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Department of Human Services (DHS) Division of Addiction Services (DAS) Information Systems ... - page 14 / 21

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g.

Impaired ability to make behavior changes without repeated, structured, clinically directed motivational interventions, delivered in a 24-hour milieu.

LEVEL III.5 – Dual Diagnosis Enhanced

Meets criteria for Level III.5  plus any of (a) through  (d):

a.

Reluctance to engage in activities necessary to address a co-occurring mental health problem; OR

b.

Inconsistent follow-through with treatment for a mental problem; OR

c.

Minimal awareness of co-occurring problem; OR

d.

Requires active interventions with family, significant others, and other external systems to create leverage and align incentives.

LEVEL III.7 – MEDICALLY MONITORED INTENSIVE INPATIENT TREATMENT

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

a.

Despite serious consequences, does not accept or relate the addictive disorder to the problem severity; OR

b.

Needs intensive motivating strategies, activities and processes available only in 24-hour structured, medically monitored environment; OR

c.

Need ongoing 24-hour psychiatric monitoring to follow through with the treatment regimen and to deal with issues regarding compliance with psychiatric medications.

LEVEL III.7 – Dual Diagnosis Enhanced

Meets criteria for Level III.7 plus (a):

a. Lack of commitment to engage in activities necessary to address a co-occurring mental disorder.

LEVEL IV – MEDICALLY MANAGED INPATIENT TREATMENT

Problems in Dimension 4 are not sufficient for placement into Level IV.

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