encounter_type
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Is this a follow-up encounter?, type: esriFieldTypeString
, Coded Values:
[yes: Yes]
, [no: No]
)
outcome
(
nullable: true, editable: true, defaultValue: null, length: 3000, alias: Please describe the outcome of the previous encounter including adherence to follow-up, barriers to follow-up (e.g., transportation, financial, childcare) or successful outcomes, etc., type: esriFieldTypeString
)
mh_illness
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Does the client have a mental health illness?, type: esriFieldTypeString
, Coded Values:
[diagnosed: Diagnosed]
, [client_belief: Client-belief]
, [no: No]
, ...1 more...
)
mh_care
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Is the client receiving care for their mental health diagnosis?, type: esriFieldTypeString
, Coded Values:
[yes: Yes]
, [no: No]
, [unsure: Unsure]
)
od_30day
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Has this individual experienced an overdose in the last 30 days?, type: esriFieldTypeString
, Coded Values:
[yes: Yes]
, [no: No]
, [unsure: Unsure]
)
od_30day_n
(
nullable: true, editable: true, defaultValue: null, alias: How many overdoses has the individual experienced in the past 30 days?, type: esriFieldTypeInteger
)
tx_access
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Has the individual accessed treatment for their substance use in the last 30 days prior to this engagement?, type: esriFieldTypeString
, Coded Values:
[yes: Yes]
, [no: No]
, [unsure: Unsure]
)
tx_received
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: What treatment have they received? (select all that apply), type: esriFieldTypeString
)
services
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: What services did you provide during this encounter? (select all that apply), type: esriFieldTypeString
)
hr_items
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: What harm reduction items did you provide? (select all that apply), type: esriFieldTypeString
)
tracfone_discussed
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Did you have a discussion with this client about the TracFone program?, type: esriFieldTypeString
, Coded Values:
[yes: Yes]
, [no: No]
)
tracfone_dist
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Did the client receive a phone?, type: esriFieldTypeString
, Coded Values:
[yes: Yes, a phone was distributed]
, [declined: No, the client declined]
, [none_available: No, a phone was not available or other inventory issue]
, ...1 more...
)
tracfone_dist_other
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Why did the client not receive a phone?, type: esriFieldTypeString
)
tracfone_number
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Enter the phone number printed on the packaging. The recipient will receive a follow-up survey as part of the TracFone program., type: esriFieldTypeString
)
tracfone_language
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: What is the client's primary language?, type: esriFieldTypeString
, Coded Values:
[english: English]
, [other: Other]
)
tracfone_coverage_issue
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Are there any foreseeable issues with cell service coverage for this client?, type: esriFieldTypeString
, Coded Values:
[yes: Yes]
, [no: No]
)
tracfone_coverage_issue_text
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Please describe the service coverage concern., type: esriFieldTypeString
)
tracfone_special_needs
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Does this client have special needs related to phone use? (e.g., vision or hearing impairment, limited literacy, unfamiliar with smartphones), type: esriFieldTypeString
, Coded Values:
[yes: Yes]
, [no: No]
)
tracfone_special_needs_text
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Please describe the special needs., type: esriFieldTypeString
)
tracfone_charging_issue
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Are there anticipated issues to phone charging for this client?, type: esriFieldTypeString
, Coded Values:
[yes: Yes]
, [no: No]
)
tracfone_process_working
(
nullable: true, editable: true, defaultValue: null, length: 3000, alias: How is the phone distribution process working from your perspective? What is going well and what challenges have you encountered?, type: esriFieldTypeString
)
tracfone_comments
(
nullable: true, editable: true, defaultValue: null, length: 3000, alias: Do you have any additional comments, suggestions, or concerns about the TracFone program?, type: esriFieldTypeString
)
referral_made
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Did you give a referral?, type: esriFieldTypeString
, Coded Values:
[yes: Yes]
, [no: No]
)
referrals
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: What referrals did you give during this encounter? (select all that apply), type: esriFieldTypeString
)
housing_90day
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: What was the client's housing status during the last 90 days? (select all that apply), type: esriFieldTypeString
)
zip
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: What is the client's residential zip code?, type: esriFieldTypeString
)
town
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: What is the current residential township or borough of the client?, type: esriFieldTypeString
, Coded Values:
[outside_county: Outside of Montgomery County]
, [unhoused: Unhoused]
, [abington_township: Abington Township]
, ...65 more...
)
age
(
nullable: true, editable: true, defaultValue: null, alias: What is the client's current age?, type: esriFieldTypeInteger
)
sex
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: What is the client's sex at birth?, type: esriFieldTypeString
, Coded Values:
[female: Female]
, [male: Male]
, [intersex: Intersex]
, ...2 more...
)
sex_other
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Self-described sex at birth:, type: esriFieldTypeString
)
race
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: What is client's race/ethnicity? (select all that apply), type: esriFieldTypeString
)
insurance
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: What insurance does the client have? (select all that apply), type: esriFieldTypeString
)
justice_90day
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Has the client been involved with the justice system in the past 90 days?, type: esriFieldTypeString
, Coded Values:
[yes: Yes]
, [no: No]
, [unsure: Unsure]
)
enc_duration
(
nullable: true, editable: true, defaultValue: null, alias: Estimate the time spent on this encounter in minutes., type: esriFieldTypeInteger
)
followup_contact
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Is the client willing to be contacted by OD2A partners for follow-up purposes?, type: esriFieldTypeString
, Coded Values:
[yes: Yes]
, [no: No]
)
detail_success
(
nullable: true, editable: true, defaultValue: null, length: 3000, alias: Please provide details below regarding the successes you'd like to highlight., type: esriFieldTypeString
)
detail_barrier
(
nullable: true, editable: true, defaultValue: null, length: 3000, alias: Please provide details below regarding the barriers you'd like to highlight., type: esriFieldTypeString
)
detail_other
(
nullable: true, editable: true, defaultValue: null, length: 3000, alias: Please specify any additional information you would like to share concerning this case., type: esriFieldTypeString
)