ASAM Level 3.1 Program

This program serves adults who are clinically stable and capable of self-care but benefit from 24-hour residential supervision, daily peer and group services, and individualized treatment planning as they prepare for long-term recovery in the community.

Admissions are available 24 hours a day, 7 days a week. Our intake team at our Columbia location is ready to help.

A Program Designed for Adults Who Need Structure Without Hospitalization

Our Residential Level 3.1 program serves adults age 18 and older who reside in Maryland and meet ASAM Level 3.1 medical necessity criteria. Participants are motivated for treatment, able to manage activities of daily living, and appropriate for a low-intensity residential setting.

This level of care is often appropriate for individuals who:

• Require time and support to stabilize before returning to the community
• Need daily accountability, recovery support, and routine
• Are at risk of relapse without a structured living environment
• Are stepping down from inpatient or higher-intensity residential care
• Have completed detoxification and need continued support

A True 24/7 Residential Environment

Ascend House operates as a true residential program at 9109 Helaine Hamlet Way, Columbia. Participants live on-site and receive continuous supervision and support, 24 hours a day, 7 days a week. Intake and admissions are available around the clock.

• Residential staff support residents in daily living activities
• Crisis response and urgent needs are addressed promptly
• Structure and routine are maintained for stability
• A safe and supportive environment is upheld at all times

Daily Structure That Supports Recovery

Clinical and recovery services are delivered during structured daytime hours, Monday through Friday, 8:00 AM to 5:00 PM. Each day includes:

• Individual counseling, case management, and care coordination as clinically indicated
• Daily group treatment services focused on relapse prevention, coping strategies, emotional regulation, and life skills
• Daily peer recovery support for connection, accountability, and shared recovery experience

All participants receive a minimum of five (5) hours of clinical services per week, meeting ASAM and Maryland regulatory standards.

Meals, Medication, and Daily Wellness Support

Structured meal times and medication support help residents maintain consistency and wellness. Meals are served at 7:00 AM, 12:00 PM, and 5:00 PM. Medication support includes assistance with self-administration, monitoring in accordance with program policies, and coordination with prescribing providers when appropriate.

Length of Stay & Program Duration

Residential Low-Intensity treatment is individualized and based on medical necessity, treatment progress, and recovery goals. Each stay typically ranges between 30 and 120 days. Up to two non-consecutive residential stays per rolling calendar year may be authorized. All admissions and continued stays are subject to ASAM criteria and authorization requirements.

Comprehensive Recovery-Focused Services

Residential Level 3.1 treatment at Ascend House may include:

• Individual substance use counseling
• Group therapy and psychoeducation
• Peer recovery support services
• Relapse prevention planning
• Coping and life skills development
• Emotional regulation and stress management
• Case management and care coordination

All services are delivered by licensed, certified, or authorized clinical professionals and peer staff in accordance with Maryland Health Occupations Article and COMAR requirements.

Our Philosophy of Care

At Ascend House, we believe recovery is personal, strengths-based, and supported by community. Our Residential Low-Intensity program is designed to support reintegration into the community, restore and improve daily functioning, build resilience and coping capacity, and enhance quality of life. Clients—and when appropriate, their families—are empowered to actively participate in treatment planning and decision-making.

Admission, Insurance, and Support With Coverage

Individuals must meet ASAM Level 3.1 medical necessity criteria and demonstrate motivation for treatment. We serve individuals who are eligible for Maryland Medicaid, certain dually eligible Medicare recipients, and uninsured individuals who qualify. Our team can assist with Medicaid enrollment and temporary coverage options when available.

We accept referrals from courts and governmental agencies, healthcare providers, community organizations, walk-ins, and self-referrals. Maryland Medicaid and private pay are accepted.