1993-2003
Treatment Episode Data Set (TEDS) Report of Substance Abuse Treatment
Admissions
Appendix B
TEDS Data Elements
TEDS Minimum Data Set
Client or
Codependent/Collateral
• Client:
- 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.
• Codependent/collateral:
- Has no alcohol or drug related problem
- 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
unit
- Has his or her own client record or has a record within a
primary client record
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.
TRANSACTION TYPE
Identifies whether a record is for an admission or a
transfer/change in service.
A. Admission
T. 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.
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 receives.
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
withdrawal
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
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)
AGE
Identifies client’s age at admission. Derived from client’s
date of birth and date of admission.
0. Indicates a newborn with a substance
dependency problem
1-96. Indicates the age at admission
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
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
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 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
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.
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 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
GUIDELINES: If a State does not collect specific Hispanic
detail, code Ethnicity for Hispanics as Hispanic (specific origin not
specified).
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
episodes.
0 previous episodes
1 previous episode
2 previous episodes
3 previous episodes
4 previous episodes
5 or more previous episodes
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.
EDUCATION
Specifies the highest school grade the client has completed.
0. Less than one grade completed
1-25. Years of school (highest grade)
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.
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.
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.
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 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.
SUBSTANCE PROBLEM (PRIMARY, SECONDARY, OR TERTIARY)
These fields identify the client’s primary, secondary, and
tertiary substance problems.
None
Alcohol
Cocaine/crack
Marijuana/hashish.
This includes THC and any other
cannabis sativa preparations
Heroin
Nonprescription methadone
Other opiates and synthetics.
Includes codeine, hydrocodone, hydromorphone, meperidine, morphine, opium,
oxycodone, pentazocine, propoxyphene, tramadol, and any other drug with
morphine-like effects
PCP. Phencyclidine
Other hallucinogens. Includes LSD, DMT, STP, hallucinogens,
mescaline, peyote, psilocybin, etc.
Methamphetamine
• Other amphetamines. Includes amphetamines, MDMA,
phenmetrazine, and other unspecified amines and related drugs
Other stimulants. Includes methylphenidate and any other
stimulants
Benzodiazepines. Includes alprazolam,
chlordiazepoxide, clonazepam, clorazepate, diazepam, flunitrazepam, flurazepam,
halazepam, lorazepam, oxazepam, prazepam, temazepam, triazolam, and other
unspecified benzodiazepines
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.
USUAL ROUTE OF ADMINISTRATION (PRIMARY, SECONDARY, OR
TERTIARY SUBSTANCES)
These fields identify the usual route of administration of
the respective substances.
Oral
Smoking
Inhalation
Injection (IV or intramuscular)
Other
FREQUENCY OF USE (PRIMARY, SECONDARY, OR 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 OF FIRST USE (PRIMARY, SECONDARY, OR 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.
0. Indicates a newborn with a substance dependency problem
1-96. Indicates the age at first use
PLANNED USE OF OPIOID TREATMENT
Identifies whether the use of methadone, LAAM, or
buprenorphine treatment is part of the client’s treatment plan.
Yes
No
TEDS Supplemental Data Set
PREGNANT AT TIME OF ADMISSION
Specifies whether the client was pregnant at the time of
admission.
Yes
No
Not applicable.
Use this code for male clients
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. DSM-IV is preferred, but use of the Third Edition or ICD
codes is permissible.
MARITAL STATUS
Describes the client’s marital status. The following
categories are compatible with the U.S. Census.
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
Divorced
Widowed
LIVING ARRANGEMENT
Specifies whether the client is homeless, living with
parents, 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, 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
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
Other government payments
Worker’s Compensation
Other health insurance companies
No charge (free, charity, special research, or teaching)
Other
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
Employment Status.
Homemaker
Student
Retired
Disabled
Inmate of institution (prison or institution that
keeps a person, otherwise able, from entering the labor force)
Other
Not applicable
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.
State/Federal court
Other court (not State or Federal)
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.
0-996. Number of days waiting
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.
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.
SAMHSA, an agency in the Department of Health and Human Services, is the Federal
Government's lead agency for improving the quality and availability of
substance abuse prevention, addiction treatment, and mental health
services in the United States.
