what are the different levels of care for the treatment of substance use disorders?

Please reply to the names in the attached document. According to ASAM (American Society of Addiction Medicine), what are the different levels of care for the treatment of substance use disorders? Provide at least one example of a consideration in each level regarding working with individuals with disabilities.
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Lisa Jones
4 posts
Re:Topic 5 DQ 2 (Obj. 5.2)
Topic 5 DQ 2 (Obj. 5.2)
According to ASAM (American Society of Addiction Medicine), what are the different levels of care for
the treatment of substance use disorders? Provide at least one example of a consideration in each level
regarding working with individuals with disabilities.
No single treatment is appropriate for all clients. Matching treatment situation, interventions, and
services to each client’s specific issues and needs are critical to their success in returning to healing
and functioning family, employment, and society. Using the ASAM criteria to regulate the proper level
of attention. Effective treatment attends to multiple needs of the family member and/or client, and
co-occurring issues. This graph shows the co-occurring treatment schedules:
To be successful in treatment the Biopsychosocial issues need to be addressed as well as any legality
problems (ASAM Continuum, 2017; Capuzzi, & Stauffer, 2016; Straub, 2014). Such as the co-occurring
issues of medical treatment of anxiety and/or depression, the proper assessment of multiple
dimensions of acute intox, and/or withdrawal treatment medically, emotional regulations and
behaviors, with many complications in resisting and/or relapse prevention and recovery care (ASAM
Continuum, 2017; Capuzzi, & Stauffer, 2016; Straub, 2014).
The differing levels of care treatment of ASAM 0.5-5, the points of care are a comprehensive treatment
of service and interventions (ASAM Continuum, 2017; Capuzzi, & Stauffer, 2016). These various ranges
of care are the stages of more significant stages of treatment and recovery (ASAM Continuum, 2017;
Capuzzi, & Stauffer, 2016). This student really sees how the Biopsychosocial Model of Health is a
reasonable way to help treat the individual and family for care and prevention and/or recovery
(Straub, 2014).
ASAM Continuum. (2017). What are the ASAM Levels of Care? Retrieved from

What are the ASAM Levels of Care?


Capuzzi, D. & Stauffer, M. (Ed.). (2016). Foundations of addictions counseling (3rd ed.). Boston, MA:
Pearson ISBN-13: 9780133998641
Straub, R. O. (2014). Health psychology: A biopsychosocial approach (4th ed.). New York, NY, Uni
Aaron Garcia
1 posts
Re:Topic 5 DQ 2 (Obj. 5.2)
All,
The ASAM defines 5 broad levels of care that have decimal subsections to most of them.
•
0.5 Early Intervention- This is for those “at risk” clients or for those that simply there is not
enough information to determine if there is a substance use disorder. Thing to consider: Be mindful of
signs of substance use. If you are unsure if substance use is taking place early detection can be
paramount to a quick recovery or stopping the use altogether before it becomes a problem.
•
1 Outpatient Services- This is for those clients needing less than 9 hours of care or service
weekly for adults or 6 hrs. or less for adolescents. There are many open environments for service so it
is what best fits the needs of the client. Thing to consider: again looking for signs of use or erratic
behavior. At this stage it is easy to lose track of signs because you are hopeful limited oversight is
enough.
•
2- This is where a service could meet the needs of an client with single or co-occurring
Conditions. This is more structured and organized. Meaning these kinds of services can be
Done before or after school/work, in the evening or even weekends.
o
2.1 Intensive Outpatient Services- This is for those clients needing more than 9 hours of care
or service weekly for adults or 6 hrs. or more for adolescents. Thing to consider: because this is a more
structured setting, it services may not be as welcome as other, less intense oversight. It is The client
may be aggressive to a certain point, so expression of empathy is a bigger factor in keeping the process
positive for the client.
o
2.5 Partial Hospitalization Services- This level of care typically provides 20 or more hours of
service a week for multidimensional instability that does not require 24-hour care. Thing to consider:
at this point the client is getting very close to hospitalization, so being keen to the client doing or
saying what is needed to not be hospitalized may occur. Be mindful of the client working harder at not
going in to treatment than on their current substance issues.
•
3- This usually encompasses residential services that are “described as co-occurring capable,
co-occurring enhanced, and complexity capable services, which are staffed by designated addiction
treatment, mental health, and general medical personnel who provide a range of services in a 24-hour
living support[DM1] setting.”
o
3.1 Clinically Managed Low-Intensity Residential Services- a 24 hr. living environment with
trained staff that can offer at least 5 hrs. of clinical services a week. Thing to consider- This is
hospitalization for a substance issue, the place the client did not want to be at. Expect the client to be
either very aggressive or trying very hard to broker a way out. Again, the client will downplay the drug
use to get vest support to leave.
o
3.3 Clinically Managed High-Intensity Residential Services- This is an adults only service with
24 hr. care with trained staff mean to stabilize “multidimensional imminent danger along with less
intense milieu and group treatment for those with cognitive or other impairments unable to use full
active milieu or therapeutic community.” Thing to consider: At this point, the adult will need more
than just one type of care. Look at bringing in other specialist to take a holistic approach to helping
the client.
o
3.5 Clinically Managed Medium-Intensity Residential Services for adolescents and Clinically
Managed High-Intensity Residential Services for adults- This level of care provides 24-hour care with
trained counselors to stabilize multidimensional imminent danger and prepare for outpatient
treatment. Patients in this level are able to tolerate and use full active milieu or therapeutic
communities. Thing to consider: As with 3.3 this will require more than just the services of one
counselor. If not already, family members may be needed to really help the client understand that
their needs are paramount and that a team of people are there to help them.
o
3.7 Medically Monitored High-Intensity Inpatient Services for adolescents and Medically
Monitored Intensive Inpatient Services Withdrawal Management for adults- This level of care provides
24-hour nursing care with a physician’s availability for significant problems in Dimensions 1, 2, or 3.
Counseling is available 16 hours a day. Patients in this level of care require medication and have a
recent history of withdrawal management at a less intensive level of care, marked by past and current
inability to complete withdrawal management and enter into continuing addiction treatment. This is
the appropriate setting for patients with subacute biomedical and emotional, behavioral, or cognitive
problems that are so severe that they require inpatient treatment. To consider: At this point, the need
for long term care needs to be discussed. Things like Solution Focused therapy, albeit positive for small
things here, will not be enough. The treatment team will need to focus on medications, their impact
on the client and how that could negatively affect other challenges the client has long term. The
family may be called in to discuss everything from care to duration and even cost.
•
4 Medically Managed Intensive Inpatient Services for adolescents and adults, this level of care
offers 24-hour nursing care and daily physician care for severe, unstable problems in ASAM Dimensions
1, 2 or 3. Thing to consider: this will be the same as 3.7
Reference:
What are the ASAM Levels of Care? (2017, September 15). Retrieved April 19, 2018, from

What are the ASAM Levels of Care?



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