The ASAM Criteriasstrength-based multidimensional assessment takes into account a patient's needs, obstacles and liabilities, as well as their strengths, assets, resources, and support structure. Definition: American Society of Addiction Medicine (ASAM)'s Level of Care is a fancy way of saying "the amount of treatment a person needs to recover." Using the ASAM criteria to determine how severe the person's needs are, this should be reassessed often throughout treatment, usually every 30-90 days.. Today the criteria have become the most widely used and comprehensive set of guidelines . Contact USA.gov. III. Visit SAMHSA on Instagram All rights reserved. The ASAM criteria is the most widely used and comprehensive set of guidelines for placement, continued stay and transfer/discharge of patients with addiction and co-occurring conditions. ASAM Scoring Guide Score each box separately: 0=none, 1=mild, 2=moderate, 3=severe ASAM corresponding LOC recommendations n Early Intervention/DUI Program (Level 0.5): Dimensions 1, 2, 3 and 4 stable. Receive the latest news and updates from ASAM's science, health technology, quality care, and publications. the appropriate level of care across a continuum. Social Work Continuing Education. zDP#hK'YnX;;?='zQv\=u5EpPy6+" with Extended On-site Monitoring Level 3.2-WM: Clinically managed Residential Withdrawal Management Level 3.7-WM: Medically Monitored Inpatient Withdrawal Management hbbd``b`@3b{>e" @;HX= @H& The ASAM Criteria Implementation Guide addresses the need of treatment programs and systems of care to have a practical tool to help implement the standards found in The ASAM Criteria . procedures, and systems a program should have in place to meet the standards. in a plan of action submitted to CARF and annually attest to continued satisfaction of the applicable rating elements. Subscribe>>>, Join leaders in the field of addiction medicine. ASAM Level 3.1 is called Clinically Managed Low-Intensity Residential Services for adolescents and adults. !LxVB6Qh(x7QE|YF522zq"5BM].niIA6Abg 61A88 Q%oX+1~X0!Sx)A, 1atp=iq Complete all Diagnostic Determination Tools and Stay Reviews for program treatment clients. Continued treatment at the present level of care is assessed as necessary to permit the patient to continue to work toward his or her treatment goals; and/or -New problems have been identified that are appropriately treated at the present level of care. Receive updates from ASAM regarding CME, online education, and events on a variety of addiction-related topics. Dimension 4 professional clinical counselor interns (PCCIs). SAMHSA Blog. endobj Services provided All mental health and substance use treatment residential facilities for initial review, including Crisis Stabilization, Therapeutic Group Homes, Psychiatric Residential Treatment Facilities, and ASAM levels 3.1, 3 . DgQM#%a5T^*o1bN=F0n !" The ASAM Level of Care Certification gives patients, loved ones, payors, and regulators the knowledge that a given treatment program is capable of administering evidence-based addiction treatment that is appropriately matched to a patient's individual needs. It is an organized outpatient service that delivers treatment services usually during the day as day treatment or partial hospitalization services. Subscribe>>>, Receive the latest news and updates from ASAM's science, health technology, quality care, and publications. 2112 0 obj <>stream Properly document services in the clinical record and prepare service/recovery/treatment plans as appropriate. Join leaders in the field of addiction medicine. All rights reserved. Many states across the country are using The ASAM Criteria as the foundation of their efforts to improve the addiction treatment system. endobj and providers of care in both the public and private sectors. >4[oYY{-H8Uug./_&aEQUK>0f Called Clinically Managed Medium-Intensity Residential Services for adolescents and Clinically Managed High-Intensity Residential Services for adults, this level of care provides 24-hour care with trained counselors to stabilize multidimensional imminent danger and prepare for outpatient treatment. 4-*W\w0`Wi>sJ=?9>8z>[-\z?(ig~GROlmVYVYx\ American Society of Addiction Medicine is the Nations leading addiction medicine society representing physicians, clinicians and other professionals. %%EOF Within the five broad levels of care, decimal numbers are used to further express gradations of intensity of services.These levels of care provide a standard nomenclature for describing the continuum of recovery-oriented addiction services. Subscribe>>>, Receive timely and useful news briefings of top stories in addiction policy, combined with ASAM developments related to national and state addiction medicine advocacy. Receive updates from ASAM regarding CME, online education, and events on a variety of addiction-related topics. Subscribe>>>, Receive timely and useful news briefings of top stories in addiction policy, combined with ASAM developments related to national and state addiction medicine advocacy. he ASAM Criteria. setting given the patients current severity and functioning: If the most appropriate Level of Care is not utilized, then enter the next appropriate Level of Care. 448 0 obj <> endobj endobj Based upon an analysis of the data, several elements were updated to reflect advances in practice and foster more comprehensive and effective adoption of existing ASAM Criteria rating elements across 3.1, 3.5, and 3.7 levels of care. endobj qy>IY;AuCo>0zz#F":-x$ endstream endobj startxref defines the standards for conducting a comprehensive biopsychosocial assessment to inform patient placement and treatment planning. Counseling is available 16 hours a day to engage patients in treatment. y1vrHDDj[NR[5M w[+W$\n1A6,[n_An(}vn+[mDDDTZ'zeh|k]m Called Clinically Managed Population-Specific High-Intensity Residential Services, this adult only level of care typically offers 24-hour care with trained counselors to stabilize multidimensional imminent danger along with less intense milieu and group treatment for those with cognitive or other impairments unable to use full active milieu or therapeutic community. A web-based tool to assist treatment providers in determining appropriate levels of care for clients. ASAM offers publications and trainings to help treatment programs craft and implement policies and procedures that will help them achieve this goal. U6 `lW%VC?~rMbA&~Yn}]}8pHF0Wp 7-0JB3~OxweyCE"r\0 stream A full list of the levels of care is provided To develop updated rating elements, ASAM and CARF completed a review of over two years of data from the ASAM Level of Care Certification. It does not dictate a particular standard of care or speciic treatment decisions. To maintain uninterrupted certification beyond the three-year term of certification, programs must timely Instructions: For each dimension, indicate the least intensive level of care that is appropriate based on the patients severity/functioning and service needs. As programs begin to prepare for initial LOCC certification or recertification, they are asked to review the updatedrating elements here. Would the patient with alcohol or opioid use disorders benefit from and be interested in Medication-Assisted Treatment (MAT), ASAM Criteria Level of Care- Other Treatment and Recovery Services, Consider referral to mental health facility, 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, Civil Code, and HIPAA Privacy Standards. These levels of care (Levels 0.5-4) span a continuum of care that represent various levels of care. VK} OHA will use ASAM or ASAM-based compliance tools to measure the level of adherence to . THE ASAM CRITERIA The Gold Standard for Level Of Care Determination First published in 1991 Current 3rd Edition published in 2013 CONTINUUM . Subscribe>>>, Receive the latest news and updates from ASAM's science, health technology, quality care, and publications. %PDF-1.6 % The coalition addressesfeedback and ensures that the Criteria adequately serves and supports medical professionals,employers purchasers ASAM CONTINUUM. It does not dictate a particular standard of care or speciic treatment decisions. For treatment providers,The ASAM Criteriaprovides a holistic approach for determining individualized and outcome-driven treatment plans for patients. Certification covering adolescent programs, co-occurring enhanced programs, and programs at other Levels of Care may be developed only way to be certain that a program has this ability. General Approach. %%EOF The ASAM Criteriais the result of a collaboration that began in the 1980s to define one national set of criteria for providing outcome-oriented and results-based care in the treatment of addiction. ASAM Criteria Subscribe>>>, Receive the latest news and updates from ASAM's science, health technology, quality care, and publications. by Train for Change Inc. are tailored to the organization with the goal of guiding and supporting successful conformance with the rating elements and standards necessary to achieve the relative level(s) of care certification(s). Receive the latest news and updates from ASAM's science, health technology, quality care, and publications. Subscribe>>>. Treatment programs already capable of delivering the evidence-based care outlined in The ASAM Criteria will receive well-deserved recognition for their commitment to helping patients. Brief ASAM Screening Tool Client Name: _____ City/geographic r egion: _____ Were responses provided by a third party? Delivered in partnership with CARF International (CARF), is the first program of its kind to independently assess and verify treatment programs capacity to deliver services consistent with the level of care standards described in The ASAM Criteria. Administrators, Payers & Policymakers States across the country are using The ASAM Criteria as the foundation of efforts to improve the addiction treatment system. 0Z@S `= oPE 2:FZ.EHJq:0?g" ni_d2/SqtZ C~4-:(<1*8 #+_G& Pv"B&BL$&'fE#0}favG;b|,SGLchDd%$~F,-VS)V@-G@IidZ%,=5k_txyCb{(*B~Sv2%%W)Y7bIq9i-BpG/-5zw?y\;bE2(]fST5HqHx)9F W@z-G-@!&a#,fiZ6wW_jZ5j6o)}[,WR!I*zEuzh O,:+qzu7r3}f"SC8|k9.;i|JH=]U'~:+baQy'mD|#_=m?oMn>PE}Z# 2021 American Society of Addiction Medicine. are designed to guide attendees through the standards and rating elements, and describe the path to achieving certification in their organizations, with guidance <>/XObject<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 960 540] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Then, the least intensive level of care that can safely and effectively help the client meet identified needs guides the LOC determination. Who uses The ASAM Criteria Patients This brief overview is not intended to replace the use of the comprehensive admission criteria as described in "The ASAM Criteria: Treatment Criteria for Addictive, Substance-Related, and Co-Occurring . NYS Education Dept. 1-877-SAMHSA-7 (1-877-726-4727), ASAM Criteria for Patients with Addiction and Co-occurring Conditions. Train for Change Inc.is a trusted training and consulting organization, to provide consulting services for the ASAM Level of Care Certification delivered in partnership with CARF International. Complete SUD and Mental Health assessments incorporating ASAM criteria. endstream endobj 2071 0 obj <>stream 4 ___ Incapacitated, with severe signs and symptoms of withdrawal ___ Severe withdrawal presents danger (e.g. Called Early Intervention for Adults and Adolescents, this level of care constitutes a service for individuals who, for a known reason, are at risk of developing substance-related problems, or a service for those for whom there is not yet sufficient information to document a diagnosable substance use disorder. will initially cover adult residential programs at Levels 3.1, 3.5, and 3.7 of The ASAM Criteria. Enter the ASAM Level of Care (e.g., 3.1, 2.1, 3.2, W.M) number that offers the most appropriate treatment. Oversight and revision of the criteria is a collaborative process between ASAM leadership andthe Steering Committee of the Coalition for National Clinical Criteria. LUUO=m6s>Qx~;*JUccJ(I|x5I[w]y"N9:x6}utI[.=Dfvj/DDDfwMY0_~U(]fVq{o}mx6~j oCSu6rHDDdv?7n=0\u;yB"""ct)3cszLWN^VU#Ja6|sHDDdJoxF-RS"*[nm0V/}^zJa6%l>jws*;hu@)aN\h m0sZ]cF'o2+]'G|m|k`8$""2V{O^ 7vyX)|_]o }()UG+t~#EuoJa:?z6wOK#qDDDF%e?dCQGm0w!r8/@)L:pL1=s[)&|\HCDDdw"OHo {J?RP!;V\o`6IC5k9V All rights reserved. A detailed description of the services typically offered in this level of care, the care setting and how to identify what patients would benefit best from these services based on an ASAM dimensional needs assessment begins on page 244 of The ASAM Criteria: Treatment Criteria for Addictive, Substance-Related, and Co-Occurring Conditions (2013). Patients in this level of care require medication and have a recent history of withdrawal management at a less intensive level of care, marked by past and current inability to complete withdrawal management and enter into continuing addiction treatment. Software More, Acute intoxication and/or withdrawal potential, Emotional, behavioral, and cognitive conditions and complications, Relapse, continued use, or continued problem potential. {%si's088}%?"R{d3k*%($2DdaR*i"HOe8x-28kcO5 This means it pays attention to the whole patient, including all of his or her life areas, as well as all risks, needs, strengths and goals. Subscribe>>>, Receive timely and useful news briefings of top stories in addiction policy, combined with ASAM developments related to national and state addiction medicine advocacy. <> Have a question about government service? <> This page is available in other languages. A detailed description of the services typically offered in this level of care, the care setting, and how to identify what patients would benefit best from these services based on an ASAM dimensional needs assessment, begins on page 265 of The ASAM Criteria: Treatment Criteria for Addictive, Substance-Related, and Co-Occurring Conditions (2013). American Society of Addiction Medicine. xUMoF2V;% L:uZEFmh)&@}g);K_HpvovIwi~B" Visit CARF's provider locator and search "ASAM" to find all certified programs. endstream ASAM LEVEL 3 ASAM Level 3 is the broad level of care that refers to residential services and encompasses ASAM levels 3.1, 3.3, 3.5 and 3.7. 0 2066 0 obj <> endobj that, when determining service and care recommendations, he ASAM Criteria . Level 3 encompasses residential services that are described as co-occurring capable, co-occurring enhanced, and complexity capable services, which are staffed by designated addiction treatment, mental health, and general medical personnel who provide a range of services in a 24-hour treatment setting. is an educational tool. Drug Medi-Cal ASAM Level of Care Determination To align access to SUD service delivery across the state, DHCS will issue guidance establishing that the ASAM Criteria be used to determine the appropriate level of care for covered SUD treatment services in both DMC-ODS counties and DMC State Plan counties. Subscribe>>>, Join leaders in the field of addiction medicine, May 13, 2015 Reporting from Rockville, MD, https://www.asam.org/asam-criteria/asam-criteria-software/asam-continuum/knowledge-base/details/knowledge-base-continuum/2015/05/13/what-are-the-asam-levels-of-care, ASAM - American Society of Addictin Medicine, https://www.asam.org/ResourcePackages/ASAM2021/assets/dist/img/asam-logo.svg. of rating elements applicable to the applied-for Level(s) of Care and issue an independent certification decision. Receive updates from ASAM regarding CME, online education, and events on a variety of addiction-related topics. Currently covers adult residential programs at levels 3.1, 3.5, and 3.7 of The ASAM Criteria. Called Outpatient Services for adolescents and adults, this level of care typically consists of less than 9 hours of service/week for adults, or less than 6 hours a week for adolescents for recovery or motivational enhancement therapies and strategies. Treatment programs seeking to improve so that they are capable of offering evidence-based care will be able to turn to ASAM for assistance. A detailed description of the services typically offered in this level of care, the care setting and how to identify what patients would benefit best from these services based on an ASAM dimensional needs assessment begins on page 280 of The ASAM Criteria: Treatment Criteria for Addictive, Substance-Related, and Co-Occurring Conditions (2013). The decision engine is based on The ASAM Criteria and uses research-quality questions (including tools such as the ASI, CIWA, and CINA instruments) to generate a comprehensive patient report, that details DSM substance use disorder diagnoses, severity and imminent risks as well as a recommended level of care determination. hYko+KE;S84 bm,I%WVdc9h9H33ELD gLhM D)i{bfeq0" 7\>nLB-$~f2rHp3Yl&hoi.N|r|\sg56OvviePtkq?_+E-DH(sx]2tt&iuS}2K-~?-z(Gvs7q~eMsi||OA"siZuVp;&"9~_Qk? Developed by ASAM and the UCLA Integrated Substance Abuse Programs with funding from the California Department of Health Care Services, this addiction treatment resource supports increased quality and consistency of patient assessments and individualized, patient-centered care. These standards describe six dimensions that should be assessed, including: Speaking the Same Language: A Toolkit for Strengthening Patient-Centered Addiction Care in the United States, Load The ASAM Level of Care Certification gives patients, loved ones, payors, and regulators the knowledge that a given treatment program is capable of administering evidence-based addiction treatment that is appropriately matched to a patients individual needs. Level 3 encompasses residential services that are described as co-occurring capable, co-occurring enhanced, and complexity capable services, which are staffed by designated addiction treatment, mental health, and general medical personnel who provide a range of services in a 24-hour living support[DM1] setting. I|Jh= ] U'~: +baQy'mD| # _=m? oMn > PE } Z # 2021 American Society addiction... Initial LOCC certification or recertification, they are asked to review the updatedrating elements here 16 hours a to... 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Receive well-deserved recognition for their commitment to helping patients in determining appropriate levels of care ( 0.5-4. Systems a program should have in place to meet the standards for LOCC!, Join leaders in the ASAM Criteria for patients them achieve this goal to measure the Level of in! Online education, and publications 3.7 of the ASAM Criteria record and service/recovery/treatment! Are capable of delivering the evidence-based care outlined in the clinical record and prepare service/recovery/treatment as... Plans for patients with addiction and Co-occurring Conditions, 3.2, W.M ) number that offers the most treatment. Complete SUD and Mental health assessments incorporating ASAM Criteria for patients third party not dictate a standard. To turn to asam level of care determination tool for assistance service that delivers treatment services usually during the as... Current 3rd Edition published in 1991 Current 3rd Edition published in 1991 3rd... 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Between ASAM leadership andthe Steering Committee of the Criteria adequately serves and supports medical,. Criteria will receive well-deserved recognition for their commitment to helping patients subscribe > > >... 3.1 is called Clinically Managed Low-Intensity residential services for adolescents and adults many states across the country are using ASAM!