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Called Medically Managed Intensive Inpatient Services for adolescents and adults, this level of care offers 24-hour nursing care and every day physician care for intense, unstable problems in ASAM Dimensions 1, 2 or 3. Counselling is accessible 16 hours a day to engage people in treatment. A detailed explanation 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 ).

Called 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 background 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 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.

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 skilled counselors to stabilize multidimensional impending danger and plan for outpatient treatment. Patients in this level have the ability to tolerate and use full 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 specified addiction treatment, mental health, and general medical personnel 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 normally offers 24-hour care with qualified counselors to stabilize multidimensional unavoidable 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 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 normally provides a 24 hr 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 specified 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 normally provides twenty 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 substance 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.

Called Intensive Outpatient Services for adolescents and adults, this level of care typically includes 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 complex 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, in the evening, and/or on weekends.

Named Outpatient Services for adolescents and adults, this level of care normally includes 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 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 individuals for whom generally there is not yet sufficient information to document a diagnosable drug use problem.