When navigating the journey of addiction recovery, understanding the different housing options available can make a significant impact on success. Two common choices are sober living homes & recovery residences, but they serve different purposes. In Maryland, the distinction is particularly important, especially when it comes to regulations—specifically, whether certified recovery homes are required to accept individuals on Medication-Assisted Treatment (MAT).
Sober Living Homes vs. Recovery Residences
While the terms are often used interchangeably, there are key differences between sober living & recovery homes:
Sober Living Homes
• Offer a structured but less intensive environment than a treatment facility.
• Typically peer-run with rules around sobriety, curfews, & house responsibilities.
• Residents may or may not be engaged in formal treatment (such as outpatient rehab).
• Generally do not provide therapy, medical treatment, or clinical services on-site.
• Best suited for individuals who have completed treatment & are looking for a supportive environment to maintain their sobriety.
Recovery Residences
• Often more structured than sober living homes & may include some clinical oversight.
• Residents may have required programming, such as therapy, 12-step meetings, or life skills training.
• Can be certified by organizations like the Maryland Certification of Recovery Residences (MCORR).
• Usually require residents to participate in some form of treatment or recovery-based programming.
• Best for individuals early in recovery who still need support but don’t require inpatient treatment.
Do Certified Recovery Homes in Maryland Have to Accept MAT?
In Maryland, recovery homes that are certified by MCORR must allow residents to receive Medication-Assisted Treatment (MAT), such as Suboxone, Methadone, or Vivitrol. This aligns with federal & state policies that recognize MAT as an evidence-based, gold-standard treatment for opioid use disorder.
However, non-certified recovery residences & sober living homes do not have to accept individuals on MAT. Some homes—especially abstinence-based or 12-step-focused ones—may have policies prohibiting the use of medications for opioid or alcohol addiction.
Why This Matters
• Many people in recovery rely on MAT to maintain sobriety & reduce relapse risk.
• If a home does not accept MAT, individuals may face discrimination or limited housing options.
• MCORR certification ensures that residents have access to the full spectrum of recovery tools, including medication when necessary.
How to Find MAT-Friendly Recovery Housing in Maryland
If you’re looking for a certified recovery residence that accepts MAT, you can:
1. Check the MCORR Directory – MCORR maintains a list of certified recovery residences in Maryland.
2. Ask Directly – Always confirm with the housing provider if they allow MAT before applying.
3. Look for State/Federal Funding – Homes that receive state or federal funding are often required to be MAT-friendly.
Final Thoughts
Choosing the right housing during recovery is crucial. If MAT is part of your treatment plan, make sure you seek a certified recovery home that respects and supports evidence-based treatment. Understanding the differences between sober living and recovery residences can help you or your loved one find the right environment for long-term success.
For more resources on certified recovery housing in Maryland, visit the Maryland Behavioral Health Administration (BHA) or MCORR website.
