Level of Care
Arrange the following in order of least to most intensive:
Level 2.1, Level 4, Level 3.5, Level 1.
What is Level 1 → Level 2.1 → Level 3.5 → Level 4?
This dimension explores a client’s medical conditions or complications that could affect their treatment or recovery.
What is Dimension 2: Biomedical Conditions and Complications?
If a client returns to substance use after progress in recovery, this is not failure. It’s considered part of the process and an opportunity for learning. What is this stage called?
What is Relapse (or Recycling)?
This level of care provides outpatient services less than 9 hours per week for adults and focuses on recovery maintenance and relapse prevention.
What is Level 1: Outpatient Services?
Why is it important that the ASAM Criteria include six diverse dimensions instead of focusing only on substance use or withdrawal symptoms?
What is because addiction and recovery are multidimensional; affected by medical, psychological, social, and environmental factors. A holistic framework ensures individualized, culturally responsive, and person-centered care?
In this stage, the person begins to recognize the pros and cons of their behavior but remains ambivalent about change.
What is Contemplation?
Before determining an appropriate Level of Care, clinicians use this multidimensional assessment framework to evaluate the client’s needs across six areas of functioning, including withdrawal risk, medical, emotional, readiness, relapse potential, and recovery environment.
What is the ASAM Criteria (six-dimension assessment)?
When documenting a client’s Stage of Change, under which ASAM dimension would you include this information?
What is Dimension 4: Readiness to Change?
This stage of change typically lasts 3 to 6 months, during which individuals are actively modifying their behavior and implementing strategies to sustain recovery.
What is the Action stage?
This level of care is designed to be culturally specific, incorporating cultural values, community supports, and healing traditions into treatment programming.
What is Level 3.1: Clinically Managed Low-Intensity Residential (Culturally Specific)?
When assessing a client’s sober support system, housing stability, and connection to recovery resources in the community, which ASAM dimension are you evaluating?
What is Dimension 6: Recovery/Living Environment?
Dimension 6 looks beyond the individual. It assesses the safety, stability, and recovery orientation of the client’s environment.
Name the five stages of change in order according to the Transtheoretical Model of Behavior Change.
1️: Precontemplation
2️: Contemplation
3️: Preparation (Determination)
4️: Action
5️: Maintenance
Medication-assisted treatment (such as methadone, buprenorphine, or naltrexone) can be provided at which ASAM levels of care?
What are all levels of care, from Level 1 (Outpatient) through Level 4 (Medically Managed Inpatient), depending on client need and prescriber availability?
This framework uses six dimensions to assess clients across biological, psychological, and social domains. Name all six ASAM dimensions.
1: Acute Intoxication and/or Withdrawal Potential
2: Biomedical Conditions and Complications
3️: Emotional, Behavioral, or Cognitive Conditions and Complications
4️: Readiness to Change
5️: Relapse, Continued Use, or Continued Problem Potential
6️: Recovery/Living Environment
According to the Transtheoretical Model of Addiction, lasting recovery depends on more than simply reaching the Action stage. What two key processes help clients move between stages and sustain long-term change, even after relapse?
What are the processes of change (such as consciousness raising, self-reevaluation, and reinforcement management) and decisional balance/self-efficacy?