ASAM Level III - Roy A. Blankenship

ASAM Level III encompasses residential services that are described as co-occurring capable, co-occurring enhanced, and complexity capable services. ASAM Level III encompasses residential services that are described as co-occurring capable, co-occurring enhanced, and complexity capable services.

Organizations that deliver ASAM Level III services are staffed by designated addiction treatment, mental health, and general medical personnel who provide a range of services in permanent facilities where needed clinical services are provided 24-hours each day. Such services adhere to defined sets of policies and procedures. Self-help support group meetings generally are available on-site.

The following sub-levels of classification are defined in ASAM Level III:

Level 3.1: Clinically Managed Low-Intensity Residential Services
Level 3.3: Clinically Managed Population – Specific High-Intensity Residential Services (not designated for adolescent populations) At this level, treatment is specific to persons with cognitive difficulties needing more specialized individualized services. The cognitive impairments manifested in patients most appropriately treated in Level 3.3 services can be due to aging, traumatic brain injury, acute but lasting injury, or due to illness.
Level 3.5: Clinically Managed High-Intensity Residential Services (Adult Criteria)
Level 3.5: Clinically Managed Medium-Intensity Residential Services (AdolescentCriteria)
Level 3.7: Medically Monitored Intensive Inpatient Services (Adult Criteria) Level 3.7: Medically Monitored High-Intensity Inpatient Services (AdolescentCriteria)

The defining characteristic of all Level 3 programs is that they serve individuals whoneed safe and stable living environments in order to stabilize their level of function and develop their recovery skills. Individuals are transferred to less intensive levels of care at the point that they have established sufficientskills to safely continue treatment without the immediate risk of relapse, continued use, or other continued problems, and are no longer in imminent danger of harm to themselves or others. Level 3 programs promote continuity of care and community reintegration through seamless and overlapping intensities of outpatient services..