Sections
Patient Placement Criteria: Introduction | Rationale for Patient Placement Criteria | Origins and Organization of the American Society
of Addiction Medicine Patient Placement Criteria | Research Findings and Automation | Revision of the ASAM PPC | Alternatives to Patient Placement Criteria | Conclusion | Key Points | References | Suggested Reading
Excerpt
Patient placement criteria are decision rules
that guide care providers and care managers in assigning patients
to the optimal clinical and cost-effective level of care. Extensive reviews
of the treatment outcome literature demonstrate that treatment for
addictive disorders is effective, but that no single treatment model
or level of care is appropriate for all individuals (Berglund et al. 2003; Institute of Medicine 1990; Miller et al. 2002; National Institute on Drug Abuse 1999). However,
most programs still deliver services with one predominant ideological
model, whether that model is abstinence-mandated, 12-step recovery;
the Minnesota Model; harm reduction, opioid maintenance treatment;
social model therapeutic communities; behavior therapy models; or
psychiatric and mental health approaches. In addition, most treatment
and funding systems still provide for only a limited continuum of
care. This treatment and funding deficiency continues to occur despite
the availability of detailed criteria for a broad array of service
levels that has existed for over two decades.