ASAM Level 3.3 Program

This level of care is appropriate for individuals who are capable of self-care and clinically stable yet not ready to return to independent or family living without a controlled environment and consistent therapeutic engagement. Admissions are available 24 hours a day, 7 days a week at our Columbia facility.

Population Served

The Residential Medium-Intensity (ASAM Level 3.3) program serves adults age 18 and older who reside in Maryland and meet ASAM Level 3.3 criteria. Participants appropriate for this program are individuals who are not yet able to safely return to independent or family living, require a controlled and structured residential environment to remain engaged in treatment, are medically and psychiatrically stable, and have a moderate or severe substance use disorder. This level is particularly appropriate for individuals whose substance use disorder has resulted in cognitive impairments, physical or mental disabilities, or functional limitations that interfere with success in less structured settings.

24/7 Residential Care & Intake

This program operates as a true residential program at 9109 Helaine Hamlet Way, Columbia. Participants live on-site and receive 24-hour care, supervision, and monitoring. Support includes daily living needs, crisis response, safety and structure, and intake and admissions available 24/7.

Program Schedule & Daily Structure

Therapeutic and clinical services are delivered Monday through Friday, 8:00 AM to 5:00 PM. After-hours and weekend residential support remains available 24/7 for residential support needs, scheduled appointments, and crisis intervention.

Therapeutic Intensity & Frequency of Services

Residential Medium-Intensity (ASAM Level 3.3) treatment provides a higher level of therapeutic engagement than low-intensity residential care. Participants receive 20–35 hours of therapeutic activities per week, with a minimum of 5+ hours per week focused on relapse prevention, in addition to 24/7 residential care and monitoring. Interventions focus on emotional regulation, recovery skill development, relapse prevention, preparation for community reintegration, functional skill building, and coping strategies.

Meals & Medication Support

Structured meals and medication support are provided at 7:00 AM, 12:00 PM, and 5:00 PM to promote stability, wellness, and adherence to treatment. Medication support includes assistance with self-administration and coordination with prescribing providers when appropriate.

Length & Frequency of Stay

Residential Medium-Intensity services are authorized based on medical necessity and individual treatment needs. Up to two non-consecutive residential stays per rolling calendar year may be authorized; up to 30 days per stay, subject to authorization and ASAM criteria. Exceptions may apply for court-ordered specialty populations.

Services Provided

Services include individual substance use counseling, group therapy and therapeutic activities, peer recovery support, relapse prevention education, coping skills training, life skills development, case management and care coordination, and when clinically indicated opioid treatment and up to 5 days of ambulatory detox per authorization period when medically necessary. All services are rendered by authorized clinical professionals in accordance with the Maryland Health Occupations Article.

Philosophy & Program Goals

The Residential Medium-Intensity program is designed to assist individuals in developing and maintaining coping skills that support adjustment and integration into their living environments and communities. Services support community integration, restore and improve functioning, build resilience, reduce symptoms and unmet needs, and enhance quality of life. Areas of focus may include emotional regulation, parenting and family relationships, education and vocational development, recovery and relapse prevention, and when desired spirituality, grief and loss, and anger management.

Payment, Insurance & Referrals

Services are available to uninsured individuals who qualify, certain dually eligible Medicare recipients, and Maryland Medicaid enrollees. We accept referrals from courts and governmental agencies, healthcare providers, community stakeholders, and self-referrals and walk-ins. Call today to verify coverage or begin the admissions process.