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.


ASAM Co-occurring Placement Addiction Mental health 


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© Springer Science+Business Media, LLC 2017

Authors and Affiliations

  1. 1.Milwaukee County Behavioral Health DivisionCommunity Access to Recovery ServicesMilwaukeeUSA

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