ASAM COMPREHENSIVE EXAM SCRIPT
VERIFIED QUESTIONS COMPLETE
ANSWERS GRADED APLUS
◉ ASAM LOC 3.1 Criteria
Answer: Meets all 6 Dimensions
· 1- No withdrawal needs, or withdrawal is manageable at this level
· 2- No biomedical conditions, or sufficiently stable and managed at
this level of care
· 3- EBC/C/psychiatric conditions are stable and do not interfere
with Tx
o If exist, clt must be enrolled in co-occurring capable, enhanced Tx
program so as to assist in Sx manageability.
· 4- EXAMPLE OF LANGUAGE FOR DIMENSION 4 READINESS TO
CHANGE
o Clt is not consistently able to follow through with Tx
o Demonstrates minimal awareness of problem
o Unaware of need to change
o Requires active intervention w/ family, significant others, and
other external systems to create leverage and align incentives to
promote Tx engagement
o Clt demonstrates ambivalence (STATE STAGE OF CHANGE)
, o Clt demonstrates compliance (ex. Legal) versus commitment
· 5-EXAMPLE OF LANGUAGE FOR DIMENSION 5 RELAPSE/CONT'D
USE POTENTIAL
o One of the following must be met:
§ Clt has limited coping skills to to address relapse triggers and
urges
§ Clt is unable to consistently address both or either MH and/or SUD
need
§ Clt continues to need staff support to maintain engagement in his
or her own recovery program while transitioning to life in the
community
§ Clt has difficulty postponing immediate gratification
· 6-EXAMPLE OF LANGUAGE FOR DIMENSION 6 RECOVER
ENVIRONMENT
o See the following: (A and one of B,C,D)
§ Clt can cope for limited periods of time outside of the structured
setting to pursue clinical, vocational, educational, and community
activities AND
§ Clt has lived in an environment characterized by physical, sexual,
emotional, abuse, or substance use; clt is unable to cope in less
intensive level of care OR
§ Clt lacks sober supports OR
§ Clt is unable to attain recovery goals in environment that is riddled
with substance use OR
§ Clt has insuffic
VERIFIED QUESTIONS COMPLETE
ANSWERS GRADED APLUS
◉ ASAM LOC 3.1 Criteria
Answer: Meets all 6 Dimensions
· 1- No withdrawal needs, or withdrawal is manageable at this level
· 2- No biomedical conditions, or sufficiently stable and managed at
this level of care
· 3- EBC/C/psychiatric conditions are stable and do not interfere
with Tx
o If exist, clt must be enrolled in co-occurring capable, enhanced Tx
program so as to assist in Sx manageability.
· 4- EXAMPLE OF LANGUAGE FOR DIMENSION 4 READINESS TO
CHANGE
o Clt is not consistently able to follow through with Tx
o Demonstrates minimal awareness of problem
o Unaware of need to change
o Requires active intervention w/ family, significant others, and
other external systems to create leverage and align incentives to
promote Tx engagement
o Clt demonstrates ambivalence (STATE STAGE OF CHANGE)
, o Clt demonstrates compliance (ex. Legal) versus commitment
· 5-EXAMPLE OF LANGUAGE FOR DIMENSION 5 RELAPSE/CONT'D
USE POTENTIAL
o One of the following must be met:
§ Clt has limited coping skills to to address relapse triggers and
urges
§ Clt is unable to consistently address both or either MH and/or SUD
need
§ Clt continues to need staff support to maintain engagement in his
or her own recovery program while transitioning to life in the
community
§ Clt has difficulty postponing immediate gratification
· 6-EXAMPLE OF LANGUAGE FOR DIMENSION 6 RECOVER
ENVIRONMENT
o See the following: (A and one of B,C,D)
§ Clt can cope for limited periods of time outside of the structured
setting to pursue clinical, vocational, educational, and community
activities AND
§ Clt has lived in an environment characterized by physical, sexual,
emotional, abuse, or substance use; clt is unable to cope in less
intensive level of care OR
§ Clt lacks sober supports OR
§ Clt is unable to attain recovery goals in environment that is riddled
with substance use OR
§ Clt has insuffic
