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

Named 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 accessibility for significant problems in Dimensions 1, 2, or 3. Patients in this 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 become part of 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 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 variety 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 specific level of care provides 24-hour care with skilled counselors to stabilize multidimensional impending danger and prepare for outpatient treatment. Patients in this level are able to tolerate and use full 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 variety of services in a 24-hour treatment setting.

Named Clinically Managed Population-Specific High-Intensity Residential Services, this specific adult only level of care commonly offers 24-hour care with qualified counselors to stabilize multidimensional unavoidable danger along with less intense milieu and group treatment for those with cognitive or other impairments unable to use total active milieu or therapeutic community. Level 3 includes residential services that are referred to 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 variety of services in a 24-hour treatment setting.

Referred To As Clinically Managed Low-Intensity Residential Services, this specific adolescent and adult level of care commonly provides a 24 hour living support and structure with readily available properly trained personnel, and offers at least 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 appointed addiction treatment, mental health, and general medical personnel who offer a range of services in a 24-hour living support [DM1] setting.

Named Partial Hospitalization Services for adolescents and adults, this specific level of care commonly 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 complicated requirements of individuals with 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.

Named Intensive Outpatient Services for adolescents and adults, this specific level of care generally 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 involves services that are capable of meeting the challenging 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.

Referred To As Outpatient Services for adolescents and adults, this specific level of care commonly features less than 9 hours of service/week for adults, or less than 6 hours a week for adolescents for recovery or inspirational enhancement therapies and strategies. Level 1 includes organized services that may be provided in a wide array of settings.

Called Early Intervention for Adults and Adolescents, this specific level of care comprises a service for people who, for a recognized reason, are at risk of developing substance-related problems, or a service for individuals for whom there is not yet sufficient information to document a diagnosable drug use disorder.