Asam treatment criteria formerly known as patient placement criteria ppc 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. All information in this presentation was obtained and used. 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. 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. An introduction to the asam criteria for patients and families aetna. Benchmark levels of care for adolescents and adults. Cans child and adolescent needs and strengths mental health substance use disorders statespecific criteria e. This overview is adapted from the asam adult admission criteria as presented in the asam ppc2r manual. An introduction to the asam criteria for patients and families. Predictive validity of the asam patient placement criteria for.
Please refer to pages 300 and 303 in the asam manual, 3rd edition for further information. 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. Currently it is in its third edition under the title asam criteria treatment criteria for addictive, substance related and cooccurring conditions. Treatment criteria for addictive, substance related, and cooccurring conditions. Asam, founded in 1954, is a professional medical society representing over 6,000 physicians, clinicians and associated professionals in the field of addiction medicine. Asam american society for addiction management criteria. Impairments of function not presented or not presented clearly. Acute intoxication andor withdrawal potential none or mini malstable withdrawal risk.
Understanding and using asam criteria in substance use. Adolescent asam placement criteria crosswalk to select the correct level of care, choose the highest level of care that has two or more criteria met. 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. Acute intoxication andor withdrawal potential minimal risk of severe withdrawa l. Formerly known as the asam patient placement criteria, the asam criteria is the result of a. Review of the levels of care available in partners bhm service array. This collaboration provides effective behavioral health services that are better aligned to the six assessment and service planning dimensions of the asam criteria. Adolescent and adult treatment plans are developed through a. Understanding and utilizing the asam placement criteria david meelee, m. Asam 6 dimension patient placement evaluation completed prior to admission showing evidence of asam 6 dimension impairment criteria are met for asam level 2. Provide the effective date costs begin to be incurred. Today the criteria have become the most widely used and. Identification of providers offering services for each level of care.
Supplemental asam training for adolescent populations course description. Acute intoxication andor withdrawal potential past and current experiences of substance use and withdrawal. Fishman served as a coeditor for the most recent editions of asams patient placement criteria, leading the adolescent section, and served as the chief editor for the asam ppc supplement on pharmacotherapies for alcohol use disorders. Treatment criteria for addictive, substancerelated and cooccurring conditions. 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 book includes a matrix for matching adolescent severity and level of.
Today the criteria have become the most widely used set of guidelines for placement. The asam criteria structure multidimensional assessment around six dimensions to provide a common language of holistic, biopsychosocial. Asam level of care loc determination guidelines 1 of 2 as emergency needs come first, the highest severity problem with specific attention to dimensions 1, 2 and 3 should guide the clients entry point into the treatment continuum. 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 was first published in 1991 under the title of asam patient placement criteria. The case for placement criteria for adolescent substance. Tool 3 continuing service criteria assessment tool 4. Take a quick look at how asams criteria works asam continuum. Predictive validity of the asam patient placement criteria for naturalistically matched vs. Dsm 5 symptom criteria andor loci 3 information not linked with impairments of functioning.
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. It is an approximate summary to illustrate the principal concepts and structure of the admission criteria. Implications for adult problem solving courts david meelee, m. An introduction to the asam criteria for patients and families what is the asam criteria. Drug treatment for teens the asam adolescent levels of. Asams criteria are the most intensively studied set of addiction placement criteria. Treatment criteria for addictive, substancerelated, and cooccurring conditions. Snapshot of a client that would be appropriate for each level of care. Audit utilizes a tool outlining the asam criteria by residential levels. If an adolescent is depressed, assume major depression until proved otherwise. 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. Learning objectives after completing this course, participants will. Adolescent asam ages 12 17 based on the american society of addiction medicine asam criteria multidimensional assessment.
The case for placement criteria for adolescent substance use disorders. Asam patient placement criteria a teaching tool states create their own criteria casam, masam, nysam, asam in major us mco. 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 providing outcomeorientated and resultsbased care in the treatment of addiction. Tap assessment this form is being provided by ddap in the instance there is an entity that is not required to enter the asam criteria information into pa wits but still wishes to use the form. This document was used as one of the key foundations of the ddap project, although it. Admission criteria by asam level pdf opens in new window. The asam criteria are designed around six criteria dimensions reflecting the severity of the patients alcoholrelated problems. Asams criteria, formerly known as the asam patient placement criteria, began in the 1980s to define one. Biomedical conditions and complications physical health history and current condition.
Asam criteria uses six dimensions to provide a holistic assessment of the individual. Review admission criteria for chosen level of care to ensure proper clinical fit. The asam criteria is a collection of objective guidelines that give clinicians a. Consult the asam ppc2r manual for a comprehensive illustration of the criteria. Patient placement criteria for the treatment of substancerelated disorders, second edition asam ppc2. Self attestation an attestation will be required for each enrolled facility and includes. Supplemental asam training for adolescent populations. Asam 6 dimension patient placement evaluation completed prior to admission. He is the chair of the adolescent committee for asam. It is not the severity or functioning that determines the treatment plan, but the diagnosis, preferably in dsm terms.
Asam 6 dimension patient placement evaluation completed prior to admission showing evidence of asam 6 dimension impairment criteria are met for adolescent 3. 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. Tips to get your clinical authorization approved by the ime. Identify asam and the history of its development describe how asam criteria fit into the assessment process identify asam levels of care describe asam dimensional criteria 2. What goals have yet to be accomplished in treatment what youll work on next 3. Adult asam placement criteria crosswalk dimension 5. Use the 6 asam assessment dimensions to assess problems that justify admission to care. Other frequently needed linkages include, medical, family, special education, school support, juvenile justice, social welfare, etc. Understanding and utilizing the asam placement criteria. Asam ppc2r risk rating crosswalk asam patient placement.
Adolescent asam criteria kentucky cabinet for health and family. Predictive validity of the asam patient placement criteria for naturalistically. The asam criteria american society of addiction medicine. Patient placement oiteria for the treatment of psychoactive substance use disorders. The asam criteria are designed to determine the appropriate treatment of clients based upon their level care for both initial placement. Asam criteria levels of care level same levels of care for adolescents except level 3. The following changes are made in the asam criteria.
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. Asam level of care loc determination guidelines 1 of 2. Continued service and discharge criteria ppc2r, pp. Understanding continued service and discharge criteria the asam criteria 20, pp 299306 after the admission criteria for a given level of care have been met, the criteria.
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