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Termed Medically Managed Intensive Inpatient Services for adolescents and adults, this particular level of care provides 24-hour nursing care and daily physician care for serious, unstable problems in ASAM Dimensions 1, 2 or 3. Counselling is offered 16 hours a day to engage people in treatment. A detailed explanation 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 nursing care with a physician’s availability for significant problems in Dimensions 1, 2, or 3. Patients in this particular 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 incapability to complete withdrawal management and become part of continuing substance addiction treatment. This is the appropriate setting for patients with subacute biomedical and emotional, 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.

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 qualified counselors to stabilize multidimensional imminent danger and prepare for outpatient treatment. Patients in this particular level are able to tolerate and use comprehensive 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.

Termed Clinically Managed Population-Specific High-Intensity Residential Services, this particular adult only level of care normally offers 24-hour care with trained counselors to stabilize multidimensional unavoidable danger together with less intense 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 increased, 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 particular adolescent and adult level of care normally provides a 24 hour living assistance and structure with available properly trained personnel, and offers at minimum 5 hours 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 provide 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 normally offers twenty 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 substance addiction and co-occurring conditions. It is an arranged outpatient service that delivers 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 includes 9 or more hours of service a week or 6 or more hours for adults and adolescents respectively to treat multidimensional instability. Level 2 encompasses 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, at night, and/or on weekends.

Named Outpatient Services for adolescents and adults, this particular level of care normally includes no more than 9 hours of service/week for adults, or no more than 6 hours a week for adolescents for recovery or inspirational 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 particular level of care constitutes a service for individuals who, for a known reason, are at risk of establishing substance-related problems, or a service for individuals for whom generally there is not yet enough information to document a diagnosable drug use disorder.