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This service type encompasses programs that provide a therapeutic living environment in community-based residential facilities for individuals who have significant substance use disorders. Individuals reside at the facility for varying lengths of time depending on their needs. Programs provide structured, supervised treatment which may include individual, group, family, and other treatment modalities as appropriate.

Withdrawal Management / Detox

Programs in this service type provide medical oversight and interventions to assist individuals who are physically dependent on substances.

Medications for Opioid Use Disorder

Programs in this service type provide treatment, including approved medications, to support the efforts of individuals with an opioid use disorder to abstain from or reduce their use of opioids. In Maryland, OTPs utilize an evidence-based treatment approach supported by substance abuse counseling, case management, community resource referrals, and other supportive services. The medication options offered include methadone, buprenorphine, and naltrexone.

Crisis Walk-in Centers

Programs in this service type provide a safe and supportive environment for individuals who use drugs and/or alcohol to walk-in and access multiple related services. Centers are typically open 24/7, and serve as an entry point for individuals to access any number of crisis services that assist in de-escalating and stabilizing an individual experiencing a behavioral health crisis. Anyone experiencing a behavioral health and/or substance-related crisis is eligible. These centers serve as a potential entry point to long-term, ongoing service delivery and care. The primary functions include: screening and assessment, crisis intervention and management (including medication), brief treatment, and linkage to social services and other behavioral health services.

Recovery Residences

A “recovery residence” means a service that provides alcohol-free and illicit drug-free housing to individuals with substance-related disorders or addictive disorders or co-occurring mental health and substance-related disorders or addictive disorders.

Helplines for Substance Use

Helplines are a direct crisis service that are available to provide a person who is experiencing distress with immediate support and/or facilitated referrals through a confidential venue. Helplines are typically accessible through phone calls, texts, or chats.

Services for Family & Significant Others

This service type includes programs and support groups for the spouses, partners, parents, children, siblings, friends or significant others of people who have substance use disorders.


Programs in this service type allow behavioral health professionals to use telecommunications technology to provide services and treatment to patients. Telecommunication modalities include video conferencing or phone calls and may differ based on specific provider capabilities.

Self-Help Support Groups

This service type includes organized groups of individuals who share a common problem or concern, who meet together on a voluntary basis to fulfill a need, overcome substance use disorders. Included are faith-based and secular 12-step models, groups that use a set of guidelines prepared by a national organization or headquarters. Support groups meet either in-person, by telephone, or via the Internet.

Information and Referral

Programs in this service type maintain information about substance use disorder resources in their community and link people who need assistance with appropriate service providers and/or supply descriptive information about the agencies or organizations which offer services.