TEDS Data Elements
TEDS Minimum Data Set
- Has an alcohol or drug related problem
- Has completed the screening and intake process
- Has been formally admitted for treatment or recovery
service in an alcohol or drug treatment unit
- 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.
- Has no alcohol or drug related problem
GUIDELINES: Reporting of Codependent/collateral is
optional. If a record does not include a value for this field, it is assumed to
be a substance abuse client record. 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 has been admitted as a codependent, and vice versa.
- Is seeking services because of problems arising from his
or her relationship with an alcohol or drug user
- Has been formally admitted for service to a treatment
- Has his or her own client record or has a record within a
primary client record
Identifies whether a record is for an admission or a
transfer/change in service.
GUIDELINES: For TEDS, a treatment episode is defined as that
period of service between the beginning of treatment for a drug or alcohol
problem and the termination of services for the prescribed treatment plan. The
episode includes one admission (when services begin), and one discharge (when
services end). Within a treatment episode, a client may transfer to a different
service, facility, program, or location. In some data systems, such transfers
may generate admissions records. When it is feasible for the State to identify
transfers, they should be reported as transfers, not as admissions. When
admissions and transfers cannot be differentiated in a State data system, such
changes in service should be reported to TEDS as admissions.
Transfer/change in service
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 receives.
Identifies client’s age at admission. Derived from client’s
date of birth and date of admission.
Detoxification, 24-hour service, hospital inpatient.
24-hour per day medical acute care services in a hospital setting for
detoxification for persons with severe medical complications associated with
Detoxification, 24-hour service, free-standing
residential. 24-hour per day services in a 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
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)
Identifies client’s sex.
Specifies the client’s race.
0. Indicates a newborn with a substance
1-96. Indicates the age at admission
- 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
- Asian. Origins in any of the original people
of the Far East, the Indian subcontinent, or Southeast Asia, including, for
example, Cambodia, China, India, Japan, Korea, Malaysia, Philippine Islands,
Thailand, and Vietnam
- Native Hawaiian or other Pacific Islander.
Origins in any of the original people of Hawaii, Guam, Samoa, or other
GUIDELINES: If a State does not distinguish between
American Indian and Alaska Native, both should be coded as
American Indian. If a State does not distinguish between Asian and
Native Hawaiian or other Pacific Islander, both should be coded as Asian
or Pacific Islander. For States that collect multiple races: a) when a
single race is designated, the specific race code should be used; b) if the
State collects a primary or preferred race along with additional races, the code
for the primary/preferred race should be used; c) if the State uses a system
such as an algorithm to select a single race when multiple races have been
designated, the same system may be used to determine the race code for TEDS.
When two or more races have been designated and neither (b) nor (c) above apply,
the TEDS code for Two or more races should be used.
- 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 single race. Client is not classified
in any category above or whose origin group, because of area custom, is
regarded as a racial class distinct from the above categories
- Two or more races. For use when the State
data system allows multiple race selection and more than one race is indicated
Identifies client’s specific Hispanic origin
GUIDELINES: If a State does not collect specific Hispanic
detail, code Ethnicity for Hispanics as Hispanic (specific origin not
- Puerto Rican. Of Puerto Rican origin, regardless
- 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 cultural origin (including Spain), 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 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
GUIDELINES: It is preferred that the number of prior
treatments be a self-reporting field collected at the time of client intake.
However, this data item may be derived from the State data system if the system
has that capability, and episodes can be counted for at least several years.
- 0 previous episodes
- 1 previous episode
- 2 previous episodes
- 3 previous episodes
- 4 previous episodes
- 5 or more previous episodes
Specifies the highest school grade the client has completed.
GUIDELINES: States that use specific categories for some code
numbers should map their codes to a logical number of years of school completed.
For General Equivalency Degree, use 12. For Bachelor’s Degree, use 16.
- 0. Less than one grade completed
- 1-25. Years of school (highest grade)
Identifies the client’s employment status at the time of
admission or transfer.
GUIDELINES: Seasonal workers are coded in this category based
on their employment status at time of admission.
- 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
PRINCIPAL SOURCE OF REFERRAL
Describes the person or agency referring the client to the
alcohol or drug abuse treatment program.
SUBSTANCE PROBLEM (PRIMARY, SECONDARY, OR TERTIARY)
These fields identify the client’s primary, secondary, and
tertiary substance problems.
- 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
- 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
- Other community referral. Community or religious organization 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.
USUAL ROUTE OF ADMINISTRATION (PRIMARY, SECONDARY, OR
These fields identify the usual route of administration of
the respective substances.
This includes THC and any other
cannabis sativa preparations
- Nonprescription methadone
- Other opiates and synthetics.
Includes codeine, hydrocodone, hydromorphone, meperidine, morphine, opium,
oxycodone, pentazocine, propoxyphene, tramadol, and any other drug with
- PCP. Phencyclidine
- Other hallucinogens. Includes LSD, DMT, STP, hallucinogens,
mescaline, peyote, psilocybin, etc.
• Other amphetamines. Includes amphetamines, MDMA,
phenmetrazine, and other unspecified amines and related drugs
- Other stimulants. Includes methylphenidate and any other
- Benzodiazepines. Includes alprazolam,
chlordiazepoxide, clonazepam, clorazepate, diazepam, flunitrazepam, flurazepam,
halazepam, lorazepam, oxazepam, prazepam, temazepam, triazolam, and other
- Other non-benzodiazepine tranquilizers. Includes
meprobamate and other non-benzodiazepine tranquilizers
- Barbiturates. Amobarbital, pentobarbital,
phenobarbital, secobarbital, etc.
- Other non-barbiturate sedatives or hypnotics.
Includes chloral hydrate, ethchlorvynol, glutethimide, methaqualone, and other
non-barbiturate sedatives or hypnotics
- Inhalants. Includes chloroform, ether, gasoline, glue, nitrous
oxide, paint thinner, etc.
- Over-the-counter medications. Includes aspirin,
cough syrup, diphenhydramine and other antihistamines, sleep aids, and any
other legally obtained nonprescription medication
- Other. Includes diphenylhydantoin/phenytoin,
GHB/GBL, ketamine, etc.
FREQUENCY OF USE (PRIMARY, SECONDARY, OR TERTIARY
These fields identify the frequency of use of the respective
- Injection (IV or intramuscular)
AGE OF FIRST USE (PRIMARY, SECONDARY, OR TERTIARY
For drugs other than alcohol, these fields identify the age
at which the client first used the respective substance. For alcohol, these
fields record the age of first intoxication.
- 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
PLANNED USE OF OPIOID TREATMENT
Identifies whether the use of methadone, LAAM, or
buprenorphine treatment is part of the client’s treatment plan.
- 0. Indicates a newborn with a substance dependency problem
- 1-96. Indicates the age at first use
TEDS Supplemental Data Set
PREGNANT AT TIME OF ADMISSION
Specifies whether the client was pregnant at the time of
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.).
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.
DSM CRITERIA DIAGNOSIS
The diagnosis of the substance abuse problem from the
American Psychiatric Association’s Diagnostic and Statistical Manual of
Mental Disorders. DSM-IV is preferred, but use of the Third Edition or ICD
codes is permissible.
- Not applicable.
Use this code for male clients
Describes the client’s marital status. The following
categories are compatible with the U.S. Census.
Specifies whether the client is homeless, living with
parents, in a supervised setting, or living on his or her own.
- Never married. Includes clients 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
SOURCE OF INCOME SUPPORT
Identifies the client’s principal source of financial
support. For children under 18, this field indicates the parents’ primary source
- 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, and children
(under age 18) living with parents, relatives, or guardians, or in foster care
- Independent living. Clients living alone or
with others without supervision
Specifies the client’s health insurance (if any). The
insurance may or may not cover alcohol or drug treatment.
EXPECTED/ACTUAL PRIMARY SOURCE OF PAYMENT
Identifies the primary source of payment for this treatment
Private insurance (other than Blue Cross/Blue Shield
or an HMO)
Blue Cross/Blue Shield
Health maintenance organization (HMO)
Other (e.g., TRICARE, CHAMPUS)
DETAILED “NOT IN LABOR FORCE”
This item gives more detailed information about those clients
who are coded as "Not in labor force" in the TEDS Minimum Data Set item
Blue Cross/Blue Shield
Other government payments
Other health insurance companies
No charge (free, charity, special research, or teaching)
DETAILED CRIMINAL JUSTICE REFERRAL
This item gives more detailed information about those clients
who are coded as "Court/criminal justice referral/DUI/DWI" in the TEDS Minimum
Data Set item Principal source of referral.
Inmate of institution (prison or institution that
keeps a person, otherwise able, from entering the labor force)
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
- State/Federal court
- Other court (not State or Federal)
- Other recognized legal entity
(e.g., local law enforcement agency, corrections agency, youth services,
- Diversionary program (e.g., TASC)
- Not applicable
GUIDELINES: This item is intended to capture the number of
days the client must wait to begin treatment because of program capacity,
treatment availability, admissions requirements, or other program requirements.
It should not include time delays caused by client unavailability or client
failure to meet any requirement or obligation.
- 0-996. Number of days waiting
DETAILED DRUG CODE (PRIMARY, SECONDARY, AND TERTIARY)
These fields identify, in greater detail, the drug problems
recorded in the TEDS Minimum Data Set item Substance problem.
- Other cocaine
- Methadone (non-prescription)
- Hydrocodone (Vicodin)
- Hydromorphone (Dilaudid)
- Meperidine (Demerol)
- Oxycodone (Oxycontin)
- Pentazocine (Talwin)
- Propoxyphene (Darvon)
- Tramadol (Ultram)
- Other opiates or synthetics
- PCP or PCP combination
- Other hallucinogens
- Methylenedioxymethamphetamine (MDMA, Ecstasy)
- Other amphetamines
- Methylphenidate (Ritalin)
- Other stimulants
- Alprazolam (Xanax)
- Chlordiazepoxide (Librium)
- Clonazepam (Klonopin, Rivotril)
- Clorazepate (Tranxene)
- Diazepam (Valium)
- Flunitrazepam (Rohypnol)
- Flurazepam (Dalmane)
- Lorazepam (Ativan)
- Triazolam (Halcion)
- Other benzodiazepines
- Meprobamate (Miltown)
- Other tranquilizers
- Secobarbital/amobarbital (Tuinal)
- Secobarbital (Seconal)
- Other barbiturate sedatives
- Ethchlorvynol (Placidyl)
- Glutethimide (Doriden)
- Other non-barbiturate sedatives
- Other sedatives
- Other inhalants
- Other over-the-counter
- Diphenylhydantoin/phenytoin (Dilantin)
- GHB/GBL (gamma-hydroxybutyrate, gamma-butyrolactone)
- Ketamine (Special K)
- Other drugs