ASAM dimensions are rated 0-4 in severity or need. A rating higher than 2.9 requires in patient or residential treatment.

  1. Addictions (0-4)  How many addictions, how strongly addicted, and immediate risks for death.
  2. Medical problems (0-4) Diagnoses , treatment status, and need for inpatient/outpatient care.
  3. Mental problems (0-4) Diagnoses, treatment status, and need for inpatient care.
  4. Readiness for change (0-4) Need for motivational counseling and cognitive behavioral therapy.
  5. Potential for relapse (0-4) – Loneliness Scale , Pain Level 0-10, Stress Level, Number of Active Problems, Period of active illicit opiate use, Period not using illicit opiates, Drug Availability, Vengefulness, Withdrawal Status, and Craving Status.
  6. Social support (0-4) Loneliness and Housing status

CALOMS data for Annual Medical Necessity Assessment.