6 dimensions of asam criteria book

An introduction to the asam criteria for patients and families. American society of addiction medicine asam how and when to use the criteria. Think of each dimension like the side of a cube, showing something different about who you are, and an. How to use the asam criteria the asam criteria is useful to patients, treatment providers, managed care providers, and other stakeholders and professionals.

Treatment criteria for addictive, substancerelated, and cooccurring conditions. Ddap asam criteria guidance regarding treatment planning. What it is and why its important webinar wednesday, june 10, 2015 10. The asam criteria are the most intensively studied set of addiction placement criteria, having undergone numerous evaluations and studies of effectiveness.

They were created to help substance abuse professionals evaluate addicts individually according to lifestyle and emotional and psychological hindrances to recovery. This video outlines the importance of addressing all dimensions for matching a patient with appropriate treatment. It is intended to assist the clinician with making level of care loc placement decisions, based on the asam criteria, but. The criteria were developed by the american society of addiction medicine asam, and presented in a book written by a group of renowned doctors and professionals, working in a variety of. Although the asam criteria currently are the most widely used placement criteria for alcoholism treatment and reimbursement, they also have been criticized in several respects. The oklahoma department of mental health and substance abuse services odmhsas mandates. 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. Asams six assessment dimensions address this guiding principle. Dimensions 4, 5, and 6 balance out strengths and challenges in these dimensions interact combine and contrast to determine. To implement and apply the criteria effectively to a variety of. The description of services provided at high intensity residential asam level 3. Tips to get your clinical authorization approved by the ime.

Introduction to the application of asam criteria for substance related and cod pt 1 duration. Implementing the asam criteria an overview of asams criteria and continuum the asam criteria decision engine ohio department of mental health and addiction services. 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, 2 nd edition revised, david mee lee, m. The asam criteria offer a system for improving the modality match through the use of multidimensional assessment and treatment planning that permits more objective evaluation of patient outcomes. This is a summary of the description of asam dimensions within each level of care. To help clinicians, counselors, and care managers develop patientcentered service plans and make objective decisions about patient admission, and transferdischarge for individuals with substanceuse disorders and cooccurring conditions, 2. How to really use the new edition of the asam criteria.

Use the asam criteria s six dimensions, or life areas, to better understand how risks and strengths, skills and resources in one life area can affect another treatment providers and clinicians for treatment providers, the asam criteria provides a holistic approach for determining individualized and outcomedriven treatment plans for patients. 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. Even those using the asam criteria regularly encounter real world dilemmas surrounding access, reimbursement, funding, resource allocation, and availability of services, particularly for patients with cooccurring medical or psychiatric disorders. An invaluable, evidencebased tool for clinicians to manage the complex relationship between pain and addiction. 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. For full details, please consult the american society of addiction medicine s publication, the asam criteria. The asam criteria, with a brief description of each one. The asam criteria treatment criteria for addictive, substancerelated, and cooccurring conditions. Clientspecific clinical informationevid ence in all 6 dimensions reflecting how the client meets asam criteria for the level of care being requested. The asam criteria specifies that a professional can use a reference tool such as the dsm5 or icd10 in order to help determine a diagnosis. Dsm 5 symptom criteria andor loci 3 information not linked with impairments of functioning. The asam criteria identify the following problem areas dimensions as the most important in formulating an individualized treatment plan and in making subsequent patient placement decisions. The new asam criteria for the treatment of addictive.

The asam criteria textbook is the primary source for treatment providers who are applying the criteria in a clinical setting. These ratings are used to determine risk and appropriate asam level of care. The following are the six dimensions of asam, and how they. Emotional, behavioral or cognitive conditions and complications 4. The asam criteria are designed around six criteria dimensions reflecting the severity of the patients alcoholrelated problems. Chief editor of the asam criteria boardcertified psychiatrist abam certified at a glance. 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. Clinicians will be able to use the asam criteria to definitively describe patient needs and reform ur. 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. Treatment criteria for addictive, substancerelated and cooccurring conditions, third edition 20 by david meelee, gerald shulman, marc fishman.

Adult asam placement criteria crosswalk dimension 5. Asam six dimensions clinical information please provide the clinical information in narrative form for each of the six asam dimensions to support that dimensions rating as low, medium or high. Six dimensions of the asam criteria the change companies. What goals have yet to be accomplished in treatment what youll work on next 3. Oct 14, 20 the asam criteria is not just a checklist of criteria to justify why you put the client in your program because your state or county requires you to use asams criteria. 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. Acute intoxication andor withdrawal potential past and current experiences of substance use and withdrawal. Improved outcomes, managed care reform and the unification of the field the asam criteria and addiction treatment matching.

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. The paragraphs on page 54 go on to suggest a few examples of how spirituality can be integrated across the six dimensions. Biomedical conditions and complications physical health history and current condition. Asam ppc2r patient placement criteria for the treatment of substancerelated disorders by david meelee and american society of addiction medicine may 5, 2007 4. 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. 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. Asam criteria uses six dimensions to provide a holistic assessment of the individual. Has the patient been using multiple substances in the same drug class. Once stabilization has been achieved, the initial placement for recovery services should reflect an assessment of the patients status in all six dimensions. The dimensions act as guidelines for treatment admission placement, continuing care.

Dimension 1 sample questions are there current signs of withdrawal. Today the criteria have become the most widely used and comprehensive set of guidelines for. Spirituality in six dimensions the 20 third edition of the asam criteria notes, many have asked why there is not a dimension 7 on spirituality. A practical, evidencebased guide to the identification and treatment of substance use disorders. Here are the six dimensions of the asam criteria, with a brief description of each one. Dimension term and description learn with flashcards, games, and more for free. Think of each dimension like the side of a cube, showing something different. The asam criteria and addiction treatment matching. The asam criteria is not just a checklist of criteria to justify why you put the client in your program because your state or county requires you to use asam s criteria.

Relapse, continued use or continued problem potential 6. The title of the third edition of asam s criteria published 20 is the asam criteria. Understanding the asam criteria in the context of the. Impairments of function not presented or not presented clearly.

The american society of addiction medicine asam has ascribed six exploratory dimensions to substance abuse treatment and its continuum of care. An overview of the asam levels of care and the six dimensions. The asam principles of addiction medicine, sixth edition. Incorporating the use of the new edition of the asam criteria book, participants have opportunities for skill practice at every stage of. The following changes are made in the asam criteria. The asam criteria is most widely used and comprehensive set of guidelines for placement, continued stay and transferdischarge of patients with addiction and cooccurring conditions. Some counselors and programs didnt even know that there was an actual book of principles, guidelines, and criteria because they have a twopage crosswalk that says asam. 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. Principles of addiction medicine, section 4, chapter 5. Making progress, but not yet achieved goals articulated in individualized treatment plan. This document is to be utilized in applying the american society of addiction medicine asam criteria, 20 within pennsylvanias treatment system when conducting a level of care assessment for initial referral into services or for continued stay and discharge considerations after treatment engagement. 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 health, and mental health services, which also addresses the spiritual issues relevant in recovery. The information provided here will help you best implement asams criteria. Treatment criteria for addictive, substancerelated, and cooccurring conditions 20.

Conduct multidimensional assessment the asam criteria, 20, p124 focus assessment and treatment cont. The book includes a matrix for matching adolescent severity and level of function with type and intensity of service. Research foundations of the american society of addiction medicine asam criteria 20030103 jan 1, 1802. Asam treatment criteria formerly known as patient placement criteria ppc the result of a collaboration that began in the 1980s to define one national set of criteria for providing outcomeorientated and resultsbased care in the treatment of addiction. Does the patient have supports to assist in ambulatory detoxification if medically safe.

Asam s criteria, formerly known as the asam patient placement criteria, is the result of a collaboration that began in the 1980s to define one national set of criteria for providing outcomeoriented and resultsbased care in the treatment of addiction. 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. Continued treatment at present level of care necessary to permit patient to continue to work toward his or her treatment goals. Vice president of the change companies at a glance. Asam s six assessment dimensions address this guiding principle. Overview of substance use disorder sud care clinical guidelines. The six dimensions of multidimensional assessment asams criteria uses six dimensions to create a holistic, biopsychosocial assessment of an individual to be used for service planning and treatment across all services and levels of care. Asam criteria retain at the present level of care if. Note that a capitalized and italicized reference indicates the book, while the asam criteria indicates a general and broader reference to the criteria.

Use the 6 asam assessment dimensions to assess problems that justify admission to care. Criteria textbook american society of addiction medicine. They were the dimensions act as guidelines for treatment admission placement, continuing care needs and appropriate discharge from structured treatment. An introduction to the asam criteria for patients and families what is the asam criteria. The asam criteria an overview of asam s criteria and continuum the asam criteria decision engine ohio department of mental health and addiction services. 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. Research shows that treatment based on the asam criteria is associated with less morbidity, better client function and more efficient service utilization than mismatched treatment. Depending on the severity of their symptoms, such patients may require referral to medical andor psychiatric services outside the asam ppc2r levels of care see table 1. Treatment criteria for addictive, substancerelated, and cooccurring conditions addresses a wide range of special populations and includes the latest addiction science.