Transcription of ASAM Adult Admission and Concurrent Review …
1 VO HPD Internal Use Only ASAM Adult Admission and Concurrent Review crosswalk Dimensions IOP PHP IP Rehab Detox Level Outpatient services Level Partial Hospitalization Level Medically managed Inpatient Level IV-DMedically Managed Detox Dimension 1: Intoxication and/or Withdrawal Potential Minimal risk of severe withdrawal Minimal -Moderate risk of severe withdrawal Severe withdrawal risk *Does not require resources of a hospital Severe Risk- Moderate-severe withdrawal occurring Dimension 2 Biomedical & Complications None or not a distraction from treatment None or not sufficient to distract from treatment Patient requires medical monitoring but not intensive medical treatment Requires 24 hr medical/nursing care Dimension 3 Emotional and Behavioral None or mild severity with potential to distract from recovery.
2 Needs monitoring None or mild to moderate severity, with potential to distract from recovery Psychiatric sx and behaviors moderate to severe needs a 24 hr setting (Dual-dx) Requires 24 hr psychiatric care with concomitant addiction treatment Dimension 4 Readiness to change Resistance high enough to require structured program but not so high as to render OP ineffective Requires almost daily structure due to poor tx engagement and recognition Needs intensive motivation strategies in a 24 hr setting N/A Dimension 5 Relapse/ Continued use potential Addictive sxs intensifying despite active participation in OP, likely con t use w/out support and close monitoring Needs almost daily monitoring and support. Minimal relapse prevention skills Unable to control use with imminently dangerous consequences, despite active participation in less intensive care N/A Dimension 6 Recovery Environment Environment unsupportive, but with & support the patient can cope Environment is not supportive but with support can cope Environment is dangerous , patient lacks skills to cope outside 24 hr setting N/A Key: mild Moderate Severe RTC Medium High Residential (DIM 3 if moderate needs Dual enhanced programs) Must meet six dimensions to qualify for level of care.
3 IP Rehab Medically Managed Inpatient ( Must meet two of six dimensions w/one dimension in 1, 2 or 3)
