Underlying Concepts Purpose of the ASAM PPC-2R - CASAT

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Level of Care Scenario • Rhonda Jackson lives at the residential treatment program and attends one group a week and has one individual session each week with her case manager. She works 40 hours per week outside the facility and then turns over a portion of her wages as rent. She is also expected to clean her room and do other chores around the facility. She has to do breathalyzers when she returns from work as well as random urine screens. What level of care is this Denver Center for SFBT 2011 Level of Care Scenario • At her residential program, Heather Graham participates in about 32 hours of therapeutic programming, which includes individual and group counseling as well as the family education program. Her vital signs are taken once daily and her medications are dispensed by a nurse. Her main treatment goals are to stabilize her psychiatric and medical problems and to reduce her risk of relapse. She plans on being in treatment about two weeks. What level of care is this Denver Center for SFBT 2011 How Concerned Are You • Low = Level I Can Address Issues on This Dimension • Moderate = Need Higher Level of Care Due to Issues on This Dimension • High = Stop Evaluation and Seek Urgent Services (i.e., Detox for Dimension 1, 911 or doctor for Dimension 2, Psych Hold for Dimension 3) Denver Center for SFBT 2011 Denver Center for SFBT 2011 www.denversolutions.com 10
Rate Your Concerns Based Upon: • History • Here and Now • How Worried (Avoid Fortune Telling) Denver Center for SFBT 2011 General Guidelines • All “Lows” = Level I • One “Moderate” = Level II • Two or More “Moderates” = Level III Denver Center for SFBT 2011 Partial ASAM Scenario • Janet Johnson reports she has several medical problems. She was diagnosed as diabetic about ten years ago. She takes oral insulin and watches her diet carefully. She says the diabetes does not cause her any current problems. She also was recently diagnosed with arthritis. This causes her some periodic stiffness in her hands. Her doctor has at this point only told her to take Advil and to apply heat. She denies any other medical problems and, on the ASI, said she needed no additional medical care. Based solely on this information, at which level would you place this client on the Biomedical Conditions and Complications dimension Denver Center for SFBT 2011 Denver Center for SFBT 2011 www.denversolutions.com 11
Page 1 and 2: Patient Placement Criteria Second V
Page 3 and 4: Levels of Care (cont.) III.7 Medica
Page 5 and 6: Level III (cont.) • III.7 Medical
Page 7 and 8: Dimension 3: Emotional/Behavioral/C
Page 9: Level of Care Scenario • Jose Gui
Page 13: Sample Client Issues List 1 2 3 4 5

Underlying Concepts Purpose of the ASAM PPC-2R - CASAT

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