First Step Maryland Reviews, Cost, Complaints
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First Step Maryland


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Founded in 1971, First Step of Maryland offers outpatient and Intensive Outpatient (IOP) treatment for adolescents and adults seeking recovery from drug and alcohol addiction. Treatment at First Step includes evidence-based practices and treatment for dual diagnosis. The 12 steps are not a part of treatment.

Treatment and Staff

Upon arrival, clients are given an assessment that surveys their addiction and psychological history with an LADC. From this, an individualized treatment plan, implementing a variety of therapeutic modalities that best suit the client’s needs, is created. This process helps determine whether the client is best suited for the standard outpatient program or the IOP.

All clients may participate in individual or group counseling. Those in the standard outpatient program may just be interested in one-on-one therapy, and this is fine if it meets the client’s needs and goals. Group sessions use CBT, DBT, Motivational Interviewing (MI), relapse prevention, drug and alcohol education, stress and anger management and process groups where clients discuss any problems that are occurring in their lives.

Gender-specific groups are available to those who wish to recover without the distraction of the opposite sex. Both male and female counselors work at First Step to facilitate these gender-specific groups.

Those in the standard outpatient program typically meet for hour-long group sessions, in addition to a 30-minute individual session. This, too, can be modified if clients feel they need more time. Clients in the IOP meet three times a week for three hours at a time. IOP sessions are held Mondays, Wednesdays and Thursdays from 11 am to 2 pm or Mondays, Wednesdays and Thursdays from 6 to 9 pm. Depending on how many clients are enrolled in the programs, some group times may not be offered.

For those with dual diagnosis, medication management with the Medical Director is available, though there can sometimes be a waiting list to get in to see the doctor. In these instances, clients are referred out to a psychiatrist.

Suboxone Treatment is offered for those struggling with opiate addiction. Those who enroll in this medication-assisted therapy will be given a physical at intake. Medication-assistance is performed under a doctor’s care, and is an outpatient process. Those taking Suboxone are required to attend the outpatient or IOP.

Group sizes at First Step vary depending on enrollment. Some groups can be as small as five and some as large as 20. There are approximately eight clients to every staff member. Each client is assigned his or her own counselor who not only facilitates one-on-one sessions but also makes sure goals are met.


Family counseling is offered as part of treatment for clients. Staff members at First Step encourage family members to participate in clients’ recovery through one-on-one sessions or group therapy sessions. Part of the family program centers on addiction education and also facilitates conversations between the client and family members in a safe environment.

In Summary

For Maryland clients who are looking for a evidence-based, outpatient program, First Step may be a good fit. It’s an especially good choice for those with dual diagnosis and those needing medication-assistance for withdrawal. Through flexible scheduling, clients can still maintain their outside life during recovery.

First Step Maryland Locations

First Step Maryland – Cockeysville
10400 Ridgland Road
Cockeysville, MD 21030

First Step Maryland – Reisterstown
100 Owings Court – Suite 8
Reisterstown, MD  21136

First Step of Maryland Cost

Sliding scale (30 days). Reach First Step of Maryland by phone at Cockeysville (40) 628-6120, Reisterstown (410) 526-7100 or by email at [email protected]. Find First Step of Maryland on Facebook

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