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Termed Medically Managed Intensive Inpatient Services for adolescents and adults, this specific level of care offers 24-hour nursing care and daily physician care for severe, unstable problems in ASAM Dimensions 1, 2 or 3. Counseling is accessible 16 hours a day to engage patients 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 ).

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 availability for significant problems in Dimensions 1, 2, or 3. Patients within this level of care require medication and have a recent history 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 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 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 unavoidable danger and prepare for outpatient treatment. Patients within 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 specified addiction treatment, mental health, and general medical personnel 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 commonly offers 24-hour care with skilled counselors to stabilize multidimensional unavoidable danger along with less extreme milieu and group treatment for those with cognitive or other impairments unable to use total active milieu or therapeutic community. Level 3 incorporates 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.

Knowned As Clinically Managed Low-Intensity Residential Services, this specific adolescent and adult level of care commonly provides a 24 hr living support and structure with readily available skilled personnel, and offers at minimum 5 hrs 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 specified 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 commonly 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 intricate needs of individuals with addiction and co-occurring conditions. It is an organized outpatient service that delivers treatment services usually throughout 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 conditions. It is an organized outpatient service that supplies treatment services throughout 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 commonly 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 inspirational enhancement therapies and strategies. Level 1 incorporates organized services that may be provided in a wide array of settings.

Contacted 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 there is not yet sufficient information to document a diagnosable substance use disorder.