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Termed Medically Managed Intensive Inpatient Services for adolescents and adults, this particular level of care provides 24-hour nursing care and every day physician care for intense, 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 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 ).

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 past and current incapability to complete withdrawal management and become part of continuing substance addiction treatment. This is the suitable setting for patients with subacute biomedical and mental, behavioral, or cognitive problems that are so intense 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 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 particular level of care provides 24-hour care with skilled counselors to stabilize multidimensional impending danger and prepare for outpatient treatment. Patients in this level have the ability to tolerate and use comprehensive 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 appointed addiction treatment, mental health, and general medical workers who provide a range of services in a 24-hour treatment setting.

Termed Clinically Managed Population-Specific High-Intensity Residential Services, this particular adult only level of care commonly offers 24-hour care with qualified counselors to stabilize multidimensional imminent danger together with less intense milieu and group treatment for those with cognitive or other impairments unable to use full active milieu or therapeutic community. Level 3 incorporates residential services that are referred to as co-occurring capable, co-occurring enhanced, and complexity capable services, which are staffed by assigned 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 particular adolescent and adult level of care commonly provides a 24-hour living support and structure with available skilled personnel, and offers a minimum of 5 hrs of clinical service a week. Level 3 incorporates 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.

Termed Partial Hospitalization Services for adolescents and adults, this particular 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 complex requirements of people with substance addiction and co-occurring conditions. It is an organized 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 particular level of care typically features 9 or more hrs of service a week or 6 or more hrs for adults and adolescents specifically to manage multidimensional instability. Level 2 includes services that are capable of meeting the challenging needs of people with addiction and co-occurring disorders. It is an organized outpatient service that provides 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 commonly features less than 9 hrs of service/week for adults, or less than 6 hrs a week for adolescents for recovery or inspirational enhancement therapies and strategies. Level 1 incorporates organized services that may be delivered in a wide array of settings.

Referred To As Early Intervention for Adults and Adolescents, this particular level of care comprises a service for individuals 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 enough relevant information to document a diagnosable drug use problem.