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Called Medically Managed Intensive Inpatient Services for adolescents and adults, this 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 offered 16 hours a day to engage individuals 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 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 ).

Called 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 accessibility for significant problems in Dimensions 1, 2, or 3. Patients in this particular level of care require 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 suitable setting for patients with subacute biomedical and mental, behavioral, or cognitive 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 range of services in a 24-hour treatment setting.

Called 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 impending 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 range of services in a 24-hour treatment setting.

Called 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 unavoidable danger along with less extreme milieu and group treatment for those with cognitive or other impairments unable to use full 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 range of services in a 24-hour treatment setting.

Named Clinically Managed Low-Intensity Residential Services, this adolescent and adult level of care typically provides a 24-hour living assistance and structure with available well-trained personnel, and offers a minimum of 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 appointed addiction treatment, mental health, and general medical personnel who provide a range of services in a 24-hour living support [DM1] setting.

Called Partial Hospitalization Services for adolescents and adults, this level of care typically provides twenty or more hrs of service a week for multidimensional instability in which does not require 24-hour care. Level 2 encompasses services that are capable of meeting the complex requirements of individuals with substance addiction and co-occurring conditions. It is an organized outpatient service that delivers treatment services usually during the day as day treatment or partial hospitalization services.

Called Intensive Outpatient Services for adolescents and adults, this level of care typically 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 involves services that are capable of meeting the complex needs of people with addiction and co-occurring disorders. It is an organized outpatient service that delivers 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 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 encompasses organized services that may be provided in a wide variety of settings.

Knowned As Early Intervention for Adults and Adolescents, this level of care constitutes a service for individuals 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 enough information to document a diagnosable drug use problem.