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The American Society of Addiction Medicine Patient Placement Criteria 2R (ASAM PPC-2R) is the most widely used and comprehensive set of guidelines for placement, continued stay and discharge of patients with addiction disorders. The ASAM PPC-2R is officially required in over 30 states and provides the addiction field with the nomenclature for describing the continuum of addiction services. The language is consistent with the American Psychiatric Associations Diagnostic and Statistical Manual of Mental Disorders (DSM-IV).
The second revised edition has been updated to better meet the needs of patients with co-occurring mental and substance-related disorders ("dual diagnosis").
The ASAM Patient Placement Criteria 2R gives medical professionals seeking assistance in providing timely, appropriate, and effective care a holistic and multidimensional approach that matches patient needs to specific treatment services.
Data sheet
Contents
Preface to the Second Edition, Revised . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
What’s New in the Second Edition-Revised? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Historical Foundations of the ASAM Patient Placement Criteria . . . . . . . . . . . . . . . . . . . . . . . . . 12
Theoretical Foundations of the ASAM Patient Placement Criteria . . . . . . . . . . . . . . . . . . . . . . . . 14
Real World Considerations in Using the ASAM Patient Placement Criteria . . . . . . . . . . . . . . . . 17
Outcomes Research with the ASAM Patient Placement Criteria . . . . . . . . . . . . . . . . . . . . . . . . . . 19
Adult Patient Placement Criteria . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
Crosswalk of the Adult Placement Criteria . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
Continued Service and Discharge Criteria . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
Level 0.5:: Early Intervention . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41
Level I:: Outpatient Treatment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45
Level II:: Intensive Outpatient Treatment/Partial Hospitalization . . . . . . . . . . . . . . . . . . . . . 55
Level III:: Residential/Inpatient Treatment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71
Level IV:: Medically Managed Intensive Inpatient Treatment . . . . . . . . . . . . . . . . . . . . . . . . 127
Opioid Maintenance Therapy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 137
Dimensional Criteria
Dimension 1 Criteria:: Adult Detoxification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 145
Adolescent Patient Placement Criteria . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 177
Preface to the Adolescent Patient Placement Criteria . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 179
Crosswalk of the Adolescent Placement Criteria . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 191
Continued Service and Discharge Criteria . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 199
Level 0.5:: Early Intervention . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 205
Level I:: Outpatient Treatment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 209
Level II:: Intensive Outpatient Treatment/Partial Hospitalization . . . . . . . . . . . . . . . . . . . . 217
Level III:: Residential/Intensive Inpatient Treatment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 235
Level IV:: Medically Managed Intensive Inpatient Treatment . . . . . . . . . . . . . . . . . . . . . . . . 271
Appendix A:: Experimental Matrix for Matching Multidimensional Risk
with Type and Intensity of Service Needs—Adult . . . . . . . . . . . . . . . . . . . . . . . . 281
Appendix B:: Experimental Matrix for Matching Multidimensional Risk
with Type and Intensity of Service Needs—Adolescent . . . . . . . . . . . . . . . . . . . . 313
Appendix C:: Dimension 5:: Criteria for Relapse, Continued Use or
Continued Problem Potential . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 341
Appendix D:: Clinical Institute Withdrawal Assessment-Alcohol, Revised
(CIWA-Ar) Scale . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 355
Appendix E:: Glossary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 359
Appendix F:: Contributors to the Development of the ASAM PPC-2R . . . . . . . . . . . . . . . . . . . . 371
Reference: 40015
Author: Joseph L Izzo
The Essentials of High Blood Pressure: Basic Science, Population Science, and Clinical Management
Reference: 40023
Author: American Society of Addiction Medicine
