Treatment Episode Data Set (TEDS) When undergoing substance abuse treatment, individual people can be admitted and discharged from treatment multiple times. TEDS comprises demographic and drug history information about these individuals.
How many episodes of in treatment are there?
Treatment Episode Data Set (TEDS) When undergoing substance abuse treatment, individual people can be admitted and discharged from treatment multiple times. TEDS comprises demographic and drug history information about these individuals. TEDS-A records the admissions, and TEDS-D records the discharges. The two data sets are separate but linkable. …
What is an episode of care?
TEDS-D is a national data system of annual discharges from substance use treatment facilities. A sibling data system—Treatment Episode Data Set: Admissions (TEDS-A)—collects data on admissions. TEDS-D contains records on admissions of people aged 12 and older, and includes information on admission demographics (for example, age, sex, race/ethnicity, employment …
Can episodes of care be used as a basis for measurement?
The median episode duration was 37 months (IQ interval: 11-73 months). Conclusions: The proposed approach for constructing treatment episodes offers a method of estimating duration and dose of treatment from concomitant medication log records. The accompanying recommendations guide log data collection to improve their quality for drug safety ...
Is early intervention necessary following the first episode of psychosis?
TEDS-A is a national data system of annual admissions to substance use treatment facilities. A sibling data system—Treatment Episode Data Set: Discharges (TEDS-D)—collects data on discharges. TEDS-A contains records on admissions of people aged 12 and older, and includes information on admission demographics (for example, age, sex, race ...
What is a treatment episode?
How does Samhsa gather data?
Has drug use increased in 2021?
What does SMI stand for in mental health?
What is TEDS in drug treatment?
TEDS provides demographic, clinical, and substance use characteristics of admissions to alcohol or drug treatment in facilities that report to state administrative data systems. The unit of analysis is treatment admissions to state-licensed or certified substance use treatment centers that receive federal public funding.
Is TEDS admission based?
The TEDS system is admission-based; 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.
What is TEDS in drug treatment?
TEDS provides demographic, clinical, and substance use characteristics of admissions to alcohol or drug treatment in facilities that report to state administrative data systems. The unit of analysis is treatment admissions to state-licensed or certified substance use treatment centers that receive federal public funding.
Is TEDS admission based?
The TEDS system is admission-based; 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.
Why is it important to define an episode?
Whether to narrowly or broadly define an episode is important because patients have multiple, co-occurring chronic conditions and are treated in many care settings. Our analyses of the Medicare data flagged three issues that could influence how policymakers choose to define an episode: 1) the number of different settings involved in management of the condition; 2) a single versus multi-condition focus; and 3) the amount of heterogeneity within episodes of the same type.
What is episode based care?
An array of recent health care reform proposals have called for the use of episodes of care as a basis for payment and performance measurement.1,2,3Episode-based approaches are viewed as a means to drive improvements in the quality and efficiency of health care delivery. Under an episode approach, some or all of the services related to the management of a patient’s chronic or acute medical condition would be grouped together. The specific applications of episodes being discussed include profiling providers to provide comparative feedback for quality improvement, public reporting, pay-for-performance, and “bundled” payments for groups of services.
Why are episodes used in pilots?
Most of the episodes currently used are anchored around a hospitalization, for several reasons: inpatient care is acute and easier to identify and demarcate; hospital-based care is expensive ; hospitals have existing relationships with physicians that can be used to improve care episodes, with some specialties working predominantly in the hospital; and many hospital-based services are already bundled into a Medicare prospective payment.
How to understand the sources of variation within episodes?
Understanding the sources of variation within episodes will help to adjust how episodes are defined and applied. The first step in this type of analysis would be to determine the extent of variation in episodes using a particular definition. For example, we found that the CV for selected ETGs ranged from 72 to 269. Subsequent analytic steps could segment that variation into categories, such as patient risk/severity and potentially avoidable care.
What is the second design issue that is relevant to all episode-of-care applications?
The second design issue that is relevant to all episode-of-care applications is how responsibility is attributed to one or more providers for the content and outcomes of an episode. Ideally, the provider(s) who is assigned accountability feels responsible for care delivered within the episode. Achieving a sense of ownership by providers may prove challenging, particularly when care delivered during an episode is dispersed across multiple providers (Exhibit 1), who may be located in different settings.
Why is it important to test the face validity of various approaches to defining an episode with providers?
Testing the face validity of various approaches to defining an episode with providers will serve to highlight potential implementation barriers and can be used to refine definitions. Soliciting physician input during the definitional stage will ensure the clinical integrity of episodes and help mitigate resistance to their use among providers.
Is it optimal to focus on one condition?
Encouraging a single-condition focus through episode-based approaches may not be optimal for patient management, given that many conditions co-occur and their management is interrelated. To illustrate this point, consider patients who had an AMI during an ischemic heart disease episode and had separate episodes for related conditions including hypertension, hyperlipidemia, cerebrovascular disease, and CHF (Exhibit 1). AMI patients with these comorbidities not only had higher total costs, but also higher cost for the ischemic heart disease episode alone, suggesting greater complexity in clinical management.
What is evidence based treatment for FEP?
Training in evidence-based treatment for FEP occurs at two levels: (1) the overall philosophy of team-based care for FEP, and (2) specialized services that support the client’s recovery. Each team member must master the overall theoretical framework of CSC treatment, including the recovery potential for FEP persons, developmental issues specific to adolescents and young adults experiencing a first episode of psychosis, the concepts of shared decision making and person-centered care, and the importance of maintaining an optimistic therapeutic perspective at all times. In addition, CSC staff members must understand common problems that cut across all service categories, such as difficulties in engaging the client and their family members, clients’ vulnerability for developing substance use problems, and heightened risk of suicide during the early years of treatment.
How to transition to less intensive care?
Determining when a client is ready for transition to a less intensive level of care should be a collaborative process involving the client, their relatives and important others, and members of the CSC team. Together, there should be an assessment of the client’s progress in achieving treatment goals in key domains (e.g., school and work functioning, quality of peer and family relationships, relief from symptoms, abstinence from substances, effective management of health issues) and identification of areas that require additional work. An important consideration in planning the transition from CSC is the client’s personal vision of stability, success in community functioning, and personal autonomy. Focusing on these issues enable the CSC team to work effectively with the client to achieve an optimal balance between professionally delivered treatment, therapeutic activities and supports available in the community, and self-directed recovery goals. Transition planning guides and worksheets can be found in the supplemental resource list found in Section 8, CSC Program Development Resources.
How long does CSC treatment last?
CSC treatment programs in the RAISE initiative did not mandate a specific intensity or duration of services, but developed treatment plans based on the individual client’s specific needs, goals, and pace of recovery. CSC programs developed abroad often offer services for no more than 24 months, but evidence suggests that abrupt transfer to usual care after two years compromises the immediate benefits of early intervention (Bertelsen et al., 2008; Gafoor et al., 2010). These data have been cited as evidence that the short-term benefits of early psychosis intervention do not automatically translate into longer term gains (Bosanac et al., 2010), and argue for continuity of care for up to five years after psychosis begins. A recent Canadian study supports the notion of continuity of care, with reported maintenance of early treatment gains at five-year follow-up for clients who transitioned to a lower intensity of specialized intervention after two years (Norman et al., 2011). This step down in care involved ongoing connection with one member of the CSC team (e.g., case manager or psychiatrist) for an additional 1–3 years, with eventual transition to regular services at the mental health center.
What is CSC in psychosis?
In addition to the clinical services noted above, CSC provides six critical functions for young people experiencing a first episode of psychosis: (1) access to clinical providers with specialized training in FEP care; (2) easy entrée to the FEP specialty program through active outreach and engagement; (3) provision of services in home, community, and clinic settings, as needed; (4) acute care during or following a psychiatric crisis; (5) transition to step-down services with the CSC team or discharge to regular care after 2-3 years, depending on the client’s level of symptomatic and functional recovery; and (6) assurance of program quality through continuous monitoring of treatment fidelity.
What is the importance of education in FEP?
Increasing relatives’ under-standing of psychotic symptoms, treatment options, and the likelihood of recovery can lessen family members’ distress and feelings of helplessness.
Why do prescribers maintain close contact with primary care providers?
Prescribers maintain close contact with primary care providers to assure optimal medical treatment for risk factors related to cardiovascular disease and diabetes. Guideline-based use of medication optimizes the speed and extent of recovery, as well as acceptance of pharmacologic interventions.
How many seasons of In Treatment?
Wikipedia list article. In Treatment is an American HBO drama television series developed by Rodrigo Garcia based on the Israeli series BeTipul created by Hagai Levi. The original series spans 106 episodes over three seasons, which were broadcast from 2008 to 2010.
Why does Paul agree to go to therapy again?
Paul agrees to enter therapy again with Gina to deal with his current issues. Gina still believes the answers lie in Paul's relationship with his parents, especially his mother's first attempted suicide on the happy Christmas eve he spent at Tammy Kent’s house. Paul decides to contact Tammy to fill in memory gaps about that event.
What issue did Jake and Amy argue about?
Jake and Amy, a bickering husband and wife, force Paul to advise them the issue they've spent the last three weeks debating: whether or not Amy should have an abortion.
What does Sophie open up to Paul about?
Sophie begins to open up to Paul about the circumstances surrounding the breakup of her parents, and her complex relationship with her coach and his family. Paul becomes concerned about Sophie's mental state as her physical recovery draws near.
What is Walter's emotional attempt to rescue and protect his daughter?
In the midst of a corporate crisis, Walter recounts an emotional attempt to rescue and protect his daughter who is volunteering in Africa, but he can't understand her refusal to accept his help. Paul tries to get Walter to understand that she needs independence from his obsession to be in control. 58. 15.
Who does Laura describe in intimate detail?
To Paul's discomfort, Laura describes in intimate detail her burgeoning relationship with Alex although she is critical of his love-making abilities. Meanwhile, Laura begins to psychoanalyze Paul.
What happened to Amy and Jake in 2008?
February 7, 2008. ( 2008-02-07) Jake and Amy seem to have resolved their differences about her pregnancy, but the session ends abruptly when Amy starts bleeding. While cleaning up, Paul's wife, Kate, forces him to confront the realities of the fractures in their own marriage and reveals that she is having an affair.
