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: Ongoing

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
1.Name(Required.)
2.Professional Credentials/Designations (MD, FASAM, etc)(Required.)
3.Email(Required.)
4.Professional Title/Position
5.Domain of Expertise(Required.)
6.For how long have you been working with adolescents?(Required.)
7.Which of the following Adolescent settings do you have experience in? (Select all that apply)(Required.)
8.Which of the following areas do you have expertise in? (Select all that apply)(Required.)
9.When are you available to work on cases? Select all that apply.(Required.)
10.Anything additional that you would like to add? (Optional)
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