ASAM DIMENSIONAL SEVERITY PROFILE
COU 640 ASAM Form
ASAM DIMENSIONAL SEVERITY PROFILE
ASAM Dimension
(0)
No Problem
(1)
Mild
(2)
Moderate
(3)
Substantial
(4)
Severe
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
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:
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