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Called Medically Managed Intensive Inpatient Services for adolescents and adults, this level of care offers 24-hour nurse care and daily physician care for extreme, unstable problems in ASAM Dimensions 1, 2 or 3. Therapy is accessible 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 identify what patients would benefit best from these services based upon an ASAM dimensional needs assessment begins on page 280 of The ASAM Criteria: Treatment Criteria for Addictive, Substance-Related, and Co-Occurring Conditions (2013 ).

Called the Medically Monitored High-Intensity Inpatient Services for adolescents and Medically Monitored Intensive Inpatient Services Withdrawal Management for adults, this 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 require medication and have a recent history 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 suitable setting for patients with subacute biomedical and emotional, behavioral, or cognitive problems that are so extreme 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 specified addiction treatment, mental health, and general medical personnel who provide a range of services in a 24-hour treatment setting.

Called 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 trained counselors to stabilize multidimensional impending danger and plan for outpatient treatment. Patients within this level have the ability 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 workers who provide a range of services in a 24-hour treatment setting.

Called Clinically Managed Population-Specific High-Intensity Residential Services, this adult only level of care commonly offers 24-hour care with experienced counselors to stabilize multidimensional unavoidable danger along with less intense milieu and group treatment for those with cognitive or other issues unable to use total active milieu or therapeutic community. Level 3 incorporates 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 adolescent and adult level of care commonly provides a 24 hr living support and structure with available trained personnel, and offers at least 5 hrs of clinical service a week. Level 3 incorporates residential services that are referred to 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.

Called Partial Hospitalization Services for adolescents and adults, this level of care commonly provides 20 or more hrs of service a week for multidimensional instability that does not require 24-hour care. Level 2 includes services that are capable of meeting the complicated needs of people with addiction and co-occurring conditions. It is an arranged outpatient service that delivers treatment services usually throughout the day as day treatment or partial hospitalization services.

Called Intensive Outpatient Services for adolescents and adults, this level of care typically features 9 or more hrs of service a week or 6 or more hrs for adults and adolescents respectively to treat multidimensional instability. Level 2 encompasses services that are capable of meeting the challenging needs of people with addiction and co-occurring disorders. It is an arranged outpatient service that delivers 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 level of care commonly features less than 9 hrs of service/week for adults, or less than 6 hrs a week for adolescents for recovery or motivational enhancement therapies and strategies. Level 1 incorporates organized services that may be delivered in a wide array of settings.

Contacted Early Intervention for Adults and Adolescents, this level of care constitutes a service for individuals who, for a known reason, are at risk of establishing substance-related issues, or a service for those for whom generally there is not yet adequate relevant information to document a diagnosable substance use disorder.