wanted.
Strongly agree
Agree
Disagree
Strongly disagree
26. You will help (SPOUSE/PARTNER) with whatever problems she faces.
Strongly agree
Agree
Disagree
Strongly disagree
27. After you are released, you think (SPOUSE/PARTNER) will stand by you no matter what.
Strongly agree
Agree
Disagree
Strongly disagree
28. You think (SPOUSE/PARTNER) will love you and make you feel wanted.
Strongly agree
Agree
Disagree
Strongly disagree
29. You think (SPOUSE/PARTNER) will help you with whatever problems you face.
Strongly agree
Agree
Disagree
Strongly disagree
Expectations about interaction with focal child
30. (If R does not plan to live with focal child) How often do you think you will see (FOCAL CHILD) in person after you are released?
One or more times a week
A couple of times a month
About once a month
Every couple of months
A couple of times a year or less
Never
Expectations about financial support for focal child
31. (If R does not plan to live with focal child) Do you expect to financially support (FOCAL CHILD) in any way after you are released?
YES
NO
32. (If yes) In what way or ways do you expect to provide financial support for (FOCAL CHILD)? Please include support you expect to provide to the child directly as well as support you will provide to the child’s other parent or caretaker. [USE SHOWCARD]
Giving (FOCAL CHILD) birthday or holiday gifts
33. Taking (FOCAL CHILD) shopping for clothing, school supplies, or other
things s/he needs
34. Helping out occasionally with bills, rent or other expenses in the child’s
household
Providing steady, regular financial support of up to $100 per month
Providing steady, regular financial support of $100-$200 per month
Providing steady, regular financial support of $200-$300 per month
Providing steady, regular financial support of over $300 per month
Expectations about decision-making about focal child
35. Who will make major decisions about things such as child care and health care for (FOCAL CHILD)? Would you say...
You and the child's mother or main caretaker will make most decisions
together
The child's mother or main caretaker will make most decisions herself/
himself
You will make most decisions yourself
Perceived difficulty establishing/re-establishing relationship with children
Returning Home
36. How easy or hard do you think it will be to have (a) good relationship(s) with your child(ren) after you get out?
Very easy
Pretty easy
Pretty hard
Very hard
Created
37. Thinking about when you are released, what do you expect will be the biggest challenges in your relationship(s) with your child(ren)? (If R has more than one child) Please consider only the child(ren) you were in contact with before you were incarcerated. MARK ALL THAT APPLY.
Finding them
Having missed out on so much that happened with him/her/them while
you
were incarcerated
Getting them to trust you or open up to you after the time apart
Finding transportation for visits or activities
Dealing with people who don’t want you to see your kids
Not being in a stable enough housing and financial situation to be
able to
spend time with your kids
Your lifestyle not being a healthy one for kids
Your child(ren) being angry at you or not wanting to see you
Some other challenge (SPECIFY)___________________________
SVORI
(If R is incarcerated) BHOU1
So that we can contact you once you are released, please tell me where you are going to stay immediately after release. Where is the very first place you will go as you are getting back on your feet?
INTERVIEWER:
PROBE FOR DETAILS:
WHAT CITY WILL THEY LIVE IN?
WHERE WILL THEY LIVE, MORE SPECIFICALLY?
WHO WILL THE R LIVE WITH?
WHAT TYPE OF STRUCTURE WILL THEY LIVE IN?
HOW LONG WILL THEY STAY?
(If R is incarcerated) BHOU2
DOES THE R HAVE A SPECIFIC ADDRESS?
Yes-> RECORD ADDRESS, CITY, STATE, PHONE
NO-> SKIP TO BHOU3
(If R is incarcerated) BHOU3
Do you think you will stay there indefinitely, or will that be a temporary situation?
STAY-> SKIP TO BHOU6
ONLY TEMPORARY->GO TO BHOU4
(If R is incarcerated) BHOU4
Where do you think you will live next?
INTERVIEWER:
PROBE FOR DETAILS:
WHAT CITY WILL THEY LIVE IN?
WHERE WILL THEY LIVE, MORE SPECIFICALLY?
WHO WILL THE R LIVE WITH?
WHAT TYPE OF STRUCTURE WILL THEY LIVE IN?
HOW LONG WILL THEY STAY?
(If R is incarcerated) BHOU5
DOES THE R HAVE A SPECIFIC ADDRESS?
Yes-> RECORD ADDRESS, CITY, STATE, PHONE
NO-> SKIP
(If R is not incarcerated) BHOU1
So that we can contact you for follow-up interviews, please tell me where you expect to be living 9 months from now.
INTERVIEWER:
PROBE FOR DETAILS:
WHAT CITY WILL THEY LIVE IN?
WHERE WILL THEY LIVE, MORE SPECIFICALLY?
WHO WILL THE R LIVE WITH?
WHAT TYPE OF STRUCTURE WILL THEY LIVE IN?
HOW LONG WILL THEY STAY?
(If R is not incarcerated) BHOU2
DOES THE R HAVE A SPECIFIC ADDRESS?
YES-> RECORD ADDRESS, CITY, STATE, PHONE
NO-> SKIP TO BHOU3
(If R is not incarcerated) BHOU4
Where else might you be living 9 months from now?
INTERVIEWER:
PROBE FOR DETAILS:
WHAT CITY WILL THEY LIVE IN?
WHERE WILL THEY LIVE, MORE SPECIFICALLY?
WHO WILL THE R LIVE WITH?
WHAT TYPE OF STRUCTURE WILL THEY LIVE IN?
HOW LONG WILL THEY STAY?
(If R is not incarcerated) BHOU5
DOES THE R HAVE A SPECIFIC ADDRESS?
YES-> RECORD ADDRESS, CITY, STATE, PHONE
NO-> SKIP
(If R is employed) Where do you work? In other words, what is the name of the company or organization you work for? We will not contact you at work unless we cannot get in touch with you at your home.
{allow 30}
(If R is not incarcerated) BHOU11i2
And in what city is that?
{allow 30}
(If R is not incarcerated) BHOU11i3
And in what state is that?
@/@/@/
{green}INTERVIEWER: CODE THE STATE USING THE LookUp TABLE BY EITHER PRESSING <BACKSPACE> OR STARTING TO TYPE THE NAME OF THE STATE.{normal}
{lookup list of states}
(If R is not incarcerated) BHOU11i4
Do you have a work phone number?
YNDKRF
{if BHOU11i4=yes, ask BHOU11i5}
(If R is not incarcerated) BHOU11i5
What is that phone number, starting with the area code?
@/@/@/
{green}INTERVIEWER: IF R DOES NOT KNOW THE NUMBER, CODE ‘DON’T KNOW’.{normal}
{three separate numeric fields presented together: field1, allow 3; field2, allow 3; field3, allow 4}
BHOU9a
In the event that you are not living where you expect to live, I need to collect contact information on three people who would know your whereabouts and who could help us contact you to be interviewed, if necessary.
@/@/@/
What is the name of the first person who would know how to reach you?
@/@/@/
{green}ENTER FIRST NAME{normal}
{allow 30}
{if BHOU9a=dk or rf, go to BHOU12}
BHOU9b
{green}ENTER MIDDLE NAME{normal}
{allow 30; not a required response}
BHOU9c
{green}ENTER LAST NAME{normal}
{allow 30}
BHOU9d
What is this person's address? If you don’t know the exact address, please tell me a street name or a neighborhood.
@/@/@/
{green)INTERVIEWER: BE SURE TO PROBE FOR A BLDG AND/OR APT NUMBER.{normal}
{allow 100}
BHOU9e
And in what city is that?
{allow 30}
BHOU9f
And in what state is that?
@/@/@/
{green}INTERVIEWER: CODE THE STATE USING THE LookUp TABLE BY EITHER PRESSING <BACKSPACE> OR STARTING TO TYPE THE NAME OF THE STATE.{normal}
{lookup list of states}
BHOU9g
Does this person have a phone number?
YNDKRF
{if BHOU9g=yes, ask BHOU9g1; if=no, dk, or rf, go to BHOU9i}
BHOU9g1
What is that phone number, starting with the area code?
@/@/@/
{green}INTERVIEWER: IF R DOES NOT KNOW THE NUMBER, CODE “DON’T KNOW”.{normal}
{three separate numeric fields presented together: field1, allow 3; field2, allow 3; field3, allow 4}
BHOU9h
{if BHOU9g=yes, ask BHOU9h} Does this person have a second phone number, such as a cell phone?
YNDKRF
{if BHOU9h=yes, ask BHOU9h1}
BHOU9h1
What is that phone number, starting with the area code?
@/@/@/
{green}INTERVIEWER: IF R DOES NOT KNOW THE NUMBER, CODE “DON’T KNOW”.{normal}
{three separate numeric fields presented together: field1, allow 3; field2, allow 3; field3, allow 4}
BHOU9i
Does this person work outside of the home?
YNDKRF
{if BHOU9i=yes, ask BHOU9i1; else ask BHOU9j}
BHOU9i1
Where does this person work? In other words, what is the name of the company or organization this person works for? We will not contact them at work unless we’ve tried all other possible means of locating you.
{allow 30}
BHOU9i2
And in what city is that?
{allow 30}
BHOU9i3
And in what state is that?
@/@/@/
{green}INTERVIEWER: CODE THE STATE USING THE LookUp TABLE BY EITHER PRESSING <BACKSPACE> OR STARTING TO TYPE THE NAME OF THE STATE.{normal}
{lookup list of states}
BHOU9i4
Does this person have a work phone number?
YNDKRF
{if BHOU9i4=yes, ask BHOU9i5; if no, dk, or rf, go to BHOU9j}
BHOU9i5
What is that phone number, starting with the area code?
@/@/@/
{green}INTERVIEWER: IF R DOES NOT KNOW THE NUMBER, CODE “DON’T KNOW”.{normal}
{three separate numeric fields presented together: field1, allow 3; field2, allow 3; field3, allow 4}
BHOU9j
What is this person's relationship to you?
RELATION
{if BHOU9j=Other, ask BHOU9j1}
BHOU9j1
{green}DESCRIBE THE RELATIONSHIP OF THE PERSON TO R, RECORDING THE R’S ANSWER VERBATIM.{normal}
{allow 100}
BHOU9k
Thank you. Please let this person know that you would like them to tell me where I can find you when it is time for your next interview.
BHOU10a
What is the name of another person who would know how to reach you?
@/@/@/
{green}ENTER FIRST NAME{normal}
{allow 30}
{if BHOU10a=dk or rf, go to BHOU12}
BHOU10b
{green}ENTER MIDDLE NAME{normal}
{allow 30; not a required response}
BHOU10c
{green}ENTER LAST NAME{normal}
{allow 30}
BHOU10d
What is this person's address? If you don’t know the exact address, please tell me a street name or a neighborhood.
@/@/@/
{green)INTERVIEWER: BE SURE TO PROBE FOR A BLDG AND/OR APT NUMBER.{normal}
{allow 100}
BHOU10e
And in what city is that?
{allow 30}
BHOU10f
And in what state is that?
@/@/@/
{green}INTERVIEWER: CODE THE STATE USING THE LookUp TABLE BY EITHER PRESSING <BACKSPACE> OR STARTING TO TYPE THE NAME OF THE STATE.{normal}
{lookup list of states}
BHOU10g
Does this person have a phone number?
YNDKRF
{if BHOU10g=yes, ask BHOU10g1; if=no, dk, or rf, go to BHOU10i }
BHOU10g1
What is that phone number, starting with the area code?
@/@/@/
{green}INTERVIEWER: IF R DOES NOT KNOW THE NUMBER, CODE “DON’T KNOW”{normal}
{three separate numeric fields presented together: field1, allow 3; field2, allow 3; field3, allow 4}
BHOU10h
{if BHOU10g=yes, ask BHOU10h} Does this person have a second phone number, such as a cell phone?
YNDKRF
{if BHOU10h=yes, ask BHOU10h1}
BHOU10h1
What is that phone number, starting with the area code?
@/@/@/
{green}INTERVIEWER: IF R DOES NOT KNOW THE NUMBER, CODE “DON’T KNOW”.{normal}
{three separate numeric fields presented together: field1, allow 3; field2, allow 3; field3, allow 4}
BHOU10i
Does this person work outside of the home?
YNDKRF
{if BHOU10i=yes, ask BHOU10i1 else ask BHOU10j }
BHOU10i1
Where does this person work? In other words, what is the name of the company or organization this person works for? Remember, we will not contact them at work unless we’ve tried all other possible means of locating you.
{allow 30}
BHOU10i2
And in what city is that?
{allow 30}
BHOU10i3
And in what state is that?
@/@/@/
{green}INTERVIEWER: CODE THE STATE USING THE LookUp TABLE BY EITHER PRESSING <BACKSPACE> OR STARTING TO TYPE THE NAME OF THE STATE.{normal}
{lookup list of states}
BHOU10i4
Does this person have a work phone number?
YNDKRF
{if BHOU10i4=yes, ask BHOU10i5}
BHOU10i5
What is that phone number, starting with the area code?
@/@/@/
{green}INTERVIEWER: IF R DOES NOT KNOW THE NUMBER, CODE “DON’T KNOW”.{normal}
{three separate numeric fields presented together: field1, allow 3; field2, allow 3; field3, allow 4}
BHOU10j
What is this person's relationship to you?
RELATION
{if BHOU10j=Other, ask BHOU10j1}
BHOU10j1
{green}DESCRIBE THE RELATIONSHIP OF THE PERSON TO R, RECORDING THE R’S ANSWER VERBATIM.{normal}
{allow 100}
BHOU10k
Thank you. Please let this person know that you would like them to tell me where I can find you when it is time for your next interview.
BHOU11a
What is the name of a third person who would know how to reach you?
@/@/@/
{green}ENTER FIRST NAME{normal}
{allow 30}
{if BHOU11a=dk or rf, go to BHOU12}
BHOU11b
{green}ENTER MIDDLE NAME{normal}
{allow 30; not a required response}
BHOU11c
{green}ENTER LAST NAME{normal}
{allow 30}
BHOU11d
What is this person's address? If you don’t know the exact address, please tell me a street name or a neighborhood.
@/@/@/
{green)INTERVIEWER: BE SURE TO PROBE FOR A BLDG AND/OR APT NUMBER.{normal}
{allow 100}
BHOU11e
And in what city is that?
{allow 30}
BHOU11f
And in what state is that?
@/@/@/
{green}INTERVIEWER: CODE THE STATE USING THE LookUp TABLE BY EITHER PRESSING <BACKSPACE> OR STARTING TO TYPE THE NAME OF THE STATE.{normal}
{lookup list of states}
BHOU11g
Does this person have a phone number?
YNDKRF
{if BHOU11g=yes, ask BHOU11g1; if=no, dk, or rf, go to BHOU11i }
BHOU11g1
What is that phone number, starting with the area code?
@/@/@/
{green}INTERVIEWER: IF R DOES NOT KNOW THE NUMBER, CODE “DON’T KNOW”.{normal}
{three separate numeric fields presented together: field1, allow 3; field2, allow 3; field3, allow 4}
BHOU11h
{if BHOU11g=yes, ask BHOU11h} Does this person have a second phone number, such as a cell phone?
YNDKRF
{if BHOU11h=yes, ask BHOU11h1}
BHOU11h1
What is that phone number, starting with the area code?
@/@/@/
{green}INTERVIEWER: IF R DOES NOT KNOW THE NUMBER, CODE “DON’T KNOW”.{normal}
{three separate numeric fields presented together: field1, allow 3; field2, allow 3; field3, allow 4}
BHOU11i
Does this person work outside of the home?
YNDKRF
{if BHOU11i=yes, ask BHOU11i1; else ask BHOU11j}
BHOU11i1
Where does this person work? In other words, what is the name of the company or organization this person works for? Again, we will not contact them at work unless we’ve tried all other possible means of locating you.
{allow 30}
BHOU11i2
And in what city is that?
{allow 30}
BHOU11i3
And in what state is that?
@/@/@/
{green}INTERVIEWER: CODE THE STATE USING THE LookUp TABLE BY EITHER PRESSING <BACKSPACE> OR STARTING TO TYPE THE NAME OF THE STATE.{normal}
{lookup list of states}
BHOU11i4
Does this person have a work phone number?
YNDKRF
{if BHOU11i4=yes, ask BHOU11i5}
BHOU11i5
What is that phone number, starting with the area code?
@/@/@/
{green}INTERVIEWER: IF R DOES NOT KNOW THE NUMBER, CODE “DON’T KNOW”.{normal}
{three separate numeric fields presented together: field1, allow 3; field2, allow 3; field3, allow 4}
BHOU11j
What is this person's relationship to you?
RELATION
{if BHOU11j=Other, ask BHOU11j1}
BHOU11j1
{green}DESCRIBE THE RELATIONSHIP OF THE PERSON TO R, RECORDING THE R’S ANSWER VERBATIM.{normal}
{allow 100}
BHOU11k
Thank you. Please let this person know that you would like them to tell me where I can find you when it is time for your next interview.
Now, if you are still okay with providing it, I’d like to get your (PARTNER/SPOUSE)’s name and contact information so that we can contact her and ask whether she would like to participate in the partner interview.
BHOU12a
What is your (PARTNER/SPOUSE)’s name?
IBHOU12d
What is your (PARTNER/SPOUSE)'s address? If you don’t know the exact address, please tell me a street name or a neighborhood.
@/@/@/
{green)INTERVIEWER: BE SURE TO PROBE FOR A BLDG AND/OR APT NUMBER.{normal}
{allow 100}
BHOU12e
And in what city is that?
{allow 30}
BHOU12f
And in what state is that?
@/@/@/
{green}INTERVIEWER: CODE THE STATE USING THE LookUp TABLE BY EITHER PRESSING <BACKSPACE> OR STARTING TO TYPE THE NAME OF THE STATE.{normal}
{lookup list of states}
BHOU12g
Does your (PARTNER/SPOUSE) have a phone number?
YNDKRF
{if BHOU11g=yes, ask BHOU11g1; if=no, dk, or rf, go to BHOU11i }
BHOU12g1
What is that phone number, starting with the area code?
@/@/@/
{green}INTERVIEWER: IF R DOES NOT KNOW THE NUMBER, CODE “DON’T KNOW”.{normal}
{three separate numeric fields presented together: field1, allow 3; field2, allow 3; field3, allow 4}
BHOU12h
{if BHOU11g=yes, ask BHOU11h} Does your (PARTNER/SPOUSE) have a second phone number, such as a cell phone?
YNDKRF
{if BHOU11h=yes, ask BHOU11h1}
BHOU12h1
What is that phone number, starting with the area code?
@/@/@/
{green}INTERVIEWER: IF R DOES NOT KNOW THE NUMBER, CODE “DON’T KNOW”.{normal}
{three separate numeric fields presented together: field1, allow 3; field2, allow 3; field3, allow 4}
BHOU12i
Does your (PARTNER/SPOUSE) work outside of the home?
YNDKRF
{if BHOU11i=yes, ask BHOU11i1; else ask BHOU11j}
BHOU12i1
Where does your spouse/partner work? In other words, what is the name of the company or organization (she) works for? Again, we will not contact her at work unless we’ve tried all other possible means of locating her.
{allow 30}
BHOU12i2
And in what city is that?
{allow 30}
BHOU12i3
And in what state is that?
@/@/@/
{green}INTERVIEWER: CODE THE STATE USING THE LookUp TABLE BY EITHER PRESSING <BACKSPACE> OR STARTING TO TYPE THE NAME OF THE STATE.{normal}
{lookup list of states}
BHOU12i4
Does your (PARTNER/SPOUSE) have a work phone number?
YNDKRF
{if BHOU11i4=yes, ask BHOU11i5}
BHOU12i5
What is that phone number, starting with the area code?
@/@/@/
{green}INTERVIEWER: IF R DOES NOT KNOW THE NUMBER, CODE “DON’T KNOW”.{normal}
{three separate numeric fields presented together: field1, allow 3; field2, allow 3; field3, allow 4}
BHOU12k
Thank you. Please let your (PARTNER/SPOUSE) know that you would like them to tell me where I can find you when it is time for your next interview.
BHOU13
If I’m really having difficulty finding where you live, can you tell me where you spend your time when you are not at home and not at work? What local places do you like to spend time at?
___________________________________________________________(description of places)
Social security number
1. What is your social security number?
___-__-____
Name
2. And just to confirm, do you still go by (R FIRST AND LAST NAME)?
YES
NO
3. (If no) What name or names do you go by?
_________________(FIRST)
_________________(LAST)
_________________(FIRST)
_________________(LAST)
Other info R would like to share
4. Finally, is there anything else you think we should know about how incarceration has affected you or your family?
That was our last question. Thank you for your participation in this study! Someone from RTI might contact you by phone or by mail to briefly verify the quality of my work.
We will also contact you again in 9 months to invite you to participate in a follow-up interview. You can decide at that time whether or not you wish to participate.
Before I leave, I want to give you this card with toll-free helpline numbers. Some people have found these to be useful.
I also need to give you your incentive payment, and I need to ask you to initial a receipt.
Incentive
5. WAS THE R ELIGIBLE FOR THE $5 BONUS?
YES
NO
6. HOW WAS THE INCENTIVE PAID?
1. INMATE ACCOUNT
2. DESIGNEE
3. INCENTIVE NOT PERMITTED BY FACILITY
4. OTHER (SPECIFY)
INTERVIEWER OBSERVATIONS
BFIO1
“HOW COOPERATIVE WAS THE RESPONDENT?”
(Verycoop “VERY COOPERATIVE,”
Faircoop “FAIRLY COOPERATIVE,”
Notcoop “NOT VERY COOPERATIVE,”
Hostile “OPENLY HOSTILE”)
BFIO2
“ESTIMATE THE RESPONDENT’S LEVEL OF UNDERSTANDING OF THE INTERVIEW QUESTIONS.”
(Nodiff “NO DIFFICULTY UNDERSTANDING QUESTIONS,”
Litdiff “JUST A LITTLE DIFFICULTY UNDERSTANDING QUESTIONS,”
Fairdiff “A FAIR AMOUNT OF DIFFICULTY UNDERSTANDING QUESTIONS,”
Alotdiff “A LOT OF DIFFICULTY UNDERSTANDING QUESTIONS”)
BFIO3
“HOW MUCH TROUBLE DID THE RESPONDENT HAVE REMEMBERING PAST EVENTS?”
(Notrob “NO TROUBLE,”
Littrob “JUST A LITTLE TROUBLE,”
Fairtrob “A FAIR AMOUNT OF TROUBLE,”
Alottrob “A LOT OF TROUBLE”)
BFIO4
“ESTIMATE THE RESPONDENT’S LEVEL OF TRUTHFULNESS/MISPRESENTATION.”
(Verytrth “VERY TRUTHFUL,”
Fairtrth “FAIRLY TRUTHFUL,”
Nottrth “NOT VERY TRUTHFUL,”
Lying “OPENLY LYING”)
BFIO5
“IN GENERAL, HOW ENGAGED/INTERESTED WAS THE RESPONDENT DURING THE INTERVIEW?”
(Veryengd “VERY ENGAGED AND INTERESTED,”
Fairengd “FAIRLY ENGAGED AND INTERESTED,”
Notengd “NOT VERY ENGAGED AND INTERESTED,”
Totuneng “TOTALLY UNENGAGED AND DISINTERESTED”)
BFIO6
“IN GENERAL, HOW IRRITABLE OR MOODY WAS THE RESPONDENT DURING THE INTERVIEW?”
(Veryengd “VERY IRRITABLE/MOODY,”
Fairengd “FAIRLY IRRITABLE/MOODY,”
Notengd “NOT VERY IRRITABLE/MOODY”
Totuneng “NOT AT ALL IRRITABLE/MOODY”)
BFIO7
“INDICATE THE DEGREE OF DISTRACTIONS OR INTERRUPTIONS DURING THE INTERVIEW.”
(None “NO DISTRACTIONS OR INTERRUPTIONS,”
Afew “JUST A FEW DISTRACTIONS OR INTERRUPTIONS,”
Fairnumb “A FAIR NUMBER OF DISTRACTIONS OR INTERRUPTIONS,”
Alot “A LOT OF DISTRACTIONS OR INTERRUPTIONS”)
BFIO8
“HOW MUCH EYE CONTACT DID THE RESPONDENT USE DURING YOUR INTERACTION?”
(“R MOSTLY AVOIDED EYE CONTACT,”
“R OCCASIONALLY MADE EYE CONTACT,”
“R MOSTLY MADE EYE CONTACT.”
| File Type | application/msword |
| File Modified | 2008-02-12 |
| File Created | 2008-02-12 |