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Called Medically Managed Intensive Inpatient Services for adolescents and adults, this level of care provides 24-hour nursing care and daily physician care for extreme, unstable problems in ASAM Dimensions 1, 2 or 3. Counselling is offered 16 hours a day to engage patients in treatment. A comprehensive 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 ).

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 nursing care with a physician’s availability for significant problems in Dimensions 1, 2, or 3. Patients in this particular level of care need medication and have a recent history of withdrawal management at a less intensive level of care, marked by past and current incapability to complete withdrawal management and enter into continuing substance 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 encompasses 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.

Called 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 imminent danger and plan for outpatient treatment. Patients in this particular level are able to tolerate and use comprehensive active milieu or therapeutic communities. Level 3 encompasses 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 variety of services in a 24-hour treatment setting.

Called Clinically Managed Population-Specific High-Intensity Residential Services, this adult only level of care generally offers 24-hour care with experienced counselors to stabilize multidimensional unavoidable danger along with less extreme milieu and group treatment for those with cognitive or other issues unable to use full active milieu or therapeutic community. Level 3 incorporates 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 personnel who provide a variety of services in a 24-hour treatment environment.

Named Clinically Managed Low-Intensity Residential Services, this adolescent and adult level of care generally provides a 24 hour living support and structure with available trained personnel, and offers at least 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 specified 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 level of care generally offers twenty or more hours of service a week for multidimensional instability that does not need 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 organized outpatient service that provides treatment services usually throughout the day as day treatment or partial hospitalization services.

Called Intensive Outpatient Services for adolescents and adults, this level of care generally consists of 9 or more hours of service a week or 6 or more hours for adults and adolescents specifically to treat multidimensional instability. Level 2 involves services that are capable of meeting the complex needs of people with addiction and co-occurring disorders. It is an organized outpatient service that delivers treatment services throughout the day, before or after work or school, at night, and/or on weekends.

Named Outpatient Services for adolescents and adults, this level of care generally consists of 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 incorporates organized services that may be provided in a wide variety of settings.

Contacted Early Intervention for Adults and Adolescents, this level of care comprises a service for people who, for a recognized reason, are at risk of establishing substance-related problems, or a service for individuals for whom there is not yet enough information to document a diagnosable substance use problem.