Psychology ASMF
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COU640ASAMForm.docx
COU 640 ASAM Form
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ASAM DIMENSIONAL SEVERITY PROFILE |
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ASAM Dimension |
(0) No Problem |
(1) Mild |
(2) Moderate |
(3) Substantial |
(4) Severe |
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Dimension One: Acute intoxication and/or withdrawal potential |
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Dimension Two: Biomedical conditions and complications |
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Dimension Three: Emotional, behavioral, and cognitive conditions and complications |
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Dimension Four: Readiness to change |
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Dimension Five: Relapse, continued use, or continued problem potential |
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Dimension Six: Recovery/living environment |
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Notes/Reasons:
Dimension One: Acute intoxication and/or withdrawal potential
Dimension Two: Biomedical conditions and complications
Dimension Three: Emotional, behavioral, and cognitive conditions and complications
Dimension Four: Readiness to change
Dimension Five: Relapse, continued use, or continued problem potential
Dimension Six: Recovery/living environment
Reflection:
