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Termed Medically Managed Intensive Inpatient Services for adolescents and adults, this level of care offers 24-hour nursing care and every day physician care for extreme, unstable problems in ASAM Dimensions 1, 2 or 3. Counselling is offered 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 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 ).

Termed 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 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 previous and current inability to complete withdrawal management and become part of continuing addiction treatment. This is the suitable setting for patients with subacute biomedical and mental, behavioral, or intellectual 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.

Termed 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 qualified counselors to stabilize multidimensional imminent danger and plan for outpatient treatment. Patients in this level are able to tolerate and use complete 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 designated addiction treatment, mental health, and general medical personnel who provide a range of services in a 24-hour treatment setting.

Termed Clinically Managed Population-Specific High-Intensity Residential Services, this adult only level of care commonly offers 24-hour care with qualified counselors to stabilize multidimensional unavoidable danger along with less extreme milieu and group treatment for those with cognitive or other issues unable to use complete active milieu or therapeutic community. Level 3 incorporates 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 environment.

Named Clinically Managed Low-Intensity Residential Services, this adolescent and adult level of care commonly provides a 24 hr living assistance and structure with available qualified personnel, and offers at least 5 hours of clinical service a week. Level 3 encompasses residential services that are called 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.

Termed Partial Hospitalization Services for adolescents and adults, this level of care commonly provides twenty or more hours of service a week for multidimensional instability that does not require 24-hour care. Level 2 includes services that are capable of meeting the complex requirements of individuals with addiction and co-occurring conditions. It is an arranged outpatient service that provides treatment services usually during the day as day treatment or partial hospitalization services.

Termed Intensive Outpatient Services for adolescents and adults, this level of care typically features 9 or more hours of service a week or 6 or more hours for adults and adolescents respectively to treat multidimensional instability. Level 2 involves services that are capable of meeting the challenging needs of people with addiction and co-occurring conditions. It is an arranged outpatient service that provides treatment services during 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 commonly features no more than 9 hours of service/week for adults, or no more than 6 hours a week for adolescents for recovery or inspirational enhancement therapies and strategies. Level 1 incorporates organized services that may be provided in a wide array of settings.

Referred To As Early Intervention for Adults and Adolescents, this level of care comprises a service for people who, for a known reason, are at risk of developing substance-related problems, or a service for individuals for whom generally there is not yet sufficient information to document a diagnosable drug use disorder.