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Referred To As Medically Managed Intensive Inpatient Services for adolescents and adults, this particular level of care offers 24-hour nursing care and every day physician care for serious, unstable problems in ASAM Dimensions 1, 2 or 3. Therapy is available 16 hours a day to engage patients 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 ).

Referred To As the Medically Monitored High-Intensity Inpatient Services for adolescents and Medically Monitored Intensive Inpatient Services Withdrawal Management for adults, this level of care offers 24-hour nursing care with a physician’s accessibility 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 incapability to complete withdrawal management and enter into continuing substance addiction treatment. This is the suitable setting for patients with subacute biomedical and emotional, behavioral, or cognitive problems that are so serious 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.

Referred To 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 qualified 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 appointed addiction treatment, mental health, and general medical personnel who provide a range of services in a 24-hour treatment setting.

Referred To As Clinically Managed Population-Specific High-Intensity Residential Services, this particular adult only level of care normally offers 24-hour care with skilled 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 includes residential services that are referred to as co-occurring capable, co-occurring increased, 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 setting.

Knowned As Clinically Managed Low-Intensity Residential Services, this particular adolescent and adult level of care normally provides a 24-hour living assistance and structure with available trained personnel, and offers at least 5 hrs 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 appointed addiction treatment, mental health, and general medical personnel who provide a range of services in a 24-hour living support [DM1] setting.

Referred To As Partial Hospitalization Services for adolescents and adults, this particular level of care normally offers 20 or more hrs of service a week for multidimensional instability in which does not require 24-hour care. Level 2 includes services that are capable of meeting the complicated needs of individuals with substance 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.

Referred To As Intensive Outpatient Services for adolescents and adults, this particular level of care normally includes 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 conditions. It is an arranged outpatient service that supplies treatment services throughout the day, before or after work or school, in the evening, and/or on weekends.

Knowned As Outpatient Services for adolescents and adults, this particular 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 includes organized services that may be delivered in a wide array of settings.

Contacted 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 establishing substance-related problems, or a service for individuals for whom there is not yet adequate information to document a diagnosable substance use disorder.