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                <titlStmt>
                    <titl>Treatment Episode Data Set -- Discharges (TEDS-D), 2012</titl>
                    <IDNo>50006</IDNo>
                </titlStmt>
                <prodStmt>
                    <producer abbr="ICPSR">
                        <ExtLink URI="http://www.icpsr.umich.edu/images/icpsr-logo.gif" title="ICPSR Logo" role="image"/>
                        Inter-university Consortium for Political and Social Research
                        <ExtLink URI="http://www.icpsr.umich.edu/" title="URL of ICPSR Web Site" />
                    </producer>
                </prodStmt>
                <verStmt>
                    <version date="2014-07-04"></version>
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<verStmt>
                    <version date="2014-07-04"></version>
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            <citation>
                <titlStmt>
                    <titl>Treatment Episode Data Set -- Discharges (TEDS-D), 2012</titl>
                    <altTitl>TEDS-D, 2012</altTitl>
                    <IDNo agency="ICPSR">50006</IDNo>
                </titlStmt>
                <rspStmt>
                    <AuthEnty affiliation="United States Department of Health and Human Services. Substance Abuse and Mental Health Services Administration. Center for Behavioral Health Statistics and Quality">United States Department of Health and Human Services. Substance Abuse and Mental Health Services Administration. Center for Behavioral Health Statistics and Quality</AuthEnty>
                </rspStmt>
                <prodStmt>
                    <prodDate>Please see full citation.</prodDate>
                    <fundAg>United States Department of Health and Human Services. Substance Abuse and Mental Health Services Administration. Center for Behavioral Health Statistics and Quality</fundAg>
                </prodStmt>
                <distStmt>
                    <distrbtr abbr="ICPSR" affiliation="Institute for Social Research, University of Michigan" URI="http://www.icpsr.umich.edu">
                        <ExtLink URI="http://www.icpsr.umich.edu/images/icpsr-logo.gif" title="Logo" />
                        Inter-university Consortium for Political and Social Research
                        <ExtLink URI="http://www.icpsr.umich.edu/" title="URL" />
                    </distrbtr>
                    <distDate date="2016-11-11">2016-11-11</distDate>
                </distStmt>
                <serStmt>
                    <serName ID="Series238">Treatment Episode Data Set - Discharges (TEDS-D) Series</serName>
                </serStmt>
                <verStmt>
                    <version date="2016-05-19">2016-05-19</version>
                </verStmt>
                <biblCit>United States Department of Health and Human Services. Substance Abuse and Mental Health Services Administration. Center for Behavioral Health Statistics and Quality. Treatment Episode Data Set -- Discharges (TEDS-D), 2012. ICPSR50006-v1. Ann Arbor, MI: Inter-university Consortium for Political and Social Research [distributor], 2014-05-12. http://doi.org/10.3886/ICPSR50006.v1</biblCit>
            </citation>
            <stdyInfo>
                    <subject>
                        <keyword vocab="thesaurus">alcohol abuse</keyword>
                        <keyword vocab="thesaurus">drug abuse</keyword>
                        <keyword vocab="thesaurus">drug treatment</keyword>
                        <keyword vocab="thesaurus">health care services</keyword>
                        <keyword vocab="thesaurus">health insurance</keyword>
                        <keyword vocab="thesaurus">intervention</keyword>
                        <keyword vocab="thesaurus">mental health</keyword>
                        <keyword vocab="thesaurus">substance abuse</keyword>
                        <keyword vocab="thesaurus">substance abuse treatment</keyword>
                        <keyword vocab="thesaurus">treatment programs</keyword>
                        <topcClas source="archive" vocab="DSDR subject classifications">DSDR III. Health and Mortality</topcClas>
                        <topcClas source="archive" vocab="ICPSR subject classifications">ICPSR IX. Health Care and Health Facilities</topcClas>
                        <topcClas source="archive" vocab="RCMD subject classifications">RCMD V. Health and Well-Being</topcClas>
                        <topcClas source="archive" vocab="SAMHDA subject classifications">SAMHDA III. Treatment Episode Data Set (TEDS)</topcClas>
                    </subject>
                    <abstract><![CDATA[<p>The Treatment Episode Data Set -- Discharges (TEDS-D) is a national census data system of annual discharges from substance abuse treatment facilities. TEDS-D provides annual data on the number and characteristics of persons discharged from public and private substance abuse treatment programs that receive public funding. Data collected both at admission and at discharge is included. The unit of analysis is a treatment discharge. TEDS-D consists of data reported to state substance abuse agencies by the treatment programs, which in turn report it to SAMHSA. </p>
<p>A sister data system, called the Treatment Episode Data Set -- Admissions (TEDS-A), collects data on admissions to substance abuse treatment facilities. The first year of TEDS-A data is 1992, while the first year of TEDS-D is 2006.</p>
<p>TEDS-D variables that are required to be reported are called the "Minimum Data Set (MDS)", while those that are optional are called the "Supplemental Data Set (SuDS)".</p>
<p>Variables unique to TEDS-D, and not part of TEDS-A, 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 exist in TEDS-A. This includes information on service setting, number of prior treatments, primary source of referral, gender, race, ethnicity, education, employment status, substance(s) abused, route of administration, frequency of use, age at first use, and whether methadone was prescribed in treatment. Supplemental variables include: diagnosis codes, presence of psychiatric problems, living arrangements, source of income, health insurance, expected source of payment, pregnancy and veteran status, marital status, detailed not in labor force codes, detailed criminal justice referral codes, days waiting to enter treatment, and the number of arrests in the 30 days prior to admissions (starting in 2008).</p>
<p>Substances abused include alcohol, cocaine and crack, marijuana and
hashish, heroin, nonprescription methadone, other opiates and
synthetics, PCP, other hallucinogens, methamphetamine, other amphetamines,
other stimulants, benzodiazepines, other non-benzodiazepine tranquilizers, barbiturates, other non-barbiturate sedatives or hypnotics, inhalants, over-the-counter medications, and other substances.</p>
<p>Created variables include total number of substances reported, intravenous drug use (IDU), and flags for any mention of specific substances.</p> ]]></abstract>
                    <sumDscr>
                        <timePrd event="single" date="2012" cycle="P1"> </timePrd>
                        <collDate event="single" date="2012" cycle="P1"> </collDate>
                        <nation>Please see geographic coverage.</nation>
                        <geogCover>United States</geogCover>
                        <geogUnit>Core-Based Statistical Area (CBSA)</geogUnit>
                        <anlyUnit>treatment discharges</anlyUnit>
                        <universe>State laws require certain substance abuse treatment programs to report all of their admissions and discharges to the State. In all States, treatment programs receiving any public funds are required to provide the data on both publicly and privately funded clients. In some States, programs that do not receive public funds are required to provide data as well. On the other hand, there are some instances in which information is provided only for clients whose treatment is funded through public monies. TEDS collects this data from the States on all admissions and discharges aged 12 or older. TEDS-D presents data on the discharges, as well as the data for the discharges that was collected at admission.</universe>
                        <dataKind>administrative records data</dataKind>
                    </sumDscr>
            </stdyInfo>
            <method>
                <dataColl>
                    <collMode>record abstracts</collMode>
                    <sources>
                        <dataSrc>Administrative records from substance abuse treatment programs as reported to state substance abuse agencies.</dataSrc>
                    </sources>
                    <cleanOps>Performed consistency checks.</cleanOps>
                    <cleanOps>Created variable labels and/or value labels.</cleanOps>
                    <cleanOps>Standardized missing values.</cleanOps>
                    <cleanOps>Created online analysis version with question text.</cleanOps>
                    <cleanOps>Performed recodes and/or calculated derived variables.</cleanOps>
                    <cleanOps>Checked for undocumented or out-of-range codes.</cleanOps>
                </dataColl>
                <notes><![CDATA[<p>Several limitations to the data exist and should
be noted:</p>
<list type="bulleted"><itm>
<p>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.</p></itm>
<itm><p>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.</p></itm><itm><p>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.</p></itm>
<itm><p>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.</p></itm>
<itm><p>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 process improves the data set over time, reported historical statistics may change slightly from year to year.</p></itm>
<itm><p>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.</p></itm>
<itm><p>Public funding constraints may direct states to selectively target special populations, for example, pregnant women or adolescents.</p></itm>
<itm><p>Some states have no Opioid Treatment Programs (OTPs) that provide medication-assisted therapy
using methadone and/or buprenorphine.</p></itm>
</list></notes>
                <notes>  <![CDATA[<p>Beginning with data released or re-released in 2012, a change was made to the data beginning with 2008. A new variable reports the number of times, if any, that a client was arrested in the 30 days preceding his or her admission into treatment. The variable is not present on any files prior to 2008.</p>
                <p>Beginning with data released or re-released in 2012, changes were made to the full TEDS-D series going back to 2006. The changes consisted of:</p>
<list type="bulleted">
<itm><p>The recoding scheme of the variable DENTLF (Detailed Not in Labor Force Category) was changed. The cases for "Inmate of Institution" have been separated from "Other" and are now a standalone category.</p></itm>
<itm><p>The recoding scheme of the variable DETCRIM (Detailed Criminal Justice Referral) was changed. The cases for "Prison" have been separated from "Probation/Parole" and are now a standalone category. The same was done for the cases for "Diversionary Program" which were previously combined with "Other". But the cases for "Other Recognized Legal Entity" previously combined with "State/Federal Court, Other Court" have now been combined with the "Other" category.</p></itm>
</list>
                <p>The categories and codes in this public-use file differ somewhat from those used by SAMHSA and those found in the TEDS Crosswalks and in other reports. This is a result of the recoding that was performed to protect client privacy in creating the public-use file.</p>
                <p>To further protect respondent and provider privacy, all Behavioral Health Services Information System (BHSIS) unique identification numbers have been removed from the public-use data. Therefore, no linkages are possible between the TEDS
and the National Survey of the Substance Abuse Treatment Services (N-SSATS) public-use files.</p>
               <p>Users should consult the TEDS Crosswalks <ExtLink URI="http://wwwdasis.samhsa.gov/dasis2/crosswalks.htm" /> 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.</p>
               <p>The data were collected from the states by Synectics for Management Decisions, Incorporated, on behalf of SAMHSA.</p>
               <p>The public-use file is comprised of data from the most current data extract which took place October 2013 (the October 17, 2013, extract).</p> ]]></notes>
            </method>
            <dataAccs>
                <setAvail media="online">
                    <accsPlac URI="http://www.icpsr.umich.edu">Ann Arbor, Mi.:  Inter-university Consortium for Political and Social Research</accsPlac>
                    <notes>Stata system file(s), rda Data file(s), sav Data file(s), stc Data file(s), tsv Data file(s), Data file(s), and electronic documentation.</notes>
                </setAvail>
                <useStmt>
                    <specPerm>Additional special permissions, where applicable, are described in the restrictions field.</specPerm>
                    <restrctn>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.</restrctn>

		<conditions>
		    <![CDATA[
		    <p>Please read the Terms of Use below. If you agree to them, click on the "I Agree" button to proceed. If you do not agree, you can click on the "I Do Not Agree" button to exit this page.</p><p>These data are distributed under the following terms of use. By continuing past this point to the data retrieval process, you signify your agreement to comply with the requirements as stated below:</p><h2>Privacy of RESEARCH SUBJECTS</h2><p>Any intentional identification of a RESEARCH SUBJECT (whether an individual or an organization) or unauthorized disclosure of his or her confidential information violates the PROMISE OF CONFIDENTIALITY given to the providers of the information. Disclosure of confidential information may also be punishable under federal law. Therefore, users of data agree:</p><ul><li><p>To use these datasets solely for research or statistical purposes and not for re-identification of specific RESEARCH SUBJECTS.</p></li><li><p>To make no use of the identity of any RESEARCH SUBJECT discovered inadvertently and to report any such discovery to CBHSQ and SAMHDA ( <a href="mailto:samhda-support@icpsr.umich.edu">samhda-support@icpsr.umich.edu</a>)</p></li></ul><h2>Citing Data</h2><p>You agree to reference the recommended bibliographic citation in any of your publications that use SAMHSA data. Authors of publications that use SAMHSA data are required to send citations of their published works to ICPSR for inclusion in a database of related publications (<a href="mailto:bibliography@icpsr.umich.edu">bibliography@icpsr.umich.edu</a>).</p><h2>Disclaimer</h2><p>You acknowledge that SAMHSA and ICPSR will bear no responsibility for your use of the data or for your interpretations or inferences based upon such uses.</p><h2>Violations</h2><p>If SAMHSA or ICPSR determines that this terms of use agreement has been violated, then possible sanctions could include:</p><ul><li><p>Report of the violation to the Research Integrity Officer, Institutional Review Board, or Human Subjects Review Committee of the user's institution. A range of sanctions are available to institutions including revocation of tenure and termination.</p></li><li><p>If the confidentiality of human subjects has been violated, then report of the violation may be made to the Federal Office for Human Research Protections. This may result in an investigation of the user's institution, which can result in institution-wide sanctions including the suspension of all research grants.</p></li> <li><p>Report of the violation of federal law to the United States Attorney General for possible prosecution.</p></li><li><p>Court awarded payments of damages to any individual(s)/organization(s) harmed by the breach of confidential data.</p></li></ul> <h2>Definitions</h2><dl><dt>CBHSQ</dt><dd>Center for Behavioral Health Statistics and Quality</dd><dt>ICPSR</dt><dd>Inter-university Consortium for Political and Social Research</dd><dt>Promise of confidentiality</dt><dd>A promise to a respondent or research participant that the information the respondent provides will not be disseminated in identifiable form without the permission of the respondent; that the fact that the respondent participated in the study will not be disclosed; and that disseminated information will include no linkages to the identity of the respondent. Such a promise encompasses traditional notions of both confidentiality and anonymity. In most cases, federal law protects the confidentiality of the respondent's identity as referenced in the Promise of Confidentiality. Under this condition, names and other identifying information regarding respondents would be confidential.</dd><dt>Research subject</dt><dd>A person or organization that participates in a research study. A research subject may also be called a respondent. A respondent is generally a survey respondent or informant, experimental or observational subject, focus group participant, or any other person providing information to a study.</dd> <dt>SAMHDA</dt><dd>Substance Abuse and Mental Health Data Archive</dd><dt>SAMHSA</dt><dd>Substance Abuse and Mental Health Services Administration</dd></dl>
		    
		    <p>AVAILABLE.  This study is freely available to the general public.</p>]]>
		</conditions>

		<disclaimer>The original collector of the data, ICPSR,
		and the relevant funding agency bear no responsibility
		for use of the data or for interpretations or inferences
		based upon such uses.  </disclaimer>
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