DIMENSION 5: RELAPSE, CONTINUED USE, OR CONTINUED PROBLEM POTENTIAL
LEVEL 0.5 – EARLY INTERVENTION
Status characterized by (a) or (b):
Does not understand need to alter current use; OR
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):
Support and therapeutic contact are required to deal with emotional or behavioral issues; OR
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):
Requires professional contact of 9 hours or more per week to terminate use or maintain abstinence; OR
An intensification of symptoms of the substance-related disorder at a lower level of care; OR
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):
Psychiatric symptoms pose a moderate risk of relapse to the alcohol, drug or psychiatric disorder – includes misuse of medications; OR
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:
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
Treatment at a less intensive level of care was insufficient to stabilize the patient’s condition; OR
Intensification of substance use disorder related symptoms and deterioration of functioning are occurring at a lower level of care; OR
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:
Psychiatric symptoms pose a high risk of relapse to alcohol, drug use, or psychiatric de-compensation; OR
Impaired recognition or understanding of relapse issues and poor skills in coping with and interrupting mental disorders; OR
Poor or inconsistent follow-through in treatment due to emotional, cognitive, or behavioral problems requires integrated mental health and treatment services.