1723 Gwynn Falls Parkway, Baltimore, MD 21217

Residential Service

Program Service Scope - ASAM Level 3.1 Low Intensity Residential Treatment Program

Locations:

• 1723 Gwynns Falls Parkway, Baltimore, MD 21217 (18 beds)
• 1116 E 20th Street, Baltimore, MD 21218 (7 beds)
• 1114 E 20th Street, Baltimore, MD 21218 (9 beds)

Description of the Program:

The Level 3.1 Residential Treatment Program at Lighthouse Behavioral Health Center provides clinically managed low-intensity residential services as outlined by COMAR 10.47.02.06. This program offers a structured and supportive living environment 24 hours a day for individuals with substance use disorders who require ongoing support but do not need intensive clinical services. Clinically managed low-intensity treatment programs shall offer treatment services at least 5 hours a week directed toward preventing relapse, applying recovery skills, promoting personal responsibility, and reintegration. The primary focus is on fostering independence, personal responsibility, and life skills development while providing therapeutic support in a safe and nurturing environment.

Philosophy of the Program:

Lighthouse Behavioral Health Center adopts a person-centered and recovery-oriented approach to care. Our philosophy emphasizes dignity, respect, and empowerment, recognizing that individuals have the capacity for change and personal growth. The program integrates evidence-based practices with holistic care to promote long-term recovery and enhance overall well-being.

Program Goals:

1. To provide a supportive environment that fosters sobriety and recovery.
2. To offer educational and therapeutic services that empower residents to build essential life skills.
3. To promote personal accountability and self-sufficiency.
4. To promote personal accountability and self-sufficiency.

Service/Treatment Modalities to Be Provided to Achieve the Program Objectives:

As per COMAR 10.47.02.06, the program provides a range of therapeutic and supportive services delivered by qualified professionals, including:

• Individual Counseling:

• Provided by licensed clinical social workers (LCSWs), licensed professional counselors (LPCs), certified addiction counselors (CACs), and alcohol and drug trainees (ADTs).
• Focus on relapse prevention, personal development, and goal setting.

• Group Counseling:

• Facilitated by experienced clinicians, certified addiction counselors, and alcohol and drug trainees (ADTs).
• Topics include coping mechanisms, stress management, emotional regulation, and interpersonal skills.

• Psychoeducational Sessions:

• Led by qualified educators and counselors.
• Cover key areas such as understanding addiction, mental health awareness, healthy lifestyle choices, and relapse prevention.

• Case Management Services:

• Delivered by trained case managers.
• Assist residents in accessing community resources, vocational training, and aftercare services.

• Peer Support Services:

• Offered by certified peer recovery specialists who provide mentorship and lived-experience guidance.
• Foster a sense of community, mutual support, and shared accountability.

Populations Served:

Lighthouse Behavioral Health Center’s Level 3.1 program serves the following populations:

• Individual Counseling:

• General Population: Adults aged 18 and older diagnosed with a substance use disorder who require a structured residential environment.
• Special Populations:
• Individuals with co-occurring mental health disorders:
• Mechanism: Access to psychiatric consultation, individualized dual-diagnosis treatment plans, and specialized group counseling.
• Individuals transitioning from more intensive levels of care (e.g., ASAM Levels 3.5 or 3.7):
• Mechanism: Transitional care plans developed in collaboration with prior treatment providers and case managers to ensure continuity of care.
• Individuals with physical disabilities:
• Mechanism: The facility is ADA-compliant, and staff are trained to provide appropriate accommodations and support.
• Individuals with limited social support networks:
• Mechanism: Peer support services, family engagement activities, and community resource linkage to build and strengthen support systems.

Settings:

The program is conducted in a licensed residential facility that provides a homelike atmosphere, ensuring a comfortable, safe, and structured environment conducive to recovery.

Hours of Services:

24 hours a day.

Days of Services:

Seven days a week, including holidays.

Frequency of Services:

• Individual Counseling: Weekly.
• Group Counseling: At least three times per week.
• Psychoeducational Workshops: Twice weekly.
• Peer Support Available daily.

Payers and Funding Sources:

• Medicaid
• Private insurance
• Self-pay
• Grants and other approved funding sources

Fees:

A sliding scale fee structure is available for self-pay clients. Fees vary based on payer contracts and funding arrangements.

Specific Services Offered:

• Comprehensive intake and assessment
• Individualized treatment planning
• Life skills training
• Vocational and educational support
• Relapse prevention planning
• Discharge and aftercare planning
• Leisure and recreational activities
• Room and board services: Providing residents with a clean, safe, and comfortable living environment, including meals, laundry facilities, and access to communal spaces.
• Referral Services: The program shall offer the following services or maintain a listing of agency referral agreements for the following services:
  1. Physical examinations as determined by medical condition, within a reasonable time;
  2. Services through the Division of Rehabilitation Services;
  3. Vocational assistance;
  4. Mental health services, which shall include:
     1. Medication monitoring for patients who are admitted on or are prescribed psychotropic medications; and
     2. Services appropriate to the severity and urgency of the patient's mental condition;
  5. Legal assistance;
  6. Substance abuse treatment programs;
  7. Social services;
  8. Family services; and
  9. Education.

Entry Criteria:

As outlined in COMAR 10.47.02.06 and the American Society of Addiction Medicine (ASAM) Patient Placement Criteria for Level 3.1, entry criteria for the Level 3.1 program include:

• A documented diagnosis of a substance use disorder.
• Age 18 or older.
• Completion of a comprehensive clinical assessment indicating the need for Level 3.1 care.
• Willingness to participate in program activities and adhere to house rules.
• Be capable of self-care but not ready to return to family or independent living.
• The individual demonstrates a need for a supportive, structured environment to promote recovery, with treatment services directed at preventing relapse, applying recovery skills, promoting personal responsibility, and reintegration.
• The individual does not require the level of intensive clinical monitoring provided by higher levels of care (e.g., Levels 3.5 or 3.7) but needs consistent support to maintain stability and continue progress toward recovery.
• The individual has sufficient cognitive and functional ability to engage in therapeutic activities and benefit from a low-intensity residential program.

Transition Criteria:

• Demonstrated progress in treatment, including the achievement of individualized goals.
• Reduction in substance use and stabilization of symptoms.
• Readiness for transition to a less intensive level of care or independent living, as determined by the treatment team.

Exit Criteria:

• Successful completion of the program and achievement of treatment goals.
• Transition to a lower level of care or independent living.
• Voluntary discharge upon request of the resident.
• Administrative discharge due to non-compliance with program rules after appropriate interventions.

DISCLOSURES:

This information is shared with persons served, family/support systems (as chosen by persons served), referral sources, payers and funding sources, other relevant stakeholders, and the general public through the company’s website at https://lighthousebhc.org.

The advisory committee and Operations Manager (or designee) reviews this scope of services at least annually and updates the scope as necessary, ensuring continued compliance with COMAR 10.47.02.06 and best practices in behavioral health care.

Contact Information:

Lighthouse Behavioral Health Center

1723 Gwynns Falls Parkway

Baltimore, MD 21217

Phone: (667) 400-6206

Email: info@lighthousebhc.org

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Program Scope of Services - Medium Intensity - Residential Treatment Services (ASAM Level 3.3)

Population(s) served:
LHBHC provides care to Adults who reside in Maryland.

Patients who are appropriate for this level of treatment:

• Meet the current edition of the American Society of Addiction Medicine Patient Placement Criteria for Level III.3;
• Are chronic alcohol or other drug dependent individuals;
• Do not need skilled nursing care;
• May have a history of multiple admissions to alcohol or drug abuse or dependence programs;
• May have physical and mental disabilities as a result of prolonged alcohol or other drug use; and
• Have been identified as individuals for whom a controlled environment and supportive therapy are necessary for an indefinite period of time.

Settings:
A clinically managed medium intensity treatment program provides a structured residential environment in combination with medium intensity treatment and ancillary services to support and promote recovery.

Hours of services:
24 hours per day.

Days of services:
Daily.

Frequency of services:
As scheduled as needed basis.

Payer sources:
Medicaid and private pay.

Fees:
Current approved Medicaid and Medicare fee schedules for Maryland.

Referral sources:
Self, walk-ins, community agencies, insurers, healthcare providers, governmental agencies.

Specific services offered:
All services are rendered by independent contractors who are licensed or certified behavioral health professionals.

Program Services. A program shall provide the following services:

• An assessment within 1 week of admission;
• An individualized treatment plan completed and signed by the alcohol and drug counselor and patient within 3 working days of the comprehensive assessment and updated every 30 days;
• Alcohol and drug education;
• Individual counseling;
• Leisure and recreation counseling; and
• Assistance with vocational issues.

Referral Services. The program shall offer the following services or maintain a listing of agency referral agreements for the following services:

• Physical examinations as determined by medical condition, within a reasonable time;
• Medical care;
• Services through the Division of Rehabilitation Services;
• Vocational assistance;
• Mental health services, which shall include, as appropriate to the severity and urgency of the patient's mental condition:
• Medication monitoring for patients who are admitted on or are prescribed psychotropic medications; and
  Services available by telephone within 8 hours of a request; or
  
  1. Services available by telephone within 8 hours of a request; or
  2. Services available onsite or closely coordinated off-site within 24 hours of a request;
• Substance abuse treatment programs;
• Legal assistance;
• Family services; and
• Social services.

Entry criteria:
Called Clinically Managed Population-Specific Medium Residential Services, this adult only level of care typically offers 24-hour care with trained counselors to stabilize multidimensional imminent danger along with less intense milieu and group treatment for those with cognitive or other impairments unable to use full active milieu or therapeutic community. Level 3 encompasses residential services that are described as co-occurring capable, co-occurring enhanced, and complexity capable services, which are staffed by designated addiction treatment, mental health, and general medical personnel who provide a range of services in a 24-hour treatment setting. A detailed description of the services typically offered in this level of care, the care setting and how to identify what patients would benefit best from these services based on an ASAM dimensional needs assessment, begins on page 234 of The ASAM Criteria: Treatment Criteria for Addictive, Substance-Related, and Co-Occurring Conditions (2013).

Transition / Exit criteria:
Discharge/transition planning occurs throughout all phases of the program. The person served has met discharge/transition criteria when the goals of the individual plan are achieved and referral to support services is completed, when appropriate. Additionally, discharge may occur if the person no longer attends regularly or chooses not to actively participate in the program.

Description of the program:
Behavioral health programs are provided in a clinic, inpatient and residential setting. A wide range of services are organized within a comprehensive therapeutic environment that includes screening and assessment, diagnostic determination, individual and family counseling, consultations, medication management, crisis intervention, group counseling, client advocacy, and referral to community resources. Clients are assigned to licensed and/or certified personnel who assist in individual planning and care. Services additionally include consultation with family and/or professional care providers.

Philosophy of the program:
Behavioral health programs to assist persons with developing and maintaining coping skills that facilitate adjustment and integration within their living environments and community. Clients and family members are empowered to make decisions about their care with the expected outcome of an increased quality of life. Services are designed and implemented to: support the recovery, health, or well-being of the persons or families served; enhance the quality of life of the persons served; reduce symptoms or needs and build resilience; restore and/or improve functioning; support the integration of the persons served into the community.

Program goals:
The overall goal of the programs is to increase the quality of life through the provision of specialized outpatient mental health services. Specific areas of focus may include: Recovery, Vocation/Education, Parenting, Relationships, Spirituality, Coping Skills, Anger Management, Grief and Loss. The program seeks to achieve the following specific objectives: To improve mood and affect in daily living; To improve social, familial, and social adjustment and integration; To reduce the need for a higher level of care.

This information is posted on the website and in brochures and is updated annually.

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Program Scope of Services - High Intensity - Residential Treatment Services (ASAM Level 3.5)

Population(s) served:
LHBHC provides care to Adults who reside in Maryland.

Patients who are appropriate for this level of treatment meet the current edition of the American Society of Addiction Medicine Patient Placement Criteria for Level III.5, or its equivalent as approved by the Administration.

Settings:
In a residential environment, a clinically managed high intensity residential program shall:

• Provide a highly structured environment in combination with moderate to high intensity treatment and ancillary services to support and promote recovery; and
• Be characterized by its reliance on the treatment community as a therapeutic agent.

Hours of services:
24 hours per day

Days of services:
Daily

Frequency of services:
As scheduled as needed basis

Payer sources:
Medicaid and private pay

Fees:
Current approved Medicaid and Medicare fee schedules for Maryland

Referral sources:
Self, walk-ins, community agencies, insurers, healthcare providers, governmental agencies

Specific services offered:
All services are rendered by independent contractors who are licensed or certified behavioral health professionals.

A program shall provide the following services:

• A preliminary medical assessment within 36 hours of the patient's admission;
• A physical examination by a medical doctor, physician assistant, or nurse practitioner within the first week of the patient's admission;
• An assessment within 2 days of admission;
• An individualized treatment plan completed and signed by the alcohol and drug counselor and patient within 2 working days of the comprehensive assessment with a treatment plan update every 30 days;
• Monitoring of medication, as necessary; and
• A minimum of 36 hours of therapeutic activities a week, including but not limited to:
  
  1. At least weekly individual counseling;
  2. Group counseling
  3. Alcohol and drug education;
  4. Career counseling;
  5. Nutrition education; and
  6. Family services.

Referral Services. The program shall offer the following services or maintain a listing of agency referral agreements for the following services:

• Medical care;
• Services through the Division of Rehabilitation Services;
• Vocational assistance;
• Mental health services, which shall include, as appropriate to the severity and urgency of the patient's mental condition:
  
  1. Medication monitoring for patients who are admitted on or are prescribed psychotropic medications; and
  2. At least one of the following services:
     - Services available by telephone within 8 hours of a request; or
     - Services available on-site or closely coordinated off-site within 24 hours of a request;
• Substance abuse treatment programs;
• Legal assistance; and
• Social services.

Entry criteria:
Called Clinically Managed High-Intensity Residential Services for adults, this level of care provides 24-hour care with trained counselors to stabilize multidimensional imminent danger and prepare for outpatient treatment. Patients in this level are able to tolerate and use full active milieu or therapeutic communities. Level 3 encompasses residential services that are described as co-occurring capable, co-occurring enhanced, and complexity capable services, which are staffed by designated addiction treatment, mental health, and general medical personnel who provide a range of services in a 24-hour treatment setting. A detailed description of the services typically offered in this level of care, the care setting and how to identify what patients would benefit best from these services based on an ASAM dimensional needs assessment begins on page 244 of The ASAM Criteria: Treatment Criteria for Addictive, Substance-Related, and Co-Occurring Conditions (2013).

Transition / Exit criteria:
Discharge/transition planning occurs throughout all phases of the program. The person served has met discharge/transition criteria when the goals of the individual plan are achieved and referral to support services is completed, when appropriate. Additionally, discharge may occur if the person no longer attends regularly or chooses not to actively participate in the program.

Description of the program:
Behavioral health programs are provided in a clinic, inpatient and residential setting. A wide range of services are organized within a comprehensive therapeutic environment that includes screening and assessment, diagnostic determination, individual and family counseling, consultations, medication management, crisis intervention, group counseling, client advocacy, and referral to community resources. Clients are assigned to licensed and/or certified personnel who assist in individual planning and care. Services additionally include consultation with family and/or professional care providers.

Philosophy of the program:
Behavioral health programs to assist persons with developing and maintaining coping skills that facilitate adjustment and integration within their living environments and community. Clients and family members are empowered to make decisions about their care with the expected outcome of an increased quality of life. Services are designed and implemented to: support the recovery, health, or well-being of the persons or families served; enhance the quality of life of the persons served; reduce symptoms or needs and build resilience; restore and/or improve functioning; support the integration of the persons served into the community.

Program goals:
The overall goal of the programs is to increase the quality of life through the provision of specialized outpatient mental health services. Specific areas of focus may include: Recovery, Vocation/Education, Parenting, Relationships, Spirituality, Coping Skills, Anger Management, Grief and Loss. The program seeks to achieve the following specific objectives: To improve mood and affect in daily living; To improve social, familial, and social adjustment and integration; To reduce the need for a higher level of care.

This information is posted on the website and in brochures and is updated annually.

Get Help Now