List of Proposed Items 2019

Attachment Z: Listing of Proposed Items for 2019

Proposed Questions to be asked beginning in 2019

Section	Content	Source
End of Consumption of Alcohol	If a respondent has received treatment for alcohol and/ or drug use, they receive the following question on medication-assisted treatment: Introduction: The next question is about medication prescribed by a doctor or other health professional to help reduce or stop your use of alcohol. Some examples of these medications include: Acamprosate, also known as Campral Disulfiram, also known as Antabuse, Naltrexone pills, also known as ReVia or Trexan Injectable naltrexone, also known as Vivitrol (Past 12 month) use of medication to help reduce or stop use of alcohol If yes, which of the following medications did you use: Acamprosate, also known as Campral Disulfiram, also known as Antabuse Naltrexone pills, also known as ReVia or Trexan Injectable naltrexone, also known as Vivitrol Some other medication to help reduce or stop If a respondent reports use of heroin and/ or prescription pain relievers, they receive the following question on medication-assisted treatment: Introduction The next question is about medication-assisted treatment prescribed by a doctor or other health professional to help reduce or stop your use of [heroin/ prescription pain relievers]. It is different from medications given to stop a drug overdose. Some examples of medication-assisted treatment include: Buprenorphine or buprenorphine-naloxone pills or film taken by mouth, also known as Suboxone, Zubsolv, Bunavail, or Subutex Injectable buprenorphine, also known as Sublocade Buprenorphine implant placed under the skin, also known as Probuphine Methadone Naltrexone pills, also known as ReVia or Trexan Injectable naltrexone, also known as Vivitrol (Past 12 month) use of medication to help reduce or stop use of heroin/ prescription pain relievers If yes, which of the following medications did you use: Buprenorphine or buprenorphine-naloxone pills or film taken by mouth, also known as Suboxone, Zubsolv, Bunavail, or Subutex Injectable buprenorphine, also known as Sublocade Buprenorphine implant placed under the skin, also known as Probuphine Methadone Naltrexone pills, also known as ReVia or Trexan Injectable naltrexone, also known as Vivitrol If yes to use medication-assisted treatment: How many days in the past 12 months did you use [MAT drug(s)]	New proposed questions. The passage of the 21st Century Cures Act includes expanding the use of MAT to combat the opioid crisis. By including these questions estimates may be generated of MAT use among those with opioid use disorder in the general population.
End of Consumption of Alcohol	Introduction This next question is about kratom, which can come in forms such as powder, pills, or leaf. Have you ever, even once, used kratom? If yes, How long has it been since you last used kratom? Within the past 30 days – that is, since [DATEFILL] More than 30 days ago but within the past 12 months More than 12 months ago	New proposed questions. The two questions on kratom will allow SAMHSA to estimate the prevalence use of kratom in the United States.