SABG Tables SABG Tables

OMB No. 0930-0335
Expiration Date: xx/xx/xx

Attachment A3- SABG Application Tables 14-20

Public Burden Statement: An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a
currently valid OMB control number. The OMB control number for this project is 0930-0335. Public reporting burden for this collection of information is
estimated to average 6.25 hours per respondent, per year, including the time for reviewing instructions, searching existing data sources, gathering and maintaining
the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection
of information, including suggestions for reducing this burden, to SAMHSA Reports Clearance Officer, 5600 Fishers Lane, Room 15E57-B, Rockville, Maryland,
20857.
SABG Table 14 – TREATMENT PERFORMANCE MEASURE EMPLOYMENT\EDUCATION STATUS (From Admission to
Discharge) Most recent year for which data are available: _____________

Employment\Education Status – Clients employed or student
(full-time or part-time) (prior 30 days) at admission vs. discharge

Number of clients employed or student (full-time and part-time) [numerator]

Total number of clients with non-missing values on employment\student status
[denominator]

Percent of clients employed or student (full-time and part-time)

Admission
Clients
(T1)

Discharge
Clients
(T2)

SABG Table 15–TREATMENT PERFORMANCE MEASURE
STABILITY OF HOUSING (From Admission to Discharge)
Most recent year for which data are available: _____________
Clients living in a stable living situation (prior 30 days) at admission vs. discharge

Number of clients living in a stable situation [numerator]
Total number of clients with non-missing values on living arrangements [denominator]
Percent of clients in a stable living situation

Admission
Clients
(T1)

Discharge
Clients
(T2)

SABG Table 16– TREATMENT PERFORMANCE MEASURE
CRIMINAL JUSTICE INVOLVEMENT (From Admission to Discharge)
Most recent year for which data are available: _____________
Clients without arrests (any charge) (prior 30 days) at admission vs. discharge
Number of Clients without arrests [numerator]
Total number of clients with non-missing values on arrests [denominator]
Percent of clients without arrests

Admission
Clients
(T1)

Discharge
Clients
(T2)

SABG Table 17– PERFORMANCE MEASURE
CHANGE IN ABSTINENCE – ALCOHOL USE (From Admission to Discharge)
Most recent year for which data are available: _____________
Alcohol Abstinence – Clients with no alcohol use (all clients regardless of primary
problem) (use Alcohol Use in last 30 days field) at admission vs. discharge.
Number of clients abstinent from alcohol [numerator]
Total number of clients with non-missing values on “used any alcohol” variable [denominator]
Percent of clients abstinent from alcohol
(1) If State does not have a "used any alcohol" variable, calculate instead using frequency of use
variables for all primary, secondary, or tertiary problem codes in which the coded problem is Alcohol
(e.g. ,TEDS Code 02)

Admission
Clients
(T1)

Discharge
Clients
(T2)

SABG Table 18 – PERFORMANCE MEASURE
CHANGE IN ABSTINENCE -- OTHER DRUG USE (From Admission to Discharge)
Most recent year for which data are available: _____________

Drug Abstinence – Clients with no drug use (all clients regardless of primary
problem) (use Any Drug Use in last 30 days field) at admission vs. discharge.

Admission
Clients
(T1)

Discharge
Clients
(T2)

Number of Clients abstinent from illegal drugs [numerator]
Total number of clients with non-missing values on “used any drug” variable [denominator] *
Percent of clients abstinent from drugs
*If State does not have a "used any drug" variable, calculate instead using frequency of use variables for all primary, secondary, or
tertiary problem codes in which the coded problem is Drugs (e.g., TEDS Codes 03-20)

SABG Table 19 – PERFORMANCE MEASURE
CHANGE IN SOCIAL SUPPORT OF RECOVERY (From Admission to Discharge)
Most recent year for which data are available: _____________
Social Support of Recovery – Clients participating in self-help groups
(e.g., AA, NA, etc.) (prior 30 days) at admission vs. discharge
Number of clients participating in self-help (AA NA meetings attended, etc.)
[numerator]
Total number of Admission and Discharge clients with non-missing values on self-help
activities [denominator]
Percent of clients participating in self-help activities

Admission
Clients
(T1)

Discharge
Clients
(T2)

SABG Table 20: RETENTION
Length of Stay (in Days) of Clients Completing Treatment
Most recent year for which data are available: _____________
LENGTH OF STAY
Level of Care

Detoxification (24-hour care)
1. Hospital Inpatient
2. Free-Standing
Residential
Rehabilitation/Residential
3. Hospital Inpatient
4. Short-term
(up to 30 days)
5. Long-term
(over 30 days)
Ambulatory (Outpatient)
6. Outpatient
7. Intensive Outpatient
8. Detoxification
Opioid Replacement Therapy
9. ORT Detox
10. Opioid Replacement
Therapy

Average
(Mean)

Median
(Median)

Interquartile Range