Outpatient medical and behavioral treatment in Augusta and Sanford, Maine. MAT prescribed in-house for opioid use disorder. Behavioral therapy and case management for stimulant and polysubstance use, plus housing, identification, and benefits. We don’t run an insurance-dictated discharge clock and we don’t discharge people for relapsing.
Enso treats drug addiction at the outpatient and intensive outpatient levels of care. Higher acuity presentations requiring inpatient or partial hospitalization need a higher level of care; we’ll refer when that’s the right next step.
Medication-assisted treatment is the clinical anchor. Suboxone® (buprenorphine with naloxone) and Subutex® (buprenorphine) for daily dosing. Sublocade® and Brixadi® for long-acting monthly or weekly injection. Vivitrol® (naltrexone) for clients who prefer an opioid blocker. About 40% of our MAT clients are on a long-acting injectable.
There’s no approved pharmacotherapy for stimulant use disorder, so treatment is behavioral. CBT, contingency management approaches, and IOP-level group therapy for relapse prevention. Psychiatric medication management for the depression and anhedonia that frequently follow stimulant use.
Treatment is sequenced and integrated. MAT for the opioid component when present. Behavioral therapy for the rest. Benzodiazepine taper protocols when needed. The clinical plan accounts for the whole picture, not one substance at a time.
The most common presentation in our population. Same medical team handles MAT and psychiatric medication management on one chart. Mental health is treated as primary, not as an adjunct to addiction work. Same prescriber, same plan.
Active use is not a barrier to enrolling.
Our clinical intake captures where you actually are, and the plan starts from there. For opioids, MAT induction can happen in the first week. MaineCare accepted. No screening gate, no waitlist.
Enso was the first program in Maine to bring medication-assisted treatment inside county jails. Sentenced clients begin MAT behind bars. On release, the same team picks them up at the outpatient clinic the same day or the next, with the prescription continuing and the IOP slot already held.
That warm handoff closes the 72-hour post-release window where overdose and relapse risk are highest. For clients without stable housing, our MARR-certified recovery residences in Augusta and Sanford absorb the housing question so it’s not the thing that derails the rest of the plan.
Trackable outcomes for probation officers, judges, case managers, and the referring jail clinical staff. One team, one chart, one set of progress notes that referring partners can verify.
No. Active opioid, stimulant, alcohol, or polysubstance use is not a barrier to starting at Enso. The clinical intake captures where you actually are, and the plan starts from there. For opioids, MAT induction can happen within the first week. For stimulants, behavioral treatment begins immediately. You won’t be turned away for being in active use.
Yes. We accept all MaineCare and Medicaid plans, including coverage for long-acting injectables like Sublocade® and Brixadi®. MaineCare covers MAT, IOP, outpatient therapy, and case management in full for plans in good standing. Our case managers handle prior-authorization steps.
No. Enso is an outpatient program. We don’t provide medically-supervised inpatient detox or 24-hour residential care. For clients who need that level of care, we can refer and pick up the work afterward. For most opioid use disorder presentations, MAT induction at the outpatient level is the appropriate and evidence-supported path; full inpatient detox is rarely required and isn’t the standard of care.
Yes. MAT and IOP are designed to work together at Enso. Your medication is prescribed by the same team running your IOP clinical work, and the prescriber and your therapists share a chart. You are never required to be abstinent from prescribed MAT to participate in IOP or outpatient therapy.
Our goal is a full clinical evaluation with a medical provider (MD or NP) within 24 hours of your first call. Our admissions counselors answer Monday through Friday, 8:00 AM to 4:30 PM, and call back the next business day for off-hours messages. No referral required.
For clients exiting a county jail where Enso runs the in-facility MAT program, the warm handoff is set up before release. Same medical team, prescription continuity, IOP slot held, recovery residence placement when needed. Call admissions or have your jail clinical contact call us directly to confirm the release date and the handoff window.
You stay in treatment. A relapse is clinical information, not a discharge trigger. Your plan adjusts: visit cadence usually tightens, the medical team revisits the medication picture, the therapist works the stressor that drove the relapse. We don’t discharge people for relapsing.
Yes. Polysubstance use is one of the most common presentations we see, and the clinical plan is built to handle it. MAT for any opioid component. Behavioral and clinical work for the rest. Benzodiazepine taper protocols when relevant. Co-occurring mental health treated alongside substance use, on the same chart.
No screening to pass, no waitlist, no referral required. Fill out the form and a medical assessment is usually booked within 24 hours. Rather call? Admissions can do the same by phone. MaineCare accepted.
