Appendix B

TEDS Data Elements

TEDS Minimum Data Set

TEDS Minimum Data Set

TEDS Discharge Data Set

CLIENT
A client is a person who meets all of the following criteria:

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.

TRANSACTION TYPE
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 at least one discharge (when services end). Within a treatment episode, a client may transfer to a different service, facility, provider, program, or location. When it is feasible for the State to identify transfers, they should be reported as Transfers in admissions data submissions. Each Admission and Transfer record should have an associated Discharge record. When admissions and transfers cannot be differentiated in a State data system, such changes in service should be reported to TEDS as admissions.

DATE OF ADMISSION
The day when the client receives his/her first direct treatment or recovery service. For transfers, this is the day when the client receivers his/her first direct treatment after the transfer has occurred.

TYPE OF SERVICE AT ADMISSION
Describes the type of service the client receives.

AGE
Identifies client’s age at admission. Derived from client’s date of birth and date of admission.

SEX
Identifies client’s sex.

RACE
Specifies the client’s race.

GUIDELINES: If the 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 primary/preferred race code 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, use the same system 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.

EDUCATION
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 Associate’s Degree, use 14. For Bachelor’s Degree, use 16.

ETHNICITY
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 specified).

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.

GUIDELINES: It is preferred that the number of prior treatments be a self-reported 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.

EMPLOYMENT STATUS
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.

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.

USUAL ROUTE OF ADMINISTRATION (OF PRIMARY, SECONDARY, AND TERTIARY SUBSTANCES)
These fields identify the usual route of administration of the respective substances.

FREQUENCY OF USE (OF PRIMARY, SECONDARY, AND TERTIARY SUBSTANCES)
These fields identify the frequency of use of the respective substances.

AGE OF FIRST USE (OF PRIMARY, SECONDARY, AND TERTIARY SUBSTANCE)
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.

MEDICATION-ASSISTED OPIOID THERAPY
Identifies whether the use of methadone or buprenorphine is part of the client’s treatment plan.

 

 

 

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
The date 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 an episode of treatment, it is the date the client transferred to another service or provider.

DATE OF DISCHARGE
The date 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—All parts of the treatment plan or program were completed

Transferred to another substance abuse program or facility—Client was transferred to another substance abuse treatment program, provider, or facility; client may or may not have reported the new program or facility.

Left against professional advice (dropped out)—Client chose not to complete treatment program, with or without specific advice to continue treatment; includes clients who dropped out for unknown reason and clients who have not received treatment for some and are administratively discharged

Terminated by facility—Treatment terminated by action of facility, generally because of client non-compliance or violation of rules, laws, or procedures (excludes client drop-out, incarcerated, or client-motivated reason for discontinuance)

Incarcerated—Jail, prison, house confinement

Death

Other—Client moved, became ill, was hospitalized, or other reason somewhat out of client’s control

Unknown—Client status at discharge not known (for example, record incomplete or lost)

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