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Referred To As Medically Managed Intensive Inpatient Services for adolescents and adults, this particular level of care provides 24-hour nurse care and every day physician care for extreme, unstable problems in ASAM Dimensions 1, 2 or 3. Counseling is available 16 hours a day to engage individuals in treatment. A comprehensive explanation 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 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 ).

Referred To As 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 level of care need 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 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 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 variety of services in a 24-hour treatment setting.

Referred To As 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 skilled counselors to stabilize multidimensional unavoidable danger and prepare for outpatient treatment. Patients in this level have the ability to tolerate and use complete 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 variety of services in a 24-hour treatment setting.

Referred To As Clinically Managed Population-Specific High-Intensity Residential Services, this particular adult only level of care typically offers 24-hour care with experienced 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 referred to 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 variety of services in a 24-hour treatment setting.

Called Clinically Managed Low-Intensity Residential Services, this particular adolescent and adult level of care typically provides a 24 hr living support and structure with available trained personnel, and offers at minimum 5 hours 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.

Referred To As Partial Hospitalization Services for adolescents and adults, this particular level of care typically provides twenty or more hours 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 intricate 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.

Referred To As Intensive Outpatient Services for adolescents and adults, this particular level of care generally consists of 9 or more hours of service a week or 6 or more hours for adults and adolescents respectively to treat multidimensional instability. 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 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 typically consists of less than 9 hours of service/week for adults, or less than 6 hours a week for adolescents for recovery or motivational enhancement therapies and strategies. Level 1 encompasses organized services that may be delivered in a wide variety of settings.

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