Appendix

TEDS Data Elements

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TEDS Minimum Data Set

Missing values are coded as:

Unknown—The State collects this data item, but the record does not reflect an acceptable value.
Not collected—The State does not collect this data item for submission to TEDS.

Client/codependent
A "client" is a person who meets all of the following criteria:

1) Has an alcohol or drug related problem
2) Has completed the screening and intake process
3) Has been formally admitted for treatment or recovery service in an alcohol or drug treatment unit
4) Has his or her own client record

A person is not a client if he or she has completed only a screening or intake process or has been placed on a waiting list.

A "codependent" is a person who has no alcohol or drug abuse problem, but satisfies all of the following conditions:

1) Is seeking services because of problems arising from his or her relationship with an alcohol or drug user
2) Has been formally admitted for service to a treatment unit
3) Has his or her own client record or has a record within a primary client record

GUIDELINES: Reporting of codependent data in TEDS is optional. If the State opts to report codependent clients, the mandatory fields are State Code, Provider Identifier, Client Identifier, Client Transaction Type, Codependent, Date of Admission, and Service. Reporting of the remaining fields in the Minimum Data Set and the Supplemental Data Set is optional for codependent records. For all items not reported, the data field must be coded with the appropriate "Not Collected" code.

If a substance abuse client with an existing record in TEDS becomes a codependent, a new client record should be submitted indicating that the client is an "Admission" as a codependent. The reverse is also true for a person who is a codependent first and then becomes a substance abuse client.

Transaction type
Identifies whether a record is for an initial admission or a transfer/change in service.

For purposes of reporting to TEDS, a treatment episode is defined as that period of service(s) between the beginning of a treatment service for a drug or alcohol problem and the termination of services for the prescribed treatment plan.

When a client changes service, facility, program, or location during a treatment episode, the State sends a complete transfer record to TEDS.

Date of admission
The day when the client receives his or her first direct treatment or recovery service.

Type of service at admission
Describes the type of service the client received.

Detoxification—24-hour service, hospital inpatient—24-hour per day medical acute care services in hospital setting for detoxification for persons with severe medical complications associated with withdrawal

Detoxification—24-hour service, free-standing residential—24-hour per day services in non-hospital setting providing for safe withdrawal and transition to ongoing treatment

Rehabilitation/residential—Hospital (other than detoxification)—24-hour per day medical care in a hospital facility in conjunction with treatment services for alcohol and other drug abuse and dependency

Rehabilitation/residential—Short-term (30 days or fewer)—Typically 30 days or less of non-acute care in a setting with treatment services for alcohol and other drug abuse and dependency

Rehabilitation/residential—Long-term (more than 30 days)—Typically more than 30 days of non-acute care in a setting with treatment services for alcohol and other drug abuse and dependency; this may include transitional living arrangements such as halfway houses

Ambulatory—Intensive outpatient—As a minimum, the client must receive treatment lasting two or more hours per day for three or more days per week

Ambulatory—Non-intensive outpatient—Ambulatory treatment services including individual, family, and/or group services; these may include pharmacological therapies

Ambulatory—Detoxification—Outpatient treatment services providing for safe withdrawal in an ambulatory setting (pharmacological or non-pharmacological)

Date of birth
Client’s date of birth.

Sex
Identifies client’s sex.

Male

Female

Race
Specifies the client’s race.

Alaska Native (Aleut, Eskimo, Indian)—Origins in any of the original people of Alaska

American Indian (other than Alaska Native)—Origins in any of the original people of North America and South America (including Central America) and who maintain cultural identification through tribal affiliation or community attachment

Asian or Pacific Islander—Origins in any of the original people of the Far East, the Indian subcontinent, Southeast Asia, or the Pacific Islands

Black or African American—Origins in any of the black racial groups of Africa

White—Origins in any of the original people of Europe, North Africa, or the Middle East

Other—A default category for use in instances in which the client is not classified above or whose origin group, because of area custom, is regarded as a racial class distinct from the above categories.

Ethnicity
Identifies client’s specific Hispanic origin

Puerto Rican—Of Puerto Rican origin, regardless of race

Mexican—Of Mexican origin, regardless of race

Cuban—Of Cuban origin, regardless of race

Other Specific Hispanic—Of known Central or South American or any other Spanish culture origin (including Spain), regardless of race, other than Puerto Rican, Mexican or Cuban regardless of race

Hispanic-specific origin not specified—Of Hispanic origin, but specific origin not known or not specified

Not of Hispanic origin

Number of prior treatment episodes
Indicates the number of previous treatment episodes the client has received in any drug or alcohol program. Changes in service for the same episode (transfers) should not be counted as separate prior episodes.

None

1

2

3

4


5 or more

Principal source of referral
Describes the person or agency referring the client to the alcohol or drug abuse treatment program.

Individual (includes self-referral)—Includes the client, a family member, friend, or any other individual who would not be included in any of the following categories; includes self-referral due to pending DWI/DUI

Alcohol/drug abuse care provider—Any program, clinic, or other health care provider whose principal objective is treating clients with substance abuse problems, or a program whose activities are related to alcohol or other drug abuse prevention, education, or treatment

Other health care provider—A physician, psychiatrist, or other licensed health care professional; or general hospital, psychiatric hospital, mental health program, or nursing home

School (educational)—A school principal, counselor, or teacher; or a student assistance program (SAP), the school system, or an educational agency

Employer/EAP—A supervisor or an employee counselor

Other community referral—Community and religious organizations or any Federal, State, or local agency that provides aid in the areas of poverty relief, unemployment, shelter, or social welfare. Self-help groups such as Alcoholics Anonymous (AA), Al-Anon, and Narcotics Anonymous (NA) are also included in this category. Defense attorneys are included in this category.

Court/criminal justice referral/DUI/DWI—Any police official, judge, prosecutor, probation officer, or other person affiliated with a Federal, State, or county judicial system. Includes referral by a court for DWI/DUI, clients referred in lieu of or for deferred prosecution, or during pretrial release, or before or after official adjudication. Includes clients on pre-parole, pre-release, work or home furlough, or TASC. Client need not be officially designated as "on parole." Includes clients referred through civil commitment. Client referrals in this category are further defined in the Supplemental Data Set item Detailed criminal justice referral.

Education
Specifies the highest school grade the client has completed.

Employment status
Identifies the client’s employment status at the time of admission or transfer.

Full time—Working 35 hours or more each week; includes members of the uniformed services

Part time—Working fewer than 35 hours each week

Unemployed—Looking for work during the past 30 days, or on layoff from a job

Not in labor force—Not looking for work during the past 30 days or a student, homemaker, disabled, retired, or an inmate of an institution. Clients in this category are further defined in the Supplemental Data Set item Detailed Not in Labor Force.

GUIDELINES: Seasonal workers are coded in this category based on their employment status at time of admission.

Substance problem (primary, secondary, and tertiary)
These fields identify the client’s primary, secondary, and tertiary substance problems.

None

Alcohol

Cocaine/crack

Marijuana/hashish—This includes THC and other cannabis sativa preparations
Heroin

Non-prescription methadone

Other opiates and synthetics—Includes codeine, Dilaudid, morphine, Demerol, opium, oxycodone, and any other drug with morphine-like effects

PCP—Phencyclidine

Other hallucinogens—Includes hallucinogens, LSD, DMT, STP, mescaline, psilocybin, peyote, etc.

Methamphetamine

Other amphetamines—Includes Amphetamines, Benzedrine, Dexedrine, Preludin, Ritalin, and any other amines and related drugs

Other stimulants—Includes all other stimulants

Benzodiazepine—Includes diazepam, flurazepam, chlordiazepoxide, clorazepate, lorazepam, alprazolam, oxazepam, temazepam, prazepam, triazolam, clonazepam, halazepam, and other unspecified benzodiazepines

Other tranquilizers—Includes non-benzodiazepine tranquilizers

Barbiturates—Includes phenobarbital, Seconal, Nembutal, etc.

Other sedatives or hypnotics—Includes non-barbiturate sedatives/hypnotics, chloral hydrate, Placidyl, Doriden, etc.

Inhalants—Includes ether, glue, chloroform, nitrous oxide, gasoline, paint thinner, etc.

Over-the-counter medications—Includes aspirin, cough syrup, Sominex, and any other legally obtained nonprescription medication

Other

Usual route of administration (of primary, secondary, and tertiary substances)
These fields identify the usual route of administration of the respective substances.

Oral

Smoking

Inhalation

Injection (intravenous or intramuscular)

Other

Frequency of use (of primary, secondary, and tertiary substances)
These fields identify the frequency of use of the respective substances.

No use in the past month

1-3 times in the past month

1-2 times in the past week

3-6 times in the past week

Daily

Age at first use (of primary, secondary, and tertiary substances)
These fields identify the age of first use of the respective substances. If the substance is alcohol, the field identifies the age of first intoxication.

Use of methadone planned
Identifies whether the use of methadone is planned as part of the treatment.

Yes

No


TEDS Supplemental Data Set

Pregnant at time of admission
Specifies whether the client was pregnant at the time of admission.

Yes

No

Veteran status
Identifies whether the client has served in the uniformed services (Army, Navy, Air Force, Marines, Coast Guard, Public Health Service Commissioned Corps, Coast and Geodetic Survey, etc.).

Yes

No

Psychiatric problem in addition to alcohol or drug problem
Identifies whether the client has a psychiatric problem in addition to his or her alcohol or drug use problem.

Yes

No

DSM criteria diagnosis
The diagnosis of the substance abuse problem from the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders.

Marital status
Describes the client’s marital status. The following categories are compatible with the U.S. Census.

Never married—Includes those whose only marriage was annulled

Now married—Includes those living together as married

Separated—Includes those separated legally or otherwise absent from spouse because of marital discord

Divorced

Widowed

Living arrangement
Specifies whether the client is homeless, living with parents or in a supervised setting, or living on his or her own.

Homeless—Clients with no fixed address; includes shelters

Dependent living—Clients living in a supervised setting such as a residential institution, halfway house or group home

Independent living—Clients living alone or with others without supervision, including children living with parents, relatives, guardians, or in foster care.

Source of income/support
Identifies the client’s principal source of financial support. For children under 18, this field indicates the parents’ primary source of income/support.

Wages/salary

Public assistance

Retirement/pension

Disability

Other

None

Health insurance
Specifies the client’s health insurance (if any). The insurance may or may not cover alcohol or drug treatment.

Private insurance (other than Blue Cross/Blue Shield or an HMO)

Blue Cross/Blue Shield

Medicare

Medicaid

Health maintenance organization (HMO)

Other (e.g., TRICARE,CHAMPUS)

None

Expected/actual primary source of payment
Identifies the primary source of payment for this treatment episode.

Self-pay

Blue Cross/Blue Shield

Medicare

Medicaid

Worker’s Compensation

Other government payments

Other health insurance companies

No charge (free, charity, special research or teaching)

Other

GUIDELINES: States operating under a split payment fee arrangement between multiple payment sources are to default to the payment source with the largest percentage. When the payment percentages are equal, the State can select either source.

Detailed "Not in labor force"
Gives more detailed information about those clients who are not in the labor force.

Homemaker

Student

Retired

Disabled

Inmate of institution (prison or institution that keeps a person, otherwise able, from the labor force)

Other

Not applicable

Detailed criminal justice referral
Gives more detailed information about those clients who are referred to treatment through contact with the criminal justice system.

State/Federal court

Formal adjudication process (other than State/Federal court)

Probation/parole

Other recognized legal entity (e.g. local law enforcement agency, corrections agency, youth services, review board/agency)

Diversionary program (e.g., TASC)

Prison

DUI/DWI

Other

Not applicable

Days waiting to enter treatment
Indicates the number of days from the first contact or request for service until the client was admitted and the first clinical service was provided.

Detailed drug code (primary, secondary, and tertiary)
These fields identify the client’s specific drug problems, and have a direct relationship to the TEDS Minimum Data Set item Substance problem.

Alcohol
Crack
Other cocaine
Marijuana/hashish
Heroin/morphine
Methadone
Codeine
D-propoxyphene (Darvon)
Oxycodone (Percocet, Percodan)
Meperidine (Demerol)
Hydromorphone (Dilaudid)
Pentazocine (Talwin)
Other narcotic analgesics
PCP or PCP combination
LSD
Other hallucinogens
Methamphetamine/speed
Amphetamine
Methylphenidate (Ritalin)
Methylenedioxymethamphetamine (MDMA, Ecstasy)
Other stimulants
Alprazolam (Xanax)
Chlordiazepoxide (Librium)
Clorazepate (Tranxene)
Diazepam (Valium)
Flurazepam (Dalmane)
Lorazepam (Ativan)
Triazolam (Halcion)
Other benzodiazepines
Meprobamate (Miltown)
Other tranquilizers
Phenobarbital
Secobarbital/amobarbital
Secobarbital (Seconal)
Ethchlorvynol (Placidyl)
Glutethimide (Doriden)
Methaqualone
Other non-barbiturate sedatives
Other sedatives
Flunitrazepam (Rohypnol)
Ketamine (Special K)
Clonazepam (Klonopin, Rivotril)
Aerosols
Nitrites
Solvents
Anesthetics
Other inhalants
Diphenhydramine
Diphenylhydantoin sodium
Other drugs


TEDS Discharge Data Set

Type of service at discharge—See TEDS Minimum Data Set item Type of service at admission for definitions.

Date of last contact
Specifies the month, day, and year when the client was last seen for a treatment. The date may be the same as the date of discharge. In the event of a change of service or provider within a treatment episode, it is the date the client transferred to another service or provider.

Date of discharge
Specifies the month, day, and year when the client was formally discharged from the treatment facility or service. The date may be the same as the date of last contact. In the event of a change of service or provider within a treatment episode, it is the date the service terminated or the date the treatment ended at a particular provider.

Reason for discharge, transfer, or discontinuance of treatment
Indicates the outcome of treatment or the reason for transfer or discontinuance of treatment.

Treatment completed

Left against professional advice (dropped out)

Terminated by facility

Transferred to another substance abuse treatment program or facility—This code is to be used for all clients who have a change of service or provider within an episode of treatment

Incarcerated—This code is to be used for all clients whose course of treatment is terminated because the client has been incarcerated

Death

Other

Unknown

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