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criteria are as objective, measurable, and quantifiable as possible.
aspects of the criteria require subjective interpretation.
with other medical or psychiatric conditions, diagnosis, assessment,
and treatment form a mix of objectively measured criteria and experientially
based professional judgments.
Choice of treatment levels
to specific level of care is based on a multidimensional assessment
of the patient.
goal is a level of care that is the least intensive, but which can
accomplish the treatment objectives while providing safety and security
for the patient.
are presented as discrete, but represent benchmarks or points along
a continuum of treatment services used in a variety of ways, depending
on a patient's needs and response.
enters the continuum at any level and moves through levels of care
in consecutive order or skipping levels, as needed.
Continuum of care
and across the levels of care, there is a continuum of severity-of-illnesses treated
and intensities-of-services provided.
and reimbursement must match the continuum of care and intensities
only one of many levels of care is offered, movement between levels
requires linking patient with providers of other levels of care
whenever indicated by an assessment of patient's needs
Length of stay (LOS)
depends on severity of illness and progress/response to
intoxication and/or withdrawal potential
Assess for intoxication and/or withdrawal
management. Detoxify in a variety of levels of care and make preparations
for continued addiction services.
conditions and complications
Assess and treat co-occurring physical health conditions
or complications. Treatment provided within the level of care or
through coordination of physical health services.
behavioral, or cognitive conditions and complications
Assess and treat co-occurring diagnostic or subdiagnostic
mental health conditions or complications. Treatment provided within
level of care or through coordination of mental health services.
Assess stage of readiness to change. If not ready to
commit to full recovery, engage into treatment using motivational
enhancement strategies. If ready for recovery, consolidate and expand
action for change.
continued use, or continued problem potential
Assess readiness for relapse prevention services and
teach, where appropriate. If still at early stages of change, focus
on raising consciousness of consequences of continued use or continued
problems as part of motivational enhancement strategies.
Assess need for specific, individualized, family, or
significant other services; the need for housing, financial, vocational,
educational, legal, transportation, or childcare services.