crosswalk management system · hawaii's treatment episode data set version : 1 1 2 a a t a t t...

REPORT CROSSWALK TO STATE

23-DEC-16 02:04Report Date :

Run by :

Report :

CWMS_PROXY

Filename :

Crosswalk Management System

CWMS_PROXY

Crosswalk Report

of 67

Status : FN

Start Date : 01-JUL-91End Date :

Follow-up :

Media ID : Hawaii - CDS

HawaiiSystem

K

1

2

3

System Transaction Type

State Code

Reporting Date

A

C

D

A Add

C Change

D Delete

Add

Change

Delete

System Transaction Type Added to Each Record

State code

Month & Year of Submission Added to Each Record

-

-

-

K = Key Field

Treatment Episode Data SetItem No Item Value State System Data

Substance Abuse and Mental Health Services AdministrationCenter for Behavioral Health Statistics and Quality

Hawaii's Treatment Episode Data SetVersion : 1

A

C

D

.

CWMS_PROXY

Crosswalk Report

of 67

HawaiiMinimum

K

K

K

K

K

K

1

2

3

4

4

5

State Provider Identifer

Client Identifer (Admission)

Co-Dependent/Collateral

Client Transaction Type


Date of Admission

1

2

A

R

T

A

C

T

Yes

No

Initial Admission

Readmission to this program

Transfer from another program

Initial Admission

Change in Status


Yes

No

Admission (SA)

Admission (SA)

Transfer/Change in Service (SA)

Admission (SA)



Program ID at admission

Client ID at admission

Is Client a Co-Dependent/Collateral?



Date of Admission

7

1

29

11

11

12

K = Key Field



1

2

A

A

T

A

T

T

No longer effective as of: 03-31-2010

8 Characters

11 Characters

CWMS_PROXY

Crosswalk Report

of 67

HawaiiMinimum

6

6

Prior Treatment Episodes

Prior Treatment Episodes

0

1

2

3

4

5

7

0-4

0-4

0-4

0-4

0-4

5

7

0 Previous Episodes

1 Previous Episode

2 previous Episodes

3 Previous Episodes

4 Previous Episodes

5 or more Previous Episodes

Unknown

Enter number of treatment episodes





5 or more treatment episodes

Unknown

0 Previous Episodes

1 Previous Episodes

2 Previous Episodes

3 Previous Episodes

4 Previous Episodes

5 Or More Previous Episodes

Unknown

0 Previous Episodes

1 Previous Episodes

2 Previous Episodes

3 Previous Episodes

4 Previous Episodes

5 Or More Previous Episodes

Unknown

Number of Prior Treatment Episodes

Number of Prior Treatment Episodes.

27

26x

K = Key Field



0

1

2

3

4

5

7

0

1

2

3

4

5

7


CWMS_PROXY

Crosswalk Report

of 67

HawaiiMinimum

7 Principal Source of Referral

01

02

03

04

05

06

07

08

09

10

11

12

13

14

15

16

17

18

Individual (self)

Alcohol/Drug Abuse Provider

Other Health Care Provider

School

Employer/EAP

Other Community Referral

Criminal Justice/Federal Court

Criminal Justice-Other Formal Adjudication Process

Criminal Justice-Probation/Parole

Criminal Justice-Other Recognized Legal Entity

Criminal Justice-Diversionary Program/TASC

Criminal Justice-Dept of Public Safety/Prison

Criminal Justice-DUI/DWI

Criminal Justice-Other

Child Welfare Services (CWS)

QUEST

Criminal Justice-Judiciary/Family DrugCourt

Criminal Justice- Judiciary/Adult Probation

Individual (includes self-referral))



School (Educational)

Employer/Employer Assistance ProgramEAP


Court/Criminal Justice/DUI/DWI












Source of Referral16

K = Key Field



01

02

03

04

05

06

07

07

07

07

07

07

07

07

06

03

07

07

CWMS_PROXY

Crosswalk Report

of 67

HawaiiMinimum


19

20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

34

97

Criminal Justice-Judiciary/Other Special Courts

Criminal Justice-Hawaii Paroling Authority

Criminal Justice-Dept of Public Safety/Intake Service Center (ISC)

DOH - Adult Mental Health Division

DOH - Child & Adolescent Mental Health Division

Parent/Family

Criminal Justice-Judiciary/HOPE probations

Peer/friend

Criminal Justice-Judiciary/Juvenile Drug Court

Criminal Justice-Judiciary/Hawaii DrugCourt

Criminal Justice-Judiciary/Veterans Treatment Court

Military-Active

National Guard

DOH/Hawaii State Hospital

Criminal Justice/Attorney

DOH/AMHD/DIVERSION

DOH/AMHD/DIVERSION

Unknown


















Unknown


K = Key Field



07

07

07

03

03

01

07

01

07

07

07

05

05

03

07

03

03

97

CWMS_PROXY

Crosswalk Report

of 67

HawaiiMinimum


01

02

03

04

05

06

07

08

09

10

11

12

13

14

15

16

17

97

Individual (self)



School

Employer/EAP



Criminal Justice-Other Formal Adjudication Process

Criminal Justice-Probation/Parole

Criminal Justice-Other Recognized Legal Entity

Criminal Justice-Diversionary Program/TASC

Criminal Justice-Dept of Public Safety/Prison

Criminal Justice-DUI/DWI

Criminal Justice-Other

Child Protective Service (CPS)

QUEST

Criminal Justice-Judiciary/Family DrugCourt

Unknown




School (Educational)














Unknown


K = Key Field



01

02

03

04

05

06

07

07

07

07

07

07

07

07

06

03

07

97


CWMS_PROXY

Crosswalk Report

of 67

HawaiiMinimum

8

9

9

Date of Birth

Gender

Gender

1

2

7

1

2

7

Male

Female

Unknown

Male

Female

Unknown

Male

Female

Unknown

Male

Female

Unknown

Date of Birth

Sex.

Sex

2

10x

3

K = Key Field



1

2

7

1

2

7


CWMS_PROXY

Crosswalk Report

of 67

HawaiiMinimum

10 Race (Hispanic collected as race to be reported as 97 in Race and 06 in Ethnicit

01

02

03

04

05

20

97

Alaskan Native

American Indian

Asian or Pacific Islander

Black

White

Other

Unknown

Alaska Native (Aleut, Eskimo, Indian)

American Indian/Alaskan Native ( States using Alaskan Native in 01 use for other

Asian or Pacific Islander use only if not collecting codes separately

Black or African American

White

Other Single Race

Unknown

Race4

K = Key Field



01

02

03

04

05

20

97


CWMS_PROXY

Crosswalk Report

of 67

HawaiiMinimum

10 Race (Hispanic collected as race to be reported as 97 in Race and 06 in Ethnicit

01

02

04

05

13

20

23

24

97

Alaskan Native

American Indian

Black

White

Asian

Other

Native Hawaiian

Pacific Islander

Unknown

Alaska Native (Aleut, Eskimo, Indian)

American Indian/Alaskan Native ( States using Alaskan Native in 01 use for other

Black or African American

White

Asian

Other Single Race

Native Hawaiians or Other Pacific Islanders

Native Hawaiians or Other Pacific Islanders

Unknown

Race4

K = Key Field



01

02

04

05

13

20

23

23

97

CWMS_PROXY

Crosswalk Report

of 67

HawaiiMinimum

11 Hispanic or Latino Origin ( Ethnicity)

01

02

03

04

05

06

07

97

98

Hispanic-Puerto Rican

Hispanic-Mexican

Hispanic-Cuban

Other Specific Hispanic

Not Hispanic

Hispanic-specific origin not specified

Spanish/Hispanic/Latino

Unknown

Not collected

Puerto Rican

Mexican

Cuban


Not of Hispanic or Latino Origin

Hispanic or Latino - Specific Origin not Specified


Unknown

Not Collected

Ethnicity5

K = Key Field



01

02

03

04

05

06

04

97

98

CWMS_PROXY

Crosswalk Report

of 67

HawaiiMinimum

11 Hispanic or Latino Origin ( Ethnicity)

01

02

03

04

05

06

07

08

09

10

11

12

13

14

15

16

17

18


Hispanic-Mexican

Hispanic-Cuban


Caucasian

Portuguese

Black/African American

American Indian

Aleutian/Eskimo

Japanese

Okinawan

Chinese

Korean

Vietnamese

Cambodian

Fillipino

Samoan

Hawaiian

Puerto Rican

Mexican

Cuban
















Ethnicity5

K = Key Field



01

02

03

04

05

05

05

05

05

05

05

05

05

05

05

05

05

05

CWMS_PROXY

Crosswalk Report

of 67

HawaiiMinimum

11

12

Hispanic or Latino Origin ( Ethnicity)

Education

19

20

21

22

23

24

97

00-11

00-11

12

13-16

17-25

97

Mixed-Part Hawaiian

Mixed-Not Hawaiian

Other

Other Asian

Micronesian

Other Pacific Islander

Unknown

Enter School Grade Completed

Enter School Grade Completed

High School Graduate/GED

College (16 = Batchelor's Degree)

Post Graduate

Unknown







Unknown

Years of School(Highest Grade) ( General Equivalency Degree, use 12)

Less Than One Grade Completed




Unknown

Ethnicity

Highest Educational Level Completed

5

18

K = Key Field



05

05

05

05

05

05

97

01-25

00

01-25

01-25

01-25

97

No longer effective as of:


03-31-2010

12-31-2014

CWMS_PROXY

Crosswalk Report

of 67

HawaiiMinimum

12 Education

00

01

02

03

04

05

06

07

08

09

10

11

12

13

14

15

16

17

Less than one school grade or no schooling

Grade 1

Grade 2

Grade 3

Grade 4

Grade 5

Grade 6

Grade 7

Grade 8

Grade 9

Grade 10

Grade 11

High School Graduate / GED

1st Year of College/University (Freshman)

2nd Year of College/University (Sophomore) or Associate Degree

3rd Year of College/University (Junior)

4th Year of College (Senior) or Bachelor's Degree

Some Post-Graduate Study - Degree not completed

Less Than One Grade Completed

Grade 1

Grade 2

Grade 3

Grade 4

Grade 5

Grade 6

Grade 7

Grade 8

Grade 9

Grade 10

Grade 11

12th Grade or GED

1st year of College/Iniversity (Freshman)

2nd year of College/Iniversity (Sophomore)

3rd year of College/Iniversity (Junior)

4th year of College/Iniversity (Senior) or Bachelor's Degree)

Some Post-Graduate Study - Degree not completed

Highest Educational Level Completed18

K = Key Field



00

01

02

03

04

05

06

07

08

09

10

11

12

13

14

15

16

17

CWMS_PROXY

Crosswalk Report

of 67

HawaiiMinimum

12 Education

18

19

20

21

22

23

24

25

70

71

72

73

74

97

Master's Degree completed

Post Graduate 3 Year







Graduate or professional school- Master's,Doctoral,Med/Law School

Vocational School (incl business, technical, secretarial, trade)

Nursery school, pre-school, Headstart

Kindergarten

Self-contained special education class

Unknown

Master's Degree Completed

Post Graduate Study

Post Graduate Study

Post Graduate Study

Post Graduate Study

Post Graduate Study

Post Graduate Study

Post Graduate Study

Graduate or Professional school - medical, law - includes Master's and Doctorate

Vocational school - business, technical,secretarial, trade or correspondence

Nursery school, Preschool, Headstart

Kindergarten

Self-contained special education class

Unknown

Highest Educational Level Completed18

K = Key Field



18

19-25

19-25

19-25

19-25

19-25

19-25

19-25

70

71

72

73

74

97

CWMS_PROXY

Crosswalk Report

of 67

HawaiiMinimum

13 Employment Status

01

02

03

04

05

06

07

08

09

97

Fulltime, 35 hours/week or more

Part-time, less than 35 hours

Unemployed/looking for work in past 30 days/layoff

Not in Labor force-homemaker

Not in Labor force-student

Not in Labor force-retired

Not in Labor force-disabled

Not in Labor force-inmate of institution

Not in Labor force-other

Unknown

Full Time - works 35 or more hours a week- includes military

Part Time - works less tahn 35 hours per week

Unemployed - looking for work in past 30 days or on layoff from job

Not in Labor Force - not looking for work in past 30 days - stdent, retired etc.






Unknown

Employment Status19

K = Key Field



01

02

03

04

04

04

04

04

04

97

CWMS_PROXY

Crosswalk Report

of 67

HawaiiMinimum

14 Substance Problem Codes ( Primary-14A,Secondary-14B, Tertiart-14C)

01

02

04

05

06

07

08

10

11

12

13

14

15

16

17

18

19

None

Alcohol

Marijuana/Hashish/THC

Heroin

Non-Prescription Methadone

Other Opiates/Synthetics

PCP

Methaphetamine

Other Amphetamines

Other Stimulants

Benzodiazepines

Other Tranquilizers

Barbiuates

Other Sedatives/Hyponotics

Inhalants

Over-the-counter

Crack

None

Alcohol

Marijuana, Hashish ( includesTHC and other Cannabis Sativa preperations)

Heroin


Other Opiates and Synthetics

PCP

Methamphetamine

Other Amphetamines

Other Stimulants

Benzodiazepines

Other Non-Benzodiazapine Tranquilizers

Barbiturates

Other Non-Barbituate Sedatives or Hypnotics

Inhalants

Over-the-Counter

Cocaine, Crack

Substance Abuse Problem33x

K = Key Field



01

02

04

05

06

07

08

10

11

12

13

14

15

16

17

18

03

CWMS_PROXY

Crosswalk Report

of 67

HawaiiMinimum


20

21

22

96

97

Other Cocaine

LSD

Hallucingens

Other

Unknown

Cocaine, Crack

Hallucinogens

Hallucinogens

Other

Unknown

Substance Abuse Problem33x

K = Key Field



03

09

09

20

97


CWMS_PROXY

Crosswalk Report

of 67

HawaiiMinimum


01

02

03

04

05

06

07

08

09

10

11

12

13

14

15

16

17

None

Alcohol

Cocaine/crack


Heroin



PCP

Other hallucinogens

Methamphetamine

Other Amphetamines

Other Stimulants

Benzodiazepine

Other non-Benzodiazephine Tranquilizers

Barbiturates

Other non-barbiturate Sedatives or Hypnotics

Inhalants

None

Alcohol

Cocaine, Crack

Marijuana, Hashish ( includesTHC and other Cannabis Sativa preperations)

Heroin



PCP

Hallucinogens

Methamphetamine

Other Amphetamines

Other Stimulants

Benzodiazepines

Other Non-Benzodiazapine Tranquilizers

Barbiturates

Other Non-Barbituate Sedatives or Hypnotics

Inhalants

Substance Used39

K = Key Field



01

02

03

04

05

06

07

08

09

10

11

12

13

14

15

16

17

CWMS_PROXY

Crosswalk Report

of 67

HawaiiMinimum

14

15

Substance Problem Codes ( Primary-14A,Secondary-14B, Tertiart-14C)

Usual Route of Administration ( Primary-15A, Secondary-15B, Tertiar-15C)

18

20

97

01

02

03

04

05

20

96

97

Over-the-Counter

Other

Unknown

Oral

Smoking

Inhalation

Intravenous

Intramuscular

Other

Not Applicable

Unknown

Over-the-Counter

Other

Unknown

Oral

Smoking

Inhalation

Injection (IV or intramuscular, intradermal or subcutaneous)

Injection (IV or intramuscular, intradermal or subcutaneous)

Other

Not Applicable

Unknown

Substance Used

Route of Administration

39

41

K = Key Field



18

20

97

01

02

03

04

04

20

96

97

CWMS_PROXY

Crosswalk Report

of 67

HawaiiMinimum

16

17

Frequency of Use ( Primary-16A, Secondary-16B, Tertiary-16C)

Age of First Use (Primary-17A, Secondary-17B, Tertiary-17C)

01

02

03

04

05

96

97

00

01-95

96

97

None in the Past 30 Days

1-3 Times in the Past 30 Days

1-2 Times in the Past Week


Daily

Not Applicable

Unknown

Newborn with Substance Dependency Problem

Enter age at first use

Not Applicable

Unknown

No use in the past month

1-3 times in past month

1-2 times per week

3-6 times per week

Daily

Not Applicable

Unknown

Newborn with a substance dependecy problem

Age at First Use, in years

Not Applicable

Unknown

Frequency Of Use

Age at First Use

40

42

K = Key Field



01

02

03

04

05

96

97

00

01-95

96

97

CWMS_PROXY

Crosswalk Report

of 67

HawaiiMinimum

K 18 Type of Services

02

04

05

06

07

08

Detoxification: Free-standing

Residential Treatment - Short-Term, 30 days or less

Residential Treatment - Long-Term, more than 30 days

Intensive Outpatient

Outpatient Treatment

Detoxification

Detoxification Free-standing Residential ( Detox, 24 hour Service)

Rehabilitation/Residential - Short-term, ( 30 days or fewer)

Rehabiliation/Residential - Long-term, ( more than 30 days)

Ambulatory - Intensive Outpatient

Ambulatory - Non-Intensive Outpatient

Ambulatory Detoxification

Modality Type10

K = Key Field



02

04

05

06

07

08


CWMS_PROXY

Crosswalk Report

of 67

HawaiiMinimum

K 18 Type of Services

10

11

12

13

14

15

16

17

18

20

21

22

30

40

50

51

60

61

Residential Treatment - Short-Term

Residential Treatment - Long-Term

Therapeutic Living - Short-Term

Therapeutic Living - Long-Term

Day Treatment - Short-Term

Day Treatment - Long-Term

Intensive Outpatient Treatment

Outpatient

Homeless Outpatient

methadone Maintenance - Outpatient

Methadone Maintenance - Detoxification

Methadone maintenance - Intensive putpatient

Residential Social Detoxification

Interim Services

Residential PPW Treatment - Short-Term

Residential PPW Treatment - Long-Term

Day PPW Chils Treatment - Short-Term

Day PPW Chils Treatment - Long-Term













Detoxification Free-standing Residential ( Detox, 24 hour Service)






Modality Type10

K = Key Field



04

05

04

05

06

06

06

07

07

07

08

06

02

07

04

05

06

06

CWMS_PROXY

Crosswalk Report

of 67

HawaiiMinimum

K 18

19

Type of Services

Medication-Assisted Opioid Therapy

70

71

1

2

7

Therapeutic living PPWC - Short term

Therapeutic living PPWC - Long term

Yes

No

Unknown



Yes

No

Unknown

Modality Type

Use of Methadone as Part of Treatment

10

32

K = Key Field



04

05

1

2

7

CWMS_PROXY

Crosswalk Report

of 67

HawaiiSupplementalK = Key Field



CWMS_PROXY

Crosswalk Report

of 67

HawaiiSupplemental

1 Detail Drug Code, Primary

0201

0301

0302

0401

0501

0601

0701

0702

0703

0704

0705

0706

0707

0708

0709

0710

0801

0901

Alcohol

Crack

Other Cocaine

Marijuana/Hashish

Heroin


Codeine

Propoxyphene (Darvon)

Oxycodone (Oxycontin)

Meperidine (Demerol)

Hydromorphone (Dilaudid)

Other Opiates or Synthetics

Pentazocine (Talwin)

Hydrocodone (Vicodin)

Tramadol (Ultram)

Buprenorphine (Subutex, Suboxone)

PCP or PCP Combination

LSD

Alcohol

Crack

Other Cocaine

Marijuana/Hashish,THC and any other cannabis sativa preparation

Heroine

Non - Prescription Methadone

Codeine

D-Propoxyphene

Oxycodone (Oxycotin)

Meperidine (Demerol)

Hydromorphone (Dilaudid)

Other Opiates or Synthetics

Pentazocine (Talwin)

Hydrocodone (Vicodin)

Tramadol (Ultram)

Buprenorphine (Subutex,Suboxone)

PCP or PCP Combinations

LSD

Detailed Drug Code44

K = Key Field



0201

0301

0302

0401

0501

0601

0701

0702

0703

0704

0705

0706

0707

0708

0709

0710

0801

0901

CWMS_PROXY

Crosswalk Report

of 67

HawaiiSupplemental


0902

1001

1101

1103

1109

1201

1202

1301

1302

1303

1304

1305

1306

1307

1308

1309

1310

1401

1403

Other Hallucinogens

Methamphetamine/Speed

Amphetamine

MDMA, Ecstasy

Bath Salts, phenmetrazine, & other amines and related drugs

Other Stimulants

Methylphenidate (Ritalin)

Alprazolam (Xanax)

Chlordiazepoxide (Librium)

Clorazepate (Tranxene)

Diazepam (Valium)

Flurazepam (Dalmane)

Lorazepam (Ativan)

Triazolam (Halcion)

Other Benzodiazepine

Flunitrazepam (Rohypnol)

Clonazepam (Klonopin, Rivotril)

Meprobamate (Miltown)

Other Tranquilizer

DMT, mescaline, peyote,STD and Other Hallucinogens

Methamphetamine/Speed

Amphetamine

Methyleneioxymethampetamine (MDMA, Ecstacy

Other Amphetamines

Other Stimulants

Methylphenidate - (Ritalin)

Alprazolam (Xanax)

Chlordiazepoxide (Librium)

Clorazepate (Tranzene)

Diazepam (Valium)

Flurazepam (Dalmane)

Lorazepam (Ativan)

Triazolam (Halcion)

Halazepam,oxazepam(Serax),Prazepam,Temazepam(Restoril) and other

Flutirazepram (Rohypnol)

Clonazepam - (Klonopin, Rivotril)

Meprobamate (Miltown)

Other non-benzodiazepineTranquilizer


K = Key Field



0902

1001

1101

1103

1109

1201

1202

1301

1302

1303

1304

1305

1306

1307

1308

1309

1310

1401

1403

CWMS_PROXY

Crosswalk Report

of 67

HawaiiSupplemental


1501

1502

1503

1509

1601

1602

1603

1604

1605

1701

1702

1703

1704

1705

1801

1809

2001

2002

2003

Phenobarbital

Secobarbital/Amobarbital (Tuinal)

Secobarbital (Seconal)

Other Barbiturate Sedatives

Ethchlorvynol (Placidyl)

Glutethimide (Doriden)

Methaqualone

Other Non-Barbiturate Sedatives

Other Sedatives

Aersols

Nitrites

Other Inhalants

Solvents

Anesthetics

Diphenhydramine

Other Over-the-Counter

Diphenylhydantoin/Phenytoin (Dilantin)

Other Drugs

GHB/GBL

Phenobarbital

Secobarbital/Amobarbital (Tuinal)

Secobarbital (Seconal)

Other Barbiturate Sedatives

Ethclorvynol (Placidyl)

Glutethimide (Doriden)

Methaqualone



Aerosols

Nitrites

Gasoline,glue, and other inapproriately inhaled products

Solvents (paint thinners and other solvents)

Anesthetics (Choloform,ether, nitrous oxzide and other anesthetics)

Diphenhydramine

Other Over-The-Counter

Dephenylhydantoin/Phenytoin (Dilantin)

Synthetic Cannabinoid (Spice), Carisoprodol (Soma) and other drugs

GHB/GBL - ( gamma-hyroxybutyrate, gamma-butyrolactone)


K = Key Field



1501

1502

1503

1509

1601

1602

1603

1604

1604

1701

1702

1703

1704

1705

1801

1809

2001

2002

2003

CWMS_PROXY

Crosswalk Report

of 67

HawaiiSupplemental

1

1

4

4

Detail Drug Code, Primary

Detail Drug Code, Primary

Diagnostic Code (DSM or ICD) field should be coded 999.98 - field 19 replaces i

Diagnostic Code (DSM or ICD) field should be coded 999.98 - field 19 replaces i

2004

9996

9997

9998

9998

999.97

xxx.xx

Ketamine (Special K)

Not applicable

Unknown

Not collected

Not collected

Unknown

DSM

Ketamine - ( Special K)

Not Applicable

Unknown

Not Collected

Not Collected

Unknown

DSM/ICD codes

Detailed Drug Code

Detailed drug code

DSM diagnosis

DSM Diagnosis

44

43x

37x

38

K = Key Field



2004

9996

9997

9998

999.98

999.97

XXX.XX



12-31-2005

12-31-2005

CWMS_PROXY

Crosswalk Report

of 67

HawaiiSupplemental

5

6

7

Psychiatric Problem in Addition to Alcohol or Drug Problem

Pregnant at Admission

Veteran Status

1

2

7

1

2

6

7

1

2

7

Yes

No

Unknown

Yes

No

Not Applicable (automatically set if sex is Male)

Unknown

Yes

No

Unknown

Yes

No

Unknown

Yes - female client was pregnant at admission

No - female client was not pregnant at admission

Not Applicable - use this code for male clients or children in prepuberty age

Unknown

Yes

No

Unknown

Psych Problem plus Alcohol or Drug

Pregnant at Time of Admission

Veteran Status

30

31

6

K = Key Field



1

2

7

1

2

6

7

1

2

7

CWMS_PROXY

Crosswalk Report

of 67

HawaiiSupplemental

8 Living Arrangements

01

02

03

04

05

06

07

97

Homeless-Alone

Homeless - W/Partner

Dependent Living

Independent Living

Incarcerated

Furlough

Homeless - W / Parent(s)

Unknown

Homeless - clients with no fixed address; includes homeless shelter


Dependent Living - clients living in a supervised setting

Independent Living - clients living alone or with others but no supervision




Unknown

Living Arrangements.21

K = Key Field



01

01

02

03

02

02

01

97


CWMS_PROXY

Crosswalk Report

of 67

HawaiiSupplemental

8 Living Arrangements

01

02

031

032

033

034

041

042

043

044

05

06

07

97

Homeless-Alone


Dependent Living - Foster Home

Dependent Living - Group Home

Dependent Living - Youth Challenge

Dependent Living - Other

Independent Living - Permanent Housing

Independent Living - Transitional Housing

Independent Living - Temporary Housing

Independent Living - Other

Incarcerated

Furlough


Unknown














Unknown

Living Arrangements.21

K = Key Field



01

01

02

02

02

02

03

03

03

03

02

02

01

97

CWMS_PROXY

Crosswalk Report

of 67

HawaiiSupplemental

9 Source of Income/Support

01

02

03

04

20

21

97

Wages/Salary

Public Assistance

Retirement/Pension

Disability

Other

None

Unknown

Wages/Salary

Public Assistance

Retirement/Pension

Disability

Other

None

Unknown

Primary Source of Income or Support24

K = Key Field



01

02

03

04

20

21

97

CWMS_PROXY

Crosswalk Report

of 67

HawaiiSupplemental

10 Health Insurance

01

02

03

04

06

08

09

20

21

97

Private Insurance

Blue Cross/Blue Shield(HMSA) - other than Quest

Medicare

Medicaid

Health Maintenance Organization

Quest

Quest - Net

Other

None

Unknown

Private Insurance (other than BCBS or HMO)

Blue Cross/Blue Shield

Medicare

Medicaid

Health Maintenance Organization (HMO)

Medicaid

Medicaid

Other (e.g. TriCare)

None

Unknown

Health Insurance18x

K = Key Field



01

02

03

04

06

04

04

20

21

97


CWMS_PROXY

Crosswalk Report

of 67

HawaiiSupplemental

10 Health Insurance

01

02

03

04

06

08

09

20

21

97

Private Insurance


Medicare

Medicaid (NON-QUEST)


QUEST

QUEST-Net


None

Unknown

Private Insurance (other than BCBS or HMO)


Medicare

Medicaid


Medicaid

Medicaid


None

Unknown

Health Insurance.22

K = Key Field



01

02

03

04

06

04

04

20

21

97

CWMS_PROXY

Crosswalk Report

of 67

HawaiiSupplemental

11 Expected/Actual Primary Source of Payment

01

02

03

04

06

07

08

10

11

12

14

15

16

17

18

20

21

22

Self-Pay


Medicare


Worker's Compensation

Other Health Insurance Companies

No Charge ( Free, Charity, special research, teaching)

Department of Health - ADAD Funding

Other Department of Health Funding

Other State or Federal Givernment Funding

QUEST

QUEST-Net

Family Drug Court

Judiciary-Adult Client Services

Judiciary-Juvenile Client Services

Other

Department of Public Safety-Corrections

Hawaii Paroling Authority (HPA)

Self-Pay


Medicare

Medicaid



No Charge ( Free, Charity, Special Research or Teaching)

Other Government Payments



Medicaid

Medicaid




Other



Expected Primary Source of Payment.23

K = Key Field



01

02

03

04

06

07

08

05

05

05

04

04

05

05

05

09

05

05

CWMS_PROXY

Crosswalk Report

of 67

HawaiiSupplemental


23

31

32

40

41

42

43

50

97

Department of Public Safety-Intake Srvices Center (ISC)

Department of Human Services-Office of Youth Services (OYS)

Department of Human Services-Child Welfare Services (CWS)

City & County of Honolulu

County of Hawaii

County of Kauai

County of Maui

SAMHSA

Unknown









Unknown


K = Key Field



05

05

05

05

05

05

05

05

97

CWMS_PROXY

Crosswalk Report

of 67

HawaiiSupplemental


01

02

03

04

06

07

08

10

11

12

14

15

20

Self-Pay

Blue Cross/Blue Shield (HMSA) - OTHER THAN QUEST

Medicare




No Charge ( Free, Charity, special research, teaching)

Department of Health - ADAD Funding

Other Department of Health Funding

Other State or Federal Givernment Funding

QUEST

QUEST-Net

Other

Self-Pay


Medicare

Medicaid



No Charge ( Free, Charity, Special Research or Teaching)




Medicaid

Medicaid

Other


K = Key Field



01

02

03

04

06

07

08

05

05

05

04

04

09


CWMS_PROXY

Crosswalk Report

of 67

HawaiiSupplemental

12 Detailed Not in Labor Force

01

02

03

04

05

06

07

08

09

97

Full Time, 35 hours/week or more

Part Time, less than 35 hours/week

Unemployed/Looking For Work in past 30 days/layoff

Not in Labor Force-Homemaker

Not in Labor Force-Student

Not in Labor Force-Retired

Not in Labor Force-Disabled

Not in Labor Force-Inmate of Institution

Not in Labor Force-Other

Unknown

Not Applicable

Not Applicable

Not Applicable

Homemaker

Student

Retired

Disabled

Inmate of Institution ( Prison or Institution - keeps people out of work force)

Other

Unknown

Employment Status/Not in labor force19

K = Key Field



96

96

96

01

02

03

04

05

06

97

CWMS_PROXY

Crosswalk Report

of 67

HawaiiSupplemental

12 Detailed Not in Labor Force

01

02

03

04

05

06

07

08

09

97

Full time

Part time

Unemployed/Looking for work

Homemaker

Student

Retired

Disabled

Inmate of institution

Other

Unknown

Not Collected

Not Collected

Not Collected

Homemaker

Student

Retired

Disabled


Other

Unknown

Employment/Detailed not in labor force14x

K = Key Field



98

98

98

01

02

03

04

05

06

97


CWMS_PROXY

Crosswalk Report

of 67

HawaiiSupplemental

13 Detailed Criminal Justice Referral Categories

01-06

07

08

09

10

11

12

13

14

15-16

17

18

19

20

21

22-24,26

25

27

Not applicable


Criminal Justice - other formal Adjudication Process

Criminal justice - Probation or Parole

Criminal justice - Other recognized legal entity

Criminal justice - Diversionary program/TASC

Criminal Justice - Dept of Public Safety/Prison

Criminal justice - DUI/DWI

Criminal justice - Other

Not applicable

Criminal Justice-Judiciary/Family drug court

Criminal justice - Judiciary/Adult Probation

Criminal justice - Judiciary/Other special courts

Criminal Justice - Hawaii Paroling Authority

Criminal Justice-Dept of Public Safety/Intake Service Center (ISC)

Not applicable

Criminal Justice-Judiciary/HOPE Probations

Criminal Justice-Judiciary/Juvenile Drug Court

Not Applicable

State/Federal Court

Other Court ( Not State or Federal)

Probation/Parole

Other Recognized Legal Entity ( Local Law, Corr. Agncy, Youth Ser., Review Board

Diversionary Program (E.G. TASC)

Prison

DUI/DWI

Other

Not Applicable

State/Federal Court

Probation/Parole

State/Federal Court

Probation/Parole


Not Applicable

State/Federal Court

State/Federal Court

Source referral/Detailed criminal just16

K = Key Field



96

01

02

03

04

05

06

07

08

96

01

03

01

03

04

96

01

01

CWMS_PROXY

Crosswalk Report

of 67

HawaiiSupplemental

13

13

Detailed Criminal Justice Referral Categories

Detailed Criminal Justice Referral Categories

28

29

33

97

07

08

09

10

11

12

13

14

17

97

Criminal Justice-Judiciary/Hawaii DrugCourt

Criminal Justice-Judiciary/Veterans Treatment Court

Criminal Justice/Attorney

Unknown


Criminal Justice - other formal Adjudication Process

Criminal justice - Probation/parole (inactive 04-01-2006)

Criminal justice - Other recognized legal entity

Criminal justice - Diversionary program/TASC

Criminal Justice - Dept of Public Safety/Prison

Criminal justice - DUI/DWI

Criminal justice - Other

Criminal Justice-Judiciary/Family drug court

Unknown

State/Federal Court

State/Federal Court


Unknown

State/Federal Court

Other Court ( Not State or Federal)

Probation/Parole


Diversionary Program (E.G. TASC)

Prison

DUI/DWI

Other

State/Federal Court

Unknown

Source referral/Detailed criminal just

Source referral/Detailed criminal just

16

16

K = Key Field



01

01

04

97

01

02

03

04

05

06

07

08

01

97


CWMS_PROXY

Crosswalk Report

of 67

HawaiiSupplemental

14

14

Marital Status

Marital Status

01

02

03

04

05

06

97

01

02

03

04

05

06

97

Never Married

Now Married

Separated

Divorced

Widowed

Living Together

Unknown

Never Married

Now Married

Separated

Divorced

Widowed

Living Together

Unknown

Never Married - includes clients who are single or whose

Now Married ( includes those living together as married)

Separated (legally seperated or otherwise absentbecasue of marital discord))

Divorced

Widowed


Unknown

Never Married - includes clients who are single or whose


Separated (legally seperated or otherwise absentbecasue of marital discord))

Divorced

Widowed


Unknown

Marital Status

Marital Status.

15x

20

K = Key Field



01

02

03

04

05

02

97

01

02

03

04

05

02

97


CWMS_PROXY

Crosswalk Report

of 67

HawaiiSupplemental

15

16

17

Days Waiting to Enter Treatment

Number of Arrests in the 30 Days Prior to Admission

Frequency of Attendance at Self-Help Programs in 30 days prior to Admission

000-996

997

00

01-96

97

01

02

03

04

05

06

97

98

Enter # days

Unknown

None

Enter Number of Arrests

Unknown

No attendance in past month

1-3 times in past month (less than 1 per week)

4-7 times in past month (about 1 per week)

8-15 times in past month (2-3 times perweek)

16-30 times in past month (4+ times perweek)

Some attendance but frequency unknown

Unknown

Not collected

Number of Days waiting

Unknown

Number of Arrests

Number of Arrests

Unknown

No Attendance in past month

less than once a week -1 to 3 times in past 30 days

About once a week - 4 to 7 times in past 30 days

2 to 3 times a week - 8 to 15 times in past 30 days

4 or more times a week - 16 to 30 times in past 30 days

Some Attendance in past month, but number of times and frequency is unknown

Unknown

Not Collected

# Days Waiting to Enter Treatment

Number of Arrests in the Last 30 Days

Number in self-help group last 30 days

17

28

36

K = Key Field



000-996

997

00-96

00-96

97

01

02

03

04

05

06

97

98

CWMS_PROXY

Crosswalk Report

of 67

HawaiiSupplemental

18

19

Diagnostic Code Set

Diagnostic Code (ICD-10 Form)

8

999.9998

Not Collected

Not Collected

Not Collected

Not Collected

Diagnostic code set Identifier

Substance abuse diagnosis (ICD format)

~

~

K = Key Field



8

999.9998

CWMS_PROXY

Crosswalk Report

of 67

HawaiiDischarge/NOMS

1

2

3

4

5

6

System Transaction at Discharge

State Code at Discharge

Reporting Date at Discharge

State Provider Identifer at Discharge

Client Identifier at Discharge

Co-Dependent/Collateral at Discharge

A

C

D

1

2

A Add

C Change

D Delete

Yes

No

Add

Change

Delete

MMYYYY

Yes

No

System Transaction Type Added to Each Record

FIPS Code Added to Each Record

Month & Year of Submission Added to Each Record

Provider/Program ID at Discharge


Is Client a Co-Dependent/Collateral? .

-

~~

-

4

1

~~

K = Key Field



A

C

D

-

1

2

MMYYYY

8 Characters

11 Characters

CWMS_PROXY

Crosswalk Report

of 67


7 Type of Treatment Service/Treatment Setting at Discharge

-

02

04

05

06

07

08

no state category


Residential Treatment - Short Term, 30 days or less

Residential Treatment - LongTerm, more than 30 days


Outpatient

Detoxification

Detoxification, 24-Hour Service, Hospital Inpatient

Detoxification, 24-Hour Service, Free Standing Residential

Rehabilation/Residential - Short Term (30 Daysor Fewer)

Rehabilation/Residential - Long Term (More than 30 Days)

Ambulatory - Intensive -Outpatient

Ambulatory -Non Intensive -Outpatient


Service Code7x

K = Key Field



01

02

04

05

06

07

08


CWMS_PROXY

Crosswalk Report

of 67


7 Type of Treatment Service/Treatment Setting at Discharge

10

11

12

13

14

15

16

17

18

20

21

22

30

40

50

51

60

Residential treatment - short term

Residential treatment - long term

Therapeutic living - short term

Therapeutic living - long term

Day treatment - short term

Day treatment - long term

Intensive outpatient treatment

Outpatient

Homeless Outpatient

Methadone maintenance - outpatient

Methadone maintenance - detoxification

Methadone maintenance - intensive outpatient

Residential social detoxification

Interim services

Residential PPWC treatment - short term

Residential PPWC treatment - long term

Day PPW Chils treatment - short term













Detoxification, 24-Hour Service, Free Standing Residential





Environment / Service at discharge7

K = Key Field



04

05

04

05

06

06

06

07

07

07

08

06

02

07

04

05

06

CWMS_PROXY

Crosswalk Report

of 67


7

8

9

Type of Treatment Service/Treatment Setting at Discharge

Date of Last Contact or Data Update

Date of Discharge

61

70

71

-

-

Day PPW Chils treatment - long term

Therapeutic living PPWC - short term

Therapeutic living PPWC - long term

MMDDYYYY

MMDDYYYY




MMDDYYYY

MMDDYYYY

Environment / Service at discharge

Date of Last Contact

Date of Discharge

7

11

10

K = Key Field



06

04

05

-

-

MMDDYYYY

MMDDYYYY

CWMS_PROXY

Crosswalk Report

of 67


10 Reason for Discharge, Transfer, or Discontinuance of Treatment

1

10

11

12

2

3

4

5

6

7

8

9

Completed Treatment, No Substance Use

Transfer to another Program within Agency for continued services

Client Discharged for Medical Reasons

Other - Mother/Father Discharged from Program

Completed Treatment, Some Substance Use

Transfer To CDS Programwithin Agency for Continued Services

Transfer To Non-CDS Program for Continued Services

Referred Outside Agency for Continued Services

Program Decision to Discharge Client for Non-Compliance

Client Left Before Completing Treatment

Incarcerated

Death

Treatment Completed

Transferred to Another Treatment Program or Facility

Other - includes aging out of MH childrens system, extended placement (condition

Other - includes aging out of MH childrens system, extended placement (condition

Treatment Completed




Ternimated by Facility

Dropped out of treatment (lost contact, Left Against Professional Advice

Incarerated or released by or to courts

Death

Discharge Type (Reason for discharge)9

K = Key Field



01

04

07

07

01

04

04

04

03

02

05

06

CWMS_PROXY

Crosswalk Report

of 67


10

11

12

13

Reason for Discharge, Transfer, or Discontinuance of Treatment

Provider Identifier at Admission

Client Identifier at Admission

Co-Depentent/Collateral at Admission

1

2

3

4

5

6

7

8

9

1

2

Completed Treatment, No Substance Use

Completed Treatment, Some Substance Use

Transfer To CDS Programwithin Agency for Continued Services

Transfer To Non-CDS Program for Continued Services

Referred Outside Agency for Continued Services

Program Decision to Discharge Client for Non-Compliance

Client Left Before Completing Treatment

Incarcerated

Death

Yes

No

Treatment Completed

Treatment Completed




Ternimated by Facility

Dropped out of treatment (lost contact, Left Against Professional Advice

Incarerated or released by or to courts

Death

Codependent/collateral

Client

Discharge Type (Reason for discharge)

Program ID at admission


Is Client a Co-Dependent/Collateral?

9

7

1

29

K = Key Field



01

01

04

04

04

03

02

05

06

1

2


8 Characters

11 Characters

CWMS_PROXY

Crosswalk Report

of 67


14

14

15

Client Transaction Type (pulled from admission dataset)

Client Transaction Type (pulled from admission dataset)

Date of Admission (pulled from admission dataset)

A

C

T

A

R

T

Initial Admission

Change in Status


Initial Admission

Readmission to this program


Initial Admission (SA)

Transfer or change in service (SA)


Initial Admission (SA)





Date of Admission

11

11

12

K = Key Field



A

T

T

A

T

T


CWMS_PROXY

Crosswalk Report

of 67


16 Type of Service at Admission (pulled from admission dataset)

02

04

05

06

07

08


Residential Treatment - Short-Term, 30 days or less

Residential Treatment - Long-Term, more than 30 days


Outpatient Treatment

Detoxification

Detoxification , 24 hour service , Free-StandingResidential

Rehabilitation/Residential - Short Term (30 days or fewer)

Rehabilitation/Residential - Long Term (more than 30 days)




Modality Type10

K = Key Field



02

04

05

06

07

08


CWMS_PROXY

Crosswalk Report

of 67


16 Type of Service at Admission (pulled from admission dataset)

10

11

12

13

14

15

16

17

18

20

21

22

30

40

50

51

60

61

Residential Treatment - Short-Term

Residential Treatment - Long-Term

Therapeutic Living - Short-Term

Therapeutic Living - Long-Term

Day Treatment - Short-Term

Day Treatment - Long-Term

Intensive Outpatient Treatment

Outpatient

Homeless Outpatient

methadone Maintenance - Outpatient

Methadone Maintenance - Detoxification

Methadone maintenance - Intensive putpatient

Residential Social Detoxification

Interim Services

Residential PPW Treatment - Short-Term

Residential PPW Treatment - Long-Term

Day PPW Chils Treatment - Short-Term

Day PPW Chils Treatment - Long-Term













Detoxification , 24 hour service , Free-StandingResidential






Modality Type10

K = Key Field



04

05

04

05

06

06

06

07

07

07

08

06

02

07

04

05

06

06

CWMS_PROXY

Crosswalk Report

of 67


16

17

18

Type of Service at Admission (pulled from admission dataset)

Date of Birth (pulled from admission dataset)

Gender (pulled from admission dataset)

70

71

1

2

7

Therapeutic living PPWC - Short term

Therapeutic living PPWC - Long term

Male

Female

Unknown



Comes from admission file

Male

Female

Unknown

Modality Type

Date of Birth

Sex

10

2

3

K = Key Field



04

05

-

1

2

7

CWMS_PROXY

Crosswalk Report

of 67


20 Ethnicity (pulled from admission dataset)

01

02

03

04

05

06

07

97

98


Hispanic-Mexican

Hispanic-Cuban


Not Hispanic

Hispanic-specific origin not specified

Spanish/Hispanic/Latino

Unknown

Not collected

Puerto Rican

Mexican

Cuban

Other Specific Hispanic or Latino

Not of Specific Hispanic or Latino Origin

Hispanic or Latino - specific origin not specified


Unknown

Not Collected

Ethnicity5

K = Key Field



01

02

03

04

05

06

04

97

98

CWMS_PROXY

Crosswalk Report

of 67



01

02

03

04

05

06

07

08

09

10

11

12

13

14

15

16

17

18


Hispanic-Mexican

Hispanic-Cuban


Caucasian

Portuguese

Black/African American

American Indian

Aleutian/Eskimo

Japanese

Okinawan

Chinese

Korean

Vietnamese

Cambodian

Fillipino

Samoan

Hawaiian

Puerto Rican

Mexican

Cuban
















Ethnicity5

K = Key Field



01

02

03

04

05

05

05

05

05

05

05

05

05

05

05

05

05

05

CWMS_PROXY

Crosswalk Report

of 67



19

20

21

22

23

24

97

Mixed-Part Hawaiian

Mixed-Not Hawaiian

Other

Other Asian

Micronesian

Other Pacific Islander

Unknown







Unknown

Ethnicity5

K = Key Field



05

05

05

05

05

05

97


CWMS_PROXY

Crosswalk Report

of 67


21 Substance Problem At Discharge, (Primary, Secondary, Tertiary)

01

04

05

06

07

08

10

11

12

13

14

15

16

17

18

19

21

22

None


Heroin



PCP

Methamphetamine

Other Amphetamines

Other Stimulants

Benzodiazepines

Other Tranquilizers

Barbiturates

Other Sedatives or Hypnotics

Inhalants

Over-the-Counter

Crack

LSD

Other Hallucinogens

None

Marijuana/Hashish

Heroin



PCP- phencyclidine

Methampetamine/SPeed

Other Amphetamines

Other Stimulants

Benzodiazepines

Other Tranquilizer

Barbiturates

Other Sedatives or Hypontics

Inhalants

Over-The-Counter medicines

Cocaine/Crack

Hallucinogens

Hallucinogens

Substance Abuse Problem Codes27x

K = Key Field



01

04

05

06

07

08

10

11

12

13

14

15

16

17

18

03

09

09

CWMS_PROXY

Crosswalk Report

of 67



96

97

Other

Unknown

Other

Unknown

Alcohol

Substance Abuse Problem Codes27x

K = Key Field



20

97

02


CWMS_PROXY

Crosswalk Report

of 67



01

02

03

04

05

06

07

08

09

10

11

12

13

14

15

16

17

18

None

Alcohol

Cocaine/crack


Heroin



PCP

Other Hallucinogens

Methamphetamine

Other Amphetamines

Other Stimulants

Benzodiazepine

Other non-Benzodiazepine Tranquilizers

Barbiturates

Other non-barbiturate Sedatives or Hypnotics

Inhalants

Over-the-Counter

None

Alcohol

Cocaine/Crack

Marijuana/Hashish

Heroin



PCP- phencyclidine

Hallucinogens

Methampetamine/SPeed

Other Amphetamines

Other Stimulants

Benzodiazepines

Other Tranquilizer

Barbiturates

Other Sedatives or Hypontics

Inhalants

Over-The-Counter medicines

Substance Problem at discharge27

K = Key Field



01

02

03

04

05

06

07

08

09

10

11

12

13

14

15

16

17

18

CWMS_PROXY

Crosswalk Report

of 67


21

22

23

Substance Problem At Discharge, (Primary, Secondary, Tertiary)

Frequency of Use at Discharge (Primary, Secondary, Tertiary)

Living Arrangements at Discharge

20

97

01

02

03

04

05

96

97

Other

Unknown

None in past 30 days

1-3 times in past 30 days

1-2 times per week

3-6 times per week

Daily

Not applicable

Unknown

Other

Unknown

No Use in the Past Month

1-3 Times in the Past Month



Daily

Not Applicable

Unknown

Substance Problem at discharge

Frequency of use 30 days prior to disch

Living Arrangements at Discharge

27

28

15

K = Key Field



20

97

01

02

03

04

05

96

97


CWMS_PROXY

Crosswalk Report

of 67


23 Living Arrangements at Discharge

01

02

03

031

032

033

034

041

042

043

044

05

06

07

97

Homeless - Alone


Dependent Living

Dependent Living - Foster Home

Dependent Living - Group Home

Dependent Living - Youth Challenge

Dependent Living - Other

Independent Living - Permanent Housing

Independent Living - Transitional Housing

Independent Living - Temporary Housing

Independent Living - Other

Incarcerated

Furlough


Unknown















Unknown

Living Arrangements at Discharge15

K = Key Field



01

01

02

02

02

02

02

03

03

03

03

02

02

01

97

CWMS_PROXY

Crosswalk Report

of 67


24 Employment at Discharge

01

02

03

04

05

06

07

08

09

97

Full-time, 35 hours/week or more


Unemployed/looking for work in past 30days/layoff

Not in labor force-homemaker

Not in labor force-student

Not in labor force-retired

Not in labor force-disabled

Not in labor force-inmate in institution

Not in labor force-other

Unknown

Full Time - works 35 or more hours a week- includes military

Part Time - works less tahn 35 hours per week

Unemployed - looking for work in past 30 days or on layoff from job







Unknown

Employment Status.13

K = Key Field



01

02

03

04

04

04

04

04

04

97

CWMS_PROXY

Crosswalk Report

of 67


25

26

Detailed Not In Labor Force at Discharge

Number of Arrests in 30 Days Priorto Discharge

01

02

03

04

05

06

07

08

09

97

00

01-96

97

Full-time, 35 hours/week or more


Unemployed/looking for work in past 30days/layoff

Not in labor force-homemaker

Not in labor force-student

Not in labor force-retired

Not in labor force-disabled

Not in labor force-inmate in institution

Not in labor force-other

Unknown

None

Enter number of arrests

Unknown

Not Applicable

Not Applicable

Not Applicable

Homemaker

Student

Retired

Disabled


Other

Unknown

Number of Arrests

Number of Arrests

Unknown

Employment Status.

Number arrests in last 30 days at disch

13

20

K = Key Field



96

96

96

01

02

03

04

05

06

97

00-96

00-96

97

CWMS_PROXY

Crosswalk Report

of 67


27 Frequency of Attendance at Self-Help program in the 30 Days Prior to Discharge

01

02

03

04

05

06

97

98

No attendance in the past month

1-3 times in past month (less than 1 per week)

4-7 times in past month (about 1 per week)

8-15 times in past month (2-3 times perweek)

16-30 times in past month (4+ times perweek)

Some attendance but frequency unknown

Unknown

Not collected

No attendance

less than once a week -1 to 3 times in past 30 days

About once a week - 4 to 7 times in past 30 days

2 t0 3 times per week - 8-15 times in the past 30 days

At least 4 times a week - 16 to 30 times in the pqst 30 days

Some Attendance in past month, but number of times and frequency is unknown

Unknown

Not Collected

Number in self-help group last 30 days.27

K = Key Field



01

02

03

04

05

06

97

98

REPORT CROSSWALK TO STATE

Crosswalk Management System

End of Report

crosswalk management system · hawaii's treatment episode data set version : 1 1 2 a a t a t t...

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