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Named Medically Managed Intensive Inpatient Services for adolescents and adults, this 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 available 16 hours a day to engage individuals in treatment. A comprehensive 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 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 ).

Named 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 availability 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 inability to complete withdrawal management and enter into continuing addiction treatment. This is the appropriate setting for patients with subacute biomedical and emotional, behavioral, or cognitive 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.

Named 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 unavoidable danger and plan for outpatient treatment. Patients within this level are able to tolerate and use comprehensive 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 specified addiction treatment, mental health, and general medical workers who provide a range of services in a 24-hour treatment setting.

Named Clinically Managed Population-Specific High-Intensity Residential Services, this adult only level of care normally offers 24-hour care with experienced counselors to stabilize multidimensional imminent 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 described 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 range of services in a 24-hour treatment setting.

Knowned As Clinically Managed Low-Intensity Residential Services, this adolescent and adult level of care normally provides a 24-hour living assistance and structure with available trained personnel, and offers a minimum of 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 specified addiction treatment, mental health, and general medical personnel who provide a range of services in a 24-hour living support [DM1] setting.

Named Partial Hospitalization Services for adolescents and adults, this 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 people 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.

Named Intensive Outpatient Services for adolescents and adults, this 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 arranged outpatient service that delivers treatment services throughout the day, before or after work or school, at night, and/or on weekends.

Knowned As Outpatient Services for adolescents and adults, this level of care normally features 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 level of care comprises a service for individuals who, for a recognized reason, are at risk of establishing substance-related issues, or a service for individuals for whom generally there is not yet sufficient information to document a diagnosable drug use disorder.