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Called Medically Managed Intensive Inpatient Services for adolescents and adults, this specific level of care provides 24-hour nurse care and every day physician care for extreme, unstable problems in ASAM Dimensions 1, 2 or 3. Counseling is accessible 16 hours a day to engage patients in treatment. A comprehensive description of the services typically offered within this level of care, the care setting and how to determine 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 ).

Called 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 nurse care with a physician’s accessibility for significant problems in Dimensions 1, 2, or 3. Patients in this particular 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 become part of continuing substance addiction treatment. This is the suitable setting for patients with subacute biomedical and mental, behavioral, or cognitive problems that are so extreme 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 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 specific level of care provides 24-hour care with skilled 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 appointed addiction treatment, mental health, and general medical personnel who provide a variety of services in a 24-hour treatment setting.

Called Clinically Managed Population-Specific High-Intensity Residential Services, this specific adult only level of care normally offers 24-hour care with trained counselors to stabilize multidimensional imminent danger along 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 encompasses residential services that are referred to as co-occurring capable, co-occurring increased, and complexity capable services, which are staffed by appointed 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 specific adolescent and adult level of care normally provides a 24-hour living assistance and structure with available skilled personnel, and offers a minimum of 5 hours of clinical service a week. Level 3 encompasses 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 personnel who offer a range of services in a 24-hour living support [DM1] setting.

Called Partial Hospitalization Services for adolescents and adults, this specific level of care normally offers 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 complicated requirements of individuals with substance addiction and co-occurring conditions. It is an organized outpatient service that delivers treatment services usually during the day as day treatment or partial hospitalization services.

Called Intensive Outpatient Services for adolescents and adults, this specific level of care generally features 9 or more hours of service a week or 6 or more hours for adults and adolescents specifically to treat multidimensional instability. Level 2 encompasses services that are capable of meeting the complex needs of people with addiction and co-occurring conditions. It is an organized 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 specific level of care normally features less than 9 hours of service/week for adults, or less 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.

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