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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 every day physician care for severe, unstable problems in ASAM Dimensions 1, 2 or 3. Counselling is offered 16 hours a day to engage individuals in treatment. A detailed 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 ).

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 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 intellectual problems that are so severe 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 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 trained counselors to stabilize multidimensional unavoidable danger and plan for outpatient treatment. Patients in this particular level have the ability 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 appointed 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 generally offers 24-hour care with experienced counselors to stabilize multidimensional imminent danger together with less intense milieu and group treatment for those with cognitive or other issues unable to use full active milieu or therapeutic community. Level 3 includes residential services that are described as co-occurring capable, co-occurring enhanced, and complexity capable services, which are staffed by assigned addiction treatment, mental health, and general medical personnel who provide a variety of services in a 24-hour treatment setting.

Named Clinically Managed Low-Intensity Residential Services, this particular adolescent and adult level of care generally provides a 24-hour living assistance and structure with available trained personnel, and offers at least 5 hrs 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 generally offers 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 intricate requirements of individuals with 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 hrs of service a week or 6 or more hrs for adults and adolescents respectively to manage multidimensional instability. Level 2 includes services that are capable of meeting the complex needs of people with addiction and co-occurring disorders. It is an arranged outpatient service that supplies 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 generally includes no more than 9 hrs of service/week for adults, or no more than 6 hrs a week for adolescents for recovery or inspirational enhancement therapies and strategies. Level 1 includes organized services that may be delivered in a wide variety of settings.

Contacted Early Intervention for Adults and Adolescents, this particular 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 there is not yet sufficient relevant information to document a diagnosable substance use disorder.