Contributor: Yvette McBride Thomas

American Society of Addiction Medicine (ASAM) dimensional treatment plan categories.

The following are taken from the six dimensions of the ASAM patient placement criteria. The universal problem areas will be used to formulate treatment plans

Problem areas:
1. Acute alcohol and/or drug intoxication
2. Biomedical conditions and complications
3. Emotional/behavioral conditions
4. Treatment acceptance/resistance
5. Relapse potential
6. Recovery environment

Each of these problems is broad enough to encompass a variety of sub-categories

1. Acute alcohol and/or drug intoxication
   a. Disease concept
   b. Post-acute withdrawal
   c. Effects of alcohol and/or drugs
   d. Eating disorders
   e. Any other signature medical issues
2. Biomedical condition and complications
   a. Client in need of information about std’s and hiv
   b. Client is in need of nutrition information
   c. High risk pregnancy
   d. Any other significant medical issues
3. Emotional/behavioral conditions
   a. Anti-social behavioral parents
   b. Criminal behavior
   c. Dual diagnosis
   d. Co-dependency
   e. Sexuality
   f. Family conflicts/roles
   g. Self-esteem
   h. Spirituality
   i. Communication/socialization skills
   j. Parenting skills
   k. Resentment/anger
   l. Process of change
   m. Obsessive/compulsive
   n. Dysfunctional/relationships
   o. Illiteracy
   p. Feelings (gratitude, loss & grief, shame & guilt)
4. Treatment acceptance/resistance’s/stages of changes
   a. Denial
   b. Surrender and compliance
   c. Process of recovery
   d. Treatment issues
   e. 12-step philosopy
   f. Attitudes in recovery and addiction
   g. Patient in need of information on treatment and program tools
5. Relapse potential
   a. Relapse prevention plan
   b. Understanding effects of people, places, and things on addiction and recovery
   c. Signs and symptoms of relapse
6. Recovery environment
   a. Self-help meetings
   b. Aftercare plan
   c. Halfway house/recovery home
   d. Alcohol and/or drug free work place
   e. Constructive use of leisure time
   f. Budgeting
   g. Occupational counseling