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Termed Medically Managed Intensive Inpatient Services for adolescents and adults, this level of care offers 24-hour nurse care and every day physician care for extreme, unstable problems in ASAM Dimensions 1, 2 or 3. Counseling is offered 16 hours a day to engage people in treatment. A detailed description 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 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 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 background of withdrawal management at a less intensive level of care, marked by past and current incapability to complete withdrawal management and become part of continuing substance addiction treatment. This is the suitable setting for patients with subacute biomedical and mental, behavioral, or intellectual problems that are so extreme that they require inpatient treatment. Level 3 includes 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 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 level of care provides 24-hour care with trained counselors to stabilize multidimensional impending danger and plan for outpatient treatment. Patients in this level have the ability to tolerate and use full active milieu or therapeutic communities. Level 3 includes residential services that are referred to 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 range of services in a 24-hour treatment setting.

Termed Clinically Managed Population-Specific High-Intensity Residential Services, this adult only level of care normally offers 24-hour care with experienced counselors to stabilize multidimensional imminent danger along with less intense milieu and group treatment for those with cognitive or other impairments unable to use complete active milieu or therapeutic community. Level 3 incorporates 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 treatment environment.

Referred To As Clinically Managed Low-Intensity Residential Services, this adolescent and adult level of care normally provides a 24 hour living assistance and structure with available properly trained personnel, and offers a minimum of 5 hrs of clinical service a week. Level 3 encompasses 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 provide a range of services in a 24-hour living support [DM1] setting.

Termed Partial Hospitalization Services for adolescents and adults, this level of care normally provides twenty or more hrs of service a week for multidimensional instability in which does not need 24-hour care. Level 2 includes services that are capable of meeting the complicated needs of people with substance 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 level of care generally consists of 9 or more hrs of service a week or 6 or more hrs for adults and adolescents specifically to manage 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, in the evening, and/or on weekends.

Referred To As Outpatient Services for adolescents and adults, this level of care normally 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 delivered in a wide array of settings.

Called Early Intervention for Adults and Adolescents, this level of care comprises a service for people who, for a recognized reason, are at risk of developing substance-related issues, or a service for those for whom there is not yet sufficient information to document a diagnosable substance use problem.