Is the client able to manage the activities of daily life. Clinical steps to ensuring the needs of your clients are. Substance use disorder sud treatment providers can use reassessment tools to. Jan 07, 2020 the american society of addiction medicine designation. Asam criteria for adolescents asam criteria for adults.
Please note that this report does not replace individual provider or sound clinical judgment. The american society of addiction medicine asam is a professional society representing over 3,600 health practitioners in the field of addiction, which developed the most widely used and comprehensive set of guidelines for placement, continued stay and transferdischarge of patients with addiction and cooccurring conditions referred to. Yes, the asam continuum assessment is a comprehensive assessment that is for individuals with a. Based on the asam criteria 3rd edition multidimensional assessment. Dhcs american society of addiction medicine asam residential level of care designation questionnaire. Meelee d, shulman gd, fishman mj, gastfriend dr, miller mm, eds.
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. The asam criteria offer a system for improving the modalitymatch through the use of multidimensional assessment and treatmentplanning thatpermits more objective evaluation of patient outcomes. The initial medical necessity form imn shows the included diagnosis and the criteria that support the diagnosis. To navigate through the ribbon, use standard browser navigation keys. To date, nearly 8,700 pennsylvania professionals have been trained in the use of. Asam american society of addiction medicine david meelee, m. The intent of thesummary multidimensional assessment section assessment is to consolidate the information gathered from all 6 asam dimensions onto one page to help the interviewer synthesize this information to develop an individualized case formulation and ultimately select the most appropriate asam level of care. 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. Asam training frequently asked questions 1 are there regulations or policies mandating asam criteria training. The information provided here will help you best implement asams criteria. Is there a particular form of support from this community you can use for your recovery. This appendix provides information about and samples of screening and assessment tools for substance use disorders. Adult asam assessment tool marin health and human services. Client is reported with mental health symptoms which may change status to cooccurring.
Adult asam placement criteria crosswalk dimension 5. Asam quick reference 32015 this document is not intended, nor is it appropriate to be used, as an asam assessment instrument. Session objectives learn what the best strategies are to determine which potential drug court clients are most suitable for your program. An introduction to the asam criteria for patients and families aetna. The american society of addiction medicines asams treatment criteria. In the description of each tool, the definition follows the tool acronym. Does the patient have supports to assist in ambulatory detoxification if medically safe. Can the client cope with emotional, behavioral, or cognitive conditions. What is the immediacy of the issue they include information about screening tools for adults and adolescents. The asam continuum assessment final report contains an analysis and placement recommendations based on the scored questionnaire items, using the clinical consensus algorithm. Has the patient been using multiple substances in the same drug class. 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.
Dc011 rev 082019 level of care placement assessment page 5 of 6 dimension 5. Asam criteriaa training an introduction to the application. Ppc2r assessment software sbir grant r44 aa12004 csat. Based on the american society of addiction medicine asam. 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. Clinical resources american society of addiction medicine. Using assessment protocols that address all six dimensions. Asam continuum is a family of products that allows clinicians and nonclinicians to assess patients with addictive, substancerelated and cooccurring conditions through computerguided, structured interviews. Call 911 and make immediate referral for psychiatric evaluation.
A short, confidential online screening tool which helps individuals assess their own alcohol consumption patterns to determine if their drinking is likely to be. There are four parts for you to share with us about your strengths, needs, abilities and preferences. Asam assessment considerations dimension 1 dimension 2 dimension 3 asam assessment. Dimension 1 sample questions are there current signs of withdrawal. Ddap asam criteria guidance regarding treatment planning, continued service and transferdischarge criteria 22819 rev 319 1 as has historically been the practice within our system and continues to be the case with the transition to the asam criteria, intake and level of care determination is based on a comprehensive assessment of. The department of health care services dhcs is designating the asam level of care. It should be used to provide a brief overview of asam components. Nonstandard, intuitive, then find out the rest later managed care wants more data. Relapse, continued use, or continued problem potential do you feel that you will either relapse or continue to use, without treatment or additional support. 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. These screening tools provide information to answer the questions. 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. When managed care came on the scene in the 1980s various mcos developed their own placement criteria. A physical examination must be performed by a physician, pa or np within 24 hours.
Understanding and using asam criteria in substance use. Understand how to develop and assessment protocols for your drug court. Asam 6 dimension patient placement evaluation completed prior to admission showing evidence of asam 6 dimension impairment criteria are met for asam level 2. Tips to get your clinical authorization approved by the ime.
The asam criteria and addiction treatment matching naadac. Does the asam continuum assessment replace the current asam assessment. Asam patient placement criteria when there is a sud. An introduction to the asam criteria for patients and families his document has been created to provide you information about how some of the decisions regarding your available treatment or service options may have been made. Overview funding and services idoc and idhw funding and authorization assessment admission, transfer, and continuing care denials discharge bpa health website. Medical necessity criteria beacon health options of. From their website, we learn the following summary. The six dimensions of multidimensional assessment asam s criteria uses six dimensions to create a holistic, biopsychosocial assessment of an individual to be. 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 levels of care are based on the degree of direct medical management structure, safety and security and the intensity of treatment services provided. My snap assessment for recovery this worksheet will help us talk with you about your mental health treatment here at cincinnati vamc. The asam criteria and addiction treatment matching. There were up to 50 separate sets of criteria and the. Jun 30, 2017 the asam criteria offer a system for improving the modalitymatch through the use of multidimensional assessment and treatmentplanning thatpermits more objective evaluation of patient outcomes. Learn the best strategies for how to identify the needs of your drug court participants. What does the asam continuum assessment final report. Asam is the american society of addiction medicine see asam. Substance use disorder sud treatment providers can use re assessment tools to identify the clients strengths and needs when making treatment decisions. Medical necessity and documentation for asam residential level of care lori t. Criteria for how bad the problem is and what the client needs. This confidential information is provided to you in accord with state and federal laws.
Alcohol use disorders identification test audit world health organization. Recommended asam level of care for dimension 3 emotionalbehavioralcognitive conditions. Treatment criteria for addictive, substance related, and co occurring conditions. Asam s criteria is an indispensable resource that addiction medicine professionals rely on to provide a nomenclature for describing the continuum of addiction services. A simple 10question instrument to screen and identify people at risk of alcohol problems. Please check andor list the items which best fit you at this time. An introduction to the asam criteria for patients and families what is the asam criteria. Use the 6 asam assessment dimensions to assess problems that justify admission to care. The information provided here will help you best implement asam s criteria. Examples of screening and assessment tools for substance use disorders. 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. I affirm that the information i give is truthful and complete.
Ddap asam criteria guidance regarding treatment planning. Asam, founded in 1954, is a professional society representing over 3,700 physicians, clinicians and associated professionals in the field of addiction medicine. Adolescent asam ages 12 17 based on the american society of addiction medicine asam criteria multidimensional assessment. As of january 1, 2020, ddap has added an online option to its approved. Asam crosswalk with pennsylvanias system of care asam crosswalk guidance for application of asam in pennsylvanias substance use disorder sud system of care. The six dimensions of assessment the six dimensions of assessment allow for professionals to properly place individuals.
An introduction to the asam criteria for patients and families. Referral to a specific level of care must be based on a careful assessment of the patient with an alcohol, tobacco andor other substance use disorder. Provide a brief narrative for each dimension that explains your rating of severityfunction. You must address all six dimensions utilizing the information. Here you will find all of the asam information and forms as you need them. A p hysical examination or appropriate referral within 72 hours if indicated by the physician, nursing assessment or screening process, except for 3. The asam continuum is being adapted for use in criminal justice populations and a fully implemented version is anticipated to launch by late 2020. The six dimensions of multidimensional assessment asams criteria uses six dimensions to create a holistic, biopsychosocial assessment of an individual to be. 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. Full asam assessment adult based on the asam criteria 3rd edition multidimensional assessment please circle one of the following levels of severity this confidential information is provided to you in accord with state and federal laws and regulations including but. State of californiahealth and human services agency.