Carolina House Estate

About the Facility

Carolina House Estate, in Durham, North Carolina, provides comprehensive, 12-step-focused care for adults with co-occurring eating disorders and addiction, including residential, partial hospitalization (PHP), intensive outpatient (IOP), general outpatient (OP), and aftercare programming. Gender-specific and dedicated services for trauma survivors, young adults, and LGBTQ+ persons are available. They are accredited by CARF.

Clients receive comprehensive medical and mental health assessments, personalized care planning, and case management to align with clients’ unique and evolving needs.

Their residential treatment center allows clients to focus on their recovery in an inviting, home-like environment featuring premium amenities, including onsite recreational facilities and a wilderness setting. Clients engage in intensive, trauma-informed individual, group, and family counseling drawing on proven modalities, including dialectical behavioral therapy (DBT). They also participate in gender-specific, recovery-focused life skills training addressing topics such as coping, self-care, wellness, nutrition, and relapse prevention. An array of evidence-based complementary therapies is available, including creative arts, yoga, and meditation and mindfulness.

Their outpatient programs encompass multiple levels of care to ensure complete wraparound support. Aftercare services may include peer coaching, 12 step program facilitation, and referrals for additional medical, mental health, and social service programs.

Carolina House Estate contracts with most major insurers, including Aetna, BlueCross BlueShield, Cigna, ComPsych, Health Management Network, and Humana. They also accept Managed Health Network, United Behavioral Health, Optima, MHNet, Multiplan, and Value Options. Out of network benefits can vary, so please contact your provider to verify coverage.

Accreditations

CARF

The Commission on Accreditation of Rehabilitation Facilities (CARF) is a non-profit organization that specifically accredits rehab organizations. Founded in 1966, CARF's, mission is to help service providers like rehab facilities maintain high standards of care.

CARF Accreditation: Yes
Accreditation Number: 294657

Treatment

Dual Diagnosis

In North Carolina, dual-diagnosis addiction treatment programs focus on providing integrated care for individuals with co-occurring substance use disorders and mental health diagnoses. You can generally expect a range of programs, including intensive outpatient, inpatient residential, and partial hospitalization options. Therapies like cognitive-behavioral therapy (CBT), dialectical behavior therapy (DBT), trauma-informed therapy, and family therapy address both disorders and promote mental health and well-being, giving you the tools to sustain long-term recovery.

Mental Health

Drug and alcohol rehab programs that simultaneously treat mental health disorders are known as dual diagnosis centers. The specialized programs recognize that mental health conditions affect the whole person - physical, emotional, and spiritual. That’s why mental health is at the center of many different dual diagnosis therapies, including individual and group therapy, cognitive behavioral therapy (CBT), trauma therapy, family support therapy, and more.

Insurance and Financial

Private insurance
Self-pay options

Programs

Adult program
Program for men
Program for women
Young adult program

Levels of Care

24-Hour Clinical Care

At certain points in the recovery process, it's important to have support available 24/7. 24-hour clinical care offers a safe environment in which to recover from drug or alcohol addiction in peace, knowing medical detox and other treatment will happen with professionals on hand.

Intensive Outpatient

Intensive outpatient programs (IOP) evolve with clients’ changing needs and are often well-suited for clients exiting inpatient rehab and those at an increased relapse risk. These programs typically involve between nine and 20 hours of treatment weekly, with the intensity and frequency of care decreasing as clients stabilize. Most intensive outpatient rehabs integrate a variety of treatment modalities to maintain a high level of individualized care. Services generally include counseling, recovery education, and medication assisted treatment (MAT).

Inpatient

Residential treatment programs are those that offer housing and meals in addition to substance abuse treatment. Rehab facilities that offer residential treatment allow patients to focus solely on recovery, in an environment totally separate from their lives. Carolina House provides 24-hour nursing care for all clients, and employs a contracted medical doctor, a psychiatrist, and a registered dietician, all of whom are skilled in the treatment of eating disorders.

Aftercare Support

Completing a drug or alcohol rehab program shouldn't spell the end of substance abuse treatment. Aftercare involves making a sustainable plan for recovery, including ongoing support. This can include sober living arrangements like halfway houses, career counseling, and setting a patient up with community programs like Alcoholics Anonymous (AA) or Narcotics Anonymous (NA).

Partial Hospitalization Program

A partial hospitalization program (PHP) offers short-term, intensive rehab for acute symptoms. PHP treatment is often used as a “step-down” option after you’ve completed a residential or inpatient program. PHP typically involves a minimum of 20 hours of treatment per week for approximately 90 days, with structured programming including relapse prevention, medication management, and behavioral therapy services. Insurance coverage for PHP treatment varies among insurance providers. Lunch can be provided, and transportation may be available.

12-Step

12 step programs are based on a model of life-long recovery and are rooted in peer support and spiritual development. Regular attendance at 12 step meetings is the cornerstone of treatment, as is the selection of a peer sponsor to guide participants through the steps of recovery. These steps are based on non-denominational spiritual principles and are designed to foster self-awareness, forgiveness, acceptance, and accountability. Specialized programs are widely available, including programs for teens, seniors, and families.

Clinical Services

Cognitive Behavioral Therapy

Cognitive Behavioral Therapy (CBT) is a therapy modality that focuses on the relationship between one's thoughts, feelings, and behaviors. It is used to establish and allow for healthy responses to thoughts and feelings (instead of unhealthy responses, like using drugs or alcohol). CBT has been proven effective for recovering addicts of all kinds, and is used to strengthen a patient's own self-awareness and ability to self-regulate. CBT allows individuals to monitor their own emotional state, become more adept at communicating with others, and manage stress without needing to engage in substance abuse.

Creative Arts Therapy

Creativity is inherently healing, and can help those in recovery express thoughts or feelings they might not otherwise be able to. Creative arts therapy can include music, poetry/writing, painting, sculpting, dance, theater, sandplay, and more. Unlike traditional art, the final product matters far less than the experience of creation and expression itself.

Dialectical Behavior Therapy

Dialectical Behavior Therapy (DBT) is a modified form of Cognitive Behavioral Therapy (CBT), a treatment designed to help people understand and ultimately affect the relationship between their thoughts, feelings, and behaviors. DBT is often used for individuals who struggle with self-harm behaviors, such as self-mutilation (cutting) and suicidal thoughts, urges, or attempts. It has been proven clinically effective for those who struggle with out-of-control emotions and mental health illnesses like Borderline Personality Disorder.

Eating Disorder Treatment

Eating disorders include anorexia, bulimia, binge eating, and dysfunctional eating patterns. Many psychologists and other mental health professionals consider eating disorders to be food addictions, meaning food is being used in an addictive way (similar to drug or alcohol addiction). Certain substance abuse treatment programs will have treatment for eating disorders as one of the services offered. An eating disorder may also present as a co-occuring disorder or dual diagnosis alongside drug and alcohol addiction.

Experiential Therapy

Experiential therapy is a form of therapy in which clients are encouraged to surface and work through subconscious issues by engaging in real-time experiences. Experiential therapy departs from traditional talk therapy by involving the body, and having clients engage in activities, movements, and physical and emotional expression. This can involve role-play or using props (which can include other people). Experiential therapy can help people process trauma, memories, and emotion quickly, deeply, and in a lasting fashion, leading to substantial and impactful healing.

Family Therapy

Research clearly demonstrates that recovery is far more successful and sustainable when loved ones like family members participate in rehab and substance abuse treatment. Genetic factors may be at play when it comes to drug and alcohol addiction, as well as mental health issues. Family dynamics often play a critical role in addiction triggers, and if properly educated, family members can be a strong source of support when it comes to rehabilitation. Family therapy sessions are offered on a weekly basis with a Licensed Marriage and Family Therapist, meeting for an average of 45 to 60 minutes for each session.

Fitness Therapy

Fitness therapy blends exercise with psychotherapy for a fun, inspiring, and effective way of treating addiction and other issues. By incorporating movement into counseling sessions, clients become more empowered, motivated, and goal-oriented, all while strengthening their bodies and becoming more flexible. Fitness Therapy is usually used to complement a course of treatment (inpatient or outpatient) to make it even more successful. Increasing the connection between a patient’s mind and body helps both with healing as well as in creating new, healthy habits.

Group Therapy

Group therapy is any therapeutic work that happens in a group (not one-on-one). There are a number of different group therapy modalities, including support groups, experiential therapy, psycho-education, and more. Group therapy involves treatment as well as processing interaction between group members. Clients typically participate in an average of six group therapy sessions each weekday, four group sessions on Saturdays, and two group sessions on Sundays.

Individual Therapy

In individual therapy, a patient meets one-on-one with a trained psychologist or counselor. Therapy is a pivotal part of effective substance abuse treatment, as it often covers root causes of addiction, including challenges faced by the patient in their social, family, and work/school life. Clients are provided with one full individual therapy session each week that typically lasts between 45 and 60 minutes.

Life Skills

Life skills trainings involve all the skills a person must have in order to function successfully in the world. These include time management, career guidance, money management, and effective communication. Truly successful addiction recovery is based on the ability to not only live substance-free, but to thrive. Life skills teaches the practical necessities of functioning in society, which sets clients up for success in life, and therefore sobriety.

Motivational Interviewing

Motivational Interviewing (MI) is a clinical approach to helping people with substance abuse issues and other conditions shift behavior in positive ways. It is more goal-oriented than traditional psychotherapy, as MI counselors directly attempt to get clients to consider making behavioral change (rather than wait for them to come to conclusions themselves). Its primary purpose is to resolve ambivalence and help clients become able to make healthy choices freely.

Nutrition Therapy

Nutrition therapy, aka medical nutrition therapy (MNT), is a way of treating physical, emotional, and medical conditions through diet. Specific dietary plans are designed by professional nutritionists or registered dietitians, and patients follow them in order to positively affect their physical and mental health.

Recreational Therapy

Recreational therapy (aka therapeutic recreation) uses creative and fun activities to help with addiction recovery. Recreational therapists lead patients in entertaining and engaging activities like sports or games; art (drawing, painting, sculpture); drama, music, and dance; and/or community outings (field trips) to improve patients' physical, social, and emotional well-being.

Trauma Therapy

Trauma therapy addresses traumatic incidents from a client's past that are likely affecting their present-day experience. Trauma is often one of the primary triggers and potential causes of addiction, and can stem from child sexual abuse, domestic violence, having a parent with a mental illness, losing one or both parents at a young age, teenage or adult sexual assault, or any number of other factors. The purpose of trauma therapy is to allow a patient to process trauma and move through and past it, with the help of trained and compassionate mental health professionals.