Asam patient placement criteria for the treatment of substancerelated disorders, second editionrevised asam ppc2r. Members of the steering committee asam ppc 2r guided the project represented treatment programs and other interested organizations in asam ppc 2r ohio. Alphabet soup many organizations are working together to improve the quality of care for patients who. An introduction to the asam criteria for patients and families. Dual diagnosis capability in addiction treatment ddcat index version 4. Dimensional assessment asam criteria should be utilized to. Source for information for a free download of the manual, go to url. The ppc2r assessment system has evolved in stages, from a paper document, to a validated assessment prototype, and finally to an assessment software system.
These levels of care provide a standard nomenclature for describing the continuum of recoveryoriented addiction services. Skillbuilding in treatment plans that make sense to clients david meelee, m. Dimension 1 sample questions are there current signs of withdrawal. Within the five broad levels of care, decimal numbers are used to further express gradations of intensity of services. The ppc2r assessment system has evolved in stages, from a paper document, to a validated assessment prototype, asam ppc 2r finally to an assessment software system. Matching patients with substance use disorder to optimal. An invaluable, evidencebased tool for clinicians to manage the complex relationship between pain and addiction. The ppc 2 defined six areas or dimensions of assessment. Took an asamppc2r assessment after refered by idrc for a. Multidimensional assessment because mental and substancerelated disorders are biopsychosocial disorders in etiology, expression and treatment, assessment must be comprehensive and multidimensional to plan effective care.
A practical, evidencebased guide to the identification and treatment of substance use disorders. The american society of addiction medicine is an organization of over 5000 physicians board certified in the. This confidential information is provided to you in accord with state and federal laws. The development of the asam ppc 2r started over 20 years ago. Assessment name mrn aodc011 rev 082019 level of care placement assessment page 1 of 6 program name. Assessment and treatment of adults with substance use disorders. Needs assessments and other research have shown that not all state medicaid. The loci2r is a comprehensive means for guiding assessments and documenting treatment placement and planning information for the six assessment dimensions of the asam ppc2r. Ppc2r assessment software sbir grant r44 aa12004 csat. The center for adolescent substance abuse research. All client assessments shall document the result in.
In a departure from earlier editions, the current edition of the criteria asam patient placement criteria for the treatment of substancerelated disorders, second editionrevised asam ppc 2r. A 6question behavioral health screening tool to screen adolescents for high risk alcohol and other drug use disorders simultaneously. Criteria will be presented in two formats level of service format and a matrix structure of criteria. The ppc2 defined six areas or dimensions of assessment. Asam ppc2r patient placement criteria ppt video online download. In the asam ppc2r, dimension 3 has been expanded and divided into new subdomains for greater emphasis on psychiatric comorbidity or dual diagnosis issues. Please describe type such as outpatient, inpatient, residential. The asam ppc2r is officially required in over 30 states and. Asam ppc2r patient placement criteria for the treatment. 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. The ppc2r is used to evaluate a patients needs regarding addiction and co existing mental, emotional, and medical diseases. The loci 2r is a comprehensive means for guiding assessments and documenting treatment placement and planning information for the six assessment dimensions of the asam ppc 2r.
Cdp assessment of patients potential for continued use. Oct 14, 20 since 1991, the american society of addiction medicine asam has published the most comprehensive set of guidelines for assessment, service planning, placement, continued stay, and transferdischarge of individuals with addiction and cooccurring conditions. Overview of the asam patient placement criteria, second. Dimension 1 acute intoxication andor withdrawal potential. In order to be admitted into our program, we must have a current asam ppc2r assessment. After attending a 12 hour idrc course following a dui conviction and stupidly answering the questionaire completely honestly marijuana within the past month, i was refered for a followup evaluation. The following are the six dimensions of asam, and how they. Brief history of the asam patient placement criteria asam ppc2r pp 1214 1987. Certified training and software consulting were provided under contract from recoverysearch, inc. 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. Does the patient have supports to assist in ambulatory detoxification if medically safe. Recommended by the american academy of pediatrics committee on substance abuse for use with adolescents under the age of 21. The development of the asam ppc2r started over 20 years ago.
The loci2r is designed for use in the initial assessment, subsequent continued service reassessments, and transfer or discharge evaluations. Members of the steering committee asam ppc2r guided the project represented treatment programs and. The ppc2r assessment system has evolved in stages, from a paper. Using asam ppc2r oklahoma city april 22, 20 june 24, 20 program purpose clinicians involved in planning and managing care often lack a common language and systematic assessment and treatment approach that allows for effective, individualized service plans. Asam elearning this webinar series will help to build knowledge of the asam appropriate use of drug testing in clinical addiction medicine document.
What is asam ppc2r and the history of its development. The asam principles of addiction medicine, sixth edition. Recommended by the american academy of pediatrics committee on substance abuse for. This document is a reference guide only and not an official publication of the american society of addiction medicine, inc. The asam csat recovery support services project paul h. One significant change in asam ppc2r was to expand the understanding of dimension 3 to emotional, behavioral, or cognitive conditions and complications. Based on the evaluation, the proper type of care that is needed can be recommended.
The asam ppc2r is officially required in over 30 states and provides the addiction field with the nomenclature for describing the continuum of addiction services. The asam criteria treatment criteria for addictive, substancerelated, and. Took an asam ppc2r assessment after refered by idrc for a 1st time dui offence. The loci 2r is designed for use in the initial assessment, subsequent continued service reassessments, and transfer or discharge evaluations. After attending a 12 hour idrc course following a dui conviction and stupidly answering the questionaire completely honestly marijuana within the past month, i was refered for a. The ppc 2r assessment system has evolved in stages, from a paper document, to a validated assessment prototype, asam ppc 2r finally to an assessment software system. The asam criteria and addiction treatment matching. How to really use the new edition of the asam criteria. Assessment of biopsychosocial severity and function asam ppc2r, pp 57 the common. Marianne stallvik reports no financial relationships with commercial interests.
Meelee d, shulman gd, fishman m, gastfriend dr, and griffith jh, eds. Assessment tool adults paper version rdbased on the asam criteria 3 edition multidimensional assessment. Determine the appropriate level of service and level of care. Asam level of care certification this program provides an independent, comprehensive assessment of addiction treatment facilities ability to deliver care consistent with the asam criteria. The ppc 2r assessment system has evolved in stages, from a paper document, to a validated assessment prototype, and finally to an assessment software system. What risk is associated with the patients current level of acute intoxication. The asam criteria treatment criteria for addictive. Asam has created several documents that provide members with the most uptodate best practices and information on addiction medicine. This appendix provides information about and samples of screening and assessment tools for substance use disorders. Guiding principles of the asam criteria 20 the asam criteria 20, pp 311 moving from onedimensional to multidimensional assessment the asam criteria the asam criteria the asam criteria. Evaluating american society of addiction medicine asam. The asam criteria is most widely used and comprehensive set of guidelines for placement, continued stay and transferdischarge of patients with addiction and. The asam criteria treatment criteria for addictive substance.
Factors associated with use of asam criteria and service. American society of addiction medicine,washington, dc. The development of the document guides provider decisions about drug testing, as no universal standard exists today. Overview of the asam patient placement criteria, second edition revised asam ppc2r david meelee, m. Improve the quality of patient assessments with asam continuum, the only clinical decision support system for conducting an asam assessment.
The asam ppc2r assessment software was licensed from the american society of addiction medicine. In the description of each tool, the definition follows the tool acronym. The paper document defines systematic rules to determine the proper type of care that is needed based upon a patients current mental, emotional, and social situation. 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.
Throughout the text of the asam ppc2r, however, the term dual diagnosisis also used because it still has the widest recognition nationally. In a departure from earlier editions, the current edition of the criteria asam patient placement criteria for the treatment of substancerelated disorders, second editionrevised asam ppc2r. The asam criteria treatment criteria for addictive, substancerelated, and cooccurring conditions david meelee, md chief editor of the asam criteria boardcertified psychiatrist abam certified sr. To address this need, therefore, a ppc2r supplement was published in 2010 to delineate criteria for the use of. 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 deficiencies are outlined by dimension as follows. The asam ppc2r is best known as a paper document that stages addictive disease. Examples of screening and assessment tools for substance use disorders. The american society of addiction medicine patient placement criteria 2r asam ppc2r is the most widely used and comprehensive set of guidelines for placement, continued stay and discharge of patients with addiction disorders. Ppc2r software provides a textual and two graphic reports translation in progress into french, dutch, icelandic and norwegian the ppc2r assessment system has undergone validity and interrater reliability testing. The asi provides virtually no relevant information for the six dimensions of the asam ppc. Skillbuilding in treatment plans that make sense to clients.
Placement criteria and strategies for adolescent treatment. American society of addiction medicine asam how and when to use the criteria. The asam criteria text describes treatment as a continuum marked by four broad levels of service and an early intervention level. Asam ppc2r risk rating crosswalk asam patient placement. Has the patient been using multiple substances in the same drug class. We 2rr announce additional information about the triage tool here on this web site. When focused on assessing all six assessment dimensions of the asam criteria and planning an individualized collaborative plan, clinicians are in fact managing care if the treatment level selected is the least intensive but safe level of care for the person. 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.
The revised second edition asam patient placement criteria. Asam patient placement criteria download ebook pdf, epub. What is asam ppc2r and the history of its development how asam fits into your assessment process levels of care dimensional criteria questions. Either of these assessments can be obtained by private, public or nonprofit outpatient agencies. The instrument utilized in this study was the american society of addiction medicine patient placement criteria 2r asam ppc2r, selfdescribed as the most widely used and comprehensive set of guidelines for placement, continued stay and discharge of patients with addiction disorders asam, 2014. Level of care placement assessment name mrn aodc011 rev 082019 level of care placement assessment page 1 of 6 program name. If there are any underlying secondary mental health diagnosis, a current mental health assessment is also required. A national guideline for placement, continued stay and discharge of patients with alcohol and other drug problems created by the american society of addiction medicine. The asam criteria treatment criteria for addictive, substancerelated, and cooccurring conditions 5 third thursday provider call 11515. An introduction to the asam criteria for patients and families what is the asam criteria. Took an asamppc2r assessment after refered by idrc for a 1st time dui offence. These subdomains are intended to enrich the detail and guide the assessment of risk and treatment needs for emotional, behavioral, and cognitive problems. Criteria for cooccurring mental and substancerelated disorders the second edition of the patient placement criteria of the american society of addiction medicine asam ppc2 has been revised and will be published later in 2000 ppc2r. There are six dimensions to be assessed for the asam ppc 2r, but this assessment may.