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REPORT CROSSWALK TO STATE
23-DEC-16 01:26Report Date :
Run by :
Report :
CWMS_PROXY
Filename :
Crosswalk Management System
CWMS_PROXY
Crosswalk Report
Page 2 of 63
Status : FN
Start Date : 01-JAN-10End Date :
Follow-up :
Media ID : WITS-AK
AlaskaSystem
K
1
2
3
System Transaction Type
State Code
Reporting Date
A
C
D
AK
-
Add
Change
Delete
Alaska
mm/yyyy
Add
Change
Delete
State Postal Abbreviation
mmyyyy
System Transaction type
FIPS State Code
Month & Year File Submitted
-
-
-
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
Substance Abuse and Mental Health Services AdministrationCenter for Behavioral Health Statistics and Quality
WITS - AK -Alaska's new TEDS systemVersion : 1
A
C
D
-
m/y
CWMS_PROXY
Crosswalk Report
Page 3 of 63
AlaskaMinimum
K
K
K
K
K
1
2
3
4
5
State Provider Identifer
Client Identifer (Admission)
Co-Dependent/Collateral
Client Transaction Type
Date of Admission
F
T
A
T
-
No
Yes
Admission
Transfer
MMDDYYYY
No
Yes
Admission (SA)
Transfer/Change in Service (SA)
mmddyyyy
Provider ID
Client ID
Co-dependent/collateral
Client Transaction Type
Date of Admission
--
--
--
--
--
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
WITS - AK -Alaska's new TEDS systemVersion : 1
2
1
A
T
m/d/y
1-15 characters
1- 15 characters
CWMS_PROXY
Crosswalk Report
Page 4 of 63
AlaskaMinimum
6 Prior Treatment Episodes
0
1
2
3
4
5
7
0 previous episodes
1 previous episode
2 previous episodes
3 previous episodes
4 previous episodes
5 or more previous episodes
Unknown
0 Previous Episodes
1 Previous Episodes
2 Previous Episodes
3 Previous Episodes
4 Previous Episodes
5 Or More Previous Episodes
Unknown
Number of prior episodes--
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
WITS - AK -Alaska's new TEDS systemVersion : 1
0
1
2
3
4
5
7
CWMS_PROXY
Crosswalk Report
Page 5 of 63
AlaskaMinimum
7 Principal Source of Referral
ADR
AKH
AL
AP
API
ASAP
AT
CCP
CINA
COM
CPP
CRC
CRP
DCJ
DDP
DP
DRP
DVR
Alcohol detox or residential program
Alaska Native hospital (PHS or IHA)
Assisted Living Facility
Alcohol program
API
ASAP
Attorney
Court-Civil proceedings
Court-CINA Proceeding
Other social/community agencies
Correctional agency (probation, parole)
Crisis/respite care
Court-criminal proceedings
Department of corrections/jail
Developmentally disabled program
Drug program
Developmental disabilities residential program
Division of vocational rehabilitation
Alcohol/Drug Abuse Provider
Other Health Care Provider
Other Health Care Provider
Alcohol/Drug Abuse Provider
Other Health Care Provider
Court/Criminal Justice/DUI/DWI
Court/Criminal Justice/DUI/DWI
Court/Criminal Justice/DUI/DWI
Court/Criminal Justice/DUI/DWI
Other Community Referral
Court/Criminal Justice/DUI/DWI
Other Community Referral
Court/Criminal Justice/DUI/DWI
Court/Criminal Justice/DUI/DWI
Other Community Referral
Alcohol/Drug Abuse Provider
Other Community Referral
Other Community Referral
Principal source of referral--
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
WITS - AK -Alaska's new TEDS systemVersion : 1
02
03
03
02
03
07
07
07
07
06
07
06
07
07
06
02
06
06
CWMS_PROXY
Crosswalk Report
Page 6 of 63
AlaskaMinimum
7 Principal Source of Referral
DXR
EAP
FP
HH
IND
INT
JJ
NA
NC
NH
NR
O
OC
OCS
ONP
OOS
ORI
OSM
OT
Drug detox or residential program
Employer (EAP)
Federal probation
Halfway house
Individual or self-referral
Internal referral
Juvenile justice
Not applicable
Not collected
Nursing home/intermediate care facility
No response
Other
Other CMHC outpatient caseload
Office of children services
Other MH, not psychiatrist, including school, church
Out of State: Psych or Residential Treatment
Other residential/institutional
Out of State Medical
Outreach Team
Alcohol/Drug Abuse Provider
Employer/Employer Assistance ProgramEAP
Court/Criminal Justice/DUI/DWI
Other Community Referral
Individual (includes self-referral))
Alcohol/Drug Abuse Provider
Court/Criminal Justice/DUI/DWI
Unknown
Unknown
Other Health Care Provider
Unknown
Other Community Referral
Other Health Care Provider
Other Community Referral
Other Health Care Provider
Other Health Care Provider
Other Community Referral
Other Health Care Provider
Other Community Referral
Principal source of referral--
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
WITS - AK -Alaska's new TEDS systemVersion : 1
02
05
07
06
01
02
07
97
97
03
97
06
03
06
03
03
06
03
06
CWMS_PROXY
Crosswalk Report
Page 7 of 63
AlaskaMinimum
7 Principal Source of Referral
P
PCP
PH
POC
PPH
PSafety
SA
SCH
SEA
SF
TC
THA
THF
TRA
UN
VAH
VHA
YC
Physician
Partial care or day care program
Public health (HS, PHS, Div of Public Health)
Psychiatrist or psychiatric outpatient clinic
Private psychiatric hospital
Public safety
Supervised apartment
School
SEARHC
Self, family or friend
Therapeutic court
Tribal health authority
Tribal health facility
Transitional housing
Unknown
V A Hospital
Village health aide
Youth court
Other Health Care Provider
Other Community Referral
Other Health Care Provider
Other Health Care Provider
Other Health Care Provider
Court/Criminal Justice/DUI/DWI
Other Community Referral
School (Educational)
Other Health Care Provider
Individual (includes self-referral))
Court/Criminal Justice/DUI/DWI
Other Health Care Provider
Other Health Care Provider
Other Community Referral
Unknown
Other Health Care Provider
Other Health Care Provider
Court/Criminal Justice/DUI/DWI
Principal source of referral--
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
WITS - AK -Alaska's new TEDS systemVersion : 1
03
06
03
03
03
07
06
04
03
01
07
03
03
06
97
03
03
07
CWMS_PROXY
Crosswalk Report
Page 8 of 63
AlaskaMinimum
8
9
Date of Birth
Gender
-
BF
BM
FE
FF
FM
MA
NC
NR
RF
UN
MMDDYYYY
Male becoming female
Female becoming male
Female
Male formerly female
Female formerly male
Male
Not collected
No response
Refused
Unknown
Date of birth
Male
Female
Female
Male
Female
Male
Unknown
Unknown
Unknown
Unknown
Date of birth
Sex
--
--
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
WITS - AK -Alaska's new TEDS systemVersion : 1
MMDDYYYY
1
2
2
1
2
1
7
7
7
7
CWMS_PROXY
Crosswalk Report
Page 9 of 63
AlaskaMinimum
10 Race (Hispanic collected as race to be reported as 97 in Race and 06 in Ethnicit
AIN
ALE
ASI
BLK
CAU
HAI
INU
N/A
NC
NHA
OAN
ONI
OTH
PI
TLT
TSM
UN
American Indian
Aluet
Asian
Black/African American
Caucasian
Haida
Inupiat
To be used if two or more races are selected
Not collected
Native Hawaiian
Other Alaska Native
Athabascan (other than Ameican Indian)
Other
Pacific Islander
Tlingit
Tsimshian
Unknown
American Indian/Alaskan Native ( States using Alaskan Native in 01 use for other
Alaska Native (Aleut, Eskimo, Indian)
Asian
Black or African American
White
Alaska Native (Aleut, Eskimo, Indian)
Alaska Native (Aleut, Eskimo, Indian)
Two or More Races
Unknown
Native Hawaiians or Other Pacific Islanders
Alaska Native (Aleut, Eskimo, Indian)
Alaska Native (Aleut, Eskimo, Indian)
Other Single Race
Native Hawaiians or Other Pacific Islanders
Alaska Native (Aleut, Eskimo, Indian)
Alaska Native (Aleut, Eskimo, Indian)
Unknown
Race--
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
WITS - AK -Alaska's new TEDS systemVersion : 1
02
01
13
04
05
01
01
21
97
23
01
01
20
23
01
01
97
CWMS_PROXY
Crosswalk Report
Page 10 of 63
AlaskaMinimum
10
11
Race (Hispanic collected as race to be reported as 97 in Race and 06 in Ethnicit
Hispanic or Latino Origin ( Ethnicity)
YUP
CHI
CUB
HIS
MA
NC
NSL
PR
SHL
UN
Yupik
Chicano/other Hispanic
Cuban
Hispanic/specific origin not specified
Mexican American
Not collected
Not Spanish/Hispanic/Latino/Mexican
Puerto Rican
Spanish/Hispanic/Latino
Unknown
Alaska Native (Aleut, Eskimo, Indian)
Other Specific Hispanic
Cuban
Hispanic or Latino - Specific Origin not Specified
Mexican
Not Collected
Not of Hispanic or Latino Origin
Puerto Rican
Other Specific Hispanic
Unknown
Race
Ethnicity
--
--
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
WITS - AK -Alaska's new TEDS systemVersion : 1
01
04
03
06
02
98
05
01
04
97
CWMS_PROXY
Crosswalk Report
Page 11 of 63
AlaskaMinimum
12 Education
10
11
1G
2G
3G
4G
5G
6G
7G
8G
9G
BD
GED
GW
HS
KI
MD
NC
10th Grade
11th Grade
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
Baccalaureate degree (BA,BS)
General education degree (GED)
Graduate work (No degree)
High School deploma (Not GED)
Kindergarten
Master's degree
Not collected
Years of School(Highest Grade) ( General Equivalency Degree, use 12)
Years of School(Highest Grade) ( General Equivalency Degree, use 12)
Years of School(Highest Grade) ( General Equivalency Degree, use 12)
Years of School(Highest Grade) ( General Equivalency Degree, use 12)
Years of School(Highest Grade) ( General Equivalency Degree, use 12)
Years of School(Highest Grade) ( General Equivalency Degree, use 12)
Years of School(Highest Grade) ( General Equivalency Degree, use 12)
Years of School(Highest Grade) ( General Equivalency Degree, use 12)
Years of School(Highest Grade) ( General Equivalency Degree, use 12)
Years of School(Highest Grade) ( General Equivalency Degree, use 12)
Years of School(Highest Grade) ( General Equivalency Degree, use 12)
Years of School(Highest Grade) ( General Equivalency Degree, use 12)
Years of School(Highest Grade) ( General Equivalency Degree, use 12)
Years of School(Highest Grade) ( General Equivalency Degree, use 12)
Years of School(Highest Grade) ( General Equivalency Degree, use 12)
Less Than One Grade Completed
Years of School(Highest Grade) ( General Equivalency Degree, use 12)
Not Collected
Education--
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
WITS - AK -Alaska's new TEDS systemVersion : 1
01-25
01-25
01-25
01-25
01-25
01-25
01-25
01-25
01-25
01-25
01-25
01-25
01-25
01-25
01-25
00
01-25
98
CWMS_PROXY
Crosswalk Report
Page 12 of 63
AlaskaMinimum
12 Education
NS
OT
PD
PS1
PS2
PS3
PS4
SPE
UN
VTB
No schooling
Other
Doctorate/Professional degree
Post secondary 1 year
Post secondary 2 years (including AA degree)
Post secondary 3 years
Post secondary 4+ years (No degree)
Special education ungraded classes
Unknown
Vocational training beyond high school
Less Than One Grade Completed
Unknown
Years of School(Highest Grade) ( General Equivalency Degree, use 12)
Years of School(Highest Grade) ( General Equivalency Degree, use 12)
Years of School(Highest Grade) ( General Equivalency Degree, use 12)
Years of School(Highest Grade) ( General Equivalency Degree, use 12)
Years of School(Highest Grade) ( General Equivalency Degree, use 12)
Unknown
Unknown
Years of School(Highest Grade) ( General Equivalency Degree, use 12)
Education--
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
WITS - AK -Alaska's new TEDS systemVersion : 1
00
97
01-25
01-25
01-25
01-25
01-25
97
97
01-25
CWMS_PROXY
Crosswalk Report
Page 13 of 63
AlaskaMinimum
13 Employment Status
98
AF
DI
FT
HM
NI
NO
NR
NS
NU
NUS
NW
OT
PT
R
SI
SO
UL
Not collected...
In the Armed Forces
Disabled
Employed full time
Homemaker
Resident / inmate
Not in labor force - other
No Response
Student
Unemployed - not seeking work
Unemployed - subsistence lifestyle
Not seeking work
Other
Employed part time
Retired
Seasonal employment: In-Season
Seasonal employment: Out of season
Unemployed - looking for work
Not Collected
Full Time - works 35 or more hours a week- includes military
Not in Labor Force - not looking for work in past 30 days - stdent, retired etc.
Full Time - works 35 or more hours a week- includes military
Not in Labor Force - not looking for work in past 30 days - stdent, retired etc.
Not in Labor Force - not looking for work in past 30 days - stdent, retired etc.
Not in Labor Force - not looking for work in past 30 days - stdent, retired etc.
Unknown
Not in Labor Force - not looking for work in past 30 days - stdent, retired etc.
Not in Labor Force - not looking for work in past 30 days - stdent, retired etc.
Not in Labor Force - not looking for work in past 30 days - stdent, retired etc.
Not in Labor Force - not looking for work in past 30 days - stdent, retired etc.
Unknown
Part Time - works less tahn 35 hours per week
Not in Labor Force - not looking for work in past 30 days - stdent, retired etc.
Part Time - works less tahn 35 hours per week
Unemployed - looking for work in past 30 days or on layoff from job
Unemployed - looking for work in past 30 days or on layoff from job
Employment Status--
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
WITS - AK -Alaska's new TEDS systemVersion : 1
98
01
04
01
04
04
04
97
04
04
04
04
97
02
04
02
03
03
CWMS_PROXY
Crosswalk Report
Page 14 of 63
AlaskaMinimum
13 Employment Status
UN UnknownUnknown
Employment Status--
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
WITS - AK -Alaska's new TEDS systemVersion : 1
97
CWMS_PROXY
Crosswalk Report
Page 15 of 63
AlaskaMinimum
14 Substance Problem Codes ( Primary-14A,Secondary-14B, Tertiart-14C)
A30
AIT
BAR
BEN
CCC
CNB
DD
HAL
HER
INH
MAM
MAR
MET
MUL
NBA
NIC
OAM
Alcohol - any use last 30 days
Alcohol - to intoxication
Barbiturates
Benzodiazepines
Cocaine / crack
Cannabis
Designer drugs
Hallucinogens
Heroin
Inhalants
Methamphetamines
Marijuana / Hashish
Non-prescription Methadone
Alcohol - More than 1 per day
Non-Beverage alcohol
Nicotine
Other Amphetamines
Alcohol
Alcohol
Barbiturates
Benzodiazepines
Cocaine, Crack
Marijuana, Hashish ( includesTHC and other Cannabis Sativa preperations)
Other
Hallucinogens
Heroin
Inhalants
Methamphetamine
Marijuana, Hashish ( includesTHC and other Cannabis Sativa preperations)
Non-Prescription Methadone
Alcohol
Alcohol
Other
Other Amphetamines
Substance problem--
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
WITS - AK -Alaska's new TEDS systemVersion : 1
02
02
15
13
03
04
20
09
05
17
10
04
06
02
02
20
11
CWMS_PROXY
Crosswalk Report
Page 16 of 63
AlaskaMinimum
14 Substance Problem Codes ( Primary-14A,Secondary-14B, Tertiart-14C)
OOA
OSH
OST
OTC
OTH
OTQ
OXC
OXO
PCP
STE
UN
non
Other Opiates / Synthetics
Other Sedatives / Hypnotics
Other Stimulants
Over-the-counter meds
Other - see comments
Other Tranquilizers
OxyContin
Oxycodone
PCP
Steroids
Unknown
None
Other Opiates and Synthetics
Other Non-Barbituate Sedatives or Hypnotics
Other Stimulants
Over-the-Counter
Other
Other Non-Benzodiazapine Tranquilizers
Other Opiates and Synthetics
Other Opiates and Synthetics
PCP
Other
Unknown
None
Substance problem--
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
WITS - AK -Alaska's new TEDS systemVersion : 1
07
16
12
18
20
14
07
07
08
20
97
01
CWMS_PROXY
Crosswalk Report
Page 17 of 63
AlaskaMinimum
15 Usual Route of Administration ( Primary-15A, Secondary-15B, Tertiar-15C)
IH
IJ
IT
N
NJ
OR
OT
SM
UN
Inhalation
Injection
Nasal
N/A
Non-IV injection
Oral
Other
Smoking
Unknown
Inhalation
Injection (IV or intramuscular, intradermal or subcutaneous)
Inhalation
Not Applicable
Injection (IV or intramuscular, intradermal or subcutaneous)
Oral
Other
Smoking
Unknown
Usual route of administration--
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
WITS - AK -Alaska's new TEDS systemVersion : 1
03
04
03
96
04
01
20
02
97
CWMS_PROXY
Crosswalk Report
Page 18 of 63
AlaskaMinimum
16
17
Frequency of Use ( Primary-16A, Secondary-16B, Tertiary-16C)
Age of First Use (Primary-17A, Secondary-17B, Tertiary-17C)
1D
3D
3M
3W
4D
6W
NA
NO
SP
UN
0
01-95
97-99
NA
Daily
2-3 times daily
1-3 times per month
1-2 times per week
more than 3 times daily
3-6 times per week
N/A
No use in past month
Sporadic
Unknown
Newborn
Age
Unknown
Not applicable
Daily
Daily
1-3 times in past month
1-2 times per week
Daily
3-6 times per week
Not Applicable
No use in the past month
1-3 times in past month
Unknown
Newborn with a substance dependecy problem
Age at First Use, in years
Unknown
Not Applicable
Frequency of use
Age of first use
--
--
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
WITS - AK -Alaska's new TEDS systemVersion : 1
05
05
02
03
05
04
96
01
02
97
00
01-95
97
96
CWMS_PROXY
Crosswalk Report
Page 19 of 63
AlaskaMinimum
K 18 Type of Services
AMB1
AMB3
BRS2
BRS3
BRS4
CRC
DD01
DD02
DD03
DDR1
DDR2
DDR3
DET1
DET2
EBPCPS
EBPFPE
EBPISM
EBPITCO1
Ambulatory, Intensive outpatient - 2+ hrs/day for 3+ days/wk
Ambulatory detoxification
BRS - Level II Emergency Stabilization& Assessment Center
BRS - Level III Residential Treatment
BRS - Level IV Residential Diagnontic Treatment Center
Crisis Respite Center
Dual diagnosis outpatient - Intensive
Dual diagnosis outpatient - Non-Intensive
Dual diagnosis Partial Hospital Outpatient Intensive - Adult Day Care
Dual Diagnosis Residential Short Term (30 days or fewer)
Dual Diagnosis Residential Mid Term (31-90 days)
Dual Diagnosis Residential Long Term (91days or more)
Detoxification, 24-hr, hospital inpatient
Detoxification, 24-hr, free-standing residential
EBP - Consumer/Peer Support
EBP - Family Psychoeducation
EBP - Illness Self Management
EBP - Integrated Treatment for Co-occurring Disorders Outpatient - Intensive
Ambulatory - Intensive Outpatient
Ambulatory Detoxification
SMHA funded/operated community based program
SMHA funded/operated community based program
SMHA funded/operated community based program
SMHA funded/operated community based program
Ambulatory - Intensive Outpatient
Ambulatory - Non-Intensive Outpatient
Ambulatory - Intensive Outpatient
Rehabilitation/Residential - Short-term, ( 30 days or fewer)
Rehabiliation/Residential - Long-term, ( more than 30 days)
Rehabiliation/Residential - Long-term, ( more than 30 days)
Detoxification - Hospital Inpatient ( Detox, 24 hour Service)
Detoxification Free-standing Residential ( Detox, 24 hour Service)
SMHA funded/operated community based program
SMHA funded/operated community based program
SMHA funded/operated community based program
Ambulatory - Intensive Outpatient
Type of Service--
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
WITS - AK -Alaska's new TEDS systemVersion : 1
06
08
73
73
73
73
06
07
06
04
05
05
01
02
73
73
73
06
CWMS_PROXY
Crosswalk Report
Page 20 of 63
AlaskaMinimum
K 18 Type of Services
EBPITCO2
EBPITCR1
EBPITCR2
EBPITCR3
EBPMM
EBPMST
EBPMatrix
EBPPBIS
EBPPLL
EBPPPN
EBPSE
EBPSH
EBPTFC
EBPTIP
IDT
IPN
ITO
LTR
MDM
EBP - Integrated Treatment for Co-occurring Disorders Outpatient - Non-IntensiveEBP - Integrated Tx Co-occurring Disorders Resid ShTerm (<=30 days)
EBP - Integrated Tx Co-occur Disorders Resid MidTerm (31-90 days)
EBP - Integrated Tx Co-occur Disorders Resid LongTerm (91days+)
EBP - Medication Management
EBP - Multisystemic Therapy
EBP-Matrix Model (SA/Dual) Outpatient - Intensive
EBP - Positive Behavior Intervention and Support
EBP - Parenting with Love and Limits
EBP - Parent-/Peer Navigation
EBP - Supported Employment
EBP - Supported Housing
EBP - Therapeutic Foster Care
EBP - Transition to Independence Process
Inpatient detoxification
Inpatient
Intensive outpatient
Long term residential
Medication Management (Non-EBP)
Ambulatory - Non-Intensive Outpatient
Rehabilitation/Residential - Short-term, ( 30 days or fewer)
Rehabiliation/Residential - Long-term, ( more than 30 days)
Rehabiliation/Residential - Long-term, ( more than 30 days)
SMHA funded/operated community based program
SMHA funded/operated community based program
Ambulatory - Intensive Outpatient
SMHA funded/operated community based program
SMHA funded/operated community based program
SMHA funded/operated community based program
SMHA funded/operated community based program
SMHA funded/operated community based program
SMHA funded/operated community based program
SMHA funded/operated community based program
Detoxification Free-standing Residential ( Detox, 24 hour Service)
Rehabilitation/Residential - Short-term, ( 30 days or fewer)
Ambulatory - Intensive Outpatient
Rehabiliation/Residential - Long-term, ( more than 30 days)
SMHA funded/operated community based program
Type of Service--
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
WITS - AK -Alaska's new TEDS systemVersion : 1
07
04
05
05
73
73
06
73
73
73
73
73
73
73
02
04
06
05
73
CWMS_PROXY
Crosswalk Report
Page 21 of 63
AlaskaMinimum
K 18 Type of Services
MDT
MDT1
MDT2
MMN
ODT
PSH1
PSH2
PSH3
PSH4
RDT
REHRES1
REHRES2
REHRES3
REHRES4
RSS
SAO1
SAO2
SAO3
Methadone Detox
Methadone Detox Short Term (30 days or fewer)
Methadone Detox Long Term (31-180 days)
Methadone maintenance
Outpatient detoxification
EBP - Permanent Supportive Housing Act (SA/Dual) Outpatient Non-IntensiveEBP - Permanent Supportive Housing Act (MH only) Outpatient
EBP - Permanent Supportive Housing ICM (SA/Dual) Outpatient Non-intensivePermanent Supportive Housing ICM (MH only) Outpatient
Residential detoxification
Rehab / Residential hospital (other than detox)
Rehab / Residential short term (30 days or fewer)
Rehab / Residential long term (more than 30 days)
Rehab / Residential long term (91days or more)
Recovery Support Services
Substance Abuse Outpatient - Intensive
Substance Abuse Outpatient - Non-Intensive
Partial Hospital (SA Outpatient - Intensive) Adult Day CAre
Ambulatory Detoxification
Ambulatory Detoxification
Ambulatory Detoxification
Ambulatory - Non-Intensive Outpatient
Ambulatory Detoxification
Ambulatory - Non-Intensive Outpatient
SMHA funded/operated community based program
Ambulatory - Non-Intensive Outpatient
SMHA funded/operated community based program
Detoxification Free-standing Residential ( Detox, 24 hour Service)
Rehabilitation/Residential - Hospital (other thandetox)
Rehabilitation/Residential - Short-term, ( 30 days or fewer)
Rehabiliation/Residential - Long-term, ( more than 30 days)
Rehabiliation/Residential - Long-term, ( more than 30 days)
Rehabiliation/Residential - Long-term, ( more than 30 days)
Ambulatory - Intensive Outpatient
Ambulatory - Non-Intensive Outpatient
Ambulatory - Intensive Outpatient
Type of Service--
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
WITS - AK -Alaska's new TEDS systemVersion : 1
08
08
08
07
08
07
73
07
73
02
03
04
05
05
05
06
07
06
CWMS_PROXY
Crosswalk Report
Page 22 of 63
AlaskaMinimum
K 18
19
Type of Services
Medication-Assisted Opioid Therapy
SBR
STR
F
T
UN
School-Based Rehab Services
Short term residential
No
Yes
Unknown
SMHA funded/operated community based program
Rehabilitation/Residential - Short-term, ( 30 days or fewer)
No
Yes
Unknown
Type of Service
Opiod replacement therapy
--
--
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
WITS - AK -Alaska's new TEDS systemVersion : 1
73
04
2
1
7
CWMS_PROXY
Crosswalk Report
Page 23 of 63
AlaskaSupplemental
1
4
5
6
Detail Drug Code, Primary
Diagnostic Code (DSM or ICD) field should be coded 999.98 - field 19 replaces i
Psychiatric Problem in Addition to Alcohol or Drug Problem
Pregnant at Admission
9998
999.97
999.98
xxx.xx
F
T
UN
F
F
T
U
NOT COLLECTED
Unknown
Not Collected
DSM
No
Yes
Unknown
No
No (Male)
Yes
Unknown
Not Collected
Unknown
Not Collected
DSM/ICD codes
No
Yes
Unknown
No - female client was not pregnant at admission
Not Applicable - use this code for male clients or children in prepuberty age
Yes - female client was pregnant at admission
Unknown
Detailed drug code
DSM diagnosis
Psych problem in addition to alcohol or drug
Pregnant at admission
~
~
~
~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
WITS - AK -Alaska's new TEDS systemVersion : 1
9998
999.97
999.98
XXX.XX
2
1
7
2
6
1
7
CWMS_PROXY
Crosswalk Report
Page 24 of 63
AlaskaSupplemental
7 Veteran Status
ADC
AND
AWC
GWC
IW
MID
NA
NC
NM
RM
RMN
RNC
RNN
UN
VE
VVC
VVN
On active duty - combat
On active duty - no combat
Afgan war veteran - combat
Gulf war veteran: combat
Iraq war veteran: combat
Military dependent
Not applicable
Not collected
Never in military
Retired from military: combat
Retired from military: non-combat
In Reserves or National Guard: combat
In Reserves or National Guard: no combat
Unknown
Veteran: other eras
Vietnam era veteran: combat
Vietnam era veteran: non-combat
No
No
Yes
Yes
Yes
No
Unknown
Not Collected
No
Yes
Yes
Yes
No
Unknown
Yes
Yes
Yes
Veteran status~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
WITS - AK -Alaska's new TEDS systemVersion : 1
2
2
1
1
1
2
7
8
2
1
1
1
2
7
1
1
1
CWMS_PROXY
Crosswalk Report
Page 25 of 63
AlaskaSupplemental
8 Living Arrangements
AFC
AFC
ALF
ALF
CH
CH
CR
CR
GH
GH
H
H
HNP
HNP
HPP
HPP
IN
IN
Foster care
Foster care
Assisted living facility
Assisted living facility
Halfway house
Halfway house
Crisis residence
Crisis residence
Group home
Group home
Homeless
Homeless
Hospital for non-psychiatric purposes
Hospital for non-psychiatric purposes
Hospital for psychiatric purposes
Hospital for psychiatric purposes
Alone
Alone
Dependent Living - clients living in a supervised setting
Dependent living: foster home/foster care (MH only)
Dependent Living - clients living in a supervised setting
Dependent living: residential care (MH only)
Dependent Living - clients living in a supervised setting
Dependent living: residential care (MH only)
Dependent Living - clients living in a supervised setting
Dependent living: crisis residence (MH only)
Dependent living: residential care (MH only)
Dependent Living - clients living in a supervised setting
Homeless - clients with no fixed address; includes homeless shelter
Homeless - clients with no fixed address; includes homeless shelter
Dependent Living - clients living in a supervised setting
Dependent living: institutional setting (MH only)
Dependent living: institutional setting (MH only)
Dependent Living - clients living in a supervised setting
Independent Living - clients living alone or with others but no supervision
Independent Living - clients living alone or with others but no supervision
Living arrangement~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
WITS - AK -Alaska's new TEDS systemVersion : 1
02
32
02
22
02
22
02
42
22
02
01
01
02
52
52
02
03
03
CWMS_PROXY
Crosswalk Report
Page 26 of 63
AlaskaSupplemental
8 Living Arrangements
INP
INP
IR
IR
JC
JC
JD
JD
MD
MD
NH
NH
NR
NR
OT
OT
PR
PR
PS
In-Household w/ Non-Related Persons
In-Household w/ Non-Related Persons
In-Household w/ Relatives
In-Household w/ Relatives
Correction/detention facility
Correction/detention facility
Juvenile Detention
Juvenile Detention
Missing Data
Missing Data
Nursing home
Nursing home
No response
No response
Other
Other
Private residence w/o support services
Private residence w/o support services
Private residence with support services
Independent Living - clients living alone or with others but no supervision
Independent Living - clients living alone or with others but no supervision
Independent Living - clients living alone or with others but no supervision
Independent Living - clients living alone or with others but no supervision
Dependent Living - clients living in a supervised setting
Dependent living: jail and other institutions under the justice system (MH only)
Dependent living: jail and other institutions under the justice system (MH only)
Dependent Living - clients living in a supervised setting
Unknown
Unknown
Dependent living: institutional setting (MH only)
Dependent Living - clients living in a supervised setting
Unknown
Unknown
Unknown
Unknown
Independent Living - clients living alone or with others but no supervision
Independent Living - clients living alone or with others but no supervision
Dependent Living - clients living in a supervised setting
Living arrangement~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
WITS - AK -Alaska's new TEDS systemVersion : 1
03
03
03
03
02
62
62
02
97
97
52
02
97
97
97
97
03
03
02
CWMS_PROXY
Crosswalk Report
Page 27 of 63
AlaskaSupplemental
8 Living Arrangements
PS
RA
RA
RT
RT
S
S
SAH
TFC
TFC
TH
TH
UN
UN
Private residence with support services
Refused to Answer
Refused to Answer
Residential treatment
Residential treatment
Shelter
Shelter
Substance Abuse Halfway House
Therapeutic foster care
Therapeutic foster care
Transitional Housing
Transitional Housing
Unknown
Unknown
Dependent living: adults in private residence who need assistance in (MH only)
Unknown
Unknown
Dependent living: residential care (MH only)
Dependent Living - clients living in a supervised setting
Homeless - clients with no fixed address; includes homeless shelter
Homeless - clients with no fixed address; includes homeless shelter
Dependent Living - clients living in a supervised setting
Dependent living: foster home/foster care (MH only)
Dependent Living - clients living in a supervised setting
Dependent living: residential care (MH only)
Dependent Living - clients living in a supervised setting
Unknown
Unknown
Living arrangement~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
WITS - AK -Alaska's new TEDS systemVersion : 1
72
97
97
22
02
01
01
02
32
02
22
02
97
97
CWMS_PROXY
Crosswalk Report
Page 28 of 63
AlaskaSupplemental
9 Source of Income/Support
ACD
AL
APFD
CH
EM
IN
NO
OT
PA
PAR
RR
RS
SD
SE
SI
SN
SP
SPO
Alaska Native corp dividends
Alimomy
Alaska PFD
Child support
Employment
Interest and other
None
Other
Public assistance / welfare pay
Parent's income
Railroad retirement
Retirement, survivor, disability pension
Social security disability (SSDI)
Self employment
Supplemental security income (SSI)
SSI / SSDI never
SSI / SSDI previous
Spouse's or significant other's income
Other
Other
Other
Other
Wages/Salary
Other
None
Other
Public Assistance
Other
Retirement/Pension
Retirement/Pension
Disability
Wages/Salary
Disability
Other
Other
Other
Source of income~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
WITS - AK -Alaska's new TEDS systemVersion : 1
20
20
20
20
01
20
21
20
02
20
03
03
04
01
04
20
20
20
CWMS_PROXY
Crosswalk Report
Page 29 of 63
AlaskaSupplemental
9 Source of Income/Support
SS
TAP
UC
UN
Social security
Tribal assistance programs
Unemployment compensation
Unknown
Retirement/Pension
Public Assistance
Other
Unknown
Source of income~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
WITS - AK -Alaska's new TEDS systemVersion : 1
03
02
20
97
CWMS_PROXY
Crosswalk Report
Page 30 of 63
AlaskaSupplemental
10 Health Insurance
AP
C1
CP
GP
HM
IHS
IP
LD
LT
MB
MC
MI
MP
NC
NO
OPB
OPR
OT
Auto insurance policy
Commercial
Medicare conditionally primary
Group policy
Health maintenance organization (HMO)
Indian Health Service
Individual policy
Long term policy
Litigation
Medicare part B
Medicaid
Medigap part B
Medicare primary
Not collected
None
Other public insurance
Other private insurance
Other
Other (e.g. TriCare)
Other (e.g. TriCare)
Medicare
Other (e.g. TriCare)
Health Maintenance Organization (HMO)
Other (e.g. TriCare)
Other (e.g. TriCare)
Other (e.g. TriCare)
Other (e.g. TriCare)
Medicare
Medicaid
Other (e.g. TriCare)
Medicare
Not Collected
None
Other (e.g. TriCare)
Private Insurance (other than BCBS or HMO)
Unknown
Health insurance~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
WITS - AK -Alaska's new TEDS systemVersion : 1
20
20
03
20
06
20
20
20
20
03
04
20
03
98
21
20
01
97
CWMS_PROXY
Crosswalk Report
Page 31 of 63
AlaskaSupplemental
10 Health Insurance
PP
SP
UN
VA
Personal payment (cash - no insurance)
Supplemental policy
Unknown
VA insurance
None
Other (e.g. TriCare)
Unknown
Other (e.g. TriCare)
Health insurance~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
WITS - AK -Alaska's new TEDS systemVersion : 1
21
20
97
20
CWMS_PROXY
Crosswalk Report
Page 32 of 63
AlaskaSupplemental
11 Expected/Actual Primary Source of Payment
AET
ANC
BCB
CIG
CSP
HMO
IHS
MDD
MDE
NCH
NCO
OGG
ONC
OPR
OPU
SSN
SSP
UNK
Aetna
AK Native health care
Blue Cross/Blue Shield
CIGNA
Client self-pay
HMO
Indian Health Service
Medicaid
Medicare
No charge
Not Collected
Other government grant
Other native health care
Other private
Other public
Sliding Scale, No Charge
Sliding Scale, Client Partial Payment
Unknown
Other Health Insurance Companies
Other
Blue Cross/Blue Shield
Other Health Insurance Companies
Self-Pay
Other Health Insurance Companies
Other
Medicaid
Medicare
No Charge ( Free, Charity, Special Research or Teaching)
Not Collected
Other Government Payments
Other
Other Health Insurance Companies
Other Government Payments
No Charge ( Free, Charity, Special Research or Teaching)
Self-Pay
Unknown
Expected source of payment~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
WITS - AK -Alaska's new TEDS systemVersion : 1
07
09
02
07
01
07
09
04
03
08
98
05
09
07
05
08
01
97
CWMS_PROXY
Crosswalk Report
Page 33 of 63
AlaskaSupplemental
12 Detailed Not in Labor Force
DI
HM
N/A
NI
NO
NS
NU
NUS
NW
OT
R
UN
Disabled
Homemaker
See NA codes in Excel sheet
Resident/inmate
Not in labor force - other
Student
Unemployed - not seeking work
Unemployed - subsistence lifestyle
Not seeking work
Other
Retired
Unknown
Disabled
Homemaker
Not Applicable
Inmate of Institution ( Prison or Institution - keeps people out of work force)
Other
Student
Other
Other
Other
Other
Retired
Unknown
Detailed not in labor force~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
WITS - AK -Alaska's new TEDS systemVersion : 1
04
01
96
05
06
02
06
06
06
06
03
97
CWMS_PROXY
Crosswalk Report
Page 34 of 63
AlaskaSupplemental
13 Detailed Criminal Justice Referral Categories
API
ASAP
AT
CCP
CPP
CRP
DCJ
DVSA
FP
JJ
JSAP
N/A
PSafety
TC
YC
API
ASAP
Attorney
Court-Civil Proceedings
Correctional Agency (probation, parole)
Court-Criminal proceedings
Department of Corrections/ jail
DVSA - Victim Services
Federal probation
Juvenile justice
JSAP
See NA codes in Excel sheet
Public safety
Therapeutic court
Youth court
Other Recognized Legal Entity ( Local Law, Corr. Agncy, Youth Ser., Review Board
Other Recognized Legal Entity ( Local Law, Corr. Agncy, Youth Ser., Review Board
Other Recognized Legal Entity ( Local Law, Corr. Agncy, Youth Ser., Review Board
Other Court ( Not State or Federal)
Probation/Parole
State/Federal Court
Prison
Probation/Parole
Probation/Parole
Other Recognized Legal Entity ( Local Law, Corr. Agncy, Youth Ser., Review Board
DUI/DWI
Not Applicable
State/Federal Court
Diversionary Program (E.G. TASC)
Diversionary Program (E.G. TASC)
Detailed criminal justice referral~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
WITS - AK -Alaska's new TEDS systemVersion : 1
04
04
04
02
03
01
06
03
03
04
07
96
01
05
05
CWMS_PROXY
Crosswalk Report
Page 35 of 63
AlaskaSupplemental
14
15
16
Marital Status
Days Waiting to Enter Treatment
Number of Arrests in the 30 Days Prior to Admission
C
D
L
M
NR
S
UN
W
000-996
997
00
01-96
97
Cohabitating
Divorced
Separated
Married
No response
Never married - single
Unknown
Widowed
Days waiting
Unknown
None
01-96
Unknown
Now Married ( includes those living together as married)
Divorced
Separated (legally seperated or otherwise absentbecasue of marital discord))
Now Married ( includes those living together as married)
Unknown
Never Married - includes clients who are single or whose
Unknown
Widowed
Number of Days waiting
Unknown
Number of Arrests
Number of Arrests
Unknown
Marital status
Days waiting to enter treatment
Arrests in 30 days prior to admission
~
~
~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
WITS - AK -Alaska's new TEDS systemVersion : 1
02
04
03
02
97
01
97
05
000-996
997
00-96
00-96
97
CWMS_PROXY
Crosswalk Report
Page 36 of 63
AlaskaSupplemental
17
18
19
Frequency of Attendance at Self-Help Programs in 30 days prior to Admission
Diagnostic Code Set
Diagnostic Code (ICD-10 Form)
01
02
03
04
05
06
97
2
3
xxx.xxxx
No attendance in past month
1-3 times in past month (less than once per week)
4-7 times in past month (about once perweek)
8-15 times in past month (2 or 3 times per week)
16-30 times in past month (4 or more times per week)
Some attendance in past month, but frequency unknown
Unknown
ICD-9-CM
ICD-10-CM
xxx.xxxx
No attendance
less than once a week -1 to 3 times in past 30 days
About once a week - 4 to 7 times in past 30 days
2 to 3 times a week - 8 to 15 times in past 30 days
At least 4 times a week - 16 to 30 times in the past 30 days
Some Attendance in past month, but number of times and frequency is unknown
Unknown
ICD-9
ICD-10
7 digit code
Frequency of attendance at self-help programs 30 days prior to admission
Diagnostic Code Set Identifier
Substance Abuse Diagnosis - ICD-10 Compatible
~
~
~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
WITS - AK -Alaska's new TEDS systemVersion : 1
01
02
03
04
05
06
97
2
3
xxx.xxxx
CWMS_PROXY
Crosswalk Report
Page 37 of 63
AlaskaMental Health Admissions
1
1
1
2
MH Diagnostic Code - a,b,c
MH Diagnostic Code - a,b,c
MH Diagnostic Code - a,b,c
SMI/SED
xxx.xxxx
xxx.xxxx
xxx.xxxx
CST06
CST07
CST08
CST09
CST10
CST11
CST12
CST13
CST15
xxx.xxxx
xxx.xxxx
xxx.xxxx
Youth SED with COD
Youth SED with no COD
Youth Non-SED with COD
Youth Non-SED with no COD
Adult SMI with COD
Adult SMI with no COD
Adult Non-SMI with COD
Adult Non-SMI with no COD
Not Collected
code format
code format
code format
SED
SED
Not SMI/SED
Not SMI/SED
SMI
SMI
Not SMI/SED
Not SMI/SED
Not Collected
MH Diagnostic Code - Two (ICD-10 Compatible)
MH Diagnostic Code - One (ICD-10 Compatible)
MH Diagnostic Code - Three (ICD-10 Compatible)
SMI/SED Status
MHA-1b
MHA-1a
MHA-1c
MHA-2
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
WITS - AK -Alaska's new TEDS systemVersion : 1
XXX.XXXX
XXX.XXXX
XXX.XXXX
2
2
4
4
1
1
4
4
8
CWMS_PROXY
Crosswalk Report
Page 38 of 63
AlaskaMental Health Admissions
3
4
5
School Attendance Status
Legal Status at Admission to State Hospital
GAF/CGAS Score
F
T
98
998
No, client has not attended school at anytime in the past 3 months
Yes, client has attended school at any time in the past 3 months
Not Collected
Not Collected
No, client has not attended school at any time in past 3 months
Yes, client has attended school at any time in the past 3 months
Not Collected
Not Collected
School Attendance Status
Legal Status at Admission to the State Hospital
GAF / CGAS Score
MHA-3
MHA-4
MHA-5
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
WITS - AK -Alaska's new TEDS systemVersion : 1
2
1
98
998
CWMS_PROXY
Crosswalk Report
Page 39 of 63
AlaskaDischarge/NOMS
1
2
3
4
5
6
System Transaction at Discharge
State Code at Discharge
Reporting Date at Discharge
State Provider Identifer at Discharge
Client Identifier at Discharge
Co-Dependent/Collateral at Discharge
A
C
D
AK
-
F
T
Add
Change
Delete
Alaska
mm/yyyy
No
Yes
Add
Change
Delete
State abreviation according postal codes
MMYYYY
No
Yes
System transaction type
FIPS State Code
Month & Year File Submitted
Provider ID at discharge
Client ID at discharge
Co-dependent/collateral.
~~
-
-
~~
~~
~~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
WITS - AK -Alaska's new TEDS systemVersion : 1
A
C
D
-
-
2
1
CWMS_PROXY
Crosswalk Report
Page 40 of 63
AlaskaDischarge/NOMS
7 Type of Treatment Service/Treatment Setting at Discharge
AMB1
AMB3
BRS2
BRS3
BRS4
CRC
DD01
DD02
DD03
DDR1
DDR2
DDR3
DET1
DET2
EBPCPS
EBPFPE
EBPISM
Ambulatory intensive outpatient 2+ hrs per day/3+days per wk
Ambulatory detoxification
BRS - Level II Emergency Stabilization& Assessment Center
BRS - Level III Residential Treatment
BRS - Level IV Residential Diagnostic Treatment Center
Crisis Respite Center
Dual diagnosis outpatient - intensive
Dual diagnosis outpatient - non-intensive
Dual diagnosis Partial Hospital Outpatient Intensive Adult Day Care
Dual diagnosis residential Short term (30 days or fewer)
Dual diagnosis residential Mid term (31-90 days)
Dual diagnosis residential Long term (91 days or more)
Detoxification 24-hour service hospital inpatient
Detoxification 24-hour service free standing residential
EBP - Consumer/Peer Support
EBP - Family Psychoeducation
EBP - Illness Self Management
Ambulatory - Intensive -Outpatient
Ambulatory Detoxification
SMHA funded/operated community based program
SMHA funded/operated community based program
SMHA funded/operated community based program
SMHA funded/operated community based program
Ambulatory - Intensive -Outpatient
Ambulatory -Non Intensive -Outpatient
Ambulatory - Intensive -Outpatient
Rehabilation/Residential - Short Term (30 Daysor Fewer)
Rehabilation/Residential - Long Term (More than 30 Days)
Rehabilation/Residential - Long Term (More than 30 Days)
Detoxification, 24-Hour Service, Hospital Inpatient
Detoxification, 24-Hour Service, Free Standing Residential
SMHA funded/operated community based program
SMHA funded/operated community based program
SMHA funded/operated community based program
Service at discharge~~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
WITS - AK -Alaska's new TEDS systemVersion : 1
06
08
73
73
73
73
06
07
06
04
05
05
01
02
73
73
73
CWMS_PROXY
Crosswalk Report
Page 41 of 63
AlaskaDischarge/NOMS
7 Type of Treatment Service/Treatment Setting at Discharge
EBPITCO1
EBPITCO2
EBPITCR1
EBPITCR2
EBPITCR3
EBPMM
EBPMST
EBPMatrix
EBPPBIS
EBPPLL
EBPPPN
EBPSE
EBPSH
EBPTFC
EBPTIP
IDT
EBP - Integrated Treatment for Co-occurring Disorders Outpatient IntensiveEBP - Integrated Treatment for Co-occurring Disorders Outpatient Non-IntensiveEBP - Integrated Treatment for Co-occurring Disorders Resid Sh-Term (<=30 days)EBP - Integrated Treatment for Co-occurring Disorders Res Mid-Term (31-90 days)EBP - Integrated Treatment for Co-occurring Disorders Res Long-Term (91+ days)EBP - Medication Management
EBP - Multisystemic Therapy
EBP - Matrix Model (SA/Dual) Outpatient - Intensive
EBP - Positive Behavior Intervention &Support
EBP - Parenting with Love and Limits
EBP - Parent/Peer Navigation
EBP - Supported Employment
EBP - Supported Housing
EBP - Therapuetic Foster Care
EBP - Transition to Independence Process
Inpatient detoxification
Ambulatory - Intensive -Outpatient
Ambulatory -Non Intensive -Outpatient
Rehabilation/Residential - Short Term (30 Daysor Fewer)
Rehabilation/Residential - Long Term (More than 30 Days)
Rehabilation/Residential - Long Term (More than 30 Days)
SMHA funded/operated community based program
SMHA funded/operated community based program
Ambulatory - Intensive -Outpatient
SMHA funded/operated community based program
SMHA funded/operated community based program
SMHA funded/operated community based program
SMHA funded/operated community based program
SMHA funded/operated community based program
SMHA funded/operated community based program
SMHA funded/operated community based program
Detoxification, 24-Hour Service, Free Standing Residential
Service at discharge~~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
WITS - AK -Alaska's new TEDS systemVersion : 1
06
07
04
05
05
73
73
06
73
73
73
73
73
73
73
02
CWMS_PROXY
Crosswalk Report
Page 42 of 63
AlaskaDischarge/NOMS
7 Type of Treatment Service/Treatment Setting at Discharge
IPN
ITO
LTR
MDM
MDT
MDT1
MDT2
MMN
MMN1
MMN2
ODT
PSH1
PSH2
PSH3
PSH4
RDT
REHRES1
REHRES2
Inpatient
Intensive outpatient
Long term residential
Medication Management (Non-EBP)
Methadone detox
Methadone detox Short term (30 days orfewer)
Methadone detox Long term (31-180 days)
Methadone maintenance
Methadone maintenance - intensive
Methadone maintenance - non-intensive
Outpatient detoxification
EBP - Permanent Supportive Housing Act (SA/Dual) Outpatient non-Intensive
EBP - Permanent Supportive Housing Act (MH Only) Outpatient
Permanent Supportive Housing ICM (SA/Dual) Outpatient non-Intensive
Permanent Supportive Housing ICM (MH Onlyl) Outpatient
Residential detoxification
Rehabilitation/residential hospital (other than detoxification)
Rehabilitation/residential short term (30 days or fewer)
Rehabilation/Residential - Short Term (30 Daysor Fewer)
Ambulatory - Intensive -Outpatient
Rehabilation/Residential - Long Term (More than 30 Days)
SMHA funded/operated community based program
Ambulatory Detoxification
Ambulatory Detoxification
Ambulatory Detoxification
Ambulatory -Non Intensive -Outpatient
Ambulatory - Intensive -Outpatient
Ambulatory -Non Intensive -Outpatient
Ambulatory Detoxification
Ambulatory -Non Intensive -Outpatient
SMHA funded/operated community based program
Ambulatory -Non Intensive -Outpatient
SMHA funded/operated community based program
Detoxification, 24-Hour Service, Free Standing Residential
Rehabilation/Residential - Hospital (other than detoxification)
Rehabilation/Residential - Short Term (30 Daysor Fewer)
Service at discharge~~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
WITS - AK -Alaska's new TEDS systemVersion : 1
04
06
05
73
08
08
08
07
06
07
08
07
73
07
73
02
03
04
CWMS_PROXY
Crosswalk Report
Page 43 of 63
AlaskaDischarge/NOMS
7
8
9
Type of Treatment Service/Treatment Setting at Discharge
Date of Last Contact or Data Update
Date of Discharge
REHRES3
REHRES4
RSS
SAO1
SAO2
SAO3
SBR
STR
-
-
Rehabilitation/residential long term (more than 30 days)
Rehabilitation/residential long term (91 days or more)
Recovery Support Services
Substance Abuse Outpatient - intensive
Substance Abuse Outpatient - non-intensive
Partial Hospital (SA Outpatient intensive) Adult Day Care
School-based Rehab Services
Short term residential
MMDDYYYY
MMDDYYYY
Rehabilation/Residential - Long Term (More than 30 Days)
Rehabilation/Residential - Long Term (More than 30 Days)
Rehabilation/Residential - Long Term (More than 30 Days)
Ambulatory - Intensive -Outpatient
Ambulatory -Non Intensive -Outpatient
Ambulatory - Intensive -Outpatient
SMHA funded/operated community based program
Rehabilation/Residential - Short Term (30 Daysor Fewer)
MMDDYYYY
MMDDYYYY
Service at discharge
Date of last contact
Date of discharge
~~
~~
~~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
WITS - AK -Alaska's new TEDS systemVersion : 1
05
05
05
06
07
06
73
04
-
-
CWMS_PROXY
Crosswalk Report
Page 44 of 63
AlaskaDischarge/NOMS
10 Reason for Discharge, Transfer, or Discontinuance of Treatment
AD
CDS
CL
CM
CPO
DC
DN
DSA
IC
IDN
IDV
IOP
ISP
IUP
IWP
LC
LOP
LWP
Administratively discontinued
Client dissatisfied with services
Client died
Client moved
Client needs exceed provider's offerings
Deceased
Discharged - no referral
Discharged - additional services advised
Incarcerated
Involuntarily discharged due to nonparticipation
Involuntarily discharged due to violation of rules
Incarcerated - offence commited while in treatment w unsatisfactory progress
Incarcerated- old warrent/charged from before treatment w satisfactory progress
Incarcerated- old warrent/charged from before treatmnt w unsatisfactory progressIncarcerated- offence committed beforetreatmnt w satisfactory progress
Lost contact/ left against advice
Left on own against staff advice w/o satisfactory progress
Left on own against staff advice with satisfactory progress
Unknown - This code will still be accepted by states shouls use 97 Unknown
Other - includes aging out of MH childrens system, extended placement (condition
Death
Other - includes aging out of MH childrens system, extended placement (condition
Other - includes aging out of MH childrens system, extended placement (condition
Death
Treatment Completed
Treatment Completed
Incarerated or released by or to courts
Ternimated by Facility
Ternimated by Facility
Incarerated or released by or to courts
Incarerated or released by or to courts
Incarerated or released by or to courts
Incarerated or released by or to courts
Dropped out of treatment (lost contact, Left Against Professional Advice
Dropped out of treatment (lost contact, Left Against Professional Advice
Dropped out of treatment (lost contact, Left Against Professional Advice
Reason for discharge~~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
WITS - AK -Alaska's new TEDS systemVersion : 1
08
07
06
07
07
06
01
01
05
03
03
05
05
05
05
02
02
02
CWMS_PROXY
Crosswalk Report
Page 45 of 63
AlaskaDischarge/NOMS
10
11
12
13
Reason for Discharge, Transfer, or Discontinuance of Treatment
Provider Identifier at Admission
Client Identifier at Admission
Co-Depentent/Collateral at Admission
NA
OT
RF
ROP
RWP
SCT
T
TC
TFR
F
T
Not Applicable
Other
Referred
Referred to another program or other services w unsatisfactory progress
Referred to another program or other services w satisfactory progress
Successfully completed treatment
Transferred
Treatment completed
Transferred to another facility for healthreasons
No
Yes
Not applicable (use for mH update record only
Other - includes aging out of MH childrens system, extended placement (condition
Transferred to Another Treatment Program or Facility
Transferred to Another Treatment Program or Facility
Transferred to Another Treatment Program or Facility
Treatment Completed
Transferred to Another Treatment Program or Facility
Treatment Completed
Transferred to Another Treatment Program or Facility
Client
Codependent/collateral
Reason for discharge
Provider ID at discharge
Client ID at discharge
Co-dependent/collateral.
~~
~~
~~
~~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
WITS - AK -Alaska's new TEDS systemVersion : 1
96
07
04
04
04
01
04
01
04
2
1
1-15 characters
1-15 characters
CWMS_PROXY
Crosswalk Report
Page 46 of 63
AlaskaDischarge/NOMS
14
15
Client Transaction Type (pulled from admission dataset)
Date of Admission (pulled from admission dataset)
A
T
Admission
Transfer
Initial Admission (SA)
Transfer or change in service (SA)
Client Transaction Type
Date of Admission
--
--
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
WITS - AK -Alaska's new TEDS systemVersion : 1
A
T
MMDDYYYY
CWMS_PROXY
Crosswalk Report
Page 47 of 63
AlaskaDischarge/NOMS
16 Type of Service at Admission (pulled from admission dataset)
AMB1
AMB2
AMB3
DD01
DD02
DD03
DDR1
DDR2
DDR3
DET1
DET2
IDT
IPN
ITO
LTR
MDT
MMN
ODT
Ambulatory intensive outpatient 2+ hrs per day/3+days per wk
Ambulatory non-intensive outpatient
Ambulatory detoxification
Dual diagnosis outpatient - intensive
Dual diagnosis outpatient - non-intensive
Dual diagnosis Partial Hospital Outpatient Intensive Adult Day Care
Dual diagnosis residential Short term (30 days or fewer)
Dual diagnosis residential Mid term (31-90 days)
Dual diagnosis residential Long term (91 days or more)
Detoxification 24-hour service hospital inpatient
Detoxification 24-hour service free standing residential
Inpatient detoxification
Inpatient
Intensive outpatient
Long term residential
Methadone detox
Methadone maintenance
Outpatient detoxification
Ambulatory - Intensive Outpatient
Ambulatory - Non-Intensive Outpatient
Ambulatory Detoxification
Ambulatory - Intensive Outpatient
Ambulatory - Non-Intensive Outpatient
Ambulatory - Intensive Outpatient
Rehabilitation/Residential - Short Term (30 days or fewer)
Rehabilitation/Residential - Long Term (more than 30 days)
Rehabilitation/Residential - Long Term (more than 30 days)
Detoxification, 24-hour service - Hospital Inpatient
Detoxification , 24 hour service , Free-StandingResidential
Detoxification , 24 hour service , Free-StandingResidential
Rehabilitation/Residential - Short Term (30 days or fewer)
Ambulatory - Intensive Outpatient
Rehabilitation/Residential - Long Term (more than 30 days)
Ambulatory Detoxification
Ambulatory - Non-Intensive Outpatient
Ambulatory Detoxification
Service at discharge~~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
WITS - AK -Alaska's new TEDS systemVersion : 1
06
07
08
06
07
06
04
05
05
01
02
02
04
06
05
08
07
08
CWMS_PROXY
Crosswalk Report
Page 48 of 63
AlaskaDischarge/NOMS
16
17
Type of Service at Admission (pulled from admission dataset)
Date of Birth (pulled from admission dataset)
RDT
REHRES1
REHRES2
REHRES3
REHRES4
SAO1
SAO2
SAO3
STR
Residential detoxification
Rehabilitation/residential hospital (other than detoxification)
Rehabilitation/residential short term (30 days or fewer)
Rehabilitation/residential long term (more than 30 days)
Rehabilitation/residential long term (91 days or more)
Substance Abuse Outpatient - intensive
Substance Abuse Outpatient - non-intensive
Partial Hospital (SA Outpatient intensive) Adult Day Care
Short term residential
Detoxification , 24 hour service , Free-StandingResidential
Rehabilitation/Residential - Hospital (other thanDetoxification)
Rehabilitation/Residential - Short Term (30 days or fewer)
Rehabilitation/Residential - Long Term (more than 30 days)
Rehabilitation/Residential - Long Term (more than 30 days)
Ambulatory - Intensive Outpatient
Ambulatory - Non-Intensive Outpatient
Ambulatory - Intensive Outpatient
Rehabilitation/Residential - Short Term (30 days or fewer)
Service at discharge
Date of birth
~~
--
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
WITS - AK -Alaska's new TEDS systemVersion : 1
02
03
04
05
05
06
07
06
04
MMDDYYYY
CWMS_PROXY
Crosswalk Report
Page 49 of 63
AlaskaDischarge/NOMS
18
19
20
Gender (pulled from admission dataset)
Race (pulled from admission dataset)
Ethnicity (pulled from admission dataset)
BF
BM
FE
FF
FM
MA
NC
NR
UN
Male becoming female
Female becoming male
Female
Male formerly female
Female formerly male
Male
Not collected
No response
Unknown
Male
Female
Female
Male
Female
Male
Unknown
Unknown
Unknown
Sex
Race
Ethnicity
--
--
--
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
WITS - AK -Alaska's new TEDS systemVersion : 1
1
2
2
1
2
1
7
7
7
CWMS_PROXY
Crosswalk Report
Page 50 of 63
AlaskaDischarge/NOMS
21 Substance Problem At Discharge, (Primary, Secondary, Tertiary)
A30
AIT
BAR
BEN
CCC
CNB
DD
HAL
HER
INH
MAM
MAR
MET
MUL
NBA
NIC
NON
OAM
Alcohol - any use last 30 days
Alcohol - to intoxication
Barbiturates
Benzodiazepines
Cocaine/crack
Cannabis
Designer drugs
Other hallucinogens
Heroin
Inhalants
Methamphetamines
Marijuana/hashish
Non-prescription methadone
Alcohol - more than 1 per day
Non-beverage alcohol
Nicotine
None
Other amphetamines
Alcohol
Alcohol
Barbiturates
Benzodiazepines
Cocaine/Crack
Marijuana/Hashish
Other
Hallucinogens
Heroin
Inhalants
Methampetamine/SPeed
Marijuana/Hashish
Non-Prescription Methadone
Alcohol
Alcohol
Other
None
Other Amphetamines
Substance problem at discharge~~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
WITS - AK -Alaska's new TEDS systemVersion : 1
02
02
15
13
03
04
20
09
05
17
10
04
06
02
02
20
01
11
CWMS_PROXY
Crosswalk Report
Page 51 of 63
AlaskaDischarge/NOMS
21 Substance Problem At Discharge, (Primary, Secondary, Tertiary)
OOA
OSH
OST
OTC
OTH
OTQ
OXC
OXO
PCP
STE
UN
Other opiates/synthetics
Other sedatives/hypnotics
Other stimulants
Over-the-counter meds
Other - see comments
Other tranquilizers
OxyContin
Oxycodone
PCP
Steroids
Unknown
Other Opiates and Synthetics
Other Sedatives or Hypontics
Other Stimulants
Over-The-Counter medicines
Other
Other Tranquilizer
Other Opiates and Synthetics
Other Opiates and Synthetics
PCP- phencyclidine
Other
Unknown
Substance problem at discharge~~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
WITS - AK -Alaska's new TEDS systemVersion : 1
07
16
12
18
20
14
07
07
08
20
97
CWMS_PROXY
Crosswalk Report
Page 52 of 63
AlaskaDischarge/NOMS
22 Frequency of Use at Discharge (Primary, Secondary, Tertiary)
1D
3D
3M
3W
4D
6W
NA
NO
SP
UN
Daily
2-3 times daily
1-3 times per month
1-2 times per week
More than 3 times daily
3-6 times per week
N/A
No use in the past month
Sporadic
Unknown
Daily
Daily
1-3 Times in the Past Month
1-2 Times in the Past Week
Daily
3-6 Times in the Past Week
Not Applicable
No Use in the Past Month
1-3 Times in the Past Month
Unknown
Frequency of use at discharge~~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
WITS - AK -Alaska's new TEDS systemVersion : 1
05
05
02
03
05
04
96
01
02
97
CWMS_PROXY
Crosswalk Report
Page 53 of 63
AlaskaDischarge/NOMS
23 Living Arrangements at Discharge
AFC
AFC
ALF
ALF
CH
CH
CR
CR
GH
GH
H
H
HNP
HNP
HPP
HPP
IN
IN
Foster care
Foster care
Assisted living facility
Assisted living facility
Halfway house
Halfway house
Crisis residence
Crisis residence
Group home
Group home
Homeless
Homeless
Hospital for non-psychiatric purposes
Hospital for non-psychiatric purposes
Hospital for psychiatric purposes
Hospital for psychiatric purposes
Alone
Alone
Dependent Living - clients living in a supervised setting
Dependent living: foster home/foster care (MH only)
Dependent Living - clients living in a supervised setting
Dependent living: residential care (MH only)
Dependent Living - clients living in a supervised setting
Dependent living: residential care (MH only)
Dependent Living - clients living in a supervised setting
Dependent living: crisis residence (MH only)
Dependent living: residential care (MH only)
Dependent Living - clients living in a supervised setting
Homeless - clients with no fixed address; includes homeless shelter
Homeless - clients with no fixed address; includes homeless shelter
Dependent Living - clients living in a supervised setting
Dependent living: institutional setting (MH only)
Dependent living: institutional setting (MH only)
Dependent Living - clients living in a supervised setting
Independent Living - clients living alone or with others but no supervision
Independent Living - clients living alone or with others but no supervision
Living arrangements at discharge~~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
WITS - AK -Alaska's new TEDS systemVersion : 1
02
32
02
22
02
22
02
42
22
02
01
01
02
52
52
02
03
03
CWMS_PROXY
Crosswalk Report
Page 54 of 63
AlaskaDischarge/NOMS
23 Living Arrangements at Discharge
INP
INP
IR
IR
JC
JC
JD
JD
MD
MD
NH
NH
NR
NR
OT
OT
PR
PR
PS
In Household w/ Non-related Persons
In Household w/ Non-related Persons
In Household w/ Relatives
In Household w/ Relatives
Correction/detention facility
Correction/detention facility
Juvenile Detention
Juvenile Detention
Missing Data
Missing Data
Nursing home
Nursing home
No response
No response
Other
Other
Private residence w/o supportive services
Private residence w/o supportive services
Private residence with supportive services
Independent Living - clients living alone or with others but no supervision
Independent Living - clients living alone or with others but no supervision
Independent Living - clients living alone or with others but no supervision
Independent Living - clients living alone or with others but no supervision
Dependent living: jail and other institutions under the justice system (MH only)
Dependent Living - clients living in a supervised setting
Dependent Living - clients living in a supervised setting
Dependent living: jail and other institutions under the justice system (MH only)
Unknown
Unknown
Dependent living: institutional setting (MH only)
Dependent Living - clients living in a supervised setting
Unknown
Unknown
Unknown
Unknown
Independent Living - clients living alone or with others but no supervision
Independent Living - clients living alone or with others but no supervision
Dependent Living - clients living in a supervised setting
Living arrangements at discharge~~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
WITS - AK -Alaska's new TEDS systemVersion : 1
03
03
03
03
62
02
02
62
97
97
52
02
97
97
97
97
03
03
02
CWMS_PROXY
Crosswalk Report
Page 55 of 63
AlaskaDischarge/NOMS
23 Living Arrangements at Discharge
PS
RA
RA
RT
RT
S
S
SAH
TFC
TFC
TH
TH
UN
UN
Private residence with supportive services
Refused to Answer
Refused to Answer
Residential treatment
Residential treatment
Shelter
Shelter
Substance Abuse Halfway House
Therapeutic foster care
Therapeutic foster care
Transitional Housing
Transitional Housing
Unknown
Unknown
Dependent living: adults in private residence who need assistance in (MH only)
Unknown
Unknown
Dependent living: residential care (MH only)
Dependent Living - clients living in a supervised setting
Homeless - clients with no fixed address; includes homeless shelter
Homeless - clients with no fixed address; includes homeless shelter
Dependent Living - clients living in a supervised setting
Dependent living: foster home/foster care (MH only)
Dependent Living - clients living in a supervised setting
Dependent living: residential care (MH only)
Dependent Living - clients living in a supervised setting
Unknown
Unknown
Living arrangements at discharge~~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
WITS - AK -Alaska's new TEDS systemVersion : 1
72
97
97
22
02
01
01
02
32
02
22
02
97
97
CWMS_PROXY
Crosswalk Report
Page 56 of 63
AlaskaDischarge/NOMS
24 Employment at Discharge
AF
DI
FT
HM
NI
NO
NR
NS
NU
NUS
NW
OT
PT
R
SI
SO
UL
UN
In the armed forces
Disabled
Employed full time
Homemaker
Resident/inmate
Not in labor force - other
No response
Student
Unemployed - not seeking work
Unemployed - substance lifestyle
Not seeking work
Other
Employed Part time
Retired
Seasonal employment; In-season
Seasonal employment; Out of-season
Unemployed - looking for work
Unknown
Full Time - works 35 or more hours a week- includes military
Not in Labor Force - not looking for work in past 30 days - stdent, retired etc.
Full Time - works 35 or more hours a week- includes military
Not in Labor Force - not looking for work in past 30 days - stdent, retired etc.
Not in Labor Force - not looking for work in past 30 days - stdent, retired etc.
Not in Labor Force - not looking for work in past 30 days - stdent, retired etc.
Unknown
Not in Labor Force - not looking for work in past 30 days - stdent, retired etc.
Not in Labor Force - not looking for work in past 30 days - stdent, retired etc.
Not in Labor Force - not looking for work in past 30 days - stdent, retired etc.
Not in Labor Force - not looking for work in past 30 days - stdent, retired etc.
Unknown
Part Time - works less tahn 35 hours per week
Not in Labor Force - not looking for work in past 30 days - stdent, retired etc.
Part Time - works less tahn 35 hours per week
Unemployed - looking for work in past 30 days or on layoff from job
Unemployed - looking for work in past 30 days or on layoff from job
Unknown
Employment status at discharge~~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
WITS - AK -Alaska's new TEDS systemVersion : 1
01
04
01
04
04
04
97
04
04
04
04
97
02
04
02
03
03
97
CWMS_PROXY
Crosswalk Report
Page 57 of 63
AlaskaDischarge/NOMS
25
26
Detailed Not In Labor Force at Discharge
Number of Arrests in 30 Days Priorto Discharge
DI
HM
N/A
NC
NI
NO
NS
NU
NUS
NW
OT
R
UN
00
01-96
97
Disabled
Homemaker
See NA codes in Excel sheet
Not collected
Resident/inmate
Not in labor force - other
Student
Unemployed - not seeking work
Unemployed - subsistence lifestyle
Not seeking work
Other
Retired
Unknown
None
01-96
Unknown
Disabled
Homemaker
Not Applicable
Not Collected
Inmate of Institution ( Prison or Institution - keeps people out of work force)
Other
Student
Other
Other
Other
Other
Retired
Unknown
Number of Arrests
Number of Arrests
Unknown
Detailed not in labor force at discharge
Arrests in 30 days prior to discharge
~~
~~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
WITS - AK -Alaska's new TEDS systemVersion : 1
04
01
96
98
05
06
02
06
06
06
06
03
97
00-96
00-96
97
CWMS_PROXY
Crosswalk Report
Page 58 of 63
AlaskaDischarge/NOMS
27
28
Frequency of Attendance at Self-Help program in the 30 Days Prior to Discharge
Client Transaction Type - Discharge
01
02
03
04
05
06
97
No attendance in past month
1-3 times in past month (less than once per week)
4-7 times in past month (about once perweek)
8-15 times in past month (2 or 3 times per week)
16-30 times in past month (4 or more times per week)
Some attendance but frequency unknown
Unknown
No attendance
less than once a week -1 to 3 times in past 30 days
About once a week - 4 to 7 times in past 30 days
2 to 3 times a week - 8 to 15 times in past 30 days
At least 4 times a week - 16 to 30 times in the pqst 30 days
Some Attendance in past month, but number of times and frequency is unknown
Unknown
Freq of attendance at self-help programs 30 days prior to discharge
Client Transaction Type disch
~~
~~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
WITS - AK -Alaska's new TEDS systemVersion : 1
01
02
03
04
05
06
97
CWMS_PROXY
Crosswalk Report
Page 59 of 63
AlaskaMental Health Discharge
1
2
2
2
Diagnostic Code Set Identifier
MH Diagnostic Code a,b,c
MH Diagnostic Code a,b,c
MH Diagnostic Code a,b,c
-
-
-
-
under review by State
under review by State
under review by State
under review by State
Unknown
Unknown
Unknown
Unknown
Diagnostic Code Set Identifier...
MH Diagnostic Code - three (ICD-10 Form)
MH Diagnostic Code - one (ICD-10 Form)
MH Diagnostic Code - two (ICD-10 Form)
MHD-1
MHD-2c
MHD-2a
MHD-2b
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
WITS - AK -Alaska's new TEDS systemVersion : 1
7
999.997
999.997
999.997
CWMS_PROXY
Crosswalk Report
Page 60 of 63
AlaskaMental Health Discharge
3
4
SMI/SED - Discharge
School Attendance
CST06
CST07
CST08
CST09
CST10
CST11
CST12
CST13
CST15
F
T
Youth SED with COD
Youth SED with no COD
Youth Non-SED with COD
Youth Non-SED with no COD
Adult SMI with COD
Adult SMI with no COD
Adult Non-SMI with COD
Adult Non-SMI with no COD
Not collected
Yes, client has not attended school at any time in the past 3 months
Yes, client has attended school at any time in the past 3 months
SED
SED
Not SMI/SED
Not SMI/SED
SMI
SMI
Not SMI/SED
Not SMI/SED
Not Collected
No, client has not attended school at any time in the last 3 months
Yes, client has attended school at any time in the last 3 months
SMI/SED Status...
School Attendance Status...
MHD-3
MHD-4
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
WITS - AK -Alaska's new TEDS systemVersion : 1
2
2
4
4
1
1
4
4
8
2
1
CWMS_PROXY
Crosswalk Report
Page 61 of 63
AlaskaMental Health Discharge
5 Education/Grade level - MH
10
11
1G
2G
3G
4G
5G
6G
7G
8G
9G
BD
GED
GW
HS
KI
MD
NC
10th Grade
11th Grade
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
Baccalaureate Degree (BA, BS)
General Education Degree
Graduate Work (no Degree)
High School Diploma (not GED)
Kindergarten
Master's Degree
Not Collected
Grade 10
Grade 11
Grade 1`
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
4th year college or Bachelor's Degree
12th grade or GED
Some Postgraduate Study - Degree not completed
12th grade or GED
Kindergarten
Master's Degree Completed
Not collected
Education/Grade Level...MHD-5
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
WITS - AK -Alaska's new TEDS systemVersion : 1
10
11
01
02
03
04
05
06
07
08
09
16
12
17
12
73
18
98
CWMS_PROXY
Crosswalk Report
Page 62 of 63
AlaskaMental Health Discharge
5
6
Education/Grade level - MH
GAF/CGAS score - MH (optional)
NS
OT
PD
PS1
PS2
PS3
PS4
SPE
UN
VTB
998
No Schooling
Other
Doctorate/Professional Degree
Post Secondary 1 Year
Post Secondary 2 Years (Inc AA Degree)
Post Secondary 3 Years
Post Secondary 4+ Years (no Degree)
Special Education Ungraded Classes
Unknown
Vocational Training Beyond High School
Not Collected
less than one school grade or no schooling
Unknown
Post Graduate Study
1st year college
2nd year college or Associate's Degree
3rd year college
4th year college or Bachelor's Degree
self-contained special education class
Unknown
12th grade or GED
Not Collected
Education/Grade Level...
GAF / CGAS Score...
MHD-5
MHD-6
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
WITS - AK -Alaska's new TEDS systemVersion : 1
00
97
19-25
13
14
15
16
74
97
12
998
REPORT CROSSWALK TO STATE
Crosswalk Management System
End of Report
