Case Study 2: Navigating Treatment Settings

  • Dana SarveyEmail author


This case discusses Allison, a 17-year-old female with a history of a past sexual assault who is experiencing severe depressive symptoms in the context of opioid use. Clinicians are advised to carefully screen adolescents with a history of trauma for any substance use and vice versa. The treatment of underlying psychiatric illness in addition to any substance use disorder (dual diagnosis) has also been found to be superior to treating only substance use disorders. The American Society of Addiction Medicine Patient Placement Criteria is used to assess appropriate placement and navigate different levels of care for Allison.


Dual diagnosis Opioid use American Society of Addiction Medicine (ASAM) Placement Criteria Levels of care 


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    Carliner H, Keyes K, McLaughlin K, et al. Childhood trauma and illicit drug use in adolescence: a population-based national comorbidity survey replication-adolescent supplement study. J Am Acad Child Adolesc Psychiatry. 2016;55(8):701–8.CrossRefGoogle Scholar
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    Ramchand R, Griffin B, Hunter S, et al. Provision of mental health services as a quality indicator for adolescent substance abuse treatment facilities. Psychiatr Serv. 2015;66:41–8.CrossRefGoogle Scholar
  3. 3.
    Mee-Lee D. The ASAM criteria: treatment criteria for addictive, substance-related, and co-occurring conditions. 3rd ed. American Society of Addiction Medicine; 2013. Accessed 28 July 2018.

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Department of Child and Adolescent PsychiatryMcLean HospitalBelmontUSA
  2. 2.Harvard Medical SchoolBostonUSA

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