After placing the patient in treatment, remember to go back into the asam. 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. Microsoft word asam continuum to sapc loc crosswalk 08. Treatment criteria for addictive, substancerelated, and cooccurring conditions. The most widely used and comprehensive set of guidelines for placement, continued stay and transferdischarge of patients with addiction and cooccurring conditions.
The service definitions all contain entrance criteria and continued stay criteria that are based on specific asam patient placement criteria. Level of care placement decisions should be led by a combination of patient choice and the professional judgment of sud health care providers. Predictive validity of the asam patient placement criteria for naturalistically matched vs. Treatment criteria for addictive, substance related, and cooccurring conditions. Today the criteria have become the most widely used and comprehensive set of guidelines for.
Overview of substance use disorder care clinical guidelines. Dimensions 1, 2, andor 3, then the patient does not qualify for level 4 problems in this dimension do not qualify the patient for level 4 services. While ddapapproved, formal training is essential for implementing the asam criteria2 with integrity and fidelity, this document will assist assessors and clinicians in. Pdf version of asam ppc 2r asam ppc2r risk rating crosswalk. The american society of addiction medicine asam criteria focuses on substance use treatment. Overview of the asam patient placement criteria, second. For convenience of describing different points of the continuum, asam has divided the continuum into sectors of. None or very stable, or is receiving concurrent medical monitoring. How to really use the new edition of the asam criteria.
Drug treatment for teens the asam adolescent levels of. Patient placement criteria checklist kentucky edition 2012 based upon asam adult patient placement criteriasecond edition revised. Some programs use the same treatment timeline for all of their patients such as putting everyone in a 28day program. Rate the client or patient on each of the six dimensions first and then analyze for level of care. Patient at high risk of withdrawal, but it is manageable at. Editor 2001 asam ppc2r, asam patient placement criteria for the treatment of substance related disorders, 2nd ed revised, 41. American society of addiction medicine asam criteria. Development of and rationale for patient placement criteria.
The asam criteria is a framework for patient assessment that is multidimensional. Asam 6 dimension patient placement evaluation completed prior to admission showing evidence of asam 6 dimension impairment criteria are met for asam level 2. According to the widely used asam adolescent placement criteria, there are 5 basic levels of teen addiction treatment. 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. Pennsylvanias client placement criteria for adults pcpc special populations and considerations. Through this strengthbased multidimensional assessment the asam criteria addresses the patients needs, obstacles and liabilities, as well as the patients strengths, assets, resources and support structure. Asam patient placement criteria a teaching tool states create their own criteria casam, masam, nysam, asam in major us mco. This document is a reference guide only and not an official publication of the american society of addiction medicine, inc. This overview is adapted from the asam adult admission criteria as presented in the asam ppc2r manual.
Included in this document is a template that can be used to crosswalk. This document will summarize the crosswalk between asam patient placement criteria and the adult substance abuse levels of care criteria for services which are authorized through the alliance um department. An introduction to the asam criteria for patients and families. Essential learning course crosswalk to carf standards. Asam criteria, third edition matrix for matching adult. Treatment criteria for addictive, substancerelated, and cooccurring conditions adult levels of care dimension 1.
Predictive validity of the asam patient placement criteria for. The following changes are made in the asam criteria. The asam criteria and addiction treatment matching naadac. The environment is chronically hostile and toxic to recovery. 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. The american society of addiction medicine asam patient placement criteria for the treatment of substancerelated disorders, reference f. The american society of addiction medicine is an organization of over 5000 physicians board certified in the recognition and treatment of those individuals with substance use or cooccurring issues. Please refer to the crosswalk on pages 175 and 176 of the asam manual, 3rd edition, which lists appropriate observations for each asam dimension that would qualify an individual for needing. Asam patient placement criteria when there is a sud.
The asam appropriate use of drug testing in clinical addiction medicine. Asam ppc2r risk rating crosswalk asam patient placement. Included in this document is a template that can be used to crosswalk state medicaid coverage of. The oklahoma department of mental health and substance abuse services odmhsas mandates. Consult the asam ppc2r manual for a comprehensive illustration of the criteria. Keep in mind that the asam criteria is an educational tool. The asam criteria views treatment length as a unique factorone that depends on the individuals progress and changing needs. Understanding and using asam criteria in substance use. If the patients only severity is in dimension 4, 5, and or 6 without high. The patient is unable to cope with the negative effects of this environment on recovery, and the environment may pose a threat to the patient s safety. Patient placement criteria checklist kentucky edition 2012. Asam developed the appropriate use of drug testing in clinical addiction medicine document to provide guidance about the effective use of drug testing in the identification, diagnosis, treatment and promotion of recovery for patients with, or at risk for, addiction. It is an approximate summary to illustrate the principal concepts and structure of the admission criteria. The following are the six dimensions of asam, and how they.
Learn about what happens at the end of treatment does it just end or do you stepdown to less intensive treatment. 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. Asam training, asam ecourse, asam training online, asam. Intervention and treatment services for individuals with. 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. If patient does need wm, but does not need medically. Overview of substance use disorder sud care clinical guidelines. The asam criteria pays attention to the whole patient, including all of his or her life areas, as well as all risks, needs, strengths, and goals. Clinical resources american society of addiction medicine. This confidential information is provided to you in accord with state and federal laws.
Asam patient placement criteriaa teaching tool states create their own criteria casam, masam, nysam, asam in major us mco. Dc011 rev 082019 level of care placement assessment page 5 of 6 dimension 5. The american society of addiction mediciine asam criteria, a. Medical necessity criteria beacon health options of.
Today the criteria have become the most widely used set of guidelines for placement. 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 providing outcomeoriented and resultsbased care in the treatment of addiction. 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. Reducing physical risk client patient transfers personal safety in the community. Alliance behavioral healthcare level of care guidelines. Although not empirically evaluated, these guidelines were developed through extensive collaboration with providers, payers, and other addiction experts and were published by the american society of addiction medicine asam.
Medicines asam criteria for addictive, substancerelated, and co. Asam criteriaa training an introduction to the application of. Relapse, continued use, or continued problem potential do you feel that you will either relapse or continue to use, without treatment or additional support. Asam patient placement criteria for the treatment of substancerelated disorders adult. Program related research based treatment approaches asam patient placement criteria sbirt. Assessment of biopsychosocial severity and function asam ppc2r.
Since 1991, the american society of addiction medicine asam has published the most comprehensive set of guidelines for assessment, service planning, placement, continued stay, and transferdischarge of individuals with addiction and cooccurring conditions. Pdf version of asam ppc 2r pdf version of asam ppc 2r download. Overview of the asam patient placement criteria, second edition revised asam ppc2r david meelee, m. 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. Treatment professionals are responsible for the care of their patients and must make. Adult asam placement criteria crosswalk dimension 5. The description of services provided at high intensity residential asam level 3. American society of addiction medicine asam how and when to use the criteria. To fully understand the different asam levels of care and appropriate matching of services to patient needs, refer to the service planning and placement chapter in the asam criteria.
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