APPENDIX A - TEDS DATA ELEMENTS

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.

Definition of a 'Client'
A 'client' is a person who meets the following criteria:

1. Has an alcohol or drug related problem, or is being treated as a co-dependent (see below)
2. Has completed the screening and intake process
3. Has been formally admitted for the 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.

Definition of a 'Codependent'
A 'codependent' is a person who has no alcohol or drug abuse problem, but:

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.

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 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 will send 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
Describes the type of service the client received.

• Detoxification, 24 Hour Service, Hospital Inpatient--24 hour per day medical acute care services 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--At a minimum, the client must receive treatment lasting two or more hours per day 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)

Number of Prior Treatment Episodes
Indicates the number of previous treatments the client has received in any drug or alcohol program. Changes in service for the same episode 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 that 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 hospitals, psychiatric hospitals, mental health programs, or nursing homes
• School (Educational)--A school principal, counselor, or teacher; or 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, 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. A referral by a court for DWI/DUI. Includes 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'.

Date of Birth
Client's date of birth.

Sex
Identifies client's sex.

• Male
  
• Female

Race
Specifies the client's race.

• Alaskan Native (Aleut, Eskimo, Indian)--Origins in any of the original people of Alaska
  
• American Indian (Other than Alaskan Native)--Origins in any of the original people of North America and who maintain cultural identification through tribal affiliation or community recognition
  
• Asian or Pacific Islander--Origins in any of the original people of the Far East, the Indian subcontinent, Southeast Asia, or the Pacific Islands. This category also includes Orientals.
  
• Black--Origins in any of the black racial groups of Africa
  
• White--Caucasian with origins in any of the people of Europe (including Portugal), 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, if any.

• Puerto Rican--Of Puerto Rican origin regardless of race
• Mexican--Of Mexican origin regardless of race
• Cuban--Of Cuban origin regardless of race
  
• Other Hispanic--Of Central or South America or any other Spanish culture origin (including Spain), regardless of race
  
• Not of Hispanic Origin

Education
Specifies the highest school grade the client has completed.

Employment Status
Identifies the client's current employment status.

• Full Time--Working 35 hours or more each week, including 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 homemaker, student, 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'.

Substance Problem Code (Primary, Secondary, Tertiary)
These fields identify the client's primary, secondary, and tertiary substance problems.

• None
• Alcohol
• Cocaine/Crack
• Marijuana/Hashish--Includes THC and other cannabis sativa preparations
• Heroin
• Non-Prescription Methadone
• Other Opiates and Synthetics--Includes codeine, Dilaudid, morphine, Demerol, opium, and any other drug with morphine-like effects
• PCP--Phencyclidine
• Hallucinogens--Includes hallucinogens, LSD, DMT, STP, mescaline, psilocybin, peyote, etc.
• Methamphetamine
• Other Amphetamines--Includes Benzedrine, Dexedrine, Preludin, Ritalin, and any other amines and related drugs
• Other Stimulants--Includes non-amphetamine stimulants
• Benzodiazepines--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 sedative/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 (Primary, Secondary, and Tertiary)
These fields identify the usual route of administration of the respective substances.

• Oral
• Smoking
• Inhalation
• Injection (Intravenous or Intramuscular)
• Other

Frequency of Use (Primary, Secondary, and Tertiary)
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 (Primary, Secondary, and Tertiary)
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 methadone will be used 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 uniform services. This category also includes veterans of the Coast Guard and Public Health Service.

• 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-- No fixed address; includes shelters
• Dependent Living-- Dependent children and adults living in a supervised setting such as a halfway house or group home
• Independent Living

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
• Blue Cross/Blue Shield
• Medicare
• Medicaid
• Health Maintenance Organization (HMO)
• Other (e.g., CHAMPUS)
• None

Expected/Actual Source of Payment
Identifies the primary source of payment for this Treatment Episode.

• Self-Pay
• Blue Cross/Blue Shield
• Medicare
• Medicaid
• Workman's Compensation
• Other Government Payments
• Other Health Insurance Companies
• No charge (free, charity, special research or teaching)
• Other

Detailed 'Not in Labor Force' Category
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 restrains 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
• 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 Codes (Primary, Secondary, and Tertiary)
These fields identify the client's specific drug problems, and have a direct relationship to the Minimum Data Set item 'Substance Problem Code'. For TEDS, SAMHSA defined the following Detailed Drug Codes:

• Alcohol
• Crack
• Other Cocaine
• Marijuana/Hashish
• Heroin/Morphine
• Methadone
• Codeine
• D-propoxyphene
• Oxycodone
• Meperidine
• Hydromorphone
• Pentazocine
• Other Narcotic Analgesics
• PCP or PCP Combinations
• LSD
• Other Hallucinogens
• Methamphetamine/Speed
• Amphetamine
• Methylphenidate (Ritalin)
• 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
• Aerosols
• Nitrites
• Solvents
• Anesthetics
• Other inhalants
• Diphenhydramine
• Diphenylhydantoin Sodium
• Other drugs