Appendix 2: NDATUS Glossary

Specialty Treatment Provider

A specialty treatment provider has:

1. a formal structured arrangement for drug abuse and/or alcoholism treatment or recovery, using drug abuse and/or alcoholism-specified personnel;
2. a designated portion of the facility (or resources) set aside for treatment services; and,
3. an allocated budget for such treatment services.

Active Clients

An active client is an individual who:

1) has been admitted to treatment and for whom a treatment plan has been developed; and,

2) has been seen on a scheduled appointment basis at least once from September 1, 1992 through October 1, 1992, or was an inpatient client on October 1, 1992; and,

3) has not been discharged from treatment as of October 1, 1992.

Institutional Setting (4)

1. Community Mental Health Center (CMHC)-- A facilitity that includes five types of services that are provided in a comprehensive manner to provide a community service: outpatient care, inpatient care, partial hospitalization, emergency care, and consultation and education.

2. Free-standing Outpatient Facility--A service facility that is not physically located in a hospital, correctional facility, or mental health center. These are facilities that one would enter only to receive services for drug abuse or alcoholism. Examples are most storefront clinics.

3.General Hospital (incl. VA Hospital)--Nonspecialized acute-care hospitals where the average length of stay for a patient is less than 30 days. A VA hospital is a hospital that operates under the auspices of the Department of Veterans Affairs.

4. Alcoholism Hospital--An institution that provides (1) 24-hour services for the diagnosis and treatment of alcoholic patients through an organized medical or professional staff and (2) permanent facilities that include inpatient beds and medical and nursing services. Clients residing in this type of hospital setting should be receiving services primarily for alcoholism and/or other drugs of abuse.

5. Mental/Psychiatric Hospital--A medical facility that offers short-term intensive inpatient treatment and prolonged inpatient treatment to persons suffering from a variety of mental or psychiatric disorders, including alcohol- and drug-related disorders. Such facilities can be public or private.

6. Other Specialized Hospital--Hospitals that emphasize the diagnosis and treatment of particular disorders (e.g., psychiatric, children, epilepsy, maternity, orthopedics).

7. Correctional Facility--Adult or juvenile correctional institutions, reentry and diversion facilities, jails, or prisons.

8. Halfway House/Recovery Home--A community-based, peer-group oriented, residential facility that provides food, shelter, and supportive services (including vocational, recreational, social services) in a supportive nondrug-use, nondrinking environment for the ambulatory and mentally competent recovering substance abuser who may be reentering the work force. It also provides or arranges for provision of appropriate treatment services.

9. Free-standing Residential Facility--A live-in setting where nonmedical rehabilitative drug abuse and/or alcoholism services are available to residents in locations such as foster homes, group homes, or boarding houses.

10. Community-based Facility--A non-treatment environment where providers may not hold their sessions in a traditional treatment setting. Examples of community-based facilities are schools, churches, county health departments, emergency shelters, and shopping centers.

Ownership

1. Private For-Profit--Includes ownership by an individual, partnership, or corporation, not by government.

2. Private Nonprofit--Includes church-related, nonprofit corporation, or other nonprofit organization from which no stockholder, manager, or trustee can legally take profit, and which often is wholly or partially exempt from federal and some state and local taxes due to the nature of their socially and legislatively approved activities.

3. State/Local Government--Includes State, county, city, and city/county governments, hospital district, and other substate governments.

4. Federal Government--Includes the U.S. Public Health Service, Armed Forces, Department of Veterans Affairs, Federal Prison system, Indian Health Service, or any other Federal agency.

5. Tribal Government--Includes independent governmental units established by the Indian Reorganization Act of 1934 to provide for the political, legal, economic, and social welfare needs of a recognized tribe.

Types of Treatment

Detoxification (24-Hour Care):

1. Hospital Inpatient--Twenty-four hour/day medical acute care services for detoxification for persons with severe or medical complications associated with withdrawal.

2. Free-standing Residential--Twenty-four hour/day services in a non-hospital setting that provide for safe withdrawal and transition to ongoing treatment.

Rehabilitation/Residential (24-Hour Care):

3. Hospital Inpatient (Not Detox.)--Twenty-four hour/day medical care in a hospital facility in conjunction with treatment services for alcohol and other drug abuse and dependency.

4. Short-Term (30 Days or Less)--Residential non-acute care in a setting with treatment services for alcohol and other drug abuse and dependency.

5. Long-Term (Over 30 Days)--Residential non-acute care in a setting with treatment services for alcohol and other drug abuse and dependency (may include transitional living arrangements such as halfway houses).

Outpatient (Less Than 24-Hour Care):

6. Outpatient--Treatment/recovery/aftercare or rehabilitation services provided where the client does not reside in a treatment facility. The client receives drug abuse or alcoholism treatment services with or without medication, including counseling and supportive services. This also is known as nonresidential services in the alcoholism field.

7. Intensive Outpatient--Services provided to a client that last two or more hours per day for three or more days per week. Daycare is included in this category.

8. Detoxification--Outpatient treatment services rendered in less than 24 hours that provide for safe withdrawal in an outpatient setting (pharmacological or nonpharmacological).

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