ASAM Principles
T/F: Treatment Failure must occur prior to admission to a residential program.
False- If an individual meets criteria for 3+ level of care, they can be referred directly without a history of IOP or PHP.
What dimension would you consider/assess pregnancy?
Dimension 2: Biomedical Conditions & Complications
IOP is considered a....
2.1 Level of Care
T/F: Each Discharge Summary should outline the Discharge Criteria met in the Summary.
True
What is the name of our Violence Risk Assessment?
HCR-20
ASAM moves providers to one dimensional assessment to a _____ assessment.
Multidimensional
What is dimension 4?
Readiness to Change
Wellmore has ___ levels of care on our continuum.
3- 1, 2.1 & 3.5PPW
In the plan section of each progress note we should document the ____.
Continued Stay Criteria
When possible, all assessment should include ______ information to augment and clarify the history given by the client.
Collateral
In the past, we worked program driven treatment. We are now considered ____ treatment.
Patient driven
Legal, childcare, transportation and finance would be assessed under which dimension?
Dimension 6: Recovery/Living Environment
Client's that are assessed as moderate or high risk in Dimension 1 should be connected to _____.
Withdrawal Management.
Where in our new DE, would we list the criteria of the level of care we are recommending?
Clinical Summary Page, Justification for level of care.
T/F: If client is referred by DCF, they must participate in the level of care DCF requests.
False
T/F: Woman & Children is a 90 day program.
False. We assess each client individually. Not with a fixed length of stay.
Assessing someone's interest and eligibility in MAT would be assessed in which dimension(s)?
Dimension 1, 4 or 5- depending on what is being assessed.
Clients should be recommended for the lowest level of care that is still ______.
Safe
T/F: Each level of care has a different set of continued stay criteria.
False
Which dimensions should be included as problems on the treatment plan?
Any dimension assessed has moderate or high. Could also include a low if client would like to address while in tx.
ASAM definition of Addiction, defines Addiction as a treatable, chronic disease involving complex interaction among brain complex interaction among what 4 things?
Brain circuits, genetics, the environment and individual's experiences
Name the 6 Dimensions.
1: Acute Intoxication and/or Withdrawal potential
2: Biomedical Conditions and Complications
3: Emotional, Behavioral, or Cognitive Conditions and Complications
4: Readiness to Change
5: Relapse, Continued Use or Continued Problem Potential
6: Recovery/Living Environment
How does the DSM play into the ASAM assessment when determining a level of care.
If a client is recommended for SUD TREATMENT (not .5) they must have a DSMV dx.
When assessing a client, what is the time frame that is the most important?
The Here & Now
Other than the ASAM assessment, what are the other evidence based or research driven assessments in our DE?
DLA-20, GAD-7, PHQ9, C-SSRC, HCR-20, Life Events Checklist, PC-PTSD-5.