Introduction to the application of asam criteria for substance related and cod pt 1. The asam criteria structures multidimensional assessment around the six dimensions to provide a common language of holistic, biopsychosocial assessment and treatment across addiction treatment, physical. Clinicians will be able to use the asam criteria to. The pennsylvania client placement criteria for adults pcpc are a set of guidelines designed to provide clinicians with a basis for determining the most appropriate care for individuals with substance use disorders suds. Asams criteria uses six dimensions to create a holistic, biopsychosocial assessment of an individual to be used for service planning and treatment across all. It is intended to assist the clinician with making level of care loc placement decisions, based on the asam criteria, but.
Asam criteria for adolescents asam criteria for adults. Improved outcomes, managed care reform and the unification of the field the asam criteria and addiction treatment matching. The asam criteria structures multidimensional assessment around the six dimensions to provide a common language of holistic. Understand the clinical and costeffective benefits of utilizing the asam criteria 2 know the six dimensions utilized to assess medical necessity and patient need profiles 3 identify and recognize distinguishing characteristics of the recognized asam levels of. The six assessment dimensions of the asam criteria. Patient placement criteria for the treatment of psychoactive substance use dis orders hoffman et al. An introduction to the asam criteria for patients and families what is the asam criteria. The asam criteria asam has developed a standardized set of criteria that can be used for assessing any individual for appropriateness in addictions therapy placement.
The asam criteria, with a brief description of each one. Relapse, continued use or continued problem potential needs an understanding of, or skills to change, current alcohol, tobacco, other drug, or medication use patterns andor high risk behavior at high risk of relapse or continued use without otp and structured therapy to promote tx progress. Criteria textbook american society of addiction medicine. Dimensional rating dimension 5 assessment considerations how severe are the problems and distress experienced by the client if they are not. Guiding principles of the asam criteria, third edition, 20 with additions for treatment courts individualized treatment for the typical drug court participant with high criminogenic needs and related risk factors, treatment designed to enhance intrinsic motivation, improve insight, and develop new skills is also likely to be needed. Has the patient been using multiple substances in the same drug class. This is a summary of the description of asam dimensions within each level of care. Formerly known as the asam patient placement criteria, the asam criteria is the result of a collaboration that began in the 1980s to define one national set of criteria for providing outcome oriented and resultsbased care in the treatment of addiction. The asam criteria and addiction treatment matching. Based on the six dimensions of the asam criteria, asam continuum conducts a dimensional analysis to identify the intensity of treatment.
The following are the six dimensions of asam, and how they are defined by the american society of addiction medicine, asam ppc2r, asam patient placement criteria for the treatment of substance related disorders, 2nd edition revised, david mee lee, m. Treatment criteria for addictive, substancerelated and cooccurring conditions. What it is and why its important webinar wednesday, june 10, 2015 10. Guiding principles of asam criteria moving from limited number of levels of care to broad and flexible continuum of care identifying specific needs of adolescents clarifying goals of treatment fees, t. Assessment using the asam dimensions center for practice. Acute intoxication andor withdrawal potential no signs or symptoms of withdrawal, or individuals withdrawal can be safely. The description of services provided at high intensity residential asam level 3. Asam 6 dimension patient placement evaluation completed prior to admission showing evidence of asam 6 dimension impairment criteria are met for asam level 1. Not as direct a correlation between dimensions 4, 5, and 6 and levels of care. Overview of asam assessment dimensions, levels of care and whats new 1. Treatment criteria for addictive, substancerelated, and cooccurring conditions addresses a wide range of special populations and includes the latest addiction science.
Moving from programdriven to clinically driven and outcomesdriven treatment rather than focusing on placement in a program, with a fixed length of stay, the asam criteria. The asam criteria encompass all pertinent biopsychosocial aspects of addiction and mental health that determine severity of. Dimension 1 sample questions are there current signs of withdrawal. Formerly known as the asam patient placement criteria, the asam criteria is the result of a collaboration that began in the. The asam criteria is a collection of objective guidelines that give clinicians a way. Understanding and using asam criteria in substance use. Asams six assessment dimensions address this guiding principle.
Implementing the asam criteria an overview of asams criteria and continuum the asam criteria decision engine ohio department of mental health and addiction services. Guiding principles of the asam criteria 20 the asam criteria 20, pp 311 moving from onedimensional to multidimensional assessment the asam criteria the asam criteria the asam criteria. Clientspecific clinical informationevid ence in all 6 dimensions reflecting how the client meets asam criteria for the level of care being requested. The oklahoma department of mental health and substance abuse services odmhsas mandates.
Ddap asam criteria guidance regarding treatment planning. Pdf version of this title 853k other titles in these collections. The asam criteria treatment criteria for addictive, substancerelated, and cooccurring conditions david meelee, md chief editor of the asam criteria boardcertified psychiatrist abam certified sr. Fill out, securely sign, print or email your asam dimensions cheat sheet form instantly with signnow. Treatment criteria for addictive, substancerelated and cooccurring conditions, third edition 20 by david meelee, gerald shulman, marc fishman. Naatp and the american society of addiction medicine asam worked to refine the existing placement criteria. The following are the six dimensions of asam mt dphhs. Relapse, continued use or continued problem potential needs an understanding of, or skills to change, current alcohol, tobacco, other drug, or medication use patterns andor. The cri teria provide guidelines not only for alcoholism treatment but also for other forms of drug abuse and dependence. The most secure digital platform to get legally binding, electronically signed documents in just a few seconds. Treatment criteria for addictive, substance related, and co occurring conditions. Impairments of function not presented or not presented clearly. For full details, please consult the american society of addiction medicine s publication, the asam criteria.
Asam dimensions and three criteria for continuing services. The following are the six dimensions of asam, and how they. American society of addiction medicine asam how and when to use the criteria. Clinicians will be able to use the asam criteria to definitively describe patient needs and reform ur. Pdf the asam criteria and matching patients to treatment. An introduction to the asam criteria for patients and families. Asam criteria retain at the present level of care if. Continued treatment at present level of care necessary to permit patient to continue to work toward his or her treatment goals.
Asam dimensions cheat sheet fill out and sign printable pdf. The criteria were developed by the american society of addiction medicine asam. Looking at the six dimensions in the asam criteria, it is evident that the criteria can serve a much broader use than just for the addictive recovery community. Resistance is not unexpected and does not exclude clients from treatment. The pennsylvania client placement criteria for adults pcpc are a set of guidelines designed to. An introduction to the asam criteria for patients and families aetna. Pennsylvanias client placement criteria for adults third edition 2014. The asam criteria is a collection of objective guidelines that give clinicians a way to standardize treatment planning and where patients are placed in treatment, as well as how to provide continuing, integrated care and ongoing service planning. The asam criteria and addiction treatment matching naadac. Asam quick reference 32015 the american society of addiction medicine asam criteria is an evidencebased template to determine the appropriate level of substance use disorder intervention for an individual. Assessment of biopsychosocial severity and function the asam criteria 20, pp 4353 the common language of six asam criteria dimensions determine needsstrengths in behavioral health. May, 2015 a brief overview of the six asam dimensions is listed below, while a comprehensive description of each dimension is available on page 43 of the asam criteria.
The dimensions act as guidelines for treatment admission placement, continuing care. Here are the six dimensions of the asam criteria, with a brief description of each one. Use the 6 asam assessment dimensions to assess problems that justify admission to care. Does the patient have supports to assist in ambulatory detoxification if medically safe. Based on the six dimensions of the asam criteria, asam continuum conducts a dimensional analysis to identify the intensity of treatment services that best fit patient needs. As indicated in the asam criteria, 20, page 110, progress in all the dimensions should be assessed at regular intervals to ensure comprehensive and appropriate treatment. To determine the multidimensional severity or level of function profile, consider each of the six asam asam criteria dimensions as regards pertinent assessment data organized under the three hs history, here and now, how worried now. Licensees use and interpretation of the american society of addiction medicine s asam criteria for addictive, substancerelated, and cooccurring conditions does not imply that the american society of addiction medicine has either participated in or concurs with the. Making progress, but not yet achieved goals articulated in individualized treatment plan.
Formerly known as the asam patient placement criteria, the asam criteria is the result of a collaboration that began in the 1980s to define one national set of criteria for. Use tool to assist in transfer and discharge planning to assess the patients progress with treatment goals across each of the six asam dimensions and four criteria for discharge or transfer. Asam criteria uses six dimensions to provide a holistic assessment of the individual. Dimensions 4, 5, and 6 balance out strengths and challenges in these dimensions interact combine and contrast to determine. Chat client placement asam worksheet page 1 of 18 chat client placement asam worksheet this worksheet presents a summary of relevant client selfreported data from chat into each of the six dimensions of the asam criteria. Adult asam placement criteria crosswalk dimension 5. Asam dimensions cheat sheet fill out and sign printable. How to effectively use the asam narrative in your daily counseling efforts.
Dsm 5 symptom criteria andor loci 3 information not linked with impairments of functioning. Think of each dimension like the side of a cube, showing something different. May need to use motivational strategies to attract them into treatment. Emotional, behavioral or cognitive conditions and complications 4. Here are the six dimensions of the asam criteria, with a brief description of. Amended or additional treatment plans should be included. Treatment criteria for addictive, substancerelated, and cooccurring conditions 20. How to develop treatment plans that make sense to clients.
The asam criteria textbook is the primary source for treatment providers who are applying the criteria in a clinical setting. What is the asam criteria the asam criteria is the most widely used and comprehensive set of guidelines for placement, continued stay, transfer, or discharge of patients with addiction and cooccurring conditions. Acute intoxication andor withdrawal potential past and current experiences of substance use and withdrawal. Emotionalbehavioralcognitive conditions and complications 4. Biomedical conditions and complications physical health history and current condition. Six dimensions of the asam criteria the change companies. Vice president of the change companies at a glance. Tips to get your clinical authorization approved by the ime.
The common language of six asam criteria dimensions determine needsstrengths in behavioral health. Asam 6 dimension patient placement evaluation completed prior to admission showing evidence of asam 6 dimension impairment criteria are met for asam level 2. The american society of addiction medicine asam has ascribed six exploratory dimensions to substance abuse treatment and its continuum of care. Asam criteriaa training an introduction to the application of asam criteria. The new asam criteria for the treatment of addictive. Society of addiction medicine, asam ppc2r, asam patient placement criteria for the. Relapse, continued use or continued problem potential 6.
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