LEVEL III.5 – Dual Diagnosis Enhanced
Meets criteria for Level III.5 plus any of the following:
Psychiatric symptoms pose a moderate to high risk of relapse to substance dependence or mental disorder with imminent serious consequences; OR
Behaviors pose a relapse risk as indicated by:
Criminal/antisocial behaviors; OR
Association with antisocial individuals/situations; OR
Inability to understand relapse risks posed by behaviors.
Case management and collaboration across levels of care may be necessary to manage anti-craving, psychotropic, or opioid maintenance medications; OR
Preparation of the resident for transfer to less intensive level of care, a different type of service in the community, and/or reentry into the community requires case management and transition arrangements to address emotional, behavioral, or cognitive conditions.
LEVEL III.7 – MEDICALLY MONITORED INTENSIVE INPATIENT
Status characterized by any of the following:
Acute psychiatric or substance use crisis poses an imminent danger of harm to self or others in the absence of 24-hour monitoring and structured support; OR
An escalation of relapse behaviors and/or reemergence of acute symptoms pose an imminent danger of harm to self or others in the absence of monitoring and structured support found in a medically monitored setting; OR
The modality of treatment or protocols to address relapse(e.g., aversion therapy) require a medically monitored program.
LEVEL III.7 – Dual Diagnosis Enhanced
Meets criteria for Level III.7 plus any of the following:
Psychiatric symptoms that pose a moderate to high risk of relapse to a substance dependence or mental disorder; OR
Follow through with treatment is poor or inconsistent and his or her relapse problems are escalating due to emotional, behavioral, or cognitive problems requiring integrated mental health and substance abuse services; OR
Suicidal ideation with a plan, but agrees to reach out for help and can be maintained at this level of care.
LEVEL IV – MEDICALLY MANAGED INPATIENT TREATMENT
Problems in Dimension 5 do not quality for Level IV services.