Outpatient therapy and psychiatric medication management under one medical team, one chart, and one prescriber. About one to three hours a week. The right level of care for people starting at this level and for clients stepping down from intensive treatment. Augusta and Sanford.
Outpatient therapy is roughly one to three clinical contact hours a week, run during the day, evening, or by telehealth so people can work, parent, and live where they live. It is the step below IOP and the long-arc level of care for people who have already done the harder intensive work. For others, it is the right starting level.
At Enso, outpatient is weekly individual therapy, regular visits with the medical prescriber, integrated MAT continuity, and psychiatric medication management for the depression, anxiety, PTSD, and trauma that frequently sit alongside substance use. The same medical team handles both sides. You are not coordinating between an addiction provider and a separate psychiatrist.
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.
Stepping down to OPT does not mean stepping off medication. Roughly 40% of our MAT clients are on a long-acting injectable. Read the MAT page for the full medication menu.
One intake. Therapy, MAT, and mental health medications under one team.
Suboxone®, Sublocade®, Brixadi®, and Vivitrol® on the addiction side. Antidepressants, anti-anxiety, and trauma-informed prescribing on the mental health side. Same prescriber, same chart, MaineCare accepted.
The whole point of stepping down is sustainability. Cadence eases without the clinical work disappearing. You’re assigned one person on our team for each part of your care.
A weekly hour with your therapist. Work through what is actually driving use, plus the co-occurring depression, anxiety, PTSD, and trauma sitting beside it. Telehealth available at both clinics so a session does not force a missed shift.
Ongoing MAT prescribing and monitoring with the same medical provider who started you. Suboxone®, Sublocade®, Brixadi®, and Vivitrol® all continue at the step-down level. Cadence usually monthly once you stabilize, more often when clinically warranted.
Psychiatric medications for depression, anxiety, PTSD, trauma, and co-occurring conditions, prescribed and monitored by our medical team. Mental health stabilization runs alongside addiction treatment, not as a separate referral.
Weekly individual counseling can be delivered by telehealth at Augusta and Sanford to accommodate work and travel. Medical visits remain in person, which is the configuration the clinical evidence supports for medication safety and engagement.
Narcan is stocked at both clinics and handed to anyone who asks. Harm reduction is clinical practice here, not stigma management.
Suboxone®, Sublocade®, Brixadi®, and Vivitrol® all continue at the OPT level. Many clients move from IOP to OPT with their prescription unchanged. Roughly 40% of our MAT clients are on a long-acting injectable, and the monthly injection cadence pairs naturally with the lower clinical-contact level of OPT.
You’re never required to be abstinent from prescribed MAT to be in OPT. Your prescriber and your therapist are on the same team, in the same building, sharing one chart. Medication compliance and clinical progress get reviewed together instead of being handed off between providers.
Depression, anxiety, PTSD, and trauma do not wait their turn behind substance use. They drive it. Treating both at once is the difference between recovery that sticks and recovery that does not.
Depression, generalized anxiety, panic disorder, PTSD, complex trauma, bipolar spectrum, ADHD, and other co-occurring mental health conditions that frequently appear alongside opioid, alcohol, and stimulant use disorder.
A medical provider, normally within 24 hours. Full history, current symptoms, current medications. Lab work if it changes the prescribing picture.
Medication chosen for your specific history, symptoms, and recovery goals, not for what a default formulary would call for. SSRIs, SNRIs, mood stabilizers, non-stimulant ADHD agents, trauma-informed prescribing where indicated.
Talk therapy runs alongside, not after. The medication eases the floor so the therapy can do the actual work. Same building, same chart, same team.
Prescriber visits adjust the regimen as you move through the recovery arc. Dose changes, additions, tapers. Mental health stabilization is treated as continuous care, not a one-shot scrip.
Outpatient is built for the working-class resident, the family member doing the rebuilding, and the client who has been told the system does not work for them.
You finished IOP or residential and need the next level down.
You’re stable on MAT and want a maintenance cadence that fits work.
You’re starting at a lower acuity and IOP is more than you need.
You have co-occurring depression, anxiety, PTSD, or trauma that needs prescriber care.
You have MaineCare, Medicare, private insurance, or no insurance at all.
You’re coming back from a county jail and the structured arc still applies.
A probation officer, a judge, or a family member is part of how you got here.
You want one team handling MAT, therapy, and mental health treatment.
For people who began their recovery inside a county jail through the in-facility MAT program Enso helped pioneer in Maine, OPT is the next level of care after IOP. Same prescriber, same therapist, same warm handoff continuing forward.
The same team verifies medication compliance, retention, and clinical engagement. Reach admissions directly at (207) 245-1800. Referring partner details.
Families call us to ask the first question when a loved one is not ready to call themselves. We answer it. No commitment. Family resources.
From your first call to your first session, 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 use 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.
Weekly counseling cadence, prescriber visit schedule, MAT decisions, psychiatric medication decisions if relevant. Built around what you can realistically sustain, not the program’s template.
First individual session within seven days. MAT continuity in place by visit two when the doctor decides it is the right time. Cadence steady, not escalating. Step-up to IOP available if the situation calls for it.
Yes. We accept all MaineCare and Medicaid plans, including coverage for long-acting injectables prescribed at the OPT level. MaineCare covers outpatient therapy, MAT, and psychiatric medication management in full for plans in good standing. Our case managers handle prior-authorization steps.
No. We specialize in medication-assisted treatment and lead the state in long-acting injectables. MAT continues seamlessly at the OPT level, prescribed by the same medical provider who managed it during your higher-intensity care. You are never required to be abstinent from prescribed MAT.
IOP is the more intensive level of care, with multiple group sessions per week plus individual counseling, case management, and integrated MAT, around nine clinical contact hours weekly. OPT is one to three hours a week, focused on individual counseling and prescriber visits. Most clients step down from IOP to OPT as they stabilize.
Depression, generalized anxiety, panic disorder, PTSD, complex trauma, bipolar spectrum disorders, ADHD, and other co-occurring mental health conditions that frequently sit alongside opioid, alcohol, and stimulant use disorder. Medication is prescribed and monitored by our medical providers as part of your overall recovery plan, not as a separate referral.
Our goal is a full clinical evaluation with a medical provider (MD or NP) within 24 hours of your first call. Admissions answers Monday through Friday, 8:00 AM to 4:30 PM. Outside those hours we call you back the next business day.
Yes. Weekly individual counseling is available by telehealth at both Augusta and Sanford to help fit recovery around work and family obligations. Prescriber visits and medication management visits remain in person, which is the configuration the clinical evidence supports for medication safety and engagement.
Yes. We work closely with probation officers, judges, and case managers to show how clients are doing and verify they are staying on track. For clients exiting county jail through the in-facility MAT program Enso helped pioneer, OPT is the long-arc continuation after IOP.
You move up. Stepping up to IOP is part of the design, not a failure. Same team, same chart, more clinical contact for as long as the situation calls for it. We do not discharge for needing more care.
Outpatient is one to three hours a week, with the prescriber and therapist on one chart. Fill out the form to start, or to step down from a higher level of care. Referring partners can use the form or call intake directly.
