The Basics
The Six Dimensions
Continuum of Care
Risk Ratings
Rapid Mini Scenarios
100

How many broad levels of care are in ASAM 4?

What are four?

100

This dimension addresses intoxication, withdrawal, and addiction medication needs.

What is Dimension 1?

100

Levels x.7 and Level 4 are considered this type of care.

What is medically managed care?

100

A risk rating of 0 means this.

What is no specific needs?

100

A patient has:

D1: 0; D2: 0; D3 ANY; D4: B (2.1); D5: 0

What level of care is indicated?

What is Level 2.1?

200

This assessment determines the recommended level of care at admission.

What is the Level of Care Assessment?

200

This dimension addresses psychiatric and cognitive conditions.

What is Dimension 3?

200

Levels x.1 and x.5 are considered this type of care.

What is clinically managed care?

200

A risk rating of ANY means this.

What is any level of care is appropriate?

200

A patient has:

D1: EVAL; D3: 3.5 COE; All others lower

What level of care is indicated?

What is Level 3.5 COE?

300

ASAM promotes this type of assessment across biomedical, psychological, and social domains.

What is multidimensional assessment?

300

This dimension assesses likelihood of risky substance use and related behaviors.

What is Dimension 4?

300

This level supports long-term remission monitoring.

What is Level 1.0?

300

Risk ratings indicate the minimum ______ required for safe treatment.

What is level of care?

300

A patient has:

D1: 3.7; All other dimensions lower

What level of care is indicated?

What is Level 3.7?

(Stop early rule — medically managed.)

400

These criteria guide movement to a more or less intensive level of care.

What are Transition and Continued Service Criteria?

400

This dimension focuses on ability to function, safety, and support in the environment.

What is Dimension 5?

400

All programs must be at least this regarding co-occurring conditions.

What is co-occurring capable?

400

True or False: The overall level of care is determined by averaging risk ratings.

What is False?

400

A patient has:

D3: 2.5 COE; D4: 3.1; D5: 3.1

What level of care is indicated?

What is Level 3.1?

(Residential level overrides 2.5 COE.)

500

If Level 4 is required in Dimensions 1–3, the assessment can do this.

What is stop and transfer immediately?

500

This dimension focuses on barriers, preferences, and motivation.

What is Dimension 6?

500

If a patient needs residential care plus enhanced mental health capability, the designation includes this.

What is COE?

500

The overall recommendation is determined by this rule.

What is the highest minimum level indicated across subdimensions?

500

A patient has:

D4: 3.5; D5: B (3.1); D3: ANY

What level of care is indicated?

What is Level 3.5?

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