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graham harwood: database addiction, yoha, 2015/16

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Database Addiction took place at Lorraine Hewitt House which is situated in the heart of Brixton, it is staffed by busy, engaged, dedicated drugs workers, clinical psychologists, social workers, psychiatrists and adminis- trators including reception staff and all have a high work load. The care-centre sits at the nexus of several databases National Drug Treatment Monitoring System (NDTMS), Electronic Patient Journey System(EPJS), NHS Spine and others. How do databases act in Lorraine Hewitt House. All the work at the centre is interrelated to collections of information, that in turn evidence decisions, events and result in quantifiable structures that reciprocally create other in- dividual actions. This table is an attempt to think through the structural cou- pling of databases and the intention of the care-centre. Databases are more often then not regarded as a technical solution with scant regard is given to their culturalisation, sociality or the way the knowledge/power, or architectural relations are altered by them. The enterprise of the care-centre in it's own words is to “support anyone over the age of 18 with alcohol or drug problems who lives in Lambeth. Pro- viding a key worker to a service-user working with them to formulate a care plan for a journey through other services.” Most people work with the Elec- tronic Patient Journey System which has background processes, sorting algorithms that extract information into other systems such as the National Drug Treatment Monitoring System (NDTMS) whose enterprise is summa- rised as: 'process information from and for those involved in and around the governance of drug treatment.' The databases investigated are a form of list architecture that produce an abstraction of the care-centre modalities. They afford methods by which the materiality of the care-centres work can be managed and governed at multiple scales from with computation. This process of abstraction while al- lowing distance and overview from the gritty work of dealing with addiction also by necessity is always incomplete and structurally flawed representa- tion of the experience of the care-centre. The structure of the The National Drug Treatment Monitoring Service un- locks what is articulated about addiction from an idealogical, technical, po- litical, bureaucratic or governmental viewpoint which is used amongst other things for monetising addiction services. The NDTMS can be seen as pointers to a fluid formation of power that is a strategy in action. While this formulation can be useful in understanding this strategy as a navigable fluid architecture it tells us very little about how individuals manipulate/re- sist the modalities it creates. The logics represented on this table interrelate through disciplining the or- ganization and forcing compliance with various databases through such mechanisms as The Treatment Outcomes Profile (TOP) which purportedly “measures change and progress in key areas of the lives of people being treated in your drug and alcohol services.” This form of compliance affects overall funding, policing staff efficiency and job security. -------------------------------------------------------------------------------------------------- Table of information: The content in the centre of the tables is derived from documented conver- sations with drugs workers, clinical psychologists, social workers, and ad- ministrators including reception staff in the spring of 2015 and from email correspondence with representatives of Public Health England about the inner workings of the DAMS and NDTMS databases. The content around the edge of the tables is derived from text files (see round tables) that we collected throughout our research. We analysed the files to find the collocations of words in the documents creating an aesthet- ic discourse analysis to explore how is our language is informed by the ma- chines that process it? Each word in the list is related both to the one's below it and those that are adjacent to it. SEED WORD = Crack #000000 Use (Cocaine, Days, Hallucinogens) #000001 Disclosed (Information, NA, Days) #000002 Answered (NA, Page, YP) #000005 Information (Days, Answered, Drug) #000006 YPOR (NA, Page, Specific) #000007 Page (Information, Disclosed, Order) #000008 NDTMS (NA, Treatment, Page) #000009 Days (Use, Date, Expected) #000010 Field (Business, Adult, Primary) #000011 Set (Data, Page, Dams) #000012 Client (YP, Used, Alcohol) #000013 Header (File, Validation, Rejected) #000014 Data (L, Page, Adult) #000015 Provided (Treatment, Client, Episode) #000016 Rejected (File, Called, Create) #000017 Item (Items, NDTMS, Treatment) #000018 Support (Recognised, Valid, Details) #000019 Called (Field, Header, Create) #000020 Name (Description, Treatment, Definition) #000021 Interventions (Provided, Client, Recovery) #000022 Fatal (Severity, Level, Status) #000023 Treatment (Initial, Data, Surname) #000024 Psychosocial (Interventions, Treatment, Support) #000025 Warn (Error, Fatal, NDTMS) #000026 Exit (Treatment, Start, Provider) #000027 Intervention (Support, Recovery, YP) #000028 Verification (Page, Rules, Fatal) #000029 Status (Treatment, YP, Top) #000030 Date (Intervention, Prescribing, Interventions) #000031 Rules (Primary, NDTMS, Severity) #000032 Start (Valid, Client, Codes) #000033 Cannot (Date, Modality, Client) #000034 Primary (CDS, Introduced, Guidance) #000035 Episode (Top, Modality, Expected) #000036 Error (Date, Modality, Discharge) #000037 Message (Field, Validation, Number) #000038 Modality (Change, Expected, Details) #000039 Changed (Primary, Field, Value) #000040 Text (Number, Validation, Help) #000041 End (Code, Client, Treatment) #000042 Submission (Since, Episode, Last) #000043 Comments (Field, Missing, Sort) #000044 Discharge (Client, Plan, Exit) #000045 File (User, Codes, GP) #000046 Sort (Permissible, Yes, Values) #000047 Reason (Codes, Discharge, Client) #000048 Create (Data, Submitted, Format) #000049 Order (Page, Yes, Code) #000050 Prison (Date, Client, Discharge) #000051 User (Account, New, Agency) #000052 Code (Page, Sort, Order) #000053 Destination (NDTMS, Transferred, Date) #000054 Guide (VER, Doc, User) #000055 Permissible (Code, Values, Drug) #000056 Populated (Code, NDTMS, Referral) #000057 Doc (VER, Treatment, Drug) #000058 Values (Follows, Responses, Code) #000059 Progresses (Page, Client, Reason) #000060 Regional (Page, Dams, File) #000061 Follows (Code, Comments, N) #000062 Required (Page, Sect, Field) #000063 Ver (Doc, Administrator, Team) #000065 Administrator (Doc, Team, Dams) #000066 Yes (Sort, Treatment, Completed) #000067 Discharged (Item, Definition, Clinical) #000068 Dams (File, Revision, NDTMS) #000069 Password (Month, Agency, Reset) #000070 Completed (Field, Modality, Treatment) #000071 Extract (Submission, Current, Provider) #000072 Agency (Administrator, Dams, Phase) #000073 Box (Password, Enter, New) #000074 Record (Support, Recovery, Code) #000075 Records (Contain, Treatment, Relating) #000076 Working (Treatment, Guide, Date) #000077 Button (Password, New, Enter) #000078 Change (File, Error, AOR) #000079 Policy (File, NDTMS, Version) #000080 Age (Month, Months, Modality) #000081 Click (NDTMS, Dams, System) #000083 System (Data, Regional, Save) #000084 Top (YPOR, NDTMS, Current) #000085 Version (Page, September, Policy) #000086 First (Substance, Used, Use) #000087 Administration (Link, Click, User) #000088 Used (NDTMS, Treatment, Dams) #000089 AOR (Must, Care, Expected) #000090 Author (Reason, Purpose, Data) Seed Word = Crack - > Use - > Disclosed - > Answered - > SEED WORD = Heroin #000000 Crack (Diamorphine, Illicit, Cocaine) #000001 Days (Cocaine, Use, Hallucinogens) #000002 Used (Client, YP, Days) #000003 Tobacco (Treatment, YP, Drugs) #000005 Drugs (Treatment, Yp, Specific) #000006 Weekend (Specific, Evening, Weekday) #000007 Weekday (Weekend, Evening, YP) #000008 Previous (YP, Specific, Days) #000009 Specific (Days, Use, COL) #000010 Layout (Client, Alcohol, Consumed) #000011 Substance (Specific, CDS, Permissible) #000012 Header (N, Additional, Mandatory) #000013 Treatment (Misuse, Specific, Use) #000014 Called (File, Rejected, Create) #000015 Start (Provider, Exit, Modality) #000016 Level (Fatal, Severity, Status) #000017 Date (Treatment, Episode, Top) #000018 Fatal (Error, Warn, Date) #000019 Modality (Date, Client, Cannot) #000020 Warn (Error, Fatal, NDTMS) #000021 Intervention (End, Code, Client) #000022 Page (Warn, NDTMS, Verification) #000023 Prescribing (Psychosocial, Interventions, YP) #000024 Field (Business, Adult, Primary) #000025 Intention (ALC, Community, Relapse) #000026 File (Header, Validation, Rejected) #000027 Relapse (Prescribing, Withdrawal, Prevention) #000028 Rejected (File, Header, Field) #000029 Prevention (Client, Interventions, Psychosocial) #000030 Create (Recognised, Valid, YP) #000031 Interventions (Client, Prescribing, Page) #000032 User (Account, New, Agency) #000033 Support (Psychosocial, Structured, Client) #000034 Doc (Guide, Page, VER) #000035 Provided (Client, Recovery, Treatment) #000036 Regional (Dams, Data, NDTMS) #000037 Recognised (Support, Client, Valid) #000038 NDTMS (Guide, VER, Doc) #000039 Details (Valid, Found, Http) #000040 Set (Data, Page, Dams) #000041 Found (Http, NTA, Www) #000042 Data (L, Page, Adult) #000043 Http (NTA, WWW, NHS) #000044 Item (Set, Data, Items) #000045 NHS (WWW, UK, NTA) #000046 Name (Description, Client, Definition) #000048 Description (Client, Definition, Data) #000049 Areas (Trust, ASPX, Page) #000050 Initial (Treatment, Surname, Client) #000051 CSV (File, Client, Mandatory) #000052 Aspx (NDTMS, Error, Severity) #000053 Surname (Date, Initial, Client) #000054 Mandatory (File, Layout, Input) #000055 Error (Value, Severity, Level) #000057 Value (Severity, Level, Changed) #000058 Birth (Sex, First, Modality) #000060 Pharmacological (Sex, First, Modality) #000061 CDS (Additional, Introduced, Header) #000062 Verification (Error, NDTMS, Warn) #000063 Changed (Field, Submission, Since) #000064 Plus (Date, Year, Day) #000065 Psychosocial (Recovery, Prescribing, Support) #000066 Jan (L, Nov, CDS) #000067 Rules (Primary, NDTMS, Severity) #000068 Episode (Since, Last, Submission) #000069 Year (Day, One, Referral) #000070 Recovery (YP, Field, Y) #000073 One (Day, Referral, Cannot) #000074 Structured (Sub, Yes, Therapy) #000075 Age (Page, Specific, Substance) #000076 Primary (CDS, Introduced, Guidance) #000077 Client (Modality, Change, Expected) #000078 Day (Period, Client, Date) #000079 Care (Yes, Page, House) #000080 Children (One, Client, Episode) #000081 Drug (Programme, Alcohol, Page) #000082 First (Used, Use, Ever) #000083 Validation (Number, Message, Care) #000084 Involved (Support, Modality, ID) #000085 Programmes (Programme, Care, Days) #000086 Plan (Treatment, Review, Assessment) #000087 Living (Children, Client, Looked) #000088 Alcohol (Treatment, Use, Drug) #000089 Presentation (Date, Initial, Modality) #000090 Help (Validation, Text, Message) #000091 Unsafe (Sexual, Exploitation, Exit) #000092 Including (Recorded, Services, Exclusively) Seed Word = Heroin - > Crack - > Days - > Used - > Tobacco Table #01

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Page 1: Graham Harwood: Database Addiction, YoHa, 2015/16

Database Addiction took place at Lorraine Hewitt House which is situated in the heart of Brixton, it is staffed by busy, engaged, dedicated drugs workers, clinical psychologists, social workers, psychiatrists and adminis-trators including reception staff and all have a high work load. The care-centre sits at the nexus of several databases National Drug Treatment Monitoring System (NDTMS), Electronic Patient Journey System(EPJS), NHS Spine and others.

How do databases act in Lorraine Hewitt House. All the work at the centre is interrelated to collections of information, that in turn evidence decisions, events and result in quantifiable structures that reciprocally create other in-dividual actions. This table is an attempt to think through the structural cou-pling of databases and the intention of the care-centre. Databases are more often then not regarded as a technical solution with scant regard is given to their culturalisation, sociality or the way the knowledge/power, or architectural relations are altered by them.

The enterprise of the care-centre in it's own words is to “support anyone over the age of 18 with alcohol or drug problems who lives in Lambeth. Pro-viding a key worker to a service-user working with them to formulate a care plan for a journey through other services.” Most people work with the Elec-tronic Patient Journey System which has background processes, sorting algorithms that extract information into other systems such as the National Drug Treatment Monitoring System (NDTMS) whose enterprise is summa-rised as: 'process information from and for those involved in and around the governance of drug treatment.'

The databases investigated are a form of list architecture that produce an abstraction of the care-centre modalities. They afford methods by which the materiality of the care-centres work can be managed and governed at multiple scales from with computation. This process of abstraction while al-lowing distance and overview from the gritty work of dealing with addiction also by necessity is always incomplete and structurally flawed representa-

tion of the experience of the care-centre.

The structure of the The National Drug Treatment Monitoring Service un-locks what is articulated about addiction from an idealogical, technical, po-litical, bureaucratic or governmental viewpoint which is used amongst other things for monetising addiction services. The NDTMS can be seen as pointers to a fluid formation of power that is a strategy in action. While this formulation can be useful in understanding this strategy as a navigable fluid architecture it tells us very little about how individuals manipulate/re-sist the modalities it creates.

The logics represented on this table interrelate through disciplining the or-ganization and forcing compliance with various databases through such mechanisms as The Treatment Outcomes Profile (TOP) which purportedly “measures change and progress in key areas of the lives of people being treated in your drug and alcohol services.” This form of compliance affects overall funding, policing staff efficiency and job security.

--------------------------------------------------------------------------------------------------Table of information:

The content in the centre of the tables is derived from documented conver-sations with drugs workers, clinical psychologists, social workers, and ad-ministrators including reception staff in the spring of 2015 and from email correspondence with representatives of Public Health England about the inner workings of the DAMS and NDTMS databases.

The content around the edge of the tables is derived from text files (see round tables) that we collected throughout our research. We analysed the files to find the collocations of words in the documents creating an aesthet-ic discourse analysis to explore how is our language is informed by the ma-chines that process it? Each word in the list is related both to the one's below it and those that are adjacent to it.

SEED WORD = Crack#000000

Use (Cocaine, Days, Hallucinogens)

#000001 Disclosed

(Information, NA, Days) #000002

Answered (NA, Page, YP)

#000005 Information

(Days, Answered, Drug) #000006

YPOR (NA, Page, Specific)

#000007 Page

(Information, Disclosed, Order) #000008

NDTMS (NA, Treatment, Page)

#000009 Days

(Use, Date, Expected) #000010

Field (Business, Adult, Primary)

#000011 Set

(Data, Page, Dams) #000012

Client (YP, Used, Alcohol)

#000013 Header

(File, Validation, Rejected) #000014

Data (L, Page, Adult)

#000015 Provided

(Treatment, Client, Episode) #000016

Rejected (File, Called, Create)

#000017 Item

(Items, NDTMS, Treatment) #000018

Support (Recognised, Valid, Details)

#000019 Called

(Field, Header, Create) #000020

Name (Description, Treatment, Definition)

#000021 Interventions

(Provided, Client, Recovery) #000022

Fatal (Severity, Level, Status)

#000023 Treatment

(Initial, Data, Surname) #000024

Psychosocial (Interventions, Treatment, Support)

#000025 Warn

(Error, Fatal, NDTMS) #000026

Exit (Treatment, Start, Provider)

#000027 Intervention

(Support, Recovery, YP) #000028

Verification (Page, Rules, Fatal)

#000029 Status

(Treatment, YP, Top) #000030

Date (Intervention, Prescribing, Interventions)

#000031 Rules

(Primary, NDTMS, Severity) #000032

Start (Valid, Client, Codes)

#000033 Cannot

(Date, Modality, Client) #000034

Primary (CDS, Introduced, Guidance)

#000035 Episode

(Top, Modality, Expected) #000036

Error (Date, Modality, Discharge)

#000037 Message

(Field, Validation, Number) #000038

Modality (Change, Expected, Details)

#000039 Changed

(Primary, Field, Value) #000040

Text (Number, Validation, Help)

#000041 End

(Code, Client, Treatment) #000042

Submission (Since, Episode, Last)

#000043 Comments

(Field, Missing, Sort) #000044

Discharge (Client, Plan, Exit)

#000045 File

(User, Codes, GP) #000046

Sort (Permissible, Yes, Values)

#000047 Reason

(Codes, Discharge, Client) #000048

Create (Data, Submitted, Format)

#000049 Order

(Page, Yes, Code) #000050

Prison (Date, Client, Discharge)

#000051 User

(Account, New, Agency) #000052

Code (Page, Sort, Order)

#000053 Destination

(NDTMS, Transferred, Date) #000054

Guide (VER, Doc, User)

#000055 Permissible

(Code, Values, Drug) #000056

Populated (Code, NDTMS, Referral)

#000057 Doc

(VER, Treatment, Drug) #000058

Values (Follows, Responses, Code)

#000059 Progresses

(Page, Client, Reason) #000060

Regional (Page, Dams, File)

#000061 Follows

(Code, Comments, N) #000062

Required (Page, Sect, Field)

#000063 Ver

(Doc, Administrator, Team) #000065

Administrator (Doc, Team, Dams)

#000066 Yes

(Sort, Treatment, Completed) #000067

Discharged (Item, Definition, Clinical)

#000068 Dams

(File, Revision, NDTMS) #000069

Password (Month, Agency, Reset)

#000070 Completed

(Field, Modality, Treatment) #000071

Extract (Submission, Current, Provider)

#000072 Agency

(Administrator, Dams, Phase) #000073

Box (Password, Enter, New)

#000074 Record

(Support, Recovery, Code) #000075

Records (Contain, Treatment, Relating)

#000076 Working

(Treatment, Guide, Date) #000077

Button (Password, New, Enter)

#000078 Change

(File, Error, AOR) #000079

Policy (File, NDTMS, Version)

#000080 Age

(Month, Months, Modality) #000081

Click (NDTMS, Dams, System)

#000083 System

(Data, Regional, Save) #000084

Top (YPOR, NDTMS, Current)

#000085 Version

(Page, September, Policy) #000086

First (Substance, Used, Use)

#000087 Administration (Link, Click, User)

#000088 Used

(NDTMS, Treatment, Dams) #000089

AOR (Must, Care, Expected)

#000090 Author

(Reason, Purpose, Data)

Seed Word = C

rack -> U

se -> Disclosed -> A

nswered ->

SEED WOR

D =

Heroin

#000000

Crack

(Dia

morp

hine,

Illicit, Cocaine)

#000001

Days

(Cocaine,

Use, Hallucino

gens)

#000002

Used

(Client, YP, Days)

#000003

Tobacco

(Treatme

nt,

YP,

Drugs)

#000005

Drugs

(Treatme

nt,

Yp,

Specific)

#000006

We

eken

d

(Spe

cific, Eve

ning,

Weekday)

#000007

We

ekday

(Wee

kend,

Even

ing, YP)

#000008

Previous

(YP, Spe

cific, Days)

#000009

Sp

ecific

(Days, Use,

COL)

#000010

Layout

(Client, A

lcohol,

Consum

ed)

#000011

Su

bsta

nce

(Spe

cific, CDS,

Perm

issible)

#000012

Head

er

(N,

Addition

al,

Mand

atory)

#000013

Treatm

ent

(Misuse, Spe

cific, Use)

#000014

Called

(File, R

ejecte

d, Create)

#000015

Start

(Provide

r, Exit, M

odality)

#000016

Level

(Fatal,

Severity,

Status)

#000017

Date

(Treatme

nt,

Episod

e, Top)

#000018

Fata

l

(Error,

Warn,

Date)

#000019

Mo

dality

(Date, Client, Can

not)

#000020

Warn

(Error,

Fata

l, N

DTMS)

#000021

Interv

ention

(End,

Code,

Client)

#000022

Page

(War

n, N

DTMS,

Verification)

#000023

Prescribing

(Psych

osocial, Inter

ventions,

YP)

#000024

Field

(Business, A

dult,

Prim

ary)

#000025

Inte

ntion

(ALC,

Comm

unity, R

elapse)

#000026

File

(Heade

r, Validation, R

ejecte

d)

#000027

Relapse

(Prescribing,

With

drawal,

Prevention)

#000028

Rejected

(File, Heade

r, Field)

#000029

Prevention

(Client, Inter

ventions,

Psychosocial)

#000030

Create

(Recog

nise

d, Valid,

YP)

#000031

Interv

entions

(Client, Prescribing,

Page)

#000032

User

(Accou

nt,

New, A

gency)

#000033

Supp

ort

(Psych

osocial, Str

ucture

d, Client)

#000034

Doc

(Guide,

Page,

VER)

#000035

Provided

(Client, R

ecover

y, Treatme

nt)

#000036

Re

gion

al

(Dam

s, Data, N

DTMS)

#000037

Re

cogn

ised

(Sup

port,

Client,

Valid)

#000038

NDTM

S

(Guide,

VER, Doc)

#000039

Deta

ils

(Valid,

Foun

d, Http)

#000040

Set

(Data, Page, Dam

s)

#000041

Foun

d

(Http, NTA,

Www)

#000042

Data

(L,

Page,

Adult)

#000043

Http

(NTA,

WWW, NHS)

#000044

Item

(Set,

Data,

Item

s)

#000045

NHS

(WWW,

UK,

NTA)

#000046

Na

me

(Description,

Client,

Definition)

#000048

Description

(Client, Definition, Data)

#000049

Ar

eas

(Tru

st,

ASPX,

Page)

#000050

Initial

(Treatme

nt,

Surn

ame, Client)

#000051

CSV

(File, Client, M

andatory)

#000052

As

px

(NDTMS,

Error, Severity)

#000053

Surn

ame

(Date, Initial,

Client)

#000054

Ma

ndatory

(File, Layout, Inp

ut)

#000055

Error

(Value,

Severity,

Level)

#000057

Value

(Severity, L

evel,

Chan

ged)

#000058

Birt

h

(Sex,

First, M

odality)

#000060

Phar

macological (Sex,

First, M

odality)

#000061

CDS

(Add

itional, Introdu

ced, Heade

r)

#000062

Verification

(Error,

NDTM

S, War

n)

#000063

Ch

ange

d

(Field,

Subm

ission,

Since)

#000064

Plus

(Date, Year, Day)

#000065

Psychosocial

(Recover

y, Prescribing,

Supp

ort)

#000066

Jan

(L,

Nov, CDS)

#000067

Rules

(Prima

ry,

NDTM

S, Severity)

#000068

Episod

e

(Since,

Last,

Subm

ission)

#000069 Year

(Day, On

e, R

eferral)

#000070 Re

covery

(YP, Field, Y)

#000073 On

e

(Day, Referral, Ca

nnot)

#000074

Stru

ctured

(Sub, Yes, T

herapy)

#000075 Ag

e

(Page, Spe

cific, Sub

stan

ce)

#000076 Prim

ary

(CDS, Introd

uced, Guidan

ce)

#000077 Client

(Mod

ality, Cha

nge, Exp

ecte

d)

#000078 Day

(Period, Client, Date)

#000079 Care

(Yes, Page, House)

#000080 Childr

en

(One, Client, Episod

e)

#000081 Drug

(Program

me, Alcohol, Page)

#000082 First

(Use

d, Use, Ever)

#000083 Validation

(Num

ber, M

essage, Care)

#000084 Involved

(Sup

port, Mo

dality, ID)

#000085

Prog

ramm

es

(Program

me,

Care,

Days)

#000086 Plan

(Treatme

nt, Review, Assessme

nt)

#000087 Living

(Childre

n, Client, Looke

d)

#000088 Alcohol

(Treatme

nt, Use, Dru

g)

#000089 Presentation

(Date, Initial, Mo

dality)

#000090 Help

(Validation, Text, M

essage)

#000091 Unsafe

(Sex

ual, Exploitation, Exit)

#000092 Includ

ing

(Recorde

d, Ser

vices, Exclusively)

Seed

Wor

d = H

eroi

n - >

Cra

ck - >

Day

s ->

Use

d - >

Toba

cco

Table #01

Page 2: Graham Harwood: Database Addiction, YoHa, 2015/16

Comment 1: “I’ve got concerns; confidentiality is a thing of the past. EPJS used to be only in SLAM but now partners have access I believe there may be work/connections with the home office, police, etc.”

Comment 2: “EPJS is important because it’s multidisciplinary (across psychology, substance, prescriptions etc), but there may be some connections that are more about number-crunching, e.g. NDTMS (for example, the TOPS input section has questions about crime).”

Comment 3: “Questions for the database can be that they may cause distress to service-users. Therefore, some answers may be vague or inaccurate as a result of feeling our way through the moment of filling these in with service users.”

Comment 4: “Some entries are legal requirement. Others are outcome monitoring[?]. The PHQ9 form relates to recording depression within a treatment pathway. The GAD7 form relates to anxiety. These aspects of patients’ treatment pathway may be recorded and pursued based on recommendations of key workers and psychologists. Sometimes there is no clear course for psycho-logical intervention in treatment pathway.”

Comment 5: “In some respect, by choosing what forms and routes of treatment need to be undertaken, it’s possible that workers may

take recommendations for changes to managerial meetings.”

Comment 6: “Things have certainly changed over time: CORE-OM used to contain 34 questions, but CORE-10 now contains less. We wouldn’t want a system that changes too fast -- and we don’t want change that is “politically-led”, e.g. from changes in govern-ment“

Comment 7: “There is so much information on EPJS that it can be diffi-cult to extract info”

Comment 8: “Service users don’t understand that this information is useful and necessary and can be used in emergencies.”

Comment 9: “Information gleaned from service users is not always ac-curate, often, the things we sense or know but were not is also passed on to key workers, like if service users look after chil-dren.”

Comment 10: “Service users omit information through fear of state inter-vention against say looking after children. In these incidents, the information is passed on to key workers when it has not been re-corded on the forms/EPJS. We discuss how the data, may fail to tell the story in it's completeness, and how a more accurate or situated comprehension of a patient’s journey requires the reality of situations often revealed through testimony and everyday

knowledge, memory etc.”

Comment 11: “Sometimes when you know these people, it’s not what they are telling you, it’s what they are not telling you.”

Comment 12: “Not sure where the data goes once entered into the da-tabase.“

Comment 13: “My alcohol dependant clients have a high risk of death or of otherwise ‘failing’ according to the database so putting their info in would affect metrics negatively.”

Comment 14: “My service users have chaotic lives having to undergo more than one assessment, by more than one organisation - they would do a Foundation 66 assessment and then have to do another assessment at the centre, this makes them really wound up.”

Comment 15: “Putting someone into the system means they are 'in treatment' but that they hardly come in in some cases except for medication - this is more maintenance than treatment.”

Comment 16: “Drug users managed by services which ‘represent’ them - 3 meals a day, Comment 17: easy access to needle exchange etc makes life too easy, I think it leads to a disinclination to change.”

Comment 18: “Mental health and drinking interlinked. 1 in 3 service users have mental health problems (and the medicines they take can have horrible side effects) so they self medicate with alcohol”

Comment 19: “Social services look at people with mental health prob-lems and say 'we can’t sort your mental health problems until you stop drinking'. People with drinking problems and chaotic lives could go to counselling sessions, release painful memo-ries, go away and respond by drinking. Plus drinking distorts view of the world. Chicken/egg situation but ultimately who is there to support these people who are reliant, who don’t want to stop drinking or cannot but who have underlying problems, The database does not account for this.”

Comment 20: “If someone stops using (aka is successful) they are mostly moved outside Lambeth.”

Comment 21: “Targets must be hit in order for the service to receive Local Authority insurance.”

Comment 22: “The service is grouped together with other organisations through the system”

Comment 23: “These compliance targets need to be logged and are au-tomatically part of the framework - “mandatory field completions” - which the clinic uses to log people’s data”

SEED WORD = Abstinence#000001 Prevention (Relapse, Attractive, Requires) #000002 Attractive (Relapse, Requires, Based) #000003 Client (Interventions, Prescribing, Page) #000004 Competences (Requires, Abstinence, Behaviours) #000005 Treatment (Client, Provided, Episode) #000006 Clinical (Delivery, Within, Worker) #000007 Exit (Treatment, Start, Provider) #000008 Framework (Records, Governance, System) #000009 Top (Treatment, YP, Status) #000010 Includes (Appropriate, Supervision, Including) #000011 Date (Top, Completed, Data) #000012 Supervision (Appropriate, Children, Local) #000013 Modality (Cannot, Treatment, First) #000014 Interventions (Based, Network, Social) #000015 Start (Intervention, End, Code) #000016 Support (Psychosocial, Structured, Client) #000017 Episode (Date, YP, Treatment) #000018 Provided (Recovery, Treatment, Family) #000019 Data (Date, Treatment, Warn) #000020 Valid (Support, Recognised, Client) #200021 Item (Set, Data, Items)

#000022 Found (Values, Na, Details) #000023 Description (Name, Client, Treatment) #000024 NTA (Http, WWW, NHS) #000025 Layout (CSV, File, Client) #000027 CSV (File, Mandatory, Children) #000028 Areas (Nhs, NTA, NDTMS) #000030 NHS (Ndtms, Website, Data) #000031 Additional (Mandatory, Header, Layout) #000032 Input (File, Mandatory, Layout) #000033 Severity (Ndtms, Aspx, Error) #000034 Trust (Areas, NDTMS, Aspx) #000035 Introduced (Treatment, Cds, Rules) #000036 Contain (File, NDTMS, Rows) #000037 Warn (Level, Fatal, Error) #000038 Care (Page, NHS, Trust) #000039 Page (Header, Rules, Treatment) #000040 Relating (Value, Treatment, Modality) #000041 NDTMS (Verification, Rules, Fatal) #000042 Plan (Date, Review, Assessment) #000043 Adult (Page, Field, Business) #000044 Discharged (Treatment, Episodes, Children) #000045 Set (Dams, Verification, Rules)

#000046 Review (Treatment, Start, Care) #000047 Alcohol (Treatment, Drug, Services) #000048 Extract (Submission, Current, Provider) #000050 Submission (Current, Provider, Ending) #000052 Provider (Current, Ending, Discharged) #000054 Ending (Current, Discharged, Contain) #000055 Changes (Treatment, Young, Reference) #000056 Completed (Care, Client, Prison) #000057 Providers (Alcohol, Version, Data) #000058 Records (File, Specified, Format) #000059 File (User, Codes, GP) #000060 Code (Referral, Used, Prison) #000061 Current (Episode, Treatment, Tier) #000062 Applied (Data, Changes, Set) #000063 Intervention (Record, Support, Recovery) #000064 People (Version, Young, Data) #000065 Policy (Page, File, NDTMS) #000066 Rejected (Header, Field, Create) #000067 Comments (Text, Sort, Permissible) #000068 Situation (Episode, Layout, Header) #000069 Header (Revised, Directly, Rule) #000070 Prescribing (Psychosocial, Interventions, YP)

#000071 Substance (Treatment, Providers, Version) #000072 Version (September, Policy, Information) #000073 Create (Field, Called, Header) #000074 Permissible (Sort, Yes, Values) #000075 Change (May, Treatment, Expected) #000076 Called (Severity, Level, YP) #000077 Intention (Prescribing, ALC, Community) #000078 Misuse (Treatment, Specific, Use) #000079 Purpose (Page, Author, Reason) #000080 Field (User, Account, New) #000081 Text (Values, Follows, Responses) #000083 Values (Follows, Responses, N) #000084 YPOR (NDTMS, Current, Situation) #000085 Status (Fatal, Severity, Level) #000086 Relapse (Withdrawal, Prevention, Client) #000087 Specific (Treatment, Services, Young) #000089 Services (Young, Interventions, YP) #000091 Young (Interventions, Yp, Substance) #000092 Reason (New, Draft, Policy) #000093 Validation (Rejected, Modality, Completed) #000094 Missing (Sort, Permissible, Yes) #000095 Follows (Code, Comments, N)

#000096 Use (Expected, Days, Patterns) #000097 Codes (Data, Recognised, Changed) #000098 Psychosocial (Prescribing, Substance, Alcohol) #000099 CDS (Permissible, L, Values) #000100 Service (NDTMS, Children, Health) #000101 Person (Providers, Substance, Version) #000102 Prison (Client, Discharge, Exit) #000103 Help (Validation, Message, Number) #000104 Record (Records, Treatment, Information) #000105 Yes (Sort, Field, Treatment) #000106 Days (Information, Na, Disclosed) #000107 Appendix (Treatment, Status, Permissible) #000108 Recovery (YP, Field, Y) #000109 Jan (L, Nov, CDS) #000110 Users (User, Treatment, Within) #000111 Living (Gender, Provider, Consented) #000112 Destination (Ndtms, Transferred, Date) #000113 Improve (Sheet, Level, Severity) #000114 Error (AOR, Data, Must) #000116 AOR (Data, Must, Client) #000117 Detox (YP, Order, Sort) #000118 Used (Days, Alcohol, Consumed)

#000120 Consumed (Tobacco, Prior, Custody) #000122 Custody (Tobacco, Prior, Drugs) #000124 Prior (Tobacco, Drugs, Date) #000126 Drugs (Tobacco, Date, Previous) #000127 List (Status, Definitions, Page) #000129 Definitions (Page, Items, H) #000130 House (Intervention, Provided, Modality) #000131 Age (Col, First, Status) #000132 Resolve (Access, Change, Users) #000133 Children (Client, CLA, Care) #000134 Populated (Prison, NDTMS, Referral) #000135 Outcomes (Quality, Service, Data) #000136 Verification (Page, Rules, Fatal) #000137 Responses (Referred, Details, Questions) #000138 Reach (Ward, Patient, Adult) #000139 Tobacco (Treatment, YP, Drugs) #000140 Weekday (Alcohol, YP, Daytime) #000141 Incomplete (Item, Definition, Used) #000142 Entering (Used, Prison, Start) #000143 Weekend (Evening, YP, Daytime) #000144 Drug (Ndtms, Reference, Files) #000145 Sub (Modalities, See, Pharmacological)

#000146 Residential (Page, Living, Ndtms) #000147 First (Used, Use, Ever) #000148 Discrepancies (Ambivalence, Existing, Increase) #000149 Looked (Live, Data, Item) #000150 Progresses (Page, Client, Reason) #000151 Profile (Alcohol, Clients, AOR) #000152 Rules (Page, Primary, NDTMS) #000154 Primary (Severity, Fatal, Rule) #000155 Referred (Used, Header, Page) #000156 Community (Detox, Psychosocial, Psychotherapeutic) #000157 Evening (Weekday, Daytime, Nicotine) #000158 Previous (Days, Use, COL) #000159 Withdrawn (Treatment, Client, Data) #000160 May (Treatment, Custody, Client) #000161 Eve (COL, Used, Relabelled) #000162 Definition (System, Monitoring, Ndtms) #000163 Assessment (YP, Sub, Review) #000164 Inpatient (Pathways, Community, Treatment) #000165 Initial (Date, Modality, Presentation) #000166 Screen (Existing, New, Evaluate) #000167 Local (Child, Children, Looked) #000168 Sect (Required, Page, Modality)

#000169 Outcome (Top, Treatment, Date) #000170 Guidance (Header, Fatal, NDTMS) #000171 Number (Message, Care, Alcohol) #000172 Structured (Episode, Hepatology, Agency) #000173 Partnership (Health, Pathways, Treatment) #000174 Relabelled (Ptedoyo, Question, Patterns) #000175 Hep (Infected, Infection, Previous) #000176 Provision (Definition, Page, Hep) #000177 Include (Situation, Provided, Case) #000178 Expected (E, Change, YPOR) #000179 Author (Looked, Completed, NDTMS) #000180 Stabilisation (Yp, Health, Planning) #000181 Unit (Detoxification, Inpatient, Providers) #000182 Surname (Client, Z, Assessment) #000183 User (Shot, Figure, Directly) #000184 Authority (Authorities, Provider, Local) #000185 COL (CSV, Item, Guidance) #000186 Must (Profile, Needs, Data) #000187 Specialist (Date, Must, Drug) #000188 Drinking (Number, Errors, Treatment) #000189 Day (Drug, Programme, Alcohol) #000190 Health (Community, Partnership, Trust)

Seed Word = Abstinence -> Prevention -> Attractive -> Client -> Competences -> Treatment -> Clinical -> Exit -> FrameworkSEED WORD = Abstinence#000001 Prevention (Relapse, Attractive, Requires) #000002 Attractive (Relapse, Requires, Based) #000003 Client (Interventions, Prescribing, Page) #000004 Competences (Requires, Abstinence, Behaviours) #000005 Treatment (Client, Provided, Episode) #000006 Clinical (Delivery, Within, Worker) #000007 Exit (Treatment, Start, Provider) #000008 Framework (Records, Governance, System) #000009 Top (Treatment, YP, Status) #000010 Includes (Appropriate, Supervision, Including) #000011 Date (Top, Completed, Data) #000012 Supervision (Appropriate, Children, Local) #000013 Modality (Cannot, Treatment, First) #000014 Interventions (Based, Network, Social) #000015 Start (Intervention, End, Code) #000016 Support (Psychosocial, Structured, Client) #000017 Episode (Date, YP, Treatment) #000018 Provided (Recovery, Treatment, Family) #000019 Data (Date, Treatment, Warn) #000020 Valid (Support, Recognised, Client) #200021 Item (Set, Data, Items)

#000022 Found (Values, Na, Details) #000023 Description (Name, Client, Treatment) #000024 NTA (Http, WWW, NHS) #000025 Layout (CSV, File, Client) #000027 CSV (File, Mandatory, Children) #000028 Areas (Nhs, NTA, NDTMS) #000030 NHS (Ndtms, Website, Data) #000031 Additional (Mandatory, Header, Layout) #000032 Input (File, Mandatory, Layout) #000033 Severity (Ndtms, Aspx, Error) #000034 Trust (Areas, NDTMS, Aspx) #000035 Introduced (Treatment, Cds, Rules) #000036 Contain (File, NDTMS, Rows) #000037 Warn (Level, Fatal, Error) #000038 Care (Page, NHS, Trust) #000039 Page (Header, Rules, Treatment) #000040 Relating (Value, Treatment, Modality) #000041 NDTMS (Verification, Rules, Fatal) #000042 Plan (Date, Review, Assessment) #000043 Adult (Page, Field, Business) #000044 Discharged (Treatment, Episodes, Children) #000045 Set (Dams, Verification, Rules)

#000046 Review (Treatment, Start, Care) #000047 Alcohol (Treatment, Drug, Services) #000048 Extract (Submission, Current, Provider) #000050 Submission (Current, Provider, Ending) #000052 Provider (Current, Ending, Discharged) #000054 Ending (Current, Discharged, Contain) #000055 Changes (Treatment, Young, Reference) #000056 Completed (Care, Client, Prison) #000057 Providers (Alcohol, Version, Data) #000058 Records (File, Specified, Format) #000059 File (User, Codes, GP) #000060 Code (Referral, Used, Prison) #000061 Current (Episode, Treatment, Tier) #000062 Applied (Data, Changes, Set) #000063 Intervention (Record, Support, Recovery) #000064 People (Version, Young, Data) #000065 Policy (Page, File, NDTMS) #000066 Rejected (Header, Field, Create) #000067 Comments (Text, Sort, Permissible) #000068 Situation (Episode, Layout, Header) #000069 Header (Revised, Directly, Rule) #000070 Prescribing (Psychosocial, Interventions, YP)

#000071 Substance (Treatment, Providers, Version) #000072 Version (September, Policy, Information) #000073 Create (Field, Called, Header) #000074 Permissible (Sort, Yes, Values) #000075 Change (May, Treatment, Expected) #000076 Called (Severity, Level, YP) #000077 Intention (Prescribing, ALC, Community) #000078 Misuse (Treatment, Specific, Use) #000079 Purpose (Page, Author, Reason) #000080 Field (User, Account, New) #000081 Text (Values, Follows, Responses) #000083 Values (Follows, Responses, N) #000084 YPOR (NDTMS, Current, Situation) #000085 Status (Fatal, Severity, Level) #000086 Relapse (Withdrawal, Prevention, Client) #000087 Specific (Treatment, Services, Young) #000089 Services (Young, Interventions, YP) #000091 Young (Interventions, Yp, Substance) #000092 Reason (New, Draft, Policy) #000093 Validation (Rejected, Modality, Completed) #000094 Missing (Sort, Permissible, Yes) #000095 Follows (Code, Comments, N)

#000096 Use (Expected, Days, Patterns) #000097 Codes (Data, Recognised, Changed) #000098 Psychosocial (Prescribing, Substance, Alcohol) #000099 CDS (Permissible, L, Values) #000100 Service (NDTMS, Children, Health) #000101 Person (Providers, Substance, Version) #000102 Prison (Client, Discharge, Exit) #000103 Help (Validation, Message, Number) #000104 Record (Records, Treatment, Information) #000105 Yes (Sort, Field, Treatment) #000106 Days (Information, Na, Disclosed) #000107 Appendix (Treatment, Status, Permissible) #000108 Recovery (YP, Field, Y) #000109 Jan (L, Nov, CDS) #000110 Users (User, Treatment, Within) #000111 Living (Gender, Provider, Consented) #000112 Destination (Ndtms, Transferred, Date) #000113 Improve (Sheet, Level, Severity) #000114 Error (AOR, Data, Must) #000116 AOR (Data, Must, Client) #000117 Detox (YP, Order, Sort) #000118 Used (Days, Alcohol, Consumed)

#000120 Consumed (Tobacco, Prior, Custody) #000122 Custody (Tobacco, Prior, Drugs) #000124 Prior (Tobacco, Drugs, Date) #000126 Drugs (Tobacco, Date, Previous) #000127 List (Status, Definitions, Page) #000129 Definitions (Page, Items, H) #000130 House (Intervention, Provided, Modality) #000131 Age (Col, First, Status) #000132 Resolve (Access, Change, Users) #000133 Children (Client, CLA, Care) #000134 Populated (Prison, NDTMS, Referral) #000135 Outcomes (Quality, Service, Data) #000136 Verification (Page, Rules, Fatal) #000137 Responses (Referred, Details, Questions) #000138 Reach (Ward, Patient, Adult) #000139 Tobacco (Treatment, YP, Drugs) #000140 Weekday (Alcohol, YP, Daytime) #000141 Incomplete (Item, Definition, Used) #000142 Entering (Used, Prison, Start) #000143 Weekend (Evening, YP, Daytime) #000144 Drug (Ndtms, Reference, Files) #000145 Sub (Modalities, See, Pharmacological)

#000146 Residential (Page, Living, Ndtms) #000147 First (Used, Use, Ever) #000148 Discrepancies (Ambivalence, Existing, Increase) #000149 Looked (Live, Data, Item) #000150 Progresses (Page, Client, Reason) #000151 Profile (Alcohol, Clients, AOR) #000152 Rules (Page, Primary, NDTMS) #000154 Primary (Severity, Fatal, Rule) #000155 Referred (Used, Header, Page) #000156 Community (Detox, Psychosocial, Psychotherapeutic) #000157 Evening (Weekday, Daytime, Nicotine) #000158 Previous (Days, Use, COL) #000159 Withdrawn (Treatment, Client, Data) #000160 May (Treatment, Custody, Client) #000161 Eve (COL, Used, Relabelled) #000162 Definition (System, Monitoring, Ndtms) #000163 Assessment (YP, Sub, Review) #000164 Inpatient (Pathways, Community, Treatment) #000165 Initial (Date, Modality, Presentation) #000166 Screen (Existing, New, Evaluate) #000167 Local (Child, Children, Looked) #000168 Sect (Required, Page, Modality)

#000169 Outcome (Top, Treatment, Date) #000170 Guidance (Header, Fatal, NDTMS) #000171 Number (Message, Care, Alcohol) #000172 Structured (Episode, Hepatology, Agency) #000173 Partnership (Health, Pathways, Treatment) #000174 Relabelled (Ptedoyo, Question, Patterns) #000175 Hep (Infected, Infection, Previous) #000176 Provision (Definition, Page, Hep) #000177 Include (Situation, Provided, Case) #000178 Expected (E, Change, YPOR) #000179 Author (Looked, Completed, NDTMS) #000180 Stabilisation (Yp, Health, Planning) #000181 Unit (Detoxification, Inpatient, Providers) #000182 Surname (Client, Z, Assessment) #000183 User (Shot, Figure, Directly) #000184 Authority (Authorities, Provider, Local) #000185 COL (CSV, Item, Guidance) #000186 Must (Profile, Needs, Data) #000187 Specialist (Date, Must, Drug) #000188 Drinking (Number, Errors, Treatment) #000189 Day (Drug, Programme, Alcohol) #000190 Health (Community, Partnership, Trust)

Seed Word = Abstinence -> Prevention -> Attractive -> Client -> Competences -> Treatment -> Clinical -> Exit -> Framework

Table #02

Page 3: Graham Harwood: Database Addiction, YoHa, 2015/16

Comment 24: “Service users are given carefully worded forms asking them to accept the use of their data for management purposes, for data matching, I do not think service users understand this.”

Comment 25: “It’s difficult to make the metrics relevant to the clinic (the NDTMS stuff) appear in a system which connects different ser-vices.”

Comment 26: “The database is too thorough in some ways, not thor-ough enough in others.”

Comment 27: “If someone calls in about a friend with alcohol depend-ency the system is designed in a way that means the referrer needs a record set up about them. To get around this the clinic notes referrals down on paper and only sets up records for the people with the dependency. They can also go down the route of something called an EPJS for 3rd party intervention”

Comment 28: “The government does not see the ambiguity of our work but it is managed within the local service - the clinic has a strong managerial base.”

Comment 29: “Make sure the data tail doesn’t wag the clinical dog”

Comment 30: “One thing everyone likes about the system is the way it stores clinical notes. Another good thing is that because differ-

ent services are linked it’s easier to check client history. This is beneficial in some ways but also means more hoops to jump through”

Comment 31: “The database system is not geared around the end user but around compliance. The clinic needs to comply with numer-ous organisations eg “the sequins”(?), local commissioners, NHS England.”

Comment 32: “We are always enacting procedures for compliance”

Comment 33: “Some things are very easy to ask (EPJ) to change/can be done very quickly, others are very hard to change or take a long time. The reasons for this disparity are not clear to the people who work with the system.”

Comment 34: “A good commissioner would support the development of localised database systems which would allow the clinic to give feedback”

Comment 35: “There is political motivation and those with the political motives believe in the machinery”

Comment 36: “Politicians criticise the service and the clinic’s methodol-ogy when results do not agree with them.”

Comment 37: “A graph can be scaled up or down to make results appear to fit a narrative.” `Comment 38: “Drug addicts generally unpopular in the public eye - “the undeserving unwell”. Politicians are scared of showing support for them. This may be why there is such good data on addicts as opposed to say people with mental illness - drug addicts are being overly managed by the machine.”

Comment 39: “Why are incentives seen as bad in some contexts and not others? Parents give incentives to children & they learn. Why are incentives bad for addicts? Clinic uses incentives with success. People don’t think of incentives as a means to an end.”

Comment 40: “The art of the job is hidden/prevented by the nature of the machinery getting in its way. The system doesn’t permit the ambiguity of key workers’ interpretation of service users’ individ-ual experience.”

Comment 41: “There is also nowhere within the system to elaborate on certain crucial details, e.g. service users’ individual stories and deeper details of domestic abuse or trauma. There should be an ‘at risk’ query in the data set.”

Comment 42: “Connections to police database re child risk? there are ‘roles’ tied to Windows authentication. These are handled cen-

trally by ICT @ Leonard House, Bromley - this is also where new forms and sections can be added to EPJS.”

Comment 43: “New forms/sections can be added as a result of factors such as new legislation. These are clinically-driven additions, the system appears to be evolving + evidence-based in its changes”

Comment 44: “We are told that there is a bug in the system relating to a doubling-up of user entries if two entries with same birth date and postcode are entered”

Comment 45: “RAG (Red Amber Green) - traffic lights warning system. This relates to the quality of the reports in the data (a colouring of the extent to which a report is detailed well enough).”

Comment 46: “Clinicians can and are trained to spot these things. Yes under-reporting can be detected.”

Comment 47: “I'm doubtful if the system connect with the police national computer, but not 100% sure> (opt-in / opt-out?)”

Comment 48: “Quantification is a large part of NDTMS, but can be useful. System seems to have been clinically designed.”

Comment 49: “I think the data “floats around” this areas somewhere.”

SEED WORD = Vulnerable#000000 Children (People, Young, Disadvantaged) #000001 Client (Children, Living, Looked) #000002 Episode (Treatment, Client, Provided) #000003 Treatment (Date, Data, Warn) #000004 Start (Treatment, Provider, Exit) #000005 Date (YP, Treatment, Episode) #000006 Modality (Client, Cannot, Treatment) #000007 Intervention (Date, Modality, Start) #000008 Prescribing (Psychosocial, Interventions, YP) #000009 Community (Prescribing, Intention, ALC) #000010 Pathways (Health, Partnership, Treatment) #000011 Residential (Treatment, Available, Page) #000012 Inpatient (Rehabilitation, Provider, Residential) #000013 Detoxification (Treatment, Unit, Residential) #000014 Psychosocial (ALC, Transferred, Providers) #000015 Interventions (Intervention, Support, Recovery) #000016 Support (Psychosocial, Structured, Client) #000017 Provided (Client, Recovery, Treatment) #000018 Recognised (Client, Valid, Details) #000019 Details (Valid, Found, Http) #000020 Http (NTA, Found, WWW)

#000021 WWW (UK, NHS, NTA) #000022 NTA (UK, NHS, Areas) #000023 NDTMS (Nhs, NTA, UK) #000024 Set (Data, Page, Dams) #000025 Data (L, Page, Adult) #000026 Item (Data, Items, NDTMS) #000027 Name (Description, Treatment, Definition) #000028 Initial (Treatment, Surname, Client) #000029 Surname (Initial, Z, Assessment) #000031 Assessment (First, Birth, Reception) #000032 Sex (Date, Birth, First) #000033 Care (Treatment, Client, Stabilisation) #000034 Codes (Treatment, Start, YP) #000035 Plan (Date, Review, Assessment) #000036 Code (Appendix, Treatment, Status) #000037 Review (Start, Care, Exit) #000038 Comments (Text, Sort, Permissible) #000039 Top (Exit, Completed, Care) #000040 Sort (Permissible, Yes, Values) #000041 Completed (Data, AOR, Must) #000042 Page (Order, Sort, Yes) #000043 Record (Support, Recovery, Code)

#000044 Field (Page, Business, Adult) #000045 Rejected (Record, Treatment, Change) #000046 Header (File, Validation, Rejected) #000047 Create (Field, Called, Header) #000048 File (Called, Create, Severity) #000049 User (Called, Field, Header) #000050 Submitted (Format, Validation, Layout) #000051 Guide (Page, Ver, Doc) #000052 Loading (Data, Missing, Loaded) #000053 Doc (Page, VER, Treatment) #000054 Dams (Loaded, Data, Agency) #000055 Regional (Page, Dams, File) #000056 VER (Regional, Agency, Administrator) #000057 Administrator (Team, Dams, Data) #000058 Revision (Ndtms, Click, User) #000059 Month (User, Dams, Password) #000060 Author (History, Version, Purpose) #000061 Status (View, Client, Working) #000062 Reason (Purpose, M, Approver) #000063 Valid (Treatment, Status, Start) #000064 Prison (Client, Discharge, Exit) #000066 Exit (Client, Discharge, Continuing)

#000067 Values (Found, Http, WWW) #000068 Destination (Ndtms, Transferred, Date) #000070 Transferred (Date, Data, Establishment) #000071 Must (Date, Prison, Involved) #000072 Follows (Text, Comments, N) #000073 Populated (Code, NDTMS, Referral) #000074 Programme (Completed, Custody, Treatment) #000075 Occur (Y, N, Top) #000078 Custody (Code, Provider, Codes) #000079 Change (N, Modality, Given) #000080 Text (Comments, Yes, Sort) #000081 Progresses (Page, Client, Reason) #000082 Provider (Residential, Structured, Care) #000083 Triage (First, Modality, Discharge) #000084 Incomplete (Item, Definition, Used) #000086 Definition (Used, Top, Dropped) #000087 YPOR (Date, Episode, Top) #000088 Missing (Comments, Field, Header) #000089 Required (Modality, Sect, Field) #000090 Referral (Used, Prison, Completes) #000091 First (Presentation, Assessment, Cannot) #000092 Withdrawn (Incomplete, Dropped, Provider)

#000093 Alcohol (Treatment, Version, Providers) #000094 Days (Use, Date, Expected) #000095 Records (Treatment, Information, Top) #000096 Discharged (Item, Definition, Clinical) #000097 Source (Cannot, Modality, Client) #000098 Presentation (Name, Appointment, Used) #000099 Provision (Definition, Page, Hep) #000100 Providers (Alcohol, Version, Data) #000101 Used (Client, YP, Days) #000102 Policy (Page, File, Ndtms) #000103 Extract (Submission, Current, Provider) #000104 System (Phe, Match, Dwp) #000105 Cannot (Client, Modality, End) #000106 Young (Ndtms, Services, Treatment) #000107 Version (Young, People, Data) #000108 Tobacco (Treatment, YP, Drugs) #000109 September (Information, Clinical, Service) #000110 Relating (Contain, Treatment, Records) #000111 Drug (Regional, Agency, User) #000112 Error (Discharge, Client, Topdate) #000113 People (Person, Treatment, Substance) #000114 Purpose (Data, Date, Version)

#000115 Weekend (YP, Specific, Evening) #000116 Clinical (Appendix, Staff, Records) #000117 Episodes (Episode, Children, Young) #000118 Use (Version, Definition, System) #000119 Verification (Warn, Page, Rules) #000120 Substance (Specialist, Misuse, Services) #000122 Misuse (Specialist, Services, Data) #000124 Specialist (Services, Set, Young) #000125 New (Draft, Mhambi, May) #000126 Specific (YP, Previous, Days) #000127 Governance (Records, System, Framework) #000128 Submission (Treatment, Date, Information) #000129 Information (Disclosed, Days, Answered) #000130 Rules (Primary, Ndtms, Severity) #000131 Services (First, Substance, Client) #000132 Delivered (Based, Support, Need) #000133 ALC (Support, Providers, Training) #000134 Added (Codes, YP, Core) #000135 CDS (Yp, Substance, Specific) #000136 Supervision (Framework, Appropriate, Includes) #000137 Warn (File, User, Codes) #000138 Disclosed (Answered, NDTMS, NA)

#000139 Primary (Introduced, Guidance, Header) #000140 Service (Ndtms, Children, Health) #000141 Structured (One, Within, Substance) #000142 Yes (Use, Intervention, Day) #000143 Core (YP, New, Support) #000145 Order (YP, New, Support) #000146 Nov (Jan, Apr, YP) #000147 Social (Interventions, Based, Network) #000148 Fatal (Error, Field, Missing) #000149 Answered (Na, Page, YP) #000150 Validation (Number, Message, Care) #000151 Within (User, Users, Treatment) #000152 Day (Drug, Programme, Alcohol) #000153 Detox (Known, Code, Use) #000154 Dataset (J, Adult, Changes) #000155 Person (Potential, Patterns, Reporting) #000157 Patterns (Potential, Reporting, N) #000158 Sect (Nov, COL, Alcohol) #000159 Network (Support, Functioning, Behaviour) #000160 Value (Drug, Changed, Modality) #000161 Risk (Amphetamines, Note, Date) #000162 Message (Help, Validation, Text)

#000163 Framework (Episode, Includes, Used) #000164 Programmes (Programme, Days, Date) #000165 Reach (Yes, Detox, Ward) #000167 Ward (Patient, Adult, Camhs) #000168 Rehabilitation (Alcohol, Treatment, L) #000169 Living (Gender, Provider, Consented) #000170 Previous (Use, Days, YP) #000171 Csv (Description, Field, COL) #000172 Therapy (Support, Involved, Cognitive) #000173 Changed (Field, Since, Missing) #000174 Behaviour (Risk, Health, Eviction) #000175 Help (Text, Number, Validation) #000176 Includes (Appropriate, Supervision, Including) #000177 Including (Recorded, Exclusively, Previously) #000178 Psychotherapeutic (Reach, Dedicated, YP) #000179 Setting (Camh, Managers, Programmes) #000180 Previously (Services, Including, Residential) #000181 Cla (Accommodation, Living, Situation) #000182 Layout (Client, Alcohol, Consumed) #000183 Mandatory (Input, Format, Specification) #000184 Motivational (Interventions, Family, Page) #000185 Since (Last, Submission, Field)

Seed Word = Vulnerable -> Children -> Client -> Episode -> Treatment -> Start -> Date -> Modality -> Intervention -> Prescribing

Table #03

Page 4: Graham Harwood: Database Addiction, YoHa, 2015/16

Seed Word = Treatment -> Provider -> Client -> Provided -> Support -> Interventions -> Psychosocial -> Intervention -> DateSEED WORD = Treatment#000000 Provider (Treatment, Start, Exit) #000001 Client (Code, Provider, Referral) #000002 Provided (Episode, First, Children) #000003 Support (Recognised, Client, Valid) #000004 Interventions (Provided, Client, Recovery) #000005 Psychosocial (Structured, Client, Provided) #000006 Intervention (Psychosocial, Recovery, YP) #000007 Date (Prescribing, Psychosocial, Interventions) #000008 Modality (Date, Client, Cannot) #000009 Start (Intervention, End, Code) #000011 End (Intervention, Code, Client) #000012 Episode (Top, Expected, Involved) #000013 Discharge (Client, Plan, Exit) #000014 Data (Warn, Client, Modality) #000015 Reason (Codes, Discharge, Client) #000016 Set (Item, Data, Items) #000017 Prison (Discharge, Exit, Continuing) #000019 Exit (Discharge, Continuing, Maintenance) #000020 Ndtms (Data, Page, Adult) #000021 Code (Client, Destination, NDTMS) #000022 Top (Status, Reason, Exit)

#000023 Page (Dams, Verification, Rules) #000024 Text (Comments, Sort, Permissible) #000025 Completed (Data, AOR, Must) #000026 Adult (Page, Field, Business) #000027 Header (Comments, Field, Missing) #000028 Record (Support, Recovery, Code) #000029 Services (Treatment, Drug, Alcohol) #000030 Rejected (File, Called, Create) #000031 Change (File, Error, AOR) #000032 Young (People, Services, Page) #000033 Create (Field, Called, Header) #000035 Field (Called, Header, Recognised) #000036 YPOR (Episode, Start, Top) #000037 Person (People, Treatment, Providers) #000038 User (Called, Field, Header) #000039 File (Validation, Modality, Completed) #000040 Use (Expected, Days, Patterns) #000041 Substance (Misuse, Living, Gender) #000042 Doc (Guide, Page, VER) #000043 Submitted (Format, Validation, Layout) #000045 Recognised (Format, Validation, Layout) #000046 Disclosed (Information, Days, Answered)

#000047 Misuse (Specific, Use, Services) #000048 Dams (Page, Regional, File) #000049 Loading (File, Ndtms, Data) #000050 Details (Valid, Found, Http) #000051 Answered (NA, Page, YP) #000052 Specific (Services, Interventions, YP) #000053 VER (User, Guide, Regional) #000054 Loaded (Data, Agency, Load) #000055 Http (NTA, Found, WWW) #000056 Information (Ypor, Disclosed, Order) #000057 CDS (Permissible, L, Values) #000058 Revision (Ndtms, Click, User) #000059 Load (Ndtms, File, Files) #000061 Files (Data, Regional, Dams) #000062 NTA (WWW, NHS, Gov) #000063 Alcohol (Validation, YP, Services) #000064 Jan (L, Nov, CDS) #000065 Version (History, Author, Purpose) #000066 Percentage (File, Data, Quality) #000067 Agencies (Data, Regional, Uploaded) #000068 NHS (NTA, UK, Areas) #000069 Providers (Alcohol, Version, Data)

#000071 Clients (Drug, AOR, Record) #000072 Age (COL, First, Status) #000073 Author (Purpose, Data, Date) #000074 Records (Number, File, Errors) #000075 Agency (Files, Treatment, User) #000076 Trust (Areas, ASPX, Page) #000077 People (Version, Young, Data) #000078 Residential (Pathways, Complexity, Alcohol) #000079 First (Substance, Used, Use) #000080 Purpose (Date, Reason, M) #000081 Policy (File, NDTMS, Version) #000082 Working (Code, User, Agency) #000083 Care (Mental, Primary, Given) #000084 Specialist (Misuse, Services, Data) #000085 Inpatient (Pathways, Community, Treatment) #000086 Presentation (Date, Initial, Modality) #000088 Initial (Date, Modality, Name) #000090 Appointment (Date, Modality, Name) #000091 Mhambi (New, Draft, Policy) #000092 September (Page, Version, Policy) #000093 Month (Months, Modality, Order) #000094 Plan (Date, Review, Assessment)

#000095 Prescribing (Interventions, Services, Young) #000096 Detoxification (Treatment, Unit, Residential) #000097 Cannot (Client, Modality, End) #000098 Surname (Date, Initial, Client) #000099 Offered (Commence, Start, First) #000100 Approver (Cds, Uplift, Version) #000101 Clinical (Page, Appendix, Staff) #000102 Status (View, Month, Working) #000103 Review (Start, Care, Exit) #000104 ALC (Prescribing, Intention, Community) #000105 Transferred (Providers, Rehabilitation, Discharge) #000106 Error (Discharge, Client, Topdate) #000107 Birth (Initial, Z, Date) #000108 Screen (Modality, Date, Accepted) #000109 Roxburgh (Date, M, Smith) #000110 Governance (System, Framework, Appropriate) #000111 Valid (Treatment, Status, Start) #000112 Must (Report, Dates, Generate) #000113 Community (Structured, ALC, Y) #000114 Programme (Custody, Treatment, Code) #000115 Verification (Warn, Page, Rules) #000116 Year (Date, Plus, Day)

#000117 Directly (Shot, Figure, User) #000118 Notification (Added, Intention, Skipton) #000119 Framework (Supervision, Appropriate, Includes) #000120 Found (Values, NA, Details) #000121 Occur (Y, N, Top) #000122 Pathways (Health, Partnership, Treatment) #000123 Structured (Care, Inpatient, Goals) #000124 Rules (Primary, Ndtms, Severity) #000125 Day (Period, Client, Year) #000126 ETE (User, Cancel, Staff) #000127 Drop (Parent, YP) #000128 Including (Appropriate, Supervision, Includes) #000129 WWW (NTA, Http, NHS) #000130 Triage (First, Discharge, Birth) #000131 Available (Page, Clients, Costs) #000132 Drug (Programme, Alcohol, Page) #000133 Primary (Introduced, Guidance, Header) #000134 Programmes (Programme, Days, Date) #000135 Referral (Made, Needs, Also) #000136 Menu (List, Screen, See) #000137 Orders (Subject, Section, Family) #000138 Areas (Gov, Org, Uploads)

#000139 Assessment (Cannot, Initial, Modality) #000140 Website (Data, Item, Service) #000141 Definition (System, Monitoring, Ndtms) #000142 Number (Field, Validation, Message) #000143 Exclusively (Including, Recorded, Services) #000144 Source (Cannot, Codes, Modality) #000145 Shows (Dams, Status, Choose) #000146 Looked (Section, Act, Children) #000147 ASPX (Severity, Level, PCTS) #000148 Stabilisation (YP, Health, Planning) #000149 Unavailable (Gov, G, E) #000150 Reference (Appendix, Child, Children) #000151 Validation (Days, Text, Help) #000152 Combination (Pharmacological, Psychosocial, Made) #000153 Codes (Ndtms, Data, System) #000154 Complexity (Clients, Following, User) #000155 Children (Child, Looked, Local) #000156 Value (Severity, Level, Fatal) #000157 Assisted (Withdrawal, Prescribing, Detoxification) #000159 Withdrawal (Prescribing, Detoxification, Intention) #000161 Intention (Client, Maintenance, Treatment) #000163 Maintenance (Treatment, Inpatient, Cover)

#000165 Cover (Treatment, Inpatient, Hour) #000167 Hour (Treatment, Inpatient, Substance) #000170 Fatal (Severity, Level, Changed) #000171 Relapse (Relief, Symptomatic, Misuse) #000173 Symptomatic (Relief, Misuse, Prevention) #000175 Relief (Misuse, Prevention, Definition) #000177 Prevention (Clients, Phstbl, Text) #000179 PHSTBL (Text, Receptor, Comments) #000181 Comments (Text, Receptor, Permissible) #000183 Receptor (Permissible, Part, Agonist) #000185 Agonist (Permissible, Part, ALC) #000187 Permissible (Part, Intervention, Substitute) #000189 Substitute (Part, Intervention, Structured) #000191 Part (Intervention, Structured, Days) #000193 Days (Starts, Suitable, Decided) #000195 Starts (Suitable, Decided, Chronic) #000197 DRW (Suitable, Decided, Chronic) #000199 Minimum (Suitable, Decided, Chronic) #000201 Decided (Suitable, Chronic, Interventions) #000203 Following (Suitable, Chronic, Interventions) #000205 Suitable (Chronic, Interventions, Recorded) #000207 Recorded (Chronic, Interventions, Pharmacotherapy)

Timeline view of NDTMS data

Referral

TOP TOP TOP TOP TOP

Discharge

Modality start Modality end

3 months 3 months 3 months 2 months

1st contact

Assessment / Care Plan

1st appointment offered

Where Does The Data Go?(Conversations With Public Health England)

Within the care-centre data entry and clinical tools have daily collections. At the end of the month submissions (of CSV) are collected by the DAMS system. At this moment data validation occurs, checked to make sure staff have appropriately filled in the forms.

Data collection occurs at the end of each month with the DAMS system opens for CSV submissions in the middle of the month. Data must be submitted to National Data Set (NDTMS Central) This is an 11 month cycle August to June. July is omitted in the production of Frozen Dataset which is for annual statistics. The data submitted is attributable to a service user by (initial, DOB, gender, only half the postcode) We found that DAMS uses both Role Based Permissions (people with certain roles/permissions can view things others cannot) and System Security Policies in which if you have entries in an area where by you have a 1 in 5 chance of people being identified through the data then that data must be suppressed. There is some provision made for pri-vate actors getting access to the DAMS?

Q. Do treatment providers only interact with the software and does the DAMS system comprise a different database system?

PHE: DAMS accepts CSV and exports CSV. It has a set of role

based permissions that determine the levels of visibility to differ-ent people. Treatment providers do have access to a local data-set, which can also be shared with other regional providers, which they can access. However I think it also adheres to the CSV extract, which renders data down to attributable only.

Q: In the data flow diagram the treatment providers and NTDMS regional teams deem to feedback to one – what are the particu-lars of that feedback (i.e. data cleaning, reports generation?)

PHE: The data flow diagram basically shows how the DAMS re-ports are generated and fed back to treatment providers on a monthly cycle.

Q: Do the regional teams extract different reports from DAMS than the NTA team and NDEC teams?

PHE: Yes. The latter two are responsible for generating reports for both treatment providers and a separate set of reports for management on monthly / quarterly basis. These reports are also FAO providers and partnerships. They also produce a Na-tional Treatment Journey File.

Q: Is a service user still identifiable in the DAMS database?

PHE: User attributable data is preserved.

Q: Is a service user still identifiable in the TOP & Modality CSV files extracted and imported into analysis software?

PHE: As this is derived from DAMS, the attributable data only factor still applies.

Q: Is the 'multiple analysis system' step writing to relational data-bases (labelled multiple SPSS datasets).

PHE: The time line view implies TOP reports being generated for an individual client.

Q: Are TOP reports generated bespoke to each user? If yes, are these the same TOP reports mentioned in right hand side of above diagram. Also I tried to get a sense of when pseudo an-onymisation of a record occurs from the extraction instructions in the CSV FILE FORMAT SPECIFICATION document. I couldn't find a specific answer – can you tell me where/when that happens and who is responsible for it?

PHE: Seems likely that this will be detailed in the DAMS docu-mentation.

Table #04

Page 5: Graham Harwood: Database Addiction, YoHa, 2015/16

Symbols Legend

Privacy Boundaries Key

Request from External Inter-actor

Data Store W / ID

Flow of Data

Data Store

Data File EG CSV

External Interactor

External Interactor(Labelled)

Process

State

Decision

All data within this boundary is attributable only

All data within this boundary is identifiable

An interaction of this sort requires role based permissions stipulated for the DAMS database

Service Provider

Decision

Annual reports

SPSS analysisNational Treatment Analysis Team

Modality CSV

Modality CSV

Exporfor ONS

Generate and download regional report

Regional NDTMS Team

Verify uploadThere are 74 verification rules, established on pp26 - 29 of the NDTMS technical definition

Commit files to recordData is invalid

74 of the 160 fields applicable to any consultation are mandatory there are 206 fields which will comprise any consulations possible data entry points (pp 12 - 26, Technical Definition)

Clinical systems database

Data entry

Service providerconsultation

Treatment Providers

Download ad-hocmonthly reports

Data validation

CSV

Upload

Clean data andupload again

Clinical systems database

Begin

Data is valid

Drugs and AlcoholMonitoring System

DAMS

SEED WORD = Housing#000000 Problem (Support, Risk, YP) #000001 Substance (Drug, Problem, Alcohol) #000002 Misuse (Treatment, Specific, Use) #000003 Specific (Treatment, Services, Young) #000005 Treatment (Services, Young, Interventions) #000006 CDS (Permissible, L, Values) #000007 Provider (Treatment, Start, Exit) #000008 Jan (L, Nov, CDS) #000009 Client (Code, Referral, Used) #000011 Referral (Code, Used, Prison) #000012 Page (Jan, N, Specific) #000013 Provided (Episode, First, Children) #000014 Source (Date, Cannot, Codes) #000015 Field (Page, Business, Adult) #000016 Valid (Support, Recognised, Client) #000017 Codes (NDTMS, Data, Code) #000018 File (Header, Validation, Rejected) #000019 Values (Na, Details, Found) #000020 Code (Appendix, Status, Permissible) #000021 Header (Rejected, File, Field) #000022 Follows (Text, Code, Comments)

#000023 Text (Comments, Sort, Permissible) #000024 Rejected (File, Called, Create) #000025 Comments (N, Yes, Sort) #000026 Missing (Sort, Permissible, Yes) #000027 Called (Create, Recognised, Valid) #000028 Sort (Permissible, Yes, Values) #000029 Record (Records, Treatment, Information) #000030 Severity (Fatal, Level, Status) #000031 Order (Sort, Yes, Code) #000032 NDTMS (Rejected, Record, Treatment) #000033 Level (Fatal, Error, Warn) #000034 Support (Comments, Young, Use) #000035 Data (Set, DAMS, Verification) #000036 Fatal (Error, Warn, Date) #000037 Interventions (Support, Provided, Recovery) #000038 Set (Item, Items, NDTMS) #000039 Error (Warn, NDTMS, Verification) #000040 Psychosocial (Interventions, Treatment, Support) #000041 Adult (YP, J, Treatment) #000042 Warn (Error, NDTMS, Verification) #000043 Intervention (Interventions, Support, Psychosocial) #000044 Alcohol (Treatment, Drug, Services)

#000045 Verification (Rules, Fatal, Error) #000046 Date (Intervention, Prescribing, Psychosocial) #000047 Providers (Version, Data, Use) #000048 Rules (Page, Primary, NDTMS) #000049 Modality (Client, Cannot, Treatment) #000050 People (Version, Young, Data) #000051 Primary (Cds, Introduced, Guidance) #000052 Start (End, Code, Client) #000053 Version (Substance, Specialist, Misuse) #000054 Message (Field, Validation, Number) #000055 Episode (Date, YP, Treatment) #000056 Author (Page, Reason, Purpose) #000057 Help (Text, Number, Validation) #000058 Change (Expected, Details, Discharge) #000059 Reason (Purpose, M, Approver) #000060 Service (Text, Missing, Field) #000062 Improve (Sheet, Level, Severity) #000063 YPOR (Episode, Start, Top) #000064 Prison (Client, Discharge, Exit) #000065 Users (User, Treatment, Within) #000066 Quality (Outcomes, Service, Care) #000067 Expected (Use, Date, Days)

#000068 Exit (Prison, Reason, Code) #000069 Resolve (Access, Change, Users) #000070 Life (Services, Percentage, Data) #000071 Top (YPOR, Clients, Treatment) #000072 Status (Reason, Exit, Must) #000073 Discrepancies (Data, Missing, Ambivalence) #000074 Worthwhile (YP, NA, Status) #000075 Completed (Data, AOR, Must) #000076 Recognised (Changed, Value, YP) #000077 Screen (Existing, Data, New) #000078 Anxiety (Status, Activity, NA) #000079 Recovery (Code, YP, Psychosocial) #000080 Details (Valid, Found, Http) #000081 User (Shot, Figure, Directly) #000082 Feelings (Depression, Problem, Emotions) #000084 Depression (Problem, Emotions, Yesterday) #000085 Care (Field, Yes, Page) #000086 WWW (Http, NTA, Found) #000087 Guide (VER, Doc, User) #000088 Good (Poor, Use, Situations) #000089 Emotions (Scored, Poor, Nice) #000090 Plan (Date, Treatment, Review)

#000091 NHS (Uk, NTA, Areas) #000092 Doc (Page, VER, Treatment) #000093 Psychological (Practice, Client, Rating) #000094 Scored (Feelings, Poor, Good) #000095 Review (Treatment, Care, Exit) #000097 Reviews (Discharge, Deemed, Useful) #000098 Areas (Trust, NDTMS, ASPX) #000099 Regional (Dams, Data, NDTMS) #000100 Health (Therapies, CO, Mental) #000101 Poor (Rating, Addition, Clients) #000102 Discharge (Must, Report, Dates) #000103 Also (Deemed, Local, Useful) #000104 Aspx (Severity, Level, PCTS) #000105 VER (Doc, Administrator, Team) #000106 Partnership (Care, Community, Health) #000107 Rating (Psychological, Mark, Completion) #000108 Topdate (Discharged, Cannot, Given) #000109 Include (Recorded, Information, Completed) #000110 Value (Error, NDTMS, Severity) #000111 DAMS (Revision, NDTMS, Click) #000112 Community (Partnership, Trust, Glasgow) #000113 Physical (Psychological, Status, Anxiety)

#000114 Post (Cannot, Inter, Discharge) #000115 Residential (Service, Within, NPV) #000116 Changed (Field, Submission, Since) #000117 Agency (Administrator, Dams, Phase) #000118 Pathways (Care, Community, Prescribing) #000119 Symptoms (Health, Status, Psychological) #000120 Inter (Mappings, Discharge, Post) #000121 Inpatient (Pathways, Community, Treatment) #000122 Since (Episode, Last, Submission) #000123 Working (Agency, Treatment, Guide) #000124 Available (Page, Clients, Costs) #000125 Bothered (Illness, Poor, Prescribing) #000126 Table (Record, Error, Topdate) #000127 Unit (Treatment, Residential, Detoxification) #000128 Submission (Data, Last, Episode) #000129 Month (Months, Modality, Age) #000130 Website (Item, Name, Page) #000131 Illness (Poor, Good, Scored) #000132 Estimates (Shows, Chapter, Complexity) #000134 Chapter (Shows, Complexity, Data) #000135 Provides (Costs, Assessment, Prison) #000137 Costs (Assessment, Prison, Cost)

#000138 Extract (Contain, Issued, Practice) #000139 View (Month, Working, Data) #000140 Http (WWW, NHS, NTA) #000141 Disability (Health, Physical, Units) #000142 Savings (Treatment, Three, April) #000143 Annualised (Analysis, Indicative, Main) #000144 Young (Assessment, System, Reinforcement) #000145 Cashable (Savings, Treatment, Non) #000146 Contain (Relating, Records, File) #000147 Click (Validation, Screen, Link) #000148 NTA (Gov, Org, Statistics) #000149 Services (YP, Start, Exit) #000150 Clients (Savings, Exchequer, Pathways) #000151 NON (Costs, Savings, April) #000152 Person (Treatment, Substance, Version) #000153 Societal (Savings, Clients, Wider) #000154 Relating (Records, Episodes, YP) #000155 Administration (Link, Click, User) #000156 Manager (Core, Uploads, Status) #000157 Children (Health, Misuse, Adult) #000158 Complexity (Alcohol, Pathway, Community) #000159 Structured (Savings, Services, Specialist)

#000160 Living (Gender, Provider, Consented) #000161 High (Include, Savings, Discounting) #000162 Discharged (Treatment, Episodes, Episode) #000163 Link (Problem, Substance, Data) #000164 Committee (Caldicott, Clinical, NDTMS) #000165 Looked (Live, Data, Item) #000166 Pathway (Level, Group, Treatment) #000167 Day (Drug, Programme, Alcohol) #000168 CLA (Care, Accommodation, Living) #000169 Hours (Residential, Intervention, Interventions) #000170 Current (Provider, Ending, Discharged) #000171 Password (System, Status, Current) #000172 Clinical (Caldicott, Committee, Group) #000173 Child (Children, Local, Includes) #000174 Offenders (Residential, Compared, Clients) #000175 Days (Programmes, Programme, Care) #000176 Location (Accommodation, Independently, Page) #000177 Less (Week, Per, Include) #000178 Situation (Episode, Layout, Header) #000179 Enter (Password, Box, New) #000180 Records (Governance, System, Framework) #000181 Protection (Plan, Child, Looked)

Seed Word = Housing -> Problem -> Substance -> Misuse -> Specific -> Treatment -> CDS -> Provider -> Client -> Referral ->

Table #05

Page 6: Graham Harwood: Database Addiction, YoHa, 2015/16

Seed Word = Relapse

-> Client -> Treatment -> Provider -> Code -> Comments Seed Word = Risk -> Evic

tion ->

With

in ->

Gove

rnan

ce - >

Inclu

des -

>

#000068 Follows

(Prison, Phe, YP)

#000070 PHE

(YP, Values, NTA)

#000072 Values

(YP, Nta, Drug)

#000075 Topdate

(Discharged, Cannot, Given)

#000076 Children

(Names, List, Agency)

#000077 List

(Data, Treatment, Status)

#000078 Responses (Text, Code, N)

#000079 Added

(Data, Codes, Treatment)

#000080 Text

(Comments, N, Yes)

#000081 Systems

(Website, Based, Children)

#000083 Website

(Based, Match, Findings)

#000084 Yes

(NA, Completed, Value)

#000085 Inter

(Cannot, Discharge, Post)

#000086 Living

(Children, Client, Looked)

#000087 Reference (Files, Problem, Agency)

#000089 Agency

(Files, Problem, Data)

#000091 Numeric

(Files, Problem, Data)

#000092 Use

(Yes, Treatment, Comments)

#000093 Core

(Data, Set, YP)

#000094 Missing

(Sort, Permissible, Yes)

#000095 Manager

(Data, Systems, Suppliers)

#000096 Http

(WWW, NHS, NTA)

#000043 Data

(Set, Dams, Verification)

#000044 Items

(Set, Item, Data)

#000045 Collected

(Section, NULL, Alcohol)

#000046 Clients

(NDTMS, New, Data)

#000047 Complexity

(Alcohol, Pathway, Community)

#000048 Pathway

(Level, Group, Treatment)

#000049 Offenders

(Treatment, Complexity, Residential)

#000050 Proportion

(Offenders, NDTMS, Drug)

#000051 Time

(Clients, Offenders, Receipt)

#000052 Spent

(Treatment, Time, Assessment)

#000053 Benefit

(Work, Employment, Receipt)

#000054 Employment

(Treatment, Clients, Outcome)

#000055 Status

(Support, Education, Training)

#000056 Start

(Valid, Client, Codes)

#000057 Date

(YP, Episode, Top)

#000058 Modality

(Cannot, Treatment, First)

#000059 End

(Code, Client, Treatment)

#000060 Discharge

(Client, Plan, Exit)

#000061 Codes

(Discharge, Client, Page)

#000062 Appendix

(Status, Permissible, Page)

#000064 Permissible

(Prison, PHE, New)

#000066 New

(Prison, Phe, Follows)

#000021 Reason

(Date, Purpose, M)

#000022 Prison

(Date, Client, Discharge)

#000023 Exit

(Prison, Treatment, Reason)

#000024 Top

(Treatment, YP, Status)

#000025 Completed

(Treatment, Date, Top)

#000026 Intervention

(Treatment, Modality, Record)

#000027 Prescribing

(Date, Intervention, Psychosocial)

#000028 Community

(Prescribing, Intention, ALC)

#000029 Pathways

(Health, Partnership, Treatment)

#000030 Residential

(Pathways, Treatment, Available)

#000031 Inpatient

(Pathways, Community, Treatment)

#000032 Detoxification (Treatment, Unit, Residential)

#000033 ALC

(Prescribing, Residential, Psychosocial)

#000034 Structured

(ALC, Y, Yes)

#000035 Interventions

(Psychosocial, Day, Drug)

#000036 Support

(Psychosocial, Structured, Client)

#000037 Provided

(Client, Recovery, Treatment)

#000038 Recognised

(Valid, Details, Found)

#000039 Valid

(Found, Details, Http)

#000040 Found

(Values, NA, Details)

#000041 NTA

(Http, WWW, NHS)

#000042 NDTMS

(NHS, NTA, UK)

SEED WORD = Relapse

#000000 Client

(Prevention, Page, Interventions)

#000001 Treatment

(Client, Provided, Episode)

#000002 Provider

(Treatment, Start, Exit)

#000003 Code

(Provider, Referral, Used)

#000004 Comments

(Text, Sort, Permissible)

#000005 Sort

(Permissible, Yes, Values)

#000006 Order

(Sort, Page, Yes)

#000007 Page

(Sort, Code, YP)

#000008 Field

(Page, Business, Adult)

#000009 Header

(File, Validation, Rejected)

#000010 Create

(File, Rejected, Called)

#000011 User

(Called, Field, Header)

#000012 Doc

(Guide, Page, VER)

#000013 Regional

(Page, Dams, File)

#000014 VER

(Ndtms, User, Guide)

#000015 Dams

(File, Revision, Ndtms)

#000016 Guide

(Agency, Administrator, Dams)

#000017 Drug

(Alcohol, Adult, NDTMS)

#000018 Alcohol

(Use, Version, Definition)

#000019 Version

(Treatment, Providers, Alcohol)

#000020 Author

(Reason, Purpose, Data)

#000120 Committee (Caldicott, Guardian, Clinical) #000122 Guardian (Caldicott, Clinical, Page) #000123 Areas (NHS, Gov, Org) #000124 Psychosocial (Psychotherapeutic, Reach, Dedicated) #000125 Called (Header, Recognised, Valid) #000126 Child (Children, Local, Includes) #000128 Includes (Children, Local, Subject) #000129 Generated (Date, Settings, Information) #000130 View (Month, Working, Data) #000131 Extract (Contain, Specified, Code) #000132 Answered (NA, Use, YP) #000133 Tobacco (Treatment, YP, Drugs) #000134 Services (Providers, Business, Definition) #000135 Loading (Data, Missing, Loaded) #000136 Group (Clinical, Page, Document) #000137 Owner (Responsible, Senior, Ensuring) #000138 Severity (NDTMS, Aspx, Error) #000139 Recovery (YP, Field, Y) #000140 Fatal (Severity, Level, Recognised) #000141 Plan (Protection, Child, Children) #000142 Local (Appropriate, Supervision, Children) #000143 Episode (Identifies, Value, Treatment)

#000095 Initial

(Treatme

nt, Surnam

e, Client)

#000096 Loaded

(Sub

mitted, Data, Agency)

#000097 Records

(Treatme

nt, Inform

ation, Top)

#000098 YPOR

(Disclosed, Order, Value)

#000099 Person

(Providers, Substa

nce, Version)

#000100 Reside

ntial

(Clients, Path

ways, Path

way)

#000101

Perm

issible

(L, Values, COL)

#000102 Episod

e

(Data, Warn, NDTMS)

#000103 Comm

ents

(Header, Missing, Sort)

#000104 Surnam

e

(Date, Initial, Client)

#000105 Load

(NDTMS, File, Files)

#000106 Policy

(File, NDTMS, Version)

#000107

Expected

(Days, Patterns, Age)

#000108 Misuse

(Living, Treatme

nt, Gender)

#000109 Path

ways

(Treatme

nt, Inpatient, Rehabilitation)

#000110 Values

(Follows, Responses, Text)

#000111 Change

(Exp

ected, Details, Discharge)

#000112 Sort

(Per

missible, Yes, Values)

#000114 Follows

(N, YP, Order)

#000115 Sex

(Initial, Date, Birth)

#000116

Quality

(File, Data, Percentage)

#000117

Septem

ber

(Policy, Information, Clinical)

#000070 Use

(Treatment, Alcohol, Drug)

#000072 Alcohol

(Drug, Version, Definition)

#000073 Jan

(Nov, Apr, YP)

#000074 Changed

(Primary, Field, Value)

#000075 Validation

(Text, Number, Help)

#000076 Item

(Set, Data, Items)

#000077 Submitted

(Format, Validation, Layout)

#000078 Information

(NA, Disclosed, Days)

#000079 Providers

(Alcohol, Data, Use)

#000081 Clients

(Drug, AOR, Record)

#000082 Substance

(Page, Specific, Age)

#000083 Last

(Since, Episode, Submission)

#000084 Help

(Validation, Text, Message)

#000085 Name

(Description, Client, Treatment)

#000086 Loading

(File, NDTMS, Data)

#000088 Missing

(Loaded, Load, Treatment)

#000089 Answered

(Disclosed, NDTMS, Treatment)

#000090 Young

(People, Data, NDTMS)

#000091 Complexity

(Treatment, Residential, Pathways)

#000092 Specific

(Misuse, Treatment, Use)

#000093 Submission

(Episode, Data, Warn)

#000094 Text

(Missing, Service, Improve)

#000046 People

(Treatment, Definition, Definitions)

#000047 Record

(Support, Recovery, Code)

#000048 Doc

(Guide, Page, Ver)

#000049 Warn

(Level, Fatal, Error)

#000050 Version

(Treatment, Providers, Substance)

#000051 NDTMS

(Rejected, Record, Treatment)

#000052 Regional

(Dams, File, Data)

#000053 Verification

(Page, Rules, Fatal)

#000054 Purpose

(Page, Author, Reason)

#000055 Dams

(Data, Page, Set)

#000056 Guide

(NDTMS, User, Ver)

#000057 Rules

(Primary, Severity, Fatal)

#000059 Fatal

(Primary, Severity, Rule)

#000061 Primary

(Rule, Field, Error)

#000062 New

(Draft, Policy, MHAMBI)

#000063 VER

(User, Guide, Regional)

#000064 Drug

(Alcohol, Adult, NDTMS)

#000065 CDS

(Page, Field, Primary)

#000066 Error

(Warn, Fatal, Verification)

#000067 Message

(Field, Validation, Number)

#000068 Data

(Added, Treatment, YP)

#000069 File

(Revision, NDTMS, Click)

#00002

2 Com

munity

(St

ructur

ed, Y,

Yes)

#00002

3 Psy

chosoc

ial

(Struc

tured,

Clien

t, Pro

vided)

#00002

4 Hea

lth

(Partn

ership

, Path

ways,

Treatm

ent)

#00002

5 Rec

overy

(YP, F

ield,

Y)

#00002

6 Par

tnersh

ip

(Care,

Commu

nity,

Servic

es)

#00002

8 Ass

essmen

t (Ca

re, Co

mmunit

y, Ser

vices)

#00002

9 Yes

(Field

, Care

, Page

)

#00003

0 Tru

st

(Glasg

ow, Ea

st, NH

S)

#00003

1 Car

e

(Clien

t, Sta

bilisa

tion,

YP)

#00003

2 Fie

ld

(Modal

ity, C

omplet

ed, Tr

eatmen

t)

#00003

3 NHS

(Page,

Trust

, Care

)

#00003

4 Rev

iew

(Plan,

Date,

Treat

ment)

#00003

5 Rej

ected

(Heade

r, Fil

e, Val

idatio

n)

#00003

7 Hea

der

(File,

Valid

ation,

Compl

eted)

#00003

8 Pag

e

(Areas

, NDTM

S, ASP

X)

#00003

9 Top

(Date,

Treat

ment,

Exit)

#00004

0 Cre

ate

(Field

, Call

ed, He

ader)

#00004

1 Cal

led

(File,

Rejec

ted, C

reate)

#00004

2 Bus

iness

(Page,

Field

, Adul

t)

#00004

3 Com

pleted

(Da

ta, AO

R, Mus

t)

#00004

4 Use

r

(Accou

nt, Ne

w, Age

ncy)

#00004

5 Sev

erity

(Fatal

, Leve

l, Sta

tus)

SEED WORD

= Risk

#000000

Eviction

(Behaviour

, Risk, He

alth)

#000001

Within

(Yes, Phys

ical, Over

all)

#000002

Governance

(Clin

ical, Trea

tment, Fra

mework)

#000003

Includes

(Framework

, Supervis

ion, Appro

priate)

#000004

Local

(Appropria

te, Superv

ision, Chi

ldren)

#000005

Authoritie

s (Auth

ority, Tre

atment, Pr

ovider)

#000006

Codes

(Names, Ap

pendix, Lo

cal)

#000007

Treatment

(Code

s, Code, A

ppendix)

#000008

Exit

(Treatment

, Start, P

rovider)

#000010

Start

(Treatment

, Provider

, Modality

)

#000011

Reason

(Top, Stat

us, Exit)

#000012

Date

(YP, Treat

ment, Epis

ode)

#000013

Discharge

(Date

, Prison,

Client)

#000014

Modality

(Client, C

annot, Tre

atment)

#000015

Client

(Page, Mod

ality, Tre

atment)

#000016

Interventi

on (Date

, Modality

, Start)

#000017

Provided

(Episode,

First, Chi

ldren)

#000018

Prescribin

g (Psyc

hosocial,

Interventi

ons, YP)

#000019

Support

(Recognise

d, Client,

Valid)

#000020

ALC

(Prescribi

ng, Intent

ion, Commu

nity)

#000021

Interventi

ons (Supp

ort, Provi

ded, Clien

t)

#000097 Detox (Known, Code, Use)

#000098 Record (Error, Topdate, Table)

#000099 CLA

(Client, Children, Care)

#000100 Source (Client, Document, Sets)

#000101 Working (Treatment, Guide, Date)

#000102 Containing (Date, Information, Status)

#000103 Information (NA, Disclosed, Days)

#000105 Days (NA, Disclosed, Answered)

#000106 Set

(Dataset, J, Adult)

#000107 File (Header, Missing, Record)

#000108 Caldicott (Committee, NTA, Clinical)

#000109 WWW

(UK, NHS, NTA)

#000110 Reach (Yes, Detox, Ward)

#000111 Rejected (Record, Treatment, Change)

#000112 Looked (Location, Accommodation, Independently)

#000113 System (PHE, Match, DWP)

#000114 Month (Months, Modality, Age)

#000115 Output (Date, Information, Extract)

#000116 Disclosed (Answered, NA, Treatment)

#000117 Used (Alcohol, Consumed, Tobacco)

#000118 Adult (YP, J, Treatment)

#000119 Submitted (Format, Validation, Layout)

Table #0606 SLaM Quality Account.pdf

adultalcoholtreatmentbusinessv11.03 (1).pdf adultdrugtreatmentbusinessdefinitionv11.03 (1).pdf.crdownload

adultdrugtreatmentbusinessdefinitionv11.03.pdf Agency User Guide (UPDATED)v1.96.pdf

AOR form FINAL Sep 2013.pdf CDS L Adult Client Initial Contact Form.pdf

CDS L Adult Client Review Contact Form.pdf CDS L Adult Interventions Aid.pdf CDS L Adult Reference data.pdf CDS L AOR Rough Guide.pdf

CDS L For Adult Treatment Providers.pdf CDS L Summary Information for Adult Alcohol Treatment Providers.pdf CDS L Summary Information for Adult Drug Treatment Providers.pdf

clinical record policy v7 1 - september 2011.pdf Conditions of Use Acceptance Sheet_2008.06.17.doc

CSV FILE FORMAT SPECIFICATIONv11.02.pdf damsiiinotesv1.1.pdf

DAMS Phase III Guidance (NEW)v1.1.pdf Data_Quality-Veritication_Metrics and Access Application User Guide_8.00.pdf

det_verification_rules_few_6.0.0_110209.pdf dirdetndtmsreferencedatav103.pdf

dirdetndtmstechnicaldefinitionv104.pdf Drug List September 2013.pdf

guidetoimplementingcdsjv2.0 (1).pdf Minimum Environment Criteria_ver0.4.pdf NDTMS and Information Governance.pptx

Page 7: Graham Harwood: Database Addiction, YoHa, 2015/16

Seed Word = Psychology

-> Disordered -> Mental -> Services -> People Seed Word = Harm ->

Start ->

Date

-> M

odali

ty ->

Inte

rven

tion

- >

Table #07

#000069 Recognised (Client, Valid, Details)

#000070 Jan

(Nov, Apr, YP)

#000071 Psychosocial (Structured, Client, Provided)

#000072 Complexity (Alcohol, Pathway, Community)

#000073 Looked

(Live, Data, Item)

#000074 Found

(Valid, Details, Http)

#000076 Http

(Valid, Details, E)

#000077 Age

(COL, First, Status)

#000078 Recovery

(YP, Field, Y)

#000079 Pathway

(Clients, Pathways, Residential)

#000080 Child

(Children, Looked, Local)

#000081 NHS

(NTA, Http, WWW)

#000082 NTA

(WWW, UK, NHS)

#000083 Used

(First, Substance, Use)

#000085 First

(Substance, Ever, YP)

#000086 Care

(Yes, Page, House)

#000087 Offenders (Compared, Clients, Pathways)

#000088 Plan

(Protection, Child, Children)

#000090 Protection (Children, Looked, Care)

#000091 Trust

(Areas, NDTMS, Aspx)

#000092 Areas

(Website, Data, YP)

#000093 Tobacco

(Treatment, Drugs, Specific)

#000046 Disclosed

(Answered, Treatment, Page)

#000047 Misuse

(Treatment, Specific, Use)

#000049 Use

(Treatment, Specific, Services)

#000050 Episode

(Top, YPOR, NDTMS)

#000051 Top

(Treatment, Completed, Alcohol)

#000052 Answered

(NA, Use, YP)

#000053 Young

(Interventions, YP, People)

#000054 Days

(Answered, Drug, YP)

#000055 Warn

(Client, Modality, Change)

#000056 Completed

(Data, AOR, Must)

#000057 YPOR

(Disclosed, Order, Value)

#000058 Person

(Treatment, Providers, Substance)

#000059 Client

(YP, Used, Alcohol)

#000060 Rules

(Fatal, Error, Field)

#000061 Support

(Recovery, Code, YP)

#000062 Expected

(Use, Date, Days)

#000063 Living

(Gender, Provider, Consented)

#000064 Provided

(First, Children, Involved)

#000065 CDS

(Page, Field, Primary)

#000066 Interventions (Support, Provided, Client)

#000067 Clients

(Treatment, Intervention, Include)

#000068 Children

(Client, CLA, Care)

#000022 Modality

(Client, Cannot, Treatment)

#000023 Level

(Fatal, Severity, Status)

#000024 Intervention

(End, Code, Client)

#000025 Error

(Fatal, Warn, Date)

#000026 Prescribing

(Psychosocial, Interventions, YP)

#000027 Verification

(Warn, Page, Rules)

#000028 Community

(Prescribing, Intention, ALC)

#000029 Primary

(Page, Rules, NDTMS)

#000030 Pathways

(Health, Partnership, Treatment)

#000031 Message

(Field, Validation, Number)

#000032 Residential

(Treatment, Available, Page)

#000033 Validation

(Text, Number, Help)

#000034 Inpatient

(Rehabilitation, Provider, Residential)

#000035 Text

(Help, Validation, Message)

#000036 Unit

(Detoxification, Inpatient, Providers)

#000037 Missing

(Comments, Field, Header)

#000038 Specific

(Substance, Misuse, Residential)

#000039 Record

(Records, Treatment, Information)

#000041 Information

(Records, Treatment, Top)

#000042 Substance

(CDS, Permissible, L)

#000043 Change

(File, Error, AOR)

#000045 AOR

(Data, Must, Client)

SEED WORD = Psychology

#000000 Disordered

(Services, Within, Working)

#000001 Mental

(Within, Meaning)

#000002 Services

(Health, Problems, Trust)

#000003 People

(Treatment, Young, YP)

#000004 Providers

(Treatment, Version, Substance)

#000005 Data

(Version, Young, People)

#000006 Set

(Item, Items, NDTMS)

#000008 NDTMS

(Item, Items, Treatment)

#000009 Page

(Adult, YP, J)

#000010 Dams

(Data, Page, Set)

#000011 Field

(Page, Business, Adult)

#000012 User

(VER, Guide, Regional)

#000013 Rejected

(Header, File, Validation)

#000014 Guide

(Ver, Doc, User)

#000015 Header

(Field, Called, Create)

#000016 Treatment

(Page, Doc, VER)

#000017 File

(Called, Create, Severity)

#000018 Start

(Treatment, Provider, Exit)

#000019 Create

(Data, Submitted, Format)

#000020 Date

(YP, Episode, Top)

#000021 Called

(Field, User, Account)

#000117 Code (Treatment, Top, Inter) #000118 Must (Status, Value, Drug) #000119 Previous (Days, Use, COL) #000120 Eve (COL, Used, Relabelled) #000121 Year (Plus, Day, Referral) #000122 Discharge (Exit, Continuing, Maintenance) #000123 Benefit (Work, Clients, Employment) #000124 Values (Details, Found, Http) #000126 Sort (Text, Comments, Permissible) #000127 Occur (Y, N, Top) #000128 Layout (Client, Alcohol, Consumed) #000129 Consumed (Use, Drug, Day) #000130 Day (Period, Date, Year) #000131 Codes (Date, Reason, Discharge) #000132 Employment (Treatment, Clients, Outcome) #000133 Follows (Text, Code, Comments) #000134 Without (Initial, Formal, Plans) #000135 Order (Page, Yes, Code) #000136 Triage (Date, First, Modality) #000137 Mandatory (N, Additional, Header) #000138 Alcohol (YP, Weekday, Daytime) #000139 Programmes (Programme, Care, Days)

#000093 User

(Users, With

in, Service)

#000094 Notification

(Add

ed, Intention, Skipton)

#000095 Populated

(Cod

e, NDTMS, Referral)

#000096 Appe

ndix

(Status, Per

missible, Page)

#000097 Set

(Data, Core, YP)

#000098 Support

(Recog

nised, Client, Valid)

#000099 Description

(YP, Field, File)

#000100 Doc

(Guide, Page, Ver)

#000102 Progresses

(Page, Client, Reason)

#000106 Applicable

(First, Sub, Create)

#000108 Sub

(First, Create, New)

#000110 Create

(First, New, Dat)

#000112 First

(New, Dat, Field)

#000113 List

(Definitions, Page, Item

s)

#000114 Adult

(YP, J, Treatm

ent)

#000115 Interv

entions (Sup

port, Client, Recovery)

#000116

Csv

(Client, Layout, Mandatory)

#000117

Dams

(Page, Regional, File)

#000118 Child

(Children, Client, Treatme

nt)

#000119 Requ

ired

(Page, Sect, Field)

#000120 Me

nu

(List, Screen, See)

#000121 Esta

blishm

ents (NDTMS, Service, Prisons)

#000067 Version

(People, Data, NDTMS)

#000068 Nov

(Jan, Apr, YP)

#000069 People

(Person, Treatment, Substance)

#000070 Author

(Reason, Purpose, Data)

#000072 Reason

(Purpose, Data, Date)

#000074 Purpose

(Data, Version, NDTMS)

#000075 Days

(Specific, Used, L)

#000076 Substance

(Specialist, Misuse, Services)

#000078 Services

(Specialist, Misuse, Data)

#000079 Approver

(D, J, Draft)

#000080 Prison

(Date, Client, Discharge)

#000082 Discharge

(Date, Client, Exit)

#000083 New

(Draft, Policy, MHAMBI)

#000084 Client

(YP, Used, Days)

#000085 Specific

(Misuse, Treatment, Use)

#000086 Service

(NDTMS, Children, Health)

#000087 Roxburgh

(Date, Version, Smith)

#000088 Destination

(NDTMS, Transferred, Date)

#000089 Codes

(Client, Page, Modality)

#000090 Added

(Codes, YP, Core)

#000091 Provided

(Episode, First, Children)

#000092 COL

(Days, Misuse, Residential)

#000043 Residential

(Pathways, Complexity, Alcohol)

#000044 Pathways

(Community, Inpatient, Rehabilitation)

#000045 Community

(Residential, Pathways, Treatment)

#000046 Health

(Partnership, Pathways, Treatment)

#000047 Partnership

(Care, Community, Health)

#000048 Trust

(Glasgow, East, NHS)

#000049 NHS

(Care, Mental, Primary)

#000051 Care

(Mental, Primary, Given)

#000052 ASPX

(Trust, Areas, Page)

#000053 Plan

(Date, Review, Assessment)

#000054 Value

(NDTMS, Level, Fatal)

#000055 Review

(Start, Care, Exit)

#000056 Changed

(Field, Submission, Since)

#000057 Top

(Date, Treatment, Exit)

#000058 Episode

(Since, Last, Submission)

#000059 AOR

(Must, Care, Expected)

#000060 Warn

(Date, Data, Treatment)

#000061 Alcohol

(Page, Outcomes, AOR)

#000062 Rules

(Fatal, Error, Field)

#000063 Providers

(Version, Data, Use)

#000064 CDS

(Introduced, Guidance, Header)

#000065 Young

(Version, People, Data)

#00002

1 Mis

sing

(Comme

nts, F

ield,

Header

)

#00002

2 Fil

e

(Field

, Head

er, Re

cord)

#00002

3 Rej

ected

(Heade

r, Fie

ld, Cr

eate)

#00002

4 Hea

der

(Field

, Call

ed, Cr

eate)

#00002

5 Cal

led

(Creat

e, Sev

erity,

Level

)

#00002

6 Sev

erity

(Fatal

, Leve

l, Sta

tus)

#00002

7 Lev

el

(Fatal

, Erro

r, War

n)

#00002

8 Fat

al

(Error

, Warn

, Date

)

#00002

9 Err

or

(Warn,

NDTMS

, Veri

ficati

on)

#00003

0 Ver

ificat

ion

(Error

, NDTM

S, War

n)

#00003

1 Pri

mary

(Page,

Rules

, NDTM

S)

#00003

2 Num

ber

(Field

, Vali

dation

, Mess

age)

#00003

3 Val

idatio

n (Da

ys, Te

xt, He

lp)

#00003

4 Hel

p

(Text,

Messa

ge, Nu

mber)

#00003

5 Fie

ld

(Servi

ce, Im

prove,

Sheet

)

#00003

6 Com

pleted

(Nu

mber,

Treatm

ent, M

essage

)

#00003

7 Rec

ord

(Suppo

rt, Re

covery

, Code

)

#00003

8 NDT

MS

(Treat

ment,

Change

, File

)

#00003

9 Dat

a

(Set,

Dams,

Verifi

cation

)

#00004

0 Ite

ms

(Set,

Item,

Data)

#00004

1 Col

lected

(Da

ta, Tr

eatmen

t, NDT

MS)

#00004

2 Cli

ents

(Treat

ment,

New, D

ata)

SEED WORD

= Harm

#000000

Start

(Reduction

, Treatmen

t, YP)

#000001

Date

(YP, Treat

ment, Epis

ode)

#000002

Modality

(Date, Cli

ent, Canno

t)

#000003

Interventi

on (Date

, Modality

, Start)

#000004

Prescribin

g (Psyc

hosocial,

Interventi

ons, YP)

#000005

Intention

(Pres

cribing, A

LC, Commun

ity)

#000006

Prevention

(Pres

cribing, R

elapse, Wi

thdrawal)

#000007

Page

(Intervent

ions, Clie

nt, Prescr

ibing)

#000008

Business

(Page, Fie

ld, Adult)

#000009

Treatment

(Defi

nition, De

finitions,

People)

#000010

Exit

(Treatment

, Start, P

rovider)

#000011

Status

(Treatment

, YP, Top)

#000012

Valid

(Client, C

odes, Data

)

#000013

Values

(Na, Detai

ls, Found)

#000014

Comments

(Follows,

Text, Code

)

#000015

Sort

(Permissib

le, Yes, F

ollows)

#000016

Order

(Sort, Yes

, Code)

#000017

Code

(YP, Text,

Client)

#000018

Permissibl

e (Text

, Comments

, Sort)

#000019

Follows

(Responses

, Text, Co

de)

#000020

Text

(Comments,

N, Yes)

#000094 Initial (Presentation, Name, Appointment)

#000095 Review (Assessment, Planned, Trust)

#000096 Proportion (Drug, Complexity, Pathway)

#000097 Exit (Reviews, Discharge, Deemed)

#000098 Conference (Care, Protection, Agreeing)

#000099 Given (Partnership, Clinical, Health)

#000100 Severity (NDTMS, Aspx, Error)

#000101 Evening (Yp, Specific, Weekend)

#000102 Surname (Initial, Z, Assessment)

#000103 Prison (Review, Page, Discharge)

#000104 Time (Offenders, Receipt, Complexity)

#000105 Status (Reason, Exit, Must)

#000106 Responsible (Agreeing, Child)

#000107 Post (Missing, Modality, Code)

#000108 Fatal (Error, Warn, Date)

#000109 Weekday (Weekend, YP, Specific)

#000111 Weekend (Specific, Previous, Days)

#000112 Birth (Sex, Modality, Pharmacological)

#000113 Reason (Code, Client, Destination)

#000114 Spent (Assessment, Data, Date)

#000115 Valid (Client, Codes, Data)

#000116 Agreeing (Child, Ensuring, Deciding)

ndtmsconfidentialitytoolkitv6.3.pdf ndtms-csvinputfileformatv11.02.pdf

ndtms_dams_and_or_det_conditions_of_use_2008.06.17.pdf ndtms-dataentrytool-agencyguidev2.06 (1).doc ndtms_data_entry_tool_region_guide (1).pdf

ndtms-detandordams-minimumenvironmentcriteria_ver0.4 (1).pdf ndtms-dirdetcsvinputfileformatv1.01.pdf

ndtms_fup_and__or_det_conditions_of_use_accceptance_sheet_2008.06.17 (1).doc NDTMS in Prisons FAQ V1.3.pdf ndtmsreferencedatav10.07[0].pdf

ndtmsreferencedatav11.04.pdf PHE NDTMS personal information leaflet (May 2015).pdf

prisonstreatmentbusinessdefinitionv3.00.pdf REFERENCE DATAv11.04.pdf

Regional User Guide (UPDATED)v1.14.pdf s4b_thu_thu_1030_Stewart.ppt

Submission Process Flowchart 2014.pdf suppliertestscenariosv11.02.pdf

TECHNICAL DEFINITION_1102revised.pdf TECHNICAL DEFINITION v1102.pdf

TOP July 2013.pdf top_technical_notes_det_1109 (1).pdf

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