ASAP treatment recommendations are based on national standards, ensuring appropriate and effective care.

At the end of your assessment, you will receive recommendations. Some teens require no treatment, some are recommended for our CHOICES or TRIP programs, and others are given referrals to outpatient mental health providers or inpatient/residential facilities.

ASAP respects parents’ autonomy in making treatment decisions for their teens. We also appreciate that adolescents are often resistant to treatment. Our staff helps parents get their teens into treatment by empowering the parent in ways they may not have recently experienced.

If the recommendation is to enter an ASAP program, there is no wait list. You can begin our  CHOICES or TRIP groups, at the next scheduled session. For children who need a different level of care, we can be an advocate for placement in a residential/in-patient program or ensure you have access to a mental health provider.

American Society of Addictions Medicine (ASAM) Criteria

When making our recommendations, we recognize that every teen and family is facing a unique situation, and your experience helps shape our clinicians’ individualized recommendations.  We utilize the ASAM criteria in making that recommendation, taking into account the differences between adolescents and the adults the criteria is based upon.  The following graphic illustrates the ASAM continuum of care, from least (top of graphic) to most (bottom of graphic) intensive recommendations.


No Treatment Recommended

No additional treatment is recommended when no significant problem is identified nor is a teen placing themselves in risky situations or with peers who use.


ASAM Level 0.5

  • Four weekly, one-hour groups.
  • Education is not covered by any insurance company.

Outpatient Therapy

ASAM Level 1.0

  • Referrals to behavioral health providers can be offered when clients are in need of further mental health care.
  • Research shows that adolescents with Substance Use Disorders achieve the best results in group settings.

ASAP Offers Outpatient Therapy.

Learn more about our Outpatient Therapy »

Intensive Outpatient

ASAM Level 2.1

  • Meets 3 days a week, for 3 hours each time.
  • Weekday and weekend group options.
  • Parent involvement.
  • Covered by most insurance companies.

ASAP Offers Intensive Outpatient.

Learn more about our TRIP program »

Partial Hospitalization

ASAM Level 2.5

  • Provides a minimum of 5 hours of treatment during the weekdays.
  • Recommended for clients with serious Substance Use Disorders.
  • After partial hospitalization, clients typically “step down” to a lower level of care, like ASAP’s TRIP program.
  • There is no partial program for teens with substance use disorders in Cincinnati area.


ASAM Level 3.1-3.7

  • Residential treatment programs are recommended when a client is not likely to be successful in outpatient treatment or a client has not succeeded at a lower level of care.
  • Teen lives at the facility and is engaged in treatment daily for a period of 1 to 9 months.
  • Parents are often expected to travel to the facility monthly for family treatment.
  • ASAP can recommend treatment programs we have experience with, or we can suggest consulting services to help you find more specialized care.
  • After residential treatment, clients typically “step down” to a lower level of care, like ASAP’s TRIP program.

Inpatient/ Detoxification

ASAM Level 4.0

  • Commonly known as ‘detox,’ this level of care is utilized when a teen has become physically dependent to the point that medical assistance is necessary for the individual to safely withdraw.
  • An inpatient detox protocol can be from 3 – 10 days depending on the type of drug, the amount of use and the length the person has been using.
  • There are currently no detoxification programs for those under 18 in the Cincinnati area.




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