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It defines risk levels 0–4 by describing acute intoxication/withdrawal severity, biomedical conditions and complications, and emotional/behavioral/cognitive (EBC) symptoms. It also covers readiness to change, relapse/continued use potential, and recovery/living environment support. Includes adapted citation to the ASAM criteria and illustrative case notes.",{"@graph":63,"@context":118},[64,80,101],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":51,"@type":70,"position":76},"https://docshare.wps.com/template/general/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/asam-a-activities-handout-risk-rating-dimensions-1-6/573342/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/asam-a-activities-handout-risk-rating-dimensions-1-6/573342.png","ImageObject",442,249,{"name":88,"@type":89},"Guten Appetit_Joghurt","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-10-17","2026-10-14",true,{"@type":98,"interactionType":99,"userInteractionCount":76},"InteractionCounter",{"@type":100},"ViewAction",{"@type":102,"mainEntity":103},"FAQPage",[104,110,114],{"name":105,"@type":106,"acceptedAnswer":107},"What do Dimensions 1–6 represent in the risk rating scale?","Question",{"text":108,"@type":109},"They represent acute intoxication/withdrawal risk, biomedical conditions and complications, emotional/behavioral/cognitive (EBC) conditions and complications, readiness to change, relapse/continued use risk, and recovery/living environment support.","Answer",{"name":111,"@type":106,"acceptedAnswer":112},"How does Risk Rating 0 differ from Risk Rating 4?",{"text":113,"@type":109},"Risk 0 indicates no signs of intoxication or withdrawal and stable biomedical and mental health conditions, while Risk 4 indicates incapacitation with severe intoxication/withdrawal that poses danger and requires immediate medical action and involuntary confinement when applicable.",{"name":115,"@type":106,"acceptedAnswer":116},"What factors determine readiness to change (Dimension 4)?",{"text":117,"@type":109},"Dimension 4 assesses willingness and commitment to SUD and mental health treatment versus ambivalence, reluctance, poor follow-through, limited insight, or need for immediate action based on imminent risk.","https://schema.org",{"og:url":78,"og:type":120,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":122,"canonical":78},"index,follow",{"doc_id":124,"site_id":56},573342,1792113646,{"code":4,"msg":5,"data":127},{"doc_id":124,"user_id":128,"nickname":88,"user_avatar":129,"doc_module":9,"category_id":50,"category_name":51,"doc_title":59,"doc_description":61,"doc_content":130,"file_id":131,"file_url":132,"file_type":133,"file_size":134,"view_count":76,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":135,"language":136,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":137,"faqs":138,"seo_title":139,"seo_description":61,"update_tm":140,"read_time":76},1374408768420,"https://ap-avatar.wpscdn.com/davatar_6f874abed73319feea01a86fa6f0fab8","| Risk\u003Cbr>Rating | Dimension 1 Acute Intoxication and/or Withdrawal Potential | Dimension 2 Biomedical Conditions and\u003Cbr>Complications | Dimension 3\u003Cbr>Emotional, Behavioral, or Cognitive (EBC) Conditions and Complications | Dimension 4 Readiness to Change | Dimension 5 Relapse, Continued Use, or Continued Problem Potential | Dimension 6 Recovery/Living Environment |\n| --- | --- | --- | --- | --- | --- | --- |\n| 0 | Fully functioning,“no signs of intoxication or withdrawal present”. | Fully functioning, no biomedical symptoms or signs are present. Biomedical conditions are stable. | Patient has no mental health (MH) diagnosis or MH disorder (d/o) is stable. Good coping skills. No interference with recovery, no impairment in social functioning or self-care ability. | Patient shows willingness and commitment to both SUD and mental health (MH) treatment. Patient is proactive and responsible. | Low relapse potential. Good coping skills. | “The patient has a supportive environment or is able to cope with poor supports.” |\n| 1 | Mild to moderate intoxication interferes with daily functioning but does not pose a danger to self or others. Minimal risk of severe withdrawal. | Biomedical\u003Cbr>signs/symptoms are mild to moderate that may interfere with daily functioning. | MH d/o (shows mild to moderate symptoms) needs intervention but isn’t affecting recovery significantly. Impulse control and coping skills are adequate. Some impairment in social functioning. | Patient shows willingness and commitment to both SUD and MH treatment but feels ambivalent with the need for change. | Minimal relapse risk. Relapse prevention skills and selfmanagement skills are fair. | Patient is able to cope even with passive support or limited\u003Cbr>support from loved ones. |\n| 2 | Intoxication may be severe but responds to support; not posing a danger to self or others.“Moderate risk of severe withdrawal”. | Biomedical conditions may interfere with recovery and mental health treatment. Neglecting serious biomedical conditions. Presence of acute but non-liftthreatening medical symptoms and signs. Shows some“difficulty tolerating and coping with physical problems.” | Presence of chronic EBC conditions and cause significant interference with recovery. Absence of imminent risk to safety. Impairment in social functioning and has minimal skills to function independently. | Patient is reluctant to enter treatment. Aware of negative consequences of substance use but has“low readiness to change and is passively involved in treatment. May be inconsistent with treatment and selfhelp group attendance. | Patient is capable of self-management with prompting but has “impaired recognition and understanding of”relapse. | Patient is able to cope with clinical structure even thought their environment is not supportive of SUD recovery. |\n\nAdapted from Mee-Lee, D., Shulman, G. D., Fishman, M. J., Gasfriend, D. R., & Miller, M. M. (Eds. ) . (2013) . The ASAM criteria: Treatment criteria for addictive, 1 substance-related, and co-occurring conditions (3rd ed. ) . Carson City, NV: American Society of Addiction Medicine. pp.74-89.  \n\n| Risk\u003Cbr>Rating | Dimension 1 | Dimension 2 | Dimension 3 | Dimension 4 | Dimension 5 | Dimension 6 |\n| --- | --- | --- | --- | --- | --- | --- |\n| 3 | “Severe\u003Cbr>signs/symptoms of intoxication\u003Cbr>indicates   an imminent danger to self or others”. Risk of severe but manageable withdrawal; or\u003Cbr>withdrawal is worsening. | “Poor ability to tolerate and cope with physical problems.” Poor health condition. Neglecting serious medical problems but health is still stable. | Severe EBC symptoms, but sufficient control that does not require involuntary confinement. Impulses to harm self or others are frequent, but no imminent risk in a 24-hr setting. | Patient does not follow through treatment consistently and has limited insight to need for treatment. Not aware of the need to change. | Limited understanding on relapse and has poor coping skills. Limited relapse co","cbCaisSfzJukZnLK","https://ap.wps.com/l/cbCaisSfzJukZnLK","pdf",342510,8,"English","# Risk Rating Dimensions 1-6\n## Dimension 1 Acute Intoxication and/or Withdrawal Potential\n## Dimension 2 Biomedical Conditions and Complications\n## Dimension 3 Emotional, Behavioral, or Cognitive (EBC) Conditions and Complications\n## Dimension 4 Readiness to Change\n## Dimension 5 Relapse, Continued Use, or Continued Problem Potential\n## Dimension 6 Recovery/Living Environment","[{\"question\":\"What do Dimensions 1–6 represent in the risk rating scale?\",\"answer\":\"They represent acute intoxication/withdrawal risk, biomedical conditions and complications, emotional/behavioral/cognitive (EBC) conditions and complications, readiness to change, relapse/continued use risk, and recovery/living environment support.\"},{\"question\":\"How does Risk Rating 0 differ from Risk Rating 4?\",\"answer\":\"Risk 0 indicates no signs of intoxication or withdrawal and stable biomedical and mental health conditions, while Risk 4 indicates incapacitation with severe intoxication/withdrawal that poses danger and requires immediate medical action and involuntary confinement when applicable.\"},{\"question\":\"What factors determine readiness to change (Dimension 4)?\",\"answer\":\"Dimension 4 assesses willingness and commitment to SUD and mental health treatment versus ambivalence, reluctance, poor follow-through, limited insight, or need for immediate action based on imminent risk.\"}]","ASAM-A-Activities-Handout - Risk Rating Dimensions 1-6 | PDF",1791937632]