Treatment Episode Data Set Admissions (TEDS-A-2015-2017)

Parent Series Details:

The Treatment Episode Data Set -- Admissions (TEDS-A) is a national data system of annual admissions to substance abuse treatment facilities. State laws require substance abuse treatment programs to report their publically-funded admissions to the state. Some states collect only their publically-funded admissions while other states are able to collect their privately-funded admissions from facilities that receive public funding. States then report these data from their state administrative systems to SAMHSA. The resulting data system is referred to as TEDS-A. Thus, TEDS does not include all admissions to substance abuse treatment. It does, however, include that portion that would constitute the public burden for substance abuse treatment.

TEDS-A contains records on admissions aged 12 or older, and includes information on admission demographics (age, sex, race/ethnicity, employment status, etc.) and substance abuse characteristics (substances used, age at first use, route of use, frequency of use, number of prior admissions, etc.). TEDS-A records represent admissions rather than individuals, as a person may be admitted to treatment more than once.

A sister data system, called the Treatment Episode Data Set -- Discharges (TEDS-D), collects data on discharges from substance abuse treatment facilities.


Study Details:

The Treatment Episode Data Set (TEDS) system serves as a repository of treatment data routinely collected by states for the purposes of monitoring their substance use treatment systems. It is comprised of selected data items from states’ administrative records that are converted to a standardized format which is consistent across all states. These standardized data constitute TEDS.

The TEDS system is comprised of two major components: the admissions data set (TEDS-A) and the discharges data set (TEDS-D). Data for the TEDS-A file were first reported in 1992, while data for the TEDS-D were first reported in 2000.

Since 1992, the Center for Behavioral Health Statistics and Quality, or CBHSQ (known until 2010 as the Office of Applied Studies, or OAS), of the Substance Abuse and Mental Health Services Administration (SAMHSA), U.S. Department of Health and Human Services (DHHS), has funded and been responsible for TEDS. CBHSQ coordinates and manages the collection of TEDS data from U.S. states, territories, and Compact of Free Association (COFA) partners.

CBHSQ also develops descriptive and analytical reports from TEDS to provide national and state-level data on the number and types of clients treated, as well as the characteristics of facilities providing services.

Study Scope

Time period: 
Collection date: 
Geographic coverage : 
United States
Unit of observation: 
Treatment admissions
The universe for this public use file is TEDS admissions in calendar years 2015 through 2017 that were received and processed through November 21, 2018.

The TEDS attempts to include all admissions to providers receiving public funding. Because each state or jurisdiction decides the TEDS eligibility of a provider, there is no independent check on the actual sources of funding. Although SAMHSA requests that states submit data on all admissions to any publicly funded treatment facility, reporting in some state agencies is structured so that only clients treated with public funds are included in the TEDS. The number and characteristics of clients in these facilities whose treatment is not publicly funded is unknown.

Study Methodology

Mode of data collection: 
Record abstracts
Admissions TEDS-A 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. TEDS-A has two parts: a minimum data set and a supplemental data set. The former is collected by all states; the latter is collected by some. The minimum data set consists of 19 items that include: ● demographic information; ● primary, secondary, and tertiary substances used by the subject, and their route of administration, frequency of use, and age at first use; ● source of referral to treatment; ● number of prior treatment episodes; and ● service type, including planned use of medication-assisted (i.e., methadone or buprenorphine) opioid therapy. TEDS-A’s supplemental data set includes 15 psychiatric, social, and economic items. Discharges The second major component of the TEDS system, TEDS-D (consisting of discharge records), includes the same variables as the admissions (TEDS-A) component, with the addition of: ● type of service at discharge; ● length of stay; and ● reason for discharge or discontinuation of service.