ASAM Levels of Care Information (2.1 & 2.5)

Program Requirements

• Substance Abuse Diagnosis
• Must have Medicaid or CSA (FAPT) funding

Goals

The goals of the program include having participants attain:

• Healthy and educated adults and children;
• Permanent job;
• Financial self-sufficiency;
• An increase in life skills;
• Good physical and emotional health
• Active engagement with the community

ASAM Level 2.1

CIG provides Substance Abuse Intensive Outpatient Services for adults. Our Clinically Trained Team Members provide strengths-based IOP groups to those who qualify through the ASAM level of care assessment. Groups last for 3 hours and are held 4 times per week, for a total of 12 hours of treatment each week. We also offer an on-staff Program Psychiatric Nurse Practitioner that conducts initial psychiatric assessment with follow up appointments while engaged in treatment, medical health physical, and random urine drug screenings.

The Intensive Outpatient Program (IOP) is a level of treatment for substance use disorders on the continuum of care between outpatient treatment (OP) and higher levels of care, which include residential in-patient treatment and all-day partial hospitalization (PHP). During the program, participants will learn about the cycle of addiction and stages of change, develop recovery and relapse prevention plans, discuss triggers, cravings, and coping strategies, as well as dive into holistic wellness discussions to reduce overall stress, anxiety, and mental health struggles that play a role in substance use. Through the group model, participants develop a support system and connect with other resources for long-term sobriety.

Admission is advisable for IOP if specifications are met in dimension 2 (if any conditions exist) and dimension 3 (if any conditions exist), as well as at least one of dimensions 4, 5 or 6:

DIMENSION 1: Patient has no signs or symptoms of withdrawal, or withdrawal needs can be safely managed.

DIMENSION 2: Biomedical problems are stable or are being addressed concurrently and will not interfere with treatment.

DIMENSION 3: If emotional, behavioral, or cognitive conditions are present, patient must be admitted to either a co-occurring capable or co-occurring enhanced program if one exists or an appropriate referral to a separate program to address these conditions concurrently.

DIMENSION 4:

• Patient requires structured therapy and a programmatic milieu to promote treatment progress and recovery because motivational interventions at another level of care have failed; OR
• Patient’s perspective inhibits his or her ability to make behavioral changes without repeated, structured, clinically directed motivational interventions.

DIMENSION 5:

• Patient is experiencing an intensification of symptoms of the substance-related disorder despite participation in a less intensive level of treatment; OR
• There is a high likelihood that the patient will continue to use or relapse to use without close outpatient monitoring and structured therapeutic services.

DIMENSION 6:

• Patient’s continued exposure to current school, work, or living environment will render recovery unlikely; OR
• Patient lacks skills, social contacts, has unsupportive social contacts that jeopardize recovery.

ASAM Level 2.5

CIG provides Substance Abuse Intensive Outpatient Services for adults. Our Clinically Trained Team Members provide strengths-based PHP groups to those who qualify through the ASAM level of care assessment. Groups last for 5 hours and are held 4 times per week, for a total of 20 hours of treatment each week. We also offer an on-staff Program Psychiatric Nurse Practitioner that conducts initial psychiatric assessment with follow up appointments while engaged in treatment, medical health physical, and random urine drug screenings.

The Partial Hospitalization Program (PHP) is a level of treatment for substance use disorders on the continuum of care that is one level higher than intensive outpatient treatment but lower than residential in-patient treatment. During the program, participants will learn about the cycle of addiction and stages of change, develop recovery and relapse prevention plans, discuss triggers, cravings, and coping strategies, as well as dive into holistic wellness discussions to reduce overall stress, anxiety, and mental health struggles that play a role in substance use. Through the group model, participants develop a support system and connect with other resources for long-term sobriety.

Admission is advisable for PHP if specifications are met in dimension 2 (if any conditions exist) and dimension 3 (if any conditions exist), as well as at least two of dimensions 4, 5 or 6:

DIMENSION 1: Patient has no signs or symptoms of withdrawal, or withdrawal needs can be safely managed.

DIMENSION 2: Biomedical problems are stable or are being addressed concurrently and will not interfere with treatment.

DIMENSION 3: If emotional, behavioral, or cognitive conditions are present, patient must be admitted to either a co-occurring capable or co-occurring enhanced program if one exists or an appropriate referral to a separate program to address these conditions concurrently.

DIMENSION 4:

• Patient requires structured therapy and a programmatic milieu to promote treatment progress and recovery because motivational interventions at another level of care have failed; OR
• Patient’s perspective inhibits his or her ability to make behavioral changes without repeated, structured, clinically directed motivational interventions.

DIMENSION 5:

• Patient is experiencing an intensification of symptoms of the substance-related disorder despite participation in a less intensive level of treatment; OR
• There is a high likelihood that the patient will continue to use or relapse to use without close outpatient monitoring and structured therapeutic services.

DIMENSION 6:

• Patient’s continued exposure to current school, work, or living environment will render recovery unlikely; OR
• Patient lacks skills, social contacts, has unsupportive social contacts that jeopardize recovery.