Love them, the level of care and attention to patients is something out of this world that other facilities should replicate. "A Step Foward One Day At A Time!"
About A Step Forward
Located in Baltimore, Maryland, A Step Forward provides alcohol and drug rehab services, along with mental health treatment to men and women throughout the county. They provide residential treatment, intensive outpatient treatment and outpatient treatment. Individuals with dual diagnosis are also welcome to receive treatment.
A Step Forward offers addiction and mental health services to individuals from all walks of life, including those living with HIV/AIDS, individuals struggling with homelessness, and those who have recently been incarcerated. Services include:
24/7 monitoring is provided for those who need a high level of care in an environment outside of their home. Various forms of therapy such as individual therapy, group therapy, and family therapy are provided. Educational classes and life skills training are also offered.
As a step down from residential treatment, clients meet regularly throughout the week. They participate in individual therapy, group therapy, and family therapy.
The outpatient program includes therapy and self-help groups. It also includes DWI/DUI programming, psychiatric care, and drug court.
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Accepted Insurance
Other Forms of Payment
Private insurance refers to any kind of healthcare coverage that isn't from the state or federal government. This includes individual and family plans offered by an employer or purchased from the Insurance Marketplace. Every plan will have different requirements and out of pocket costs so be sure to get the full details before you start treatment.
Self-pay involves paying for treatment out of your own pocket. You can use savings or credit, get a personal loan, or receive help from family and friends to fund your treatment. If you don't have insurance or your insurance plan doesn't cover a specific program, self-pay can help ensure you still get the care you need.
Financial aid can take many forms. Centers may have grants or scholarships available to clients who meet eligibility requirements. Programs that receive SAMHSA grants may have financial aid available for those who need treatment as well. Grants and scholarships can help you pai for treatment without having to repay.
Medicare is a federal program that provides health insurance for those 65 and older. It also serves people under 65 with chronic and disabling health challenges. To use Medicare for addiction treatment you need to find a program that accepts Medicare and is in network with your plan. Out of pocket costs and preauthorization requirements vary, so always check with your provider.
Medicaid is a state based program that helps lower-income individuals and families pay for healthcare. Medicaid covers addiction treatment so those enrolled can use their coverage to pay for rehab. When a program accepts Medicaid the client often pays very little or nothing out of their own pocket.
Addiction Treatments
Levels of Care
Outpatient Outpatient Programs (OP) are for those seeking mental rehab or drug rehab, but who also stay at home every night. The main difference between outpatient treatment (OP) and intensive outpatient treatment (IOP) lies in the amount of hours the patient spends at the facility. Most of the time an outpatient program is designed for someone who has completed an inpatient stay and is looking to continue their growth in recovery. Outpatient is not meant to be the starting point, it is commonly referred to as aftercare.
Inpatient Residential treatment programs are those that offer housing and meals in addition to substance abuse treatment. Rehab facilities that offer residential treatment allow patients to focus solely on recovery, in an environment totally separate from their lives. Some rehab centers specialize in short-term residential treatment (a few days to a week or two), while others solely provide treatment on a long-term basis (several weeks to months). Some offer both, and tailor treatment to the patient's individual requirements.
Intensive Outpatient Intensive Outpatient Programs (IOP) are for those who want or need a very structured treatment program but who also wish to live at home and continue with certain responsibilities (such as work or school). IOP substance abuse treatment programs vary in duration and intensity, and certain outpatient rehab centers will offer individualized treatment programs.
12-Step 12 step programs provide accessible peer coaching for participants at all stages of their recovery journey. Meetings are peer-led, anonymous, free, and available multiple times per day in most communities. Participants also receive one-on-one mentoring by a self-selected sponsor. 12 step recovery is based on spiritual principles, which enable participants to understand their disease, accept responsibility for their choices, and relinquish control over that which is unchangeable. Religious affiliation isn't required and specialized formats are available.
Sober Living Homes A halfway house or recovery house is only a clean and sober environment, where recovering people can continue their recovery. The purpose of a halfway house, also called a recovery house or sober house, is generally to allow people to begin the process of reintegration with society, while still providing monitoring and support; this is generally believed to reduce the risk of recidivism or relapse when compared to a release directly into society.
Intervention Services If you think a loved one needs help with substance abuse, but they are not seeking treatment, it may be time for a drug intervention in Maryland. Intervention services can help you with this effort. During the intervention, loved ones share how their addiction-related behavior has affected them and encourage the individual to get treatment. The intervention specialist helps facilitate the conversation and explain how treatment can help.
Treatments
The goal of treatment for alcoholism is abstinence. Those with poor social support, poor motivation, or psychiatric disorders tend to relapse within a few years of treatment. For these people, success is measured by longer periods of abstinence, reduced use of alcohol, better health, and improved social functioning. Recovery and Maintenance are usually based on 12 step programs and AA meetings.
Once a person has become addicted to a substance, drug rehab in Maryland is often necessary to overcome that addiction. These programs provide the tools individuals need to manage the physical, mental, and emotional issues involved and begin a successful recovery journey.
A combined mental health and substance abuse rehab has the staff and resources available to handle individuals with both mental health and substance abuse issues. It can be challenging to determine where a specific symptom stems from (a mental health issue or an issue related to substance abuse), so mental health and substance abuse professionals are helpful in detangling symptoms and keeping treatment on track.
Opioid rehabs specialize in supporting those recovering from opioid addiction. They treat those suffering from addiction to illegal opioids like heroin, as well as prescription drugs like oxycodone. These centers typically combine both physical as well as mental and emotional support to help stop addiction. Physical support often includes medical detox and subsequent medical support (including medication), and mental support includes in-depth therapy to address the underlying causes of addiction.
Programs
Adult Program
Adult rehab programs include therapies tailored to each client's specific needs, goals, and recovery progress. They are tailored to the specific challenges adult clients may face, including family and work pressures and commitments. From inpatient and residential treatment to various levels of outpatient services, there are many options available. Some facilities also help adults work through co-occurring conditions, like anxiety, that can accompany addiction.
Program For Men
Men face specific challenges and concerns when seeking addiction treatment. Gender-specific recovery programs help them tackle these issues head-on in an environment that's focused, targeted, and distraction-free. It also gives them the opportunity to connect with and learn from other men who have been through a similar journey and can offer support for the next step.
Program For Women
Rehabs for women provide a safe, nurturing space for female clients to heal. These treatment programs consider the specific obstacles that women can face during recovery and place a special emphasis on mental, social, physical, and reproductive health. They explore how each woman's experience has shaped the trajectory of their substance use, addressing issues such as sexual abuse and past trauma.
Young Adult Program
Young adulthood can be an exciting, yet difficult, time of transition. Individuals in their late teens to mid-20s face unique stressors related to school, jobs, families, and social circles, which can lead to a rise in substance use. Rehab centers with dedicated young adult programs will include activities and amenities that cater to this age group, with an emphasis on specialized counseling, peer socialization, and ongoing aftercare.
Military Program
Serving in the military is both mentally and physically challenging, and can result in trauma that persists even after combat ends. Military programs are tailored to the specific and often complex needs of active duty personnel, veterans, and military families. Clients often access these programs through the U.S. Department of Veterans Affairs (VA).
Postpartum Program
The postpartum period is a sensitive time, especially for women in addiction recovery. Rehabs with specialized programs for new mothers will offer compassionate, personalized care to meet each client's needs as they transition from pregnancy to this season of life. Care teams may include obstetricians, pediatricians, and social workers working collaboratively to give women, children, and families a healthy future.
Clinical Services
Cognitive behavioral therapy in Maryland emphasizes your current life rather than what has happened in the past. Your therapist will help you develop methods to deal with current and future challenges so you can cope in healthy ways that don't involve substances.
During dialectical behavior therapy sessions, you'll review the challenges you faced the previous week and the feelings you experienced during those times. You and your therapist will engage in problem solving, discussing how you can handle those situations in the future for a better outcome. This involves keeping a diary throughout the week to track your emotions.
Group counseling is a form of therapy, which posits that people benefit from shared experiences. Usually group counseling is focused on a particular issue, for example obsessive-compulsive disorder or anger management. One of the main principals behind group counseling is the idea that dealing with specific issues may cause isolation, and a feeling that one is alone in facing one’s problems.
Individual counseling is a collaborative process in which a unique, confidential helping relationship is developed between a counselor and a willing client (student/Client). In this relationship, the professional counselor acts as a facilitator to help the client to understand more accurately his/herself and the world around him/her.
Four key principles guide motivational interviewing. These are empathy, self efficacy, rolling with resistance, and developing discrepancy. These techniques allow the client to examine their motivations for change, identify discrepancies in their current situation and future goals, and feel empowered to make changes to reach their goals.
The focus of trauma therapy is to heal the emotional wounds that occurred when you witnessed or experienced a traumatic event. Therapy helps you process this trauma emotionally and mentally so you develop healthier coping skills and improve your quality of life.
When you participate in couples therapy, you learn how to understand each other better, improve your communication skills, resolve conflict, and improve relationship satisfaction. Your therapist will help you develop skills in each of these areas to strengthen your relationship.
Families in Maryland address the impact of addiction during family therapy. Your therapist fosters open communication between family members to help resolve conflicts and create a supportive environment. By improving relationships, you aid the recovery of the individual struggling with addiction.
Accreditations
The Commission on Accreditation of Rehabilitation Facilities (CARF) is a non-profit organization that specifically accredits rehab organizations. Founded in 1966, CARF's, mission is to help service providers like rehab facilities maintain high standards of care.
CARF Accreditation: Yes
The Joint Commission, formerly known as JCAHO, is a nonprofit organization that accredits rehab organizations and programs. Founded in 1951, the Joint Commision's mission is to improve the quality of patient care and demonstrating the quality of patient care.
Joint Commission Accreditation: Yes
Contact Information
(410) 462-6001 
800 North Fulton Avenue
Baltimore, MD 21217
Get Help Now - 800-985-8516
Who Answers?
Who Answers?
Fact checked and written by:
Terri Beth Miller, PhD
Edited by:
Quentin Blount
