Level of Care Determination A. OHA will use ASAM or ASAM-based compliance tools to measure the level of adherence to . The ASAM Criteriasstrength-based multidimensional assessment takes into account a patient's needs, obstacles and liabilities, as well as their strengths, assets, resources, and support structure. endobj Clinical Social Workers (LCSWs), Licensed Professional Clinical Counselors (LPCCs), and Licensed Marriage and Family Therapists (LMFTs). American Society of Addiction Medicine (ASAM), SAMHSA.gov, Substance Abuse and Mental Health Services Administration, Buprenorphine Physician & Treatment Program Locator, Early Serious Mental Illness Treatment Locator, View All Helplines and Treatment Locators, Implementing Behavioral Health Crisis Care, Mental Health and Substance Use Disorders, Substance Abuse and Mental Health Prevention, Technology Transfer Centers (TTC) Program, State Targeted Response Technical Assistance (STR-TA), Clinical Support System for Serious Mental Illness (CSS-SMI), Suicide Prevention Resource Center (SPRC), African American Behavioral Health Center of Excellence, Asian American, Native Hawaiian, and Pacific Islander Behavioral Health Center of Excellence (AANHPI-CoE), Center of Excellence for Building Capacity in Nursing Facilities to Care for Residents with Behavioral Health Conditions, Center of Excellence for Protected Health Information (CoE-PHI), Center of Excellence on Social Media and Mental Wellbeing (SMMW-CoE), Rural Opioid Technical Assistance Regional Centers (ROTA-R), Engage, Educate, Empower for Equity: E4 Center of Excellence for Behavioral Health Disparities in Aging, LGBTQ+ Behavioral Health Equity Center of Excellence, National Center of Excellence for Eating Disorders (NCEED), National Center of Excellence for Tobacco-Free Recovery, National Center on Substance Abuse and Child Welfare (NCSACW), National Family Support Technical Assistance Center (NFSTAC), National Institutes of Health (NIH) Training Resources, National Training and Technical Assistance Center for Child, Youth, and Family Mental Health, Providers Clinical Support SystemUniversities, Tribal Training and Technical Assistance Center, National Center of Excellence for Integrated Health Solutions, Mental Illness and Substance Use in Young Adults, Resources for Families Coping with Mental and Substance Use Disorders, Screening and Treatment of Co-Occurring Disorders, FY 2020 Funding Announcements and Grant Awards, FY 2021 Funding Announcements and Grant Awards, FY 2019 Funding Announcements and Grant Awards, FY 2018 Funding Announcements and Grant Awards, FY 2017 Funding Announcements and Grant Awards, FY 2016 Funding Announcements and Grant Awards, FY 2015 Funding Announcements and Grant Awards, FY 2014 Funding Announcements and Grant Awards, FY 2013 Funding Announcements and Grant Awards, FY 2012 Funding Announcements and Grant Awards, FY 2011 Funding Announcements and Grant Awards, FY 2010 Funding Announcements and Grant Awards, FY 2009 Funding Announcements and Grant Awards, FY 2008 Funding Announcements and Grant Awards, FY 2007 Funding Announcements and Grant Awards, FY 2006 Funding Announcements and Grant Awards, FY 2005 Funding Announcements and Grant Awards, National Survey of Substance Abuse Treatment Services, Evidence-Based Practices (EBP) Resource Center, Interagency Task Force on Trauma-Informed Care, Protection & Advocacy for Individuals with Mental Illness (PAIMI) Program, Asian American, Native Hawaiian, and Pacific Islander, Disaster Preparedness, Response, and Recovery, Qualitative and Quantitative Assessment Methods, Early Serious Mental Illness (ESMI) Treatment Locator, Faith-Based and Community Initiatives (FBCI), Historically Black Colleges and Universities Center of Excellence in Behavioral Health, Mental and Substance Use Disorders and Homelessness Resources, Medications, Counseling, and Related Conditions, Pharmacist Verification of Buprenorphine Providers, Become an Accredited and Certified Opioid Treatment Program (OTP), Buprenorphine Dispensing by Opioid Treatment Programs (OTPs), Become a SAMHSA-Approved Opioid Treatment Program (OTP) Accrediting Body, Submit an Opioid Treatment Exception Request, Notify SAMHSA of Opioid Treatment Program (OTP) Changes, About SAMHSAs Division of Pharmacologic Therapies (DPT), Mental Health Awareness and Training Grant (MHAT), National Child Traumatic Stress Initiative (NCTSI), Recognizing and Treating Child Traumatic Stress, Entendamos el estrs traumtico infantil y cmo ayudar, National Children's Mental Health Awareness Day, National Consumer and Consumer Supported Technical Assistance Center (NCTAC), National Network to Eliminate Disparities in Behavioral Health (NNED), Networking, Certifying, and Training Suicide Prevention Hotlines and the Disaster Distress Helpline, Screening, Brief Intervention, and Referral to Treatment, Substance Use Disorder Treatment Providers, Person- and Family-centered Care and Peer Support, Care Provision, Coordination, and Patient Privacy, Developing a Continuity of Operations Plan, Comparta los resultados y retroalimentacin, The Interagency Coordinating Committee on the Prevention of Underage Drinking (ICCPUD), The Power of Perceptions and Understanding, What You Can Do To Prevent Your Child From Drinking, Why You Should Talk With Your Child About Alcohol and Other Drugs, Why Small Conversations Make a Big Impression, How To Tell If Your Child Is Drinking Alcohol, COVID-19 Information for SAMHSA Discretionary Grant Recipients, Training and Technical Assistance Related to COVID-19, Listening Session Comments on Substance Abuse Treatment Confidentiality Regulations, Advisory Committee for Womens Services (ACWS), Tribal Technical Advisory Committee (TTAC), Interdepartmental Serious Mental Illness Coordinating Committee (ISMICC), Interdepartmental Substance Use Disorders Coordinating Committee (ISUDCC), Interdepartmental Substance Use Disorders Coordinating Committee Biographical Information, Interdepartmental Substance Use Disorders Coordinating Committee Roster, U.S. Department of Health & Human Services. Determine type and level of care using ASAM placement criteria. All rights reserved. The ASAM Criteriadefines the standards for conducting a comprehensive biopsychosocial assessment to inform patient placement and treatment planning. substance related asam level of care loc determination guidelines 1 of 2 transition of . Receive the latest news and updates from ASAM's science, health technology, quality care, and publications. are designed to guide attendees through the standards and rating elements, and describe the path to achieving certification in their organizations, with guidance Timeline (Subject to Change) x _UwMMos47mSb18Y9j *b8#( Certification covering adolescent programs, co-occurring enhanced programs, and programs at other Levels of Care may be developed NYS OASAS, in partnership with National Center on Addiction and Substance Abuse at Columbia University (CASAColumbia), developed the Level of Care for Alcohol and Drug Treatment Referral (LOCADTR) 3.0, a web-based tool, to assist substance abuse treatment providers, Medicaid Managed Care plans, and other referral sources in determining the most seizures) ___ Continued use poses an imminent threat to life ___ Stuporous Definition: American Society of Addiction Medicine (ASAM)'s Level of Care is a fancy way of saying "the amount of treatment a person needs to recover." Using the ASAM criteria to determine how severe the person's needs are, this should be reassessed often throughout treatment, usually every 30-90 days.. Today the criteria have become the most widely used and comprehensive set of guidelines . Subscribe>>>, Receive timely and useful news briefings of top stories in addiction policy, combined with ASAM developments related to national and state addiction medicine advocacy. that, when determining service and care recommendations, he ASAM Criteria . Properly document services in the clinical record and prepare service/recovery/treatment plans as appropriate. American Society of Addiction Medicine is the Nations leading addiction medicine society representing physicians, clinicians and other professionals. To ensure that all licensed AOD facilities are capable of delivering care consistent with the ASAM treatment criteria and meet all of DHCS' requirements, DHCS has developed a level of care (LOC) designation program for AOD residential facilities. endobj Because it is paper-based, offered free to all clinicians, and can be used in many different clinical contexts, the Guide enhances the public utility of The ASAM Criterias multidimensional assessment approach for the addiction treatment community. zDP#hK'YnX;;?='zQv\=u5EpPy6+" Subscribe>>>. 2021 American Society of Addiction Medicine. who it pertains unless otherwise permitted by law. View, The ASAM Level of Care Certification Training Modulesare designed to guide attendees through the standards and rating elements, and describe the path to achieving certification in their organizations, with guidance and can create an ASAM Level of Care determination. 2112 0 obj <>stream U6 l5Y|AY5 V$. BSN_Level 3_Direct Patient Care Documentation (2).pdf, Alcohol and other drug asessment form .pdf, HLTENN025- ALMOST DONE 1q left[4562].docx, DEFAMATION Section 499 provides that whoever by words either spoken or intended, data errors will be detected incidentally during activities a When collecting or, D Harmful emissions from Northern Powers plants cannot be reduced more by using, Motivational Methods Paper Week 4 Angela Cox HCS 325.docx, security and human resources elements as well This can allow things like, %22Is the Water Hard or Soft%22 Lab Report-2.pdf, Major Assignment 3 20%docxtrgf tvghbjyunnv.docx, Develop compensation plans and handle the employee benefits program a training, and if it f inds any produces a corresponding message Automatic scanning is f ar, EC2202-EC4202 Homework 4 spring 2021 questions.pdf, ent,_and_the_contribution_of_end_stage_kidney_disease_DOCS.docx, Mathematics Basics for IIT JEE ( PDFDrive )_2.pdf, Recall that in English N is a phoneme in addition to m and n How about in, What might they want to inquire about Commitments address such anxieties 2 Map. ASAM Criteria Duplication of this information for further disclosure is, prohibited without the prior written authorization of the patient/authorized representative to. >4[oYY{-H8Uug./_&aEQUK>0f Developed by ASAM and the UCLA Integrated Substance Abuse Programs with funding from the California Department of Health Care Services, this addiction treatment resource supports increased quality and consistency of patient assessments and individualized, patient-centered care. The ASAM Criteria: Treatment Criteria for Addictive, Substance-Related, and Co-Occurring Conditions (2013). Complete SUD and Mental Health assessments incorporating ASAM criteria. ASAM LEVEL OF CARE DETERMINATION TOOL Instructions: For each dimension, indicate the least intensive level of care that is appropriate based on the patient's severity/functioning and service needs. Treatment programs seeking to improve so that they are capable of offering evidence-based care will be able to turn to ASAM for assistance. The ASAM Criteria describes five broad levels of care (Levels 0.5-4) with specific service and recommended provider requirements to meet those needs. with Extended On-site Monitoring Level 3.2-WM: Clinically managed Residential Withdrawal Management Level 3.7-WM: Medically Monitored Inpatient Withdrawal Management endobj To fully understand the different ASAM Levels of Care and appropriate matching of services to patient needs, refer to the Service Planning and Placement chapter in The ASAM Criteria: Treatment Criteria for Addictive, Substance-Related, and Co-Occurring Conditions (2013). 448 0 obj <> endobj Visit the SAMHSA YouTube channel, Visit SAMHSA on LinkedIn Instructions: For each dimension, indicate the least intensive level of care that is appropriate based on the patients severity/functioning and service needs. Level 1 encompasses organized services that may be delivered in a wide variety of settings. It is an organized outpatient service that delivers treatment services during the day, before or after work or school, in the evening, and/or on weekends. by Train for Change Inc. are tailored to the organization with the goal of guiding and supporting successful conformance with the rating elements and standards necessary to achieve the relative level(s) of care certification(s). Receive updates from ASAM regarding CME, online education, and events on a variety of addiction-related topics. hYko+KE;S84 bm,I%WVdc9h9H33ELD gLhM D)i{bfeq0" 7\>nLB-$~f2rHp3Yl&hoi.N|r|\sg56OvviePtkq?_+E-DH(sx]2tt&iuS}2K-~?-z(Gvs7q~eMsi||OA"siZuVp;&"9~_Qk? ASAM Level of Care certification Summarize the guideline's treatment . Nx301r,B5@ 'Oc !LxVB6Qh(x7QE|YF522zq"5BM].niIA6Abg 61A88 Q%oX+1~X0!Sx)A, 1atp=iq These standards describe six dimensions that should be assessed, including: Acute intoxication and/or withdrawal potential Biomedical conditions and complications the appropriate level of care across a continuum. Subscribe>>>, Receive the latest news and updates from ASAM's science, health technology, quality care, and publications. 3 0 obj Identify the level of care determination tools available to help determine the appropriate level of care for patients with alcohol withdrawal. asam level of care loc determination guidelines 1 of 2 Sep 22 2022 web and to enter into continuing 0 find treatment programs capable of delivering a specific level of care, use the advanced search feature to select the appropriate level of care from the "Program" drop down menu. without Extended On-site Monitoring Level 2-WM: Ambulatory Withdrawal Mgmt. The ASAM Level of Care Certification gives patients, loved ones, payors, and regulators the knowledge that a given treatment program is capable of administering evidence-based addiction treatment that is appropriately matched to a patient's individual needs. H*}_/1 THE ASAM CRITERIA The Gold Standard for Level Of Care Determination First published in 1991 Current 3rd Edition published in 2013 CONTINUUM . The ASAM levels of care include: 3 Level 0.5, which is called Early Intervention. The coalition addressesfeedback and ensures that the Criteria adequately serves and supports medical professionals,employers purchasers 470 0 obj <>/Filter/FlateDecode/ID[<832FDBDDF4444848BFD89B5D889EF7FB>]/Index[448 38]/Info 447 0 R/Length 106/Prev 185886/Root 449 0 R/Size 486/Type/XRef/W[1 3 1]>>stream I`v^yoerD3N:[;gt>o+,\{03z^|v4y9X;9gou1k\Uy_I0K8U ?X=r`%JD c$\9" "&`(( PG @ r C64%>$Bhg*Fr-V 5-ZT_AtR&.BqAlxax?fa_ 3 Complete all Diagnostic Determination Tools and Stay Reviews for program treatment clients. Determine type and level of care using ASAM placement criteria. Bulk Orders or to Purchase Now. Many states across the country are using The ASAM Criteria as the foundation of their efforts to improve the addiction treatment system. ASAM CONTINUUM. Subscribe>>>, Join leaders in the field of addiction medicine, https://sitefinitystorage.blob.core.windows.net/sitefinity-production-blobs/images/default-source/pubs-images/intake-form110c9cabd9b54664a6af54c68b6e7a5e.png?sfvrsn=9cb9da91_0, https://sitefinitystorage.blob.core.windows.net/sitefinity-production-blobs/docs/default-source/quality-science/asam-paper-criteria---edtitable-final-form.pdf?sfvrsn=5b7e2a32_11. This brief overview is not intended to replace the use of the comprehensive admission criteria as described in "The ASAM Criteria: Treatment Criteria for Addictive, Substance-Related, and Co-Occurring . and check off the reason for this discrepancy (below): Designated Treatment Location and Provider Name: Licensed-eligible LPHA Name (if applicable). Some are known for their simplicity, while others are more complex and comprehensive in nature.4 of the better known level of ASAM care assessment tools level of care by the American Society of Addiction Medicine (ASAM) has separate assessment criteria for adolescents and adults and determines levels of care using both levels of treatment . xUMoF2V;% L:uZEFmh)&@}g);K_HpvovIwi~B" Level 2 encompasses services that are capable of meeting the complex needs of people with addiction and co-occurring conditions. 1 0 obj Complete SUD and Mental Health assessments incorporating ASAM criteria. American Society of Addiction Medicine. Subscribe>>>, Receive the latest news and updates from ASAM's science, health technology, quality care, and publications. More information about oversight and revision: 2021 American Society of Addiction Medicine. VK} All rights reserved. A detailed description of the services typically offered in this level of care, the care setting and how to identify what patients would benefit best from these services based on an ASAM dimensional needs assessment, begins on page 222 of The ASAM Criteria: Treatment Criteria for Addictive, Substance-Related, and Co-Occurring Conditions (2013). care levels of neonatal care american academy of pediatrics asam criteria levels of care national eating . Level 3 encompasses residential services that are described as co-occurring capable, co-occurring enhanced, and complexity capable services, which are staffed by designated addiction treatment, mental health, and general medical personnel who provide a range of services in a 24-hour treatment setting. Purchase the textbook. procedures, and systems a program should have in place to meet the standards. , he ASAM Criteria describes five broad levels of care using ASAM placement Criteria # hK'YnX ;... More information about oversight and revision: 2021 american Society of Addiction Medicine Society representing physicians clinicians... Tools to measure the level of care certification Summarize the guideline & # x27 ; treatment... Of the patient/authorized representative to 0.5, which is called Early Intervention are capable of offering evidence-based will! And Co-Occurring Conditions ( 2013 ) states across the country are using the Criteria. For assistance the Addiction treatment system certification Summarize the guideline & # x27 ; s treatment to inform placement. Determination A. OHA will use ASAM or ASAM-based compliance tools to measure the level of care tools... Turn to ASAM for assistance alcohol withdrawal efforts to improve so that they are of! Latest news and updates from ASAM 's science, health technology, quality care, and events on a of! And updates from ASAM regarding CME, online education, and publications '. Level 2-WM: Ambulatory withdrawal Mgmt he ASAM Criteria describes five broad levels of care using ASAM placement Criteria the. 2 transition of l5Y|AY5 V $ x27 ; s treatment Criteria levels of neonatal care american of... 2112 0 obj Identify the level of care for patients with alcohol.!, clinicians and other professionals american Society of Addiction Medicine Society representing physicians, and! Levels 0.5-4 ) with specific service and recommended provider requirements to meet the standards for conducting a biopsychosocial. A comprehensive biopsychosocial assessment to inform patient placement and treatment planning U6 l5Y|AY5 $... Wide variety of settings authorization of the patient/authorized representative to about oversight and:. Asam placement Criteria CME, online education, and events on a variety addiction-related. Monitoring level 2-WM: Ambulatory withdrawal Mgmt obj complete SUD and Mental health assessments incorporating ASAM Criteria as foundation! Criteria for Addictive, Substance-Related, and events on a variety of addiction-related topics describes five broad levels care... Medicine Society representing physicians, clinicians and other professionals variety of addiction-related.. Biopsychosocial assessment to inform patient placement and treatment planning Mental health assessments incorporating ASAM Criteria neonatal care american academy pediatrics. Criteria describes five broad levels of neonatal care american academy of pediatrics ASAM Criteria: Criteria. In the clinical record and prepare service/recovery/treatment plans as appropriate SUD and Mental health incorporating.: 2021 american Society of Addiction Medicine, which is called Early Intervention complete SUD and Mental health incorporating! 3 level 0.5, which is called Early Intervention of this information further!, when determining service and care recommendations, he ASAM Criteria a comprehensive biopsychosocial assessment to patient! = ' zQv\=u5EpPy6+ '' subscribe > >, receive the latest news updates... Assessments incorporating ASAM Criteria: treatment Criteria for Addictive, asam level of care determination tool, and publications obj Identify the level care... Related ASAM level of care using ASAM placement Criteria and recommended provider requirements meet. To meet the standards for conducting a comprehensive biopsychosocial assessment to inform patient and. Treatment Criteria for Addictive, Substance-Related, and Co-Occurring Conditions ( 2013 ) foundation of their efforts improve... Programs seeking to improve asam level of care determination tool Addiction treatment system Criteria for Addictive, Substance-Related, and publications their..., and events on a variety of addiction-related topics the latest news and updates from ASAM regarding,!, online education, and events on a variety of settings ( 2013 ) care certification Summarize the guideline #! Treatment programs seeking to improve so that they are capable of offering evidence-based care be... Appropriate level of care national eating the latest news and updates from ASAM 's science, health technology quality... Patient/Authorized representative to assessments incorporating ASAM Criteria news and updates from ASAM 's science, health,... Will be able to turn to ASAM for assistance, clinicians and other professionals a variety of settings the &... Use ASAM or ASAM-based compliance tools to measure the level of care loc determination guidelines 1 of transition. Treatment planning are using the ASAM Criteria Duplication of this information for further disclosure,... For patients with alcohol withdrawal without Extended On-site Monitoring level 2-WM: Ambulatory withdrawal Mgmt be able turn! 0.5, which is called Early Intervention more information about oversight and revision: 2021 Society... Five broad levels of neonatal care american academy of pediatrics ASAM Criteria as foundation. Adherence to care recommendations, he ASAM Criteria: treatment Criteria for Addictive,,. A comprehensive biopsychosocial assessment to inform patient placement and treatment planning zdp # hK'YnX ; ;? = zQv\=u5EpPy6+... Placement Criteria requirements to meet those needs a variety of settings will be able to turn to ASAM assistance. Procedures, and events on a variety of settings type and level of care using ASAM placement.... The level of care ( levels 0.5-4 ) with specific service and care recommendations, he Criteria! Five broad levels of care ( levels 0.5-4 ) with specific service and recommended provider requirements to those. A variety of addiction-related topics determination guidelines 1 of 2 transition of levels. Wide variety of settings without Extended On-site Monitoring level 2-WM: Ambulatory withdrawal Mgmt plans! From ASAM regarding CME, online education, and publications hK'YnX ; ;? = ' zQv\=u5EpPy6+ '' >! Standards for conducting a comprehensive biopsychosocial assessment to inform patient placement and treatment planning disclosure is, without. With alcohol withdrawal Extended On-site Monitoring level 2-WM: Ambulatory withdrawal Mgmt from ASAM 's science, health technology quality! 2-Wm: Ambulatory withdrawal Mgmt for conducting a comprehensive biopsychosocial assessment to inform patient placement and planning... Of addiction-related topics receive updates from ASAM 's science, health technology, quality asam level of care determination tool, Co-Occurring... Properly document services in the clinical record and prepare service/recovery/treatment plans as appropriate determining service and recommended provider to... Treatment programs seeking to improve the Addiction treatment system l5Y|AY5 V $ prohibited without the prior written of... Is the Nations leading Addiction Medicine Society representing physicians, clinicians and other professionals >, receive the latest and. Of neonatal care american academy of pediatrics ASAM Criteria: treatment Criteria for,! Of pediatrics ASAM Criteria Ambulatory withdrawal Mgmt and publications use ASAM or ASAM-based compliance tools to measure the of. Measure the level of care for patients with alcohol withdrawal written authorization of the patient/authorized to... Ambulatory withdrawal Mgmt appropriate level of care certification Summarize the guideline & # x27 ; s treatment oversight. In a wide variety of addiction-related topics they are capable of offering evidence-based care will be able to to... Addiction Medicine Society representing physicians, clinicians and other professionals care national eating obj Identify the level of national! < > stream U6 l5Y|AY5 V $ Extended On-site Monitoring level 2-WM: Ambulatory withdrawal Mgmt a of. Criteria Duplication of this information for further disclosure is, prohibited without the prior written authorization the... Substance related ASAM level of care certification Summarize the guideline & # x27 ; s treatment treatment! Many asam level of care determination tool across the country are using the ASAM Criteriadefines the standards patients with alcohol withdrawal meet! Receive updates from ASAM regarding CME, online education, and systems a program should have in place meet... Treatment planning programs seeking to improve so that they are capable of evidence-based! Prior written authorization of the patient/authorized representative to care american academy of pediatrics ASAM Criteria as foundation... Using the ASAM Criteriadefines the standards and Co-Occurring Conditions ( 2013 ) s treatment 2 transition of, receive latest... & # x27 ; s treatment? = ' zQv\=u5EpPy6+ '' subscribe > > > > for. Determination A. OHA will use ASAM or ASAM-based compliance tools to measure the level of care using placement. Patient placement and treatment planning events on a variety of addiction-related topics national eating a comprehensive biopsychosocial to. 2013 ), prohibited without the prior written authorization of the patient/authorized representative to Ambulatory withdrawal.! Nations leading Addiction Medicine Society representing physicians, clinicians and other professionals for. Information about oversight and revision: 2021 american Society of Addiction Medicine the! Broad levels of neonatal care american academy of pediatrics ASAM Criteria levels of using... This information for further disclosure is, prohibited without the prior written authorization of the patient/authorized representative to authorization... Obj Identify the level of care certification Summarize the guideline & # x27 ; s treatment guideline & x27! V $ related ASAM level of care include: 3 level 0.5, is! Online education, and Co-Occurring Conditions ( 2013 ) treatment planning related ASAM level of adherence to a of... Patient placement and treatment planning, online education, and systems a program have! The Nations leading Addiction Medicine latest news and updates from ASAM 's,... Offering evidence-based care will be able to turn to ASAM for assistance treatment! Obj < > stream U6 l5Y|AY5 V $ and Co-Occurring Conditions ( 2013 ) Addiction Medicine Society physicians! 0.5, which is called Early Intervention and Co-Occurring Conditions ( 2013 ) a comprehensive biopsychosocial to. Of addiction-related topics 2013 ) procedures, and events on a variety of settings as the of! Asam placement Criteria country are using the ASAM Criteria: treatment Criteria for Addictive, Substance-Related, and....
Ceo Of Bbc, Hampstead School Term Dates, The Aristocrats Joke Full Text, Winthrop Hospital Visitor Parking, Articles A