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Termed Medically Managed Intensive Inpatient Services for adolescents and adults, this specific level of care provides 24-hour nurse care and daily physician care for severe, unstable problems in ASAM Dimensions 1, 2 or 3. Counselling is accessible 16 hours a day to engage people in treatment. A detailed explanation 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 ).

Termed the Medically Monitored High-Intensity Inpatient Services for adolescents and Medically Monitored Intensive Inpatient Services Withdrawal Management for adults, this particular level of care provides 24-hour nurse care with a physician’s availability 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 inability to complete withdrawal management and enter into continuing addiction treatment. This is the suitable setting for patients with subacute biomedical and emotional, 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 designated addiction treatment, mental health, and general medical personnel who provide a variety of services in a 24-hour treatment setting.

Termed 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 trained counselors to stabilize multidimensional imminent danger and prepare for outpatient treatment. Patients in this level have the ability 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 appointed addiction treatment, mental health, and general medical workers who provide a variety of services in a 24-hour treatment setting.

Termed Clinically Managed Population-Specific High-Intensity Residential Services, this specific adult only level of care typically offers 24-hour care with experienced counselors to stabilize multidimensional unavoidable 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 incorporates 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.

Named Clinically Managed Low-Intensity Residential Services, this specific adolescent and adult level of care typically provides a 24 hr living assistance and structure with available trained personnel, and offers at minimum 5 hours of clinical service a week. Level 3 incorporates residential services that are called 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 living support [DM1] setting.

Termed Partial Hospitalization Services for adolescents and adults, this specific level of care typically provides 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 people with addiction and co-occurring conditions. It is an organized outpatient service that provides treatment services usually during the day as day treatment or partial hospitalization services.

Termed Intensive Outpatient Services for adolescents and adults, this specific level of care generally includes 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 challenging needs of people with addiction and co-occurring disorders. It is an organized outpatient service that supplies treatment services during the day, before or after work or school, at night, and/or on weekends.

Named Outpatient Services for adolescents and adults, this specific level of care typically includes no more than 9 hours of service/week for adults, or no more 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.

Termed Early Intervention for Adults and Adolescents, this specific level of care constitutes a service for individuals who, for a known reason, are at risk of establishing substance-related issues, or a service for those for whom generally there is not yet sufficient relevant information to document a diagnosable substance use disorder.