ASAM Basic
What does ASAM stand for?
American Society of Addiction Medicine.
What is the main purpose of a clinical intake?
To gather a full biopsychosocial picture of the client.
What stage involves not yet seeing the problem?
Precontemplation.
Why meet physiological needs first?
Clients can’t focus on change when basic needs (food, sleep, safety) aren’t met.
One key difference between 12-Step and SMART Recovery?
12-Step is spiritually oriented; SMART is science- and skills-based.
What is the purpose of the ASAM Six Dimensions?
To assess client needs, risks, and strengths using a biopsychosocial framework.
What does “describe, don’t diagnose” mean during an intake?
Document behaviors and symptoms, not labels or assumptions.
What does MI stand for?
Motivational Interviewing.
What does “empowering to do” mean?
Supporting clients to complete tasks themselves instead of doing it for them.
What is MAT-supportive recovery?
Groups that affirm medication (e.g., methadone, Suboxone) as a valid recovery pathway.
What does ASAM determine?
The appropriate Level of Care (LOC).
What turns assessment into treatment planning?
Converting identified needs into goals and interventions.
What is ambivalence?
Feeling two ways about changing at the same time.
Give one example of continuation of care.
Referrals, sober housing, peer support, or ongoing therapy.
Name one culturally specific recovery space.
Wellbriety, Miracles Club, Puentes, True Colors, Everyday People AA.
Is ASAM descriptive or diagnostic?
Descriptive. it describes functioning, not diagnoses.
What tool helps organize intake information?
The ASAM Six Dimensions.
What is the goal of MI?
To strengthen the client’s intrinsic motivation for change.
Why do warm hand-offs matter?
They increase follow-through and reduce gaps in care.
What makes sober housing protective?
Structure, accountability, and a drug-free environment.
What is Dimension 4?
Readiness to Change.
What makes a treatment plan individualized?
Using the client’s specific needs, strengths, and goals.
Give one MI skill.
Open-ended questions, affirmations, reflections, or summaries.
How does case management build trust?
By showing reliability, consistency, and support in meeting real-life needs.
Why do multiple pathways matter?
Different people recover in different ways; no one-size-fits-all model.