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Named Medically Managed Intensive Inpatient Services for adolescents and adults, this level of care offers 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 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 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 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 inability to complete withdrawal management and enter into continuing 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 includes 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.

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 skilled counselors to stabilize multidimensional imminent 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 includes 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.

Named Clinically Managed Population-Specific High-Intensity Residential Services, this adult only level of care generally 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 issues unable to use total active milieu or therapeutic community. Level 3 includes 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 setting.

Referred To As Clinically Managed Low-Intensity Residential Services, this adolescent and adult level of care generally provides a 24 hour living assistance and structure with available properly 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 designated 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 generally offers twenty or more hours of service a week for multidimensional instability that does not need 24-hour care. Level 2 includes services that are capable of meeting the complex needs of individuals with addiction and co-occurring conditions. It is an arranged 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 hours of service a week or 6 or more hours for adults and adolescents respectively 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 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 level of care generally features 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 includes organized services that may be provided in a wide array of settings.

Termed 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 issues, or a service for those for whom generally there is not yet adequate relevant information to document a diagnosable drug use problem.