Definition:
Following agency policy, procedure and process this is the date the agency ceases providing services to the client and identifies closure of the client's admission to the agency.
Guide for Use:
The Discharge Date is a date after the completion of substance abuse and/or problem gambling treatment services provided by the agency; and/or the agency's and/or the client's decision that the client no longer requires the agency's services.
All programs must be terminated prior to entering and saving the discharge date.
The Discharge Date must be greater or equal to the Admission Date and the latest Program End Date.
NOTE: It is best practice to discharge an inactive admission then re-admit the client when further service is required.
Date Range Format:
Day (DD), Month (MM), Year (YYYY) are collected in separate fields and formatted.
DDMMYYYY
Example: 01/01/1999
Context:
Is used to:
- Indicate a closed admission and that the client is no longer receiving program treatment from the agency.
- The admission date together with discharge date:
- enable reporting of treatment received by clients in all service types within the 2 dates as one "episode" of treatment, or as a client admission at the agency level.
- are used to count the number of admissions within any reporting time period for those clients with multiple admissions to an agency.
Admission Termination / Discharge Guidelines:
For each Reason for Discharge, there is a suggested time when the Admission has to be discharged.
Completed Service Plan
Service Plan Completed – client completed the full service plan requirements as set out by their clinician/program staff. Clinician and Client are in full agreement with the admission discharge and the discharge is clinically appropriate.
Date of program completion or no more than 30 days thereafter.
*Exception to this would be programs with short duration such as Residential Withdrawal Management whereby inactivity flags are set to 15 & 30 days
Client Withdrew and Notified Staff
Service Plan not completed – client notified agency and/or clinician that s/he would not continue to attend sessions at the agency and withdrew against the advice of his/her clinician(s)/caseworker.
Date of notification to staff or no more than 30 days thereafter.
Mutually Agreed Upon Discharge
Service Plan not completed – BOTH client and clinician agree that although the service plan was not complete and all goals/objectives have not been met it is still in the best interest of the client to discontinue treatment AND the client will no longer be receiving treatment within the agency.
Date of mutually agreed upon discharge date.
Discharge by Staff/Involuntary Discharge
Service Plan not completed – client was asked to leave the agency and/or services were terminated before the service plan/program was completed.
This may be the result of the client not adhering to program guidelines or rules (e.g. Client used while in treatment, inappropriate behaviour, possession of alcohol/drugs, etc.)
Date of discharge by staff
Transfer Elsewhere– Other Than Hospitalized
Service Plan not completed – treatment within agency discontinued - client transferred to another addiction treatment agency or
Date of transfer to another agency. DATIS Comprehensive Data Dictionary Page 238
external service provider other than a hospital.
Incarcerated
Service Plan not completed – client was incarcerated while admitted to the agency, and was therefore unable to continue to participate and unable to complete service plan and/or program. (e.g. client was required to fulfill judicial requirements of serving jail sentence.)
Date of incarceration or no more than 30 days after last client contact.
Deceased
Service Plan not completed – client died; service plan not completed.
Date of death or no more than 30 days after last client contact.
Drop Out/No Show
Service Plan not completed – client left the agency without completing service plan AND left without notifying agency/clinician. (e.g. No contact, unable to reach client therefore discharged.)
No more than 90 days after the last client contact.
Hospitalized
Service Plan not completed – client was hospitalized due to medical or psychiatric problems. Treatment was interrupted for too long a period to keep client’s admission open.
No more than 90 days after the last client contact
Unknown
Reason unknown
No more than 90 days after the last client contact
Other
Other – the reason is known but does not fit into any of the given categories.
No more than 90 days after the last client contact DATIS
