A resource for states developing sud delivery system reforms april 2017. 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 disposition. Tips to get your clinical authorization approved by the ime. Treatment criteria for addictive, substancerelated. The oklahoma department of mental health and substance abuse services odmhsas mandates contracted treatment agencies to utilize this criteria in determining appropriate level of substance use disorder. As part of the state opioid response sor grant, the ohio department of mental health and addiction services is sponsoring two day, asam criteria implementation trainings as well as three day, asam criteria leadership implementation trainings. For full details, please consult the american society of addiction medicine s publication, the asam criteria. For staff not in the chevy chase office, please contact the publications department with questions. An introduction to the asam criteria for patients and families aetna. You can also use this information to plan treatment when a particular loc is unavailable. Nonstandard, intuitive, then find out the rest later managed care wants more data. Acute intoxication andor withdrawal potential risk rating. Treatment criteria for addictive, substancerelated, and cooccurring conditions adult levels of care dimension 1.
Asam 6 dimension patient placement evaluation completed prior to admission showing evidence of asam 6 dimension impairment criteria are met for asam level 3. The american society of addiction medicine asam criteria fact sheet october 2015. Sarah has lower back pain since her 20s 39 years old currently has been prescribed pain medications, but doesnt believe that they help. 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. Use the 6 asam assessment dimensions to assess problems that justify. Acute intoxication andor withdrawal potential no signs or symptoms. Treatment criteria for addictive, substancerelated and cooccurring conditions.
Asam patient placement criteriaa teaching tool states create their own criteria casam, masam, nysam, asam in major us mco. Assessment using the asam dimensions center for practice. 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. This overview is adapted from the asam adult admission criteria as presented in the asam ppc2r manual. Asam style cheat sheet a quick overview of common usage questions and formats all grammar rules listed here are derived from the ama manual of style. The asam criteria and addiction treatment matching naadac. It is an approximate summary to illustrate the principal concepts and structure of the admission criteria. Asam patient placement criteria when there is a sud. Today the criteria have become the most widely used set of guidelines for placement, continued stay and transferdischarge of patients with addiction and cooccurring conditions. This is a summary of the description of asam dimensions within each level of care.
Collecting information including during the interview, previous assessments, other collateral sources and results from. 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. Acute intoxication andor withdrawal potential dimension 2. 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. A copy is stored in the asam library reference section. Asam level of care loc determination guidelines 1 of 2. The clinician is prompted to add further information and rate the risk of each dimension. 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 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. Make objective decisions about placement along the continuum of care. Fill out, securely sign, print or email your asam dimensions cheat sheet form instantly with signnow. Treatment criteria for addictive, substancerelated and cooccurring conditions, third edition 20 by david meelee, gerald shulman, marc fishman. 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.
Based on the american society of addiction medicine asam criteria multidimensional assessment. Level of care loc cheat sheet this cheat sheet contains summaries of the various levels of care. Overview of substance use disorder sud care clinical guidelines. Emotional, behavioral, or cognitive conditions and complications dimension 4. How to track treatment progress and adherence with the. The information provided here will help you best implement asam s criteria. Asam criteria for adolescents asam criteria for adults. Medicines asam criteria for addictive, substancerelated, and co. 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. Biomedical conditions and complications dimension 3. 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. Chat client placement asam worksheet page 1 of 18 chat client placement asam worksheet this worksheet presents a summary of relevant client selfreported data from chat into each of the six dimensions of the asam criteria. It is intended to assist the clinician with making level of care loc placement decisions. Asam criteria, third edition matrix for matching adult.
Adult asam placement criteria crosswalk dimension 5. Consult the asam ppc2r manual for a comprehensive illustration of the criteria. Asam dimensions cheat sheet fill out and sign printable. Application of asam criteria to tap last modified by. Asam criteria for patients and families horizon nj health.
The changes are part of a range of programs designed to support effective implementation of the asam criteria and protect asam s intellectual property from misuse. Mild to moderate severity in dimension 3 and in 2 out of 3 of dimensions 4, 5 or 6. Use this information to help you determine which loc is appropriate for a patient. Treatment criteria for addictive, substancerelated, and cooccurring conditions. The description of services provided at high intensity residential asam level 3.
Level of care placement assessment name mrn aodc011 rev 082019 level of care placement assessment page 1 of 6 program name. The asam criteria supports individualized, personcentered treatment that is. Use the 6 asam assessment dimensions to assess problems that justify admission to care. The american society of addiction medicine asam criteria is an evidence based template to determine the appropriate level of substance use disorder. Loc hours necessary staff structure intensity length 0. This document is a reference guide only and not an official publication of the american society of addiction medicine, inc. Treatment criteria for addictive, substance related, and co occurring conditions. 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. An introduction to the asam criteria for patients and families what is the asam criteria. Asam levels of withdrawal management 1 level description ambulatory wm without extended onsite monitoring outpatient wm mild withdrawal but is at minimal risk of severe withdrawal syndrome and is assessed as likely to complete needed wm and to enter into continuing treatment or selfhelp recovery as evidenced by meeting one of these criteria. Assessment tool adults paper version rdbased on the asam criteria 3 edition multidimensional assessment.
Additionally, the following resources are available on the l drive under asam. How to track treatment progress and adherence with the asam criteria for nonclinical team members nadcp annual training conference may 31, 2018, 11 am 12. Today the criteria have become the most widely used set of guidelines for placement, continued stay and transferdischarge of patients with addiction and co. The oklahoma department of mental health and substance abuse services odmhsas mandates contracted treatment agencies to utilize this criteria in determining appropriate level of substance use disorder treatment level of care.
Asam at whatever level is appropriate for your position. Dsm 5 symptom criteria andor loci 3 information not linked with impairments of functioning. To ensure beneficiaries have access to the full continuum of care for substance use disorder sud treatment, the array of benefits offered through the drug medical organized delivery system dmcods waiver are modeled after the american. This document was used as one of the key foundations of the ddap project, although it. Licensees use and interpretation of the american society of addiction. An introduction to the asam criteria for patients and families. The naatp asam patient placement criteria were superseded in june of 1991 by the asam patient placement criteria for the treatment of psychoactive substance use disorders. Take a quick look at how asams criteria works asam continuum. About the asam criteria decision engine asam continuum tm, 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. Asam dimensions cheat sheet fill out and sign printable pdf. For the past two years, the medicaid innovation accelerator program iap has been providing a. This tool assists clinicians with effective client placement. Implementing the asam criteria an overview of asam s criteria and continuum the asam criteria decision engine ohio department of mental health and addiction services. The american society of addiction medicine asam criteria is an evidencebased template to determine the appropriate level of substance use disorder.
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