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Department of Human Services (DHS) Division of Addiction Services (DAS) Information Systems ... - page 16 / 21

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LEVEL III.1 – CLINICALLLY MANAGED LOW-INTENSITY RESIDENTIAL

Status characterized by any of the following:

a.

Limited coping skills to address relapse triggers and urges and/or deteriorating mental functioning poses imminent danger of relapse, with dangerous emotional, behavioral, or cognitive consequences without 24-hour structure; OR

b.

Understands substance dependence and/or mental disorder but inability to consistently address either or both poses risk  of relapse without 24-hour structure; OR

c.

Needs staff support to maintain engagement in recovery program wile transitioning to life in the community; OR

d.

High risk of substance use or deteriorated mental functioning, with dangerous emotional, behavioral, or cognitive consequences is addressed via Level II services plus close 24-hour support.

LEVEL III.1 – Dual Diagnosis Enhanced

Meets criteria for Level III.1 plus any of the following:

a.

Psychiatric symptoms that pose a moderate risk of relapse to substance dependence or mental disorder; OR

b.

Exhibits deteriorating functioning or ability apply skills without integrated mental health services; OR

c.

Requires case management to coordinate the service necessary to manage medications or attain stabilization.

LEVEL III.3 – CLINICALLLY MANAGED MEDIUM-INTENSITY RESIDENTIAL TREATMENT.

Status characterized by any of the following:

a.

Failure to recognize relapse triggers or the need for  continuing care due to intensity or chronicity of addictive and/or mental health disorder(s) or cognitive limitations poses dangerous consequences without 24-hour monitoring and structure; OR

b.

Cognitive impairment limits coping ability and requires that treatment be delivered at a slow pace, concretely and repetitively, in a setting with 24-hour structure and support; OR

c.

Intensification of symptoms and deteriorating functioning at a lower level of care despite amendments to the treatment plan; OR

d.

Despite active participation at a less intensive level of care, continued use or psychiatric deterioration poses imminent dangerous consequences without close 24-hour monitoring and structured treatment.

LEVEL III.3 – Dual Diagnosis Enhanced

Meets criteria for Level III.3 plus any of the following:

a.

Psychiatric symptoms pose a moderate risk of relapse to substance dependence or mental/psychiatric decompensation with imminent serious consequences; OR

b.

Cognitive deficits result in medication noncompliance or risk-taking behaviors requiring 24-hour structured services; OR

c.

Case management and collaboration across levels of care may be necessary to manage anti-craving, psychotropic, or opioid maintenance medications; OR

d.

Cognitive deficits or emotional issues(in preparation for transfer to a less intensive level of care, a different type of service in the community, and/or reentry into the community) require case management and staff exploration of supportive living environments.

LEVEL III.5 – CLINICALLLY MANAGED HIGH-INTENSITY RESIDENTIAL TREATMENT.

Status characterized by any of the following:

a.

Failure to recognize relapse triggers and lack of commitment to continuing care despite the fact that continued use poses an imminent danger  of harm to self or others requires 24-hour monitoring and structured support; OR

b.

Despite best efforts, the inability to control use and/or other behaviors with attendant probability of harm to self or others requires 24-hour monitoring and structured support; OR

c.

Psychiatric or addiction symptoms, such as drug craving, difficulty postponing immediate gratification, and other drug seeking behaviors, poses and imminent danger of harm to self or others in the absence of 24-hour monitoring and structured support; OR

d.

A crisis situation poses imminent danger of relapse, with dangerous emotional, behavioral, or cognitive consequences; OR

e.

Despite active participation at a less intensive level of care, continued use and/or psychiatric decompensation pose imminent dangerous consequences in the absence of close 24-hour monitoring and structured treatment

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