Comments: SECTION XIX: DEGREE OF SEVERITY FOR THE SEVEN DIMENSIONS/ADMISSION CRITERIA Admission Criteria - Adult Protocol Level of Care (Must meet 4 out of 6 dimensions in each level of care. Check all boxes that apply in all dimensions) I-A: Level I-B: Level I-C: Level II-A: Level II-B: Level III-A: Level III-B: Level III-C: IV: Non-Intensive Intensive Day Non-Medical Medical Ambulatory 23 Hour Sub-Acute Acute Hospital Outpatient Outpatient Treatment Community Community Detoxification Observation Care Detoxification Treatment Treatment Residential Residential Bed Aware of Resistance Denial/ Motivated to Motivated to Minimal Resistant to Minimal Acute crisis, Dimension 4 problem, requires Resistance receive receive awareness of treatment, awareness of referral after Treatment willing to structured requires structured structured addiction, requires addiction, tx. detox required Acceptance engage in treatment intense treatment 24 treatment 24 treatment referral medical referral after Resistance treatment structured hours per day hours per day after treatment for detox. Resisted tx. at Intensive treatment detoxification is acute addiction Required level of care Resistant clinical Moderate Moderate required symptoms but can be treatment Client resistance to resistance to Some Some motivated to needed to motivated for tx. requires tx. requires Potential to be Acceptance, awareness of awareness of engage in motivate treatment motivation 24 motivation 24 motivated for resistance addiction, yet addiction, but treatment client for hours per day hours per day treatment if requires requires intensive treatment additional additional intensive intervention History of interventions are evaluation and inpatient needed provided medical intervention at supervision a less intensive level of care Comments: Dimension 5 Moderate to Moderate to Moderate to Moderate to Moderate to addiction Symptoms Acute Acute addiction high relapse high relapse high relapse high relapse high relapse crisis, no require addiction crisis, crisis requires Relapse risk without risk without risk without risk without risk without 24 immediate immediate needs immediate Potential treatment treatment day tx. 24 hour hour recovery potential medical treatment to treatment treatment supervision without treatment management in prevent Low relapse Client has referral after a structured relapse History of potential monitoring history of Client has Client has detoxification setting relapse at a lower needed to relapse in a history of history of Has a history level of care prevent less structured relapse in a relapse in a History of Relapse of relapse relapse setting less intensive less intensive repeated potential level of care level of care complicated requires detoxifications medical evaluation and management Comments:
Comments: SECTION XIX: DEGREE OF SEVERITY FOR THE SEVEN DIMENSIONS/ADMISSION CRITERIA Admission Criteria - Adult Protocol Level of Care (Must meet 4 out of 6 dimensions in each level of care. Check all boxes that apply in all dimensions) I-A: Non-Intensive Outpatient Treatment Level I-B: Intensive Outpatient Treatment Level I-C: Day Treatment Level II-A: Non-Medical Community Residential Level II-B: Medical Community Residential Level III-A: Ambulatory Detoxification Level III-B: 23 Hour Observation Bed Level III-C: Sub-Acute Care IV: Acute Hospital Detoxification Dimension 4 Treatment Acceptance Resistance Aware of problem, willing to engage in treatment Resistant but can be motivated to engage in treatment Resistance requires structured treatment Intensive clinical treatment needed to motivate client for treatment Denial/ Resistance requires intense structured treatment Client motivated for treatment Motivated to receive structured treatment 24 hours per day Moderate resistance to tx. requires motivation 24 hours per day Motivated to receive structured treatment 24 hours per day Moderate resistance to tx. requires motivation 24 hours per day History of at a less intensive level of care Minimal awareness of addiction, treatment referral after detoxification is required Potential to be motivated for treatment if additional interventions are provided Resistant to treatment, requires medical treatment for acute addiction symptoms Acceptance, resistance requires additional evaluation and medical supervision Minimal awareness of addiction, tx. referral after detox. Required Some awareness of addiction, yet requires intensive inpatient intervention Acute crisis, referral after detox required Resisted tx. at level of care Some awareness of addiction, but intensive intervention needed Comments: Dimension 5 Relapse Potential Moderate to high relapse risk without treatment Low relapse potential Moderate to high relapse risk without treatment monitoring needed to prevent relapse Moderate to high relapse risk without day tx. Client has history of relapse in a less structured setting Moderate to high relapse risk without 24 hour treatment Client has history of relapse in a less intensive level of care Moderate to high relapse risk without 24 hour supervision Client has history of relapse in a less intensive level of care addiction crisis, no immediate recovery potential without treatment referral after detoxification History of repeated complicated detoxifications Symptoms require immediate medical management in a structured setting Relapse potential requires medical evaluation and management Acute addiction crisis, needs treatment to prevent relapse Has a history of relapse Acute addiction crisis requires immediate treatment History of relapse at a lower level of care Comments:
Assessment%20ODADAS%205-31-13.docx