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Called Medically Managed Intensive Inpatient Services for adolescents and adults, this level of care provides 24-hour nurse care and daily physician care for serious, unstable problems in ASAM Dimensions 1, 2 or 3. Therapy is offered 16 hours a day to engage patients in treatment. A comprehensive description of the services typically offered in 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 nurse care with a physician’s accessibility for significant problems in Dimensions 1, 2, or 3. Patients within 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 become part of continuing substance addiction treatment. This is the suitable setting for patients with subacute biomedical and mental, behavioral, or intellectual 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 variety 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 qualified counselors to stabilize multidimensional imminent danger and plan for outpatient treatment. Patients within this level have the ability 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 workers who provide a variety 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 extreme 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 variety 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 assistance and structure with available properly trained personnel, and offers at minimum 5 hrs of clinical service a week. Level 3 encompasses 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 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 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 complex requirements of people with substance addiction and co-occurring conditions. It is an organized outpatient service that provides treatment services usually throughout the day as day treatment or partial hospitalization services.

Called Intensive Outpatient Services for adolescents and adults, this level of care generally consists of 9 or more hrs of service a week or 6 or more hrs for adults and adolescents specifically to manage multidimensional instability. Level 2 involves services that are capable of meeting the complex needs of people with addiction and co-occurring disorders. It is an organized outpatient service that provides treatment services throughout 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 consists of 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.

Contacted Early Intervention for Adults and Adolescents, this level of care comprises a service for people who, for a recognized reason, are at risk of establishing substance-related problems, or a service for those for whom there is not yet adequate relevant information to document a diagnosable drug use problem.