Staffing & Clinical Oversight
Residential Medium-Intensity Addictions Treatment (ASAM Level 3.3)
Residential Medium-Intensity Addictions Treatment (ASAM Level 3.3)
Residential Medium-Intensity Addictions Treatment (ASAM Level 3.3) at 1114 E 20th Street LLC is delivered by a comprehensive, multidisciplinary team that provides 24-hour residential supervision, structured therapeutic services, and appropriate medical and psychiatric oversight.
The staffing model for ASAM Level 3.3 builds upon the staffing requirements of Residential Low-Intensity (ASAM 3.1) and includes additional medical, nursing, and psychiatric resources to meet the needs of individuals with more complex clinical and functional challenges.
All services are provided by licensed, certified, or otherwise authorized professionals in accordance with the Maryland Health Occupations Article and applicable COMAR regulations.
The Residential Medium-Intensity program is supported by experienced leadership responsible for program operations, clinical quality, and regulatory compliance.
A part-time Facility Director is on-site a minimum of 20 hours per week and provides overall oversight of the residential program. This role ensures that services are delivered in compliance with Maryland regulations, ASAM standards, and program policies, and that residential operations support safety, structure, and quality of care.
Clinical services within the ASAM Level 3.3 program are overseen by qualified clinical leadership to ensure medical necessity, treatment integrity, and coordination of care.
The Clinical Supervisor provides oversight of all therapeutic services, including supervision of counselors and peer support staff, coordination of treatment planning, and ongoing review of clinical progress. This role ensures that services remain individualized, appropriate to the ASAM Level 3.3 population, and aligned with treatment goals.
Direct therapeutic services are provided by licensed and certified professionals with experience in substance use disorder treatment and population-specific care.
Provide individual counseling, group therapy, clinical assessments, treatment planning, and discharge planning tailored to the needs of individuals receiving medium-intensity residential services.
Deliver individual and group substance use disorder treatment under approved clinical supervision, focusing on recovery skill development, relapse prevention, and functional improvement.
These clinicians work collaboratively to support engagement, stability, and progress toward recovery goals.
Peer Recovery Support Specialists are an integral component of the ASAM Level 3.3 program and provide services consistent with and expanded from ASAM Level 3.1.
Peer services are coordinated with clinical treatment and transition planning.
ASAM Level 3.3 includes access to medical and psychiatric services appropriate for individuals with moderate to severe substance use disorders and related conditions.
On-site minimum 4 hours per week, with additional on-call availability
Available minimum 3 hours per week
On-site 40 hours per week for medical monitoring and medication coordination
Because Residential Medium-Intensity treatment is a true 24-hour residential program, trained residential staff are present at all times to ensure safety, structure, and responsiveness.
Provide continuous residential supervision, support daily routines, reinforce program expectations, and assist residents outside of scheduled clinical service hours.
At least one staff member is on duty overnight and is:
Overnight staff are responsible for resident safety, monitoring, and emergency response.
The ASAM Level 3.3 program uses a team-based approach that integrates residential, clinical, medical, nursing, and peer recovery services. This coordinated model supports:
By combining the foundational staffing of ASAM Level 3.1 with the enhanced medical and psychiatric supports required for ASAM Level 3.3, 1114 E 20th Street LLC provides a comprehensive residential treatment environment designed to promote stability, engagement, and long-term recovery.
Our multidisciplinary ASAM 3.3 team provides the medical, psychiatric, and clinical support needed for complex recovery journeys.