The american society of addiction medicine asam patient placement criteria for the treatment of substancerelated disorders, reference f. A framework for determining who needs what level of care. Asam 6 dimension patient placement evaluation completed prior to admission showing evidence of asam 6 dimension impairment criteria are met for asam level 2. Overview of the asam patient placement criteria, second. The second edition ppc2 was published in 1996 and a revised second edition asam ppc2r was published april, 2001. Treatment professionals are responsible for the care of their patients and must make independent. Understanding and using asam criteria in substance use. 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. Take a quick look at how asams criteria works asam continuum. Acute intoxication andor withdrawal potential risk rating. The patient placement criteria of the american society of addiction medicine asam first published in 1991, provides a common language to help the field develop a broader continuum of care. The naatp asam patient placement criteria were superseded in june of 1991 by the asam patient placement criteria for the treatment of psychoactive substance use disorders. Asam ppc2r risk rating crosswalk asam patient placement. An introduction to the asam criteria for patients and families.
Understanding and utilizing the asam placement criteria david meelee, m. 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. Pdf patient placement criteria and their relation to access to. Asam criteria, third edition matrix for matching adult. Understanding and utilizing the asam placement criteria.
Acute intoxication andor withdrawal potential no signs or symptoms of withdrawal, or individuals withdrawal can be safely. An example of patient flow throughout the sud care continuum can illustrate how. 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. 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. Overview of the asam patient placement criteria, second edition. Mismatched placement, according to the american society of addiction medicine s asam patient placement criteria ppc, promotes noshows to. The following changes are made in the asam criteria. The patient placement criteria published by the american society of addiction medicine asam criteria established a nonproprietary standard for matching substance use disorder patients to. These criteria for admission, continued stay, and discharge were described in terms of four. The patient may not have any significant problems in this dimension. Rate the client or patient on each of the six dimensions first and then analyze for level of care. The need for housing and a safe recovery environment cannot be the sole. Asam patient placement criteria asam ppc the american society of addiction medicine asam is the leading medical specialty society for alcohol and drug addiction treatment in the world.
This document was used as one of the key foundations of the ddap project, although it. The cri teria provide guidelines not only for alcoholism treatment but also for other forms of drug abuse and dependence. 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. Tips to get your clinical authorization approved by the ime. Continued service and discharge criteria ppc2r, pp. Pdf patient placement criteria ppc facilitate treatment matching through. Previous editions patient placement criteria 1991 patient placement criteria 2 1996 patient placement criteria 2r 2001. Today the criteria have become the most widely used set of guidelines for placement.
The asam criteria and matching patients to treatment. Medicines asam criteria for addictive, substancerelated, and co. Thus, in march 1991, the american society of addiction medicine published patient placement criteria for the treatment of psychoactive substance use disorders hoffmann et al. Asam patient placement criteria download ebook pdf, epub. This document is a reference guide only and not an official publication of the american society of addiction medicine, inc. Understanding the new asam criteria misti storie, ms, ncc. 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. Click download or read online button to get asam patient placement criteria book now. Patient placement criteria for the treatment of psychoactive substance use dis orders hoffman et al. The role and current status of patent placement criteria. Predictive validity of the asam patient placement criteria for naturalistically matched vs. June 9, 2005 samhsas cooccurring center for excellence coce.
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. How to use the asam criteria the asam criteria is useful to patients, treatment providers, managed care providers, and other stakeholders and professionals. 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. Please refer to the crosswalk on pages 175 and 176 of the asam manual, 3rd edition, which lists appropriate observations for each asam dimension that would qualify an individual for needing. Asam 6 dimension patient placement evaluation completed prior to admission showing evidence of asam 6 dimension impairment criteria are met for asam level 1. Overview of the asam patient placement criteria, second edition revised asam ppc2r david meelee, m. One important aspect of the asam criteria is that it views patients in their entirety, rather than a. The criteria were developed by the american society of addiction medicine asam. Based upon asam adult patient placement criteria second edition revised client name. The asam criteria encompass all pertinent biopsychosocial aspects of addiction and mental health that determine severity of the patient s illness and level of. The criteria also provide levels of care that help manage particular treatment. Treatment criteria for addictive, substancerelated, and cooccuring conditions the asam criteria 3. The asam criteria are the most intensively studied set of addiction placement criteria, having undergone numerous evaluations and studies of effectiveness.
The asam national practice guideline for the use of. Predictive validity of the asam patient placement criteria for hospital utilization. Continued treatment at present level of care necessary to permit patient to continue to work toward his or her treatment goals. Asam criteria retain at the present level of care if. The role and current status of patient placement criteria in the. For convenience of describing different points of the continuum, asam has divided the continuum into sectors of five general levels of service. Patient placement criteria checklist kentucky edition 2012. Addiction should be considered a biopsychosocialspiritual illness, for which the use of medications. The asam criteria and addiction treatment matching naadac. However, if any of the dimension 3 conditions are present, the patient must be admitted to a cooccurring. Asam patient placement criteria a teaching tool states create their own criteria casam, masam, nysam, asam in major us mco. The asam criteria is most widely used and comprehensive set of guidelines for placement, continued stay and transferdischarge of patients with addiction and cooccurring conditions.
The asam criteria are designed around six criteria dimensions reflecting the severity of the patients alcoholrelated problems. Making progress, but not yet achieved goals articulated in individualized treatment plan. An introduction to the asam criteria for patients and families what is the asam criteria. 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. 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. Feasibility of matching alcohol patients to asam levels of care.
It can help you understand how he asam criteria is used in treatment, and how professionals such as physicians. Asam criteria as a model for chronic addiction disease management 10. Today the criteria have become the most widely used and. 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. The revised second edition asam patient placement criteria. An introduction to the asam criteria for patients and families aetna. Predictive validity of the asam patient placement criteria for. How to really use the new edition of the asam criteria.
The asam patient placement criteria for the treatment of substancerelated disorders to. Acute intoxication andor withdrawal potential minimal risk of severe withdrawa l. Treatment criteria for addictve, substancerelated and cooccurring conditions new level of care numbering system from roman to arabic numbers e. Development of and rationale for patient placement criteria b. National clinical criteria, which has been in existence since the publication of the first edition of the. Through this strengthbased multidimensional assessment the asam criteria addresses the patient s needs, obstacles and liabilities, as well as the patient s strengths, assets, resources and support structure. To facilitate oversight of the asam patient placement criteria asam ppc, asams board of. American society of addiction medicine asam how and when to use the criteria. Asam patient placement criteria for the treatment of substancerelated disorders, revised asam ppc2r 2nd ed. Criteria for how bad the problem is and what the client needs. 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.
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