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Termed Medically Managed Intensive Inpatient Services for adolescents and adults, this specific level of care offers 24-hour nurse care and every day physician care for severe, unstable problems in ASAM Dimensions 1, 2 or 3. Therapy is available 16 hours a day to engage patients in treatment. A detailed description of the services typically offered within this level of care, the care setting and how to determine 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 offers 24-hour nurse 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 background of withdrawal management at a less intensive level of care, marked by previous and current inability to complete withdrawal management and become part of 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 specified 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 skilled counselors to stabilize multidimensional imminent danger and plan for outpatient treatment. Patients in this level are able to tolerate and use comprehensive 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 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 qualified counselors to stabilize multidimensional imminent 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 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 environment.

Knowned As 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 hrs 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 designated addiction treatment, mental health, and general medical personnel who offer 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 offers twenty or more hrs 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 people with addiction and co-occurring conditions. It is an arranged outpatient service that delivers 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 consists of 9 or more hrs of service a week or 6 or more hrs 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 disorders. It is an arranged outpatient service that supplies treatment services during the day, before or after work or school, at night, and/or on weekends.

Knowned As Outpatient Services for adolescents and adults, this specific level of care typically consists of less than 9 hrs of service/week for adults, or less than 6 hrs a week for adolescents for recovery or motivational enhancement therapies and strategies. Level 1 includes organized services that may be delivered in a wide variety of settings.

Referred To As Early Intervention for Adults and Adolescents, this specific level of care comprises a service for individuals who, for a recognized reason, are at risk of establishing substance-related issues, or a service for individuals for whom there is not yet sufficient relevant information to document a diagnosable drug use problem.