These levels of care (Levels 0.5-4) span a continuum of care that represent various levels of care. !LxVB6Qh(x7QE|YF522zq"5BM].niIA6Abg 61A88 Q%oX+1~X0!Sx)A, 1atp=iq ASAM Criteria Levels of Care Level Same Levels of Care for Adolescents except Level 3.3 Early Intervention 0.5 Assessment and education for at risk individuals who do not meet diagnostic criteria for Substance-Related Disorder Outpatient Services 1 Less than 9 hours of service/week (adults); less than 6 hours/week (adolescents) . 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Licensed-eligible LPHAs are psychological assistants, associate social workers (ASWs), marriage and therapy family interns (MFTI/IMFT). III. With the ASAMCONTINUUM, clinicians are able to conduct a multidimensional assessment that explores individual risks and needs, as well as strengths, skills and resources. {%si's088}%?"R{d3k*%($2DdaR*i"HOe8x-28kcO5 endstream endobj 2067 0 obj <>/Metadata 244 0 R/OCProperties<>/OCGs[2091 0 R]>>/Outlines 500 0 R/Pages 2062 0 R/StructTreeRoot 547 0 R/Type/Catalog/ViewerPreferences<>>> endobj 2068 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageC]/XObject<>>>/Rotate 0/StructParents 30/Tabs/S/TrimBox[0.0 0.0 612.0 792.0]/Type/Page>> endobj 2069 0 obj <>stream and check off the reason for this discrepancy (below): Designated Treatment Location and Provider Name: Licensed-eligible LPHA Name (if applicable). endobj 2066 0 obj <> endobj 6 0 obj 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 patients individual needs. 1-877-SAMHSA-7 (1-877-726-4727), ASAM Criteria for Patients with Addiction and Co-occurring Conditions. This information is used to determine the appropriate level of care across a continuum. Early intervention can consist of assessment and education for people at risk of developing a substance use disorder, or programs like DUI classes for people arrested for driving under the influence. 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 184 of The ASAM Criteria: Treatment Criteria for Addictive, Substance-Related, and Co-Occurring Conditions (2013). 2112 0 obj <>stream Join leaders in the field of addiction medicine. The ASAM Criteriadefines the standards for conducting a comprehensive biopsychosocial assessment to inform patient placement and treatment planning. Home To be issued certification, programs must demonstrate during survey the presence of rating elements sufficient to satisfy the proprietary scoring methodology, including but not limited to the presence of all defining 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 280 of The ASAM Criteria: Treatment Criteria for Addictive, Substance-Related, and Co-Occurring Conditions (2013). substance related asam level of care loc determination guidelines 1 of 2 transition of . 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The ASAM Criteriaprovides one common language for assessing patient needs and describes the continuum of addiction care treatment settings. will initially cover adult residential programs at Levels 3.1, 3.5, and 3.7 of The ASAM Criteria. 2023 Rating Element Updates are effective January 15, 2023, The ASAM Level of Care Certification Manualdescribes the level of care standards derived fromThe ASAM Criteria, the rating elements that will be assessed during the certification survey, and the policies, Receive updates from ASAM regarding CME, online education, and events on a variety of addiction-related topics. These standards describe six dimensions that should be assessed, including: The ASAM Criteriaalso provides standards for rating the patients risks in each dimension and dimensional admission criteria for determining the least intensive, but safe level of care for meeting the patients individual treatment needs. American Society of Addiction Medicine is the Nations leading addiction medicine society representing physicians, clinicians and other professionals. Join leaders in the field of addiction medicine. Continued treatment at the present level of care is assessed as necessary to permit the patient to continue to work toward his or her treatment goals; and/or -New problems have been identified that are appropriately treated at the present level of care. Subscribe>>>, Join leaders in the field of addiction medicine, https://sitefinitystorage.blob.core.windows.net/sitefinity-production-blobs/images/default-source/continuum/continuum.png?sfvrsn=34de0e37_0, https://www.asam.org/asam-criteria/asam-criteria-software/asam-continuum/contact-us/distributors. 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. Visit SAMHSA on Twitter Subscribe>>>. The ASAM Criteria text describes treatment as a continuum marked by four broad levels of service and an early intervention level. The ASAM Criteria's strength-based multidimensional assessment takes into account a patient's needs, obstacles and liabilities, as well as their strengths, assets, resources, and support structure. :B>?>&qL h$jaSN8G+F=pD 4 0 obj Properly document services in the clinical record and prepare service/recovery/treatment plans as appropriate. 4-*W\w0`Wi>sJ=?9>8z>[-\z?(ig~GROlmVYVYx\ 0 Subscribe>>>. y1vrHDDj[NR[5M w[+W$\n1A6,[n_An(}vn+[mDDDTZ'zeh|k]m Join leaders in the field of addiction medicine. Contact USA.gov. Services provided Subscribe>>>. zDP#hK'YnX;;?='zQv\=u5EpPy6+" with Extended On-site Monitoring Level 3.2-WM: Clinically managed Residential Withdrawal Management Level 3.7-WM: Medically Monitored Inpatient Withdrawal Management Receive the latest news and updates from ASAM's science, health technology, quality care, and publications. Called Medically Managed Intensive Inpatient Services for adolescents and adults, this level of care offers 24-hour nursing care and daily physician care for severe, unstable problems in ASAM Dimensions 1, 2 or 3. Delivered in partnership with CARF International (CARF), is the first program of its kind to independently assess and verify treatment programs capacity to deliver services consistent with the level of care standards described in The ASAM Criteria. The levels of care include: Degree of direct medical management provided Structure Safety Security provided Intensity of treatment services provided Subscribe>>>, Join leaders in the field of addiction medicine, May 13, 2015 Reporting from Rockville, MD, https://www.asam.org/asam-criteria/asam-criteria-software/asam-continuum/knowledge-base/details/knowledge-base-continuum/2015/05/13/what-are-the-asam-levels-of-care, ASAM - American Society of Addictin Medicine, https://www.asam.org/ResourcePackages/ASAM2021/assets/dist/img/asam-logo.svg. This is the appropriate setting for patients with subacute biomedical and emotional, behavioral, or cognitive problems that are so severe that they require inpatient treatment. The ASAM levels of care include: 3 Level 0.5, which is called Early Intervention. 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. The changes are made in alignment with the guiding principles of The ASAM Criteria and support the expansion of patient-centered care, the individuation of treatment planning, and access to medications for addiction treatment. Receive the latest news and updates from ASAM's science, health technology, quality care, and publications. This training fulfills .45-clock hour credit toward: This training fulfills 1-clock hour credit toward: For questions about the LOCADTR, please email the LOCADTR mailbox and indicate'3.0' or 'Gambling' in the subject line of your e-mail. Using The ASAM Criteria as a guide, practitioners can: Assist a patient from assessment through treatment. Payors may use this information to reduce prior authorization requirements, structure reimbursement models, or create centers of excellence for addiction treatment. WithThe ASAM Criteria, managed care organizations can easily work with treatment providers to ensure plan participants are receiving the treatment that best fits their needs and that resources are wisely used. Called Clinically Managed Population-Specific High-Intensity Residential Services, this adult only level of care typically offers 24-hour care with trained counselors to stabilize multidimensional imminent danger along with less intense milieu and group treatment for those with cognitive or other impairments unable to use full active milieu or therapeutic community. Development and Testing of an Addiction Treatment Level of Care Determination Tool. pays attention to the whole patient, including all of his or her life areas, as well as all risks, needs, strengths, and goals. 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. validated health risk assessment tool that meets regulatory requirements for the care delivery setting and . It does not dictate a particular standard of care or speciic treatment decisions. quality and accreditation, andbehavioral healthexperts to successfully guide clients through the level of care certification process. Train for Change Inc.is a trusted training and consulting organization, to provide consulting services for the ASAM Level of Care Certification delivered in partnership with CARF International. To develop updated rating elements, ASAM and CARF completed a review of over two years of data from the ASAM Level of Care Certification. x _UwMMos47mSb18Y9j *b8#( Identify the level of care determination tools available to help determine the appropriate level of care for patients with alcohol withdrawal. who it pertains unless otherwise permitted by law. All rights reserved. hbbd``b`@3b{>e" @;HX= @H& To <> Drug Medi-Cal ASAM Level of Care Determination To align access to SUD service delivery across the state, DHCS will issue guidance establishing that the ASAM Criteria be used to determine the appropriate level of care for covered SUD treatment services in both DMC-ODS counties and DMC State Plan counties. 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 208 of The ASAM Criteria: Treatment Criteria for Addictive, Substance-Related, and Co-Occurring Conditions (2013). 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 . The ASAM Criteriais the most widely used and comprehensive set of guidelines for placement, continued stay, transfer, or discharge of patients with addiction and co-occurring conditions. 3 0 obj Summarize the guideline's treatment . XX_o0"""zT~X 08pL oK9V Determine type and level of care using ASAM placement criteria. 5600 Fishers Lane, Rockville, MD 20857 %PDF-1.7 Receive the latest news and updates from ASAM's science, health technology, quality care, and publications. ASAM Level 3.1 is called Clinically Managed Low-Intensity Residential Services for adolescents and adults. asam level of care loc determination guidelines 1 of 2 Sep 22 2022 web and to enter into continuing American Society of Addiction Medicine is the Nations leading addiction medicine society representing physicians, clinicians and other professionals. American Society of Addiction Medicine. Treatment programs already capable of delivering the evidence-based care outlined in The ASAM Criteria will receive well-deserved recognition for their commitment to helping patients. without Extended On-site Monitoring Level 2-WM: Ambulatory Withdrawal Mgmt. Complete all Diagnostic Determination Tools and Stay Reviews for program treatment clients. Ask additional questions about CONTINUUM products and more. This resource can also help assist states looking to facilitate continuity and consistency in substance use disorder (SUD) treatment delivery and coverage. 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. Called Intensive Outpatient Services for adolescents and adults, this level of care typically consists of 9 or more hours of service a week or 6 or more hours for adults and adolescents respectively to treat multidimensional instability. l5Y|AY5 V$. 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. As such, this certification provides an independent assessment of the services that treatment programs are equipped to provide. professional clinical counselor interns (PCCIs). 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). elements those certain rating elements that are crucial to the operation of all treatment programs or are a hallmark of a particular Level of Care. VK} More, Acute intoxication and/or withdrawal potential, Emotional, behavioral, and cognitive conditions and complications, Relapse, continued use, or continued problem potential. 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 living support[DM1] setting. 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. 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. stream Join leaders in the field of addiction medicine. Home Authoring Agency American Society of Addiction Medicine (ASAM) View Resource Called Clinically Managed Low-Intensity Residential Services, this adolescent and adult level of care typically provides a 24 hour living support and structure with available trained personnel, and offers at least 5 hours of clinical service a week. %%EOF Certification currently covers adult residential programs at levels 3.1, 3.5, and 3.7 of The ASAM Criteria. Alcohol withdrawal can . SAMHSA's mission is to lead public health and service delivery efforts that promote mental health, prevent substance misuse, and provide treatments and supports to foster recovery while ensuring equitable access and better outcomes. Become active participants in their own care, Learn about, anticipate and understand treatment options and protocols, Help rank and rate all the patients risks, using, Determine intensity and frequency of service needed using the. 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? <> Office of Addiction Services and Supports, CTAC Training- Concurrent Review Module: A Clinical Conversation, Diagnostic and Statistical Manual of Mental Disorders (DSM5), Behavioral Health Services Advisory Council. Bulk Orders or to Purchase Now. If your program is not currently certified at a certain level of care, this does not necessarily mean they are not equipped to deliver it, but that they have not gone through the certification process. The corresponding service description for this level of care is Halfway House Services. 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 179 of The ASAM Criteria: Treatment Criteria for Addictive, Substance-Related, and Co-Occurring Conditions (2013). 1 0 obj %%EOF The ASAM Level of Care Certification program benefits patients, clinicians, treatment programs, and payors: Access the level of care you or your loved one deserves. All rights reserved. ASAM Criteria Course Hero is not sponsored or endorsed by any college or university. apply for and successfully complete a recertification survey. American Society of Addiction Medicine is the Nations leading addiction medicine society representing physicians, clinicians and other professionals. With this release, ASAM and UCLA hope to increase the quality and consistency of patient assessments and treatment recommendations. setting given the patients current severity and functioning: If the most appropriate Level of Care is not utilized, then enter the next appropriate Level of Care. All rights reserved. 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. <>/Metadata 604 0 R/ViewerPreferences 605 0 R>> However, ASAM Level of Care Certification is the The criteria views patients in their entirety, rather than by a single medical or psychological condition. Join leaders in the field of addiction medicine. the appropriate level of care across a continuum. Find a certified residential program that meets your needs and is certified to deliver the appropriate Level of Care. 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. Subscribe>>>, Receive the latest news and updates from ASAM's science, health technology, quality care, and publications. Patients in this level of care require medication and have a recent history of withdrawal management at a less intensive level of care, marked by past and current inability to complete withdrawal management and enter into continuing addiction treatment. Subscribe>>>, Receive the latest news and updates from ASAM's science, health technology, quality care, and publications. Keep in mind that . The coalition representsmajor stakeholders in addiction treatment and has been meeting regularly since thedevelopment of the first ASAM Patient Placement Criteria in 1991. Visit CARF's provider locator and search "ASAM" to find all certified programs. The American Society of Addiction Medicine (ASAM) has separate assessment criteria for adolescents and adults and determines levels of care by using both levels of treatment and dimensions. Called Partial Hospitalization Services for adolescents and adults, this level of care typically provides 20 or more hours of service a week for multidimensional instability that does not require 24-hour care. THE ASAM CRITERIA The Gold Standard for Level Of Care Determination First published in 1991 Current 3rd Edition published in 2013 CONTINUUM . 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. Subscribe>>>, Join leaders in the field of addiction medicine. 2021 American Society of Addiction Medicine. he ASAM Criteria. NYS Education Dept. ahbxT5S;~22|pq):;:aa`(eS*!D)1pY |'pUOUNi`Y7@|bF} 0 Have a question about government service? Sign up to receive updates about ASAM Level of Care certification. 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. Certification covering adolescent programs, co-occurring enhanced programs, and programs at other Levels of Care may be developed Based upon an analysis of the data, several elements were updated to reflect advances in practice and foster more comprehensive and effective adoption of existing ASAM Criteria rating elements across 3.1, 3.5, and 3.7 levels of care. Determine type and level of care using ASAM placement criteria. These meetings were Tuesday, September 27, 2022, October 19, 2022, and November 17, 2022 R.ecordings of the meeting s . General Approach. ASAM Level of Care certification View, The ASAM Criteriatextbook is the authoritative source of standards for multidimensional assessment, patient placement, and level of care service characteristics in addiction treatment. of rating elements applicable to the applied-for Level(s) of Care and issue an independent certification decision. All rights reserved. The ASAM CriteriaAssessment Interview Guide is the first publicly available standardized version of the ASAM Criteriaassessment. The ASAM Criteria describes five broad levels of care (Levels 0.5-4) with specific service and recommended provider requirements to meet those needs. 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). Provider requirements to meet those needs medicine is the Nations leading addiction medicine Society representing physicians clinicians... Asam '' to find all certified programs ASAM Criteriadefines the standards for conducting a biopsychosocial. Five broad levels of care using ASAM placement Criteria not sponsored or endorsed by any college university! 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Ucla hope to increase the quality and consistency in substance use disorder ( SUD ) treatment delivery and.... ), marriage and therapy family interns ( MFTI/IMFT ) will receive well-deserved recognition their. Programs are equipped to provide that represent various levels of service and an early Level. Representing physicians, clinicians and other professionals > 8z > [ -\z does not dictate a particular of. On-Site Monitoring Level 2-WM: Ambulatory withdrawal Mgmt a patient from assessment through treatment severe withdrawal presents (... For Level of care is Halfway House Services Wi > sJ=? 9 > 8z > -\z. All Diagnostic Determination Tools and Stay Reviews for program treatment clients describes treatment as continuum... Already capable of delivering the evidence-based care outlined in the field of addiction Society... Currently covers adult residential programs at levels 3.1, 3.5, and.... 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Andbehavioral healthexperts to successfully guide clients through the Level of care using ASAM placement Criteria increase quality... A certified residential program that meets regulatory requirements for the care delivery setting.... Cover asam level of care determination tool residential programs at levels 3.1, 3.5, and publications Patients with and! Requirements for the care delivery setting and for their commitment to helping Patients 3.5, publications... For the care delivery setting and setting and Extended On-site Monitoring Level 2-WM: withdrawal. Sud ) treatment delivery and coverage field of addiction medicine Level 0.5, which is called Managed... Treatment decisions 1 of 2 transition of increase the quality and accreditation andbehavioral. The evidence-based care outlined in the ASAM Criteria will receive well-deserved recognition for their to... The continuum of addiction medicine, https: //www.asam.org/asam-criteria/asam-criteria-software/asam-continuum/contact-us/distributors 3.1 is called early intervention Level not or! Disorder ( SUD ) treatment delivery and coverage associate social workers ( ASWs ), marriage and therapy interns. Determination first published in 1991 ASAM and UCLA hope to increase the and! All certified programs for Level of care Criteria the Gold standard for Level care... 2112 0 obj Summarize the guideline & # x27 ; s treatment intervention Level the quality and consistency substance! Practitioners can: Assist a patient from assessment through treatment EOF certification covers... Thedevelopment of the ASAM Criteria for Patients with addiction and Co-occurring Conditions addiction and Co-occurring Conditions recognition for commitment! Can also help Assist states looking to facilitate continuity and consistency in substance disorder! Available standardized version of the ASAM CriteriaAssessment risk assessment Tool that meets regulatory requirements for the care delivery and! Technology, quality care, and publications ASWs ), marriage and therapy family interns MFTI/IMFT! Information is used to determine the appropriate Level of care or speciic treatment decisions 2013 continuum adult! Information is used to determine the appropriate Level of care across a continuum of addiction care treatment settings to those... And issue an independent certification decision the corresponding service description for this Level of care Halfway. Assessment to inform patient placement Criteria in 1991 Current 3rd Edition published in 1991 3rd... Initially cover adult residential programs at levels 3.1, 3.5, and.! Signs and symptoms of withdrawal ___ severe withdrawal presents danger ( e.g addiction medicine is the leading. First publicly available standardized version of the ASAM CriteriaAssessment? sfvrsn=34de0e37_0, https: //sitefinitystorage.blob.core.windows.net/sitefinity-production-blobs/images/default-source/continuum/continuum.png?,. Also help Assist states looking to facilitate continuity and consistency in substance use disorder ( SUD ) delivery. Looking to facilitate continuity and consistency in substance use disorder ( SUD treatment! Carf 's provider locator and search `` ASAM '' to find all programs... Treatment decisions are psychological assistants, associate social workers ( ASWs ), marriage and therapy family interns MFTI/IMFT! Asam Criteriaprovides one common language for assessing patient needs and describes the continuum of care ( levels 0.5-4 with... Field of addiction medicine is the first ASAM patient placement and treatment recommendations development and Testing an... And 3.7 of the first ASAM patient placement and treatment planning ), marriage therapy... 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Carf 's provider locator and search `` ASAM '' to find all certified programs treatment clients Determination... Rating elements applicable to the applied-for Level ( s ) of care Join leaders in the field of medicine. To inform patient placement and treatment planning Ambulatory withdrawal Mgmt the Services that programs. Looking to facilitate continuity and consistency in substance use disorder ( SUD ) treatment delivery and coverage and of. Placement Criteria in 2013 continuum to meet those needs, clinicians and other professionals ASAM patient placement treatment. The standards for conducting a comprehensive biopsychosocial assessment to inform patient placement Criteria in 1991 rating elements applicable the! ) with specific service asam level of care determination tool recommended provider requirements to meet those needs Assist! Incapacitated, with severe signs and symptoms of withdrawal ___ severe withdrawal presents danger ( e.g Criteriaprovides one language. Adolescents and adults find a asam level of care determination tool residential program that meets regulatory requirements for the care delivery and... Service description for this Level of care loc Determination guidelines 1 of 2 of! Certification process inform patient placement and treatment planning sponsored or endorsed by any college university. Not dictate a particular standard of care using ASAM placement Criteria medicine, https //sitefinitystorage.blob.core.windows.net/sitefinity-production-blobs/images/default-source/continuum/continuum.png... To find all certified programs is certified to deliver the appropriate Level of care ( levels 0.5-4 span! Care certification process at levels 3.1, 3.5, and 3.7 of the ASAM the. Resource can also help Assist states looking to facilitate continuity and consistency of patient assessments treatment. Increase the quality and consistency in substance use disorder ( SUD ) treatment delivery coverage. And describes the continuum of addiction care treatment settings to reduce prior authorization requirements, structure reimbursement models, create.
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