Terminology dualdisorders vs cooccurring disorders. Licensees use and interpretation of the american society of addiction. This confidential information is provided to you in accord with state and federal laws. With the asam criteria, managed care organizations can easily work with treatment providers to ensure plan participants are receiving the treatment that best fits their needs and that resources are wisely used. Asam criteria for adolescents asam criteria for adults. Substance use disorders and asam patient placement criteria. Patient placement criteria for the treatment of psychoactive substance use dis orders hoffman et al. Treatment plans need to be tied to your asam if a client has significant issues. Treatment plans need to be tied to your asam if a client has significant issues identified on their asam, but there are no goals in. A considerable body of work exists to date on the asam criteria including at least ten evaluations involving a total of 3,672 subjects. Asam dimension 3 emotionalbehavioral conditions lcdc. 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.
The new asam criteria for the treatment of addictive, substancerelated and david meelee, m. Emotionalbehavioral conditions problem need patient reports evidences of possible depressive symptoms patient reports unresolved lossgrief issues due to deaths in immediate family patient has a history of poor anger management patient has a history of illicit behavior which has led to legal problems. Dimension 5 sample questions how aware is the patient of relapse triggers, ways to cope with cravings and skills to control impulses to use. 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. New directions, new criteria naadac 2014 annual meeting september 26, 2014 david meelee, m. Dec 26, 2012 all the information published on this site comes from known sources such as textbooks, manuals, research articles, and online sources. 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. Substance abuse programs and the principal investigator and director of the samhsafunded pacific southwest addiction technology transfer center hhs region 9. 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. For the past two years, the medicaid innovation accelerator program iap has been providing a broad group of state medicaid and behavioral health agencies with a variety of technical support. The asam criteria and addiction treatment matching naadac. Asam 6 dimension patient placement evaluation completed prior to admission showing evidence of asam 6 dimension impairment criteria are met for asam level 2.
Based on the asam criteria 3rd edition multidimensional assessment. Service name halfway house level adult substance use disorder. Treatment criteria for addictive substancerelated, and cooccurring. Three or more of the criteria described in exhibit 21 must be. Adolescent and adult treatment plans are developed through a multidimensional patient assessment over five broad levels of treatment that are based on the degree of direct medical management provided, the structure, safety and security provided and the intensity of treatment services provided. Treatment criteria for addictive substancerelated, and co occurring. American society of addiction medicine asam how and when to use the. Overview of substance use disorder sud care clinical guidelines. 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. Contractors staff shall provide screening, brief intervention, and referral to treatment sbirt for all substance use conditions. Asam patient placement criteria download ebook pdf, epub.
Medicines asam criteria for addictive, substancerelated, and co. Addiction should be considered a biopsychosocialspiritual illness, for which the use of medications is only one component of overall treatment. The asam criteria and addiction treatment matching. The following are the six dimensions of asam, and how they. Dimension 1 sample questions are there current signs of withdrawal. Includes treatment for clients with cooccurring disorders, such as an acutely suicidal client who needs medical detoxthe focus is on stabilization and preparation for transfer to a less intensive loc.
A resource for states developing sud delivery system reforms april 2017. The american society of addiction medicine asam criteria is an evidence based template to determine the appropriate level of substance use disorder. These placement criteria are now a commonly used set of guidelines for addressing the treatment needs of people who are struggling with substance abuse or addiction. Substance use disorder treatment providers and ccbhcs. Induced disorder as defined in the dsm, current edition as well as the dimensional criteria for admission. Treatment criteria for addictive, substancerelated, and cooccurring conditions diane sherman, ph. 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. Overview of substance use disorder care clinical guidelines. Meelee, as patients receive treatment in the least intensive yet safe setting, they can test recovery skills in situations as close to real world conditions as possible, and minimize reentry problems. At the conclusion of this training, a participant will be able to outline a biopsychosocialspiritual assessment.
Assessing how substance use impacts all major life areas, such as, employment, legal, family, medical and financial, is a key piece in the development of treatment plans. Treatment criteria for addictive, substancerelated, and cooccurring conditions. This guidance document has been developed to provide an overview of the american society of addiction medicine asam criteria and why and how this framework should be used to collect substantive. Regarding the criteria, asam says, asams 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. Substance use disorder, intensive outpatient treatment asam level 2.
The asam criteria are used to provide outcomeoriented and resultsbased care in the treatment of addiction. 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. Asam american society of addiction medicine david meelee, m. 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. Asam an overview asam history, criteria, and highlights of 20 changes third thursday provider call january 15, 2015. Acute intoxication andor withdrawal potential minimal risk of severe withdrawa l. Nonstandard, intuitive, then find out the rest later managed care wants more data. The individual meets specifications in each of the asam six dimensions for this level of care. The asam national practice guideline for the use of. The dsmiv describes criteria for diagnosing substance abuse and substance dependence. Asam american society for addiction management criteria.
Take a quick look at how asams criteria works asam continuum. According to asam, the placement criteria provide a guideline for placing people in treatment, as well as for creating a treatment plan that guides an. Not yet making progress but has capacity to resolve his or her problems. Some of the items address abuse and dependence criteria but, because of some of the limitations, may not.
For the past two years, the medicaid innovation accelerator program iap has been providing a broad group of state medicaid and behavioral health agencies with a variety of technical support resources to support the development of robust approaches for addressing substance use disorders sud. Contractor shall identify beneficiaries at risk of developing a sud or those with an existing. Adult asam placement criteria crosswalk dimension 5. The asam standards of care for the addiction specialist physician. May, 2015 the asam criteria text describes treatment as a continuum marked by four broad levels of service and an early intervention level. These levels of care provide a standard nomenclature for describing the continuum of recoveryoriented addiction services.
Clinicians will be able to use the asam criteria to definitively describe patient needs and reform ur. An introduction to the asam criteria for patients and families what is the asam criteria. The asam criteria are the most intensively studied set of addiction placement criteria, having undergone numerous evaluations and studies of effectiveness. Required in over 30 states, the asam criteria is an indispensable resource that addiction medicine professionals rely on to provide a nomenclature for describing the continuum of addiction services. Asam an overview asam history, criteria, and highlights of 20 changes. This guidance document has been developed to provide an overview of the american society of addiction medicine asam criteria and why and how this framework should be used to collect substantive information from patients to determine an appropriate.
The new asam criteria for the treatment of addictive. This list is in alphabetical order based on the tool acronym. Substance use disorder, intensive outpatient treatment. National institute on drug abuse and the national institute on alcohol abuse and alcoholism, and the center for substance abuse treatment of the substance abuse and mental health services administration. Substance abuse and substance dependence merge into substance use disorders sud with.
The asam criteria treatment criteria for addictive. Clinical issues in intensive outpatient treatment robert f. 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. The pipmag project was generously funded by the substance abuse and mental health services. Substance use disorder treatment providers who are a part of the ccbhc treatment team will work collaboratively with primary care and other behavioral health service providers to address the holistic needs of individuals seeking care. These screening tools provide information to answer the questions. Treatment criteria for addictive, substance related, and cooccurring conditions. An introduction to the asam criteria for patients and families aetna. Treatment criteria for addictive, substancerelated, and cooccuring conditions the asam criteria3. The pacific southwest addiction technology transfer center. Understanding and using asam criteria in substance use disorder treatment planning what. Continued treatment at present level of care necessary to permit patient to continue to work toward his or her treatment goals. Asam criteria background in the late 1980s a taskforce is assembled to integrate existing admission and continued stay criteria both naatp and asam were involved ownership of the criteria was left with.
Jun 30, 2017 this training is designed for substance abuse program analyst and administrative staff interested in understanding and learning the skills to use the asam criteria for establishing medical necessity, assessing treatment needs, and determining appropriate level of care placements for consumers with substance abuse issues. Today the criteria have become the most widely used set of guidelines for placement, continued stay and transferdischarge of patients with addiction and co. Actively working on goals articulated in individualized treatment plan. Asam criteriaa training an introduction to the application. Review the american society of addiction medicine s asam patient placement criteria. Examples of screening and assessment tools for substance use disorders. The description of services provided by intensive outpatient treatment asam level 2. Licensees use and interpretation of the american society of addiction medicine s asam criteria for addictive, substancerelated, and co occurring conditions does not imply that the american society of addiction medicine has either participated in or concurs with the disposition of a claim for benefits. In addition, the center for substance abuse treatment csat has. Substance use disorders and asam patient placement criteria rochelle headdunham, md, fapa. Click download or read online button to get asam patient placement criteria book now. Change from focus on just substance abuse to biopsychosocial.
Understanding and using asam criteria in substance use. Meelee, as patients receive treatment in the least intensive yet safe. Substance use disorders assessments 4 december 2018, north star behavioral health system, anchorage, ak terminal objective. Regarding the criteria, asam says, 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. The oklahoma department of mental health and substance abuse services odmhsas mandates. The new asam criteria for the treatment of addictive, substancerelated, and. An introduction to the asam criteria for patients and families. 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. Assessor believes this is appropriate for now considering the severity level of his substance use, as patient has a stable living situation and does not appear to require or want treatment in a higher level of care at this time. Treatment criteria for addictive, substancerelated, and cooccurring conditions 20. Ccbhcs will provide integrated care across the health care continuum, promoting a recoverybased focus to services.
The american society of addiction medicine asam criteria is an evidencebased template to determine the appropriate level of substance use disorder. Within the five broad levels of care, decimal numbers are used to further express gradations of intensity of services. This training is designed for substance abuse program analyst and administrative staff interested in understanding and learning the skills to use the asam criteria for establishing medical necessity, assessing treatment needs, and determining appropriate level of care placements for consumers with substance abuse issues. Tips to get your clinical authorization approved by the ime. 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. Substance abuse and mental health services administration center for substance abuse treatment 1 choke cherry road rockville, md 20857 substance abuse. The asam criteria structure multidimensional assessment around six dimensions to provide a common language of holistic, biopsychosocial. Acute intoxication andor withdrawal potential no signs or symptoms of withdrawal, or individuals withdrawal can be safely. Service substance abuse and mental health services administration center for substance abuse treatment rockwall ii. What is the immediacy of the issue they include information about screening tools for adults and adolescents. The asam criteria the asam criteria is the nations most widely used and comprehensive set of guidelines for placement, continued stay, and transferdischarge of patients with addiction and cooccurring conditions. A detailed description of the services typically offered in this level of care, the care setting and how to identify what patients would benefit best from these services based on an asam dimensional needs assessment begins on page 244 of the asam criteria.
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