[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-1-en-105":3,"doc-seo-573344-105":53,"doc-detail-573344-en":126},{"code":4,"msg":5,"data":6},0,"success",[7,14,19,24,29,34,39,44,49],{"id":8,"doc_module":9,"doc_module_name":10,"category_name":11,"show_sort_weight":12,"slug":13},11,1,"Template","Presentations",90,"presentations",{"id":15,"doc_module":9,"doc_module_name":10,"category_name":16,"show_sort_weight":17,"slug":18},12,"Resumes",80,"resumes",{"id":20,"doc_module":9,"doc_module_name":10,"category_name":21,"show_sort_weight":22,"slug":23},14,"Invoices",70,"invoices",{"id":25,"doc_module":9,"doc_module_name":10,"category_name":26,"show_sort_weight":27,"slug":28},15,"Posters",60,"posters",{"id":30,"doc_module":9,"doc_module_name":10,"category_name":31,"show_sort_weight":32,"slug":33},16,"Social Media",50,"social-media",{"id":35,"doc_module":9,"doc_module_name":10,"category_name":36,"show_sort_weight":37,"slug":38},17,"Forms",40,"forms",{"id":40,"doc_module":9,"doc_module_name":10,"category_name":41,"show_sort_weight":42,"slug":43},18,"Letters",30,"letters",{"id":45,"doc_module":9,"doc_module_name":10,"category_name":46,"show_sort_weight":47,"slug":48},21,"Paper Templates",5,"papers-templates",{"id":50,"doc_module":9,"doc_module_name":10,"category_name":51,"show_sort_weight":4,"slug":52},158,"General","general-158",{"code":4,"msg":54,"data":55},"ok",{"site_id":56,"language":57,"slug":58,"title":59,"keywords":60,"description":61,"schema_data":62,"social_meta":119,"head_meta":121,"extra_data":123,"updated_unix":125},105,"en","asam-criteria-determining-severity-ratings","ASAM Criteria - Determining Severity Ratings","","ASAM Criteria provides a structured severity rating approach across four dimensions to guide clinical decision-making for detoxification and treatment intensity. Dimension 1 evaluates detoxification and withdrawal potential using 0–4 descriptors, including CIWA-Ar ranges for alcohol and signs of intoxication or withdrawal danger. Dimension 2 assesses biomedical conditions and complications by stability, medical risk, and impairment. Dimension 3 reviews emotional, behavioral, and cognitive complications, ranging from stable mental health to severe psychiatric instability. Dimension 4 considers readiness to change, from proactive engagement to high barriers requiring intensive services.",{"@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-criteria-determining-severity-ratings/573344/",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-criteria-determining-severity-ratings/573344.png","ImageObject",442,249,{"name":88,"@type":89},"xXChrisXx","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 does the ASAM severity rating scale 0–4 represent in Dimension 1?","Question",{"text":108,"@type":109},"In Dimension 1, 0 indicates no problem or stable tolerance, while 4 indicates incapacitation with severe withdrawal danger. Intermediate levels describe increasing severity of intoxication, withdrawal signs, and risk.","Answer",{"name":111,"@type":106,"acceptedAnswer":112},"How is alcohol withdrawal severity estimated in Dimension 1?",{"text":113,"@type":109},"The criteria specify CIWA-Ar score ranges: less than 3 corresponds to rating 0, 3–7 to rating 1, 8–11 to rating 2, 12–15 to rating 3, and over 15 to rating 4.",{"name":115,"@type":106,"acceptedAnswer":116},"What factors determine the rating in Dimension 2 (Biomedical Conditions and Complications)?",{"text":117,"@type":109},"Dimension 2 ratings depend on whether biomedical signs and symptoms are absent or stable, interfere with daily functioning, require medical services, are severe but stable, or are life-threatening risks.","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},573344,1792098252,{"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":47,"language":135,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":136,"faqs":137,"seo_title":138,"seo_description":61,"update_tm":139,"read_time":73},8796112263567,"https://ap-avatar.wpscdn.com/davatar_3d24733baf745e90a7e4bdd5f77d97b2","ASAM Criteria – Determining Severity Ratings  \nDimension 1: Detoxification/Withdrawal Potential Assessment  \nSEVERITY / INTENSITY RATING  \n(0=no problem or stable / 1=mild / 2=moderate / 3=substantial / 4= severe)  \n0   Individual fully functioning w/ good ability to tolerate, cope with withdrawal discomfort  \n  No signs or symptoms of withdrawal present or are resolving and if alcohol, a CIWA-Ar score of less than 3  \n  No signs or symptoms of intoxication  \n1   Adequate ability to tolerate or cope with withdrawal discomfort.  \n  Mild to moderate intoxication, or signs, symptoms interfere w/daily functioning, but not a danger to self or others  \n  Minimal risk of severe withdrawal resolving and if alcohol, a CIWA-Ar score of 3-7   Sub intoxication level  \n2   Some difficulty tolerating and coping w/withdrawal discomfort  \n  Intoxication may be severe, but responds to treatment so individual does not pose imminent danger to self or others  \n  Moderate signs and symptoms with moderate risk of severe withdrawal   Somewhat intoxicated  \n  If alcohol, a CIWA-Ar score if 8-11  \n3   Demonstrates poor ability to tolerate and cope with withdrawal discomfort.  \n  Severe signs and symptoms of intoxication indicating possible imminent danger to self & others   Severe signs and symptoms or risk of severe but manageable withdrawal; or withdrawal is  \nworsening despite detoxification at less intensive level of care   Very intoxicated  \n  If alcohol, a CIWA-Ar score if 12-15  \n4   Incapacitated, with severe signs and symptoms of withdrawal   Severe withdrawal presents danger (e.g. seizures)   Continued use poses an imminent threat to life   Stuporous  \n  If alcohol, a CIWA-Ar score over 15  \nDimension 2: Biomedical Conditions and Complications  \n0   Fully functioning with good ability to tolerate or cope w/ physical discomfort   No biomedical signs or symptoms are present, or biomedical problems stable   No biomedical conditions that will interfere with treatment or create risk  \n1   Demonstrates adequate ability to tolerate and cope with physical discomfort  \n  Mild to moderate signs or symptoms interfere with daily functioning, but would likely not interfere with recovery treatment nor create risk  \n2   Some difficulty tolerating and coping with physical problems and/or has other biomedical problems   Has a biomedical problem, which may interfere with recovery treatment  \n  Has a need for medical services which might interfere with recovery treatment (e.g. , kidney dialysis)  \n  Neglects to care for serious biomedical problems  \n  Acute, non-life threatening medical signs and symptoms are present  \n3   Demonstrates poor ability to tolerate and cope with physical problems and/or general health is poor  \n  Has serious medical problems he/she neglects during outpatient treatment that require frequent medical attention  \n  Severe medical problems are present but stable.  \n  Medical problem(s) present that would be severely exacerbated by a relapse  \n  Medical problem(s) present that would be severely exacerbated by withdrawal (e.g. , diabetes, hypertension)  \n  Medical problems that require medical or nursing services  \n4   Incapacitated, with severe medical problems   Severe medical problems that are life threatening risk  \nDimension 3: Emotional/Behavioral/Cognitive Conditions and Complications  \n0   No or stable mental health problems  \n1   Sub-clinical mental disorder  \n  Emotional concerns relate to negative consequences and effects of addiction.  \n  Suicidal ideation without plan  \n  Social role functioning impaired, but not endangered by substance use; mild symptoms that do not impair role functioning ([e.g. social](e.g. social), school, or work)  \n  Mild to moderate signs and symptoms with good response to treatment in the past.  \n  Or past serious problems have long period of stability or are chronic, but do not pose high risk of harm  \n2   Suicidal ideation or violent impulses require more than routine monitoring   Emotional, behavio","cbCaisc9jrOjIb0s","https://ap.wps.com/l/cbCaisc9jrOjIb0s","pdf",102320,"English","# Dimension 1: Detoxification/Withdrawal Potential Assessment\n# Dimension 2: Biomedical Conditions and Complications\n# Dimension 3: Emotional/Behavioral/Cognitive Conditions and Complications\n# Dimension 4: Readiness to Change","[{\"question\":\"What does the ASAM severity rating scale 0–4 represent in Dimension 1?\",\"answer\":\"In Dimension 1, 0 indicates no problem or stable tolerance, while 4 indicates incapacitation with severe withdrawal danger. Intermediate levels describe increasing severity of intoxication, withdrawal signs, and risk.\"},{\"question\":\"How is alcohol withdrawal severity estimated in Dimension 1?\",\"answer\":\"The criteria specify CIWA-Ar score ranges: less than 3 corresponds to rating 0, 3–7 to rating 1, 8–11 to rating 2, 12–15 to rating 3, and over 15 to rating 4.\"},{\"question\":\"What factors determine the rating in Dimension 2 (Biomedical Conditions and Complications)?\",\"answer\":\"Dimension 2 ratings depend on whether biomedical signs and symptoms are absent or stable, interfere with daily functioning, require medical services, are severe but stable, or are life-threatening risks.\"}]","ASAM Criteria - Determining Severity Ratings | PDF",1791937634]