ASAM Criteria Adolescent Volume Case Sketch Interest Survey

We are seeking volunteers to help sketch out adolescent case studies for The ASAM Criteria, Fourth Edition, Adolescent Volume. Each case study will describe a fictional patient case outlining concerns from each subdimension. These will be used to test our dimensional admission criteria.

Volunteers will be provided with a template and given general guidelines on what kind of case to sketch out, depending on their area of expertise. We anticipate sketches to be approximately 1 page in length. Volunteers will be acknowledged in the contributors’ section of the Adolescent Volume.

Timeline: October - November 2024

If you are interested, please fill out the form below. Please also feel free to share with colleagues who may be interested.

Questions? Email asamcriteria@asam.org

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* 1. Name

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* 2. Professional Credentials/Designations (MD, FASAM, etc)

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* 3. Email

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* 4. Professional Title/Position

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* 5. Domain of Expertise

Counselor (e.g., LADC, CADC)

Nurse/Nurse Practitioner

Physician

Physician's Assistant

Psychiatrist

Psychologist/Therapist

Other (please specify)

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* 6. For how long have you been working with adolescents?

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* 7. Which of the following Adolescent settings do you have experience in? (Select all that apply)

Hospital/Inpatient - Level 4

Hospital/Inpatient - Level 4 Psychiatric

Residential - Level 3.7

Residential - Level 3.5

Outpatient - Level 2.5

Outpatient - Level 2.1

Outpatient - Level 1.5

Adolescent Recovery Supportive Housing (e.g., Therapeutic Foster Home, Respite, Recovery Residence)

Other (please specify)

None of the above

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* 8. Which of the following areas do you have expertise in? (Select all that apply)

Co-occurring Enhanced Care (COE)

Biomedically Enhanced Care (BIO)

Other (please specify)

None of the above

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* 9. When are you available to work on cases? Select all that apply.

October

November

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* 1. Name

Question Title

* 2. Professional Credentials/Designations (MD, FASAM, etc)

Question Title

* 3. Email

Question Title

* 4. Professional Title/Position

Question Title

* 5. Domain of Expertise

Question Title

* 6. For how long have you been working with adolescents?

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* 7. Which of the following Adolescent settings do you have experience in? (Select all that apply)

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* 8. Which of the following areas do you have expertise in? (Select all that apply)

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* 9. When are you available to work on cases? Select all that apply.

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* 10. Anything additional that you would like to add? (Optional)