A discharge is the termination of all services or further contacts with the client at the facility. A discharge signals the end of the treatment regimen or admission episode with that organization. Facilities operating satellite offices in different counties, cities, or other separate locations do not discharge a client because of a change in service location. As long as a client is receiving services under the same organizational authority, regardless of the variance in program focus, treatment is considered ongoing.

A discharge may occur because the client discontinues contact with the facility; staff and client decide services are no longer necessary; the client moves out of the service area or state; or the client is deceased.

COMPLETED TREATMENT (Transaction Type 60)

• This is reported when the client and the counselor, clinician, etc. are in agreement that the treatment plan has been completed and services are no longer necessary at this agency.

COMPLETED COURT COMMITMENT (Transaction Type 61)

• This is reported when the client has completed the court commitment under which he/she was admitted and is no longer legally required to remain in treatment.

LEFT AGAINST COUNSELOR’S ADVICE (ACA)/90 DAYS (Transaction Type 62)

• This is reported when the client leaves treatment against the advice of the counselor, clinician, etc. If the client and the counselor, clinician, etc. have not agreed that services are no longer necessary and the client has not been seen in 90 days, this discharge type is used. This transaction code is for outpatient services only.

MOVED (Transaction Type 63)

• This is reported when the client moves his/her residence to a different geographical location and it is no longer feasible to receive services at the present agency given the distance.

TRANSFERRED TO ANOTHER TREATMENT FACILITY (Transaction Type 64)

• This is reported when the client transfers to another treatment agency regardless of whether it is funded by DMHSAS. A discharge is not submitted if the client is expected to return, e.g., from a hospital back to a community mental health center, and continuity of care needs to be maintained.
  
  This discharge type should also be used when discharging a client because the client’s services will now be paid by a source other than DMHSAS.

INCARCERATED (Transaction Type 65)

• This is reported when the client’s treatment is terminated to return to a correctional facility, such as jail or prison.

BROKE RULES (Transaction Type 66)

• This is reported when the client was discharged due to breaking the rules of the facility. Client must have broken a written rule, e.g., showed up intoxicated, not just treatment non-compliant.

ABSENT WITHOUT LEAVE (AWOL) (Transaction Type 67)

• This is reported when the client leaves an inpatient, detoxification, or residential treatment program or facility prior to the treatment plan, goals and objectives, or the prescribed period of time indicated by the program criteria has been completed. In other words, an AWOL indicates the client left the facility prior to the completion of treatment and the agency believes further services are still needed by the client.

DEATH (Transaction Type 68)

• This is reported when the agency learns the client is deceased.

FAILED TO BEGIN TREATMENT (Transaction Type 69)

• This is reported when a client has been formally admitted to a facility, but the client did not receive any services.

ADMINISTRATIVE DISCHARGE (Transaction Type 91)

• This type of discharge is executed when DMHSAS ceases to have a contractual agreement with a facility and all clients are administratively removed from the data system.