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Termed Medically Managed Intensive Inpatient Services for adolescents and adults, this specific level of care provides 24-hour nursing care and daily physician care for severe, unstable problems in ASAM Dimensions 1, 2 or 3. Counseling is offered 16 hours a day to engage people in treatment. A comprehensive description of the services typically offered within this level of care, the care setting and how to identify 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 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 need 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 mental, behavioral, or cognitive problems that are so severe 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 prepare 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 commonly offers 24-hour care with trained 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 incorporates 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.

Knowned As Clinically Managed Low-Intensity Residential Services, this specific adolescent and adult level of care commonly provides a 24 hr living support and structure with available qualified personnel, and offers at minimum 5 hours of clinical service a week. Level 3 incorporates residential services that are called 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 specific level of care commonly provides twenty or more hours of service a week for multidimensional instability in which does not need 24-hour care. Level 2 encompasses services that are capable of meeting the intricate 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 typically includes 9 or more hours of service a week or 6 or more hours for adults and adolescents specifically to manage multidimensional instability. Level 2 includes services that are capable of meeting the challenging needs of people with addiction and co-occurring conditions. It is an arranged outpatient service that provides treatment services during the day, before or after work or school, at night, and/or on weekends.

Knowned As Outpatient Services for adolescents and adults, this specific level of care commonly 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 variety of settings.

Called Early Intervention for Adults and Adolescents, this specific level of care constitutes a service for people 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 relevant information to document a diagnosable drug use problem.