Residential Low-Intensity Addictions Treatment (ASAM Level 3.1)

A Supportive, 24-Hour Residential Program for Adults Seeking Stability, Structure, and Recovery

Residential Treatment Services

1114 E 20th Street LLC provides Residential Low-Intensity Addictions Treatment (ASAM Level 3.1) for adults who need a safe, structured, live-in environment to support recovery from substance use disorders. This level of care is designed for individuals who are clinically stable and capable of self-care, but who are not yet ready to return to independent or family living without additional support.

Residential Level 3.1 treatment offers a critical bridge between detoxification, higher levels of care, or outpatient services and long-term recovery in the community. Through 24-hour residential supervision, daily peer and group services, and individualized treatment planning, participants are supported in building the skills, insight, and stability needed to maintain recovery outside of treatment.

A Program Designed for Adults Who Need Structure Without Hospitalization

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

Residential Level 3.1 treatment is often appropriate for individuals who:

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

This level of care provides structure and support without the intensity of hospital-based or medically managed inpatient treatment, allowing individuals to focus on recovery in a community-based setting.

A True 24/7 Residential Environment

1114 E 20th Street LLC operates as a true residential program, meaning 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, allowing individuals to access care when the need arises—not just during business hours. Once admitted, residents benefit from ongoing house management and residential support services that promote safety, accountability, and stability.

Residential staff are present at all times to:

Maintain a safe and supportive environment
Provide structure and routine
Respond to crises or urgent needs
Support residents in daily living activities

Daily Structure That Supports Recovery

While residential supervision is continuous, clinical and recovery services are delivered during structured daytime hours to promote consistency, engagement, and therapeutic benefit.

Administrative and clinical service hours: Monday through Friday, from 8:00 AM to 5:00 PM.

During these hours, participants engage in a full schedule of recovery-focused activities designed to build skills, insight, and confidence.

Each day includes:

  • Daily peer recovery support, fostering connection, accountability, and shared recovery experience
  • Daily group treatment services between 8:00 AM and 5:00 PM, focused on relapse prevention, coping strategies, emotional regulation, and life skills
  • Individual counseling, case management, and care coordination as clinically indicated

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

Stability in recovery requires attention to physical health and daily routines. 1114 E 20th Street LLC provides structured meal times and medication support to help residents maintain consistency and wellness.

Meals and medication support are provided daily at:

7:00 AM
12:00 PM
5:00 PM

Medication support includes assistance with self-administration, monitoring in accordance with program policies, and coordination with prescribing providers when appropriate.

Support Beyond Business Hours

Although scheduled clinical services occur during weekday hours, residential supervision and support remain available at all times, including evenings, nights, and weekends.

After-hours and weekend support is available for:

  • Crisis intervention
  • Resident needs or concerns
  • Scheduled services, when appropriate
  • Maintaining safety and structure within the residence

This around-the-clock presence helps ensure continuity of care and peace of mind for participants and families.

Length of Stay & Program Duration

Residential Low-Intensity treatment is individualized and based on medical necessity, treatment progress, and recovery goals.

Participants may be authorized for:

  • Up to two non-consecutive residential stays per rolling calendar year
  • Each stay ranging between 30 and 120 days

All admissions and continued stays are subject to ASAM criteria and authorization requirements. Exceptions may apply for court-ordered specialty populations, including placements under Health-General §8-507 or Title 3.

Comprehensive Recovery-Focused Services

Residential Level 3.1 treatment at 1114 E 20th Street LLC 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
Opioid Treatment Services

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

Our Philosophy of Care

At 1114 E 20th Street LLC, we believe recovery is personal, strengths-based, and supported by community.

Our Residential Low-Intensity program is designed to:

  • Support recovery, health, and overall well-being
  • Enhance quality of life
  • Reduce symptoms and unmet needs
  • Build resilience and coping capacity
  • Restore and improve daily functioning
  • Support reintegration into the community

Clients—and when appropriate, their families—are empowered to actively participate in treatment planning and decision-making, fostering ownership and long-term success.

Program Goals

The overarching goal of Residential Level 3.1 treatment is to help individuals achieve stability in recovery while reducing the need for higher levels of care.

Areas of focus often include:

Sustained recovery and relapse prevention
Education and vocational readiness
Parenting and family relationships
Emotional regulation and coping skills
Anger management
Grief and loss
Spiritual wellness, when desired by the individual

Admission, Insurance, and Support With Coverage

To be admitted, individuals must meet ASAM Level 3.1 medical necessity criteria, demonstrate motivation for treatment, and present with a substance use disorder appropriate for residential low-intensity care.

We serve individuals who are:

  • Eligible for Maryland Medicaid
  • Certain dually eligible Medicare recipients
  • Uninsured individuals who qualify

For individuals without insurance, our team can assist with Medicaid enrollment and temporary coverage options, when available.

Discharge Planning & Transition to the Community

Discharge and transition planning begins at admission and continues throughout the program.

Participants are ready for transition when:

  • Individual treatment goals are achieved
  • Recovery supports are in place
  • Appropriate referrals are completed

Aftercare planning may include outpatient treatment, peer recovery support, housing assistance, vocational services, or other community-based resources to support continued recovery.

Referrals, Payment, and Next Steps

1114 E 20th Street LLC accepts referrals from:

Individuals and families
Walk-ins and self-referrals
Community organizations
Healthcare providers
Courts and governmental agencies

Accepted payer sources: Maryland Medicaid and Private Pay.

Medicaid services follow current Maryland-approved fee schedules, with no co-pays for eligible participants.

Take the Next Step Toward Recovery

Recovery is possible with the right structure, support, and environment.

Call Now — (443) 320-2706

1114 E 20th Street LLC is here to walk alongside you on your recovery journey.