Identify the specific sections of standard assessment instruments e. 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. Public libraries are facing up to the challenges of reinventing spaces and services to reflect changing demographics, public perceptions and usage. Asams criteria uses six dimensions to create a holistic, biopsychosocial assessment of an individual to be used for service planning and treatment across all. 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 patient reports difficulty coping. The six asam criteria dimensions are used to summarize a persons needs, define severity and develop a treatment plan. The american society of addiction medicine s asam patient placement criteria ppc has become a national model for treatment matching in addiction care. The following are the six dimensions of asam, and how they. The asam ppc2r is officially required in over 30 states. Asam level iid ambulatory detoxification with extended onsite monitoring organized outpatient service. They were created to help substance abuse professionals evaluate addicts individually according to lifestyle and emotional and psychological hindrances to recovery. If the assessment of such an individual indicates a need for more intensive treatment than level 0.
The patient placement criteria ppc provides a framework for continuously assessing risk and the appropriate level of care for each client. Clients who are not experiencing or at risk of acute withdrawal e. The information provided here will help you best implement asam s criteria. Asam in the dmcods waiver california institute for. The asam criteria are the most intensively studied set of addiction placement criteria, having undergone numerous evaluations and studies of effectiveness. The asam chart is included so that is a nice thing to have. Overview of the asam patient placement criteria, second edition revised asam ppc2r david meelee, m. Asam overview and treatment planning by elizabeth kotkin, lmft clinical standards coordinator july 2008 2.
Identify and differentiate between asam s six dimensions of assessment. Dec 26, 2012 all the information published on this site comes from known sources such as textbooks, manuals, research articles, and online sources. An introduction to the asam criteria for patients and families aetna. 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. Edition the great state of tennessee, november 2016 2 objectives identify and differentiate between asams six dimensions of assessment. The new asam criteria for the treatment of addictive, substancerelated, and. By completing this quiz, you are attesting that you have received this education by watching this webinar. May be delivered in an office setting, healthcare or addiction treatment facility. To encourage the development of a comprehensive continuum of care, 3.
Supplement on pharmacotherapies for alcohol use disorders 1st edition by marc j. American society of addiction medicine was founded in 1950 by a group of physicians with an interest in addictions treatment to address the lack of. The new asam criteria for the treatment of addictive. Asam criteria, third edition matrix for matching adult. Identify clinical information symptoms that correspond to each of asam s. Chronic pain increases chance of relapse if client has a psyche diagnosis and is noncompliant with medication, this could increase the chance of. Standardized patient placement criteria such as those developed by the american society of addiction medicine are increasingly common in substance abuse treatment, but it is unclear what factors are associated with their use or with treatment units provision of related services. Four things to know about the asam criteria assessment bestnotes. The asam criteria and matching patients to treatment the asam. Asam training frequently asked questions 1 are there regulations or policies mandating asam criteria training. Asam ppc2r patient placement criteria for the treatment of. Chronic pain increases chance of relapse if client has a psyche diagnosis and is noncompliant with medication, this could increase the chance of relapse. The asam criteria enhanced web version offering a web version of the asam criteria in electronic, interactive format.
Moving from onedimensional to multidimensional assessment. This module provides an overview of the key concepts and components e. The results of this assessment were obtained through a clinical interview. Asam ppc2r patient placement criteria for the treatment. Six dimensions of the asam criteria the change companies. Clientspecific clinical informationevid ence in all 6 dimensions reflecting how the client meets asam criteria for the level of care being requested. To promote the effective, efficient use of care resources. The change companies help people make positive life change through interactive journaling, a structured and experiential writing process that motivates and guides participants. Asam offers various products to support the implementation of asam standards. Still, ive learned that thinking about a placement decision in six dimensions is foreign to many clinicians. Edition the great state of tennessee, november 2016 2 objectives identify and differentiate between asam s six dimensions of assessment.
Purchase shirts, jackets or other items displaying the asam logo and brand through the new apparel store. View understanding the new asam criteria webinar here. Does the patient have supports to assist in ambulatory detoxification if medically safe. Identify the asam dimensions that are most directly informed and influenced by specific sections of standard assessment instruments e. Asam ppc2r patient placement criteria for the treatment of substancerelated disorders paperback may 5 2007. Objectives o to provide an introductory overview of the six dimensions of asam patient placement criteria o to describe the asam levels of care o to explain how the asam assessment supports treatment planning. Overview of the asam patient placement criteria, second. Dimension 1 sample questions are there current signs of withdrawal. The asam criteria is the nations most widely used and comprehensive set of guidelines for placement, continued stay, and transferdischarge of patients with. Shulman ma facata editor, david meelee editor, george kolodner md editor, bonnie b.
Asam training, asam ecourse, asam training online, asam. Asam six dimensions of multidisciplinary assessment. Every individuals treatment plan is based on his or her unique. Continued medical, addiction andor mental health treatment, selfhelp recovery. Asam criteria and levels of care substance use and cooccurring disorders why a continuum of care 1. The information provided here will help you best implement asams criteria. How to implement the new asam criteria skillbuilding in an. What judges and court team need to know david meelee, m. Asam notes asam dimensions interact with one another. The asam criteria recognizes that effective treatment cannot take a onesizefitsall approach.
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. Using the six asam assessment dimensions, the biopsychosocial. The change companies asam system user guide version 3. Describing services as having fixed length of stay is one of the main issues with fidel ity to the spirit of asam criteria. Think of each dimension like the side of a cube, showing something different. But for a beginner or if you are doing supervision this is a good piece of material to have on your shelf. These criteria are used in over thirty states in the usa and also by the department of defense in addiction programs around the world. In the past, substance abuse treatment units were noted for inconsistency in their practice patterns, with many offering multiple treatment alternatives and little consensus as to their respective utility. Based on the six dimensions of the asam criteria, asam continuum conducts a dimensional analysis to identify the intensity of treatment. Include the following in the above paragraph when it applies. The new asam criteria for the treatment of addictive, substancerelated and david meelee, m.
The dimensions act as guidelines for treatment admission placement. Identify the asam dimension s that are most directly informed and influenced by specific sections of standard assessment instruments e. Type your name as you wish for it to appear on your certificate. The american society of addiction medicine patient placement criteria 2r asam ppc2r is the most widely used and comprehensive set of guidelines for placement, continued stay and discharge of patients with addiction disorders. Vice president of the change companies at a glance. Im a fan of asam criteria, because they helped put an end to a disturbing early trend of requiring the client to fail in outpatient prior to accessing higher levels of care.
About the asam criteria decision engine asam continuum, provides counselors, clinicians and other treatment team members with a computerguided, structured interview for assessing and caring for patients with addictive, substancerelated and cooccurring conditions. Barthwell, md, founder of emglobal llc, arlington, va, explained how the asam ppc seeks to reduce over and undertreatment, objectively articulate clinical needs, conserve. The asam ppc2r is officially required in over 30 states and provides the addiction field with the nomenclature for describing the continuum of addiction. We have confirmed with the american society for addictions medicine asam that there is no available elearning for asam criteria that will provide hours of ceus. The asam criteria describe six assessment dimensions that are used to differentiate patient needs for services across levels of care. In addition to assessing across dimensions to determine the required level of care, fidelity to asam criteria includes the spirit of how programs and systems of care operate. Identify and differentiate between asams six dimensions of assessment. Has the patient been using multiple substances in the same drug class.
The american society of addiction medicine asam has ascribed six exploratory dimensions to substance abuse treatment and its continuum of care. The description of services provided at an intensive residential asam level 3. Asam added evaluation criteria avoidance of the potentially hazardous consequences of discontinuation of alcohol and other drugs of dependence facilitation of linkage and timely entry to. Factors associated with use of asam criteria and service. Skillbuilding in asam criteria assessment dimensions and levels of care the asam criteria 20, pp 4353 the common language of six dimensions determine needsstrengths in behavioral health services.
The dimensions act as guidelines for treatment admission placement, continuing care. 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. Incorporating the use of the newest edition of the asam criteria, participants have opportunities for skill practice at every stage of the. Is asap going to host other asam criteria trainings. The description of services provided at high intensity residential asam level 3. Formerly known as the asam patient placement criteria, the asam criteria is the result of a collaboration that began in the. Asams assessment for addiction treatment looks at six dimensions that include biology, psychology. Since the late 1980s, he has led the development of the asam criteria and is chief editor of the asam criteria treatment criteria for addictive, substancerelated, and cooccurring conditions. Do not look at only the individual dimensions, but look at the interaction of dimensions. Asam training frequently asked questions 2 will you accept the asam criteria elearning. The asam criteria, 3rd edition offering treatment criteria for substancerelated and cooccurring conditions the change companies help people make positive life change through interactive journaling, a structured and experiential writing process that motivates and guides participants. An introduction to the asam criteria for patients and families.
For full details, please consult the american society of addiction medicine s publication, the asam criteria. Treatment criteria for addictive, substancerelated and cooccurring conditions, third edition 20 by david meelee, gerald shulman, marc fishman. Here are the six dimensions of the asam criteria, with a brief description of each one. This is a summary of the description of asam dimensions within each level of care. These products may be open source code, checker tools or even an executable tool. Engaging the participant in accountable, collaborative care natural change and selfchange ands dimension 4, readiness to change. Identify clinical information symptoms that correspond to. Asam dimension 3 emotionalbehavioral conditions lcdc. What goals have yet to be accomplished in treatment what youll work on next 3. Intoxication andor withdrawal potential minimal risk of severe withdrawal minimal moderate risk of severe. An introduction to the asam criteria for patients and families what is the asam criteria. Complete the contact information below and proceed to the ce quiz.