What do I do, or who do I call if I think a person needs help with a substance or mental health issue?

Although there are many different paths to recovery, a person or family member that is seeking assistance with Substance Abuse or Mental Health issues may contact their local Managed Care Organization (MCO) for assistance.

      Vaya Health

      200 Ridgefield Court, Suite 206
      Asheville, NC 28801
      Phone: 828-225-2785
      Fax: 828-225-2796
      Crisis Line: 800-849-6127
      Counties Served: Alexander, Alleghany, Ashe, Avery, Buncombe, Caldwell, Cherokee, Clay, Graham, Haywood, Henderson, Jackson, Macon, Madison, McDowell,            Mitchell, Polk, Rutherford, Swain, Transylvania, Watauga, Wilkes, Yancey


      Cardinal Innovations Healthcare Solutions Office

      4855 Milestone Avenue

      Kannapolis, NC 28081
      Phone: 704-939-7700
      Fax: 704-939-7907
      Crisis Line: 800-939-5911
      Counties Served: Alamance, Cabarrus, Caswell, Chatham, Davidson, Davie, Forsyth, Franklin, Granville, Halifax, Mecklenburg, Orange, Rockingham, Person,              Rowan, Stanly, Stokes, Union, Vance and Warren


      Partners Behavioral Health Management Office

      901 South New Hope Road
      Gastonia, NC 28054
      Phone: 704-884-2501
      Fax: 704-884-2713
      Crisis Line: 888-235-4673
      Counties Served: Burke, Catawba, Cleveland, Gaston, Iredell, Lincoln, Surry, Yadkin


      Alliance Behavioral Healthcare Office

      4600 Emperor Boulevard
      Durham, NC 27703
      Phone: 919-651-8401
      Fax: 919-651-8672
      Crisis Line: 800-510-9132
      Counties Served: Cumberland, Durham, Johnston, Wake


      Sandhills Center Office

      1120 Seven Lakes Drive
      West End, NC 27376
      Phone: 910-673-9111
      Fax: 910-673-6202
      Crisis Line: 800-256-2452
      Counties Served: Anson, Guilford, Harnett, Hoke, Lee, Montgomery, Moore, Randolph, Richmond


      Trillium Health Resources Office

      201 W. First Street
      Greenville, NC 27858-1132
      Phone: 866-998-2597
      Crisis Line: 877-685-2415
      Counties Served: Brunswick, Carteret, Columbus, Nash, New Hanover, Onslow, Pender, Beaufort, Bertie, Camden, Chowan, Craven, Currituck, Dare, Gates,              Hertford, Hyde, Jones, Martin, Northampton, Pamlico, Pasquotank, Perquimans, Pitt, Tyrrell, Washington


      Eastpointe Office

      514 East Main Street
      Beulaville, NC 28518
      Phone: 800-913-6109
      Fax: 910-298-7180
      Crisis Line: 800-913-6109
      Counties Served: Bladen, Duplin, Edgecombe, Greene, Lenoir, Robeson, Sampson, Scotland, Wayne, Wilson


What is detox and what is treatment?

Detoxification is the process of allowing the body to rid itself of a drug while managing the symptoms of withdrawal. Detox alone is not treatment but is often the first step in a drug treatment program. Treatment with behavioral therapy and/or a medication (if available) should follow detox.


Where can I find information about drug treatment programs?

You can call the MCO (see above) in your county from the listing above or for referrals to treatment programs, call 1-800-662-HELP, or visit the Substance Abuse and Mental Health Services Administration.


What is “withdrawal?” How long does it last?

“Withdrawal” describes the various symptoms that occur after a person abruptly reduces or stops long-term use of a drug. Length of withdrawal and symptoms vary with the type of drug. For example, physical symptoms of heroin withdrawal may include restlessness, muscle and bone pain, insomnia, diarrhea, vomiting, and cold flashes. These physical symptoms may last for several days, but the general depression, or dysphoria (opposite of euphoria), that often accompanies heroin withdrawal may last for weeks. In many cases, withdrawal can easily be treated with medications to ease the symptoms, but treating withdrawal is not the same as treating addiction


How long do people have to stay at rehab or treatment?

Recommendations will be made by the clinician at time of assessment. There are many options available, some are self-pay, and some you may be able to get financial assistance with. Please do your research and make sure you find out about not only the financial part, but other criteria for admittance that are required for each facility. They are all different!

Do programs like AA and NA work just as well as treatment or detox?

Alcoholics Anonymous (AA), Narcotics Anonymous (NA), Celebrate Recovery and many other self-help organizations have helped many people gain sobriety and recovery. A person seeking help with substances, depending on factors such as the severity of the problem and many other factors, may require more intense treatment, consisting of residential short and/or long-term treatment, group or individual therapy may be needed. This initial encounter could result in a formal assessment and recommended treatment from a Substance Abuse counselor.

What is the difference between “sobriety” and “recovery?”

“Sobriety” is an abstinence, or a staying away from the object of one’s addiction.  “Recovery,” however, takes the process a step further to address the root causes of the addiction and allows the addicted individual to process and begin healing from the inside out.


If there is no family history of addiction, is our family “safe” from the disease?

Addiction is known to be a biological, psychological, and social disease. This disease is extremely complex with far-reaching tentacles in all directions. It is not discriminatory as far as race, gender, culture, financial status, etc. Just because you feel there is no addiction in your family, does not mean that the social or psychological factors were not a huge part of a person’s addiction.


If addiction runs in the family, why doesn’t every member of the family have the disease?

Remember that addiction is a biological, psychological, and social disease.  Other family members may not have had all these components necessary for addiction to thrive in someone’s life. The disease is unpredictable and does not discriminate, so the important thing to remember is that anyone can develop the disease of addiction; there is no such thing as immunity.

Do people in recovery need to go to meetings every night?

There is an old saying in AA that states, “Go to 90 meetings in 90 days.” This is in reference to an individual who has just been discharged from any 12-step supported residential or inpatient setting.  Going to 90 meetings in 90 days is recommended because of the high risk of relapse after a short time of abstinence in these programs. If an individual is at high risk and still suffers from cravings, it is recommended that that person attend a recovery meeting as often as necessary to avoid relapse.


If someone is addicted to prescription painkillers (opioids), can they have a drink or use other substances?  

Any and all psychoactive or illicit drug including alcohol, have one thing in common: Dopamine. All of these drugs work within the pleasure -reward center of the brain. If a person is truly addicted to a substance or substances, they will never be able to use any of these other drugs safely because of the potential for addiction within all drug...not just their drug of choice.


How quickly can someone become addicted to a drug?

There is no easy answer to this common question. If and how quickly you become addicted to a drug depends on many factors, including your biology (your genes, for example), age, gender, environment, and interactions among these factors. Vast differences affect a person’s sensitivity to various drugs and likelihood of addiction vulnerability. While one person may use a drug one or many times and suffer no ill effects, another person may overdose with the first use or become addicted after a few uses. There is no way of knowing in advance how quickly you will become addicted, but there are some clues—an important one being whether you have a family history of addiction.


How do I know if someone is using or is addicted to drugs, and how can I find help?

The signs of drug use and addiction can vary depending on the person and the drug, but some common signs are:

  • impaired speech and motor coordination

  • bloodshot eyes or pupils that are larger or smaller than usual

  • changes in physical appearance or personal hygiene

  • changes in appetite or sleep patterns

  • sudden weight loss or weight gain

  • unusual smells on breath, body, or clothing

  • changes in mood or disinterest in engaging in relationships or activities

If a person is compulsively seeking and using a drug(s) despite negative consequences, such as loss of job, debt, family problems, or physical problems brought on by drug use, then he or she is probably addicted. And while people who are addicted may believe they can stop any time, most often they cannot and need professional help to quit. Support from friends and family can be critical in getting people into treatment and helping them to stay drug-free following treatment.

Where can I find information about drug treatment programs?

For referrals to treatment programs, call 1-800-662-HELP, or visit the Substance Abuse and Mental Health Services Administration online. Also see the National Institue on Drug Abuse (NIDA) Step-by-Step Treatment Guides for information about the steps to take if you or someone you know has problems with drugs. Please note that NIDA does not provide medical advice. For medical advice, we strongly urge you to contact a qualified healthcare provider.


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