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Named Medically Managed Intensive Inpatient Services for adolescents and adults, this level of care provides 24-hour nursing care and every day physician care for severe, unstable problems in ASAM Dimensions 1, 2 or 3. Counseling is accessible 16 hours a day to engage individuals 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 availability for significant problems in Dimensions 1, 2, or 3. Patients in this particular level of care need 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 appropriate setting for patients with subacute biomedical and mental, behavioral, or intellectual problems that are so severe 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 specified 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 level of care provides 24-hour care with trained counselors to stabilize multidimensional unavoidable danger and prepare for outpatient treatment. Patients in this particular level are able to tolerate and use full 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 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 adult only level of care typically offers 24-hour care with qualified counselors to stabilize multidimensional imminent danger along with less extreme milieu and group treatment for those with cognitive or other impairments unable to use total active milieu or therapeutic community. Level 3 encompasses residential services that are described as co-occurring capable, co-occurring increased, and complexity capable services, which are staffed by assigned addiction treatment, mental health, and general medical personnel who provide a variety of services in a 24-hour treatment environment.

Referred To As Clinically Managed Low-Intensity Residential Services, this adolescent and adult level of care typically provides a 24 hour living assistance and structure with readily available qualified personnel, and offers at least 5 hrs 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 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 level of care typically offers 20 or more hrs 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 people 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.

Named Intensive Outpatient Services for adolescents and adults, this level of care generally features 9 or more hrs of service a week or 6 or more hrs for adults and adolescents respectively to treat multidimensional instability. Level 2 includes services that are capable of meeting the complex needs of people with addiction and co-occurring conditions. It is an organized outpatient service that provides treatment services throughout the day, before or after work or school, in the evening, and/or on weekends.

Referred To As Outpatient Services for adolescents and adults, this level of care typically features no more than 9 hrs of service/week for adults, or no more than 6 hrs a week for adolescents for recovery or motivational enhancement therapies and strategies. Level 1 encompasses organized services that may be provided in a wide variety of settings.

Termed Early Intervention for Adults and Adolescents, this level of care constitutes a service for people who, for a recognized reason, are at risk of establishing substance-related problems, or a service for those for whom generally there is not yet adequate relevant information to document a diagnosable drug use problem.