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Department of Human Services (DHS) Division of Addiction Services (DAS) Information Systems ... - page 15 / 21

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DIMENSION 5: RELAPSE, CONTINUED USE, OR CONTINUED PROBLEM POTENTIAL

LEVEL 0.5 – EARLY INTERVENTION

Status characterized by (a) or (b):

a.

Does not understand need to alter current use; OR

b.

Needs to acquire skills to change.

LEVEL I -OUTPATIENT TREATMENT

Status characterized by:

Able to achieve or maintain abstinence or related treatment goals with support and therapeutic contact of less than 9 hour per week.

LEVEL I – Dual Diagnosis Enhanced

Meets criteria for Level 1 plus (a) or (b):

a.

Support and therapeutic contact are required to deal with emotional or behavioral issues; OR

b.

Instability requires outreach and support of assertive community treatment and intensive case management to maintain mental health function.

LEVEL II.1 – INTENSIVE OUTPATIENT TREATMENT

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

a.

Requires professional contact of 9 hours or more per week to terminate use or maintain abstinence; OR

b.

An intensification of symptoms of the substance-related disorder at a lower level of care; OR

c.

Level of functioning is deteriorating at lower level of care

LEVEL II.1 – Dual Diagnosis Enhanced

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

a.

Psychiatric symptoms pose a moderate risk of relapse to the alcohol, drug or psychiatric disorder – includes misuse of medications; OR

b.

Impaired recognition or ability to manage relapse issues due to emotional, cognitive, or behavioral problems requiring fully integrated services.

LEVEL II.5 – PARTIAL HOSPITILIZATION

Status characterized by any of the following:

a.

Treatment services consisting of at least 20 hours per week are judged necessary to provide sufficient intensity of services to achieve or maintain abstinence; OR

b.

Treatment at a less intensive level of care was insufficient to stabilize the patient’s condition; OR

c.

Intensification of substance use disorder related symptoms and deterioration of functioning are occurring at a lower level of care; OR

d.

High risk of relapse or continued use without close outpatient monitoring and structured therapeutic services(e.g. due to lack of awareness or inadequate coping)

LEVEL II.5  – Dual Diagnosis Enhanced

Meets criteria for Level II.5 plus any of the following:

a.

Psychiatric symptoms pose a high risk of relapse to alcohol, drug use, or psychiatric de-compensation; OR

b.

Impaired recognition or understanding of relapse issues and poor skills in coping with and interrupting mental disorders; OR

c.

Poor or inconsistent follow-through in treatment due to emotional, cognitive, or behavioral problems requires integrated mental health and treatment services.

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