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Termed Medically Managed Intensive Inpatient Services for adolescents and adults, this particular level of care offers 24-hour nursing care and daily physician care for extreme, unstable problems in ASAM Dimensions 1, 2 or 3. Counseling is offered 16 hours a day to engage patients in treatment. A detailed explanation 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 upon 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 within this level of care require medication and have a recent background of withdrawal management at a less intensive level of care, marked by past and current inability to complete withdrawal management and become part of continuing addiction treatment. This is the appropriate setting for patients with subacute biomedical and emotional, behavioral, or intellectual problems that are so extreme that they require inpatient treatment. Level 3 includes 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 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 unavoidable danger and plan for outpatient treatment. Patients within this level are able to tolerate and use full active milieu or therapeutic communities. Level 3 includes 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 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 typically offers 24-hour care with skilled counselors to stabilize multidimensional unavoidable danger along with less intense milieu and group treatment for those with cognitive or other impairments unable to use complete active milieu or therapeutic community. Level 3 encompasses residential services that are described as co-occurring capable, co-occurring increased, 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.

Named Clinically Managed Low-Intensity Residential Services, this particular adolescent and adult level of care typically provides a 24 hour living support and structure with available well-trained personnel, and offers at least 5 hours of clinical service a week. Level 3 incorporates 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 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 typically provides 20 or more hours 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 intricate requirements of individuals with 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 normally consists of 9 or more hours of service a week or 6 or more hours for adults and adolescents respectively to treat 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 during the day, before or after work or school, in the evening, and/or on weekends.

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

Termed Early Intervention for Adults and Adolescents, this particular level of care constitutes a service for individuals who, for a known reason, are at risk of developing substance-related problems, or a service for those for whom there is not yet sufficient information to document a diagnosable substance use problem.