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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 extreme, unstable problems in ASAM Dimensions 1, 2 or 3. Counselling is accessible 16 hours a day to engage individuals in treatment. A comprehensive 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 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 ).

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 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 become part of continuing addiction treatment. This is the appropriate setting for patients with subacute biomedical and emotional, behavioral, or cognitive problems that are so extreme that they require inpatient treatment. Level 3 encompasses 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.

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 trained counselors to stabilize multidimensional imminent danger and plan for outpatient treatment. Patients within this level have the ability to tolerate and use complete active milieu or therapeutic communities. 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 workers 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 typically 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 impairments unable to use complete 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.

Named Clinically Managed Low-Intensity Residential Services, this particular adolescent and adult level of care typically provides a 24 hr living support and structure with available well-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.

Knowned As Partial Hospitalization Services for adolescents and adults, this particular level of care typically provides 20 or more hrs of service a week for multidimensional instability in which does not require 24-hour care. Level 2 encompasses services that are capable of meeting the intricate requirements of people with addiction and co-occurring conditions. It is an arranged outpatient service that delivers treatment services usually during 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 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 during the day, before or after work or school, at night, and/or on weekends.

Named Outpatient Services for adolescents and adults, this particular level of care typically 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 provided in a wide array of settings.

Contacted Early Intervention for Adults and Adolescents, this particular 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.