Making Patient Placement Decisions & Writing Clinical Justifications Using Uniform Patient Placement Criteria e.g., ASAM
 
Two Day Workshop Description

Research on the evidence based practice of making patient placement decisions, also known as choosing a level of care, and matching clients to treatment indicates that mismatching patients to treatment, either under treating or over treating has been demonstrated to decrease a client’s successful engagement of treatment (Magura, et. al., 2002), and lead to poorer treatment outcomes (Magura et. al., 2002; McKay et. al., 2000). It is imperative that assessors and case managers learn how to make informed and accurate patient placement decisions, and be able to write clear, concise and clinically defensible justifications for their decisions.

Goal:

To develop and/or enhance the knowledge and skills of participants to make more informed and accurate patient placement decisions, and to write clear, concise clinical justifications for those decisions utilizing Uniform Patient Placement Criteria (UPPC) e.g., American Society of Addiction Medicines Patient Placement Criteria (ASAM-PPC).
 
Objectives:
  • Understand the rationale and benefits of using standardized assessment instruments e.g., Addiction Severity Index (AS), Comprehensive Adolescent Severity Inventory (CASI), & Global Appraisal of Individual Needs (GAIN) to collect clinical information.
  • Understand the rationale and benefits of using uniform patient placement criteria (UPPC) e.g., American Society of Addiction Medicines Patient Placement Criteria (ASAM-PPC) to make patient placement decisions.
  • Understand the Levels of Care Continuum, and differentiate between the general criteria guiding inpatient vs. outpatient patient placement decisions.
  • Be able to identify and define ASAM’s six dimensions of assessment.
  • Be able to identify and describe the process for making patient placement decisions.
  • Understand the relationship and functionality of assessment tools and Uniform Patient Placement Criteria (UPPC) e.g., ASAM-PPC.
  • Be able to identify the sections and items of a standardized assessment tool i.e., Addiction Severity Index (ASI), that primarily inform each of ASAM’s six dimensions.
  • Participants will learn the format and process for writing an ASAM Dimension risk rating clinical justification.
  • Identify and describe the key components and format of an ASAM dimension risk rating clinical justification.
  • Identify and describe the key components and format of a patient placement decision clinical justification.
  • Identify three common errors made when writing clinical justifications.
  • Participants will learn how ASAM dimension clinical justifications can be used to develop treatment plans.
Organizational Outcomes:

Organizations employing staff who successfully complete this workshop and transfer their newly acquired knowledge and skills back to their workplace should see an improvement in the accuracy of patient placement decisions made, and the clinical justifications for them. As a result of improved matching of clients to treatment, organizations could also see an increase in the initiation, engagement and retention rates of clients in treatment.

Career / Professional Relevancy:

The knowledge and skills required to make informed and accurate patient placement decisions, and to write clear, concise clinical justifications is a much needed and marketable skill to put on ones resume. Approximately 30 states use to varying degrees the American Society of Addiction Medicines (ASAM) Patient Placement Criteria (PPC), to guide patient placement decisions (Mee-Lee, 2005), and as many as 40 states have utilization review mechanism that involves matching clients to appropriate levels of care utilizing some form of Uniform Patient Placement Criteria (Gregoire, 2000). In addition, many treatment providers are becoming approved providers of substance abuse treatment for various insurance carriers. Many, if not all of these carriers require clinicians to be able to make informed and accurate patient placement decisions, and to be able to write clear, concise and clinically defensible justifications for those decisions.
 
Evidence Based - Proven Effective - Designed for Transfer