Psychosocial Services Coding

In the evaluation of the HRSA HIV/AIDS Bureau SPNS Cooperative Agreements, Psychosocial Services were coded from a common form, called Module 2B, into a group of summary indices of the client's service history.


Each of the projects that provided psychosocial services collected information on a number of service categories using either a paper-and-pencil form (Module 2B), or the electronic equivalent in a database. Module 2B shows a set of 35 services that were coded on each day they were provided to a client.

For the purposes of many major analyses, the services, we used nine variables coded as follows. 

Category

Types of Services Included

Notes

HIV Prevention/Intervention Services

  • HIV risk assessment
  • HIV pre-test counseling
  • HIV testing
  • HIV post-test counseling
  • HIV prevention
  • Other HIV-related services
  • Category has remained as originally coded

Mental Health Services

  • Individual therapy/counseling
  • Psychiatric evaluation
  • Psychosocial assessment
  • Crisis intervention (individual)
  • Other mental health

Reassigned as follows:

  • Individual Counseling Services = individual therapy/counseling OR individual crisis intervention OR other mental health
  • Psychiatric/Psychosocial Assessment = psychiatric evaluation OR psychosocial assessment

Group Counseling

  • Crisis intervention (group)
  • Family/couple counseling
  • Group counseling
  • Peer support group
  • Other group

Reassigned as follows:

  • Group (not Couple) Counseling = group crisis intervention, group counseling, peer support group
  • Family/Couple counseling = family/couple counseling

Substance Abuse Services

  • 12-step group
  • Relapse prevention
  • Substance abuse counseling
  • Category has remained as originally coded

Case Management Services

  • Advocacy services
  • Clinical assessment
  • Educational services
  • Financial services
  • Housing
  • Legal services
  • Medical
  • Vocational services
  • Other case management
  • Category has remained as originally coded

For the analyses, nine categories of services are used, some of which are subsets of one another. To clarify the relationships among these types of variables, the following outline shows the five general categories. Two of the five general categories are further subdivided into two sub-categories each, for a total of nine ways of categorizing the individual services. For most of the analyses all nine categories of services are employed.

1)     HIV Prevention/Intervention Services

2)     Mental Health Services

a)     Individual Counseling Services

b)     Psychiatric/Psychosocial Assessment

3)     Group Counseling

a)     Group (not Couple) Counseling

b)     Family/Couple Counseling

4)     Substance Abuse Services

5)     Case Management Services

Analysis Variation 1: For some analyses, clients are categorized for each of these variables into individuals who received one or more days of such service at some time during their treatment.

Analysis Variation 2: For some analyses, the actual number of days that clients received each of the nine types of services are coded.

 


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