First Step Services
Overview
First Step Services is an accredited substance abuse treatment center that provides outpatient treatment for men and women from 16+ years of age. As part of their special programs, First Step Services treats criminal justice (other than dui/dwi)/forensic clients. To help patients achieve sobriety, First Step Services provides treats alcohol detoxification, benzodiazepines detoxification, and cocaine detoxification.. Afterward, patients receive cognitive behavioral therapy, telemedicine/telehealth therapy, and substance use disorder counseling during treatment. First Step Services is located in Cary, North Carolina, providing treatment for people in Wake County, accepting cash or self-payment, state-financed health insurance plan other than medicaid, and private health insurance.
First Step Services at a Glance
Payment Options
- Cash or self-payment
- State-financed health insurance plan other than Medicaid
- Private health insurance
- Sliding fee scale (fee is based on income and other factors)
Assessments
- Screening for tobacco use
- Comprehensive mental health assessment
- Comprehensive substance use assessment
- Interim services for clients
- Outreach to persons in the community
Age Groups
- Children/adolescents
Ancillary Services
- Case management service
- Specially designed program for DUI/DWI clients
- Domestic violence services, including family or partner
- Mental health services
- Social skills development
Accreditations
State mental health department:
State mental health department accreditation refers to the process of evaluating and certifying the quality and standards of a state's mental health department, ensuring that it provides high-quality services and meets specific criteria for mental health care. The accreditation process is performed by a third-party organization and helps to improve the overall care and treatment of individuals with mental health conditions.
State department of health:
Government agencies issue State Licenses, granting permission to rehabilitation organizations to conduct their business operations lawfully within specific geographic regions. Generally, the particular rehabilitation programs offered by a facility and its physical location dictate the necessary licenses needed for legal operation.
Commission on Accreditation of Rehabilitation Facilities (CARF):
CARF accreditation is a globally recognized certification for rehabilitation and human service organizations. It signifies that an organization meets high-quality standards and is committed to providing top-level care. Achieving CARF accreditation involves a rigorous evaluation process, including on-site surveys. This accreditation enhances an organization's reputation, instills trust in clients and funders, and encourages ongoing excellence in the field.
Treatment At First Step Services
Conditions Treated
Alcoholism:
Alcohol addiction is a condition where a person's brain gets used to having alcohol, making it hard for them to control their drinking. This can lead to feeling down, acting without thinking, wanting alcohol strongly, and feeling sick if they don't drink. To help with this, treatment programs are available. These usually include a guided process to safely stop drinking, talking with professionals to work through problems, and joining support groups with others facing similar issues. While these treatments can't fully cure the addiction, they provide tools and support to help individuals live a better life and keep their drinking under control.
Mental health treatment:
Mental health treatment involves various therapies and support services provided by licensed professionals to address mental health issues. These interventions, which can include therapy, medication, and holistic approaches, aim to enhance well-being, improve coping, and empower individuals to lead fulfilling lives. It's personalized, comprehensive care for mental health challenges.
Substance use treatment:
Substance use rehabilitation is a structured program aimed at assisting individuals in overcoming their dependencies on drugs or alcohol. Through a combination of medical detoxification, counseling, and various therapeutic approaches, these programs strive to address the physical and psychological aspects of addiction. The goal is to equip individuals with the knowledge, skills, and support necessary to attain lasting sobriety, while also working to identify and address the underlying issues contributing to substance misuse. By fostering a supportive environment, substance use rehabilitation centers provide a pathway towards a healthier, substance-free life.
Co-occurring Disorders:
Dual-diagnosis rehabs are usually the appropriate solution to treat co-occurring mental health and substance abuse disorders. These facilities typically employ medical and behavioral experts who use a range of interventions, together with the right healing environment, for you to achieve and sustain long-term recovery. Treatment usually includes evidence-based therapies (like cognitive behavioral therapy), recovery support meetings, 12-step facilitation, psychoeducation, skills training, and group therapy.
Levels Of Care
Outpatient:
Outpatient programs are designed for individuals in stable medical condition with a low risk of relapse, often those who've completed inpatient treatment. These programs extend the foundation of prior treatment approaches, offering continuous addiction guidance and resources for sustained recovery. For those transitioning straight from detox, medical and psychological assessments are typically conducted, leading to the development of individualized treatment strategies. The majority of outpatient rehab centers provide diverse care levels, customized to each client's unique requirements.
Outpatient methadone/buprenorphine or naltrexone treatment:
Methadone maintenance treatment (MMT) is a comprehensive treatment program for individuals with opioid use disorder. It involves the long-term prescribing of methadone, a synthetic opioid, to patients in an effort to reduce or eliminate their use of illicit opioids, such as heroin. When provided at an appropriate dose and in conjunction with counseling and other support services, MMT can help to stabilize patients' lives, reduce illicit drug use, and lower the risks of drug-related harm, such as overdose and transmission of infectious diseases.
Intensive outpatient treatment:
Intensive outpatient programs (IOPs) support clients in maintaining long-term sobriety by providing tailored, high-quality care that adapts to their changing requirements. Clients participate in several treatment sessions each week, typically receiving between nine to 20 hours of outpatient care weekly. As clients achieve stability, the treatment frequency and intensity gradually diminish. Many intensive outpatient rehabilitation centers provide a diverse range of services, such as addiction counseling, training in life skills geared towards recovery, and the option for medication-assisted treatment (MAT). Additionally, evidence-based complementary therapies are frequently integrated into the program.
Regular outpatient treatment:
Regular outpatient treatment is a structured program that supports individuals in overcoming addiction while allowing them to maintain their daily lives. It includes therapy, counseling, and education, making it ideal for those with mild to moderate substance use disorders or in later recovery stages. This approach helps individuals build coping skills, manage triggers, and stay substance-free while staying connected to their communities and families.
Aftercare:
Aftercare refers to the structured support and programs offered to individuals after completing an initial treatment phase for substance abuse or other disorders. Recognizing that recovery is an ongoing process, aftercare provides continued counseling, skill-building, group therapy, and resources to help individuals maintain sobriety, manage triggers, and reintegrate into daily life, reducing the risk of relapse and ensuring long-term success in recovery.
Treatment Modalities
Cognitive behavioral therapy:
Cognitive Behavioral Therapy (CBT) is a widely practiced form of psychotherapy that seeks to address dysfunctional emotions, behaviors, and thoughts through a goal-oriented, systematic process. It encourages individuals to challenge distorted cognitions and change destructive patterns of behavior by promoting self-awareness and effective coping strategies. CBT is often used to treat a range of disorders including anxiety, depression, and stress, making it a versatile and practical therapeutic approach. Through enhancing an individual's capacity to manage life's challenges, CBT contributes to improved mental well-being and overall quality of life.
Telemedicine/telehealth therapy:
Telehealth provides a secure and handy way to access behavioral health care from your home. It eliminates the need for travel, time off work, or organizing childcare. A range of services, including individual therapy, group sessions, and monitoring for anxiety and depression, are available remotely. Rest assured, telehealth video sessions are not recorded, ensuring your information remains as confidential as in-person consultations.
Substance use disorder counseling:
Substance use disorder counseling treatment modalities refer to various approaches and methods used in the counseling and treatment of individuals with substance use problems. This can include individual therapy, group therapy, cognitive behavioral therapy, motivational interviewing, family therapy, and 12-step programs. The goal is to help the individual overcome their substance use, develop healthy coping skills, and lead a fulfilling life in recovery.
Smoking/vaping/tobacco cessation counseling:
Tobacco cessation counseling encompasses discussions with a counselor regarding your tobacco or vape usage and its integration into your daily routine, with the goal of devising a strategy to quit. This service caters to individuals desiring to quit tobacco, offering interventions like behavioral support or counseling in groups or one-on-one settings. The counseling sessions may range from brief encounters (under 5 minutes) to more intensive discussions (exceeding 10 minutes) and may necessitate multiple sessions.
Group counseling:
Group Counseling is a therapeutic approach where individuals come together under the guidance of a trained counselor to share experiences, provide mutual support, and gain insights. It fosters a sense of community, promotes understanding through diverse perspectives, and offers personal growth and problem-solving strategies.
Family counseling:
Family Counseling is a therapeutic approach that seeks to address and resolve conflicts, improve communication, and strengthen relationships within the family unit. By providing a safe space for family members to express their feelings and concerns, a trained counselor facilitates understanding and collaboration among members, promoting healthier dynamics and enhancing overall family well-being.
Marital/couples counseling:
Marital/couples counseling treatment modalities refer to various therapeutic approaches used to help couples resolve conflicts, improve communication, and strengthen their relationship. These modalities can include cognitive-behavioral therapy, emotionally focused therapy, solution-focused therapy, and integrative approaches. The goal of these treatments is to help couples identify and address underlying issues and develop healthy relationship dynamics.
Motivational interviewing:
Motivational Interviewing (MI) is a client-centered therapeutic approach that fosters behavioral change by assisting individuals in exploring and resolving ambivalence. Specifically tailored for addiction treatment, MI helps clients unearth their own motivations to quit substance use and empowers them to take the lead in their recovery journey. Therapists guide clients toward their goals and self-determined pathways to sobriety through empathetic conversation and skillful questioning.
Relapse prevention:
The Relapse Prevention Model is a cognitive-behavioral approach aimed at minimizing or preventing relapses in individuals recovering from addictive behaviors. It incorporates strategies for recognizing and managing high-risk situations and triggers, enhancing self-efficacy, and developing coping skills. Through education, awareness, and self-monitoring, individuals are empowered to maintain their progress and avoid reverting to unhealthy behaviors. This model is essential in promoting long-term recovery and supporting individuals on their journey towards a substance-free life.
Individual psychotherapy:
Individual Psychotherapy is a personalized therapeutic approach aimed at aiding individuals in overcoming addiction and its underlying psychological triggers. A licensed therapist works closely with the individual through one-on-one sessions to unearth and address personal challenges, emotional issues, and behavioral patterns contributing to their substance abuse. Individual psychotherapy lays a robust foundation for a sustainable recovery and a better quality of life by fostering self-awareness, coping strategies, and healthier behavioral responses.
Ancillary Services
Additional Services
- Pharmacotherapies administered during treatment
- Mentoring/peer support
- Breathalyzer or blood alcohol testing
Special Programs
- Criminal justice (other than DUI/DWI)/Forensic clients
Contact Information
DISCLAIMER: The facility name, logo and brand are the property and registered trademarks of First Step Services, and are being used for identification and informational purposes only. Use of these names, logos and brands shall not imply endorsement. BetterAddictionCare.com is not affiliated with or sponsored by First Step Services.
