In Person Livestream

Documentation and the ASAM Criteria: Module 3

Cinde Stewart Freeman, BSN, RN, MA, LADAC II, QCS
Kristy Roll, LCSW

Information

Date & Time

Location

Learning Objectives

Participants will be able to:

  • Describe the basic elements of and responsibilities regarding documentation of patient care in the medical record, recognizing it as a legal document.

  • Explain how documentation is used as a form of advocacy.

  • Explain 2 or more reasons why it is best practice to use specific, measurable goals/objectives, accompanied by behavioral descriptions of patient progress.

  • Describe 2 or more pitfalls of using non-standardized language (jargon/slang) and/or language based on assumptions rather than behavior.

  • Identify and describe the ASAM criteria and its use in documenting and tracking patients progress through the continuum of care.

Educational Goal

The educational goal of Module 3 is to increase knowledge about proper patient care documentation and ASAM criteria.

Description

Module 3 will educate participants on the critical aspects of patient care documentation, emphasizing the legal and ethical significance. It covers the essentials of accurately and responsibly recording patient interactions, treatment plans, and progress notes, highlighting the necessity of using specific, measurable goals and objectives to track patient progress. Additionally, the module addresses the common pitfalls associated with employing non-standardized language or assumptions rather than behavior-based observations. Furthermore, participants will learn about the ASAM (American Society of Addiction Medicine) criteria, understanding its role in documenting and monitoring patient progress through the continuum of care.

Target Audience

  • Counselor
  • Marriage & Family Therapist
  • Psychologist
  • Social Worker
  • Substance Use Disorder Professionals

Presenters

Cinde Stewart Freeman, BSN, RN, MA, LADAC II, QCS

Cinde Stewart Freeman is the Chief Clinical Officer at Cumberland Heights in Nashville, TN. Cinde has been in the behavioral healthcare field for over 35 years, serving in direct care, clinical management, quality management, and leadership roles. She is a bachelor’s prepared  Registered Nurse and a master’s prepared Level II Licensed Alcohol and Drug Abuse Counselor. Cinde has also held the Qualified Clinical Supervisor credential for many years and enjoys stoking the passions of people who are coming into the field. She has trained at the national, state, and local level, holding a particular interest in the relationship between somatic and spiritual healing, as well as how the lived wisdom of the Twelve Steps informs and brings color to clinical education and experience.

Kristy Roll, LCSW

Kristy Roll, LCSW, serves as a Director at Cumberland Heights working with Family, Spiritual Care, and Experiential Services. Kristy has been in the field for 20+ years working in addiction treatment, community mental health and she also spent several years working with military families. Kristy received her Bachelor of Science in Psychology at Ball State University and a Master of Social Work degree from the University of Southern Indiana. Kristy has worked with children, adolescents, and adults in mental health and addiction and is EMDR trained. Kristy joined the Cumberland Heights team in 2012. She has served as an adolescent counselor in the Youth Program, the Young Men’s Program family counselor, and as a director at Cumberland Heights for 8 years. Kristy also serves as an adjunct faculty teaching a social work addictions course.

Financially Sponsored By

  • Cumberland Heights Foundation