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Knowned As Medically Managed Intensive Inpatient Services for adolescents and adults, this particular level of care offers 24-hour nurse care and daily physician care for serious, unstable problems in ASAM Dimensions 1, 2 or 3. Therapy is accessible 16 hours a day to engage patients in treatment. A detailed explanation 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 ).

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 provides 24-hour nurse care with a physician’s availability for significant problems in Dimensions 1, 2, or 3. Patients within this level of care need medication and have a recent background of withdrawal management at a less intensive level of care, marked by past and current incapability to complete withdrawal management and become part of continuing addiction treatment. This is the appropriate setting for patients with subacute biomedical and emotional, behavioral, or intellectual problems that are so serious that they require inpatient treatment. Level 3 includes 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.

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

Knowned As Clinically Managed Population-Specific High-Intensity Residential Services, this particular adult only level of care generally offers 24-hour care with qualified counselors to stabilize multidimensional unavoidable danger together with less extreme milieu and group treatment for those with cognitive or other issues unable to use total active milieu or therapeutic community. Level 3 includes residential services that are described as co-occurring capable, co-occurring increased, 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.

Called Clinically Managed Low-Intensity Residential Services, this particular adolescent and adult level of care generally provides a 24-hour living support and structure with available trained personnel, and offers at least 5 hours of clinical service a week. Level 3 encompasses residential services that are described as co-occurring capable, co-occurring enhanced, and complexity capable services, which are staffed by appointed 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 particular level of care generally provides 20 or more hours of service a week for multidimensional instability that does not need 24-hour care. Level 2 includes services that are capable of meeting the complex requirements of people with 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 particular level of care typically features 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 conditions. It is an organized outpatient service that supplies treatment services throughout the day, before or after work or school, at night, and/or on weekends.

Called Outpatient Services for adolescents and adults, this particular level of care generally features 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 includes organized services that may be delivered in a wide array of settings.

Called Early Intervention for Adults and Adolescents, this particular level of care comprises a service for individuals who, for a recognized reason, are at risk of developing substance-related issues, or a service for individuals for whom there is not yet sufficient information to document a diagnosable drug use problem.