Expanding the use of the ASAM Criteria^TM to make mental health level of care placements

Abstract

Purpose

Despite the prevalence of co-occurring mental health and substance use disorders, the assessment and placement processes for each often remain separate. The purpose of this paper is to describe an expanded use of the American Society of Addiction Medicine (ASAM) Criteria^TM to make placements into substance use, co-occurring, and mental health treatment.

Design/methodology/approach

A rationale for the development of two new domains (Domain 7, substance use and Domain 8, independent living skills) and preliminary data supporting the use of the ASAM Criteria^TM as a placement process for all types of behavioral health issues will be provided.

Findings

Dimension 3 and Domains 7 and 8 were correlated with selected clinical indices in the expected direction (Dimension 3: depression (F (4, 4650)=202.092, p<0.001), medication usage (F (4, 4,637)=174.254, p<0.001), and psychotic symptoms (F (4, 4,561)=62.954, p<0.001); Domain 7: alcohol use (F (4, 4,458)=213.786, p<0.001) and drug use (F (4, 4,471)=611.491, p<0.001); and Domain 8: functional impairment (F (4, 3,927)=815.646, p<0.001) and number of “high needs” (F (4, 3,927)=737.568, p<0.001).

Research limitations/implications

The limitations of this research included a lack of inter-rater reliability data and less established intake assessments.

Practical implications

This single placement approach for clients seeking behavioral health services can create a more efficient, person-centered intake experience.

Originality/value

This paper suggests that it is possible to deploy a single assessment and placement approach for all types of behavioral health issues.

Citation

Drymalski, W.M. (2018), "Expanding the use of the ASAM Criteria^TM to make mental health level of care placements", Advances in Dual Diagnosis, Vol. 11 No. 2, pp. 49-59. https://doi.org/10.1108/ADD-10-2017-0020