Roughly nine clinical hours a week of structured group therapy, individual counseling, and case management. Your job, your housing, and your family stay where they are. Medication-assisted treatment runs inside the program, not as a separate referral. We aim to put you in front of a medical provider within 24 hours of your call.
An intensive outpatient program is structured therapy at clinical intensity, usually around nine hours a week, run during the day or evening so people can keep working, parenting, and living at their own address. It is the step below residential treatment and the step above standard outpatient therapy. For most people in recovery from opioid, alcohol, or stimulant use, this is the right level of care.
At Enso, IOP runs three days a week. You come in for group, you meet with your individual counselor weekly, and your case manager handles the practical work around identification, MaineCare enrollment, housing, and benefits. If MAT is part of your plan, your medical provider prescribes it the same week and the team monitors it together. You can be on Suboxone®, Sublocade®, Brixadi®, or Vivitrol® and be in IOP. Your medication is never a reason you cannot participate.
Enso is MARR-certified (Maine Association of Recovery Residences) and operates outpatient clinics in Augusta and Sanford. Narcan is stocked in both offices and given to anyone who asks. One team, one roof, one plan.
Residential treatment is 24-hour care inside a facility. IOP is roughly nine clinical contact hours a week while you live at home or in one of our recovery residences. Standard outpatient therapy (OPT) is one to two hours a week, typically the step-down once IOP has done its job.
About 40% of our MAT clients are on a long-acting injectable. Read the MAT page for the full medication menu and how the prescribing team works alongside the IOP clinical team.
Find out if IOP is the right level for you.
No screening gate, no triage waitlist, no insurance walls. Admissions reviews your situation directly, including MaineCare, court paperwork, MAT status, and work schedule, then books an assessment with a medical provider, normally within 24 hours.
Recovery at Enso is a combination of housing, medication, and clinical contact. Each part of the process has an assigned person on our team responsible for it. None of your plan involves a third party.
Structured group sessions focused on relapse prevention, emotional regulation, and life skills. Smaller groups, real conversation, no canned curriculum. This is where most of the clinical work actually happens.
A weekly hour with your therapist to work through what is driving use, including co-occurring depression, anxiety, PTSD, and trauma. Telehealth is available at both clinics so a session does not force a missed shift.
Identification, MaineCare enrollment, housing search, benefits, transportation, court documentation, employment leads. Your case manager handles the real-life infrastructure so clinical work is not happening on top of unresolved logistics.
Weekly individual counseling can be delivered by telehealth at Augusta and Sanford to accommodate work and travel. Group sessions and medical visits remain in person, which is the configuration the clinical evidence supports for outcomes and engagement.
Narcan is stocked at both clinics and handed to anyone who asks. Harm reduction is clinical practice here, not stigma management.
MAT is not replacing one drug with another. It treats opioid use disorder and alcohol use disorder so the therapy and the case management can take hold. Roughly 40% of our MAT clients are on a long-acting injectable. Sublocade® and Brixadi® remove the daily decision to stay in recovery, eliminate the diversion risk associated with take-home prescriptions, and are reimbursed at rates the state and federal payors actively incentivize.
You can be on Suboxone®, Sublocade, Brixadi, or Vivitrol® and be in IOP at Enso. You are never required to be abstinent from prescribed MAT to participate. Your prescriber and your therapist are on the same team in the same building, so the medication plan and the clinical plan stay aligned.
IOP is designed for the working-class resident and the person who’s been told regular programs won’t work for them.
You want to stay in your job, your housing, and your family while you do this.
You’re stepping down from residential treatment or detox and need continuity.
You’re stepping up from once-a-week outpatient that is not holding.
You have MaineCare, Medicare, private insurance, or no insurance at all.
You’re on prescribed MAT or starting it and want it integrated with therapy.
You’re coming back from a county jail and need continuity on the outside.
You have co-occurring depression, anxiety, or trauma alongside substance use.
A probation officer, a judge, or a family member pushed you toward treatment.
For many of our clients, recovery starts inside a county jail through the in-facility MAT program Enso helped pioneer in Maine. Upon release, we run a warm handoff straight into IOP and, when needed, into one of our recovery residences. That continuity is built to close the 72-hour post-release window where relapse and recidivism are most likely.
Our model is built around medication compliance, retention, and stability data that referring partners can verify. The same team manages medication and clinical contact, so you are not coordinating between two providers. Reach admissions directly at (207) 245-1800.
From your first call to your first group, we move as fast as clinical safety allows.
Admissions answers Monday through Friday, 8:00 AM to 4:30 PM. After hours, we call you back the next business day. No triage gate. No waitlist. Referring partners go to the same number.
A full medical and clinical intake, targeted within 24 hours. Insurance verification and an OHH or STR funding path if you are uninsured. Nobody is turned away for financial reasons.
Group schedule, individual counseling, MAT decisions, case management priorities, housing if needed. Built around what you can realistically sustain, not the program’s template.
Three days a week of structured group, your first individual session within seven days, MAT in place by visit two when clinically indicated. Cadence steps down as you stabilize.
Yes. We accept all MaineCare and Medicaid plans, including the long-acting injectables we prescribe inside the program. MaineCare covers IOP and MAT in full, with no out-of-pocket on medication management for plans in good standing. Our case managers handle any prior-authorization steps and Medicaid enrollment if you are not already covered.
Yes. We specialize in MAT and lead the state in long-acting injectables. Roughly 40% of our MAT clients are on Sublocade or Brixadi. Your medication is prescribed and monitored by our medical providers as part of your IOP plan, and you are never required to be abstinent from prescribed MAT to participate.
IOP at Enso typically runs about nine clinical contact hours per week, spread over three days, with a weekly individual counseling hour on top. Schedules vary based on the individualized plan and what your medical and clinical team thinks the right cadence is for you.
Yes. A significant share of our IOP clients are justice-involved, often arriving directly from county jail through the in-facility MAT program Enso helped pioneer in Maine. We work with probation officers, judges, and case managers to show how the client is doing and verify they are staying on track. The warm-handoff from incarceration to outpatient is a service we built the program around.
IOP is the more intensive level of care, with multiple group sessions per week plus individual counseling, case management, and integrated MAT. Outpatient therapy is typically one to two hours of clinical contact per week and is most often the step-down phase once a client has stabilized. Many people move from IOP to OPT as their recovery progresses.
Weekly individual counseling can be delivered by telehealth at both Augusta and Sanford to accommodate work schedules and travel. Group therapy and medical visits remain in person, which is the configuration the clinical evidence supports for retention and outcomes.
No. Active use is not a barrier to enrolling. Your clinical intake captures where you actually are, and the plan starts from there. For people on opioids, MAT induction can happen during the first week. For alcohol or stimulants, the plan is built around your specific situation. Nobody is screened out for relapsing.
You stay in treatment. A relapse is clinical information, not a discharge trigger. Your plan adjusts, the cadence often tightens, and the team works the stressor that drove the relapse. We do not discharge people for relapsing.
IOP runs about nine hours a week across three days, scheduled around work. Fill out the form to book a medical assessment, usually within 24 hours. Referring partners can use the form or call intake directly.
