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subjectkey |
GUID |
|
Required |
The NDAR Global Unique Identifier (GUID) for research subject |
NDAR*
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src_subject_id |
String |
20
|
Required |
Subject ID how it's defined in lab/project |
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interview_date |
Date |
|
Required |
Date on which the interview/genetic test/sampling/imaging/biospecimen was completed. MM/DD/YYYY |
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interview_age |
Integer |
|
Required |
Age in months at the time of the interview/test/sampling/imaging. |
0::1440
|
Age is rounded to chronological month. If the research participant is 15-days-old at time of interview, the appropriate value would be 0 months. If the participant is 16-days-old, the value would be 1 month.
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sex |
String |
20
|
Required |
Sex of subject at birth |
M;F; O; NR
|
M = Male; F = Female; O=Other; NR = Not reported
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iacts_likely_attend |
Integer |
|
Recommended |
How likely is it that you will attend the next appointment? |
0::9;-2;-3;-5;-9
|
0= Not at all; 1= Not at all; 2= Slightly; 3= Slightly; 4= Moderately; 5= Moderately; 6= Markedly; 7= Markedly; 8= Extremely; 9= Extremely; -2= Not collected at this time point; -3= Historical missing; -5= Item, Instrument not collected; -9= Missing
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iacts_likely_complete |
Integer |
|
Recommended |
How likely is it that you will complete the program? |
0::9;-2;-3;-5;-9
|
0= Not at all; 1= Not at all; 2= Slightly; 3= Slightly; 4= Moderately; 5= Moderately; 6= Markedly; 7= Markedly; 8= Extremely; 9= Extremely; -2= Not collected at this time point; -3= Historical missing; -5= Item, Instrument not collected; -9= Missing
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iacts_score |
Integer |
|
Recommended |
Sum of IACTS scores |
0::18;-2;-3;-5;-9
|
Sum of both intent to attend treatment items; -2= Not collected at this time point; -3= Historical missing; -5= Item, Instrument not collected; -9= Missing
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referred |
Integer |
|
Recommended |
Who referred you to this program? |
1::12;-2;-3;-5;-9
|
1= Someone from another program within this facility, agency; 2= Emergency room; 3= Crisis stabilization unit (i.e., a 24-hour non hospital setting); 4= Hospital- inpatient unit in a general medical setting; 5= Hospital- inpatient unit from a psychiatric setting; 6= School or university; 7= Family Care Doctor, Primary Care Physician; 8= Community outpatient mental health provider (e.g., psychiatrist, social worker, psychologist); 9= Legal system (e.g., police, detention center, juvenile court); 10= Family member or friend; 11= Self; 12= Other; -2= Not collected at this time point; -3= Historical missing; -5= Item, Instrument not collected; -9= Missing
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cscdays |
Integer |
|
Recommended |
Days between CSC program start date and discharge date |
0::9999;5555;6666;7777;8888;9999
|
Number of days; 5555 = Unknown; 6666 = Unable to assess; 7777 = Not applicable; 8888 = Item, instrument not collected; 9999 = Missing
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discscorlhs |
Integer |
|
Recommended |
Is the patient being discharged/transferred from the CSC program or withdrawing from ESPRITO while remaining in treatment at CSC program? |
1;2;5555;6666;7777;8888;9999
|
1 = discharge, transfer from CSC program; 2 = withdrawal from ESPRITO while remaining in treatment at CSC program; 5555 = Unknown; 6666 = Unable to assess; 7777 = Not applicable; 8888 = Item, instrument not collected; 9999 = Missing
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lhsdays |
Integer |
|
Recommended |
Days between LHS enrollment date and discharge date |
0::9999;5555;6666;7777;8888;9999
|
Nuber of days; 5555 = Unknown; 6666 = Unable to assess; 7777 = Not applicable; 8888 = Item, instrument not collected; 9999 = Missing
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reason_discharge |
Integer |
|
Recommended |
What is the primary reason for discharge? |
1::14;-2;-3;-9
|
1= Terminated, refused or declined services; 2= Completed program, graduated, or services no longer indicated due to client improvement; 3= Client does not display signs and symptoms that lead to the inclusion of a covered diagnosis and, or an established level of impairment; 4= Has reached limit for length of allowable stay ; 5= Pursuing a positive opportunity elsewhere (e.g., school, employment, training); 6= Admitted to state hospital; 7= Admitted to a residential program; 8= Transferred services to provider outside CSC program (other than state hospital or residential program); 9= Incarcerated; 10= Moved out of service area because of reasons other than options noted above; 11= Deceased (by suicide); 12= Deceased (by other means); 13= Whereabouts Unknown, team Unable to contact client; 14= Other; -2= Not collected at this time point; -3= Historical missing; -9= Missing
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antipsychmedapplic |
Integer |
|
Recommended |
Is it applicable to ask when the participant first took antipsychotic medication? |
1;5555;6666;7777;8888;9999
|
1 = applicable; 5555 = Unknown; 6666 = Unable to assess; 7777 = Not applicable; 8888 = Item, instrument not collected; 9999 = Missing
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antipsychotic_meds_month |
Integer |
|
Recommended |
When did the client first take antipsychotic medication: Month |
1::12;-2;-3;-5;-8;-9
|
1= January; 2= February; 3= March; 4= April; 5= May; 6= June; 7= July; 8= August; 9= September; 10= October; 11= November; 12= December; -2= Not collected at this time point; -3= Historical missing; -5= Item, Instrument not collected; -8= Unknown; -9= Missing
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antipsychotic_meds_year |
Integer |
|
Recommended |
When did the client first take antipsychotic medication: Year |
1950::2050;-2;-3;-5;-6;-8;-9
|
YYYY; -2= Not collected at this time point; -3= Historical missing; -5= Item, Instrument not collected; -6= Does not apply; -8= Unknown; -9= Missing
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hospitalized_after_onset |
Integer |
|
Recommended |
Between onset of psychotic symptoms and entry into this program, was the client hospitalized at all for a psychiatric issue? |
0;1;-2;-3;-5;-8;-9
|
0= No; 1= Yes; -2= Not collected at this time point; -3= Historical missing; -5= Item, Instrument not collected; -8= Unknown/Do not know; -9= Missing
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hospitalized_after_onset_times |
Integer |
|
Recommended |
If yes, how many times was the client hospitalized for a psychiatric issue? |
1::99;-1;-2;-3;-5;-8;-9
|
Number of times; -1= Does Not apply; -2= Not collected at this time point; -3= Historical missing; -5= Item, Instrument not collected; -8= Unknown; -9= Missing
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mh_tx_after_onset |
Integer |
|
Recommended |
Between onset of psychotic symptoms and entry into this program, did the client receive any mental health treatment ? |
0;1;-2;-3;-5;-8;-9
|
0= No; 1= Yes; -2= Not collected at this time point; -3= Historical missing; -5= Item, Instrument not collected; -8= Unknown/Do not know; -9= Missing
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mh_tx_month |
Integer |
|
Recommended |
When did mental health treatment between onset of psychotic symptoms and entry into this program begin: Month |
1::12;-3::-1;-5;-8;-9
|
1= January; 2= February; 3= March; 4= April; 5= May; 6= June; 7= July; 8= August; 9= September; 10= October; 11= November; 12= December; -1= Properly skipped; -2= Not collected at this time point; -3= Historical missing; -5= Item, Instrument not collected; -8= Unknown; -9= Missing
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mh_tx_year |
Integer |
|
Recommended |
When did mental health treatment between onset of psychotic symptoms and entry into this program begin: Year |
1950::2050;-3::-1;-5;-8;-9
|
YYYY; -1= Properly skipped; -2= Not collected at this time point; -3= Historical missing; -5= Item, Instrument not collected; -8= Unknown; -9= Missing
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obtained_admin |
Integer |
|
Recommended |
How was information about the onset of psychotic symptoms obtained: Administrative record |
0;1;-2;-3;-5;-9
|
0= Unchecked; 1= Checked; -2= Not collected at this time point; -3= Historical missing; -5= Item, Instrument not collected; -9= Missing
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obtained_client |
Integer |
|
Recommended |
How was information about the onset of psychotic symptoms obtained: Client self-report |
0;1;-2;-3;-5;-9
|
0= Unchecked; 1= Checked; -2= Not collected at this time point; -3= Historical missing; -5= Item, Instrument not collected; -9= Missing
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obtained_family |
Integer |
|
Recommended |
How was information about the onset of psychotic symptoms obtained: Family report |
0;1;-2;-3;-5;-9
|
0= Unchecked; 1= Checked; -2= Not collected at this time point; -3= Historical missing; -5= Item, Instrument not collected; -9= Missing
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obtained_other |
Integer |
|
Recommended |
How was information about the onset of psychotic symptoms obtained: Other |
0;1;-2;-3;-5;-9
|
0= Unchecked; 1= Checked; -2= Not collected at this time point; -3= Historical missing; -5= Item, Instrument not collected; -9= Missing
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onset_date_differ |
Integer |
|
Recommended |
Does this date differ from the date entered at the last assessment period? |
0::2;-2;-3;-5;-9
|
0= No, the same; 1= Yes, differs; 2= Unsure; -2= Not collected at this time point; -3= Historical missing; -5= Item, Instrument not collected; -9= Missing
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program_entry_month |
Integer |
|
Recommended |
Date of entry into the current program: Month |
1::12;-2;-3;-5;-9
|
1= January; 2= February; 3= March; 4= April; 5= May; 6= June; 7= July; 8= August; 9= September; 10= October; 11= November; 12= December; -2= Not collected at this time point; -3= Historical missing; -5= Item, Instrument not collected; -9= Missing
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program_entry_year |
Integer |
|
Recommended |
Date of entry into the current program: Year |
2000::2050;-2;-3;-5;-9
|
YYYY; -2= Not collected at this time point; -3= Historical missing; -5= Item, Instrument not collected; -8= Unknown; -9= Missing
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symptom_onset_month |
Integer |
|
Recommended |
Provide a best estimate of when frank (not prodromal) psychotic symptoms (e.g., delusions, hallucinations, or disorganized speech/behavior) began: Month |
1::12;-2;-3;-5;-8;-9
|
1= January; 2= February; 3= March; 4= April; 5= May; 6= June; 7= July; 8= August; 9= September; 10= October; 11= November; 12= December; -2= Not collected at this time point; -3= Historical missing; -5= Item, Instrument not collected; -8= Unknown; -9= Missing
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symptom_onset_year |
Integer |
|
Recommended |
Provide a best estimate of when frank (not prodromal) psychotic symptoms (e.g., delusions, hallucinations, or disorganized speech/behavior) began: Year |
1950::2050;-2;-3;-5;-8;-9
|
YYYY; -2= Not collected at this time point; -3= Historical missing; -5= Item, Instrument not collected; -8= Unknown; -9= Missing
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psychonage |
Integer |
|
Recommended |
Age of the participant in years when psychosis began |
1::50;5555;6666;7777;8888;9999
|
Age in Years; 5555 = Unknown; 6666 = Unable to assess; 7777 = Not applicable; 8888 = Item, instrument not collected; 9999 = Missing
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psychhospbeforepsychosis |
Integer |
|
Recommended |
Prior to the onset to onset of psychotic symptoms, was the participant hospitalized for psychiatric issues? |
0;1;5555;6666;7777;8888;9999
|
0 = No; 1 = Yes; 5555 = Unknown; 6666 = Unable to assess; 7777 = Not applicable; 8888 = Item, instrument not collected; 9999 = Missing
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psychhosppreontimes |
Integer |
|
Recommended |
If yes, how many times was the participant hospitalized for psychiatric issues? |
1::99;5555;6666;7777;8888;9999
|
Number of times; 5555 = Unknown; 6666 = Unable to assess; 7777 = Not applicable; 8888 = Item, instrument not collected; 9999 = Missing
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cscduration |
Integer |
|
Recommended |
Duration of time (windowed in 6 months) participant has been enrolled in CSC program |
1::11;5555;6666;7777;8888;9999
|
1 = Less than 6 months; 2 = 6-11 months; 3 = 12-17 months; 4 = 18-23 months; 5 = 24-29 months; 6 = 30-35 months; 7 = 36-41 months; 8 = 42-47 months; 9 = 48-53 months; 10 = 54-59 months; 11 = 60-65 months; 5555 = Unknown; 6666 = Unable to assess; 7777 = Not applicable; 8888 = Item, instrument not collected; 9999 = Missing
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enrollmentage |
Integer |
|
Recommended |
LHS enrollment age in years |
15::70;5555;6666;7777;8888;9999
|
Age in Years; 5555 = Unknown; 6666 = Unable to assess; 7777 = Not applicable; 8888 = Item, instrument not collected; 9999 = Missing
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client_preference |
Integer |
|
Recommended |
What is the clients preference for family involvement? |
1::4;-2;-3;-5;-9
|
1= Prefers no involvement; 2= Prefers family involvement with some restrictions; 3= Prefers family involvement with no restrictions; 4= Preferences were not assessed; -2= Not collected at this time point; -3= Historical missing; -5= Item, Instrument not collected; -9= Missing
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family_refuse_tx |
Integer |
|
Recommended |
Does the family refuse to participate in treatment? |
0;1;-2;-3;-5;-6;-9
|
0= No; 1= Yes; -2= Not collected at this time point; -3= Historical missing; -5= Item, Instrument not collected; -6= Does not apply; -9= Missing
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family_tx |
Integer |
|
Recommended |
Have any family members received any treatment services provided by the clinical staff (e.g., family therapy, individual sessions with the client, etc.)? |
0;1;-2;-3;-5;-6;-9
|
0= No; 1= Yes; -2= Not collected at this time point; -3= Historical missing; -5= Item, Instrument not collected; -6= Does not apply; -9= Missing
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fufamilydiscuss |
Integer |
|
Recommended |
Since the last assessment, did the CSC team discuss with the participant their preferences for family involvement in treatment? |
0;1;5555;6666;7777;8888;9999
|
0 = No; 1 = Yes; 5555 = Unknown; 6666 = Unable to assess; 7777 = Not applicable; 8888 = Item, instrument not collected; 9999 = Missing
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family_contact |
Integer |
|
Recommended |
During the past six months, how frequently was the client in contact with family? |
1::5;-2;-3;-5;-8;-9
|
1= About daily; 2= About weekly; 3= About monthly; 4= Less than monthly; 5= Never; -2= Not collected at this time point; -3= Historical missing; -5= Item, Instrument not collected; -8= Unknown; -9= Missing
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court_ordered_tx |
Integer |
|
Recommended |
In the past six months, have you had court-ordered treatment? |
0;1;-2;-3;-5;-8;-9
|
0= No; 1= Yes; -2= Not collected at this time point; -3= Historical missing; -5= Item, Instrument not collected; -8= Unknown/Do not know; -9= Missing
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legal_issues |
Integer |
|
Recommended |
In the past six months, have you had legal issues, probation, or parole? |
0;1;-2;-3;-5;-8;-9
|
0= No; 1= Yes; -2= Not collected at this time point; -3= Historical missing; -5= Item, Instrument not collected; -8= Unknown/Do not know; -9= Missing
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jail_nights_num |
Integer |
|
Recommended |
If yes, number of nights spent in jail/prison: |
0::186;-3::-1;-5;-9
|
Number of nights; -1= Properly skipped; -2= Not collected at this time point; -3= Historical missing; -5= Item, Instrument not collected; -9= Missing
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jail_nights |
Integer |
|
Recommended |
In the past six months, have you spent any nights in jail/prison? |
0;1;-2;-3;-5;-8;-9
|
0= No; 1= Yes; -2= Not collected at this time point; -3= Historical missing; -5= Item, Instrument not collected; -8= Unknown/Do not know; -9= Missing
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violent_behavior |
Integer |
|
Recommended |
In the past six months, have you had violent or aggressive behavior? |
0;1;-2;-3;-5;-8;-9
|
0= No; 1= Yes; -2= Not collected at this time point; -3= Historical missing; -5= Item, Instrument not collected; -8= Unknown/Do not know; -9= Missing
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violent_thoughts |
Integer |
|
Recommended |
In the past six months, have you had violent or aggressive thoughts? |
0;1;-2;-3;-5;-8;-9
|
0= No; 1= Yes; -2= Not collected at this time point; -3= Historical missing; -5= Item, Instrument not collected; -8= Unknown/Do not know; -9= Missing
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antipsychoticany |
Integer |
|
Recommended |
If yes, did the participant receive a prescription for antipsychotic medication during at least 1 visit in the last six months? |
0;1;5555;6666;7777;8888;9999
|
0 = No; 1 = Yes; 5555 = Unknown; 6666 = Unable to assess; 7777 = Not applicable; 8888 = Item, instrument not collected; 9999 = Missing
|
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case_management |
Integer |
|
Recommended |
Has the client received case management through your program since the last assessment? |
0::2;-2;-3;-5;-6;-8;-9
|
0= No; 1= Yes; 2= Program does not provide this service; -2= Not collected at this time point; -3= Historical missing; -5= Item, Instrument not collected; -6= Does not apply; -8= Do not know; -9= Missing
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cps_report |
Integer |
|
Recommended |
Since the last assessment, has a child protective services (or equivalent state agency) report been initiated on behalf of the client? |
0;1;-2;-3;-5;-8;-9
|
0= No; 1= Yes; -2= Not collected at this time point; -3= Historical missing; -5= Item, Instrument not collected; -8= Unknown/Do not know; -9= Missing
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childprotect |
Integer |
|
Recommended |
In the last six months, has a child protective services (or equivalent state agency) report been filed for their children? |
0;1;3;5555;6666;7777;8888;9999
|
0 = No; 1 = Yes; 3 = Not applicable (no children); 5555 = Unknown; 6666 = Unable to assess; 7777 = Not applicable; 8888 = Item, instrument not collected; 9999 = Missing
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community_visit |
Integer |
|
Recommended |
Did any visit with the client through your program take place in the community since the last assessment? |
0::2;-2;-3;-5;-6;-8;-9
|
0= No; 1= Yes; 2= Program does not provide this service; -2= Not collected at this time point; -3= Historical missing; -5= Item, Instrument not collected; -6= Does not apply; -8= Do not know; -9= Missing
|
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crisis_unit |
Integer |
|
Recommended |
During the past six months, did you spend the night in a crisis stabilization unit for a mental health or substance use reason? |
0;1;-2;-3;-5;-8;-9
|
0= No; 1= Yes; -2= Not collected at this time point; -3= Historical missing; -5= Item, Instrument not collected; -8= Unknown; -9= Missing
|
|
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crisis_unit_nights |
Integer |
|
Recommended |
During the past six months, what was the total number of nights you spent in a crisis stabilization unit? |
0::186;-3::-1;-5;-8;-9
|
Number of nights; -1= Properly skipped; -2= Not collected at this time point; -3= Historical missing; -5= Item, Instrument not collected; -8= Unknown; -9= Missing
|
|
|
|
crisis_unit_admit |
Integer |
|
Recommended |
During the past six months, how many times were you admitted to a crisis stabilization unit for a mental health or substance use reason? |
0::186;-3::-1;-5;-8;-9
|
Number of times; -1= Properly skipped; -2= Not collected at this time point; -3= Historical missing; -5= Item, Instrument not collected; -8= Unknown; -9= Missing
|
|
|
|
er_medical |
Integer |
|
Recommended |
During the past six months, did you go to the emergency room for a medical reason? |
0;1;-2;-3;-5;-8;-9
|
0= No; 1= Yes; -2= Not collected at this time point; -3= Historical missing; -5= Item, Instrument not collected; -8= Unknown; -9= Missing
|
|
|
|
er_medical_times |
Integer |
|
Recommended |
During the past six months, how many times did you go to the emergency room for a medical reason? |
0::186;-3::-1;-5;-8;-9
|
Number of times; -1= Properly skipped; -2= Not collected at this time point; -3= Historical missing; -5= Item, Instrument not collected; -8= Unknown; -9= Missing
|
|
|
|
er_mh_su |
Integer |
|
Recommended |
During the past six months, did you go to the emergency room for a mental health or substance use reason but did not stay overnight at the hospital? |
0;1;-2;-3;-5;-8;-9
|
0= No; 1= Yes; -2= Not collected at this time point; -3= Historical missing; -5= Item, Instrument not collected; -8= Unknown; -9= Missing
|
|
|
|
er_mh_su_times |
Integer |
|
Recommended |
During the past six months, how many times did you go to an emergency room for a mental health or substance use reason without staying overnight? |
0::186;-3::-1;-5;-8;-9
|
Number of times; -1= Properly skipped; -2= Not collected at this time point; -3= Historical missing; -5= Item, Instrument not collected; -8= Unknown; -9= Missing
|
|
|
|
family_treatment |
Integer |
|
Recommended |
Have the clients legal guardians or supportive others received family treatment/support through your program since the last assessment? |
0::2;-2;-3;-5;-6;-8;-9
|
0= No; 1= Yes; 2= Program does not provide this service; -2= Not collected at this time point; -3= Historical missing; -5= Item, Instrument not collected; -6= Does not apply; -8= Do not know; -9= Missing
|
|
|
|
hospital_medical |
Integer |
|
Recommended |
During the past six months, apart from mental health or substance use treatment, did you spend the night in a hospital for a medical condition? |
0;1;-2;-3;-5;-8;-9
|
0= No; 1= Yes; -2= Not collected at this time point; -3= Historical missing; -5= Item, Instrument not collected; -8= Unknown; -9= Missing
|
|
|
|
hospital_medical_nights |
Integer |
|
Recommended |
During the past six months, what was the total number of nights you spent in a hospital for a medical condition? |
0::186;-3::-1;-5;-8;-9
|
Number of nights; -1= Properly skipped; -2= Not collected at this time point; -3= Historical missing; -5= Item, Instrument not collected; -8= Unknown; -9= Missing
|
|
|
|
hospital_medical_times |
Integer |
|
Recommended |
During the past six months, how many times were you admitted to a hospital for a medical condition? |
0::186;-3::-1;-5;-8;-9
|
Number of times; -1= Properly skipped; -2= Not collected at this time point; -3= Historical missing; -5= Item, Instrument not collected; -8= Unknown; -9= Missing
|
|
|
|
hospital_mh |
Integer |
|
Recommended |
During the past six months, did you spend the night in a hospital for a mental health reason? |
0;1;-2;-3;-5;-8;-9
|
0= No; 1= Yes; -2= Not collected at this time point; -3= Historical missing; -5= Item, Instrument not collected; -8= Unknown; -9= Missing
|
|
|
|
total_nights_hospital |
Integer |
|
Recommended |
During the past six months, what was the total number of nights you spent in any hospital? |
0::186;-2;-3;-5;-9
|
Number of nights; -2= Not collected at this time point; -3= Historical missing; -5= Item, Instrument not collected; -9= Missing
|
|
|
|
times_hospital_mh |
Integer |
|
Recommended |
During the past six months, how many times did you spend the night in a hospital for a mental health reason? |
0::186;-3::-1;-5;-8;-9
|
Number of times; -1= Properly skipped; -2= Not collected at this time point; -3= Historical missing; -5= Item, Instrument not collected; -8= Unknown; -9= Missing
|
|
|
|
detox |
Integer |
|
Recommended |
During the past six months, did you spend the night in a hospital, detox facility or a residential treatment facility for substance use? |
0;1;-2;-3;-5;-8;-9
|
0= No; 1= Yes; -2= Not collected at this time point; -3= Historical missing; -5= Item, Instrument not collected; -8= Unknown; -9= Missing
|
|
|
|
detox_nights |
Integer |
|
Recommended |
During the past six months, what was the total number of nights you spent in that setting? |
0::186;-3::-1;-5;-8;-9
|
Number of nights; -1= Properly skipped; -2= Not collected at this time point; -3= Historical missing; -5= Item, Instrument not collected; -8= Unknown; -9= Missing
|
|
|
|
detox_times |
Integer |
|
Recommended |
During the past six months, how many times were you admitted to a hospital, detox facility or a residential treatment facility for substance use? |
0::186;-3::-1;-5;-8;-9
|
Number of times; -1= Properly skipped; -2= Not collected at this time point; -3= Historical missing; -5= Item, Instrument not collected; -8= Unknown; -9= Missing
|
|
|
|
peer_support |
Integer |
|
Recommended |
Has the client received peer support through your program since the last assessment? |
0::2;-2;-3;-5;-6;-8;-9
|
0= No; 1= Yes; 2= Program does not provide this service; -2= Not collected at this time point; -3= Historical missing; -5= Item, Instrument not collected; -6= Does not apply; -8= Do not know; -9= Missing
|
|
|
|
med_management |
Integer |
|
Recommended |
Has the client received psychiatric medication management through your program since the last assessment? |
0::2;-2;-3;-5;-6;-8;-9
|
0= No; 1= Yes; 2= Program does not provide this service; -2= Not collected at this time point; -3= Historical missing; -5= Item, Instrument not collected; -6= Does not apply; -8= Do not know; -9= Missing
|
|
|
|
psychotherapy |
Integer |
|
Recommended |
Has the client received psychotherapy (individual or group) through your program since the last assessment? |
0::2;-2;-3;-5;-6;-8;-9
|
0= No; 1= Yes; 2= Program does not provide this service; -2= Not collected at this time point; -3= Historical missing; -5= Item, Instrument not collected; -6= Does not apply; -8= Do not know; -9= Missing
|
|
|
|
education_assistance |
Integer |
|
Recommended |
Has the client received supported education assistance through your program since the last assessment? |
0::2;-2;-3;-5;-6;-8;-9
|
0= No; 1= Yes; 2= Program does not provide this service; -2= Not collected at this time point; -3= Historical missing; -5= Item, Instrument not collected; -6= Does not apply; -8= Do not know; -9= Missing
|
|
|
|
employment_assistance |
Integer |
|
Recommended |
Has the client received supported employment assistance through your program since the last assessment? |
0::2;-2;-3;-5;-6;-8;-9
|
0= No; 1= Yes; 2= Program does not provide this service; -2= Not collected at this time point; -3= Historical missing; -5= Item, Instrument not collected; -6= Does not apply; -8= Do not know; -9= Missing
|
|
|
|
telehealth |
Integer |
|
Recommended |
Did any CSC program visit with the participant take place by telehealth in the last six months? |
0;1;5555;6666;7777;8888;9999
|
0 = No; 1 = Yes; 5555 = Unknown; 6666 = Unable to assess; 7777 = Not applicable; 8888 = Item, instrument not collected; 9999 = Missing
|
|
|
|
telehealthmedium |
Integer |
|
Recommended |
Type of telehealth visit |
1::3;5555;6666;7777;8888;9999
|
1 = Phone; 2 = Video; 3 = Both; 5555 = Unknown; 6666 = Unable to assess; 7777 = Not applicable; 8888 = Item, instrument not collected; 9999 = Missing
|
|
|
|
dupcsc |
Integer |
|
Recommended |
Weeks between psychosis onset date and date of entry to current CSC program |
0::999;5555;6666;7777;8888;9999
|
Number of Weeks; 5555 = Unknown; 6666 = Unable to assess; 7777 = Not applicable; 8888 = Item, instrument not collected; 9999 = Missing
|
|
|
|
dupmeds |
Integer |
|
Recommended |
Weeks between psychosis onset date and date of first antipsychotic |
0::999;5555;6666;7777;8888;9999
|
Number of Weeks; 5555 = Unknown; 6666 = Unable to assess; 7777 = Not applicable; 8888 = Item, instrument not collected; 9999 = Missing
|
|
|
|
dupmh |
Integer |
|
Recommended |
Weeks between psychosis onset date and start date of previous specialized treatment for psychosis |
0::999;5555;6666;7777;8888;9999
|
Number of Weeks; 5555 = Unknown; 6666 = Unable to assess; 7777 = Not applicable; 8888 = Item, instrument not collected; 9999 = Missing
|
|
|
|
psychosis_tx_after_onset |
Integer |
|
Recommended |
Between onset of psychotic symptoms and entry into this program, did the client receive any specialized treatment for psychosis? |
0;1;5555;6666;7777;8888;9999
|
0 = No; 1 = Yes; 5555 = Unknown; 6666 = Unable to assess; 7777 = Not applicable; 8888 = Item, instrument not collected; 9999 = Missing
|
|
|
|
hospmentalnights |
Integer |
|
Recommended |
What was the total number of nights you spent in a hospital for a mental health reason? |
1::186;5555;6666;7777;8888;9999
|
Number of nights; 5555 = Unknown; 6666 = Unable to assess; 7777 = Not applicable; 8888 = Item, instrument not collected; 9999 = Missing
|
|
|
|
healdemo_1 |
Integer |
|
Recommended |
What is your gender? |
1::6;9;-2;-3;-7;-8
|
1 = Female; 2 = Male; 3 = Transgender: M to F; 4 = Transgender: F to M; 5 = Non-binary; 6 = Other; 9 = Missing; -2= Not collected at this time point; -3= Historical missing; -7= Prefer not to say; -8= Unsure/Do not know
|
epinet_gender_id |
|
|
epinet_emp_admin_date |
Date |
|
Recommended |
Employment: Date of administration |
|
MM/DD/YYYY; -2= Not collected at this time point; -3= Historical missing; 99/99/9999= Missing
|
|
|
|
tex_legal_info_src |
Integer |
|
Recommended |
Is the legal information collected from client as self-report or from another source? |
1::3;-9
|
1= Client Self-report; 2= Family member; 3= Other source; -9= Missing
|
|
|
|
epinet_legal_admin_date |
Date |
|
Recommended |
Legal: Date of administration |
|
MM/DD/YYYY; -2= Not collected at this time point; -3= Historical missing; 99/99/9999= Missing
|
|
|
|
epinet_qol |
Integer |
|
Recommended |
Thinking about your own life and personal circumstances, how satisfied are you with your life as a whole? |
0::10;-2;-3;-9
|
0= No satisfaction at all; 10= Completely satisfied 10; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_qol_admin_date |
Date |
|
Recommended |
Quality of Life: Date of administration |
|
MM/DD/YYYY; -2= Not collected at this time point; -3= Historical missing; 99/99/9999= Missing
|
|
|
|
tex_sub_info_src |
Integer |
|
Recommended |
Is the substance use information collected from client as self-report or from another source? |
1::3;-9
|
1= Client Self-report; 2= Family member; 3= Other source; -9= Missing
|
|
|
|
epinet_p30d_nicotine |
Integer |
|
Recommended |
In the past 30 days have you used nicotine, e-cigarettes, or vaped? |
0;1;-2;-3;-9::-7
|
0= No; 1= Yes; -2= Not collected at this time point; -3= Historical missing; -7= Prefer not to say; -8= Unsure/Do not know; -9= Missing
|
|
|
|
epinet_p30d_nicotine_freq |
Integer |
|
Recommended |
In the past 30 days about how often have you used nicotine, e-cigarettes, or vaped? |
1::4;-3::-1;-9
|
1= Daily; 2= Weekly; 3= Monthly; 4= Less than once a month; -1= Properly skipped; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_p30d_alcohol |
Integer |
|
Recommended |
In the past 30 days have you used alcohol? |
0;1;-2;-3;-9::-7
|
0= No; 1= Yes; -2= Not collected at this time point; -3= Historical missing; -7= Prefer not to say; -8= Unsure/Do not know; -9= Missing
|
|
|
|
epinet_p30d_alcohol_freq |
Integer |
|
Recommended |
In the past 30 days how often have you used alcohol? |
1::4;-3::-1;-9
|
1= Daily; 2= Weekly; 3= Monthly; 4= Less than once a month; -1= Properly skipped; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
sex_orientation |
Integer |
|
Recommended |
Do you consider your sexual orientation to be: |
1::5;-2;-3;-9::-7
|
1 = Heterosexual or straight; 2 = Gay or lesbian; 3 = Bisexual; 4 = Questioning; 5 = Other please describe (text entry box); -2= Not collected at this time point; -3= Historical missing; -7= Prefer not to say; -8= Unsure/Do not know; -9= Missing
|
epinet_sex_orient |
|
|
epinet_p30d_thc |
Integer |
|
Recommended |
In the past 30 days have you used marijuana (this refers to THC, not CBD alone)? |
0;1;-2;-3;-9::-7
|
0= No; 1= Yes; -2= Not collected at this time point; -3= Historical missing; -7= Prefer not to say; -8= Unsure/Do not know; -9= Missing
|
|
|
|
epinet_p30d_thc_freq |
Integer |
|
Recommended |
In the past 30 days how frequently have you used marijuana? |
1::4;-3::-1;-9
|
1= Daily; 2= Weekly; 3= Monthly; 4= Less than once a month; -1= Properly skipped; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_thc_rx |
Integer |
|
Recommended |
Was the marijuana prescribed by a doctor or other healthcare professional? |
0;1;-3::-1;-9::-7
|
0= No; 1= Yes; -1= Properly skipped; -2= Not collected at this time point; -3= Historical missing; -7= Prefer not to say; -8= Do not know; -9= Missing
|
|
|
|
epinet_p30d_opioids |
Integer |
|
Recommended |
In the past 30 days have you used opioids (such as Vicodin, Oxycontin, Hydrocodone, Percocet, and Methadone)? |
0;1;-2;-3;-9::-7
|
0= No; 1= Yes; -2= Not collected at this time point; -3= Historical missing; -7= Prefer not to say; -8= Unsure/Do not know; -9= Missing
|
|
|
|
epinet_p30d_opioids_freq |
Integer |
|
Recommended |
In the past 30 days how frequently have you used opioids? |
1::4;-3::-1;-9
|
1= Daily; 2= Weekly; 3= Monthly; 4= Less than once a month; -1= Properly skipped; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_p30d_opioids_rx |
Integer |
|
Recommended |
Were the opioids prescribed? |
0;1;-3::-1;-9::-7
|
0= No; 1= Yes; -1= Properly skipped; -2= Not collected at this time point; -3= Historical missing; -7= Prefer not to say; -8= Do not know; -9= Missing
|
|
|
|
epinet_p30d_stimulants |
Integer |
|
Recommended |
In the past 30 days have you used non-prescribed stimulants or prescribed stimulants at greater dosages or frequency than prescribed (e.g., methamphetamine, cocaine, Adderall)? |
0;1;-2;-3;-9::-7
|
0= No; 1= Yes; -2= Not collected at this time point; -3= Historical missing; -7= Prefer not to say; -8= Unsure/Do not know; -9= Missing
|
|
|
|
epinet_p30d_stimulants_freq |
Integer |
|
Recommended |
In the past 30 days, how frequently have you used non-prescribed stimulants or prescribed stimulants at greater frequency or dosages than prescribed (e.g., methamphetamine, cocaine, Adderall)? |
1::4;-3::-1;-9
|
1= Daily; 2= Weekly; 3= Monthly; 4= Less than once a month; -1= Properly skipped; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_sub_admin_date |
Date |
|
Recommended |
Substance Use: Date of administration |
|
MM/DD/YYYY; -2= Not collected at this time point; -3= Historical missing; 99/99/9999= Missing
|
|
|
|
tex_side_effects_info_src |
Integer |
|
Recommended |
Is the side effect information collected from client as self-report or from another source? |
1::3;-9
|
1= Client Self-report; 2= Family member; 3= Other source; -9= Missing
|
|
|
|
gma_ed |
Integer |
|
Recommended |
What is/was the highest level of education completed by your mother |
1::8; -2;-3;-6;-7; 11111; 44444; 77777
|
1 = No formal schooling; 2 = 8th grade or less; 3 = Some high school; 4 = High school diploma or GED; 5 = Some college, 2 year degree, or technical certificate/diploma; 6 = Bachelors degree/graduated 4-year college; 7 = Some graduate school; 8 = Graduate or professional school (e.g., MA, MD, PhD); -2= Not collected at this time point; -3= Historical missing; -6= Not applicable; -7= Prefer not to say; 11111 = Not Administered at site; 44444 = Unknown/Missing; 77777 = Do not Know
|
epinet_edu_mother |
|
|
epinet_prescription_meds |
Integer |
|
Recommended |
Do you currently take any prescription medications? |
0;1;-2;-3;-8;-9
|
0= No; 1= Yes; -2= Not collected at this time point; -3= Historical missing; -8= Unsure/Unknown/Do not know; -9= Missing
|
|
|
|
epinet_side_effects_sedation |
Integer |
|
Recommended |
What side effects do you currently experience from your medication? Daytime sedation/drowsiness/sleeping too much |
0;1;-3::-1;-9
|
0= Unchecked; 1= Checked; -1= Properly skipped; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_side_effects_memory |
Integer |
|
Recommended |
What side effects do you currently experience from your medication? Problems with memory or concentration |
0;1;-3::-1;-9
|
0= Unchecked; 1= Checked; -1= Properly skipped; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_side_effects_appetite |
Integer |
|
Recommended |
What side effects do you currently experience from your medication? Changes in appetite or weight |
0;1;-3::-1;-9
|
0= Unchecked; 1= Checked; -1= Properly skipped; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_side_effects_muscles |
Integer |
|
Recommended |
What side effects do you currently experience from your medication? Muscles being too tense or still, or muscles trembling or shaking |
0;1;-3::-1;-9
|
0= Unchecked; 1= Checked; -1= Properly skipped; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_side_effects_restless |
Integer |
|
Recommended |
What side effects do you currently experience from your medication? Feeling restless, jittery, or the need to move around and pace |
0;1;-3::-1;-9
|
0= Unchecked; 1= Checked; -1= Properly skipped; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_side_effects_vision |
Integer |
|
Recommended |
What side effects do you currently experience from your medication? Blurry vision, dry mouth, constipation, or urinary retention or hesitancy |
0;1;-3::-1;-9
|
0= Unchecked; 1= Checked; -1= Properly skipped; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_side_effects_sexual |
Integer |
|
Recommended |
What side effects do you currently experience from your medication? Changes in sexual functioning |
0;1;-3::-1;-9
|
0= Unchecked; 1= Checked; -1= Properly skipped; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_side_effects_menstr |
Integer |
|
Recommended |
What side effects do you currently experience from your medication? Problems with menstruation or breast problems (women only) |
0;1;-3::-1;-9
|
0= Unchecked; 1= Checked; -1= Properly skipped; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_side_effects_unusual |
Integer |
|
Recommended |
What side effects do you currently experience from your medication? Feeling unlike usual self |
0;1;-3::-1;-9
|
0= Unchecked; 1= Checked; -1= Properly skipped; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
gpa_ed |
Integer |
|
Recommended |
What is/was the highest level of education completed by your father |
1::8; -2;-3;-6;-7; 11111; 44444; 77777
|
1 = No formal schooling; 2 = 8th grade or less; 3 = Some high school; 4 = High school diploma or GED; 5 = Some college, 2 year degree, or technical certificate/diploma; 6 = Bachelors degree/graduated 4-year college; 7 = Some graduate school; 8 = Graduate or professional school (e.g., MA, MD, PhD); -2= Not collected at this time point; -3= Historical missing; -6= Not applicable; -7= Prefer not to say; 11111 = Not Administered at site; 44444 = Unknown/Missing; 77777 = Do not Know
|
epinet_edu_father |
|
|
epinet_side_effects_other |
Integer |
|
Recommended |
What side effects do you currently experience from your medication? Other |
0;1;-3::-1;-9
|
0= Unchecked; 1= Checked; -1= Properly skipped; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_side_effects_none |
Integer |
|
Recommended |
What side effects do you currently experience from your medication? None |
0;1;-1;-2;-3;-9
|
0= Unchecked; 1= Checked; -1= Properly skipped; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_side_effects_date |
Date |
|
Recommended |
Side Effects: Date of administration |
|
MM/DD/YYYY; -2= Not collected at this time point; -3= Historical missing; 99/99/9999= Missing
|
|
|
|
tex_covid_info_src |
Integer |
|
Recommended |
Is the covid information collected from client as self-report or from another source? |
1::3;-9
|
1= Client Self-report; 2= Family member; 3= Other source; -9= Missing
|
|
|
|
epinet_covid_pos_bl |
Integer |
|
Recommended |
Have you ever tested positive for COVID-19 (whether through a home self-test or a test administered by someone else)? |
0;1;-2;-3;-8;-9
|
0= No; 1= Yes; -2= Not collected at this time point; -3= Historical missing; -8= Unsure/Unknown/Do not know; -9= Missing
|
|
|
|
epinet_covid_pos_fu |
Integer |
|
Recommended |
Since the last assessment, have you tested positive for COVID-19 (whether through a home self-test or a test administered by someone else)? |
0;1;-2;-3;-8;-9
|
0= No; 1= Yes; -2= Not collected at this time point; -3= Historical missing; -8= Unsure/Unknown/Do not know; -9= Missing
|
|
|
|
epinet_covid_vac_bl |
Integer |
|
Recommended |
Did you receive a COVID-19 vaccine? |
0;1;-2;-3;-8;-9
|
0= No; 1= Yes, I have received one or both vaccine shots; -2= Not collected at this time point; -3= Historical missing; -8= I do not know; -9= Missing
|
|
|
|
epinet_covid_vac_fu |
Integer |
|
Recommended |
Since the last assessment, have you received a COVID-19 vaccine? |
0;1;-2;-3;-8;-9
|
0= No; 1= Yes, I have received one or both vaccine shots; -2= Not collected at this time point; -3= Historical missing; -8= I do not know; -9= Missing
|
|
|
|
epinet_covid_boost_bl |
Integer |
|
Recommended |
Did you receive a COVID-19 vaccine booster shot? |
0;1;-2;-3;-8;-9
|
0= No, I have not received any COVID-19 booster shots; 1= Yes, I have received one or more COVID-19 booster shots; -2= Not collected at this time point; -3= Historical missing; -8= I do not know; -9= Missing
|
|
|
|
epinet_covid_boost_fu |
Integer |
|
Recommended |
Since the last assessment, have you received a COVID-19 vaccine booster shot? |
0;1;-2;-3;-8;-9
|
0= No, I have not received any COVID-19 booster shots; 1= Yes, I have received one or more COVID-19 booster shots; -2= Not collected at this time point; -3= Historical missing; -8= I do not know; -9= Missing
|
|
|
|
best_demo25 |
Integer |
|
Recommended |
Are you a Veteran? |
0;1;-2;-3;-9::-7
|
0= No; 1= Yes; -2= Not collected at this time point; -3= Historical missing; -7= Prefer not to say; -8= Unsure/Do not know; -9= Missing
|
epinet_veteran |
|
|
epinet_covid_symptoms |
Integer |
|
Recommended |
Since March 2020, have you have COVID-19 related symptoms like a cough, fever, shortness of breath or difficulty breathing? |
0;1;-2;-3;-9
|
0= No; 1= Yes; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_covid_tested |
Integer |
|
Recommended |
Have you been tested for the coronavirus? |
0;1;-2;-3;-9
|
0= No; 1= Yes; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_covid_result |
Integer |
|
Recommended |
What was the coronavirus test result? |
1::3;-3::-1;-9
|
1= I have been tested and I tested positive (I had coronavirus); 2= I have been tested and I tested negative (I did not have coronavirus); 3= I have been tested and I do not know the result; -1= Properly skipped; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_covid_vaccine |
Integer |
|
Recommended |
Have you received the COVID-19 vaccine? |
1::3;-2;-3;-9
|
1= Yes, I have received one or both vaccine shots; 2= No, and I PLAN to get it; 3= No, and I DO NOT PLAN to get it; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_covid_admin_date |
Date |
|
Recommended |
COVID: Date of administration |
|
MM/DD/YYYY; -2= Not collected at this time point; -3= Historical missing; 99/99/9999= Missing
|
|
|
|
epinet_nights_hospital_mh |
Integer |
|
Recommended |
During the past six months, what was the total number of nights you spent in a hospital for a mental health reason? |
1::186;-3::-1;-8;-9
|
Number of nights; -1= Properly skipped; -2= Not collected at this time point; -3= Historical missing; -8= Unknown; -9= Missing
|
|
|
|
epinet_primary_dx |
Integer |
|
Recommended |
Current primary diagnosis |
1::8;-2;-3;-9
|
1= Schizophrenia; 2= Schizophreniform disorder; 3= Schizoaffective disorder; 4= Other non-affective psychoses; 5= Major depression with psychotic features; 6= Bipolar disorder with psychotic features; 7= Substance induced psychotic disorder; 8= Other; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_tool_dx |
Integer |
|
Recommended |
Was a structured, standardized tool (e.g., the MINI, SCID) used to make this diagnosis? |
0;1;-2;-3;-9
|
0= No; 1= Yes; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_dx_date |
Date |
|
Recommended |
Date of diagnosis (if approximate date, use the first of the month or Jan 1 of the year) |
|
MM/DD/YYYY; -2= Not collected at this time point; -3= Historical missing; 99/99/9999= Missing
|
|
|
|
tex_family_tx_therapy |
Integer |
|
Recommended |
If yes, indicate what activities family members have participated in the past 6 months: Family therapy |
0;1;-1;-9
|
0= Unchecked; 1= Checked; -1= Properly skipped; -9= Missing
|
|
|
|
epinet_foster |
Integer |
|
Recommended |
Were you ever in the foster care system? |
0;1;-2;-3;-9::-7
|
0= No; 1= Yes; -2= Not collected at this time point; -3= Historical missing; -7= Prefer not to say; -8= Unsure/Do not know; -9= Missing
|
|
|
|
tex_family_tx_psychiatry |
Integer |
|
Recommended |
If yes, indicate what activities family members have participated in the past 6 months: Attend client psychiatry appointments |
0;1;-1;-9
|
0= Unchecked; 1= Checked; -1= Properly skipped; -9= Missing
|
|
|
|
tex_family_tx_nonpsych |
Integer |
|
Recommended |
If yes, indicate what activities family members have participated in the past 6 months: Attend client non-psychiatry appointments |
0;1;-1;-9
|
0= Unchecked; 1= Checked; -1= Properly skipped; -9= Missing
|
|
|
|
tex_family_tx_group |
Integer |
|
Recommended |
If yes, indicate what activities family members have participated in the past 6 months: Attend group with other families |
0;1;-1;-9
|
0= Unchecked; 1= Checked; -1= Properly skipped; -9= Missing
|
|
|
|
tex_family_tx_team |
Integer |
|
Recommended |
If yes, indicate what activities family members have participated in the past 6 months: Attend a family team meeting |
0;1;-1;-9
|
0= Unchecked; 1= Checked; -1= Properly skipped; -9= Missing
|
|
|
|
tex_family_tx_support |
Integer |
|
Recommended |
If yes, indicate what activities family members have participated in the past 6 months: Attend individual family support appointments |
0;1;-1;-9
|
0= Unchecked; 1= Checked; -1= Properly skipped; -9= Missing
|
|
|
|
tex_family_tx_other |
Integer |
|
Recommended |
If yes, indicate what activities family members have participated in the past 6 months: Other |
0;1;-1;-9
|
0= Unchecked; 1= Checked; -1= Properly skipped; -9= Missing
|
|
|
|
epinet_suic_ideation |
Integer |
|
Recommended |
In the past six months, has the client had suicidal ideation? |
0;1;-2;-3;-8;-9
|
0= No; 1= Yes; -2= Not collected at this time point; -3= Historical missing; -8= Unsure/Unknown/Do not know; -9= Missing
|
|
|
|
epinet_suic_attempts |
Integer |
|
Recommended |
In the past six months, has the client had any suicide attempts? |
0;1;-2;-3;-8;-9
|
0= No; 1= Yes; -2= Not collected at this time point; -3= Historical missing; -8= Unsure/Unknown/Do not know; -9= Missing
|
|
|
|
epinet_suic_attempts_num |
Integer |
|
Recommended |
If yes, how many suicide attempts? |
1::186;-3::-1;-8;-9
|
Number of attempts; -1= Properly skipped; -2= Not collected at this time point; -3= Historical missing; -8= Unknown; -9= Missing
|
|
|
|
epinet_self_injury |
Integer |
|
Recommended |
In the past six months, has the client had non-suicidal self-injurious behavior? |
0;1;-2;-3;-8;-9
|
0= No; 1= Yes; -2= Not collected at this time point; -3= Historical missing; -8= Unsure/Unknown/Do not know; -9= Missing
|
|
|
|
subriderace_01c |
Integer |
|
Recommended |
What is your race (select all that apply)? Black or African American |
0;1;77;88;-2;-3;-99
|
0= No/Unchecked; 1= Yes/Checked; 77= Refused; 88= Missing; -2= Not collected at this time point; -3= Historical missing; -99= NA
|
epinet_race_black |
|
|
q19_a1a |
Integer |
|
Recommended |
Height: Feet |
2 :: 9; -5::-2;-9::-7;-999
|
Number of feet; -2= Not collected at this time point; -3= Historical missing; -4= Not collected; -5=item seen but not answered; if missing, please use -7, -8, -9; -999=data not submitted (incomplete)
|
|
|
|
dem_hin |
Integer |
|
Recommended |
Height: Inches |
0::11;-5::-2;-9;-999
|
Number of inches; -2= Not collected at this time point; -3= Historical missing; -4= Not collected; -5=Item seen but not answered; -9= Missing; -999=Data not submitted (incomplete)
|
|
|
|
epinet_weight_pounds |
Integer |
|
Recommended |
Client weight (lbs) |
0::999;-4::-2;-9
|
Pounds (combines with epinet_weight_ounces to form weight in lbs, oz); -2= Not collected at this time point; -3= Historical missing; -4= Not collected; -9= Missing
|
|
|
|
epinet_weight_ounces |
Integer |
|
Recommended |
Client weight (oz) |
0::15;-4::-2;-9
|
Ounces (combines with epinet_weight_pounds to form weight in lbs, oz); -2= Not collected at this time point; -3= Historical missing; -4= Not collected; -9= Missing
|
|
|
|
stress_physio3 |
Integer |
|
Recommended |
Blood Pressure systolic |
|
(mmHg); -2= Not asked at this time point; -3= Historical missing; -9= Missing
|
|
|
|
stress_physio4 |
Integer |
|
Recommended |
Blood Pressure diastolic |
|
(mmHg); -2= Not asked at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_oral_antipsychotic |
Integer |
|
Recommended |
Is the client currently prescribed an oral antipsychotic medication? |
0;1;-2;-3;-8;-9
|
0= No; 1= Yes; -2= Not collected at this time point; -3= Historical missing; -8= Unsure/Unknown/Do not know; -9= Missing
|
|
|
|
epinet_meds_changes |
Integer |
|
Recommended |
Have there been any medication changes since the last visit? |
0;1;-2;-3;-9
|
0= No; 1= Yes; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_oral_other |
Integer |
|
Recommended |
Name and dose of oral antipsychotic medication prescribed: Other |
0;1;-3::-1;-9
|
0= Unchecked; 1= Checked; -1= Properly skipped; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_oral_aripiprazole |
Integer |
|
Recommended |
Name and dose of oral antipsychotic medication prescribed: Aripiprazole (Abilify) |
0::3;-3::-1;-8;-9
|
1= Less than 5 mg/day; 2= 5-15 mg/day; 3= Greater than 15 mg/day; -1= Properly skipped; -2= Not collected at this time point; -3= Historical missing; -8= Dosage not known; -9= Missing; 0= None (not taking or prescribed this medication)
|
|
|
|
subriderace_01e |
Integer |
|
Recommended |
What is your race (select all that apply)? White/Caucasian |
0;1;77;88;-2;-3;-99
|
0= No/Unchecked; 1= Yes/Checked; 77= Refused; 88= Missing; -2= Not collected at this time point; -3= Historical missing; -99= NA
|
epinet_race_white |
|
|
epinet_oral_asenapine |
Integer |
|
Recommended |
Name and dose of oral antipsychotic medication prescribed: Asenapine (Saphris) |
0::3;-3::-1;-8;-9
|
1= Less than 10 mg/day; 2= 10 mg/day; 3= Greater than 10 mg/day; -1= Properly skipped; -2= Not collected at this time point; -3= Historical missing; -8= Dosage not known; -9= Missing; 0= None (not taking or prescribed this medication)
|
|
|
|
epinet_oral_brexpiprazole |
Integer |
|
Recommended |
Name and dose of oral antipsychotic medication prescribed: Brexpiprazole (Rexulti) |
0::3;-3::-1;-8;-9
|
1= Less than 2 mg/day; 2= 2-4 mg/day; 3= Greater than 4 mg/day; -1= Properly skipped; -2= Not collected at this time point; -3= Historical missing; -8= Dosage not known; -9= Missing; 0= None (not taking or prescribed this medication)
|
|
|
|
epinet_oral_chlorpromazine |
Integer |
|
Recommended |
Name and dose of oral antipsychotic medication prescribed: Chlorpromazine (Largactil, Thorazine) |
0::3;-3::-1;-8;-9
|
1= Less than 400 mg/day; 2= 400-600 mg/day; 3= Greater than 600 mg/day; -1= Properly skipped; -2= Not collected at this time point; -3= Historical missing; -8= Dosage not known; -9= Missing; 0= None (not taking or prescribed this medication)
|
|
|
|
epinet_oral_clozapine |
Integer |
|
Recommended |
Name and dose of oral antipsychotic medication prescribed: Clozapine (Clozaril) |
0::3;-3::-1;-8;-9
|
1= Less than 200 mg/day; 2= 200-600 mg/day; 3= Greater than 600 mg/day; -1= Properly skipped; -2= Not collected at this time point; -3= Historical missing; -8= Dosage not known; -9= Missing; 0= None (not taking or prescribed this medication)
|
|
|
|
epinet_oral_fluphenazine |
Integer |
|
Recommended |
Name and dose of oral antipsychotic medication prescribed: Fluphenazine (Prolixin) |
0::3;-3::-1;-8;-9
|
1= Less than 2.5 mg/day; 2= 2.5-5.0 mg/day; 3= Greater than 5.0 mg/day; -1= Properly skipped; -2= Not collected at this time point; -3= Historical missing; -8= Dosage not known; -9= Missing; 0= None (not taking or prescribed this medication)
|
|
|
|
epinet_oral_haloperidol |
Integer |
|
Recommended |
Name and dose of oral antipsychotic medication prescribed: Haloperidol (Haldol) |
0::3;-3::-1;-8;-9
|
1= Less than 2 mg/day; 2= 2-6 mg/day; 3= Greater than 6 mg/day; -1= Properly skipped; -2= Not collected at this time point; -3= Historical missing; -8= Dosage not known; -9= Missing; 0= None (not taking or prescribed this medication)
|
|
|
|
epinet_oral_loxapine |
Integer |
|
Recommended |
Name and dose of oral antipsychotic medication prescribed: Loxapine (Loxitane) |
0::3;-3::-1;-8;-9
|
1= Less than 10 mg/day; 2= 10-25 mg/day; 3= Greater than 25 mg/day; -1= Properly skipped; -2= Not collected at this time point; -3= Historical missing; -8= Dosage not known; -9= Missing; 0= None (not taking or prescribed this medication)
|
|
|
|
epinet_oral_lurasidone |
Integer |
|
Recommended |
Name and dose of oral antipsychotic medication prescribed: Lurasidone (Latuda) |
0::3;-3::-1;-8;-9
|
1= Less than 40 mg/day; 2= 40-80 mg/day; 3= Greater than 80 mg/day; -1= Properly skipped; -2= Not collected at this time point; -3= Historical missing; -8= Dosage not known; -9= Missing; 0= None (not taking or prescribed this medication)
|
|
|
|
epinet_oral_olanzapine |
Integer |
|
Recommended |
Name and dose of oral antipsychotic medication prescribed: Olanzapine (Zyprexa, Ozace) |
0::3;-3::-1;-8;-9
|
1= Less than 5 mg/day; 2= 5-15 mg/day; 3= Greater than 15 mg/day; -1= Properly skipped; -2= Not collected at this time point; -3= Historical missing; -8= Dosage not known; -9= Missing; 0= None (not taking or prescribed this medication)
|
|
|
|
epinet_oral_paliperidone |
Integer |
|
Recommended |
Name and dose of oral antipsychotic medication prescribed: Paliperidone (Invega) |
0::3;-3::-1;-8;-9
|
1= Less than 3 mg/day; 2= 3-6 mg/day; 3= Greater than 6 mg/day; -1= Properly skipped; -2= Not collected at this time point; -3= Historical missing; -8= Dosage not known; -9= Missing; 0= None (not taking or prescribed this medication)
|
|
|
|
subriderace_01b |
Integer |
|
Recommended |
What is your race (select all that apply)? Asian |
0;1;77;88;-2;-3;-99
|
0= No/Unchecked; 1= Yes/Checked; 77= Refused; 88= Missing; -2= Not collected at this time point; -3= Historical missing; -99= NA
|
epinet_race_asian |
|
|
epinet_oral_perphenazine |
Integer |
|
Recommended |
Name and dose of oral antipsychotic medication prescribed: Perphenazine (Trilafon) |
0::3;-3::-1;-8;-9
|
1= Less than 4 mg/day; 2= 4-12 mg/day; 3= Greater than 12 mg/day; -1= Properly skipped; -2= Not collected at this time point; -3= Historical missing; -8= Dosage not known; -9= Missing; 0= None (not taking or prescribed this medication)
|
|
|
|
epinet_oral_quetiapine |
Integer |
|
Recommended |
Name and dose of oral antipsychotic medication prescribed: Quetiapine (Seroquel) |
0::3;-3::-1;-8;-9
|
1= Less than 300 mg/day; 2= 300-600 mg/day; 3= Greater than 600 mg/day; -1= Properly skipped; -2= Not collected at this time point; -3= Historical missing; -8= Dosage not known; -9= Missing; 0= None (not taking or prescribed this medication)
|
|
|
|
epinet_oral_risperidone |
Integer |
|
Recommended |
Name and dose of oral antipsychotic medication prescribed: Risperidone (Risperdal, Zepidone) |
0::3;-3::-1;-8;-9
|
1= Less than 2 mg/day; 2= 2-4 mg/day; 3= Greater than 4 mg/day; -1= Properly skipped; -2= Not collected at this time point; -3= Historical missing; -8= Dosage not known; -9= Missing; 0= None (not taking or prescribed this medication)
|
|
|
|
epinet_oral_ziprasidone |
Integer |
|
Recommended |
Name and dose of oral antipsychotic medication prescribed: Ziprasidone (Geodon, Zeldox) |
0::3;-3::-1;-8;-9
|
1= Less than 40 mg/day; 2= 40-160 mg/day; 3= Greater than 160 mg/day; -1= Properly skipped; -2= Not collected at this time point; -3= Historical missing; -8= Dosage not known; -9= Missing; 0= None (not taking or prescribed this medication)
|
|
|
|
epinet_lai_prescribed |
Integer |
|
Recommended |
Is the client currently prescribed a Long-Acting Injectable (LAI)? |
0;1;-2;-3;-8;-9
|
0= No; 1= Yes; -2= Not collected at this time point; -3= Historical missing; -8= Unsure/Unknown/Do not know; -9= Missing
|
|
|
|
epinet_lai_other |
Integer |
|
Recommended |
Name and dose of long-acting injectable medication prescribed: Other |
0;1;-3::-1;-9
|
0= Unchecked; 1= Checked; -1= Properly skipped; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_lai_aripiprazole |
Integer |
|
Recommended |
Name and dose of long-acting injectable medication prescribed: Aripiprazole (Abilify Maintena) |
0::3;-3::-1;-8;-9
|
1= 300 mg; 2= 400 mg; 3= Other; -1= Properly skipped; -2= Not collected at this time point; -3= Historical missing; -8= Dosage not known; -9= Missing; 0= None (not taking or prescribed this medication)
|
|
|
|
epinet_lai_arip_aristada |
Integer |
|
Recommended |
Name and dose of long-acting injectable medication prescribed: Aripiprazole (Aristada Lauroxil) |
0::4;-3::-1;-8;-9
|
1= 441 mg; 2= 662 mg; 3= 882 mg; 4= 1064 mg; -1= Properly skipped; -2= Not collected at this time point; -3= Historical missing; -8= Dosage not known; -9= Missing; 0= None (not taking or prescribed this medication)
|
|
|
|
epinet_lai_fluphenazine |
Integer |
|
Recommended |
Name and dose of long-acting injectable medication prescribed: Fluphenazine (Prolixin Decanoate) |
0::5;-3::-1;-8;-9
|
1= 25 mg; 2= 37.5 mg; 3= 50 mg; 4= 75 mg; 5= 100 mg; -1= Properly skipped; -2= Not collected at this time point; -3= Historical missing; -8= Dosage not known; -9= Missing; 0= None (not taking or prescribed this medication)
|
|
|
|
epinet_lai_haloperidol |
Integer |
|
Recommended |
Name and dose of long-acting injectable medication prescribed: Haloperidol (Haldol Decanoate ) |
0::4;-3::-1;-8;-9
|
1= 50 mg; 2= 100 mg; 3= 150 mg; 4= 200 mg; -1= Properly skipped; -2= Not collected at this time point; -3= Historical missing; -8= Dosage not known; -9= Missing; 0= None (not taking or prescribed this medication)
|
|
|
|
subriderace_01a |
Integer |
|
Recommended |
What is your race (select all that apply)? American Indian or Alaska Native |
0;1;77;88;-2;-3;-99
|
0= No/Unchecked; 1= Yes/Checked; 77= Refused; 88= Missing; -2= Not collected at this time point; -3= Historical missing; -99= NA
|
epinet_race_ai |
|
|
epinet_lai_olanzapine |
Integer |
|
Recommended |
Name and dose of long-acting injectable medication prescribed: Olanzapine (Zyprexa Relprevv) |
0::4;-3::-1;-8;-9
|
1= 150 mg; 2= 210 mg; 3= 300 mg; 4= 405 mg; -1= Properly skipped; -2= Not collected at this time point; -3= Historical missing; -8= Dosage not known; -9= Missing; 0= None (not taking or prescribed this medication)
|
|
|
|
epinet_lai_paliper_sustenna |
Integer |
|
Recommended |
Name and dose of long-acting injectable medication prescribed: Paliperidone (Invega Sustenna) |
0::5;-3::-1;-8;-9
|
1= 39 mg; 2= 78 mg; 3= 117 mg; 4= 156 mg; 5= 234 mg; -1= Properly skipped; -2= Not collected at this time point; -3= Historical missing; -8= Dosage not known; -9= Missing; 0= None (not taking or prescribed this medication)
|
|
|
|
epinet_lai_paliper_trinza |
Integer |
|
Recommended |
Name and dose of long-acting injectable medication prescribed: Paliperidone (Invega Trinza) |
0::4;-3::-1;-8;-9
|
1= 273 mg; 2= 410 mg; 3= 546 mg; 4= 819 mg; -1= Properly skipped; -2= Not collected at this time point; -3= Historical missing; -8= Dosage not known; -9= Missing; 0= None (not taking or prescribed this medication)
|
|
|
|
epinet_lai_risperidone |
Integer |
|
Recommended |
Name and dose of long-acting injectable medication prescribed: Risperidone (Risperdal Consta) |
0::4;-3::-1;-8;-9
|
1= 12.5 mg; 2= 25 mg; 3= 37.5 mg; 4= 50 mg; -1= Properly skipped; -2= Not collected at this time point; -3= Historical missing; -8= Dosage not known; -9= Missing; 0= None (not taking or prescribed this medication)
|
|
|
|
epinet_lai_risper_perseris |
Integer |
|
Recommended |
Name and dose of long-acting injectable medication prescribed: Risperidone (Perseris) |
0::2;-3::-1;-8;-9
|
1= 90 mg; 2= 120 mg; -1= Properly skipped; -2= Not collected at this time point; -3= Historical missing; -8= Dosage not known; -9= Missing; 0= None (not taking or prescribed this medication)
|
|
|
|
epinet_other_psychotropic |
Integer |
|
Recommended |
Is the client currently prescribed any other psychotropic medications? |
0;1;-2;-3;-9
|
0= No; 1= Yes; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_antidep_bupropion |
Integer |
|
Recommended |
Antidepressants prescribed: Bupropion Hcl (Wellbutrin) |
0;1;-3::-1;-9
|
0= Unchecked; 1= Checked; -1= Properly skipped; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_antidep_citalopram |
Integer |
|
Recommended |
Antidepressants prescribed: Citalopram Hydrobromide (Celexa) |
0;1;-3::-1;-9
|
0= Unchecked; 1= Checked; -1= Properly skipped; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_antidep_duloxetine |
Integer |
|
Recommended |
Antidepressants prescribed: Duloxetine Hcl (Cymbalta) |
0;1;-3::-1;-9
|
0= Unchecked; 1= Checked; -1= Properly skipped; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_antidep_desven |
Integer |
|
Recommended |
Antidepressants prescribed: Desvenlafaxine (Pristiq) |
0;1;-3::-1;-9
|
0= Unchecked; 1= Checked; -1= Properly skipped; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
subriderace_01d |
Integer |
|
Recommended |
What is your race (select all that apply)? Native Hawaiian or Other Pacific Islander |
0;1;77;88;-2;-3;-99
|
0= No/Unchecked; 1= Yes/Checked; 77= Refused; 88= Missing; -2= Not collected at this time point; -3= Historical missing; -99= NA
|
epinet_race_nh |
|
|
epinet_antidep_escitalopram |
Integer |
|
Recommended |
Antidepressants prescribed: Escitalopram Oxalate (Lexapro) |
0;1;-3::-1;-9
|
0= Unchecked; 1= Checked; -1= Properly skipped; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_antidep_fluoxetine |
Integer |
|
Recommended |
Antidepressants prescribed: Fluoxetine Hcl (Prozac) |
0;1;-3::-1;-9
|
0= Unchecked; 1= Checked; -1= Properly skipped; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_antidep_mirtazapine |
Integer |
|
Recommended |
Antidepressants prescribed: Mirtazapine (Remeron) |
0;1;-3::-1;-9
|
0= Unchecked; 1= Checked; -1= Properly skipped; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_antidep_paroxetine |
Integer |
|
Recommended |
Antidepressants prescribed: Paroxetine Hcl (Paxil) |
0;1;-3::-1;-9
|
0= Unchecked; 1= Checked; -1= Properly skipped; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_antidep_sertraline |
Integer |
|
Recommended |
Antidepressants prescribed: Sertraline Hcl (Zoloft) |
0;1;-3::-1;-9
|
0= Unchecked; 1= Checked; -1= Properly skipped; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_antidep_venlafaxine |
Integer |
|
Recommended |
Antidepressants prescribed: Venlafaxine Hcl (Effexor XR) |
0;1;-3::-1;-9
|
0= Unchecked; 1= Checked; -1= Properly skipped; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_antidep_vilazodone |
Integer |
|
Recommended |
Antidepressants prescribed: Vilazodone (Viibryd) |
0;1;-3::-1;-9
|
0= Unchecked; 1= Checked; -1= Properly skipped; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_antidep_vortioxetine |
Integer |
|
Recommended |
Antidepressants prescribed: Vortioxetine (Brintellix) |
0;1;-3::-1;-9
|
0= Unchecked; 1= Checked; -1= Properly skipped; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_antidep_other |
Integer |
|
Recommended |
Antidepressants prescribed: Other |
0;1;-3::-1;-9
|
0= Unchecked; 1= Checked; -1= Properly skipped; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_benzo_lorazepam |
Integer |
|
Recommended |
Benzodiazepines prescribed: Lorazepam (Ativan) |
0;1;-3::-1;-9
|
0= Unchecked; 1= Checked; -1= Properly skipped; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
race_unkown |
Integer |
|
Recommended |
What is your race (select all that apply)? Unknown |
0;1;-2;-3;-9
|
0= No/Unchecked; 1= Yes/Checked; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
epinet_race_dk |
|
|
epinet_benzo_clonazepam |
Integer |
|
Recommended |
Benzodiazepines prescribed: Clonazepam (Klonopin) |
0;1;-3::-1;-9
|
0= Unchecked; 1= Checked; -1= Properly skipped; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_lorazepam_daily_prn |
Integer |
|
Recommended |
Lorazepam (daily or PRN) |
1;2;-3::-1;-9
|
1= Daily; 2= PRN; -1= Properly skipped; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_clonazepam_daily_prn |
Integer |
|
Recommended |
Clonazepam (daily or PRN) |
1;2;-3::-1;-9
|
1= Daily; 2= PRN; -1= Properly skipped; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_sedative_zolpidem |
Integer |
|
Recommended |
Sedative/hypnotics prescribed. Zolpidem (Ambien) |
0;1;-3::-1;-9
|
0= Unchecked; 1= Checked; -1= Properly skipped; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_mood_carbamazepine |
Integer |
|
Recommended |
Mood stabilizers prescribed. Carbamazepine (Tegretol) |
0;1;-3::-1;-9
|
0= Unchecked; 1= Checked; -1= Properly skipped; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_mood_divalproex |
Integer |
|
Recommended |
Mood stabilizers prescribed: Divalproex/ Valproic acid (Depakote) |
0;1;-3::-1;-9
|
0= Unchecked; 1= Checked; -1= Properly skipped; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_mood_lamotrigine |
Integer |
|
Recommended |
Mood stabilizers prescribed: Lamotrigine (Lamictal) |
0;1;-3::-1;-9
|
0= Unchecked; 1= Checked; -1= Properly skipped; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_mood_lith_citrate |
Integer |
|
Recommended |
Mood stabilizers prescribed: Lithium Citrate (Lithium) |
0;1;-3::-1;-9
|
0= Unchecked; 1= Checked; -1= Properly skipped; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_mood_lith_carbonate |
Integer |
|
Recommended |
Mood stabilizers prescribed: Lithium Carbonate (Eskalith) |
0;1;-3::-1;-9
|
0= Unchecked; 1= Checked; -1= Properly skipped; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_mood_oxcarbazepine |
Integer |
|
Recommended |
Mood stabilizers prescribed: Oxcarbazepine (Trileptal) |
0;1;-3::-1;-9
|
0= Unchecked; 1= Checked; -1= Properly skipped; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
le_demo_race_6 |
Integer |
|
Recommended |
What is your race (select all that apply)? Prefer not to answer |
0;1;77;88;-2;-3;-99
|
0= No/Unchecked; 1= Yes/Checked; 77= Refused; 88= Missing; -2= Not collected at this time point; -3= Historical missing; -99= NA
|
epinet_race_prefernot |
|
|
epinet_mood_topiramate |
Integer |
|
Recommended |
Mood stabilizers prescribed: Topiramate (Topamax) |
0;1;-3::-1;-9
|
0= Unchecked; 1= Checked; -1= Properly skipped; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_adhd_amphetamine |
Integer |
|
Recommended |
ADHD medications prescribed: Amphetamine (Adderall, Vyvanse) |
0;1;-3::-1;-9
|
0= Unchecked; 1= Checked; -1= Properly skipped; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_adhd_methylphenidate |
Integer |
|
Recommended |
ADHD medications prescribed: Methylphenidate (Ritalin, Concerta) |
0;1;-3::-1;-9
|
0= Unchecked; 1= Checked; -1= Properly skipped; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_adhd_guanfacine |
Integer |
|
Recommended |
ADHD medications prescribed: Guanfacine (Intuniv) |
0;1;-3::-1;-9
|
0= Unchecked; 1= Checked; -1= Properly skipped; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_adhd_atomoxetine |
Integer |
|
Recommended |
ADHD medications prescribed: Atomoxetine (Strattera) |
0;1;-3::-1;-9
|
0= Unchecked; 1= Checked; -1= Properly skipped; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_anxiety_buspirone |
Integer |
|
Recommended |
Anxiolytic prescribed: Buspirone (Buspar) |
0;1;-3::-1;-9
|
0= Unchecked; 1= Checked; -1= Properly skipped; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_smoking_bupropion |
Integer |
|
Recommended |
Smoking cessation medication prescribed: Bupropion Hcl (Zyban) |
0;1;-3::-1;-9
|
0= Unchecked; 1= Checked; -1= Properly skipped; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_smoking_varenacline |
Integer |
|
Recommended |
Smoking cessation medication prescribed: Varenicline (Chantix) |
0;1;-3::-1;-9
|
0= Unchecked; 1= Checked; -1= Properly skipped; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_other_gabapentin |
Integer |
|
Recommended |
Other medications prescribed: Gabapentin (Gralise) |
0;1;-3::-1;-9
|
0= Unchecked; 1= Checked; -1= Properly skipped; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_other_trazodone |
Integer |
|
Recommended |
Other medications prescribed: Trazodone Hcl (Desyrel) |
0;1;-3::-1;-9
|
0= Unchecked; 1= Checked; -1= Properly skipped; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_lang_english |
Integer |
|
Recommended |
What is your preferred language? English |
0;1;-2;-3;-9
|
0= Unchecked; 1= Checked; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_other_drugs |
Integer |
|
Recommended |
Other medications prescribed: Other |
0;1;-3::-1;-9
|
0= Unchecked; 1= Checked; -1= Properly skipped; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_discharge_status |
Integer |
|
Recommended |
Was the client recently discharged? |
0;1;-2;-3;-9
|
0= No; 1= Yes; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_discharge_year |
Integer |
|
Recommended |
Date of discharge. Year |
2020::2040;-2;-3;-9
|
Year as YYYY; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_further_services |
Integer |
|
Recommended |
Did the team refer for further services? |
0;1;-2;-3;-8;-9
|
0= No; 1= Yes; -2= Not collected at this time point; -3= Historical missing; -8= Unsure/Unknown/Do not know; -9= Missing
|
|
|
|
epinet_referral_int_med |
Integer |
|
Recommended |
Indicate any referrals made for services that were within your agency: Medication only |
0;1;-2;-3;-9
|
0= Unchecked; 1= Checked; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_referral_int_psych |
Integer |
|
Recommended |
Indicate any referrals made for services that were within your agency: Psychotherapy only or some mix of psychosocial treatments, medication, supportive services, etc: |
0;1;-2;-3;-9
|
0= Unchecked; 1= Checked; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_referral_int_higher |
Integer |
|
Recommended |
Indicate any referrals made for services that were within your agency: Higher level of service |
0;1;-2;-3;-9
|
0= Unchecked; 1= Checked; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_referral_int_other |
Integer |
|
Recommended |
Indicate any referrals made for services that were within your agency: Other |
0;1;-2;-3;-9
|
0= Unchecked; 1= Checked; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_referral_int_none |
Integer |
|
Recommended |
Indicate any referrals made for services that were within your agency: None |
0;1;-2;-3;-9
|
0= Unchecked; 1= Checked; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_referral_int_na |
Integer |
|
Recommended |
Indicate any referrals made for services that were within your agency: Does not apply |
0;1;-2;-3;-9
|
0= Unchecked; 1= Checked; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_lang_spanish |
Integer |
|
Recommended |
What is your preferred language? Spanish |
0;1;-2;-3;-9
|
0= Unchecked; 1= Checked; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_referral_out_med |
Integer |
|
Recommended |
Indicate any referrals made for services that were outside your agency: Medication only |
0;1;-2;-3;-9
|
0= Unchecked; 1= Checked; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_referral_out_psych |
Integer |
|
Recommended |
Indicate any referrals made for services that were outside your agency: Psychotherapy only or some mix of psychosocial treatments, medication, supportive services, etc: |
0;1;-2;-3;-9
|
0= Unchecked; 1= Checked; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_referral_out_higher |
Integer |
|
Recommended |
Indicate any referrals made for services that were outside your agency: Higher level of service |
0;1;-2;-3;-9
|
0= Unchecked; 1= Checked; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_referral_out_csc |
Integer |
|
Recommended |
Indicate any referrals made for services that were outside your agency: Another CSC program |
0;1;-2;-3;-9
|
0= Unchecked; 1= Checked; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_referral_out_other |
Integer |
|
Recommended |
Indicate any referrals made for services that were outside your agency: Other |
0;1;-2;-3;-9
|
0= Unchecked; 1= Checked; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_referral_out_none |
Integer |
|
Recommended |
Indicate any referrals made for services that were outside your agency: None |
0;1;-2;-3;-9
|
0= Unchecked; 1= Checked; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_referral_out_na |
Integer |
|
Recommended |
Indicate any referrals made for services that were outside your agency: Does not apply |
0;1;-2;-3;-9
|
0= Unchecked; 1= Checked; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_lang_vietnamese |
Integer |
|
Recommended |
What is your preferred language? Vietnamese |
0;1;-2;-3;-9
|
0= Unchecked; 1= Checked; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_lang_mandarin |
Integer |
|
Recommended |
What is your preferred language? Mandarin |
0;1;-2;-3;-9
|
0= Unchecked; 1= Checked; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_lang_sign |
Integer |
|
Recommended |
What is your preferred language? Sign Language |
0;1;-2;-3;-9
|
0= Unchecked; 1= Checked; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_lang_otherasian |
Integer |
|
Recommended |
What is your preferred language? Other Asian |
0;1;-2;-3;-9
|
0= Unchecked; 1= Checked; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_lang_yiddish |
Integer |
|
Recommended |
What is your preferred language? Yiddish |
0;1;-2;-3;-9
|
0= Unchecked; 1= Checked; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
timepoint_label |
String |
50
|
Recommended |
Timepoint/visit label |
|
|
epinet_assessment_type |
|
|
epinet_lang_tagalog |
Integer |
|
Recommended |
What is your preferred language? Tagalog |
0;1;-2;-3;-9
|
0= Unchecked; 1= Checked; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_lang_russian |
Integer |
|
Recommended |
What is your preferred language? Russian |
0;1;-2;-3;-9
|
0= Unchecked; 1= Checked; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_lang_portugese |
Integer |
|
Recommended |
What is your preferred language? Portuguese |
0;1;-2;-3;-9
|
0= Unchecked; 1= Checked; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_lang_polish |
Integer |
|
Recommended |
What is your preferred language? Polish |
0;1;-2;-3;-9
|
0= Unchecked; 1= Checked; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_lang_otherindo |
Integer |
|
Recommended |
What is your preferred language? Other Indo-European |
0;1;-2;-3;-9
|
0= Unchecked; 1= Checked; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_lang_korean |
Integer |
|
Recommended |
What is your preferred language? Korean |
0;1;-2;-3;-9
|
0= Unchecked; 1= Checked; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_lang_italian |
Integer |
|
Recommended |
What is your preferred language? Italian |
0;1;-2;-3;-9
|
0= Unchecked; 1= Checked; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_lang_indic |
Integer |
|
Recommended |
What is your preferred language? Indic |
0;1;-2;-3;-9
|
0= Unchecked; 1= Checked; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_lang_hmong |
Integer |
|
Recommended |
What is your preferred language? Hmong |
0;1;-2;-3;-9
|
0= Unchecked; 1= Checked; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_lang_hebrew |
Integer |
|
Recommended |
What is your preferred language? Hebrew |
0;1;-2;-3;-9
|
0= Unchecked; 1= Checked; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_site_id |
String |
50
|
Recommended |
Unique identifier for Site or Clinic |
|
-2= Not collected at this time point; -3= Historical missing
|
|
|
|
epinet_lang_french |
Integer |
|
Recommended |
What is your preferred language? French |
0;1;-2;-3;-9
|
0= Unchecked; 1= Checked; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_lang_farsi |
Integer |
|
Recommended |
What is your preferred language? Farsi |
0;1;-2;-3;-9
|
0= Unchecked; 1= Checked; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_lang_cantonese |
Integer |
|
Recommended |
What is your preferred language? Cantonese |
0;1;-2;-3;-9
|
0= Unchecked; 1= Checked; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_lang_cambodian |
Integer |
|
Recommended |
What is your preferred language? Cambodian |
0;1;-2;-3;-9
|
0= Unchecked; 1= Checked; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_lang_armenian |
Integer |
|
Recommended |
What is your preferred language? Armenian |
0;1;-2;-3;-9
|
0= Unchecked; 1= Checked; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_lang_arabic |
Integer |
|
Recommended |
What is your preferred language? Arabic |
0;1;-2;-3;-9
|
0= Unchecked; 1= Checked; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_lang_african |
Integer |
|
Recommended |
What is your preferred language? African |
0;1;-2;-3;-9
|
0= Unchecked; 1= Checked; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_lang_other |
Integer |
|
Recommended |
What is your preferred language? Other |
0;1;-2;-3;-9
|
0= Unchecked; 1= Checked; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_lang_prefernot |
Integer |
|
Recommended |
What is your preferred language? Prefer not to say |
0;1;-2;-3;-9
|
0= Unchecked; 1= Checked; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_marital |
Integer |
|
Recommended |
What is your current marital status? |
1::7;-2;-3;-7;-9
|
1= Never married; 2= Married; 3= Domestic partnership; 4= Separated; 5= Divorced; 6= Widowed; 7= Other; -2= Not collected at this time point; -3= Historical missing; -7= Prefer not to say; -9= Missing
|
|
|
|
tex_pref_language |
Integer |
|
Recommended |
What language is preferred for the instruments? |
1;2;-9
|
1= English; 2= Spanish; -9= Missing
|
|
|
|
epinet_child_none |
Integer |
|
Recommended |
Do you have any children? No children |
0;1;-2;-3;-9
|
0= Unchecked; 1= Checked; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_child_expecting |
Integer |
|
Recommended |
Do you have any children? Expecting a child |
0;1;-2;-3;-9
|
0= Unchecked; 1= Checked; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_child_u18_custody |
Integer |
|
Recommended |
Do you have any children? Children less than age 18, in my custody |
0;1;-2;-3;-9
|
0= Unchecked; 1= Checked; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_child_u18_nocustody |
Integer |
|
Recommended |
Do you have any children? Children less than age 18, not in my custody |
0;1;-2;-3;-9
|
0= Unchecked; 1= Checked; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_child_older18 |
Integer |
|
Recommended |
Do you have any children? Children 18 or older |
0;1;-2;-3;-9
|
0= Unchecked; 1= Checked; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_child_prefernot |
Integer |
|
Recommended |
Do you have any children? Prefer not to say |
0;1;-2;-3;-9
|
0= Unchecked; 1= Checked; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_child_dk |
Integer |
|
Recommended |
Do you have any children? Unsure/Do Not know |
0;1;-2;-3;-9
|
0= Unchecked; 1= Checked; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_housing |
Integer |
|
Recommended |
What is your current housing situation? |
1::9;-2;-3;-9::-7
|
1= Alone or with roommates (unsupervised); 2= Living with biological or adoptive family; 3= Living in foster care; 4= Supervised apartment (some staff support), supported housing, or dependent living set-up, without other individuals; 5= Group home or residential care with other individuals; 6= Homeless shelter, or sleeping outdoors; 7= In temporary housing (e.g., couch surfing, temporarily living with family or friends); 9= Other; -2= Not collected at this time point; -3= Historical missing; -7= Prefer not to say; -8= Unsure/Do not know; -9= Missing
|
|
|
|
epinet_insurance |
Integer |
|
Recommended |
What type of health insurance do you currently have? |
1::4;-2;-3;-8;-9
|
1= Commercial Insurance; 2= Medicaid; 3= No Insurance; 4= Other; -2= Not collected at this time point; -3= Historical missing; -8= Unsure/Do not know; -9= Missing
|
|
|
|
epinet_fin_mother |
Integer |
|
Recommended |
Do you receive financial support from any of the following people? Mother |
0;1;-2;-3;-9
|
0= Unchecked; 1= Checked; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
tex_csc_duration_days |
Integer |
|
Recommended |
Days elapsed in program |
0::9999;-9
|
Number of days; -9= Missing
|
|
|
|
epinet_fin_father |
Integer |
|
Recommended |
Do you receive financial support from any of the following people? Father |
0;1;-2;-3;-9
|
0= Unchecked; 1= Checked; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_fin_guardian |
Integer |
|
Recommended |
Do you receive financial support from any of the following people? Guardian |
0;1;-2;-3;-9
|
0= Unchecked; 1= Checked; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_fin_spouse |
Integer |
|
Recommended |
Do you receive financial support from any of the following people? Spouse |
0;1;-2;-3;-9
|
0= Unchecked; 1= Checked; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_fin_other |
Integer |
|
Recommended |
Do you receive financial support from any of the following people? Other |
0;1;-2;-3;-9
|
0= Unchecked; 1= Checked; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_fin_dk |
Integer |
|
Recommended |
Do you receive financial support from any of the following people? Unsure/Do Not Know |
0;1;-2;-3;-9
|
0= Unchecked; 1= Checked; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_fin_none |
Integer |
|
Recommended |
Do you receive financial support from any of the following people? I do not receive financial support from anyone |
0;1;-2;-3;-9
|
0= Unchecked; 1= Checked; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_ssi |
Integer |
|
Recommended |
Do you currently receive Supplemental Security Income (SSI)/Social Security Disability Insurance (SSDI)? |
1::3;-2;-3;-8;-9
|
1= Yes; 2= No, I never received SSI/SSDI; 3= No, I used to receive SSI/SSDI, but I no longer receive it; -2= Not collected at this time point; -3= Historical missing; -8= Unsure/Do not know; -9= Missing
|
|
|
|
epinet_ssi_age |
Integer |
|
Recommended |
About how old were you when you began receiving SSI/SSDI? |
0::35;-3::-1;-8;-9
|
Age; -1= Properly skipped; -2= Not collected at this time point; -3= Historical missing; -8= Do not know; -9= Missing
|
|
|
|
epinet_ssi_apply |
Integer |
|
Recommended |
Have you applied for SSI/SSDI in the past six months? |
0;1;-2;-3;-9
|
0= No; 1= Yes; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_supp_disability |
Integer |
|
Recommended |
Do you currently receive any of the following other monetary supports? Disability benefits other than SSI/SSDI |
0;1;-2;-3;-9
|
0= Unchecked; 1= Checked; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
tex_demo_info_src |
Integer |
|
Recommended |
Is the demographic information collected from client as self-report or from another source? |
1::3;-9
|
1= Client Self-report; 2= Family member; 3= Other source; -9= Missing
|
|
|
|
epinet_supp_tanf |
Integer |
|
Recommended |
Do you currently receive any of the following other monetary supports? TANF or other income assistance |
0;1;-2;-3;-9
|
0= Unchecked; 1= Checked; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_supp_unemployment |
Integer |
|
Recommended |
Do you currently receive any of the following other monetary supports? Unemployment |
0;1;-2;-3;-9
|
0= Unchecked; 1= Checked; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_supp_snap |
Integer |
|
Recommended |
Do you currently receive any of the following other monetary supports? Supplemental Nutrition Assistance Program (SNAP)/Food Stamps |
0;1;-2;-3;-9
|
0= Unchecked; 1= Checked; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_supp_other |
Integer |
|
Recommended |
Do you currently receive any of the following other monetary supports? Other |
0;1;-2;-3;-9
|
0= Unchecked; 1= Checked; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_supp_dk |
Integer |
|
Recommended |
Do you currently receive any of the following other monetary supports? Unsure/Do Not Know |
0;1;-2;-3;-9
|
0= Unchecked; 1= Checked; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_supp_none |
Integer |
|
Recommended |
Do you currently receive any of the following other monetary supports? None |
0;1;-2;-3;-9
|
0= Unchecked; 1= Checked; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_demo_admin_date |
Date |
|
Recommended |
Demographics: Date of administration |
|
MM/DD/YYYY; -2= Not collected at this time point; -3= Historical missing; 99/99/9999= Missing
|
|
|
|
tex_edu_info_src |
Integer |
|
Recommended |
Is the education information collected from client as self-report or from another source? |
1::3;-9
|
1= Client Self-report; 2= Family member; 3= Other source; -9= Missing
|
|
|
|
epinet_edu_level |
Integer |
|
Recommended |
What is the highest grade you have completed? |
1::6;-2;-3;-8;-9
|
1= 8th grade or less; 2= Some high school; 3= High school diploma or GED; 4= Some college, including AA and technical certificates or diploma; 5= Graduated 4-year college; 6= Advanced degree (e.g., MA, MD, PhD); -2= Not collected at this time point; -3= Historical missing; -8= Unsure/Do not know; -9= Missing
|
|
|
|
epinet_edu_attendance |
Integer |
|
Recommended |
Are you currently attending school? |
1::5;-2;-3;-8;-9
|
1= Not attending; 2= Attending full-time; 3= Attending part-time; 4= Other; 5= Off for summer, but attending in fall; -2= Not collected at this time point; -3= Historical missing; -8= Unsure/Do not know; -9= Missing
|
|
|
|
epinet_year_birth |
Integer |
|
Recommended |
What is your date of birth? Year |
1985::2010;-2;-3;-9
|
Year as YYYY; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_edu_type |
Integer |
|
Recommended |
What type of school program are you attending? |
1::7;-3::-1;-8;-9
|
1= Middle school; 2= High school; 3= Professional/ vocational certification program; 4= Two year college; 5= Four year college; 6= Graduate program; 7= Other; -1= Properly skipped; -2= Not collected at this time point; -3= Historical missing; -8= Unsure/Do not know; -9= Missing
|
|
|
|
epinet_edu_support |
Integer |
|
Recommended |
Do you currently receive educational support and accommodation through an Individualized Education Plan (IEP), 504 plan, or from your college disability support office? |
0;1;-2;-3;-6;-8;-9
|
0= No; 1= Yes; -2= Not collected at this time point; -3= Historical missing; -6= Not applicable; -8= Unsure/Do not know; -9= Missing
|
|
|
|
epinet_edu_goal |
Integer |
|
Recommended |
Are you currently working toward a goal related to school at this time, for example, to graduate high school or improve your grades? |
0;1;-2;-3;-6;-8;-9
|
0= No; 1= Yes; -2= Not collected at this time point; -3= Historical missing; -6= Not applicable; -8= Unsure/Do not know; -9= Missing
|
|
|
|
epinet_edu_admin_date |
Date |
|
Recommended |
Education: Date of administration |
|
MM/DD/YYYY; -2= Not collected at this time point; -3= Historical missing; 99/99/9999= Missing
|
|
|
|
tex_emp_info_src |
Integer |
|
Recommended |
Is the employment information collected from client as self-report or from another source? |
1::3;-9
|
1= Client Self-report; 2= Family member; 3= Other source; -9= Missing
|
|
|
|
epinet_emp_goal |
Integer |
|
Recommended |
Are you currently working toward a goal related to employment at this time, for example, to get a job or find a new job? |
0;1;-2;-3;-6;-8;-9
|
0= No; 1= Yes; -2= Not collected at this time point; -3= Historical missing; -6= Does not apply; -8= Unsure/Unknown/Do not know; -9= Missing
|
|
|
|
epinet_emp_internship |
Integer |
|
Recommended |
Have you had an internship, apprenticeship, or done volunteer work any time in the past six months? |
0;1;-2;-3;-8;-9
|
0= No; 1= Yes; -2= Not collected at this time point; -3= Historical missing; -8= Unsure/Unknown/Do not know; -9= Missing
|
|
|
|
epinet_emp_intern_paid |
Integer |
|
Recommended |
If yes, was this work paid? |
0;1;-3::-1;-9
|
0= No; 1= Yes; -1= Properly skipped; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_emp_job_6mos |
Integer |
|
Recommended |
Have you had a paid job any time in the past six months? |
0;1;-2;-3;-8;-9
|
0= No; 1= Yes; -2= Not collected at this time point; -3= Historical missing; -8= Unsure/Unknown/Do not know; -9= Missing
|
|
|
|
epinet_emp_job1_type |
Integer |
|
Recommended |
Job 1: What type of work is this job? |
1::9;-3::-1;-8;-9
|
1= Traineeship; 2= Professional/ Technical/ Managerial (e.g., doctor, lawyer, accountant, teacher, project manager); 3= Office and Administrative Support Occupations and Sales Positions; 4= Personal Care and Service (e.g., cashier, dog walker, food preparation); 5= Construction/ Mechanical/ Factory Worker/ Maintenance; 6= Agricultural (e.g., farm, fishery, forest); 7= Transportation (e.g., bus, taxi driver); 8= Military, emergency services (e.g., police, firefighter), or security; 9= Other; -1= Properly skipped; -2= Not collected at this time point; -3= Historical missing; -8= Unknown; -9= Missing
|
|
|
|
ethnic |
Integer |
|
Recommended |
ethnicity |
1;2;-2;-3;-9::-7
|
1= Not Hispanic; 2= Hispanic; -2= Not collected at this time point; -3= Historical missing; -7= Prefer not to say; -8= Unsure/Do not know; -9= Missing
|
epinet_ethnicity |
|
|
epinet_emp_job1_status |
Integer |
|
Recommended |
Job 1: Is/was this a full-time position (more than 30 hours/week) or part-time position (less than 30 hours per week)? |
1::3;-3::-1;-9
|
1= Full-time; 2= Part-time; 3= Other; -1= Properly skipped; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_emp_job1_pay |
Integer |
|
Recommended |
Job 1: About how much was your take-home pay per week in this position (round to dollars)? |
0::99999;-3::-1;-9
|
Dollars; -1= Properly skipped; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_emp_job2 |
Integer |
|
Recommended |
Job 2: Have you had any other paid job in the past six months? |
0;1;-3::-1;-9
|
0= No; 1= Yes; -1= Properly skipped; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_emp_job2_type |
Integer |
|
Recommended |
Job 2: What type of work is this job? |
1::9;-3::-1;-8;-9
|
1= Traineeship; 2= Professional/ Technical/ Managerial (e.g., doctor, lawyer, accountant, teacher, project manager); 3= Office and Administrative Support Occupations and Sales Positions; 4= Personal Care and Service (e.g., cashier, dog walker, food preparation); 5= Construction/ Mechanical/ Factory Worker/ Maintenance; 6= Agricultural (e.g., farm, fishery, forest); 7= Transportation (e.g., bus, taxi driver); 8= Military, emergency services (e.g., police, firefighter), or security; 9= Other; -1= Properly skipped; -2= Not collected at this time point; -3= Historical missing; -8= Unknown; -9= Missing
|
|
|
|
epinet_emp_job2_status |
Integer |
|
Recommended |
Job 2: Is/was this a full-time position (more than 30 hours/week) or a part-time position (less than 30 hours per week)? |
1::3;-3::-1;-9
|
1= Full-time; 2= Part-time; 3= Other; -1= Properly skipped; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_emp_job2_pay |
Integer |
|
Recommended |
Job 2: About how much was your take-home pay per week in this position (round to dollars)? |
0::99999;-3::-1;-9
|
Dollars; -1= Properly skipped; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_emp_job3 |
Integer |
|
Recommended |
Job 3: Have you had any other paid job in the past six months? |
0;1;-3::-1;-9
|
0= No; 1= Yes; -1= Properly skipped; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_emp_job3_type |
Integer |
|
Recommended |
Job 3: What type of work is this job? |
1::9;-3::-1;-8;-9
|
1= Traineeship; 2= Professional/ Technical/ Managerial (e.g., doctor, lawyer, accountant, teacher, project manager); 3= Office and Administrative Support Occupations and Sales Positions; 4= Personal Care and Service (e.g., cashier, dog walker, food preparation); 5= Construction/ Mechanical/ Factory Worker/ Maintenance; 6= Agricultural (e.g., farm, fishery, forest); 7= Transportation (e.g., bus, taxi driver); 8= Military, emergency services (e.g., police, firefighter), or security; 9= Other; -1= Properly skipped; -2= Not collected at this time point; -3= Historical missing; -8= Unknown; -9= Missing
|
|
|
|
epinet_emp_job3_status |
Integer |
|
Recommended |
Job 3: Is/was this a full-time position (more than 30 hours/week) or a part-time position (less than 30 hours per week)? |
1::3;-3::-1;-9
|
1= Full-time; 2= Part-time; 3= Other; -1= Properly skipped; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_emp_job3_pay |
Integer |
|
Recommended |
Job 3: About how much was your take-home pay per week in this position (round to dollars)? |
0::99999;-3::-1;-9
|
Dollars; -1= Properly skipped; -2= Not collected at this time point; -3= Historical missing; -9= Missing
|
|
|
|
epinet_csc_duration_months |
Integer |
|
Recommended |
How long, in months, has the client been engaged in the program? |
0::240;-9
|
Number of months; -9=Missing
|
|
|
|
a1demo_race3e |
Integer |
|
Recommended |
What is your race (select all that apply)? Middle Eastern/North African |
0;1;-2;-3;-9
|
0= No/Unchecked; 1= Yes/Checked; -2=Not collected at this time point; -3=Historical missing; -9=Missing
|
|
|
|
leap_referred_facility |
Integer |
|
Recommended |
Who referred you to this program? Someone from another program within this facility/agency |
0;1;-2;-3;-9
|
0=Unchecked; 1=Checked; -2=Not collected at this time point; -3=Historical missing; -9=Missing
|
|
|
|
leap_referred_er |
Integer |
|
Recommended |
Who referred you to this program? Emergency Room |
0;1;-2;-3;-9
|
0=Unchecked; 1=Checked; -2=Not collected at this time point; -3=Historical missing; -9=Missing
|
|
|
|
leap_referred_crisis_stab |
Integer |
|
Recommended |
Who referred you to this program? Crisis stabilization unit (i.e., a 24-hour non hospital setting) |
0;1;-2;-3;-9
|
0=Unchecked; 1=Checked; -2=Not collected at this time point; -3=Historical missing; -9=Missing
|
|
|
|
leap_referred_hosp_gen |
Integer |
|
Recommended |
Who referred you to this program? Hospital - general medical setting |
0;1;-2;-3;-9
|
0=Unchecked; 1=Checked; -2=Not collected at this time point; -3=Historical missing; -9=Missing
|
|
|
|
leap_referred_hosp_psych |
Integer |
|
Recommended |
Who referred you to this program? Hospital - psychiatric unit or setting |
0;1;-2;-3;-9
|
0=Unchecked; 1=Checked; -2=Not collected at this time point; -3=Historical missing; -9=Missing
|
|
|
|
leap_referred_school |
Integer |
|
Recommended |
Who referred you to this program? School or University |
0;1;-2;-3;-9
|
0=Unchecked; 1=Checked; -2=Not collected at this time point; -3=Historical missing; -9=Missing
|
|
|
|
leap_referred_prim_care |
Integer |
|
Recommended |
Who referred you to this program? Family Care Doctor/Primary Care Physician |
0;1;-2;-3;-9
|
0=Unchecked; 1=Checked; -2=Not collected at this time point; -3=Historical missing; -9=Missing
|
|
|
|
leap_referred_outpatient |
Integer |
|
Recommended |
Who referred you to this program? Community outpatient mental health provider (e.g., psychiatrist, social worker, psychologist) |
0;1;-2;-3;-9
|
0=Unchecked; 1=Checked; -2=Not collected at this time point; -3=Historical missing; -9=Missing
|
|
|
|
leap_referred_legal |
Integer |
|
Recommended |
Who referred you to this program? Legal system (e.g., police, detention center, juvenile court) |
0;1;-2;-3;-9
|
0=Unchecked; 1=Checked; -2=Not collected at this time point; -3=Historical missing; -9=Missing
|
|
|
|
leap_referred_family |
Integer |
|
Recommended |
Who referred you to this program? Family member |
0;1;-2;-3;-9
|
0=Unchecked; 1=Checked; -2=Not collected at this time point; -3=Historical missing; -9=Missing
|
|
|
|
leap_referred_self |
Integer |
|
Recommended |
Who referred you to this program? Self |
0;1;-2;-3;-9
|
0=Unchecked; 1=Checked; -2=Not collected at this time point; -3=Historical missing; -9=Missing
|
|
|
|
leap_referred_other |
Integer |
|
Recommended |
Who referred you to this program? Other |
0;1;-2;-3;-9
|
0=Unchecked; 1=Checked; -2=Not collected at this time point; -3=Historical missing; -9=Missing
|
|
|
|
leap_ap_yn |
Integer |
|
Recommended |
Was the client prescribed an antipsychotic medication in the past 6 months? |
1::3;-2;-3;-9
|
1=Yes - Oral; 2=Yes - Intramuscular; 3=No; -2=Not collected at this time point; -3=Historical missing; -9=Missing
|
|
|
|
leap_ms_yn |
Integer |
|
Recommended |
Has the client been prescribed a mood stabilizer medication in the past 6 months? |
1;2;-2;-3;-9
|
1=Yes; 2=No; -2=Not collected at this time point; -3=Historical missing; -9=Missing
|
|
|
|
leap_ms_se_none |
Integer |
|
Recommended |
If the patient has taken mood stabilizers in the past 6 months, what side effect(s) have been reported? None |
0;1;-1;-2;-3;-9
|
0=Unchecked; 1=Checked; -1=Properly skipped; -2=Not collected at this time point; -3=Historical missing; -9=Missing
|
|
|
|
leap_ms_se_sedation |
Integer |
|
Recommended |
If the patient has taken mood stabilizers in the past 6 months, what side effect(s) have been reported? Daytime sedation, could not stay awake |
0;1;-1;-2;-3;-9
|
0=Unchecked; 1=Checked; -1=Properly skipped; -2=Not collected at this time point; -3=Historical missing; -9=Missing
|
|
|
|
leap_ms_se_muscles |
Integer |
|
Recommended |
If the patient has taken mood stabilizers in the past 6 months, what side effect(s) have been reported? Muscles being too tense or still, or muscles trembling or shaking |
0;1;-1;-2;-3;-9
|
0=Unchecked; 1=Checked; -1=Properly skipped; -2=Not collected at this time point; -3=Historical missing; -9=Missing
|
|
|
|
leap_ms_se_appetite |
Integer |
|
Recommended |
If the patient has taken mood stabilizers in the past 6 months, what side effect(s) have been reported? Changes in appetite or weight |
0;1;-1;-2;-3;-9
|
0=Unchecked; 1=Checked; -1=Properly skipped; -2=Not collected at this time point; -3=Historical missing; -9=Missing
|
|
|
|
leap_ms_se_sexual |
Integer |
|
Recommended |
If the patient has taken mood stabilizers in the past 6 months, what side effect(s) have been reported? Changes in sexual functioning |
0;1;-1;-2;-3;-9
|
0=Unchecked; 1=Checked; -1=Properly skipped; -2=Not collected at this time point; -3=Historical missing; -9=Missing
|
|
|
|
leap_ms_se_unlike_self |
Integer |
|
Recommended |
If the patient has taken mood stabilizers in the past 6 months, what side effect(s) have been reported? Feeling unlike usual self |
0;1;-1;-2;-3;-9
|
0=Unchecked; 1=Checked; -1=Properly skipped; -2=Not collected at this time point; -3=Historical missing; -9=Missing
|
|
|
|
leap_ms_se_vision |
Integer |
|
Recommended |
If the patient has taken mood stabilizers in the past 6 months, what side effect(s) have been reported? Blurry vision, dry mouth, constipation, or urinary retention or hesitancy |
0;1;-1;-2;-3;-9
|
0=Unchecked; 1=Checked; -1=Properly skipped; -2=Not collected at this time point; -3=Historical missing; -9=Missing
|
|
|
|
leap_ms_se_restless |
Integer |
|
Recommended |
If the patient has taken mood stabilizers in the past 6 months, what side effect(s) have been reported? Feeling restless, jittery, or the need to move around and/or pace |
0;1;-1;-2;-3;-9
|
0=Unchecked; 1=Checked; -1=Properly skipped; -2=Not collected at this time point; -3=Historical missing; -9=Missing
|
|
|
|
leap_ms_se_memory |
Integer |
|
Recommended |
If the patient has taken mood stabilizers in the past 6 months, what side effect(s) have been reported? Problems with memory or concentration |
0;1;-1;-2;-3;-9
|
0=Unchecked; 1=Checked; -1=Properly skipped; -2=Not collected at this time point; -3=Historical missing; -9=Missing
|
|
|
|
leap_ms_se_menstr |
Integer |
|
Recommended |
If the patient has taken mood stabilizers in the past 6 months, what side effect(s) have been reported? Problems with menstruation or breast problems |
0;1;-1;-2;-3;-9
|
0=Unchecked; 1=Checked; -1=Properly skipped; -2=Not collected at this time point; -3=Historical missing; -9=Missing
|
|
|
|
leap_ms_se_muted |
Integer |
|
Recommended |
If the patient has taken mood stabilizers in the past 6 months, what side effect(s) have been reported? Feeling dull or muted |
0;1;-1;-2;-3;-9
|
0=Unchecked; 1=Checked; -1=Properly skipped; -2=Not collected at this time point; -3=Historical missing; -9=Missing
|
|
|
|
leap_ms_se_other |
Integer |
|
Recommended |
If the patient has taken mood stabilizers in the past 6 months, what side effect(s) have been reported? Other |
0;1;-1;-2;-3;-9
|
0=Unchecked; 1=Checked; -1=Properly skipped; -2=Not collected at this time point; -3=Historical missing; -9=Missing
|
|
|
|
epinet_hospital_admin_date |
Date |
|
Recommended |
Hospitalizations: Date of administration |
|
MM/DD/YYYY
|
|
|
|
epinet_dup_admin_date |
Date |
|
Recommended |
Duration of Untreated Psychosis and Pathway to Care: Date of administration |
|
MM/DD/YYYY
|
|
|
|
epinet_dx_admin_date |
Date |
|
Recommended |
Diagnosis: Date of administration |
|
MM/DD/YYYY
|
|
|
|
epinet_family_admin_date |
Date |
|
Recommended |
Family Involvement: Date of administration |
|
MM/DD/YYYY
|
|
|
|
epinet_suic_admin_date |
Date |
|
Recommended |
Suicidality: Date of administration |
|
MM/DD/YYYY
|
|
|
|
epinet_health_admin_date |
Date |
|
Recommended |
Health: Date of administration |
|
MM/DD/YYYY
|
|
|
|
epinet_meds_admin_date |
Date |
|
Recommended |
Medications: Date of administration |
|
MM/DD/YYYY
|
|
|
|
epinet_serv_admin_date |
Date |
|
Recommended |
Service Use: Date of administration |
|
MM/DD/YYYY
|
|
|
|
epinet_discharge_admin_date |
Date |
|
Recommended |
Discharge: Date of administration |
|
MM/DD/YYYY
|
|
|
|
leap_services_specified |
Integer |
|
Recommended |
What level of care will the client receive moving forward? |
0::5;-2;-3;-8;-9
|
0=No further services at this time; 1=Primary care provider; 2=Community mental health clinician; 3=Another specialized early psychosis program; 4=Higher level of care (e.g. hospital, residential program); 5=Other; -2=Not collected at this time point; -3=Historical missing; -8=Unknown; -9=Missing
|
|
|
|
epinet_referral_int_occ |
Integer |
|
Recommended |
Indicate any referrals made for services that were within your agency. Supported employment and/or educational services |
0;1;-2;-3;-9
|
0=Unchecked; 1=Checked; -2=Not collected at this time point; -3=Historical missing; -9=Missing
|
|
|
|
epinet_referral_out_occ |
Integer |
|
Recommended |
Indicate any referrals made for services that were outside your agency. Supported employment and/or educational services |
0;1;-2;-3;-9
|
0=Unchecked; 1=Checked; -2=Not collected at this time point; -3=Historical missing; -9=Missing
|
|
|
|
subriderace_01f |
Integer |
|
Recommended |
What is your race (select all that apply)? Other |
0;1;77;88;-2;-3;-99
|
0= No/Unchecked; 1= Yes/Checked; 77= Refused; 88= Missing; -2= Not collected at this time point; -3= Historical missing; -99= NA
|
|
