Residential High-Intensity Addictions Treatment (ASAM Level 3.5)
Highly Structured, 24-Hour Residential Care for Adults with Severe Substance Use Disorders
Highly Structured, 24-Hour Residential Care for Adults with Severe Substance Use Disorders
1114 E 20th Street LLC provides Residential High-Intensity Addictions Treatment (ASAM Level 3.5) for adults who require a highly structured, clinically managed residential environment with intensive therapeutic services to support recovery from moderate to severe substance use disorders.
This level of care is designed for individuals who are capable of self-care and clinically stable, yet not ready to return to independent or family living due to the severity of their substance use disorder, limited insight into relapse risk, or the need for continuous structure and monitoring. Residential Level 3.5 treatment provides 24-hour care, a strong therapeutic community, and a high level of clinical engagement to support stabilization, recovery skill development, and long-term community reintegration.
The Residential High-Intensity (ASAM Level 3.5) program serves adults age 18 and older who reside in Maryland and meet ASAM Level 3.5 medical necessity criteria.
This level of care is especially appropriate for individuals who require intensive structure, continuous monitoring, and a therapeutic community to reduce risk of relapse and harm.
To be admitted, individuals must demonstrate motivation for treatment and meet ASAM Level 3.5 criteria, which may include:
Residential High-Intensity services are provided in a community-based residential environment, rather than a hospital or institutional setting.
This program operates as a true residential treatment program, meaning participants live on-site and receive 24-hour care, supervision, and monitoring.
While residential care is provided around the clock, therapeutic and clinical services are delivered during scheduled program hours.
Monday – Friday
8:00 AM – 5:00 PM
During these hours, participants engage in a highly structured daily schedule that includes intensive therapeutic activities, recovery-focused services, and individualized support.
Residential supervision and monitoring remain available 24 hours a day, including evenings, nights, and weekends.
After-hours services are available for:
Residential High-Intensity (ASAM Level 3.5) treatment provides the highest level of therapeutic engagement within residential care.
Moderate- to high-intensity treatment and ancillary services
Services that rely on the treatment community as a primary therapeutic agent
A minimum of five (5) hours per week is directed specifically toward preventing relapse, applying recovery skills, and reintegrating into the community.
To promote stability, wellness, and adherence to treatment, the program provides structured meals and medication support.
Medication support includes assistance with self-administration and coordination with prescribing providers, when appropriate and permitted.
Residential High-Intensity services are authorized based on medical necessity and individual treatment needs.
Residential High-Intensity services are designed to support stabilization and recovery through intensive treatment and structured ancillary supports.
All services are rendered by authorized clinical professionals in accordance with the Maryland Health Occupations Article.
Discharge and transition planning begins at admission and continues throughout all phases of treatment.
Transition planning emphasizes continuity of care and long-term recovery stability.
The Residential High-Intensity program is designed to assist individuals in developing and maintaining coping skills that support adjustment and integration into their living environments and communities.
Clients—and when appropriate, family members—are empowered to make informed decisions about care.
The overall goal of Residential High-Intensity treatment is to increase quality of life through specialized addiction treatment services, while reducing the need for higher levels of care.
Assistance with Medicaid application and temporary coverage may be available.
For individuals who need the highest level of residential structure, intensive therapeutic engagement, and continuous support, Residential High-Intensity Addictions Treatment (ASAM Level 3.5) may be the right level of care.
1114 E 20th Street LLC is committed to providing structured, compassionate, and effective care that supports lasting recovery and successful community reintegration.