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Department of Human Services (DHS) Division of Addiction Services (DAS) Information Systems ... - page 19 / 21

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LEVEL II.5 – Dual Diagnosis Enhanced

Meets criteria for Level II.5 plus (a) or (b):

a.

Environment is not supportive of good mental functioning; AND

b.

Limited resources and skills require integrated services at this level of care to deal with the environment.

LEVEL III.1 – CLINICALLLY MANAGED LOW-INTENSITY RESIDENTIAL TREATMENT.

Status characterized by (a) and any of (b) through (f):

a.

Able to cope for limited periods of time outside a 24-hour structure to pursue necessary activities; AND

b.

Assessed as unable to achieve or maintain recovery due to moderately high environmental risk of physical, sexual, or emotional abuse or substance use; OR

c.

Requires 24-hour supportive setting due to any of the following:

1.

Lacks appropriate social contact; OR

2.

Significant social isolation and withdrawal; OR

3.

Most friends regularly use alcohol/drugs; OR

d.

Lives in an environment that is highly invested in alcohol or other drug use; OR

e.

Continued exposure to the environment makes recovery unlikely in light of insufficient resources and skills to maintain adequate functioning outside of a 24-hour supportive environment; OR

f.

Danger of victimization by another.

LEVEL III.1 – Dual Diagnosis Enhanced

Meets criteria for Level III.1 and (a) plus (b) or (c) or (d):

a.

Severe  and persistent mental illness; AND

b.

Mental condition precludes ability to benefit from skills training in the community environment; OR

c.

Insufficient resources and skills to deal with an environment that is not supportive of good mental health; OR

d.

Requires support and structure to achieve stabilization or prevent deterioration.

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

Status characterized by (a) plus any of (b) through (f):

a.

Unable  to cope for even limited periods of time outside a structure 24-hour environment with staff monitoring; AND

b.

Assessed as unable to achieve or maintain recovery due to environmental risk of physical, sexual, or emotional abuse or substance use at a lower level of care; OR

c.

Significant danger of victimization outside this level of care; OR

d.

Social network includes regular users of alcohol or other drugs such that recovery goals are judged unattainable at a less intensive level; OR

e.

Living arrangement includes either of the following:

1.

Lives with a person who is a regular user, abuser, or dealer, Or

2.

Living environment is highly invested in use such that recovery goals are unattainable; OR

f.

Vulnerability due to cognitive limitations posed danger of victimization by another.

LEVEL III.3 – Dual Diagnosis Enhanced

Meets criteria for Level III.3 and (a) plus (b) or (c) or (d):

a.

Severe and persistent mental illness; AND

b.

Mental condition precludes ability to benefit from skills training in the recovery environment; OR

c.

Insufficient resources and sills to deal with an environment that is not supportive of good mental health without assertive community treatment, intensive case management, or other support structures;  OR

d.

Requires support and structure of this level of care to achieve stabilization or prevent deterioration.

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

Status is characterized by (a) plus (b) through (h):

a.

Unable to cope for even limited periods of time outside a structured 24-hour environment with staff monitoring;  AND

b.

Assessed as unable to achieve or maintain recovery due to risk of physical, sexual, or emotional abuse or substance use at a lower level of care; OR

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