The ASAM PPC-2R is best known as a paper document that stages addictive disease, provides guidelines as to the type of intensity of care, and systematizes the care of clients and patients who suffer from addictive disease. Use of the PPC is mandated in many states across the United States, and its use has spread to over 30 counties across the globe. The PPC-2R assessment system has evolved in stages, from a paper document, to a validated assessment prototype, and finally to an assessment software system. The paper document defines systematic rules to determine the proper type of care that is needed based upon a patient's current mental, emotional, and social situation.
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NCBI Bookshelf. Center for Substance Abuse Treatment. View in own window. Source: Mee-Lee et al. Turn recording back on. National Center for Biotechnology Information , U. Search term. Exhibit Clients who are not experiencing or at risk of acute withdrawal e. To be managed successfully in Level II. Dimension 2: Biomedical conditions or complications. Clients with serious or chronic medical conditions can be managed in IOT as long as the clients are stable and the problems do not distract from the substance abuse treatment.
Dimension 3: Emotional, behavioral, or cognitive conditions or complications. Dimension 3 problems are not a prerequisite for admission to IOT. But if any of these problems are present, clients need to be treated in an enhanced IOT program that has staff members who are trained in the assessment and treatment of both substance use and mental disorders.
IOT is appropriate for clients with co-occurring disorders who abuse family members or significant others, may be a danger to themselves or others, or are at serious risk of victimization by others. IOT also is indicated if mental disorders of mild-to-moderate severity have the potential to distract clients from recovery without ongoing monitoring.
Dimension 4: Readiness to change. The structured milieu of IOT is appropriate for clients who agree to participate in but are ambivalent about or engaged tenuously in treatment. These clients may be unable to make or sustain behavioral changes without repeated motivational reinforcement and support several times a week. Dimension 5: Relapse, continued use, or continued problem potential.
Despite prior involvement in less intensive care, the client's substance-related problems are intensifying and level of functioning deteriorating. Dimension 6: Recovery environment. IOT supervision is needed for clients whose recovery environment is not supportive and who have limited contacts with non-substance-abusing peers and family members. These clients have some potential for making new friends and seeking appropriate help and can cope with a passively negative home environment if offered some relief several times a week.
Patient placement criteria for the treatment of substance-related disorders. (ASAM PPC-2R)
Initial Results of Utilization of ASAM PPC-2R Software in Bukhara
The ASAM Criteria