American Society of Addiciton Medicine

The SA国际传媒Criteria, 4th Edition

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The SA国际传媒Criteria, 4th Edition

The SA国际传媒Criteria Fourth Edition is a comprehensive set of guidelines that use a holistic, person-centered approach to developing treatment plans for patients with addiction and co-occurring conditions.

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criteria book cover


The 4th Edition of The SA国际传媒Criteria is available in print and digital versions to enable more effective implementation of The SA国际传媒Criteria® in clinical practice.

SA国际传媒Clinical Algorithm Subcommittee

The SA国际传媒Clinical Algorithm Subcommittee is looking for members to collaborate on refining the 4th Edition clinical algorithms for SA国际传媒Criteria-based assessment tools! Click the link below to learn more and apply.

Applications Deadline Extension: June 30, 2024


4th Edition - Digital Version

The digital version brings the full value of The SA国际传媒Criteria to life in an engaging and accessible interface.

Key features:

  • Custom tools to highlight and bookmark content, create notes, and organize important information into folders
  • Personalized dashboard allows you to enter the textbook where you left off and offers quick access to your saved materials
  • Interactive graphics and multimedia enhance the learning experience
  • Contextually relevant expert videos, case studies, and resources provide insights and support for using the clinical standards with your patients
  • Regular updates deliver new supplementary resources as they become available




4th Edition - Print Version

The SA国际传媒Criteria Fourth Edition is a comprehensive set of standards and decision rules that use a holistic, person-centered approach to determining the appropriate level of care and developing treatment plans for patients with addiction and co-occurring conditions.

The revised standards have been crafted using a rigorous methodology for scientific evidence review and consensus development. The result is an update that is easier to understand and apply for improved patient care.

New in this edition:

  • Color-coding system organizes information into easily identifiable sections, facilitating quicker access to key content
  • Redesigned charts and graphics distill complex concepts into simpler, clearer explanations
  • Updated clinical standards reflect the current state of scientific evidence and clinical practice, and integrate more person-centered considerations when assessing the level of care.


What’s new in The SA国际传媒Criteria, Fourth Edition?

Core Components of The SA国际传媒Criteria

The SA国际传媒Criteria standards include three core components that work in tandem when making level of care recommendations. As a patient enters addiction treatment an SA国际传媒Criteria Level of Care Assessment is used to identify the patient’s clinical needs. The results of the assessment are applied to the Dimensional Admission Criteria to determine the recommended level of care.

The SA国际传媒Criteria also define standards for the different levels of care across the continuum, describing the setting, staffing, service intensity and other core elements at each level of care

As a patient moves through treatment, they are regularly reassessed. The transition and continued service criteria are applied to determine if the patient is ready to move to a less intensive level of care, requires a more intensive level of care, or should continue at the current level of care.



Updated Six Dimensions

The six dimensions of The SA国际传媒Criteria were updated in the Fourth Edition. The Third Edition’s Dimension 4: Readiness to Change does not contribute independently to the recommended level of care; rather, it impacts clinical judgments related to risks in other dimensions and influences the services that should be delivered at any level of care and should be carefully considered in treatment planning.

The Fourth Edition reorders the dimensions such that consideration of readiness to change is integrated across dimensions and replaced by a new dimension, Dimension 6: Person-Centered Considerations. This new dimension considers barriers to care—including social determinants of health (SDOH)—patient preferences, and the need for motivational enhancement. The Fourth Edition also simplifies and updates dimension names to reflect the field’s evolving terminology and facilitate effective dissemination of these standards.

dimension changes


Newly Defined Subdimensions

The Fourth Edition describes subdimensions, reflecting core actionable factors, that should be assessed within each dimension. During the Level of Care Assessment, the subdimensions in bold and blue inform level of care recommendations and initial treatment for immediate needs; however, all subdimensions are considered for treatment planning purposes. Dimensions 1 through 5 are used to develop a level of care recommendation. When assessing Dimension 6, the assessor works with the patient using a shared decision-making framework to determine which level of care the patient is willing and able to engage in.

Dimensions and Subdimensions

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. Major changes include:

  • Integration of medically managed levels of care – which provide medical management for intoxication, withdrawal management and biomedical and psychiatric comorbidities – into the main continuum of care. The continuum also includes programs with enhanced biomedical capabilities (ie, Level 3.7 BIO) to manage patients with medical comorbidities and enhanced capabilities to treat patients with co-occurring mental health conditions (ie, co-occurring enhanced [COE] levels of care, which include Levels 1.5 COE, 1.7 COE, 2.5 COE, 2.7 COE, 3.5 COE, 3.7 COE, and 4 Psychiatric).
  • A new Level 1.0 – Long-Term Remission Monitoring. This level of care provides long-term remission monitoring for patients in sustained remission, providing recovery management checkups and rapid reengagement in care when needed. This organization promotes a chronic care model of addiction treatment.
  • The Dimensional Admission Criteria may recommend a recovery residence in addition to an outpatient level of care (ie, Levels 1 and 2).
continuum of care 8.1



Fourth Edition Development

The Fourth Edition of The SA国际传媒Criteria will be released in four volumes. Subsequent volumes will focus on adolescents and transition-age youth, justice-involved patients, and treatment of behavioral addictions (i.e., gambling, internet, and gaming addiction). The 4th Edition uses a for evidence review and formal consensus development under the guidance of a new editorial subcommittee.  Learn More

SA国际传媒Criteria Software

Three software tools are currently available to support the implementation of The SA国际传媒Criteria, including:

  • SA国际传媒CONTINUUM – a comprehensive electronic assessment tool that allows clinicians, counselors, and other staff to assess individuals with addictive substance use disorders and co-occurring conditions and leverage a computerized clinical decision support system (CDSS) to make level of care recommendations.
  • SA国际传媒Co-Triage – a computer-guided provisional referral tool designed to generate an initial level of care placement for individuals with substance use problems.
  • The SA国际传媒Criteria Navigator - SA国际传媒has partnered with Optum to develop software for using The SA国际传媒Criteria in utilization review and management workflows.



SA国际传媒offers live and online courses designed to meet the learning needs of multiple audiences in making use of the SA国际传媒Criteria. Take an SA国际传媒course or work with one of our endorsed trainers.  Learn more

Implementation Tools

SA国际传媒offers a variety of tools aimed at helping clinicians, payers, managed care entities, and policymakers implement The SA国际传媒Criteria effectively.

Check out the SA国际传媒Criteria Implementation Tools>>>



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