What goals have yet to be accomplished in treatment what youll work on next 3. The asam criteria american society of addiction medicine. Take a quick look at how asams criteria works asam continuum. Moving from fixed length of service to variable length of service. 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. 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 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. The american society of addiction medicine asam has developed a set of criteria aimed at helping clinicians select from four levels of care the one most. 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. Today the criteria have become the most widely used set of guidelines for placement. Treatment criteria for addictive, substancerelated. Adult asam placement criteria crosswalk dimension 5.
Biomedical conditions and complications physical health history and current condition. Asam patient placement criteria for the treatment of substancerelated disorders, second editionrevised asam ppc2r. Asam patient placement criteriaa teaching tool states create their own criteria casam, masam, nysam, asam in major us mco. Meelee d, shulman gd, fishman m, gastfriend dr, and griffith jh, eds. 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. Acute intoxication andor withdrawal potential minimal risk of severe withdrawa l. Standard descriptions of levels of care and who might need them. The american society of addiction medicine asam criteria, formerly known as the asam patient placement criteria, have become the most comprehensive and widely used set of guidelines for placement, continued stay, and transferdischarge of clients with addiction or cooccurring. Asam 6 dimension patient placement evaluation completed prior to admission showing evidence of asam 6 dimension impairment criteria are met for asam level 2. It is appropriate to retain the patient at the present level of care if.
Acute intoxication andor withdrawal potential the patient is experiencing signs and symptoms of withdrawal, or there is. Based upon asam adult patient placement criteriasecond edition revised client name. The criteria also provide levels of care that help manage particular treatment. Triage screening to determine eligibility and appropriateness proper member placement for admission and referral. Asam is the american society of addiction medicine. Overview of substance use disorder care clinical guidelines. Self attestation an attestation will be required for each enrolled facility and includes. Current state aod agency practices regarding the use of. Today the criteria have become the most widely used and.
Admission criteria by asam level pdf opens in new window. The oklahoma department of mental health and substance abuse services odmhsas mandates. Acute intoxication andor withdrawal potential past and current experiences of substance use and withdrawal. Placement criteria are seen as treatment matching criteria asam criteria must require more staff, expense, and administration to provide all the levels asam criteria is a medical model and requires everyone to hire a medical director asam criteria is biased to advocate for more inpatient treatment. Oct 14, 20 the asam criteria is not just a checklist of criteria to justify why you put the client in your program because your state or county requires you to use asams criteria. Medicines asam criteria for addictive, substancerelated, and co. 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 providing outcomeorientated and resultsbased care in the treatment of addiction. Nov 16, 2012 american society of addiction medicine asam dimensional treatment plan categories. Rastegar provides treatment for substance use disorders in an outpatient primary care setting and an inpatient unit. Level of care recommendation based on assessment of clients severity of illness 7 asam criteria background objectivity multidimensional assessment. Asam, founded in 1954, is a professional medical society representing over 6,000 physicians, clinicians and associated professionals in the field of addiction medicine. How to really use the new edition of the asam criteria. The asam criteria and addiction treatment matching naadac.
The universal problem areas will be used to formulate treatment plans. Treatment criteria for addictive, substancerelated, and cooccurring. 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.
American society of addiction medicine,washington, dc. 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 providing outcomeorientated and resultsbased care in the treatment of addiction. This collaboration provides effective behavioral health services that are better aligned to the six assessment and service planning dimensions of the asam criteria. Patient placement criteria checklist kentucky edition 2012. When managed care came on the scene in the 1980s various mcos developed their own placement criteria. Predictive validity of the asam patient placement criteria for naturalistically matched vs. The following are taken from the six dimensions of the asam patient placement criteria. Some counselors and programs didnt even know that there was an actual book of principles, guidelines, and criteria because they have a twopage crosswalk that says asam. 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. There were up to 50 separate sets of criteria and the difference between them varied greatly. 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. Substance use disorders assessments 4 december 2018, north star behavioral health system, anchorage, ak terminal objective.
An introduction to the asam criteria for patients and families aetna. This document was used as one of the key foundations of the ddap project, although it. Asam is dedicated to increasing access and improving the quality of addiction treatment, educating physicians and the public, supporting research and prevention, and promoting the appropriate role of physicians in the care of patients with addiction. Nonstandard, intuitive, then find out the rest later managed care wants more data. Guiding principles of asam criteria moving from limited number of levels of care to broad and flexible continuum of care identifying specific needs of adolescents clarifying goals of treatment fees, t. Audit utilizes a tool outlining the asam criteria by residential levels. Treatment criteria for addictive, substancerelated and cooccurring conditions. Asam criteria for adolescents asam criteria for adults.
Asam criteriaa training an introduction to the application of. Asam level of care loc determination guidelines 1 of 2. This document is a reference guide only and not an official publication of the american society of addiction medicine, inc. A framework for determining who needs what level of care. 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. Licensees use and interpretation of the american society of addiction. 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 individual through the most appropriate levels of treatment for that persons needs.
Rather than focusing on placement in a program, with a fixed length of stay, the asam criteria supports individualized, personcentered treatment responsive to assessed needs and gress. 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 criteria were developed by the american society of addiction medicine asam, and presented in a book written by a group of renowned doctors and. Asam ppc2r risk rating crosswalk asam patient placement. Six dimensions of the asam criteria the change companies. The cri teria provide guidelines not only for alcoholism treatment but also for other forms of drug abuse and dependence. Gastfriend and others published the asam patient placement criteria find, read and cite all the research you need on researchgate. The asam criteria is the most widely used and comprehensive set of guidelines for placement, continued stay, transfer, or discharge of patients with addiction. 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. 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.
The naatpasam patient placement criteria were superseded in june of 1991 by the asam patient placement criteria for the treatment of psychoactive substance use disorders. State laws that differ from asam criteria exceptions to the patient placement criteria level 0. Asam is dedicated to increasing access and improving the quality of addiction treatment, educating physicians and the public, supporting research and prevention, and promoting. Predictive validity of the asam patient placement criteria for hospital utilization. This confidential information is provided to you in accord with state and federal laws and regulations including but not. An introduction to the asam criteria for patients and families what is the asam criteria. Must meet the asam criteria definition levelofcare of medical necessity for services based on the asam criteria. An introduction to the asam criteria for patients and families. To help improve patient outcomes through their multidimensional assessment and the continuum of care. In 1989 the current incarnation of asam was formalized and 2yrs later. Patient placement criteria for the treatment of psychoactive substance use dis orders hoffman et al. Dc011 rev 082019 level of care placement assessment page 5 of 6 dimension 5. Magellan behavioral health checklist for asam adult patient placement criteria second edition revised author.
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. At the conclusion of this training, a participant will be able to outline a biopsychosocialspiritual assessment for determining if the interviewee has a substance use disorder. This confidential information is provided to you in accord with state and federal laws. Guidelines for assessment, treatment service planning, placement, continued stay and discharge conditions. 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 providing outcome oriented and resultsbased care in the treatment of addiction. Implementing the asam criteria an overview of asams criteria and continuum the asam criteria decision engine ohio department of mental health and addiction services. A resource for states developing sud delivery system reforms.
Asam 6 dimension patient placement evaluation completed prior to admission showing evidence of asam 6 dimension impairment criteria are met for asam level 3. Treatment criteria for addictive, substance related, and co occurring conditions. He is an associate professor of medicine at johns hopkins university school of medicine and is the medical director for the chemical dependence unit at johns hopkins bayview medical center. Criteria for how bad the problem is and what the client needs. The first dimension explores an individuals past and. 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. Understanding and using asam criteria in substance use. Mhp will authorize drug and alcohol withdrawal management services in accordance with asam treatment and level of care placement criteria for withdrawal and intoxication management, samhsa supported best practice, medicare, and applicable medicaid coverage requirements. Rate the client or patient on each of the six dimensions first and then analyze for level of care. Asam criteria uses six dimensions to provide a holistic assessment of the individual. Overview of substance use disorder sud care clinical guidelines. Today the criteria have become the most widely used set of guidelines for placement, continued.
87 1482 1391 1063 384 1254 120 347 961 1407 1149 884 752 1118 258 743 1057 1224 1148 817 85 59 676 1004 1218 972 1202 322 1059 1219 969 217 894 351 1005 886 271 696 552 506 1354 979 1296 924