Description & Citation--Study No. 24461

Bibliographic Description

ICPSR Study No.:24461
 
Persistent URL: http://dx.doi.org/10.3886/ICPSR24461
 
Title:Treatment Episode Data Set -- Discharges (TEDS-D), 2006
 
Alternate Title:TEDS-D, 2006
 
Principal Investigator(s):United States Department of Health and Human Services. Substance Abuse and Mental Health Services Administration. Office of Applied Studies
 
Funding Agency:United States Department of Health and Human Services. Substance Abuse and Mental Health Services Administration. Office of Applied Studies
 
Bibliographic Citation:United States Department of Health and Human Services. Substance Abuse and Mental Health Services Administration. Office of Applied Studies. Treatment Episode Data Set -- Discharges (TEDS-D), 2006 [Computer file]. ICPSR24461-v1. Ann Arbor, MI: Inter-university Consortium for Political and Social Research [distributor], 2009-06-22. doi:10.3886/ICPSR24461
 

Scope of Study

Summary:The Treatment Episode Data Set -- Discharges (TEDS-D) is an administrative data system providing descriptive information about discharges from alcohol or drug treatment in facilities that report to individual state administrative data systems. TEDS-D is part of a reporting system that was originally 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 TEDS - Admissions component began in 1992, and the TEDS-D component began reporting data in 2000. The unit of analysis is treatment discharges. Variables unique to TEDS-D are the length of stay, reason for leaving treatment, and service setting at time of discharge. TEDS-D also provides many of the same variables that are reported in the admissions data. This includes 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 of September 2008 (the September 3, 2008, extract).
 
Subject Term(s):alcohol abuse, drug abuse, drug treatment, health care services, health insurance, intervention, mental health, substance abuse, substance abuse treatment, treatment programs
 
Smallest Geographic Unit:Core-Based Statistical Area (CBSA)
 
Geographic Coverage:United States
 
Time Period:2006
 
Date(s) of Collection:2006
 
Unit of Observation:treatment discharges
 
Universe:Treatment discharges from substance abuse treatment programs in the United States receiving public funds. Treatment programs receiving any public funds are requested to provide TEDS-D 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: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 systematic errors are identified, revisions may be enacted in historical TEDS data files. While this system improves the data set over time, reported historical statistics may change slightly from year to year. (b) The TEDS system is admission-based, and therefore TEDS admissions and discharges do not represent individuals. For example, an individual admitted to and discharged from treatment twice within a calendar year would be counted as two admissions and two discharges. (c) The data provide information on treatment in specific service types, derived from linked pairs of admission/discharge records. The data do not necessarily represent complete treatment episodes, which may include stays in multiple types of service and would require analysis of series of linked pairs of records (d) The primary, secondary, and tertiary substances of abuse reported to the TEDS are those substances that led to the treatment episode, and not necessarily a complete enumeration of all drugs used at the time of admission. (e) 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. (f) Public funding constraints may direct states to selectively target special populations, for example, pregnant women or adolescents. (g) 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. (h) Some states have no Opioid Treatment Programs (OTPs) that provide medication-assisted therapy using methadone and/or buprenorphine. See the TEDS state-by-state crosswalk for information regarding data collected by each state.
 
  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.
 
  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.
 
  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 only available for analysis or subsetting through the SAMHDA online analysis system. See the codebook for sample SPSS programming syntax on how to create state indicator variables on a downloaded file.
 
  Users should consult the TEDS Crosswalks (link) 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 data are collected from the states by Synectics for Management Decisions, Incorporated.
 

Methodology

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 record length, case count, and variable count) is listed in the file manifest.
 
Restrictions:Users are reminded 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:2009-06-22
 
Dataset(s):
  • DS1: Treatment Episode Data Set -- Discharges (TEDS-D), 2006
 
Inter-university Consortium for Political and Social Research   Office of Applied Studies   Substance Abuse and Mental Health Services Administration

The Substance Abuse and Mental Health Data Archive (SAMHDA) is an initiative of the Office of Applied Studies, Substance Abuse and Mental Health Services Administration (SAMHSA) of the United States Department of Health and Human Services, and is based at the Inter-university Consortium for Political and Social Research (ICPSR).

We appreciate the appropriate citation for analyses using data obtained from SAMHDA. Each SAMHDA study description and codebook includes a suggested bibliographic citation for the data.

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