Overview
Step By Step of Maryland is a substance abuse treatment center for people seeking treatment near Baltimore County. As part of their treatment modalities for recovery, Step By Step of Maryland provides family counseling, group counseling, and trauma-related counseling during treatment. Step By Step of Maryland is located in Baltimore, Maryland, accepting medicaid for treatment.
Step By Step of Maryland at a Glance
Payment Options
- Medicaid
- Medicare
- Cash or self-payment
Assessments
- Comprehensive mental health assessment
- Comprehensive substance use assessment
- Screening for tobacco use
- Outreach to persons in the community
- Screening for mental disorders
Age Groups
- Adults
- Children/adolescents
- Young adults
- Seniors or older adults
- Seniors
Ancillary Services
- Case management service
- Specially designed program for DUI/DWI clients
- Domestic violence services, including family or partner
- Early intervention for HIV
- Mental health services
Accreditations
Commission on Accreditation of Rehabilitation Facilities (CARF):
CARF accreditation is a prestigious recognition for rehabilitation and human service organizations. It signifies that an organization meets high-quality standards and is committed to providing top-level care. CARF conducts rigorous evaluations to ensure compliance, enhancing an organization's credibility and reassuring clients and funders of exceptional service quality. This accreditation promotes excellence and continual improvement in the rehabilitation and human services field.
Treatment At Step By Step of Maryland
Conditions Treated
Mental health treatment:
Mental health services are essential during treatment for drug and alcohol addiction, whether you receive treatment in an inpatient or outpatient setting. While receiving inpatient care, you can expect to have round-the-clock access to mental health therapists and medical staff. Additionally, you will likely receive a number of different therapies and mental health options like individual and group counseling, addiction and relapse prevention education, and coping skills training.
Alcoholism:
Alcohol addiction is a disease that changes the way the brain works. It causes negative emotions, impulsive behavior, cravings and withdrawal symptoms. Treatment for alcohol addiction includes supervised detox, counseling and therapy, and support group participation. Rehabilitation does not cure alcoholism. Instead, it helps the individual manage their addiction, restore their functioning, and well-being.
Opioid Addiction:
Opioid rehabilitation centers focus on aiding individuals in overcoming opioid addiction, whether stemming from illegal substances like heroin or prescription medications like oxycodone. These facilities provide a comprehensive approach that combines medical detoxification and ongoing physical care with intensive therapy to address the root causes of addiction.
Substance use treatment:
Substance use rehabilitation is a structured program aimed at assisting individuals in overcoming their dependencies on drugs or alcohol. Through a combination of medical detoxification, counseling, and various therapeutic approaches, these programs strive to address the physical and psychological aspects of addiction. The goal is to equip individuals with the knowledge, skills, and support necessary to attain lasting sobriety, while also working to identify and address the underlying issues contributing to substance misuse. By fostering a supportive environment, substance use rehabilitation centers provide a pathway towards a healthier, substance-free life.
Co-occurring Disorders:
Dual-diagnosis rehabs are usually the appropriate solution to treat co-occurring mental health and substance abuse disorders. These facilities typically employ medical and behavioral experts who use a range of interventions, together with the right healing environment, for you to achieve and sustain long-term recovery. Treatment usually includes evidence-based therapies (like cognitive behavioral therapy), recovery support meetings, 12-step facilitation, psychoeducation, skills training, and group therapy.
Levels Of Care
Intensive outpatient treatment:
Intensive Outpatient (IOP) is a form of structured therapy designed to support individuals in recovery from addiction, mental health disorders, or other medical conditions. Unlike inpatient or residential treatment, where patients live at the facility, IOP allows individuals to receive high-level care while still living at home and maintaining specific day-to-day responsibilities. Typically, patients in IOP programs attend sessions multiple times per week, often totaling 9-20 hours or more. These sessions can include individual therapy, group therapy, family counseling, and educational classes focused on skills and strategies for managing symptoms and preventing relapse.
Detoxification:
Detoxification, often just called "detox", is like giving the body a deep clean from harmful substances like drugs or alcohol. When someone decides to stop using these substances, their body might react with tough symptoms. Detox helps to handle these reactions safely. Think of it as helping the body reset after too much exposure to harmful stuff.
Aftercare:
Finishing a drug or alcohol rehab program is just the beginning of the recovery journey. Aftercare focuses on establishing a long-term recovery plan, which encompasses continuous support. This might involve options such as residing in sober living homes or halfway houses, receiving career guidance, and connecting the individual with community support groups like Alcoholics Anonymous (AA) or Narcotics Anonymous (NA).
Outpatient:
Outpatient treatment at rehab centers provides adaptable therapy schedules, usually spanning 1-3 hours weekly, enabling participants to maintain their everyday routines while undergoing treatment. On the other hand, intensive outpatient programs require a more dedicated time investment, frequently around 9-15 hours a week, delivering a deeper therapeutic experience without the commitment of inpatient residency.
Hospital inpatient treatment:
Inpatient treatment involves an intensive, residential therapeutic program designed to treat serious addictions or other medical conditions. With a typical stay ranging from 30 to 90 days, individuals receive a structured regimen of various therapies including individual and group counseling, behavioral therapies, and family counseling. Under professional supervision, patients immerse themselves in a supportive environment, conducive to addressing underlying issues and promoting long-term recovery.
Short-term residential:
Short-term residential rehab programs provide an intensive and focused approach to addiction recovery. These programs typically last a few weeks to a few months, making them ideal for individuals with work or family commitments. They offer round-the-clock care, counseling, and support to help clients stabilize, develop coping skills, and create a recovery plan. In contrast to long-term rehab, which extends for months or years, short-term programs are more time-efficient, making them a suitable choice for those seeking intensive treatment with limited time availability.
Long-term residential:
Long-term treatment programs often include residential programs, which entail patients residing in a facility for the duration of their treatment, depending on their needs. These programs have staff on the premises at all hours to offer round-the-clock support to each patient. Length of treatment can range from 90-day rehab stays to 6-month rehab stays, 1-year rehab programs, or even a 2-year treatment stay if needed.
Residential detoxification:
Inpatient detoxification provides 24/7 supervision and medical support for patients experiencing severe substance withdrawal symptoms. Physician-managed protocols guide this care. Both inpatient and outpatient settings offer medically supervised assessments and detox initiation but may not offer complete biomedical stabilization or continuous 24-hour monitoring. Transitioning to inpatient care is easily facilitated from either setting.
Outpatient methadone/buprenorphine or naltrexone treatment:
Buprenorphine, sold under brand names such as Subutex, is a drug used to address opioid addiction. It can lessen or significantly diminish withdrawal effects, making the cessation of opioid use more manageable. Frequently paired with naloxone, the dosage is tailored to each person's specific needs. Some individuals prefer prolonged buprenorphine use, while others gradually decrease their dosage with the aim of ceasing its consumption.
Regular outpatient treatment:
Regular outpatient treatment is a structured program that supports individuals in overcoming addiction while allowing them to maintain their daily lives. It includes therapy, counseling, and education, making it ideal for those with mild to moderate substance use disorders or in later recovery stages. This approach helps individuals build coping skills, manage triggers, and stay substance-free while staying connected to their communities and families.
Treatment Modalities
Family counseling:
Family Counseling is a therapeutic service that addresses and resolves conflicts, improves communication, and fosters better relationships within a family unit. Through guided discussions, a trained counselor helps family members gain insight into their dynamics, learn coping strategies, and work towards creating a harmonious living environment. Family Counseling can be a significant step towards improving the overall emotional health and interactions among family members, helping them navigate challenges together in a supportive and constructive manner.
Group counseling:
Group counseling provides a supportive environment where individuals share personal experiences and insights, under the guidance of a professional counselor. It facilitates self-awareness, fosters interpersonal learning, and helps members work through personal and relational challenges. Through shared dialogue and reflection, individuals learn coping strategies, gain emotional support, and experience personal growth within a communal setting.
Trauma-related counseling:
Trauma-related counseling addresses the deeply rooted psychological wounds and distress that often coexist with substance use disorders. Recognizing that past traumatic experiences can play a significant role in the onset and persistence of addiction, this therapeutic approach aims to help individuals understand and process their trauma, develop coping skills, and work towards healing. Individuals are better equipped to achieve long-term recovery and improved mental well-being by simultaneously addressing both trauma and addiction.
Nutrition Therapy:
Nutrition therapy is a tailored dietary approach to managing and preventing certain medical conditions. Administered by registered dietitians or nutrition professionals, it involves the assessment of an individual's nutritional status and the development of personalized nutrition strategies to optimize health and manage specific health concerns.
Nicotine replacement:
Nicotine Replacement Therapy (NRT) is a medically-approved method to aid individuals in quitting smoking. It provides a controlled and lower dose of nicotine to alleviate withdrawal symptoms and cravings, facilitating a smoother transition towards a nicotine-free life. By bypassing the harmful substances found in cigarettes, NRT offers a safer alternative while individuals work on overcoming their addiction.
Life Skills:
Life Skills is a crucial component of rehabilitation that focuses on equipping individuals with the practical abilities necessary to maintain sobriety and lead fulfilling lives. These skills encompass a wide range of capabilities, including but not limited to time management, communication, problem-solving, stress management, and financial literacy. By acquiring and honing these essential life skills, individuals in addiction treatment gain the tools and confidence needed to navigate the challenges of daily life, reduce the risk of relapse, and ultimately achieve lasting recovery.
Creative Arts Therapy:
Creative Arts Therapy is a therapeutic technique that harnesses the power of the arts— including visual arts, dance, music, and drama—to help individuals express themselves, explore their emotions, and improve their mental, emotional, and even physical well-being. Through engaging in the creative process under the guidance of a trained therapist, individuals can uncover and work through underlying issues, improve self-awareness, and develop coping skills in a safe and supportive environment. This form of therapy is used to treat a variety of mental health conditions and is beneficial for people of all ages.
Eating Disorder Treatment:
Eating disorders encompass conditions like anorexia, bulimia, binge eating, and unhealthy eating habits. Some mental health experts view these disorders as akin to food addiction, where food is used compulsively, much like substances in drug or alcohol addiction. Consequently, specific substance abuse treatment programs may include support for eating disorders. Furthermore, eating disorders can co-occur or be diagnosed alongside drug and alcohol addiction.
Individual psychotherapy:
In individual therapy, a person engages in a one-on-one session with a qualified therapist or counselor. This therapeutic approach is crucial in successful substance abuse treatment because it delves into the underlying causes of addiction, addressing issues the individual may encounter in their familial, social, and professional or academic environments.
Cognitive behavioral therapy:
Cognitive Behavioral Therapy (CBT) is a form of psychotherapy that emphasizes the critical role of thinking in how we feel and what we do. It aims to identify and challenge distorted or negative thought patterns and behaviors, teaching individuals to replace them with more constructive and rational beliefs. CBT is evidence-based and has been shown to be effective in treating a variety of psychological disorders, including depression, anxiety, and phobias, among others.
Telemedicine/telehealth therapy:
Telehealth Therapy allows individuals to access mental health services remotely via secure video conferencing. This level of care offers qualified therapy from the comfort of one's home, removing geographical barriers and often reducing wait times. Ideal for those with mobility challenges, tight schedules, or those in rural areas, it combines convenience with consistent, high-quality mental health support.
Substance use disorder counseling:
Substance use disorder counseling treatment modalities refer to various approaches and methods used in the counseling and treatment of individuals with substance use problems. This can include individual therapy, group therapy, cognitive behavioral therapy, motivational interviewing, family therapy, and 12-step programs. The goal is to help the individual overcome their substance use, develop healthy coping skills, and lead a fulfilling life in recovery.
Smoking/vaping/tobacco cessation counseling:
Tobacco cessation counseling is a dialogue with a counselor about your tobacco or vaping habits, examining its place in your daily life to strategize quitting. It offers interventions for individuals keen on quitting, encompassing behavioral guidance and group or one-on-one counseling. These sessions can range from short encounters (under 5 minutes) to in-depth discussions (over 10 minutes) and might require multiple meetings.
12-step facilitation:
Recovery models grounded in 12-step programs prominently incorporate peer coaching, strongly emphasizing personal growth as the pathway to enduring sobriety. Regular participation in 12-step meetings, known for their anonymity, cost-free access, and daily availability, is encouraged. The 12 steps of recovery, anchored in spiritual principles, guide participants in unraveling the core issues of their addiction, taking accountability for their decisions, and coming to terms with aspects beyond their control. Chosen by the individuals themselves, sponsors offer personalized one-on-one mentorship, aiding in navigating through the recovery journey.
Intervention Services:
Intervention Services are professional services aimed at addressing and amending harmful behaviors or situations, primarily in individuals struggling with addiction or other serious issues. These services guide and support both individuals and their loved ones through the intervention process, wherein a structured, solution-oriented conversation is held to encourage the individual to accept help and make positive changes towards recovery. By blending compassionate understanding with a well-formulated approach, intervention services play a crucial role in bridging the gap between acknowledgment of an issue and taking the initial steps towards resolution.
Contingency management/motivational incentives:
Contingency management and motivational incentives are evidence-based treatment modalities used in addiction and behavioral health programs. Contingency management involves the use of rewards to reinforce positive behaviors and change negative behaviors, while motivational incentives provide incentives to engage in treatment and sustain recovery. Both approaches are designed to increase motivation and engagement in treatment and have been shown to be effective in promoting positive outcomes.
Motivational interviewing:
Motivational Interviewing (MI) is a clinical approach to helping people with substance abuse issues and other conditions shift behavior in positive ways. It is more goal-oriented than traditional psychotherapy, as MI counselors directly attempt to get clients to consider making behavioral change (rather than wait for them to come to conclusions themselves). Its primary purpose is to resolve ambivalence and help clients become able to make healthy choices freely.
Anger management:
"Anger Management" refers to a set of therapeutic techniques and exercises that help individuals recognize the signs of their growing anger and take action to calm down and deal with situations in a constructive manner. It aims to reduce both emotional feelings and the physiological arousal that anger can cause, ensuring that anger does not lead to aggressive outbursts or other harmful actions. Individuals can navigate tense situations with more remarkable composure and control by understanding triggers and developing healthy coping strategies.
Matrix Model:
In the Matrix Model, clients engage in group and individual counseling sessions, psychoeducation, and skill-building exercises aimed at enhancing their self-awareness, coping abilities, and overall well-being. The model strongly emphasizes fostering a supportive and collaborative therapeutic environment, encouraging clients to actively participate in their recovery journey while addressing the physical, emotional, and social aspects of addiction.
Community reinforcement plus vouchers:
Community Reinforcement + Vouchers is a comprehensive behavioral treatment program that emphasizes the role of social and environmental factors in promoting sustained abstinence from drugs and alcohol. The program combines positive reinforcement for drug-free behaviors with a voucher-based system, wherein participants earn vouchers for negative drug tests. These vouchers can be exchanged for goods and services supporting a drug-free lifestyle. The approach is especially effective in treating substance use disorders by creating a supportive environment and providing tangible rewards for abstinence.
Relapse prevention:
The Relapse Prevention Model is a cognitive-behavioral approach aimed at minimizing or preventing relapses in individuals recovering from addictive behaviors. It incorporates strategies for recognizing and managing high-risk situations and triggers, enhancing self-efficacy, and developing coping skills. Through education, awareness, and self-monitoring, individuals are empowered to maintain their progress and avoid reverting to unhealthy behaviors. This model is essential in promoting long-term recovery and supporting individuals on their journey towards a substance-free life.
Ancillary Services
Additional Services
- Pharmacotherapies administered during treatment
- Mentoring/peer support
- Breathalyzer or blood alcohol testing
Special Programs
- Clients with HIV or AIDS
- Pregnant/postpartum women
- Active duty military
- Persons with eating disorders
- Clients who have experienced trauma
Contact Information
DISCLAIMER: The facility name, logo and brand are the property and registered trademarks of Step By Step of Maryland, and are being used for identification and informational purposes only. Use of these names, logos and brands shall not imply endorsement. BetterAddictionCare.com is not affiliated with or sponsored by Step By Step of Maryland.
