Livre
ASAM PPC-2R. ASAM Patient Placement Criteria for the treatment of substance-related disorders
Auteur(s) :
D. MEE-LEE ;
SHULMAN G. D. ;
FISHMAN M. ;
D. R. GASTFRIEND ;
J. HARRIS GRIFFITH
Mention d'édition :
Second ed. revised
Article en page(s) :
379 p.
Domaine :
Plusieurs produits / Several products
Langue(s) :
Anglais
Thésaurus mots-clés
RECOMMANDATION
;
TRAITEMENT
;
ADULTE
;
ADOLESCENT
;
INTERVENTION
;
HOSPITALISATION
;
HOPITAL DE JOUR
;
TRAITEMENT RESIDENTIEL
;
CLASSIFICATION
;
ORIENTATION
Note générale :
Chevy Chase, MD, American Society of Addiction Medicine, Inc., 2001, 379 p.
Résumé :
The American Society of Addiction Medicine's (ASAM) Patient Placement Criteria (ASAM PPC-2R) is the most widely used and comprehensive national guidelines for placement, continued stay and discharge of patients with alcohol and other drug problems.
Responding to requests for criteria that better meet the needs of patients with co-occurring mental and substance-related disorders ("dual diagnosis"), for revised adolescent criteria and for clarification of the residential levels of care, it was released in April, 2001. It provides two sets of guidelines, one for adults and one for adolescents, and five broad levels of care for each group.
The levels of care are: Level 0.5, Early Intervention; Level I, Outpatient Treatment; Level II, Intensive Outpatient/Partial Hospitalization ;Level III, Residential/Inpatient Treatment; and Level IV, Medically-Managed Intensive Inpatient Treatment. Within these broad levels of service is a range of specific levels of care. For each level of care, a brief overview of the services available for particular severities of addiction and related problems is presented; as is a structured description of the settings, staff and services, and admission criteria for the following six dimensions: acute intoxication/withdrawal potential; biomedical conditions and complications; emotional, behavioral or cognitive conditions and complications; readiness to change; relapse, continued use or continued problem potential; and recovery environment.
The diagnostic terminology used in the ASAM PPC-2R is consistent with the most recent language of the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). The "unbundling" of clinical services is addressed, recognizing that these services can be and often are provided separately from environmental supports. With unbundling, the type and intensity of treatment are based on the patient's needs and not on limitations imposed by the treatment setting. Criteria are also included which attempt to match a patient's severity of illness along Dimension 1 (Acute Intoxication and/or Withdrawal Potential) with five intensities of detoxification service.
The ASAM Patient Placement Criteria for the Treatment of Substance-Related Disorders is an essential tool for use in treatment planning and in working with managed care organizations, and public and private treatment providers. (Editor' s abstract)
Responding to requests for criteria that better meet the needs of patients with co-occurring mental and substance-related disorders ("dual diagnosis"), for revised adolescent criteria and for clarification of the residential levels of care, it was released in April, 2001. It provides two sets of guidelines, one for adults and one for adolescents, and five broad levels of care for each group.
The levels of care are: Level 0.5, Early Intervention; Level I, Outpatient Treatment; Level II, Intensive Outpatient/Partial Hospitalization ;Level III, Residential/Inpatient Treatment; and Level IV, Medically-Managed Intensive Inpatient Treatment. Within these broad levels of service is a range of specific levels of care. For each level of care, a brief overview of the services available for particular severities of addiction and related problems is presented; as is a structured description of the settings, staff and services, and admission criteria for the following six dimensions: acute intoxication/withdrawal potential; biomedical conditions and complications; emotional, behavioral or cognitive conditions and complications; readiness to change; relapse, continued use or continued problem potential; and recovery environment.
The diagnostic terminology used in the ASAM PPC-2R is consistent with the most recent language of the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). The "unbundling" of clinical services is addressed, recognizing that these services can be and often are provided separately from environmental supports. With unbundling, the type and intensity of treatment are based on the patient's needs and not on limitations imposed by the treatment setting. Criteria are also included which attempt to match a patient's severity of illness along Dimension 1 (Acute Intoxication and/or Withdrawal Potential) with five intensities of detoxification service.
The ASAM Patient Placement Criteria for the Treatment of Substance-Related Disorders is an essential tool for use in treatment planning and in working with managed care organizations, and public and private treatment providers. (Editor' s abstract)
Affiliation :
Etats-Unis. United States.
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