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Termed Medically Managed Intensive Inpatient Services for adolescents and adults, this level of care offers 24-hour nurse 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 individuals in treatment. A detailed description of the services typically offered in this level of care, the care setting and how to determine 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 offers 24-hour nurse 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 inability to complete withdrawal management and enter into continuing addiction treatment. This is the suitable setting for patients with subacute biomedical and mental, behavioral, or intellectual 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 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 skilled counselors to stabilize multidimensional imminent danger and prepare 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 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 Population-Specific High-Intensity Residential Services, this adult only level of care typically offers 24-hour care with skilled counselors to stabilize multidimensional unavoidable danger along with less extreme milieu and group treatment for those with cognitive or other impairments unable to use total 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.

Referred To As Clinically Managed Low-Intensity Residential Services, this adolescent and adult level of care typically provides a 24 hour living support and structure with readily available skilled personnel, and offers at minimum 5 hours 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 designated 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 level of care typically offers 20 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 intricate requirements of individuals with addiction and co-occurring conditions. It is an arranged outpatient service that provides treatment services usually throughout the day as day treatment or partial hospitalization services.

Termed Intensive Outpatient Services for adolescents and adults, this level of care normally consists of 9 or more hours of service a week or 6 or more hours for adults and adolescents respectively to manage multidimensional instability. Level 2 includes 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.

Referred To As Outpatient Services for adolescents and adults, this level of care typically consists of no more than 9 hours of service/week for adults, or no more than 6 hours 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 level of care comprises 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 enough information to document a diagnosable substance use problem.