ppt课件-american societyof addiction medicine( a s a m)（美国societyof成瘾医学(年代)）.pptVIP

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2017-01-25 发布于四川
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ppt课件-american societyof addiction medicine( a s a m)（美国societyof成瘾医学(年代)）.ppt

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American Society of Addiction Medicine (ASAM) How and when to use the Criteria Definition of Terms Clinically managed: Directed by non physician addiction specialist rather than medical personnel. Appropriate for individuals whose primary problems involve emotional, behavioral, cognitive, readiness to change, relapse or recovery environment concerns. Intoxication/withdrawal/biomedical concerns are all minimal if they exist at all. Medically Monitored: Services provided by an interdisciplinary staff of nurses, counselors, social workers, addiction specialist and other health and technical personnel under the direction of a licensed physician. Medical monitoring is provided through appropriate mix of direct patient contact, review of records, tram meetings, 24 hour coverage by a physician and a quality assurance program. Medically Managed: Services that involve daily medical care, where diagnostic and treatment services are directly provided an/or managed by an appropriately trained and licensed physician. Dimensional Criteria Assessment Dimension 1: Acute Intoxication/Withdrawal Potential Dimension 2: Biomedical Conditions and Complications Dimension 3: Emotional/Behavioral/Cognitive Conditions and Complications Dimension 4: Readiness to Change Dimension 5: Relapse/Continued Use/Continued Problem Potential Dimension 6: Recovery Environment ASAM Criteria should be utilized to: 1. Assign the appropriate level of service and level of care 2. Do effective treatment planning and documentation 3. Make decisions about continued service or discharge by ongoing assessment and review of progress notes Relationship Between ASAM PPC-2R and ASI-MV Relationship Between ASAM PPC-2R and ASI-MV ASAM PPC-2R(Dimension 1- Detoxification Services) Level I.D: Ambulatory Detoxification without Extended On-site Monitoring (e.g., physician office practice/home health care) Level II-D: Ambulatory Detoxification with Extended On-site Monitoring (e.g., detoxification on