Symptoms and functional deficits are assessed as sufficiently severe that maintaining mental stability and/or abstinence in the home environment is unlikely; OR
Mild risk of endangering self, others, or property, and imminent danger of relapse with dangerous emotional, behavioral, or cognitive consequences without 24-hour support and structure.
LEVEL III.3 – Dual Diagnosis Enhanced
Status characterized by (a) or (b) or (c) or (d):
The resident has an emotional, behavioral or cognitive disorder that requires active management; OR
Requires differential diagnosis and/or stabilization of psychiatric symptoms concurrent with addictions treatment; OR
Cognitive deficits require that treatment is delivered at a slower pace and in a concrete or repetitive fashion; OR
The resident is assessed at a mild to moderate risk of behaviors endangering self, others, or property.
LEVEL III.5 – CLINICALLY MANAGED HIGH-INTENSITY RESIDENTIAL TREATMENT
Status characterized by (a) plus any of (b) through (f)
Mental status is sufficiently stable to permit the patient to participate in and benefit from treatment services provided at this level of care; AND
The psychiatric condition is stabilizing, but despite best efforts, the persistent inability to control the use of alcohol or other drugs and/or antisocial behaviors with attendant probability of harm to self or others without the structure and 24-hour support afforded by this leel of care; OR
Demonstrates repeated inability to control impulses to use or to engage in antisocial behavior resulting in danger of harm to self or others without the structure and 24-hour support afforded by this level of care; OR
Functional deficits are sufficiently severe that mental stability and/or abstinence cannot be maintained without a residential setting; OR
Though pervasive, functional deficits are likely to respond to staff interventions that are primarily habilitative in focus but do not require medical monitoring or management Or
Concomitant personality disorders are of such severity that accompanying dysfunctional behaviors require continuous boundary-setting interventions.
LEVEL III.5 Dual Diagnosis Enhanced
Meets criteria for Level III.5 Dual Capable plus (a) or (b):
Psychiatric symptoms require active monitoring and interventions by mental health staff; OR
Behaviors and unpredictable losses of impulse control, pose a serious risk of harm to self or others without active monitoring and containment in a 24-hour structured environment.
LEVEL III.7 – MEDICALLY MONITORED INTENSIVE INPATIENT SERVICE
Status characterized by any one of the following:
Psychiatric conditions unstable and interferes with abstinence and recovery to such a degree that the patient needs a structured, 24-hour, medically monitored environment; OR
Stress behaviors related to recent or threatened losses, have impaired activities of daily living so as to require a secure medically monitored environment; OR
Significant functional deficits that require ongoing psychiatric monitoring; OR
Moderate risk of behaviors endangering self, others, or property, and imminent danger of relapse with dangerous emotional, behavioral, or cognitive consequences without the 24-hour medically monitored support and structure; OR
Active intoxication, with resulting violent or disruptive behavior poses imminent danger to self or others; OR
Though disorders or cognitive limitations require stabilization but not medical management in a 224-hour environment.