Carolina Outreach Mental Health & Substance Abuse Services

Outpatient

Services are provided by or under the supervision of a licensed therapist trained in the evidence-based practice he/she is providing. Clients typically meet with their therapist once a week at their office. Outpatient therapy may be provided in conjunction with other Carolina Outreach services. The basic abuse program provides group support and education for those with an abuse diagnosis. Groups meet twice weekly, for 16 sessions, for 90 minutes each session. Child Outpatient therapy services include assessment and individual and/or family therapy. These sessions generally take place in an office setting and are focused on mental health treatment goals developed by the licensed clinician in consultation with the child’s guardian/family members. Treatment approaches vary by clinician, but many of the clinicians at Carolina Outreach are trained to provide Trauma-Focused Cognitive Behavior Therapy (TF-CBT), Parent Child Interaction Therapy (PCIT), Cognitive Behavior Therapy (CBT), and therapy utilizing a Family Systems Approach.

Intensive Outpatient

The intensive outpatient program provides treatment for those who need additional structure and support. It consists of group sessions which meet for three hours, three times a week, for 12 to 36 sessions. Sessions are led by a trained facilitator and include both education and group therapy. Clients are expected to attend 12-Step meetings to benefit from ongoing recovery support. Clients elect to participate in a group with a regular meeting time in the morning or evening.

Aftercare Support

Rehab aftercare programs offer a complete continuum of care for clients in the maintenance phase of recovery and are predicated on the idea that addiction disease is a chronic condition prone to relapse and warranting continuing care. Clients collaborate with their care team and case manager to access the specific rehab aftercare services they need to promote their sustained sobriety. Peer coaching, relapse prevention services, career counseling, and 12 step program induction are common in these programs.

12-Step

12-step programs are addiction recovery models based on Alcoholics Anonymous (AA). A number of substance abuse programs (including some drug and alcohol rehab centers) use the 12 steps as a basis for treatment. Beginning steps involve admitting powerlessness over the addiction and creating a spiritual basis for recovery. Middle steps including making direct amends to those who've been hurt by the addiction, and the final step is to assist others in addiction recovery in the same way. 12-Step offshoots including Narcotics Anonymous (NA), Cocaine Anonymous (CA), Dual Recovery Anonymous (DRA), Sex and Love Addicts Anonymous (SLAA) and Gamblers Anonymous (GA).

Intervention Services

Intervention services helps family or friends of addicts stage an intervention, which is a meeting in which loved ones share their concerns and attempt to get an addict into treatment. Professional intervention specialists can help loved ones organize, gather, and communicate with an addict. They can guide intervention participants in describing the damage the addict's behavior is causing and that outside help is necessary to address the addiction. The ideal outcome of an intervention is for the addict to go to rehab and get the help they need.

Alcoholism

The goal of treatment for alcoholism is abstinence. Those with poor social support, poor motivation, or psychiatric disorders tend to relapse within a few years of treatment. For these people, success is measured by longer periods of abstinence, reduced use of alcohol, better health, and improved social functioning. Recovery and Maintenance are usually based on 12 step programs and AA meetings.

Drug Addiction

There are many types of drug rehab in North Carolina. To receive treatment for addiction, you can choose from many inpatient and outpatient programs. Often, participants start with detox and work through a full continuum of care that continues with ongoing support for long-term recovery.

Dual Diagnosis

Many of those suffering from addiction also suffer from mental or emotional illnesses like schizophrenia, bipolar disorder, depression, or anxiety disorders. Rehab and other substance abuse facilities treating those with a dual diagnosis or co-occurring disorder administer psychiatric treatment to address the person's mental health issue in addition to drug and alcohol rehabilitation.

Mental Health and Substance Abuse

A combined mental health and substance abuse rehab has the staff and resources available to handle individuals with both mental health and substance abuse issues. It can be challenging to determine where a specific symptom stems from (a mental health issue or an issue related to substance abuse), so mental health and substance abuse professionals are helpful in detangling symptoms and keeping treatment on track.

Opioid Addiction

Opioid rehabs specialize in supporting those recovering from opioid addiction. They treat those suffering from addiction to illegal opioids like heroin, as well as prescription drugs like oxycodone. These centers typically combine both physical as well as mental and emotional support to help stop addiction. Physical support often includes medical detox and subsequent medical support (including medication), and mental support includes in-depth therapy to address the underlying causes of addiction.

Adult Program

Adult rehab programs include therapies tailored to each client's specific needs, goals, and recovery progress. They are tailored to the specific challenges adult clients may face, including family and work pressures and commitments. From inpatient and residential treatment to various levels of outpatient services, there are many options available. Some facilities also help adults work through co-occurring conditions, like anxiety, that can accompany addiction.

Young Adult Program

Young adulthood can be an exciting, yet difficult, time of transition. Individuals in their late teens to mid-20s face unique stressors related to school, jobs, families, and social circles, which can lead to a rise in substance use. Rehab centers with dedicated young adult programs will include activities and amenities that cater to this age group, with an emphasis on specialized counseling, peer socialization, and ongoing aftercare.

Cognitive Behavioral Therapy

Cognitive Behavioral Therapy (CBT) is a form of treatment that focuses on examining the relationships between thoughts, feelings, and behaviors. By exploring patterns of thinking that lead to self-destructive actions and the beliefs that direct these thoughts, people with mental illness can modify their patterns of thinking to improve coping. CBT is a type of psychotherapy that is different from traditional psychodynamic psychotherapy in that the therapist and the patient will actively work together to help the patient recover from their mental illness. People who seek CBT can expect their therapist to be problem-focused, and goal-directed in addressing the challenging symptoms of mental illnesses. Because CBT is an active intervention, one can also expect to do homework or practice outside of sessions.

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.

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.

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.

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.

Trauma Therapy

The goal of Trauma-Focused Cognitive Behavior Therapy (TF-CBT) is to help address the biopsychosocial needs of children with Post-traumatic Stress Disorder (PTSD) or other problems related to traumatic life experiences, and their parents or primary caregivers. TF-CBT is an evidence-based model of psychotherapy that combines trauma-sensitive interventions with cognitive behavioral therapy. Children and parents are provided knowledge and skills related to processing the trauma; managing distressing thoughts, feelings, and behaviors; and enhancing safety, parenting skills, and family communication.

Couples Therapy

Whether a marriage or other committed relationship, an intimate partnership is one of the most important aspects of a person's life. Drug and alcohol addiction affects both members of a couple in deep and meaningful ways, as does rehab and recovery. Couples therapy and other couples-focused treatment programs are significant parts of exploring triggers of addiction, as well as learning how to build healthy patterns to support ongoing sobriety.

Family Therapy

Family Centered Treatment is part of Carolina Outreach’s continuum of care for at-risk children and their families. FCT is an evidence-based, in-home service that helps to preserve the family and prevent out-of-home placements. Parent-Child Interaction Therapy (PCIT) is an evidence-based treatment model backed by over 30 years of research. PCIT focuses on improving the quality of the parent-child relationship by changing parent-child interaction patterns. PCIT was developed for children ages 2–7 years with externalizing behavior disorders. In PCIT, parents are taught specific skills to establish or strengthen a nurturing and secure relationship with their child while encouraging pro-social behavior and discouraging negative behavior.

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.