Development of The ASAM Criteria Intake Assessment: A Free, Paper-Based, Interview Form
- Registration Closed
Development of The ASAM Criteria Intake Assessment: A Free, Paper-Based, Interview Form
Recorded: Thursday, March 31, 2022 - Sunday, April 3, 2022
On-Demand Session
Overview
This 1-hour, on-demand session from the ASAM 53rd Annual Conference describes the usage of the free, paper-based interview form developed for the ASAM Criteria.
The ASAM Criteria Intake Assessment is intended as a guide to multidimensional assessment of individuals with Substance Use Disorders (SUDs) and as a guide to the conceptual approach of the ASAM Criteria decision logic. It is designed to assist Level of Care (LOC) decision-making for adults who are seeking treatment. The ASAM Criteria Intake Assessment Form for Adults has two primary components. The first component is a set of questions that guides the interviewer to establish risk ratings for the six domains of The ASAM Criteria. The second component of the form includes a summary sheet and Level of Care Guide where the interviewer summarizes information from the interview questions and uses the risk ratings from the six dimensions and guidance embedded in the assessment form to select the appropriate LOC. This session will also describe the development of the tool and the results of a small feasibility study. Additionally, this session will provide an overview of the assessment, discuss scoring guidance, and explore information and resources for anyone who would like to implement the tool locally.
The target audience for this Introductory level session includes physicians, nurse practitioners, physician assistants, other clinicians, researchers, residents, fellows, students, and counselors.
This session addresses the following ACGME Competencies: Patient Care and Procedural Skills.
Learning Objectives
Upon completion, learners will be able to:
- List the special features of The ASAM Intake Assessment Form.
- Demonstrate how scoring is conducted for The ASAM Intake Assessment Form.
- Access information and resources for those who would like to implement the tool locally.
Registration Rates
| Rate Description | Rate |
| ASAM Member | $29 |
| Non-Member | $39 |
| Associate Member | $19 |
| Resident Member* | $19 |
| Student Member* | $19 |
*Residents, Fellows-in-training, Interns, and Students must join ASAM to receive a discounted registration rate. Click here to become an ASAM member. National and Chapter membership dues apply. There is no charge for Students to become a Member, but verification of student status is required.
Membership Question? Call ASAM at 1.301.656.3920, email us, or view the ASAM website for more information.
Refunds & Cancellations
All ASAM e-Learning Center refund requests must be made in writing to education@asam.org within 90 days of purchase. Those requesting refunds for courses that are in progress will receive partial refunds or e-Learning Center credit. Automatic full refunds will be made for any course with a live-course component that has been cancelled.
Registration Deadline: 05/01/2025
Course Instructions
- Click on the Contents tab to watch the on-demand recording.
- Click Complete Post Test to answer multiple choice questions. Participants will have 10 attempts to pass and must answer 2 out of 3 questions correctly.
- Click Complete Evaluation to provide valuable activity feedback. Scroll down on all questions as there may be answer options that expand past the size of the window.
- Click the button Claim Medical Credits in the box titled Claim Credits & Certificate. Choose the type of credit and click submit. Click the button View/Print Certificate to save or print your certificate. You can view/print your certificate at any time by visiting the ASAM eLearning Center, clicking Dashboard, and clicking Transcript/Achievements.
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Anne Lee, LCSW
Project Director
Anne B. Lee, LCSW, is a Project Director at the UCLA Integrated Substance Abuse Programs (ISAP). She received her MSW at Smith College School for Social Work and a Bachelor of Arts at Wesleyan University. At UCLA ISAP, she serves as study Project Director and therapist for research involving people with co-occurring substance abuse and mental disorders. Ms. Lee is Clinical Content specialist for the California Drug Medi-Cal Organized Delivery System (DMC-ODS) Waiver evaluation. Prior to joining UCLA ISAP, she served at the UCLA Neuropsychiatric Institute as Project Director for The TORDIA project (Treatment of Resistant Depression in Adolescents), a multi-site study of drug and talk therapy treatment regimen for severely depressed adolescents. Before coming to UCLA, she served at Harvard Medical School as Project Director and Clinical Interviewer for The Family Pathways Project, a multigenerational longitudinal study of high-risk parent-child attachment. Prior to her work in research, she was a Social Work Fellow at The Boston Children’s Hospital in the Department of Psychiatry.
R Corey Waller
MD, MS
R. Corey Waller MD, MS, FACEP, DFASAM is a board-certified and actively practicing addiction and emergency medicine specialist with extensive experience working at the local, state, and national levels. He has works with the American Society of Addiction Medicine (ASAM) and related organizations to advance the evidence-based practice of treatment and recovery for individuals affected by substance use disorder (SUD). A nationally recognized expert in SUD, he is now the Editor in Chief of The ASAM Criteria.
As a principal at the HMA Institute on Addiction, he is directly responsible for consultation regarding addiction treatment system development for hospitals, primary care practices, just involved populations, and addiction treatment providers. He oversees the HMAedu.com learning management system and continues to develop education covering addiction, pain, behavioral health, and the administrative support for those systems.
In his prior role as senior medical director for education and policy at the National Center for Complex Health and Social Needs, Dr. Waller was responsible for developing and maintaining all training and in-person technical assistance delivered by the National Center. This covered addiction, pain, behavioral health treatment system development, correctional medicine, payment model implementation, and healthcare policy.
Before joining the National Center, he worked for the Spectrum Health System in Grand Rapids, Michigan, a fully integrated health system with 14 hospitals and more than 1,000 employed physicians. Dr. Waller served as medical staff chief of pain medicine to the Spectrum Health Hospital System and medical director of the Spectrum Health Medical Group Center for Integrative Medicine, where he was responsible for treating patients with addiction, including management of pregnant mothers with substance use disorders. Additionally, he oversaw the development of core competencies for addiction treatment in the labor and delivery unit and the neonatal abstinence syndrome treatment algorithm for the Level 1 neonatal intensive care unit.
CME, CE, CEU and Other Credit Types
ACCME Accreditation Statement
The American Society of Addiction Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
AMA Credit Designation Statement
The American Society of Addiction Medicine designates this enduring material for a maximum of 1 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
NAADAC, the Association for Addiction Professionals
This activity has been approved by the American Society of Addiction Medicine, as a NAADAC Approved Education Provider, for educational credits. NAADAC Provider #295, ASAM is responsible for all aspects of the programming.
California Association for Drug/Alcohol Educators (CAADE)
This educational program is approved by CAADE: #CP40 999 1222.
California Association of DUI Treatment Centers (CADTP)
This educational program is approved by CADTP: #205.
California Consortium of Addiction Programs and Professionals (CCAPP)
This educational program is approved by CCAPP: #OS-20-330-1222.
Continuing Education Credits (CEUs)
Non-physician participants will receive a certificate of attendance upon completion of the activity and an online evaluation confirming their participation. Participants should submit his/her certificate of attendance to their professional organization/institute.
Maintenance of Certification (MOC) or Continuing Certification Programs (CCP)
American Board of Medical Specialties (ABMS)
Through the American Board of Medical Specialties (“ABMS”) ongoing commitment to increase access to practice relevant Continuing Certification Activities through the ABMS Continuing Certification Directory, The ASAM 53rd Annual Conference has met the requirements as a MOC Part II CME Activity (apply toward general CME requirement) for the following ABMS Member Boards: Allergy and Immunology, Anesthesiology, Colon and Rectal Surgery, Family Medicine, Medical Genetics and Genomics, Nuclear Medicine, Physical Medicine and Rehabilitation, Plastic Surgery, Preventive Medicine, Psychiatry and Neurology, Radiology, Thoracic Surgery, Urology
American Board of Preventive Medicine (ABPM)
The American Board of Preventive Medicine (ABPM) has approved this activity for a maximum of 1 credit towards ABPM MOC Part II requirements.
American Board of Anesthesiology (ABA)
This activity contributes to the CME component of the American Board of Anesthesiology’s redesigned Maintenance of Certification in Anesthesiology TM (MOCA®) program, known as MOCA 2.0®.
American Board of Pediatrics (ABP)
Successful completion of this CME activity, which includes participation in the activity, with individual assessments of the participant and feedback to the participant, enables the participant to earn a maximum of 1 MOC point in the American Board of Pediatrics’ (ABP) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABP MOC credit.
American Board of Internal Medicine (ABIM)
Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 1 Medical Knowledge MOC point in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credits.
American Board of Surgery (ABS)
Successful completion of this CME activity, which includes participation in the evaluation component, enables the learner to earn credit toward the CME and/or Self-Assessment requirements of the American Board of Surgery’s Continuous Certification program. It is the CME activity provider's responsibility to submit learner completion information to ACCME for the purpose of granting ABS credit.
American Board of Psychiatry and Neurology (ABPN)
Successful completion of this CME activity can be used to satisfy the American Board of Psychiatry and Neurology’s (ABPN) CME requirement for Maintenance of Certification program.
American Board of Addiction Medicine (ABAM)
Successful completion of this activity can be used to satisfy the American Board of Addiction Medicine (ABAM) Tmoc credit requirements.
Royal College of Physicians and Surgeons of Canada (RCPSC)
Royal College Fellows can use participation in Accredited Continuing Medical Education to earn Section 3 Credits.
Disclosure Information
In accordance with disclosure policies of ASAM and the ACCME, the effort is made to ensure balance, independence, objectivity, and scientific rigor in all CME activities. These policies include mitigating all possible relevant financial relationships with ineligible companies for the Planning Committees and Presenters. All activity Planning Committee members and Faculty have disclosed relevant financial relationship information. The ASAM CME Committee has reviewed these disclosures and determined that the relationships are not inappropriate in the context of their respective presentations and are not inconsistent with the educational goals and integrity of the activity.
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