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Termed Medically Managed Intensive Inpatient Services for adolescents and adults, this specific level of care offers 24-hour nursing care and every day physician care for serious, unstable problems in ASAM Dimensions 1, 2 or 3. Counseling is available 16 hours a day to engage people in treatment. A detailed explanation 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 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 level of care provides 24-hour nursing care with a physician’s accessibility for significant problems in Dimensions 1, 2, or 3. Patients in this 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 incapability to complete withdrawal management and enter into continuing substance addiction treatment. This is the suitable setting for patients with subacute biomedical and emotional, behavioral, or cognitive problems that are so serious that they require inpatient treatment. 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 treatment setting.

Termed 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 trained counselors to stabilize multidimensional impending danger and plan for outpatient treatment. Patients in this level have the ability to tolerate and use complete active milieu or therapeutic communities. Level 3 encompasses 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 workers who provide a range of services in a 24-hour treatment setting.

Termed Clinically Managed Population-Specific High-Intensity Residential Services, this specific adult only level of care generally offers 24-hour care with qualified counselors to stabilize multidimensional imminent danger together with less intense milieu and group treatment for those with cognitive or other issues unable to use complete active milieu or therapeutic community. 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 range of services in a 24-hour treatment setting.

Called Clinically Managed Low-Intensity Residential Services, this specific adolescent and adult level of care generally provides a 24 hour living support and structure with readily available qualified personnel, and offers at minimum 5 hours of clinical service a week. Level 3 incorporates 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 provide a range of services in a 24-hour living support [DM1] setting.

Termed Partial Hospitalization Services for adolescents and adults, this specific level of care generally provides twenty or more hours of service a week for multidimensional instability that does not require 24-hour care. Level 2 encompasses services that are capable of meeting the complex needs 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 specific level of care normally features 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 challenging needs of people with addiction and co-occurring conditions. 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.

Called Outpatient Services for adolescents and adults, this specific level of care generally 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 includes organized services that may be provided in a wide array of settings.

Referred To As Early Intervention for Adults and Adolescents, this specific 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 those for whom generally there is not yet enough information to document a diagnosable substance use disorder.