Delivering independent intelligence for health and wellbeingDelivering independent intelligence for health and wellbeing

National Drug (and Alcohol) Treatment Monitoring System

Jill SmithPublic Health Liaison Manager

North East Public Health Observatory

Core Dataset H Changes to NDTMSApril 2011

Delivering independent intelligence for health and wellbeing

Core Dataset H Changes to NDTMS

In brief

Removal of Fields / ResponsesSex Worker CategoryAccommodation NeedYP Treatment InterventionsYP Sexually Active at Start/Exit

Expanded Responses for Existing FieldsNationalityYP InterventionsSex

Delivering independent intelligence for health and wellbeing

Core Dataset H Changes to NDTMS

In brief/…..

New Fields for All (YP, Adult Drug, Adult Alcohol) datasetsGP Practice CodeHepatitis C tested

New Fields for YP DatasetYP a Looked After ChildYP frequency of use of drug 1 at Start/ExitYP treatment being delivered in specific residential placement

Delivering independent intelligence for health and wellbeing

Core Dataset H Changes to NDTMS

In brief/…..

Additional alterationsYP Referral SourcesNew GeographiesTechnical IdentifiersLocal Authority

Delivering independent intelligence for health and wellbeing

Core Dataset H Changes to NDTMS

Removal of Fields/Responses

Sex Worker CategoryNow completely removed

Accommodation Need Code 32 “CLA – Child Looked After”

(NB: This field is describing initial presentation need)YP Treatment Interventions

Code 51 YP Psychosocial Code 54 YP Family WorkCode 59 YP Access to Residential Rehabilitation

Delivering independent intelligence for health and wellbeing

Core Dataset H Changes to NDTMS

Removal of Fields/Responses/….

YP sexually active at Treatment Start/ExitField replaced with better question!

Delivering independent intelligence for health and wellbeing

Core Dataset H Changes to NDTMS

Expanded Responses for Existing Fields

NationalityNow includes response “Not Stated”

YP Interventions5 new interventions introduced along similar lines to Adult Drug interventions: 63 YP Psychosocial – counselling 64 YP Psychosocial – cognitive behavioural therapy 65 YP Psychosocial – motivational interviewing 66 YP Psychosocial – relapse prevention 67 YP Psychosocial – family work

Delivering independent intelligence for health and wellbeing

Core Dataset H Changes to NDTMS

Expanded Responses for Existing Fields

SexNow includes Code 0 “Not known” and Z “Not specified”**

** Beware as there are implications for analysis

Delivering independent intelligence for health and wellbeing

Core Dataset H Changes to NDTMS

New Fields for all YP/Adult Drug/Adult Alcohol datasets

GP Practice CodeAdded for potential use. If data is input, needs to be in the form Z12345.

New field for YP/Adult Drug datasets ?Alcohol

Hepatitis C TestedAdded for clarity around Hepatitis C test Date field. Permissible values are “No”, “Yes” and “Not asked”.

Delivering independent intelligence for health and wellbeing

Core Dataset H Changes to NDTMS

New Fields for YP dataset

YP a Looked After ChildIntroduced to make the LAC status more clear. “Yes”, “No” and “Not Known” are permissible values but only if response is “Yes” will it be possible to enter information under the Location of LAC field.

YP Frequency of use of drug 1 at Treatment Start/Exit Permissible values of 0-28 referring to the 28 days

preceding treatment or in last 28 days of treatment. “Client declined to answer” is also permissible.

Delivering independent intelligence for health and wellbeing

Core Dataset H Changes to NDTMS

New Fields for YP dataset/Cont.………

YP treatment being delivered in a specific residential placementAccess to Residential Rehabilitation has been removed from YP interventions and replaced with this specific field for greater clarity. Permissible values are:

• No• Yes – Detox CAMHS patient• Yes – Detox Adult ward• Yes – In reach community detox• Yes – In reach psychosocial• Yes – Dedicated YP detox and rehab• Yes – Paediatric hospital detox• Yes - Other

Delivering independent intelligence for health and wellbeing

Core Dataset H Changes to NDTMS

New Fields for YP dataset/Cont.………

YP engaged in unsafe sex at Treatment Start/ExitFollowing consultation, the YP Sexually Active field has been removed and replaced with this field for greater clarity. Permissible values are : “No”, “Yes” and “Not asked”.

Delivering independent intelligence for health and wellbeing

Core Dataset H Changes to NDTMS

Additional Changes

YP Referral SourcesFor management and reporting purposes, some codes have been regrouped. Codes 42, 56,52 and 55 (Helpline, Employer (Alcohol Clients only), YP Housing and Website) are placed in a new grouping of “Other”. The codes themselves remain in force and with the same definition as previously.

Delivering independent intelligence for health and wellbeing

Core Dataset H Changes to NDTMS

Additional Changes

New geographiesLocal Authority lists e.g. for Northumberland have been updated

Technical Identifiers Client ID, Episode ID, Modality ID and TOP ID are now

compulsory and must not include attributable information. (These are generated by IT system rather than input by administrator.)

Local Authority Is now mandatory for all datasets.

(NB: LA, PCT, DAT are all fields expected to reflect on client’s current situation)

Delivering independent intelligence for health and wellbeing

Recent Clarifications

And another thing…..

Tier 2 Brief Interventions for primary alcohol episodes.

Code 76 – Brief Interventions – only Tier 2 intervention

Guidance on what is Brief Intervention in pack