American Society of Addiction Medicine White Paper on State-Level 2025

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The American Society of Addiction Medicine (ASAM) White Paper, adopted on July 25, 2012, addresses state-level proposals to legalize marijuana. It outlines the increasing public support for legalization amidst rising marijuana use and associated health concerns. The paper distinguishes between legalization and decriminalization, emphasizing that legalization could lead to increased use and addiction rates, particularly among youth. ASAM opposes marijuana legalization due to its potential negative health impacts, including addiction, mental health issues, and impaired driving. The organization calls for public education on the risks of marijuana use and recommends against any changes in law that would increase availability of this substance.
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The ASAM Criteria is the most widely used set of evidence-based standards when determining an appropriate level of care for substance use disorders and creates a shared language to support effective communication between clinicians, payers, policy makers and patients.
Based on these definitions, EBPH and EBM differ in the following three ways: First, EBM focuses on individual patients, whereas EBPH focuses on community and residents [13]. Second, the EBM intervention is disease treatment, whereas the EBPH intervention is disease prevention and health promotion [14].
Established in 1954, ASAM is a distinguished medical society that encompasses more than 8,000 physicians, clinicians, and related professionals who specialize in addiction medicine.
It focuses on using techniques that have been shown by science to be effective. This may involve medications, behavioral therapies, or other approaches that help treat addiction. EBPs are effective in treating substance use disorders and are also being used in other areas of mental health care.
The ASAM Criteria defines the standards for conducting a comprehensive biopsychosocial assessment to inform patient placement and treatment planning. These standards describe six dimensions that should be assessed, including: Acute intoxication and/or withdrawal potential. Biomedical conditions and complications.

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Updated Continuum of Care The Continuum of care has also been updated in the Fourth Edition. The continuum still includes four broad treatment levels (1 through 4). And within these four broad levels of care, decimal numbers express further gradations of intensity and types of care provided.
The DSM-5 defines and classifies mental disorders and is used by clinicians to diagnose and develop treatment recommendations for adolescents and adults. The ASAM Criteria provides a comprehensive set of guidelines for placement, continued stay and transfer/discharge of patients with substance use disorders.

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