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Termed Medically Managed Intensive Inpatient Services for adolescents and adults, this particular level of care provides 24-hour nursing care and every day physician care for extreme, unstable problems in ASAM Dimensions 1, 2 or 3. Counseling is accessible 16 hours a day to engage people 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 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 level of care provides 24-hour nursing 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 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 appropriate setting for patients with subacute biomedical and mental, behavioral, or intellectual problems that are so extreme 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 range 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 particular level of care provides 24-hour care with trained counselors to stabilize multidimensional impending danger and prepare for outpatient treatment. Patients in this level are able to tolerate and use complete 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 specified addiction treatment, mental health, and general medical workers who provide a range of services in a 24-hour treatment setting.

Termed Clinically Managed Population-Specific High-Intensity Residential Services, this particular adult only level of care generally offers 24-hour care with skilled counselors to stabilize multidimensional imminent danger together with less intense milieu and group treatment for those with cognitive or other impairments unable to use full 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 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 particular adolescent and adult level of care generally provides a 24 hour living support and structure with readily available trained personnel, and offers at least 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.

Termed Partial Hospitalization Services for adolescents and adults, this particular level of care generally provides twenty 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 complicated requirements 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.

Termed Intensive Outpatient Services for adolescents and adults, this particular level of care typically consists of 9 or more hrs of service a week or 6 or more hrs for adults and adolescents specifically to treat multidimensional instability. Level 2 includes services that are capable of meeting the complex needs of people with addiction and co-occurring disorders. It is an arranged outpatient service that delivers 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 particular level of care generally consists of 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 includes organized services that may be delivered in a wide variety of settings.

Contacted Early Intervention for Adults and Adolescents, this particular level of care constitutes a service for people who, for a recognized reason, are at risk of developing substance-related issues, or a service for individuals for whom generally there is not yet adequate information to document a diagnosable substance use disorder.