Treatment of substancerelated and addictive disorders page 1 of 38. Addiction should be considered a biopsychosocialspiritual illness, for which the use of medications is only one component of overall treatment. Overview of substance use disorder sud care clinical guidelines. The pacific southwest addiction technology transfer center. This course was originally developed for and recorded for physicians under data2000, and provides 8 hours of education needed for prescribing buprenorphine in an officebased treatment setting. Matching patients with substance use disorder to optimal level of. Within the five broad levels of care, decimal numbers are used to further express gradations of intensity of services. Chronic, relapsing brain disease characterized by compulsive drugseeking behavior and drug use despite harmful consequenceii any type of opioid can trigger latent chronic addiction brain disease 24. Substance abuse and mental health services administration and national institute on alcohol abuse and alcoholism. How to implement the new asam criteria david meelee, m. A considerable body of work exists to date on the asam criteria including at least ten evaluations involving a total of 3,672 subjects. 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. Substance abuse and substance dependence now consolidated into substance use disorder, with severity continuum of mild, moderate, or severe legal consequences criterion removed and craving criterion added to substance use disorder tolerance and withdrawal criteria are not counted if.
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. Treatment criteria for addictive, substancerelated, and cooccurring conditions. The asam criteria are used to provide outcomeoriented and resultsbased care in the treatment of addiction. Factors associated with use of asam criteria and service. One key area for such accurate substance abuse assessment is the american society of addiction medicine asam dimension assessment. Evidencebased practices in drug and alcohol treatment and. Guiding principles of the asam criteria 20 the asam criteria 20, pp 311 moving from onedimensional to multidimensional assessment. Vital signs, extreme and unstable uncontrolled hypertension, extreme and unstable. Discuss changes made in the third edition of the asam criteria that include criteria for those with cooccurring mental, substancerelated and addictive disorders. Medication for the treatment of alcohol use disorder. The asam criteria text describes treatment as a continuum marked by four broad levels of service and an early intervention level.
Substancerelated, and cooccurring conditions asam criteria 20 a comprehensive assessment should include and. A resource for states developing sud delivery system reforms april 2017. Integration of a substance abuse treatment program into populationbased behavioral health care weinstein ll, 1 gresky dp,2 basaria n,2 3manejwala os, gomari m 3 1. His studies of the patient placement criteria published by the american society of addiction medicine asam have been supported by the nihs national institute on drug abuse, the national institute on alcohol abuse and alcoholism, the u.
This term is closely related to another one as old, but widely used today. An introduction to the asam criteria for patients and families what is the asam criteria. This free webinar will update participants on what is new since the last edition asam ppc2r, 2001. Pdf matching patients with substance use disorder to optimal level. A masterful, highyield guide to the treatment of substance abuse issues, the asam essentials of addiction medicine equips you with the expert knowhow you need to. 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. Substance use disorders and asam patient placement criteria. Substance abuse programs and the principal investigator anddirector of the samhsafunded pacific southwest addiction technology transfer center hhs region 9.
An introduction to the asam criteria for patients and families. Asam criteria for patients and families horizon nj health. Understanding the asam criteria in the context of the. Using 2014 and 2015 administrative data, the proportion of individuals with. The american society of addiction medicine asam criteria. Enhanced substance use disorders standards for behavioral. 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. Evaluating american society of addiction medicine asam. National practice guideline for the use of medications asam. The criteria were developed by the american society of addiction medicine asam.
About one third of people with anxiety and depressive disorders have a substance use disorder at some time in their life. These levels of care provide a standard nomenclature for describing the continuum of recoveryoriented addiction services. Apply the asam criteria in clinical work to broaden services and better meet the needs of consumers, including cooccurring consumers. The new asam criteria for the treatment of addictive, substancerelated and david meelee, m. Asam patient placement criteriaa teaching tool states create their own criteria casam, masam, nysam, asam in major us mco.
Includes waiver qualifying requirements online access. Change from focus on just substance abuse to biopsychosocial. The american society of addiction medicine defines addiction as a primary, chronic disease of brain reward, motivation, memory, and related circuitry, with a dysfunction in these circuits being reflected in an individual pathologically pursuing reward andor relief by substance use and other behaviors. To encourage the development of a comprehensive continuum of care, 3. 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. Treatment criteria for addictive, substancerelated, and cooccuring conditions the asam criteria3. To promote the effective, efficient use of care resources 4. They provide separate placement criteria for adolescents and adults to create comprehensive and individualized treatment plans to be used in service planning and treatment across all. Pmpm costs pre and post treatment for program participants and non. The asam criteria structures multidimensional assessment around the six dimensions to provide a common language of holistic, biopsychosocial assessment and treatment across addiction treatment, physical.
How to use the asam criteria the asam criteria is useful to patients, treatment providers, managed care providers, and other stakeholders and professionals. In the past, substance abuse treatment units were noted for inconsistency in their practice patterns, with many offering multiple treatment alternatives and little consensus as to their respective utility. The american society of addiction medicine asam criteria are the most widely used guidelines for assessment, service planning, placement, continued stay and discharge of patients with addictive disorders. Treatment criteria for addictive, substance related, and co occurring conditions. Welcome to the asam treatment of opioid use disorder course. Looking at the six dimensions in the asam criteria, it is evident that the criteria can serve a much broader use than just for the addictive recovery community. The oklahoma department of mental health and substance abuse services odmhsas mandates. The asam criteria are the most intensively studied set of addiction placement criteria, having undergone numerous evaluations and studies of effectiveness. One important aspect of the asam criteria is that it views patients in their. To help clientspatients to receive the most appropriate and highest quality treatment services, 2.
The asam national practice guideline for the use of. In 2015, asam developed the national practice guideline to provide information on evidencebased treatment of opioid use disorder, and is the first to address all of the fdaapproved medications available to treat addiction involving opioid use and opioid overdose in a single document. For this measure, we have applied the asam criteria for followup. The new asam criteria for the treatment of addictive. The american society of addiction medicine asam criteria is an evidencebased template to determine the appropriate level of substance use disorder. Matching patients with substance use disorder to optimal level of care with the asam criteria software. The 2015 national survey on drug use and health indicated that 27 million people 8% of the us population reported current use of recreational drugs or misuse of alcohol or prescription medications. This assessment is the most extensively used admissions criteria for accredited inpatient and intensive outpatient treatment programs, provides a. For the past two years, the medicaid innovation accelerator program iap has been providing a.
Asam quick reference 3 2015 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. Freese has served as pi on training projects funded by samhsa, the ca department of health care services, and various county agencies and foundations. Drug abuse and dependence 19 introduction in 1957, the who expert committee on drug dependence defined habituation. There are no changes in reimbursement for withdrawal management or medication assisted treatment for these services.
How to implement the new asam criteria skillbuilding in. A covered health service is a health care service or supply described in. Gastfriend, addiction treatment matching, haworth press, 2004. At the end of this presentation you should be able to.
The following are the six dimensions of asam, and how they. Naadac, the association for addiction professionals. Brunettedartmounth 2003 over 50% of people with schizophrenia, bipolar disorder and other severe mood disorders have a substance use disorder at some time in their life. The american society of addiction medicine asam criteria were developed as guidelines for the placement of substance abuse patients in appropriate levels of care. Adult prevention services include activities and strategies that are used to prevent or impede the development or progression of substance abuse problems.
Treatment criteria for addictive, substancerelated, and cooccurring conditions diane sherman, ph. Admission to the acute care hospital setting for a diagnosis of substance abuse must meet at least one of the following criteria as reflected in the physicians orders and patient care plan. The asam criteria and addiction treatment matching naadac. Asam an overview asam history, criteria, and highlights of 20 changes third thursday provider call january 15, 2015. The asam criteria asam has developed a standardized set of criteria that can be used for assessing any individual for appropriateness in addictions therapy placement. Asam patient placement criteria a teaching tool states create their own criteria casam, masam, nysam, asam in major us mco. Treatment criteria for addictive, substancerelated, and cooccurring conditions american society of addiction medicine, third edition, 20 the change companies, publisher to help you learn more about asam. The asam 2015 national practice guideline for the use of. Substance use disorders suds are an increasing public health concern in the us.
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