Mental Health Client-Level Data 2018 (MH-CLD-2018)

Parent Series Details:

MH-CLD and the Mental Health Treatment Episode Data Set (MH-TEDS) provide information on mental health diagnoses and the mental health treatment services, outcomes, and demographic and substance use characteristics of individuals in mental health treatment facilities that report to individual state administrative data systems.

The data from MH-CLD and MH-TEDS are for individuals receiving mental health treatment services provided or funded through the state mental health agency (SMHA). SMHAs are the state entities with primary responsibility for reporting the data.

MH-TEDS is focused on treatment events, such as admissions and discharges from service centers. Admission and discharge records can be linked to track treatment episodes and the treatment services received by individuals. Thus, with MH-TEDS, both the individual client and the treatment episode can serve as a unit of analysis. In contrast, with MH-CLD, the client is the sole unit of analysis.

MH-TEDS enhances the ability to report data on people with co-occurring mental health and substance use disorders. MH-TEDS also offers optional data fields for individuals with mental illness that are not captured in MH-CLD, such as referral source, details on criminal justice referral, income sources, and health insurance.

The same set of mental health for National Outcome Measures (NOMs) enumerated under MH-CLD is also supported by MH-TEDS. Thus, while both MH-TEDS and MH-CLD collect similar client-level data, the collection method differs.

Please note, the data do not include all individuals receiving mental health treatment services.


Study Scope

Time period: 
2018
Collection date: 
2018
Geographic coverage : 
United States, excluding Alaska, American Samoa, Federated States of Micronesia, Georgia, Guam, Kansas, Maine, Marshall Islands, New Hampshire, New Jersey, and U.S. Virgin Islands.
Unit of observation: 
Individual
Data types: 
Administrative records data
Universe: 
The universe for this MH-CLD public use file is the data received and processed through July 1, 2019, for the 2018 reporting period.

Study Methodology

Mode of data collection: 
Record abstracts
Sample: 

The general framework for the MH-CLD involves a compilation of the demographic, clinical, and outcome data of individuals served by the state mental health agency (SMHA) within a state-defined 12-month reporting period. States may choose the calendar year or the state fiscal year for their reporting period. Individuals served is defined as all enrolled individuals who received mental health and support services—including screening, assessment, crisis services, and telemedicine—from programs operated or funded by the SMHA during the reporting period. Data in the MH-CLD—whether collected as BCI submitted by SMHAs or derived from MH-TEDS— is supposed to include only clients from providers receiving public funding. However, because each state or jurisdiction decides how to fund their different mental health services providers, there is no independent check on the actual sources of funding. Moreover, the number of clients in the facilities whose treatment is not publicly funded is unknown.