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Department of Human Services (DHS) Division of Addiction Services (DAS) Information Systems ... - page 12 / 21

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DIMENSION 4: READINESS TO CHANGE

LEVEL0.5 – EARLY INTERVENTION

Status characterized BY:

Willing to gain understanding of how current use may be harmful.

LEVEL I-OUTPATIENT SERVICES

Status characterized by (a) and any of (b) or (c) or (d);

a.

Willing to participate in treatment planning and to attend all scheduled activities mutually agreed upon in the treatment plan; AND

b.

Acknowledges a substance-related and/or mental health problem and wants help to change; OR

c.

Ambivalence about a substance-related and/or mental health problem requires monitoring and motivating strategies but not a structured milieu; OR

d.

Does not recognize the substance-related and/or mental health problem(s), but is invested in avoiding further consequences.

LEVEL II.1 – INTENSIVE OUTPATIENT TREATMENT

Status characterized by (a)  and either (b) or (c):

a.

Willingness to participate in treatment and to explore awareness and readiness to change suggest that sufficiently intensive treatment can be effective; AND

b.

Structured therapy  and programmatic milieu to promote treatment progress and recovery are required because motivational interventions at a lower level of care have failed; OR

c.

Perspective inhibits ability to make behavioral changes without repeated, structured, clinically directed motivational interventions.

LEVEL II.1- Dual Diagnosis Enhanced

Meets criteria for admission to Level II.1 plus (a) or (b) or (c):

a.

Reluctance regarding treatment and ambivalence about commitment to change a co-occurring mental health problem; OR

b.

Follow-through in treatment is poor or inconsistent due to the behavioral health problems so that treatment at a lower level is neither succeeding nor feasible; OR

c.

Awareness or commitment to change is so limited that an adequate level of functioning cannot be maintained without intensive outpatient services that integrate mental health and addiction treatment services.

LEVEL II.5 – PARTIAL HOSPITILIZATION

Status characterized by (a) and either (bb) or (c):

a.

Willingness to participate in treatment and sufficient readiness to change suggest that treatment of sufficient intensity can be effective; AND

b.

Structured therapy and services involving at least 20 hours per week are required because motivational interventions at a lower level of care have failed; OR

c.

Perspective and lack of impulse control inhibit ability to make behavioral changes without repeated, structured, clinically directed motivational interventions.

LEVEL II.5 – Dual Diagnosis Enhanced

Meets criteria for admission to Level II.5 plus (a) or (b) or (c):

a.

Manifests little awareness of co-occurring mental disorder; OR

b.

Follow-Through in treatment is so poor or inconsistent due to emotional, cognitive, or behavioral problems that less intensive services are not succeeding or feasible; OR

c.

Requires more intensive engagement, community involvement, or case management services due to emotional, cognitive, or behavioral problems than are available at a lower level program.

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