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Knowned As Medically Managed Intensive Inpatient Services for adolescents and adults, this level of care provides 24-hour nursing care and daily physician care for severe, unstable problems in ASAM Dimensions 1, 2 or 3. Counselling is available 16 hours a day to engage individuals in treatment. A detailed description of the services typically offered within this level of care, the care setting and how to determine 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 ).

Knowned As the Medically Monitored High-Intensity Inpatient Services for adolescents and Medically Monitored Intensive Inpatient Services Withdrawal Management for adults, this particular level of care offers 24-hour nursing care with a physician’s availability for significant problems in Dimensions 1, 2, or 3. 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 substance addiction treatment. This is the appropriate setting for patients with subacute biomedical and emotional, behavioral, or intellectual problems that are so severe that they require inpatient treatment. Level 3 includes residential services that are referred to 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 variety of services in a 24-hour treatment setting.

Knowned As Clinically Managed Medium-Intensity Residential Services for adolescents and Clinically Managed High-Intensity Residential Services for adults, this level of care provides 24-hour care with skilled counselors to stabilize multidimensional impending danger and prepare for outpatient treatment. Patients in this level are able to tolerate and use full active milieu or therapeutic communities. Level 3 includes residential services that are referred to as co-occurring capable, co-occurring enhanced, and complexity capable services, which are staffed by designated addiction treatment, mental health, and general medical workers who provide a variety of services in a 24-hour treatment setting.

Knowned As Clinically Managed Population-Specific High-Intensity Residential Services, this adult only level of care generally offers 24-hour care with skilled counselors to stabilize multidimensional imminent danger along with less extreme milieu and group treatment for those with cognitive or other impairments unable to use full active milieu or therapeutic community. Level 3 encompasses residential services that are referred to as co-occurring capable, co-occurring enhanced, and complexity capable services, which are staffed by specified addiction treatment, mental health, and general medical personnel who provide a variety of services in a 24-hour treatment environment.

Named Clinically Managed Low-Intensity Residential Services, this adolescent and adult level of care generally provides a 24 hour living assistance and structure with readily available qualified personnel, and offers a minimum of 5 hours of clinical service a week. Level 3 encompasses residential services that are referred to 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 offer a range of services in a 24-hour living support [DM1] setting.

Knowned As Partial Hospitalization Services for adolescents and adults, this level of care generally offers 20 or more hours of service a week for multidimensional instability in which does not require 24-hour care. Level 2 includes services that are capable of meeting the complicated requirements of people with substance addiction and co-occurring conditions. It is an organized outpatient service that delivers treatment services usually throughout the day as day treatment or partial hospitalization services.

Knowned As Intensive Outpatient Services for adolescents and adults, this level of care typically includes 9 or more hours of service a week or 6 or more hours for adults and adolescents respectively to manage multidimensional instability. Level 2 encompasses services that are capable of meeting the complex needs of people with addiction and co-occurring disorders. It is an organized outpatient service that delivers treatment services throughout the day, before or after work or school, in the evening, and/or on weekends.

Named Outpatient Services for adolescents and adults, this level of care generally includes less than 9 hours of service/week for adults, or less than 6 hours a week for adolescents for recovery or motivational enhancement therapies and strategies. Level 1 encompasses organized services that may be delivered in a wide array of settings.

Knowned As Early Intervention for Adults and Adolescents, this level of care constitutes a service for individuals who, for a known reason, are at risk of developing substance-related problems, or a service for those for whom there is not yet enough relevant information to document a diagnosable drug use problem.