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

Partial ASAM Scenario
• Robert Rogers has spoken in a monotone throughout the
assessment, appearing sad and lethargic. When asked, he
denied any history of psychiatric treatment or any psychiatric
problems. He did mention his sister thought he needed help.
When this response was questioned, he spoke of his wife’s death
a year ago and how difficult this had been. He says he has felt
guilty, depressed, and “hopeless” since his wife’s death. He
initially y denied any suicidal ideation or behavior, but then
admitted to getting drunk about a month ago and walking in
front of a car, because “I wanted to be with her.” He said he also
tried to overdose on “sleeping pills” about two weeks ago. He
says he bought a gun recently and won’t tell you what his plans
are for the gun.
Based solely on this information, at what level would you place this
client on the Emotional/Behavioral Conditions and
Complications dimension
Denver Center for SFBT 2011
Partial ASAM Scenario
• Matt Matheson has had two DUIs in the last year and has
been ordered into DUI Level II therapy. He clearly has
developed tolerance to alcohol, has had occasional
withdrawal symptoms, and drinking is consuming more
and more of his time. However, he denies any significant
physical or psychological problems due to drinking, has
continued to hold a steady job, and has maintained his
family relationships. When asked about the DUIs, Matt
first says it was “just bad luck” and then starts to talk about
the quotas that the police have. He will say he knows he
needs to “cut down,” but will then talk about ways to avoid
the attention of the police.
Based solely on this information, at what level would you
place this client on the Treatment Acceptance/Resistance
dimension
Denver Center for SFBT 2011
Partial ASAM Scenario
• Cathy Collins has been using various drugs for some
time. She lives in a single room occupancy hotel and
has no friends, only “acquaintances.” All of her
acquaintances use drugs and usually use drugs with
Cathy. She has only one sister living in the Denver area
and rarely speaks with that sister. She receives
disability payments and spends most of her time
watching television.
Based solely on this information, at what level would you
place her on the Recovery Environment dimension
Denver Center for SFBT 2011
Denver Center for SFBT 2011
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