/* SHORT TITLE: Codebook for ALCOHOL/DRUG TREATMENT (H8) */
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* W E S T A T C O D E B O O K *
* ----------- --------------- *
* *
* STUDY OF HEALTH CARE COSTS *
* PUBLIC USE - ALCOHOL/DRUG TREATMENT (H8) *
* 30 JUNE 1994 *
********************************************************************************
********************************************************************************
* W E S T A T C O D E B O O K *
* ----------- --------------- *
* *
* STUDY OF HEALTH CARE COSTS *
* PUBLIC USE - ALCOHOL/DRUG TREATMENT (H8) *
* 30 JUNE 1994 *
********************************************************************************
(0)
27 Jun. 1994
Record 01
STUDY OF HEALTH CARE COSTS
PUBLIC USE - ALCOHOL/DRUG TREATMENT (H8)
30 JUNE 1994
Question Column
Name Number(s)
________ _________
PATID 001-009 PATIENT ID
__________
000000001-
999999999 = RANDOMLY ASSIGNED SEQUENTIAL NUMBER
REC 010-011 RECORD NUMBER
_____________
01 = NUMBER
SSUBREC 012-013 SUBRECORD NUMBER
________________
01-99 = SUBRECORD NUMBER
SFORM 014 QUESTIONNAIRE TYPE
__________________
A = TIME 1 ADULT QUESTIONNAIRE
B = TIME 2 ADULT QUESTIONNAIRE
C = TIME 3 ADULT QUESTIONNAIRE
G = TIME 4 ADULT QUESTIONNAIRE
H = TIME 5 ADULT QUESTIONNAIRE
I = TIME 6 ADULT QUESTIONNAIRE
SFPART 015-016 QUESTIONNAIRE QUESTION
______________________
H8 = ALCOHOL/DRUG TREATMENT
PROVID 017-023 PLEASE TELL ME THE NAME, ADDRESS AND TELEPHONE NUMBER OF THE ORGANIZATION THAT PROVIDED
THIS TREATMENT/COUNSELING.
___________________________
+ = INAPPLICABLE, CODED 10, 11, 12, 91, 97, 98 OR 99 IN SREASON1
0000001-
9999996 = RANDOMLY ASSIGNED PROVIDER ID NUMBER
9999997 = REFUSED
9999998 = DK
9999999 = NOT ASCERTAINED
(1)
27 Jun. 1994
Record 01
Question Column
Name Number(s)
________ _________
SRBEGDT (024-029) BEGIN DATE OF TREATMENT
_______________________
SRBEGMO 024-025 BEGIN DATE - MONTH
__________________
+ = INAPPLICABLE, CODED A IN SFORM; OR CODED 97, 98 OR 99 IN SREASON1
01-12 = MONTH
97 = REFUSED
98 = DK
99 = NOT ASCERTAINED
SRBEGDY 026-027 BEGIN DATE - DAY
________________
+ = INAPPLICABLE, CODED A IN SFORM; OR CODED 97, 98 OR 99 IN SREASON1
01-31 = DAY
97 = REFUSED
98 = DK
99 = NOT ASCERTAINED
SRBEGYR 028-029 BEGIN DATE - YEAR
_________________
+ = INAPPLICABLE, CODED A IN SFORM; OR CODED 97, 98 OR 99 IN SREASON1
91-92 = YEAR
97 = REFUSED
98 = DK
99 = NOT ASCERTAINED
SRENDMO 030-031 ALWAYS BLANK
____________
+ = ALWAYS BLANK
SRENDDY 032-033 ALWAYS BLANK
____________
+ = ALWAYS BLANK
SRENDYR 034-035 ALWAYS BLANK
____________
+ = ALWAYS BLANK
(2)
27 Jun. 1994
Record 01
Question Column
Name Number(s)
________ _________
HSPNIT 036-038 ALWAYS BLANK
____________
+ = ALWAYS BLANK
SREASON1 039-040 YOU TOLD ME YOU ARE CURRENTLY RECEIVING TREATMENT OR COUNSELING FOR PROBLEMS RELATED TO
ALCOHOL OR DRUG USE. PLEASE LOOK AT THIS CARD AND TELL ME WHAT KIND OF TREATMENT OR
COUNSELING THAT IS.
____________________
+ = INAPPLICABLE, CODED A IN SFORM
01 = IN - PATIENT TREATMENT
02 = OUTPATIENT TREATMENT
03 = DETOXIFICATION PROGRAM
04 = THERAPEUTIC COMMUNITY (TC)
05 = HALFWAY HOUSE
06 = RESIDENTIAL TREATMENT
07 = METHADONE TREATMENT
08 = EMPLOYEE ASSISTANCE PROGRAM (EAP)
09 = INDIVIDUAL COUNSELOR, PSYCHOLOGIST OR PSYCHIATRIST
10 = ALCOHOLICS ANONYMOUS
11 = NARCOTICS ANONYMOUS
12 = OTHER SELF -HELP GROUP
91 = OTHER SPECIFIED
97 = REFUSED
98 = DK
99 = NOT ASCERTAINED
SREASON2 041-042 ALWAYS BLANK
____________
+ = ALWAYS BLANK
SREASON3 043-044 ALWAYS BLANK
____________
+ = ALWAYS BLANK
SREASON4 045-046 ALWAYS BLANK
____________
+ = ALWAYS BLANK
(3)
27 Jun. 1994
Record 01
Question Column
Name Number(s)
________ _________
CONCD1 047-051 ALWAYS BLANK
____________
+ = ALWAYS BLANK
CONCD2 052-056 ALWAYS BLANK
____________
+ = ALWAYS BLANK
PROCCD1 057-061 ALWAYS BLANK
____________
+ = ALWAYS BLANK
PROCCD2 062-066 ALWAYS BLANK
____________
+ = ALWAYS BLANK
SHH_MED 067 ALWAYS BLANK
____________
+ = ALWAYS BLANK
SHH_PER 068 ALWAYS BLANK
____________
+ = ALWAYS BLANK
SHH_HOUS 069 ALWAYS BLANK
____________
+ = ALWAYS BLANK
SHH_COUN 070 ALWAYS BLANK
____________
+ = ALWAYS BLANK
(4)
27 Jun. 1994
Record 01
Question Column
Name Number(s)
________ _________
SHH_MEAL 071 ALWAYS BLANK
____________
+ = ALWAYS BLANK
SHH_OTH 072 ALWAYS BLANK
____________
+ = ALWAYS BLANK
OSCODE 073-074 ALWAYS BLANK
____________
+ = ALWAYS BLANK
SDRUGCD 075-078 ALWAYS BLANK
____________
+ = ALWAYS BLANK
SRE_EVNT 079-084 HOW MANY DIFFERENT VISITS DID YOU MAKE TO (TREATMENT/COUNSELING) SINCE (REF. DATE)?
_____________________________________________________________________________________
+ = INAPPLICABLE, CODED A IN SFORM; OR CODED 97, 98 OR 99 IN SREASON1
000001-000095 = VISITS
000096 = 96 OR MORE
000097 = REFUSED
000098 = DK
000099 = NOT ASCERTAINED
HRDYWK 085-087 ALWAYS BLANK
____________
+ = ALWAYS BLANK
SRE_DOL 088-093 HOW MUCH DID YOU OR WILL YOU PAY FOR THIS SERVICE?
___________________________________________________
+ = INAPPLICABLE, CODED 10, 11, 12, 97, 98 OR 99 IN SREASON1.
000000 = NOTHING
000001-999996 = AMOUNT
999997 = REFUSED
999998 = DK
999999 = NOT ASCERTAINED
(5)
27 Jun. 1994
Record 01
Question Column
Name Number(s)
________ _________
SRE_UC 094 ALWAYS BLANK
____________
+ = ALWAYS BLANK
SMELSPY 095 DID OR WILL SOMEONE ELSE PAY (AN ADDITIONAL AMOUNT) FOR THIS SERVICE?
______________________________________________________________________
+ = INAPPLICABLE, CODED C, G, H OR I IN SFORM; OR CODED 10, 11, 12, 97, 98 OR
99 IN SREASON1.
1 = YES
* 2 = NO
* 7 = REFUSED
* 8 = DK
* 9 = NOT ASCERTAINED
* SKIP SRE_CAID - SRE_EOS
WHOELSE (096-103) WHO ELSE IS PAYING FOR (THIS/THESE) SERVICES? (CODE ALL THAT APPLY)
CODER: AT LEAST ONE ITEM MUST BE CIRCLED. IF NONE ARE CIRCLED CODE 9 FOR EACH ITEM. IF
ONE IS CIRCLED CODE 1 FOR ALL CIRCLED ITEM(S). CODE 2 FOR ALL UNCIRCLED ITEM(S).
SRE_CAID 096 MEDICAID
________
+ = INAPPLICABLE, CODED C, G, H OR I IN SFORM; OR CODED 2, 7, 8 OR 9 IN
SMELSPY; OR CODED 10, 11, 12, 91, 97, 98 OR 99 IN SREASON1.
1 = CIRCLED
2 = NOT CIRCLED
7 = REFUSED
8 = DK
9 = NOT ASCERTAINED
SRE_PUB 097 OTHER PUBLIC ASSISTANCE
_______________________
+ = INAPPLICABLE, CODED C, G, H OR I IN SFORM; OR CODED 2, 7, 8 OR 9 IN
SMELSPY; OR CODED 10, 11, 12, 91, 97, 98 OR 99 IN SREASON1.
1 = CIRCLED
2 = NOT CIRCLED
7 = REFUSED
8 = DK
9 = NOT ASCERTAINED
(6)
27 Jun. 1994
Record 01
Question Column
Name Number(s)
________ _________
SRE_PRVI 098 PRIVATE INSURANCE
_________________
+ = INAPPLICABLE, CODED C, G, H OR I IN SFORM; OR CODED 2, 7, 8 OR 9 IN
SMELSPY; OR CODED 10, 11, 12, 91, 97, 98 OR 99 IN SREASON1.
1 = CIRCLED
2 = NOT CIRCLED
7 = REFUSED
8 = DK
9 = NOT ASCERTAINED
SRE_CARE 099 MEDICARE
________
+ = INAPPLICABLE, CODED C, G, H OR I IN SFORM; OR CODED 2, 7, 8 OR 9 IN
SMELSPY; OR CODED 10, 11, 12, 91, 97, 98 OR 99 IN SREASON1.
1 = CIRCLED
2 = NOT CIRCLED
7 = REFUSED
8 = DK
9 = NOT ASCERTAINED
SRE_RES 100 ALWAYS BLANK
____________
+ = ALWAYS BLANK
SRE_OTHR 101 OTHER SPECIFIED
_______________
+ = INAPPLICABLE, CODED C, G, H OR I IN SFORM; OR CODED 2, 7, 8 OR 9 IN
SMELSPY; OR CODED 10, 11, 12, 91, 97, 98 OR 99 IN SREASON1.
1 = CIRCLED
* 2 = NOT CIRCLED
* 7 = REFUSED
* 8 = DK
* 9 = NOT ASCERTAINED
* SKIP SRE_EOS
(7)
27 Jun. 1994
Record 01
Question Column
Name Number(s)
________ _________
SRE_EOS 102-103 OTHER SPECIFIED
_______________
+ = INAPPLICABLE, CODED C, G, H OR I IN SFORM; OR CODED 2, 7, 8 OR 9 IN
SMELSPY; OR CODED 2, 7, 8 OR 9 IN SRE_OTHR; OR CODED 10, 11, 12, 91, 97,
98 OR 99 IN SREASON1.
01 = RESEARCH STUDY
03 = FLAT FEE
05 = GAY AIDS TASK FORCE/AIDS NETWORK
14 = FAMILY MEMBER/FRIEND
29 = COMMUNITY HEALTH PROJECT
46 = PROVIDER
47 = PRIVATE CHARITY
50 = DRUG COMPANY
91 = OTHER SPECIFIED
97 = REFUSED
98 = DK
99 = NOT ASCERTAINED
SRE_NOPY 104-105 WHY WAS THERE NO (ADDITIONAL) PAYMENT?
_______________________________________
+ = INAPPLICABLE, CODED C, G, H OR I IN SFORM; OR CODED 1 IN SMELSPY; OR
CODED 10, 11, 12, 91, 97, 98 OR 99 IN SREASON1.
01 = FREE FROM PROVIDER
02 = PAID IN FULL
03 = CAN'T AFFORD TO PAY
05 = RESEARCH STUDY
06 = GOVT AGENCY/GOVT FUNDED: LOCAL, CITY, COUNTY, STATE, FEDERAL
18 = INCLUDED IN OTHER FEE/FLAT FEE
91 = OTHER SPECIFIED
97 = REFUSED
98 = DK
99 = NOT ASCERTAINED
SBPS 106 ALWAYS BLANK
____________
+ = ALWAYS BLANK
SHSTAYFG 107-110 ALWAYS BLANK
____________
+ = ALWAYS BLANK
(8)
27 Jun. 1994
Record 01
Question Column
Name Number(s)
________ _________
ICTMFLG 111-116 ALWAYS BLANK
____________
+ = ALWAYS BLANK
ANOSTYF1 117-120 ALWAYS BLANK
____________
+ = ALWAYS BLANK
ANOSTYF2 121-124 ALWAYS BLANK
____________
+ = ALWAYS BLANK
AGE 125-126 ALWAYS BLANK
____________
+ = ALWAYS BLANK
EMPYD 127 ALWAYS BLANK
____________
+ = ALWAYS BLANK
HRSEPM 128-130 ALWAYS BLANK
____________
+ = ALWAYS BLANK
RELAT 131-132 ALWAYS BLANK
____________
+ = ALWAYS BLANK
INSURFLG 133 ALWAYS BLANK
____________
+ = ALWAYS BLANK
(9)
27 Jun. 1994
Record 01
Question Column
Name Number(s)
________ _________
INDEX OF VARIABLES PAGE 001
Variable Name Column Numbers Record Number Codebook Page No.
------------- -------------- ------------- -----------------
===== A =====
AGE 125-126 Record 01 009
ANOSTYF1 117-120 Record 01 009
ANOSTYF2 121-124 Record 01 009
===== C =====
CONCD1 047-051 Record 01 004
CONCD2 052-056 Record 01 004
===== E =====
EMPYD 127 Record 01 009
===== H =====
HRDYWK 085-087 Record 01 005
HRSEPM 128-130 Record 01 009
HSPNIT 036-038 Record 01 003
===== I =====
ICTMFLG 111-116 Record 01 009
INSURFLG 133 Record 01 009
===== O =====
OSCODE 073-074 Record 01 005
===== P =====
PATID 001-009 Record 01 001
PROCCD1 057-061 Record 01 004
PROCCD2 062-066 Record 01 004
PROVID 017-023 Record 01 001
===== R =====
REC 010-011 Record 01 001
RELAT 131-132 Record 01 009
===== S =====
SBPS 106 Record 01 008
SDRUGCD 075-078 Record 01 005
SFORM 014 Record 01 001
INDEX OF VARIABLES PAGE 002
Variable Name Column Numbers Record Number Codebook Page No.
------------- -------------- ------------- -----------------
===== S =====
SFPART 015-016 Record 01 001
SHH_COUN 070 Record 01 004
SHH_HOUS 069 Record 01 004
SHH_MEAL 071 Record 01 005
SHH_MED 067 Record 01 004
SHH_OTH 072 Record 01 005
SHH_PER 068 Record 01 004
SHSTAYFG 107-110 Record 01 008
SMELSPY 095 Record 01 006
SRBEGDT (024-029) Record 01 002
SRBEGDY 026-027 Record 01 002
SRBEGMO 024-025 Record 01 002
SRBEGYR 028-029 Record 01 002
SRE_CAID 096 Record 01 006
SRE_CARE 099 Record 01 007
SRE_DOL 088-093 Record 01 005
SRE_EOS 102-103 Record 01 008
SRE_EVNT 079-084 Record 01 005
SRE_NOPY 104-105 Record 01 008
SRE_OTHR 101 Record 01 007
SRE_PRVI 098 Record 01 007
SRE_PUB 097 Record 01 006
SRE_RES 100 Record 01 007
SRE_UC 094 Record 01 006
SREASON1 039-040 Record 01 003
SREASON2 041-042 Record 01 003
SREASON3 043-044 Record 01 003
SREASON4 045-046 Record 01 003
SRENDDY 032-033 Record 01 002
SRENDMO 030-031 Record 01 002
SRENDYR 034-035 Record 01 002
SSUBREC 012-013 Record 01 001
===== W =====
WHOELSE (096-103) Record 01 006