Residential Low-Intensity (ASAM 3.1)

Hope on the Hill Recovery offers 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 not yet ready to return to independent or family living without additional support.

Our Level 3.1 program at 626 Denison Street provides 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, residents build the skills, insight, and stability needed to maintain recovery beyond treatment.

Admissions are available 24 hours a day, 7 days a week. Call (443) 320-2692 to speak with our intake team.

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 motivated for treatment, able to manage activities of daily living, and appropriate for a low-intensity residential setting.

Residential Level 3.1 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

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

Hope on the Hill Recovery operates as a true residential program: 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 are present at all times to support residents in daily living activities, respond to crises or urgent needs, provide structure and routine, and maintain a safe and supportive environment. You do not have to wait to get help—call anytime to begin the admission process.

Daily Structure That Supports Recovery

Clinical and recovery services are delivered during structured daytime hours (e.g., Monday through Friday, 8:00 AM–5:00 PM) to promote consistency and therapeutic benefit. Each day includes individual counseling, case management, and care coordination as clinically indicated; daily group treatment focused on relapse prevention, coping strategies, and life skills; and daily peer recovery support. 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. We provide structured meal times and medication support, including assistance with self-administration 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. Stays typically range between 30 and 120 days, with up to two non-consecutive residential stays per rolling calendar year, subject to ASAM criteria and authorization. Exceptions may apply for court-ordered specialty populations.

Comprehensive Recovery-Focused Services

Residential Level 3.1 at Hope on the Hill Recovery 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 and ambulatory detoxification when clinically indicated

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

Our Philosophy of Care

At Hope on the Hill Recovery, 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 participate in treatment planning and decision-making.

Admission, Insurance, and Support With Coverage

To be admitted, individuals must meet ASAM Level 3.1 medical necessity criteria and demonstrate motivation for treatment. We serve individuals who are uninsured (who qualify), certain dually eligible Medicare recipients, and those eligible for Maryland Medicaid. Our team can assist with Medicaid enrollment and temporary coverage options when available. Call today to verify eligibility or get help applying for coverage.

Discharge Planning & Transition to the Community

Discharge and transition planning begins at admission. Aftercare planning may include outpatient treatment, peer recovery support, housing assistance, vocational services, or other community-based resources to support continued recovery.