LEVELS OF CARE for

TREATMENT OF SUBSTANCE USE DISORDER 

Outpatient

An organized, non-residential treatment service providing psychotherapy in which the individual resides outside the facility.  The services are usually provided in regularly scheduled treatment sessions for, at most, five hours per week.

Intensive Outpatient (IOP)

An organized non-residential treatment service in psychotherapy and stability through increased periods of staff intervention.  These services are provided according to a planned regimen consisting of regularly scheduled treatment sessions at least three days per week for at least five hours, but less than ten hours.

Partial Hospitalization

Treatment consists of the provision of psychiatric, psychological and other types of therapies on a planned and regularly scheduled basis in which the individual resides outside the facility.  This service is designed for those individuals who do not require 24 hour residential care, but who would nonetheless benefit from more intensive treatments than are offered in outpatient treatment programs.  The environment provides multi-modal strategies and multi-disciplinary psychotherapy along with other ancillary services.  Partial hospitalization services consist of regularly scheduled treatment sessions at least three days per week with a minimum of ten hours per week.

Halfway House

A treatment facility located in the community that is state licensed, regulated and professionally staffed.  Programs focus on developing self sufficiency through counseling, employment and other services.  Some of these programs staff medical and psychiatric personnel on site to assist individuals with their medical and/or co-occurring needs.  This is a live in/work out environment.

Medically Monitored Inpatient Detoxification

Treatment is conducted in a residential facility that provides a 24 hour professionally directed evaluation and detoxification of addicted individuals.  Detoxification is the process whereby a drug or alcohol-intoxicated or dependent individual is assisted through a period of time required to eliminate the presence of the intoxicating substance (by metabolic or other means) and any other dependency factors while keeping  physiological and psychological risk to the individual at a minimum.  This process should also include efforts to motivate and support the individual to seek formal treatment after the detoxification process.

Medically Monitored Short Term Residential

A treatment program that includes 24 hour professionally directed evaluation, care and treatment for addicted individuals in acute distress.  These individuals’ substance use disorder symptomology is demonstrated by moderate impairment in social, occupational or school functioning.

Medically Monitored, Long Term Residential

A treatment program that includes 24 hour professionally directed evaluation, care and treatment for addicted individuals in chronic distress whose substance use disorder symptomology is demonstrated by severe impairment of social, occupational or school functioning. Habilitation is the treatment goal.  These programs serve individuals with chronic deficits in social, educational and economic skills, impaired personality and interpersonal skills and significant drug-abusing histories that often include criminal lifestyles and subcultures.  These individuals need a model more accurately described as rehabilitation, as opposed to rehabilitation model.  This service often requires global changes in lifestyle such as abstinence from mood-altering drugs (other than those needed to treat illnesses), elimination of antisocial activity, a new outlook regarding employment and the development, displan and integration of positive social attitudes and values.

Medically Managed Inpatient Detoxification

A type of treatment that provides 24 hour medically directed evaluation and detoxification of individuals with substance use disorders in an acute care setting.  Individuals who utilize this type of care have acute withdrawal problems (with or without biomedical and/or emotional/behavioral problems) that are severe enough to require primary medical and nursing care facilities.  24 Hour medical service is provided, and the full resources of the hospital facility are available.   Although this treatment is specific to SUD, the multi-disciplinary team and the availability of support services allows for the conjoint treatment of coexisting acute biomedical and/or emotional/behavioral conditions with could jeopartize recovery and need to be addressed.

Medically Managed Inpatient Residential

Provides 24-hour medically directed evaluation, care and treatment for addicted individuals with coexisting biomedical, psychiatric and/or behavioral conditions that require frequent care.  Facilities for specialized medical care and intensive medical care and 24-hour access to physician care