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Treatment in North Carolina

North Carolina
6 Minute Read | Published Oct 12 2023 | Updated Nov 28 2023

Alcoholism, Drug Abuse, Mental Health, and Treatment in North Carolina

North Carolina Summary:

Like many states across the nation, prescription drug addiction is a major issue in North Carolina. The state also has a higher-than-average overdose death rate. The majority of these deaths involve prescription opioid pain relievers like methadone, oxycodone, fentanyl and morphine. North Carolina also has significant rates of the use of drugs like cocaine and marijuana.

Despite the concerning rate of addiction and drug use in the state, North Carolina has some of the best rehab centers and treatment facilities for substance abuse recovery in the country. There are a number of adventure-based, outdoor-focused treatment centers that provide an alternative to traditional rehab methods. In North Carolina, there are an array of both luxury and payment-assisted rehab facilities.

Quick North Carolina statistics:

  • North Carolina state population: 10 million
  • Estimated number of adults age 12 and over in North Carolina who abuse or are dependent on illicit drugs: 350,000
  • Roughly 5% of adult residents in the state have a serious mental illness
  • Heroin use and prescription opiate drug abuse is a serious problem in North Carolina. Other commonly abused drugs include cocaine, marijuana and alcohol

Alcoholism in North Carolina

Roughly half a million people in North Carolina suffer from alcohol addiction or have an alcohol abuse problem. Over one million people in the state report engaging in binge drinking over a one-month period. According to data from 2012, an estimated 1.4% of residents report driving after drinking too much, which is less than the national average of 1.9%. 

In North Carolina, there are many treatment centers for residents struggling with alcohol abuse or addiction. 

Real Recovery in Asheville is a private, luxury rehab center that serves as an adventure-based sober living house for young men ages 18 to 28. The facility includes four homes on a seven-acre property surrounded by the Blue Ridge Mountains. Real Recovery is centered around an outdoor recovery program that incorporates activities like skiing, snowboarding, ziplining, hiking and fly fishing. Real Recovery seeks to provide a drug-free, active lifestyle alternative for young men dealing with alcoholism and substance abuse.

For those seeking a payment-assisted option for rehab, Dixon Social Interactive Services in Greenville specializes in treatment for alcohol, drug and substance abuse. Dixon Social Interactive Services has a comprehensive outpatient treatment program for adults who require structure and support for recovery, which includes help with developing a social support network and vocational skill building. The facility also has designated intensive outpatient programs for pregnant women, mothers, those with mental health disorders, and individuals with HIV.

Drug Abuse in North Carolina

In North Carolina, four cities rank in the top 25 of the worst cities in the U.S. for opioid abuse. The worst city in America for opioid abuse is Wilmington, with Hickory, Jacksonville and Fayetteville also reporting high instances of opiate use and prescription drug addiction. Heroin deaths in North Carolina have also increased significantly in recent years. 

North Carolina offers a wide variety of rehab facilities for drug abuse and addiction, including both luxury treatment centers and payment-assisted clinics. 

Located in Mills River (outside of Asheville), Silver Ridge is a private, luxury rehab center that offers a clinically integrated, holistic program for recovery. In addition to traditional therapy methods, Silver Ridge provides many different types of treatment, including yoga, acupuncture, horticultural therapy and Equine-Assisted Therapy (EAT), which involves interactions with horses. Silver Ridge focuses on serving patients in midlife, who may be experiencing changes in health, career highs and lows and significant shifts in personal and family relationships. 

Walter B Jones - Alcohol and Drug Abuse Treatment is a payment-assisted facility in Greenville that provides treatment for individuals with substance abuse and other co-occurring mental health diagnoses. The treatment center offers medically-assisted detox and Methadone Maintenance Treatment (MMT), which is the use of methadone as a substitute for someone addicted to opioids such as heroin, codeine, Oxycontin or Vicodin. The Walter B Jones facility accepts Medicaid and Medicare and has other state-financed treatment payment options.

Mental Health in North Carolina

According to data from 2009 to 2013, an estimated 5% of adults age 18 and over in North Carolina have a serious mental illness. Over half of North Carolina residents with a mental health problem do not receive treatment. 

In addition to providing treatment for drug and alcohol addiction, Silver Ridge also caters to those with co-occurring mental health problems and substance abuse issues. The facility’s luxury accommodations allow patients to undergo recovery in a serene, spa-like location. Silver Ridge provides a number of therapeutic practices to address underlying issues that contribute to substance abuse and mental illness. 

Novant Health Thomasville Medical Center is a payment-assisted facility in the city of Thomasville (located southwest of Greensboro). Novant Health specializes in the treatment of mental health issues such as clinical depression, anxiety disorders, bipolar disorder and schizophrenia. The center is open to adults, adolescents and children and has bilingual (Spanish-speaking) therapists and staff. Novant Health also has an LGBT Outstanding program and special programs for patients with HIV and AIDS.

What are the best drug rehab centers in North Carolina?

Due to the beauty of places like Asheville, Wilmington and Charlotte, North Carolina has quite a few rehab centers that provide high-quality treatment for substance abuse in a relaxed, natural environment. 

One of these top-rated treatment facilities is Four Circles Recovery Center outside of Asheville, an adventure-based program for men and women ages 18 to 28. Located on a secluded property in the Blue Ridge Mountains, Four Circles offers experiential wilderness therapy for young adults facing addiction, substance abuse and co-occurring emotional or behavioral issues. As part of the program, young adults participate in outdoor excursions such as hiking, rock climbing and fly fishing. Four Circles is known for its impressive recovery rate and serves an alternative to traditional rehab centers. 

Located on the shoreline of the Outer Banks, Two Dreams Drug and Addiction Treatment is a rehab facility in Corolla that provides a tranquil, picturesque setting for recovery. Two Dreams has a limit to the number of patients it treats at a time, creating a small and intimate setting where those struggling with addiction can receive individual, personalized care. While in treatment at Two Dreams, patients can partake in many type of outdoor activities, including beach walks, surfing and wild horse watching.

How do you talk to a drug addict about getting help and going to rehab?

For family, friends and loved ones, talking to someone who is struggling with drug or alcohol addiction can be challenging. Those addicted to substances like heroin, prescription drugs, cocaine or marijuana may be unable or unwilling to admit that they have a problem and need help. It’s not uncommon for an addict to deny or downplay their drug use, which can make talking about rehab a very hard thing to do.

However, there are many rehab centers and organizations that offer Intervention Services for those seeking to stage an intervention. Intervention Services can include a trained intervention specialist who is present when family and friends decide to stage an intervention. Intervention specialists can serve as a mediator and also help the addict discuss possible treatment options. 

When planning an intervention, it’s important to research treatment options and rehab facilities in advance, so that you can discuss these with your friend or family member who is suffering from substance abuse. If you’re worried that an intervention may trigger a violent reaction on the part of the addict, consult a professional intervention specialist prior to the event. 

North Carolina: Looking Ahead 

North Carolina is currently making efforts to combat its heroin and prescription drug abuse problem, which is statewide. The University of North Carolina has recently launched an initiative to help provide rural counties with resources and new medicines to treat opioid addiction. State legislatures are also pushing to make behavioral health services a top priority, in order to provide greater access and improved care for mental health patients.

Due to the state’s coastal location and natural beauty, rehab centers in North Carolina have the opportunity to offer nontraditional treatment methods like wilderness programs and outdoor activities. In North Carolina, resources and services for drug and alcohol addiction are readily available. 

Treatment Centers And Meetings in North Carolina

Treatment Centers
Substance Abuse Carteret Counseling Services 105 North 10th Street
105 North 10th Street, Morehead City, North Carolina, 28557
Outpatient Treatment
Self-payment options
Substance Abuse Addiction Services of Coastal Carolina
112 Courthouse Plaza, Kenansville, North Carolina, 28349
Outpatient Treatment
Self-payment options
Substance Abuse Winston Psychiatric Associates
125 Ashleybrook Square, Winston-Salem, North Carolina, 27103
Outpatient Treatment
Self-payment options
Mental Health Eleanor Health Raleigh
12740 Spruce Tree Way, Raleigh, North Carolina, 27610
Outpatient Treatment
Medicaid and Medicare accepted
Substance Abuse Pride in North Carolina
1400 West Church Street, Elizabeth City, North Carolina, 27909
Outpatient Treatment
Medicaid and Self-payment options
Substance Abuse Easter Seals UCP
1503 Wayne Memorial Drive, Goldsboro, North Carolina, 27534
Outpatient Treatment
Grants and Private Insurance accepted
Mental Health Atrium Health Behavioral Health - Davidson Behavioral Health
16740 Davidson Concord Road, Davidson, North Carolina, 28036
Inpatient Treatment
Medicaid and Medicare accepted
Mental Health Foundation Strong
1677 Banbridge Road, Kernersville, North Carolina, 27284
Outpatient Treatment
Medicaid and Self-payment options
Substance Abuse Chatham Recovery
1758 East 11th Street, Siler City, North Carolina, 27344
Outpatient Detox and Treatment
Self-payment options
Substance Abuse Neurology and Pain Management Center
180 Magnolia Square Court, Aberdeen, North Carolina, 28315
Outpatient Treatment
Grants and Private Insurance accepted
Substance Abuse William C. Bowens MD
1825 West City Drive, Elizabeth City, North Carolina, 27909
Outpatient Treatment
Self-payment options
Mental Health RHA Hilltop
189 Samaritans Ridge Road, Elkin, North Carolina, 28621
Outpatient Treatment
Medicaid and Medicare accepted
Mental Health Sophia B. Pierce Associates - Stanberry Place
1909 Stanberry Street, Fayetteville, North Carolina, 28301
Outpatient Treatment
Medicare, Medicaid and Self-payment options
Substance Abuse Start Fresh Treatment Center
20 Medical Campus Drive, Supply, North Carolina, 28462
Outpatient Treatment
Self-payment options
Substance Abuse RHA Behavioral Health NC
2003 Goodwin Avenue, Lumberton, North Carolina, 28358
Outpatient Treatment
Private Insurance
Substance Abuse Lechris Health Systems of Greenville
2050 Eastgate Drive, Greenville, North Carolina, 27858
Outpatient Treatment
Self-payment options
Mental Health A Better Way Residential Services
220 Calvin Road, Shannon, North Carolina, 28386
Outpatient Treatment
Private Insurance
Substance Abuse Carolina Assessment and Treatment Services
222 Cotanche Street, Greenville, North Carolina, 27858
Outpatient Treatment
Self-payment options
Substance Abuse Eastern Physical Medicine and Rehabilitation
2245 Stantonsburg Road, Greenville, North Carolina, 27834
Outpatient Treatment
Grants and Private Insurance accepted
Substance Abuse Addiction Services of Coastal Carolina
230 New Bridge Street, Jacksonville, North Carolina, 28540
Outpatient Treatment
Self-payment options
Substance Abuse Bradford Associates NC
250 Magnolia Square Court, Aberdeen, North Carolina, 28315
Outpatient Treatment
Private Insurance
Substance Abuse Trinity Behavioral Health
2716 Troxler Road, Burlington, North Carolina, 27215
Outpatient Treatment
Medicaid and Medicare accepted
Substance Abuse Continuum Care Services
2783 Highway 68 South, High Point, North Carolina, 27265
Outpatient Treatment
Medicare, Medicaid and Self-payment options
Substance Abuse RHA Behavioral Health NC
310 North Main Street, Lexington, North Carolina, 27292
Outpatient Treatment
Medicaid and Medicare accepted
Substance Abuse Flynn Fellowship Home of Gastonia
311 South Marietta Street, Gastonia, North Carolina, 28052
Outpatient Treatment
Private Insurance
Substance Abuse Piedmont Counseling Services
315 Hughes Street, Greensboro, North Carolina, 27401
Outpatient Treatment
Self-payment options
Substance Abuse Richard Kuehn and Associates
3215 Guess Road, Durham, North Carolina, 27705
Outpatient Treatment
Self-payment options
Substance Abuse Community Based Developmental
3274 Rosehill Road, Fayetteville, North Carolina, 28301
Outpatient Treatment
Private Insurance
Mental Health Morse Clinic of Asheboro
350 North Cox Street, Asheboro, North Carolina, 27203
Outpatient Treatment
Private Insurance
Substance Abuse RHA Health Services
356 Biltmore Avenue, Asheville, North Carolina, 28801
Outpatient Treatment
Grants and Private Insurance accepted
Mental Health Coastal Southeastern United Care
3640 Express Drive, Shallotte, North Carolina, 28470
Outpatient Treatment
Grants and Private Insurance accepted
Substance Abuse Katharos Sanctuary
370 North Louisiana, Asheville, North Carolina, 28806
Outpatient Treatment
Self-payment options
Mental Health Life Opportunities - Hope House
3775 Old Lowery Road, Red Springs, North Carolina, 28377
Outpatient Treatment
Private Insurance
Substance Abuse RHA Behavioral Health NC
400 Commerce Avenue, Morehead City, North Carolina, 28557
Outpatient Treatment
Self-payment options
Substance Abuse LMS Medical Services
416 McCullough Drive, Charlotte, North Carolina, 28262
Outpatient Treatment
Self-payment options
Substance Abuse Start Fresh Treatment Center
417 Biltmore Avenue, Asheville, North Carolina, 28801
Outpatient Treatment
Self-payment options
Mental Health Riverbend Residential Services
4195 South Creek Road, Orrum, North Carolina, 28369
Outpatient Treatment
Private Insurance
Substance Abuse Crossroads Recovery Center
440 East Court Street, Marion, North Carolina, 28752
Outpatient Treatment
Private Insurance
Substance Abuse RAPHA Healthcare
4411 Ben Franklin Boulevard, Durham, North Carolina, 27704
Outpatient Treatment
Medicaid and Medicare accepted
Mental Health New Beginnings Healthcare Phase II
4513 Fox Road, Raleigh, North Carolina, 27616
Outpatient Detox and Inpatient Treatment
Medicaid and Self-payment options
Substance Abuse Baldwins Counseling - Consulting Services
4900 Barrett Drive, Raleigh, North Carolina, 27609
Outpatient Treatment
Private Insurance
Mental Health UNC Johnston Health
509 North Brightleaf Boulevard, Smithfield, North Carolina, 27577
Inpatient Treatment
Grants and Private Insurance accepted
Substance Abuse Legacy Human Services - Back On Track
510 Dabney Drive, Henderson, North Carolina, 27536
Outpatient Treatment
Grants and Private Insurance accepted
Mental Health A Special Touch
5925 NC Highway 11, Willard, North Carolina, 28478
Outpatient Treatment
Medicaid and Self-payment options
Mental Health Chaparral Youth Services
5973 McLeod Drive, Maxton, North Carolina, 28364
Outpatient Detox and Inpatient Treatment
Grants and Private Insurance accepted
Substance Abuse Al Con Counseling
609 Walter Reed Drive, Greensboro, North Carolina, 27403
Outpatient Treatment
Self-payment options
Mental Health UNC Hospitals - Outpatient Psychiatry Clinic
77 Vilcom Center Drive, Chapel Hill, North Carolina, 27514
Outpatient Treatment
Grants and Private Insurance accepted
Mental Health Integrated Care of Greater Hickory (ICGH)
809 North Lafayette Street, Shelby, North Carolina, 28150
Outpatient Treatment
Medicaid and Medicare accepted
Substance Abuse Southeastern Integrated Care
86 Three Hunts Drive, Pembroke, North Carolina, 28372
Outpatient Treatment
Grants and Private Insurance accepted
Substance Abuse Generations Health Services
911 Atkinson Street, Laurinburg, North Carolina, 28352
Outpatient Treatment
Medicaid and Medicare accepted

Local Rehabs in North Carolina

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