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Description & Citation--Study No. 21540

Bibliographic Description

ICPSR Study No.:21540
 
Title:Treatment Episode Data Set (TEDS), 2006
 
Alternate Title:TEDS, 2006
 
Principal Investigator(s):United States Department of Health and Human Services. Substance Abuse and Mental Health Services Administration. Office of Applied Studies
 
Series:Treatment Episode Data Set (TEDS) Series
 
Funding Agency:United States Department of Health and Human Services. Substance Abuse and Mental Health Services Administration. Office of Applied Studies
 
Bibliographic Citation:U.S. Dept. of Health and Human Services, Substance Abuse and Mental Health Services Administration, Office of Applied Studies. TREATMENT EPISODE DATA SET (TEDS), 2006 [Computer file]. Prepared by Synectics for Management Decisions, Incorporated. ICPSR21540-v2. Ann Arbor, MI: Inter-university Consortium for Political and Social Research [producer and distributor], 2008-05-07.
 

Scope of Study

Summary:The Treatment Episode Data Set (TEDS) is an administrative data system providing descriptive information about the national flow of admissions to providers of substance abuse treatment. The TEDS series was designed to provide annual data on the number and characteristics of persons admitted to public and private substance abuse treatment programs receiving public funding. The unit of analysis is treatment admissions. TEDS includes both Minimum Data Set (MDS) data (required reporting) and Supplemental Data Set (SuDS) data (optional reporting), as reported to state substance abuse agencies by the treatment programs. Additional variables, such as calculated age and census region, are added to the state data. TEDS provides information on service setting, number of prior treatments, primary source of referral, employment status, whether methadone was prescribed in treatment, diagnosis codes, presence of psychiatric problems, living arrangements, source of income, health insurance, expected source of payment, substance(s) abused, route of administration, frequency of use, age at first use, pregnancy and veteran status, health insurance, and days waiting to enter treatment. Substances abused include alcohol, cocaine and crack, marijuana and hashish, heroin, nonprescription methadone, other opiates and synthetics, PCP, hallucinogens, methamphetamine, other amphetamines, other stimulants, benzodiazepines, other tranquilizers, barbiturates, other sedatives or hypnotics, inhalants, over-the-counter medications, and other. Demographic variables cover age, race, gender, income, marital status, and education. Created variables include total number of substances reported, intravenous drug use (IDU), and flags for any mention of specific substances. The public-use files were created using the data that were current as o f October 2007 (the October 9, 2007, extract).
 
Subject Term(s):alcohol abuse, drug abuse, drug treatment, health care services, health insurance, intervention, mental health, pregnant, state level, substance abuse, substance abuse treatment, treatment programs
 
Smallest Geographic Unit:Core-Based Statistical Area (CBSA)
 
Time Period:2006
 
Date(s) of Collection:2006
 
Unit of Observation:treatment admissions
 
Universe:Treatment admissions to substance abuse treatment programs in the United States receiving public funds. Treatment programs receiving any public funds are requested to provide TEDS data on publicly- and privately-funded clients. There are some instances, however, in which information is provided only for clients whose treatment is funded through public monies.
 
Data Type:administrative records data
 
Data Collection Notes:(1) Several limitations to the data exist and should be noted prior to using the TEDS files: (a) States continually review the quality of their data processing. As states identify systematic errors, they may revise or replace historical TEDS data files. While this system improves the dataset over time, reported historical statistics may change slightly from year to year. This public-use file was created from the October 9, 2007, extract. (b) The way an admission is defined may vary from state to state such that the absolute number of admissions is not a valid measure for comparing states. (c) The number and client mix of TEDS records depends, to some extent, on external factors, including the availability of public funds. In states with higher funding levels, a larger percentage of the substance-abusing population may be admitted to treatment, including the less severely impaired and the less economically disadvantaged. (d) Public funding constraints may direct states to selectively target special populations -- for example, pregnant women or adolescents. The representations of these populations in the data may vary accordingly. (e) States vary in the extent to which coercion plays a role in referral to treatment. This variation derives from criminal justice practices and differing concentrations of abuser subpopulations. (f) TEDS consists of treatment admissions, and therefore may include multiple admissions for the same client. Thus, any statistics derived from the data will represent admissions, not clients. It is possible for clients to have multiple initial admissions within a state and even within providers that have multiple treatment sites within the state. TEDS provides a national snapshot of what is seen at admission to treatment, but is currently not designed to follow individual clients through a sequence of treatment episodes. (g) TEDS distinguishes between "transfer admissions" and "initial admissions." Transfer admissions include clients transferred for distinct services within an episode of treatment. Only initial admissions are included in the public-use file. (2) It should be noted that the categories and codes in this public-use file differ somewhat from those used by SAMHSA and those found in the "State-by-State Crosswalk of State System Data to TEDS" and in other reports. This is a result of the recoding that was performed to protect client privacy in creating the public-use file. (3) To further protect respondent and provider privacy, all Drug and Alcohol Services Information System (DASIS) unique identification numbers have been removed from the public-use data. Therefore, no linkages are possible between the TEDS and National Survey of Substance Abuse Treatment Services (N-SSATS) public-use files. (4) ICPSR created a series of TEDS state indicator variables that can be used in analyses to compare a particular state with all other states. These variables are available for analysis or subsetting through the SAMHDA online analysis system only. See the codebook for details on downloading these variables and merging them with the archive (ASCII) data file. (5) Users should consult the "Crosswalk" for a breakdown of the data collected in each state and their corresponding TEDS codes, including state-by-state descriptions of exceptions or anomalies in reporting practices. The "Crosswalk" is available as a Portable Document Format (PDF) file and may be downloaded from the SAMHDA Web site (link).
 

Methodology

Sample:Data were collected on all clients entering treatment at eligible treatment programs. Eligible programs are those receiving public funds. The latest available inclusion rates are for 1997, in which reported admissions to TEDS facilities represented 83 percent of the TEDS-eligible admissions and 67 percent of the total known admissions.
 
Data Source:Administrative records from substance abuse treatment programs as reported to state substance abuse agencies.
 

Access and Availability

Note:A list of the data formats available for this study can be found in the summary of holdings. Detailed file-level information (such as LRECL, case count, and variable count) is listed in the file manifest.
 
Restrictions:Users are reminded by the Substance Abuse and Mental Health Services Administration (SAMHSA) that these data are to be used solely for statistical analysis and reporting of aggregated information, and not for the investigation of specific individuals or organizations.
 
Original ICPSR Release:2008-02-15
 
Version History:The last update of this study occurred on 2008-05-07.
 
  2008-05-07 - Cases in the data file were sorted according to CASEID.