Understanding and Using the Dual Diagnosis Criteria (Co-Occurring Mental and Substance-Related Disorders) of the Revised Second Edition ASAM Patient Placement Criteria (ASAM PPC-2R) David Mee-Lee, M.D. Workshop Description Clinicians involved in planning and managing care often lack common language and guidelines that allows for effective, individualized treatment for those with co-occurring psychiatric and substance use problems. The Revised Second Edition of the ASAM Patient Placement Criteria (ASAM PPC-2R), published April 2001, includes such criteria and common language. This workshop is designed to explain the dual diagnosis criteria and service guidelines of the Second Edition Revised of the ASAM Patient Placement Criteria (ASAM PPC-2R). It will help participants use the dual diagnosis criteria and also understand the experimental matrix that assists in matching services to the client’s needs. Using the structure of the dual diagnosis service descriptions, participants will explore ways to improve and expand services to better meet the needs of people with co-occurring mental and substance-related disorders. Objectives Participants will: 1. Understand the ASAM PPC-2R approach to dual diagnosis criteria and service descriptions. 2. Learn about the changes made in the criteria to better address those with co-occurring mental and substance-related disorders. 3. Understand the clinical application of the dual diagnosis criteria and service types in ASAM PPC-2R; and the implications for broadening services to better meet the needs of “dual diagnosis” clients.   Understanding and Using the Dual Diagnosis Criteria (Co-Occurring Mental and Substance-Related Disorders) of the Revised Second Edition ASAM Patient Placement Criteria (ASAM PPC-2R)   Workshop Agenda 9:00 AM A. Why Dual Diagnosis Criteria and ASAM PPC-2R’s Approach?   * Historical context of the ASAM PPC – Dimension 3   * Terminology used   *Adult versus adolescent criteria differences – Dim.3 Subdomains       B. Dual Diagnosis Program Descriptions – AOS, DDC, DDE   * Addiction Only Services (AOS)   * Dual Diagnosis Capable (DDC) services   * Dual Diagnosis Enhanced (DDE) services       C. Level of Care Dual Diagnosis Criteria   * DDC and DDE criteria in each level of care   * DDC and DDE criteria in each dimension     10:30 AM Break 10:45 AM D. Experimental Matrix and Dual Diagnosis   * Multidimensional risk ratings   *Intensity of services ratings   * Matching services to need       E. How and When to Use the Dual Diagnosis Criteria   *Admission, continued service and discharge/transfer   *Specifications to match clients to level of care     12 Noon Adjourn     1:15 PM F. Improving Dual Diagnosis Services   *Self assessment of AOS, DDC or DDE   *Readiness Survey for dual diagnosis treatment   *Expanding the menu of groups for dual diagnosis treatment       G. Case Consultation     2:30 PM Break     2:45 PM H. Skill-Building for Dual Diagnosis Assessment and Treatment   *Case Vignettes and determining DDC or DDE   *Staff issues, training and skill building   * Next steps to DDC or DDE     4:00 PM Adjourn