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Levels of Care

Presented by Emily Jones for Abound Counseling

What Are They?

Chemical Dependency

Mental Health

Mental Health

*These are arbitrary unless using an instrument like the CASII.

Maintenance

Maintenance

Less Intense

Usually less than weekly or bi-weekly

Outpatient

"Typical" Therapy

Outpatient

Intensive Outpatient

2-3 times per week

Intensive

Outpatient

PHP

5-7 Days per Week

Medical Management

Partial Hospitalization

Residential

Residential

  • Group Homes
  • Residential Placements
  • Not Locked Down-Voluntary Placement Unless Step-Down from Commitment
  • Medical Management

Inpatient Psychiatric Care

Inpatient

  • Lockdown
  • 24-Hour Psychiatric Care Available
  • Voluntary or Involuntary

Chemical Dependency

Chemical Dependency

*Determined by a trained ASAM professional per ASAM requirements

.5-Early Intervention

Education and Prevention

.5

1-Outpatient Services

Outpatient Setting

Adults-Less than 9 hours per week

Adolescents-Less than 6 hours per week

1

2.1-Intensive Outpatient

Outpatient Setting

More Organized and Structured

Adults-More than 9 hours per week

Adolescents-More than 6 hours per week

2.1

2.5-PHP

Outpatient, Residential, or Inpatient Facility

More than 20 hours per week for both adults and adolescents

2.5

3.1-Low Intensity Residential Services

24-Hour Living Support

At Least 5 hours of Clinical Support Per Week

3.1

3.3-Adult High Intensity Residential

3.3

Population Specific

24-Hour Care for Imminent Danger (from Use not Suicidal Intent)

Cognitive Impairment or Barrier to Traditional Milieu

Addiction, Mental Health, and General Medical Available

3.5-Adolescent Medium Intensity,

Adult High Intensity Residential

3.5

24-Hour Care

Able to tolerate full use of Milieu

Preparation for Outpatient Treatment

Addiction, Mental Health, and General Medical Available

3.7-Adolescent High Intensity Inpatient;

Adult High Intensity Medically Managed Inpatient

3.7

Counseling available 16 hours per day

24-Hour Nursing Care

Recent History of Withdrawal Management

Co-Ocurring Mental Disorders Requiring High Intensity Care

Addiction, Mental Health, and Medical Services Available

4-Medically Managed Intensive Inpatient

4

24-Nursing Care

Daily Physician Care

Group and Individual Counseling Available

Addiction, Mental Health, and Medical Services

'Cuz it matters!

  • Community Misconception about Residential vs. Inpatient
  • Frequent Step-Downs and Step-Ups with Clients
  • Understanding of services available at various levels
  • Understanding of how we can facilitate and justify recommendations

Why Do I Care?

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