Download:
pdf |
pdfSHIPS
Page 1
Baseline Interview: Lifetime Justice System Involvement
Record ID.
__________________________________
Baseline Interview: Lifetime Justice System Involvement
(Please repeat the reminder below if it has not been provided during this interview period.)
Reminder about resources to help you cope with distress.
When you enrolled in this study, you were provided with a list of resources to help you cope
with negative feelings and reactions to these interviews. These resources can also help you
with other problems in your life not related to the study.
If you do not remember receiving this information, we will provide it to you immediately
following this interview.
Interview prompt:
"Now, we're going to ask you about your recent involvement with the justice system."
"These first four questions refer to your experience in the past month."
In the past month, have you been arrested?
Yes
No
Prefer not to answer
In the past month, have you been convicted of a
misdemeanor?
Yes
No
Prefer not to answer
In the past month, have you been convicted of a
felony?
Yes
No
Prefer not to answer
In the past month, have you spent time in a
correctional facility (jail or prison)?
Yes
No
Prefer not to answer
How many days did you spend in a correctional
facility? If you cannot remember an exact number,
an approximation is fine.
05/01/2024 12:10pm
__________________________________
(Enter a whole number; leave blank if respondent
does not know or prefers not to answer.)
projectredcap.org
Page 2
Interview prompt:
"These next four questions refer to all of your experiences in the past year (this includes the
past month)."
In the past year, have you been arrested?
Yes
No
Prefer not to answer
In the past year, have you been convicted of a
misdemeanor?
Yes
No
Prefer not to answer
In the past year, have you been convicted of a felony?
Yes
No
Prefer not to answer
In the past year, have you spent time in a
correctional facility (jail or prison)?
Yes
No
Prefer not to answer
How many months, weeks, or days did you spend in a
correctional facility? If you cannot remember
exactly, an approximation is fine.
__________________________________
(Enter integer(s) followed by "months", "weeks", or
"days".)
Interview prompt:
"Next, we're going to ask about your lifetime involvement with the justice system."
In your entire life, have you been arrested?
How many times have you been arrested?
In your entire life, have you been convicted of a
misdemeanor?
How many times have you been convicted of a
misdemeanor?
In your entire life, have you been convicted of a
felony?
How many times have you been convicted of a felony?
05/01/2024 12:10pm
Yes
No
Prefer not to answer
__________________________________
(Enter a whole number; leave blank if respondent
does not know or prefers not to answer.)
Yes
No
Prefer not to answer
__________________________________
(Enter a whole number; leave blank if respondent
does not know or prefers not to answer.)
Yes
No
Prefer not to answer
__________________________________
(Enter a whole number; leave blank if respondent
does not know or prefers not to answer.)
projectredcap.org
Page 3
In your entire life, have you spent time in a
correctional facility (jail or prison)?
How many years, months, weeks, or days did you spend
in a correctional facility?
How many years, months, weeks, or days has it been
since your last release?
05/01/2024 12:10pm
Yes
No
Prefer not to answer
__________________________________
(Enter integer(s) followed by "year","months",
"weeks", or "days".)
__________________________________
(Enter integer(s) followed by "year","months",
"weeks", or "days".)
projectredcap.org
| File Type | application/pdf |
| File Modified | 0000-00-00 |
| File Created | 2024-05-01 |