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Named Medically Managed Intensive Inpatient Services for adolescents and adults, this specific level of care provides 24-hour nurse care and every day physician care for intense, unstable problems in ASAM Dimensions 1, 2 or 3. Counselling is accessible 16 hours a day to engage people in treatment. A comprehensive explanation of the services typically offered in this level of care, the care setting and how to identify 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 ).

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 nurse care with a physician’s availability for significant problems in Dimensions 1, 2, or 3. Patients within 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 substance addiction treatment. This is the suitable setting for patients with subacute biomedical and mental, behavioral, or intellectual problems that are so intense that they require inpatient treatment. 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.

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 qualified counselors to stabilize multidimensional impending danger and prepare for outpatient treatment. Patients within this level have the ability to tolerate and use full active milieu or therapeutic communities. 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.

Named Clinically Managed Population-Specific High-Intensity Residential Services, this specific adult only level of care generally offers 24-hour care with trained counselors to stabilize multidimensional imminent danger along 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 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 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 available well-trained personnel, and offers a minimum of 5 hrs 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 specified 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 generally offers 20 or more hrs of service a week for multidimensional instability in which does not need 24-hour care. Level 2 includes services that are capable of meeting the complicated requirements of individuals with substance addiction and co-occurring conditions. It is an arranged outpatient service that delivers 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 typically features 9 or more hrs of service a week or 6 or more hrs 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 disorders. It is an arranged outpatient service that supplies treatment services throughout the day, before or after work or school, in the evening, and/or on weekends.

Called Outpatient Services for adolescents and adults, this specific level of care generally features less than 9 hrs of service/week for adults, or less than 6 hrs a week for adolescents for recovery or inspirational enhancement therapies and strategies. Level 1 encompasses organized services that may be provided in a wide variety of settings.

Knowned As 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 enough information to document a diagnosable substance use disorder.