[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-573341-105":3,"detail-sidebar-cat-1-en-105":74,"doc-detail-573341-en":120},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":67,"head_meta":69,"extra_data":71,"updated_unix":73},105,"en","adult-asam-placement-criteria-crosswalk-worksheet","Adult ASAM Placement Criteria Crosswalk - Worksheet","","Adult ASAM Placement Criteria Crosswalk maps an Adult ASAM Worksheet level to corresponding ASAM placement options across service intensities, from early intervention and opioid treatment program through outpatient, intensive outpatient, partial hospitalization, and clinically or medically managed residential and inpatient settings. The worksheet aligns risk in acute intoxication/withdrawal potential, biomedical complications, emotional/behavioral/cognitive conditions, readiness to change, and relapse or continued problem potential, indicating which levels require 24-hour monitoring, stabilization, or concurrent mental health services.",{"@graph":14,"@context":66},[15,34,49],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/template/","Template",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/template/forms/","Forms",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/template/adult-asam-placement-criteria-crosswalk-worksheet/573341/",4,{"url":32,"name":10,"@type":35,"author":36,"headline":10,"publisher":39,"fileFormat":42,"inLanguage":8,"description":12,"dateModified":43,"datePublished":43,"encodingFormat":42,"isAccessibleForFree":44,"interactionStatistic":45},"DigitalDocument",{"name":37,"@type":38},"BAd apple","Person",{"url":19,"name":40,"@type":41},"DocShare","Organization","application/pdf","2026-10-14",true,{"@type":46,"interactionType":47,"userInteractionCount":4},"InteractionCounter",{"@type":48},"ViewAction",{"@type":50,"mainEntity":51},"FAQPage",[52,58,62],{"name":53,"@type":54,"acceptedAnswer":55},"How does the document match ASAM levels to service settings?","Question",{"text":56,"@type":57},"It crosswalks Adult ASAM Worksheet dimensions and severity/risk statements to placement options such as OTP, outpatient services, intensive outpatient, partial hospitalization, and clinically/medically managed residential or inpatient care.","Answer",{"name":59,"@type":54,"acceptedAnswer":60},"Which dimension addresses acute intoxication or withdrawal potential?",{"text":61,"@type":57},"Dimension 1, covering acute intoxication and/or withdrawal potential, specifies whether withdrawal risk is absent, manageable at certain levels, or high risk requiring higher-acuity settings and full hospital resources.",{"name":63,"@type":54,"acceptedAnswer":64},"What does the document state about emotional, behavioral, or cognitive conditions?",{"text":65,"@type":57},"Dimension 3 describes stability versus mild/moderate/severe needs, including requirements for monitoring, structured therapeutic focus, stabilization, 24-hour settings, and concurrent mental health or psychiatric care where applicable.","https://schema.org",{"og:url":32,"og:type":68,"og:title":10,"og:site_name":40,"og:description":12},"article",{"robots":70,"canonical":32},"index,follow",{"doc_id":72,"site_id":7},573341,1791937631,{"code":4,"msg":75,"data":76},"success",[77,82,87,92,97,102,106,111,116],{"id":78,"doc_module":22,"doc_module_name":25,"category_name":79,"show_sort_weight":80,"slug":81},11,"Presentations",90,"presentations",{"id":83,"doc_module":22,"doc_module_name":25,"category_name":84,"show_sort_weight":85,"slug":86},12,"Resumes",80,"resumes",{"id":88,"doc_module":22,"doc_module_name":25,"category_name":89,"show_sort_weight":90,"slug":91},14,"Invoices",70,"invoices",{"id":93,"doc_module":22,"doc_module_name":25,"category_name":94,"show_sort_weight":95,"slug":96},15,"Posters",60,"posters",{"id":98,"doc_module":22,"doc_module_name":25,"category_name":99,"show_sort_weight":100,"slug":101},16,"Social Media",50,"social-media",{"id":103,"doc_module":22,"doc_module_name":25,"category_name":29,"show_sort_weight":104,"slug":105},17,40,"forms",{"id":107,"doc_module":22,"doc_module_name":25,"category_name":108,"show_sort_weight":109,"slug":110},18,"Letters",30,"letters",{"id":112,"doc_module":22,"doc_module_name":25,"category_name":113,"show_sort_weight":114,"slug":115},21,"Paper Templates",5,"papers-templates",{"id":117,"doc_module":22,"doc_module_name":25,"category_name":118,"show_sort_weight":4,"slug":119},158,"General","general-158",{"code":4,"msg":75,"data":121},{"doc_id":72,"user_id":122,"nickname":37,"user_avatar":123,"doc_module":22,"category_id":103,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":124,"file_id":125,"file_url":126,"file_type":127,"file_size":128,"view_count":4,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":26,"language":129,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":130,"faqs":131,"seo_title":132,"seo_description":12,"update_tm":73,"read_time":22},19241458193282,"https://us-avatar.wpscdn.com/davatar_a8503ba1806abce46bf441b54a3ca4cd","Adult ASAM Placement Criteria Crosswalk  \n\n| Adult ASAM Worksheet | Level 0.5: Early Intervention | OTP Level 1: Opioid Treatment Program | Level 1: Outpatient Services |  | Level 2. 1: Intensive Outpatient Treatment | Level 2.5: Partial Hospitalization | Level 3. 1: Clinically – Managed Low intensity Residential Services | Level 3.3: Clinically Managed Population Specific High intensity Residential Services | Level 3.5:Clinically Managed High Intensity Residential Services | Level 3.7: Medically Monitored Intensive Inpatient Services | Level 4: Medically Managed Intensive Inpatient Services |\n| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |\n| Dimension 1:\u003Cbr>Acute Intoxication and/or Withdrawal Potential | No withdrawal risk | Physiologically dependent on opioids and requires OTP to prevent withdrawal | Manageable at Level 1 WM |  | Manageable at Level 2– WM | Manageable at Level 2 WM | Concurrently receiving Level 1– WM or Level 2\u003Cbr>WM services | If withdrawal is present, manageable at Level 3.2 WM | If withdrawal is present, manageable at Level 3.2 WM. | At high risk of withdrawal, but manageable at Level 3.7 WM and does not require the full resources of a licensed hospital | At high risk of withdrawal and requires Level 4 WMand the full resources of a licensed hospital |\n| Dimension 2: Biomedical Conditions and\u003Cbr>Complications | None or very stable | None or\u003Cbr>manageable with\u003Cbr>outpatient medical monitoring | None or very stable, or is receiving concurrent medical monitoring |  | None or not a distraction from treatment | None or not sufficient to distract from treatment | None or stable, or receiving concurrent medical monitoring | None or stable, or receiving concurrent medical monitoring | None or stable, or receiving concurrent medical monitoring | Requires 24 hours medical monitoring but not intensive treatment | Requires 24 hour medical and nursing care and the full resources of a licensed hospital |\n| Dimension 3: Emotional, Behavioral or Cognitive\u003Cbr>Conditions and\u003Cbr>Complications | None or very stable | None or manageable in anoutpatient structured environment | None or very stable, or is receiving concurrent medical monitoring |  | Mild severity with the potential to distract from recovery; needs monitoring | Mild to Moderate severity with the potential to distract from recovery; needs stabilization | None or minimal;\u003Cbr>not distracting to\u003Cbr>recovery. If stable, a co occurring capable program is appropriate. If not, a co occurring\u003Cbr>enhanced program is required | Mild to moderate severity; needs structure to focus on recovery. Tx should be designed to address significant cognitive deficits. If stable, a co occurring capable program is appropriate. If not, a co occurring enhanced program is required | Demonstrates repeated inability to control impulses, or unstable and dangerous signs/sx require stabilization. Other functional deficits need stabilization and 24 hour setting to prepare for community integration and continuing care. A co occurring enhanced setting required for those with severe and chronic MI | Moderate severity; needs a 24 hour structured setting, If the consumer has a co occurring mental disorder, requires concurrent MH services in a medically monitored setting | Because of severe and unstable problems, requires 24 hour psychiatric care with concomitant addiction tx (co occurring enhanced) |\n| Dimension 4: Readiness to Change | Consumer is willing to explore how current alcohol, tobacco, other drug\u003Cbr>or medication use and/or high risk behaviors may affect personal goals | Ready to change the negative effects\u003Cbr>of opioid use, but is\u003Cbr>not ready for total abstinence from illicit prescription or non prescription drug use |  | Ready for recovery but needs motivating and monitoring strategies to strengthen readiness, or needs ongoing monitoring and disease management . Or high severity in this dimension but not in other dimensions.\u003Cbr>Needs Level 1\u003Cbr>motivational\u003Cbr>","cbCaiodTsmzNUFZ6","https://ap.wps.com/l/cbCaiodTsmzNUFZ6","pdf",108953,"English","# Adult ASAM Placement Criteria Crosswalk\n## Dimensions 1-4\n## Dimensions 5-6","[{\"question\":\"How does the document match ASAM levels to service settings?\",\"answer\":\"It crosswalks Adult ASAM Worksheet dimensions and severity/risk statements to placement options such as OTP, outpatient services, intensive outpatient, partial hospitalization, and clinically/medically managed residential or inpatient care.\"},{\"question\":\"Which dimension addresses acute intoxication or withdrawal potential?\",\"answer\":\"Dimension 1, covering acute intoxication and/or withdrawal potential, specifies whether withdrawal risk is absent, manageable at certain levels, or high risk requiring higher-acuity settings and full hospital resources.\"},{\"question\":\"What does the document state about emotional, behavioral, or cognitive conditions?\",\"answer\":\"Dimension 3 describes stability versus mild/moderate/severe needs, including requirements for monitoring, structured therapeutic focus, stabilization, 24-hour settings, and concurrent mental health or psychiatric care where applicable.\"}]","Adult ASAM Placement Criteria Crosswalk - Worksheet | PDF"]