SIPAT A. Patient’s Readiness Level and Illness Management (5 items) | |
 | Item 1: Knowledge and understanding of medical illness process (that caused specific organ failure) |
 | Item 2: Knowledge and understanding of the process of transplantation |
 | Item 3: Willingness/desire for treatment (transplant) |
 | Item 4: History of treatment adherence/compliance (pertinent to medical issues) |
 | Item 5: Lifestyle factors (including diet, exercise, fluid restrictions, and habits, according to organ system) |
SIPAT B. Social Support System Level of Readiness (3 items) | |
 | Item 6: Availability of social support system |
 | Item 7: Functionality of social support system |
 | Item 8: Appropriateness of physical living space and environment |
SIPAT C. Psychological Stability and Psychopathology (5 items) | |
 | Item 9: Presence of psychopathology (other than personality disorders and organic psychopathology) |
 | Item 10: History of organic psychopathology or neurocognitive impairment (i.e., illness or medication induced psychopathology) |
 | Item 11: Influence of personality traits versus disorder |
 | Item 12: Effect of truthfulness versus deceptive behavior |
 | Item 13: Overall risk for psychopathology |
SIPAT D. Lifestyle and Effect of Substance Use (5 items) | |
 | Item 14: Alcohol use, abuse, and dependence |
 | Item 15: Alcohol abuse—risk for recidivism |
 | Item 16: Illicit substance abuse and dependence |
 | Item 17: Illicit substance abuse—risk for recidivism |
 | Item 18: Nicotine use, abuse, and dependence |