http://www.gulsanpolimer.com/?hs=jwt-facebook-login Making Level of Care Recommendations & Writing Clinical Justifications Using the ASAM Criteria 3rd, Edition
The American Society of Addiction Medicine (ASAM) Criteria 3rd. Ed., provides admission, continued stay and discharge criteria used to guide and justify clinical decisions regarding the Levels of Care, Services and Interventions clients receive. Research on the evidence based practice of making level of care recommendations, a.k.a. patient placement decisions, and matching clients to treatment indicates that mismatching clients to treatment, either under treating or over treating has been demonstrated to decrease a client’s successful engagement of treatment (Magura, et. al., 2002), and lead to poorer treatment outcomes (Magura et. al., 2002; McKay et. al., 2000). It is imperative that assessors and case managers learn how to make informed and accurate clinical decisions using the criteria, and be able to write clear, concise and clinically defensible justifications for their decisions.
Many workshops provide a broad overview of the criteria and how it is used. While participants generally understand the concepts, many are not equipped to use the criteria correctly upon returning to the workplace, and even less are equipped to write clinical justifications for the decisions and recommendations made, which are often required by Medicaid and Private Insurers. To utilize the criteria correctly staff must understand 1.) the Continuum of Care, 2.) ASAM’s Six Dimensions, 3.) Dimension Risk Ratings, 4.) the Criteria, and 5.) how all these components collectively inform clinical decision making and treatment planning.
This blended learning workshop leverages the advantages of both onsite and online learning, while incorporating evidence based adult learning principles, practices and interventions designed to enhance learning, and support the transfer and maintenance of learning back in the workplace.
The blended learning workshop provides participants with the knowledge, skills and support to utilize the criteria correctly and make more informed and accurate clinical decisions. In addition, participants will learn how to write clinical justifications to substantiate their recommendations to Medicaid and Private Insurers. The onsite workshop, and the online e-Course incorporate evidence based adult learning principles, practices and interventions designed to enhance learning, and support the transfer and maintenance of learning back in the workplace.
what is 97 of 345m Blended Learning & Continuing Education Units (CEU’s)
- Participants who complete the onsite ASAM workshop will receive 13 CEU’s.
- Participants who successfully complete all of the requirements of the online ASAM e-course within 30 days of the end of the ASAM onsite workshop will earn up to and additional 20 CEU’s.
- Successful completion of the ASAM e-course includes; completion within 30 days of completing the ASAM onsite workshop, the pre and post course learning measures, the ASAM Knowledge and Skill Self Assessment (KSSA), the Learning Contract and all online ASAM e-Course modules.
Workshop Policy, Procedures & Expectations
- Register for the onsite workshop.
- Within 24 – 48 hours of receiving the confirmation of your registration we will send you an email with the following information; a link to the ASAM Workshop Participant Needs Assessment Survey to be completed prior to attending the workshop, and some articles and other materials related to the ASAM for your resource library. A very important part of the ASAM Needs Assessment Survey is a Case Study. Based on the information provided you will be asked to make a level of care recommendation, and provide a clinical justification for your recommendation, and input this information into the Needs Assessment Survey. You are also asked to bring that information with you to the workshop as we will be using the same case study for Past participants have commented on how valuable it was to be able to critically examine, and improve upon their own work during the course of the workshop.
- Attend the onsite ASAM Workshop.
- Upon completion of the ASAM Onsite Workshop you will be provided a 3 Month subscription to the ASAM e-Course. If you successfully complete the ASAM e-Course within 30 days of the completion of the onsite workshop, you will earn an additional 20 CEU’s.
In order to receive continuing education units CEU’s, participants are required to attend the workshop(s) on time, and not leave prior to the conclusion of the workshop(s). All workshops will begin at 08:30 am and end at 04:30 pm.
Goals & Objectives
Research on the evidence based practice of making patient placement decisions, also known as choosing a level of care, and matching clients to treatment indicates that mismatching clients to treatment, either under treating or over treating has been demonstrated to decrease a client’s successful engagement of treatment (Magura, et. al., 2002), and lead to poorer treatment outcomes (Magura et. al., 2002; McKay et. al., 2000). It is imperative that assessors and case managers learn how to make informed and accurate patient placement decisions, and be able to write clear, concise and clinically defensible justifications for their decisions.
To develop and/or enhance the knowledge and skills required to make more informed and accurate clinical decisions (e.g., level of care recommendations, and the services and interventions), and write clear, concise clinical justifications for those decisions utilizing the ASAM Criteria 3rd. Edition.
- Identify and explain the rationale and benefits of using the American Society of Addiction Medicines (ASAM) Criteria to make patient placement decisions.
- Differentiate between the ASAM Criteria and Conceptual Frameworks.
- Identify and explain the key components of the ASAM Criteria.
- Identify the general characteristics used to differentiate between the various levels of care along the continuum of care.
- Identify and differentiate the levels of care, along the continuum of care used for the treatment of substance use disorders.
- Identify and differentiate between ASAM’s six dimensions of assessment.
- Identify the ASAM dimension(s) that are most directly informed and influenced by specific sections of standard assessment instruments e.g., bio-psycho-socials, the ASI, CASI and GAIN.
- Identify clinical information /symptoms that correspond to each of ASAM’s Dimension’s assessment considerations / definitions.
- Identify, analyze and interpret the necessary clinical information to formulate a dimension risk rating for each of ASAM’s six dimensions.
- Synthesize risk ratings for ASAM’s Six dimensions to formulate a level of care recommendation.
- Learn how dimension risk ratings & clinical justifications directly drive treatment planning.
- Write a clinical justification for risk ratings in each of ASAM’s six dimensions.
- Write a clinical justification for a patient placement decision, a.k.a., level of care recommendation.
- Identify two common errors often made when writing clinical justifications.
Organizations employing staff who successfully complete this workshop and transfer their newly acquired knowledge and skills back to their workplace should see an improvement in the accuracy of level of care recommendations, and the clinical justifications for them. As a result of improved matching of clients to treatment, organizations could also see an increase in the initiation, engagement and retention rates of clients in treatment.
Career / Professional Relevancy:
The knowledge and skills required to make informed and accurate clinical decisions using the ASAM Criteria, and writing clear, concise clinical justifications is a much needed and marketable skill to put on ones resume. Approximately 30 states use to varying degrees the American Society of Addiction Medicines (ASAM) Criteria (Mee-Lee, 2005), and as many as 40 states have utilization review mechanism that involves matching clients to appropriate levels of care utilizing some form of criteria (Gregoire, 2000). In addition, many treatment providers are becoming approved providers of substance use disorder treatment for various insurance carriers. Many, if not all of these carriers require clinicians to be able to make informed and accurate decisions, and to be able to write clear, concise and clinically defensible justifications for those decisions.
Evidence Based – Proven Effective – Designed For Transfer