_id

683a1658c782e11e38d1b372

id

10525

title

Brief Addiction Monitor (BAM)

full_title

Brief Addiction Monitor (BAM)

short_title

BAM

med_description

Assesses substance use related behaviors.

short_description

Substance use behaviors.

slug

brief-addiction-monitor-bam

description

The Brief Addiction Monitor (BAM) assesses substance use related behaviors.

keywords

Brief Addiction Monitor, BAM, substance use disorder, SUD, substance abuse, alcohol, addiction, illegal drug, street drug, marijuana, cannabis, sedatives, tranquilizers, stimulants, opiates, inhalants, craving, abstinent, withdrawal

complaint

[ "Agitation", "Altered Mental Status", "Anxious", "Constipation", "Depressed", "Diarrhea", "Dizziness", "Dyspnea", "Dysuria", "Fatigue", "Headache", "Intoxication/Overdose", "Loss of Appetite", "Nausea", "Palpitations", "Preventive Care/Screening", "Seizure", "Shortness of Breath", "Suicidal", "Vomiting", "Weakness" ]

formula

The BAM score is calculated by the addition of the selected points. Please ask your patient:

evidence

measurements

[]

information

The three subscales include:

refrences

{ "Clinical Practice Guidelines": [ { "href": "https://pubmed.ncbi.nlm.nih.gov/34211312/", "text": "Clarke DE, Ibrahim A, Doty B, et al. Addiction Medicine Practice-Based Research Network (AMNet): Assessment Tools and Quality Measures. Subst Abuse Rehabil. 2021;12:27-39." } ], "Manufacturer Website": [], "Original/Primary Reference": [ { "href": "https://pubmed.ncbi.nlm.nih.gov/22898042/", "text": "Cacciola JS, Alterman AI, Dephilippis D, et al. Development and initial evaluation of the Brief Addiction Monitor (BAM). J Subst Abuse Treat. 2013;44(3):256-263." } ], "Other References": [ { "href": "https://pubmed.ncbi.nlm.nih.gov/37637231/", "text": "Blanchard BE, Lynch KG, Malte CA, et al. Towards shortening the Brief Addiction Monitor-Revised (BAM-R). Drug Alcohol Depend Rep. 2023;8:100183." } ], "Outcomes": [], "Validation": [ { "href": "https://pubmed.ncbi.nlm.nih.gov/24462246/", "text": "Nelson KG, Young K, Chapman H. Examining the performance of the brief addiction monitor. J Subst Abuse Treat. 2014;46(4):472-481." } ], "Validations": [] }

pearls

• Developed and utilized by the U.S Department of Veterans Affairs (VA).
• Assesses multiple domains, including risk factors for relapse or worsening addiction severity, protective factors for sobriety, and drug and alcohol use.
• Can be self-administered or clinician-administered.
• Validation studies note that the tool is sensitive to change over time.
• Responses can be influenced by recent events rather than long-term patterns.
• Not intended to be a diagnostic tool for substance use disorder.

usecase

• Can be used to assess the severity of a patient’s substance use and monitor progress during treatment.
• Useful in both inpatient and outpatient treatment settings.
• May be administered in-person in the clinical setting or self-administered at home prior to treatment appointments.

reasons

Provides a standardized method to assess and monitor substance use and related behaviors. Facilitates consistent documentation and tracking of patient progress throughout substance use treatment. Provides data to guide personalized treatment decisions with the goal of improving treatment outcomes. Compared to other related tools, designed to be brief while providing multidimensional coverage of addition-related domains.

next_advice

• If a lack of progress in scoring is noted, identify potential treatment targets and adjust the plan of care accordingly.
• Significant improvements in scores over time may inform decisions for stepping down care, where clinically appropriate.

next_actions

next_management

While the three factor scores can aid in informing severity and progress, examining individual item scores may be the most clinically useful to identify specific areas for intervention. Examples may include:

• Ensuring adequate primary care to optimize general physical health.
• Referring for mental health treatment.
• Referring for substance use specialty care.
• Managing cravings (e.g., with naltrexone).
• Providing case management to ensure access to care.
• Connecting with network social support systems.

diseases

[ "Alcoholism", "Anxiety", "Bipolar Disorder", "Depression/Suicidality", "Drug/Alcohol Use", "Ingestion/Overdose", "Malnutrition", "Public Health", "Respiratory Distress", "Respiratory Failure", "Substance Withdrawal" ]

input_schema

[ { "inct": null, "option_fhir_rules": null, "subheading": "Please ask your patient the following questions:", "subheading_instructions": null, "type": "subheading" }, { "conditionality": null, "default": 0, "label_en": "<p dir=\"ltr\"><span>1. In the past 30 days, how would you say your physical health has been?</span></p>\n<p></p>", "mdcalc_info_concept": null, "name": "q1", "option_fhir_rules": null, "optional": false, "options": [ { "label": "Excellent", "value": 0 }, { "label": "Very good", "value": 1 }, { "label": "Good", "value": 2 }, { "label": "Fair", "value": 3 }, { "label": "Poor", "value": 4 } ], "show_points": true, "tips_en": "", "type": "radio" }, { "conditionality": null, "default": 0, "label_en": "<p>2. In the past 30 days, how many nights did you have trouble falling asleep or staying asleep?</p>", "mdcalc_info_concept": null, "name": "q2", "option_fhir_rules": null, "optional": false, "options": [ { "label": "0", "value": 0 }, { "label": "1-3", "value": 1 }, { "label": "4-8", "value": 2 }, { "label": "9-15", "value": 3 }, { "label": "16-30", "value": 4 } ], "show_points": true, "tips_en": "", "type": "radio" }, { "conditionality": null, "default": 0, "label_en": "<p>3. In the past 30 days, how many days have you felt depressed, anxious, angry, or very upset throughout most of the day?</p>", "mdcalc_info_concept": null, "name": "q3", "option_fhir_rules": null, "optional": false, "options": [ { "label": "0", "value": 0 }, { "label": "1-3", "value": 1 }, { "label": "4-8", "value": 2 }, { "label": "9-15", "value": 3 }, { "label": "16-30", "value": 4 } ], "show_points": true, "tips_en": "", "type": "radio" }, { "conditionality": null, "default": 0, "label_en": "<p>4. In the past 30 days, how many days did you drink ANY alcohol?</p>", "mdcalc_info_concept": null, "name": "q4", "option_fhir_rules": null, "optional": false, "options": [ { "label": "0 (skip to #6)", "value": 0 }, { "label": "1-3", "value": 1 }, { "label": "4-8", "value": 2 }, { "label": "9-15", "value": 3 }, { "label": "16-30", "value": 4 } ], "show_points": true, "tips_en": "", "type": "radio" }, { "conditionality": "q4 > 0", "default": 0, "label_en": "<p>5. In the past 30 days, how many days did you have at least 5 drinks (if you are a man) or at least 4 drinks (if you are a woman)?</p>", "mdcalc_info_concept": null, "name": "q5", "option_fhir_rules": null, "optional": false, "options": [ { "label": "0", "value": 0 }, { "label": "1-3", "value": 1 }, { "label": "4-8", "value": 2 }, { "label": "9-15", "value": 3 }, { "label": "16-30", "value": 4 } ], "show_points": true, "tips_en": "One drink is considered one shot of hard liquor (1.5 ounce) or 12 ounce can/bottle of beer or 5 ounce glass of wine.", "type": "radio" }, { "conditionality": null, "default": 0, "label_en": "<p>6. In the past 30 days, how many days did you use any illegal/street drugs or abuse any prescription medications?</p>", "mdcalc_info_concept": null, "name": "q6", "option_fhir_rules": null, "optional": false, "options": [ { "label": "0 (skip to #8)", "value": 0 }, { "label": "1-3", "value": 1 }, { "label": "4-8", "value": 2 }, { "label": "9-15", "value": 3 }, { "label": "16-30", "value": 4 } ], "show_points": true, "tips_en": "", "type": "radio" }, { "conditionality": "q6 > 0", "default": 0, "label_en": "<p>7A. In the past 30 days, how many days did you use marijuana?</p>", "mdcalc_info_concept": null, "name": "q7a", "option_fhir_rules": null, "optional": false, "options": [ { "label": "0", "value": 0 }, { "label": "1-3", "value": 1 }, { "label": "4-8", "value": 2 }, { "label": "9-15", "value": 3 }, { "label": "16-30", "value": 4 } ], "show_points": true, "tips_en": "Cannabis, pot, weed, etc.", "type": "radio" }, { "conditionality": "q6 > 0", "default": 0, "label_en": "<p>7B. In the past 30 days, how many days did you use sedatives/tranquilizers?</p>", "mdcalc_info_concept": null, "name": "q7b", "option_fhir_rules": null, "optional": false, "options": [ { "label": "0", "value": 0 }, { "label": "1-3", "value": 1 }, { "label": "4-8", "value": 2 }, { "label": "9-15", "value": 3 }, { "label": "16-30", "value": 4 } ], "show_points": true, "tips_en": "“Benzos,” Valium, Xanax, Ativan, Ambien, “barbs,” phenobarbital, downers, etc.", "type": "radio" }, { "conditionality": "q6 > 0", "default": 0, "label_en": "<p>7C. In the past 30 days, how many days did you use cocaine/crack?</p>", "mdcalc_info_concept": null, "name": "q7c", "option_fhir_rules": null, "optional": false, "options": [ { "label": "0", "value": 0 }, { "label": "1-3", "value": 1 }, { "label": "4-8", "value": 2 }, { "label": "9-15", "value": 3 }, { "label": "16-30", "value": 4 } ], "show_points": true, "tips_en": "", "type": "radio" }, { "conditionality": "q6 > 0", "default": 0, "label_en": "<p>7D. In the past 30 days, how many days did you use other stimulants?</p>", "mdcalc_info_concept": null, "name": "q7d", "option_fhir_rules": null, "optional": false, "options": [ { "label": "0", "value": 0 }, { "label": "1-3", "value": 1 }, { "label": "4-8", "value": 2 }, { "label": "9-15", "value": 3 }, { "label": "16-30", "value": 4 } ], "show_points": true, "tips_en": "Amphetamine, methamphetamine, Dexedrine, Ritalin, Adderall, “speed,” \"crystal meth,\" “ice,” etc.", "type": "radio" }, { "conditionality": "q6 > 0", "default": 0, "label_en": "<p>7E. In the past 30 days, how many days did you use opiates?</p>", "mdcalc_info_concept": null, "name": "q7e", "option_fhir_rules": null, "optional": false, "options": [ { "label": "0", "value": 0 }, { "label": "1-3", "value": 1 }, { "label": "4-8", "value": 2 }, { "label": "9-15", "value": 3 }, { "label": "16-30", "value": 4 } ], "show_points": true, "tips_en": "Heroin, morphine, Dilaudid, Demerol, Oxycontin, \"oxy,\" codeine (tylenol 2,3,4), Percocet, Vicodin, fentanyl, etc.", "type": "radio" }, { "conditionality": "q6 > 0", "default": 0, "label_en": "<p>7F. In the past 30 days, how many days did you use inhalants?</p>", "mdcalc_info_concept": null, "name": "q7f", "option_fhir_rules": null, "optional": false, "options": [ { "label": "0", "value": 0 }, { "label": "1-3", "value": 1 }, { "label": "4-8", "value": 2 }, { "label": "9-15", "value": 3 }, { "label": "16-30", "value": 4 } ], "show_points": true, "tips_en": "Glues/adhesives, nail polish remover, paint thinner, etc.", "type": "radio" }, { "conditionality": "q6 > 0", "default": 0, "label_en": "<p>7G. In the past 30 days, how many days did you use other drugs?</p>", "mdcalc_info_concept": null, "name": "q7g", "option_fhir_rules": null, "optional": false, "options": [ { "label": "0", "value": 0 }, { "label": "1-3", "value": 1 }, { "label": "4-8", "value": 2 }, { "label": "9-15", "value": 3 }, { "label": "16-30", "value": 4 } ], "show_points": true, "tips_en": "Steroids, non-prescription sleep/diet pills, Benadryl, ephedra, other over-the-counter/unknown medications, etc.", "type": "radio" }, { "conditionality": null, "default": 0, "label_en": "<p>8. In the past 30 days, how much were you bothered by cravings or urges to drink alcohol or use drugs?</p>", "mdcalc_info_concept": null, "name": "q8", "option_fhir_rules": null, "optional": false, "options": [ { "label": "Not at all", "value": 0 }, { "label": "Slightly", "value": 1 }, { "label": "Moderately", "value": 2 }, { "label": "Considerably", "value": 3 }, { "label": "Extremely", "value": 4 } ], "show_points": true, "tips_en": "", "type": "radio" }, { "conditionality": null, "default": 4, "label_en": "<p>9. How confident are you in your ability to be completely abstinent (clean) from alcohol and drugs in the next 30 days?</p>", "mdcalc_info_concept": null, "name": "q9", "option_fhir_rules": null, "optional": false, "options": [ { "label": "Not at all", "value": 0 }, { "label": "Slightly", "value": 1 }, { "label": "Moderately", "value": 2 }, { "label": "Considerably", "value": 3 }, { "label": "Extremely", "value": 4 } ], "show_points": true, "tips_en": "", "type": "radio" }, { "conditionality": null, "default": 4, "label_en": "<p>10. In the past 30 days, how many days did you attend self-help meetings like <abbr title=\"Alcoholics Anonymous\">AA</abbr> or <abbr title=\"Narcotics Anonymous\">NA</abbr> to support your recovery?</p>", "mdcalc_info_concept": null, "name": "q10", "option_fhir_rules": null, "optional": false, "options": [ { "label": "0", "value": 0 }, { "label": "1-3", "value": 1 }, { "label": "4-8", "value": 2 }, { "label": "9-15", "value": 3 }, { "label": "16-30", "value": 4 } ], "show_points": true, "tips_en": "", "type": "radio" }, { "conditionality": null, "default": 0, "label_en": "<p>11. In the past 30 days, how many days were you in any situations or with any people that might put you at an increased risk for using alcohol or drugs?</p>", "mdcalc_info_concept": null, "name": "q11", "option_fhir_rules": null, "optional": false, "options": [ { "label": "0", "value": 0 }, { "label": "1-3", "value": 1 }, { "label": "4-8", "value": 2 }, { "label": "9-15", "value": 3 }, { "label": "16-30", "value": 4 } ], "show_points": true, "tips_en": "i.e., around risky “people, places, or things”", "type": "radio" }, { "conditionality": null, "default": 4, "label_en": "<p>12. Does your religion or spirituality help support your recovery?</p>", "mdcalc_info_concept": null, "name": "q12", "option_fhir_rules": null, "optional": false, "options": [ { "label": "Not at all", "value": 0 }, { "label": "Slightly", "value": 1 }, { "label": "Moderately", "value": 2 }, { "label": "Considerably", "value": 3 }, { "label": "Extremely", "value": 4 } ], "show_points": true, "tips_en": "", "type": "radio" }, { "conditionality": null, "default": 4, "label_en": "<p>13. In the past 30 days, how many days did you spend much of the time at work, school, or doing volunteer work?</p>", "mdcalc_info_concept": null, "name": "q13", "option_fhir_rules": null, "optional": false, "options": [ { "label": "0", "value": 0 }, { "label": "1-3", "value": 1 }, { "label": "4-8", "value": 2 }, { "label": "9-15", "value": 3 }, { "label": "16-30", "value": 4 } ], "show_points": true, "tips_en": "", "type": "radio" }, { "conditionality": null, "default": 1, "label_en": "<p>14. Do you have enough income (from legal sources) to pay for necessities such as housing, transportation, food, and clothing for yourself and your dependents?</p>", "md_calc_info_concept": null, "name": "q14", "option_fhir_rules": null, "optional": false, "options": [ { "label": "No", "value": 0 }, { "label": "Yes", "value": 4 } ], "show_points": true, "tips_en": "", "type": "toggle" }, { "conditionality": null, "default": 0, "label_en": "<p>15. In the past 30 days, how much have you been bothered by arguments or had problems getting along with any family members or friends?</p>", "mdcalc_info_concept": null, "name": "q15", "option_fhir_rules": null, "optional": false, "options": [ { "label": "Not at all", "value": 0 }, { "label": "Slightly", "value": 1 }, { "label": "Moderately", "value": 2 }, { "label": "Considerably", "value": 3 }, { "label": "Extremely", "value": 4 } ], "show_points": true, "tips_en": "", "type": "radio" }, { "conditionality": null, "default": 4, "label_en": "<p>16. In the past 30 days, how many days were you in contact or spent time with any family members or friends who are supportive of your recovery?</p>", "mdcalc_info_concept": null, "name": "q16", "option_fhir_rules": null, "optional": false, "options": [ { "label": "0", "value": 0 }, { "label": "1-3", "value": 1 }, { "label": "4-8", "value": 2 }, { "label": "9-15", "value": 3 }, { "label": "16-30", "value": 4 } ], "show_points": true, "tips_en": "", "type": "radio" }, { "conditionality": null, "default": 0, "label_en": "<p>17. How satisfied are you with your progress toward achieving your recovery goals?</p>", "mdcalc_info_concept": null, "name": "q17", "option_fhir_rules": null, "optional": false, "options": [ { "label": "Not at all", "value": 0 }, { "label": "Slightly", "value": 1 }, { "label": "Moderately", "value": 2 }, { "label": "Considerably", "value": 3 }, { "label": "Extremely", "value": 4 } ], "show_points": true, "tips_en": "", "type": "radio" } ]

instructions

published

2024-05-29T15:23:12.041Z

purpose

[ "Prognosis" ]

search_terms

[ "Brief Addiction Monitor", "BAM", "substance use disorder", "SUD", "substance abuse", "alcohol", "addiction", "illegal drug", " street drug", "marijuana", "cannabis", "sedatives", "tranquilizers", "stimulants", "opiates", "inhalants", "craving", "abstinent", "withdrawal" ]

seo

{ "keywords_en": "Brief Addiction Monitor, BAM, substance use disorder, SUD, substance abuse, alcohol, addiction, illegal drug, street drug, marijuana, cannabis, sedatives, tranquilizers, stimulants, opiates, inhalants, craving, abstinent, withdrawal\n\n", "meta_description_en": "The Brief Addiction Monitor (BAM) assesses substance use related behaviors." }

specialty

[ "Clinical Nutrition", "Emergency Medicine", "Family Practice", "Hospitalist Medicine", "Internal Medicine", "Primary Care", "Psychiatry", "Rehabilitation Medicine", "Toxicology" ]

departments

[ "Psychiatric" ]

tags

[]

version_number

1

versions

[]

related

[ { "calcId": 10527, "short_title_en": "CRAFFT", "slug": "car-relax-alone-forget-friends-trouble-crafft-questionnaire" }, { "calcId": 10526, "short_title_en": "DAST-10", "slug": "drug-abuse-screening-test-10-dast-10" }, { "calcId": 10102, "short_title_en": "PAWSS", "slug": "prediction-alcohol-withdrawal-severity-scale" } ]

ismed

false

section

[ "whenToUseViewed", "pearlsPitfallsViewed", "whyUseViewed", "nextStepsViewed", "evidenceViewed" ]

cleaned_departments

[ "psychiatry" ]

cleaned_use

[ "Can be used to assess the severity of a patient’s substance use and monitor progress during treatment.", "Useful in both inpatient and outpatient treatment settings.", "May be administered in-person in the clinical setting or self-administered at home prior to treatment appointments." ]

pub

false