Continued treatment at present level of care necessary to permit patient to continue to work toward his or her treatment goals. Clinical issues in intensive outpatient treatment robert f. Based on the asam criteria 3rd edition multidimensional assessment. 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. A resource for states developing sud delivery system reforms april 2017. The following are the six dimensions of asam, and how they. What is the immediacy of the issue they include information about screening tools for adults and adolescents. 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. 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. Understanding and using asam criteria in substance use disorder treatment planning what. 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. 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.
Change from focus on just substance abuse to biopsychosocial. An introduction to the asam criteria for patients and families what is the asam criteria. 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. Substance use disorders assessments 4 december 2018, north star behavioral health system, anchorage, ak terminal objective. Medicines asam criteria for addictive, substancerelated, and co. Three or more of the criteria described in exhibit 21 must be. Tips to get your clinical authorization approved by the ime. An introduction to the asam criteria for patients and families aetna. Clinicians will be able to use the asam criteria to definitively describe patient needs and reform ur. Asam american society for addiction management criteria.
Substance abuse and mental health services administration center for substance abuse treatment 1 choke cherry road rockville, md 20857 substance abuse. Nonstandard, intuitive, then find out the rest later managed care wants more data. Treatment criteria for addictive, substancerelated, and cooccurring conditions. American society of addiction medicine asam how and when to use the. 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. 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. The asam criteria structure multidimensional assessment around six dimensions to provide a common language of holistic, biopsychosocial. 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. 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. Examples of screening and assessment tools for substance use disorders. Treatment criteria for addictive substancerelated, and cooccurring. 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.
Within the five broad levels of care, decimal numbers are used to further express gradations of intensity of services. 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. Terminology dualdisorders vs cooccurring disorders. 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. Contractor shall identify beneficiaries at risk of developing a sud or those with an existing. Substance use disorder treatment providers and ccbhcs.
Specialty substance use disorder sud system documentation. Asam criteria for adolescents asam criteria for adults. Patient placement criteria for the treatment of psychoactive substance use dis orders hoffman et al. 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. The asam national practice guideline for the use of. The american society of addiction medicine asam criteria is an evidencebased template to determine the appropriate level of substance use disorder.
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 asam criteria are used to provide outcomeoriented and resultsbased care in the treatment of addiction. Actively working on goals articulated in individualized treatment plan. Addiction should be considered a biopsychosocialspiritual illness, for which the use of medications is only one component of overall treatment. The new asam criteria for the treatment of addictive, substancerelated and david meelee, m. Acute intoxication andor withdrawal potential no signs or symptoms of withdrawal, or individuals withdrawal can be safely. Asam 6 dimension patient placement evaluation completed prior to admission showing evidence of asam 6 dimension impairment criteria are met for asam level 1. 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. Treatment criteria for addictive, substance related, and cooccurring conditions. These screening tools provide information to answer the questions. Overview of substance use disorder care clinical guidelines. The oklahoma department of mental health and substance abuse services odmhsas mandates. 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.
The pipmag project was generously funded by the substance abuse and mental health services. The pacific southwest addiction technology transfer center. Service name halfway house level adult substance use disorder. 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. This list is in alphabetical order based on the tool acronym. 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. An introduction to the asam criteria for patients and families. Click download or read online button to get asam patient placement criteria book now. Dimension 1 sample questions are there current signs of withdrawal. Asam dimension 3 emotionalbehavioral conditions lcdc. Treatment plans need to be tied to your asam if a client has significant issues. The asam criteria provides one common language for assessing patient need and describes the continuum of addiction care treatment settings. May, 2015 the asam criteria text describes treatment as a continuum marked by four broad levels of service and an early intervention level. Acute intoxication andor withdrawal potential minimal risk of severe withdrawa l.
The cri teria provide guidelines not only for alcoholism treatment but also for other forms of drug abuse and dependence. The american society of addiction medicine asam criteria is an evidence based template to determine the appropriate level of substance use disorder. 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. The dsmiv describes criteria for diagnosing substance abuse and substance dependence. Treatment criteria for addictive, substancerelated, and cooccuring conditions the asam criteria3. 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. Understanding and using asam criteria in substance use.
Asam 6 dimension patient placement evaluation completed prior to admission showing evidence of asam 6 dimension impairment criteria are met for asam level 2. At the conclusion of this training, a participant will be able to outline a biopsychosocialspiritual assessment. 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. Not yet making progress but has capacity to resolve his or her problems. Substance use disorder, intensive outpatient treatment. Review the american society of addiction medicine s asam patient placement criteria. Service substance abuse and mental health services administration center for substance abuse treatment rockwall ii.
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. 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. Contractors staff shall provide screening, brief intervention, and referral to treatment sbirt for all substance use conditions. Adult asam placement criteria crosswalk dimension 5. New directions, new criteria naadac 2014 annual meeting september 26, 2014 david meelee, m. 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. Asam an overview asam history, criteria, and highlights of 20 changes. The asam criteria and addiction treatment matching naadac. 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. These levels of care provide a standard nomenclature for describing the continuum of recoveryoriented addiction services.
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. Licensees use and interpretation of the american society of addiction. The asam criteria and addiction treatment matching. 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. Substance use disorders and asam patient placement criteria rochelle headdunham, md, fapa. 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. Meelee, as patients receive treatment in the least intensive yet safe. Asam patient placement criteria download ebook pdf, epub. 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. 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. Substance abuse and substance dependence merge into substance use disorders sud with.
The new asam criteria for the treatment of addictive. The description of services provided by intensive outpatient treatment asam level 2. The individual meets specifications in each of the asam six dimensions for this level of care. Substance use disorders and asam patient placement criteria. The asam criteria are the most intensively studied set of addiction placement criteria, having undergone numerous evaluations and studies of effectiveness. Some of the items address abuse and dependence criteria but, because of some of the limitations, may not. Substance use disorder, intensive outpatient treatment asam level 2. 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. Take a quick look at how asams criteria works asam continuum. Ccbhcs will provide integrated care across the health care continuum, promoting a recoverybased focus to services. A considerable body of work exists to date on the asam criteria including at least ten evaluations involving a total of 3,672 subjects.
The asam criteria treatment criteria for addictive. Asam criteriaa training an introduction to the application. Substance abuse programs and the principal investigator and director of the samhsafunded pacific southwest addiction technology transfer center hhs region 9. Dec 26, 2012 all the information published on this site comes from known sources such as textbooks, manuals, research articles, and online sources. Overview of substance use disorder sud care clinical guidelines. The asam standards of care for the addiction specialist physician. In addition, the center for substance abuse treatment csat has. 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. Asam an overview asam history, criteria, and highlights of 20 changes third thursday provider call january 15, 2015. Intensive outpatient treatment which includes partial hospitalization is a planned and organized.
Today the criteria have become the most widely used set of guidelines for placement, continued stay and transferdischarge of patients with addiction and co. 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 american society of addiction medicine david meelee, m. Treatment criteria for addictive substancerelated, and co occurring. This confidential information is provided to you in accord with state and federal laws. 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. Treatment criteria for addictive, substancerelated, and cooccurring conditions 20. The new asam criteria for the treatment of addictive, substancerelated, and. 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.