Residential Treatment (ASAM 3.3)

Hope on the Hill Recovery provides Residential Medium-Intensity Addictions Treatment (ASAM Level 3.3) for adults who require a highly structured, supportive residential environment combined with moderate-intensity therapeutic services to address substance use disorders and related functional impairments.

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. Our program at 626 Denison Street offers a balance of 24-hour residential care, daily structure, and increased therapeutic hours so participants can stabilize, build recovery skills, and prepare for reintegration into the community.

Admissions are available 24 hours a day, 7 days a week. Call (443) 320-2692 to begin the intake process.

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, structured residential environment to remain engaged in treatment; are medically and psychiatrically stable; are able to perform activities of daily living; and have a moderate or severe substance use disorder. This level is particularly appropriate when substance use 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: 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 are available 24/7. Individuals and referral sources may contact us at any time to initiate admission.

Program Schedule & Daily Structure

While residential care is continuous, therapeutic and clinical services are delivered during scheduled service hours (e.g., Monday–Friday, 8:00 AM–5:00 PM). After-hours and weekend residential support remains available 24/7 for residential needs, scheduled appointments, and crisis intervention.

Therapeutic Intensity & Frequency of Services

Residential Medium-Intensity (ASAM 3.3) provides a higher level of therapeutic engagement than low-intensity residential care. Participants typically receive 20–35 hours of therapeutic activities per week, with a minimum of 5+ hours per week focused on relapse prevention. 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 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 are typical, with up to 30 days per stay subject to authorization and ASAM criteria. Exceptions may apply for court-ordered specialty populations.

Services Provided

Services are designed to support stabilization and recovery through structured treatment and ancillary supports, including individual counseling, group therapy, peer recovery support, relapse prevention, coping skills training, life skills development, case management, opioid treatment when clinically indicated, and ambulatory detox when medically necessary. All services are rendered by authorized clinical professionals in accordance with the Maryland Health Occupations Article.

Philosophy of the Program

The Residential Medium-Intensity program at Hope on the Hill Recovery is designed to help individuals develop and maintain 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. Clients—and when appropriate, family members—are empowered to make informed decisions about care.

Payment, Insurance & Referrals

Services are available to uninsured individuals who qualify, certain dually eligible Medicare recipients, and Maryland Medicaid enrollees. Assistance with Medicaid application and temporary coverage may be available. 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.