This collaboration provides effective behavioral health services that are better aligned to the six assessment and service planning dimensions of the asam criteria. Understanding continued service and discharge criteria the asam criteria 20, pp 299306 after the admission criteria for a given level of. Cannot be billed within 7 days of w7330, w7350, w7370, or w7375 w7350 asam level 3. Asams criteria uses six dimensions to create a holistic, biopsychosocial. Asam patient placement criteria when there is a sud. The following are the six dimensions of asam, and how they. Assessment using the asam dimensions center for practice. Do symptoms appear to connect to the addiction or are they separate. This tool assists clinicians with effective client placement. Recovery and living environment 26 asam levels of care. 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.
Understanding the asam criteria in the context of the. The six dimensions of multidimensional assessment asam s 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. Dimension 3 assessment considerations do symptoms appear to connect to the addiction or are they separate. Collect information for each of the six asam dimensions figure 1 using the selected assessment tools to include a persons health and wellbeing, including hisher substance misuse, physical health, emotional status, readiness for change, relapse history, and. 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. Overview of the asam patient placement criteria, second. This worksheet is populated with data from asimv or chat interview within each of the six dimensions of the american society of addiction medicine asam patient placement criteria. This confidential information is provided to you in accord with state and federal laws and regulations including but not limited to applicable welfare and institutions code. They were created to help substance abuse professionals evaluate addicts individually according to lifestyle and emotional and psychological hindrances to recovery. 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.
An introduction to the asam criteria for patients and families. Using the six asam assessment dimensions, the biopsychosocial clinical data is organized as follows. Emotional, behavioral, or cognitive conditions and complications 4. Adult asam placement criteria crosswalk dimension 5. Orientation to asam patient placement criteria odyssey house of utah. 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 criteria uses six dimensions to provide a holistic assessment of the individual. Emotional, behavioral, or cognitive conditions and complications. Asam basics guiding principles of asam criteria moving from one dimensional to multidimensional assessment moving from program driven treatment to clinically driven and outcomes driven treatment moving from fixed to variable length of treatment fees, t. Most people with substance use disorders have problems in this dimension related to their disorder and it is difficult to tell if these are separate until there is a period of recovery. Criteria as a foundation for assessment, documentation, and treatment planning within all services. 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. Determine the appropriate level of service and level of care. Acute intoxication andor withdrawal potential past and current experiences of substance use and withdrawal. 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. 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.
Assessment tool adults paper version rdbased on the asam criteria 3 edition multidimensional assessment. The history of a clients past signs, symptoms and treatment is important, but never overrides the here and. Your treatment providers look at these dimensions from every angle, considering them separately and together, and exploring. Implications for adult problem solving courts david meelee, m. Conduct multidimensional assessment the asam criteria, 20, p124. There are six major life areas or dimensions detailed in the asam criteria, and each one influences the others. American society of addiction medicine asam how and when to use the criteria. 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. Understanding and using asam criteria in substance use.
If the criteria apply to the patients existing or new problems, the patient should continue in treatment at the present level of care. The american society of addiction medicine asam has ascribed six exploratory dimensions to substance abuse treatment and its continuum of care. Asams criteria uses six dimensions to create a holistic, biopsychosocial assessment of an individual to be used for service planning and treatment across all. How to develop treatment plans that make sense to clients. How to implement the new asam criteria skillbuilding in. There are six major life areas or dimensions detailed in the asam. Dimension 1 sample questions are there current signs of withdrawal. The asam criterias strengthbased multidimensional assessment takes into account a patients. 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.
Dimension 1 acute intoxication andor withdrawal potential. Relapse, continued use, or continued problems potential 6. Biomedical conditions and complications physical health history and current condition. 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. Six dimensions dimension i acute intoxication andor withdrawal potential dimension ii. Within the different levels of care listed by asam, there are numerous approaches to treatment that may be employed. Which assessment dimensions are most important to determine txpriorities specific focustarget for each priority dimension.
The dimensions act as guidelines for treatment admission placement. Has the patient been using multiple substances in the same drug class. Dimensional assessment asam criteria should be utilized to. It is a risk severity assessment of all six dimensions focusing on all of the priorities problems and resources in each. Treatment criteria for addictive, substance related, and cooccurring conditions, for a full description and guidance for the use of criteria. Understanding the asam 11222019 5 six dimensions of a multidimensional assessment focus on moving practitioners away from a onedimensional diagnosisdriven approach 9 acute intoxication andor withdrawal potential current signs of wd vital signs risk of severe wd symptoms, seizures, or other medical complications 1. Does the patient have supports to assist in ambulatory detoxification if medically safe.