Mount Regis Center, a regional substance abuse treatment facility, commissioned Hughes Associates A&E to reconfigure their center in order to increase privacy, reduce conflict among residents, and improve care. Placing modern medical services into an older wood frame building was a challenge not only due to low ceilings and age-sloped floors, but also because the structure did not comply with current life safety codes. Our design arranged resident intake and nursing counselor work stations to improve staff-resident interactions and reduce stress for incoming patients. Medication distribution security was redesigned to prevent theft and reduce the potential for abuse. We worked with the owner to phase construction so that the work could be accomplished without interruption to daily operations.