2024 Addiction Medicine Board Certification Review Course-2024

Video Transcription

Video Summary

In the video, Dr. Julie Kmic, an addiction psychiatrist from the University of Pittsburgh Medical Center, discussed the level of care assessment and the ASAM criteria. She highlighted the importance of assessing the level of care needed for individuals with substance use disorders. The ASAM criteria, where ASAM stands for the American Society of Addiction Medicine, is an assessment tool to determine the appropriate level of substance use treatment for patients. Dr. Kmic outlined the six dimensions of an assessment, which include intoxication and withdrawal potential, biomedical complications, emotional and behavioral conditions, readiness to change, relapse potential, and the person's recovery environment. She emphasized the importance of individualized treatment plans and a continuum of care that is outcome-oriented. She also mentioned the changes in the fourth edition of the ASAM criteria, published in October 2023. The new edition focuses on promoting a chronic care model of treatment, integrating care for co-occurring psychiatric disorders, recovery support services, and harm reduction. The continuum of care remains with levels one through four, with decimal numbers indicating intensity and types of care within each level. Dr. Kmic discussed the various levels of care, from outpatient to medically managed inpatient services, as well as the inclusion of new levels such as recovery residence. Lastly, she shared information about transfer and discharge criteria for transitioning patients between levels of care based on their progress and needs. Overall, the ASAM criteria and level of care assessments play a crucial role in providing effective treatment for individuals with substance use disorders.

Keywords

ASAM criteria

level of care assessment

substance use disorders

individualized treatment plans

continuum of care

chronic care model

co-occurring psychiatric disorders

recovery support services

harm reduction

transfer and discharge criteria