Sensitivity of the ASAM Criteria to Psychiatric Need

Sensitivity of the ASAM Criteria to Psychiatric Need The ASAM Criteria (ASAM) is one of the most widely used placement tools in the addiction field. Its use, however, has focused on placement of individuals into addiction-only or co-occurring addiction and mental health services, not individuals who need primary mental health treatment. This study examined whether the ASAM, particularly dimension 3 (D3), was sensitive to mental health needs of a group of individuals placed into addiction services using the ASAM then followed for 1 year to determine whether they received mental health services. Individuals who received mental health services had D3 scores that were twice as high as those who did not, and individuals with a “Psychotic Disorder” had higher scores than all other diagnostic clusters. At a cutoff of 1, D3 had a sensitivity of .89 and specificity of .44 (C = .73). These results argue for an expanded application of the ASAM across the behavioral health continuum. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png International Journal of Mental Health and Addiction Springer Journals

Sensitivity of the ASAM Criteria to Psychiatric Need

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Publisher
Springer Journals
Copyright
Copyright © 2017 by Springer Science+Business Media, LLC
Subject
Medicine & Public Health; Public Health; Health Psychology; Psychology, general; Rehabilitation; Psychiatry; Community and Environmental Psychology
ISSN
1557-1874
eISSN
1557-1882
D.O.I.
10.1007/s11469-017-9801-8
Publisher site
See Article on Publisher Site

Abstract

The ASAM Criteria (ASAM) is one of the most widely used placement tools in the addiction field. Its use, however, has focused on placement of individuals into addiction-only or co-occurring addiction and mental health services, not individuals who need primary mental health treatment. This study examined whether the ASAM, particularly dimension 3 (D3), was sensitive to mental health needs of a group of individuals placed into addiction services using the ASAM then followed for 1 year to determine whether they received mental health services. Individuals who received mental health services had D3 scores that were twice as high as those who did not, and individuals with a “Psychotic Disorder” had higher scores than all other diagnostic clusters. At a cutoff of 1, D3 had a sensitivity of .89 and specificity of .44 (C = .73). These results argue for an expanded application of the ASAM across the behavioral health continuum.

Journal

International Journal of Mental Health and AddictionSpringer Journals

Published: Sep 14, 2017

References

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