The Treatment Score

The treatment score is intended to rate the quality and/or level of treatment within an area. For this project, I've defined some treatment score functions that depend on 4 columns of the TEDS-D dataset.

TEDS-D Dataset

As mentioned earlier, this dataset is released annually. For this project, I am using datasets for the years 2013 through 2017. This is about the same time window as our gun violence dataset, 2013-2018. I wanted to look at the time frame as a whole, so I combined all of the years into one dataset.

The reason I chose this dataset is because it had the most granular information about geographic locations. Each row has a CBSA code that I can use as an area.

"A core-based statistical area (CBSA) is a U.S. geographic area defined by the Office of Management and Budget (OMB) that consists of one or more counties (or equivalents) anchored by an urban center of at least 10,000 people plus adjacent counties that are socioeconomically tied to the urban center by commuting."

DAYWAIT: Days waiting to enter treatment

Indicates the number of days from the first contact or request for service until the client was admitted and the first clinical service was provided.

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LOS: Length of stay

Describes the length of the treatment episode (in days). Length of stay was computed using the date of admission and the date of last contact.

1 to 30: Data values in the 1-30 range represent the actual computed number of days the client spent in treatment.

31: Length of stay is between 31 and 45 days.

32: Length of stay is between 46 and 60 days.

33: Length of stay is between 61 and 90 days.

34: Length of stay is between 91 and 120 days.

35: Length of stay is between 121 and 180 days.

36: Length of stay is between 181 and 365 days.

37: Length of stay is greater than 365 days.

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PSOURCE: Treatment referral source

Describes the person or agency referring the client to the alcohol or drug use treatment program.

Individual (includes self-referral): Includes the client, a family member, friend, or any other individual who would not be included in any of the following categories. Includes self-referral due to pending DWI/DUI.

Alcohol/drug use care provider: Any program, clinic, or other health care provider whose principal objective is treating clients with substance use problems, or a program whose activities are related to alcohol or other drug use prevention, education, or treatment.

Other health care provider: A physician, psychiatrist, or other licensed health care professional; or general hospital, psychiatric hospital, mental health program, or nursing home.

School (educational): A school principal, counselor, or teacher; or a student assistance program (SAP), the school system, or an educational agency.

Employer/EAP: A supervisor or an employee counselor.

Other community referral: Community or religious organization or any federal, state, or local agency that provides aid in the areas of poverty relief, unemployment, shelter, or social welfare. Self-help groups such as Alcoholics Anonymous (AA), Al-Anon, and Narcotics Anonymous (NA) are also included in this category. Defense attorneys are also included in this category.

Court/criminal justice referral/DUI/DWI: Any police official, judge, prosecutor, probation officer, or other person affiliated with a federal, state, or county judicial system. Includes referral by a court for DWI/DUI, clients referred in lieu of or for deferred prosecution, or during pretrial release, or before or after official adjudication.

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REASON: Reason for discharge or discontinuance of treatment

Indicates the outcome of treatment or the reason for transfer or discontinuance of treatment.

Treatment completed: All parts of the treatment plan or program were completed.

Dropped out of treatment (left against professional advice): Client chose not to complete program, with or without specific advice to continue treatment. Includes clients who drop out of treatment for unknown reason and clients who have not received treatment for some time and are discharged for administrative reasons.

Terminated by facility: Treatment terminated by action of facility, generally because of client non-compliance or violation of rules, laws, or procedures (not because client dropped out of treatment, client incarcerated, or other client motivated reason).

Transferred to another substance use treatment program or facility: Client was transferred to another substance use treatment program, provider or facility within an episode of treatment.

Incarcerated: This code is to be used for all clients whose course of treatment is terminated because the client has been incarcerated. Includes jail, prison, and house confinement.

Death

Other: Moved, illness, hospitalization, or other reason somewhat out of client's control.

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