How to find rehab in North Carolina
Finding detox in North Carolina can be difficult. Here's everything you need to know about NC rehab options and how to find local treatment as soon as possible.
Takeaways from this article:
Types of rehab in North Carolina
How to pay for detox in North Carolina
State-funded-rehab in North Carolina
North Carolina has a startlingly high number of addiction-related deaths, with over 2,200 overdose deaths in 2018. In other words, six people die of a drug overdose every single day.
In fact, North Carolina has the tenth highest drug overdose rate of all 50 states. However, this is a tiny percentage of the total people who are addicted to drugs and alcohol. About 500,000 people over 12 years are estimated to struggle with substance abuse in North Carolina. Unfortunately, the trend has stayed roughly the same over the past several years.
While this is certainly discouraging, there are treatment centers available to help alleviate those struggling with addiction break free.
If you’ve ever wanted to quit your addiction but didn’t know where to start, this resource will walk you through the process step-by-step. From learning what kind of treatment you need and how to find the right program to affording treatment and getting help, this guide has everything you need to know.
Withdrawal Treatment Options in North Carolina
Choosing the right addiction treatment style is a key indicator of how successful treatment will be for that person. For example, if a person with a strong addiction that has experienced multiple hospitalizations chooses a weekly meetup, it’s unlikely that the treatment will be successful.
Therefore, here is a breakdown of the two different treatment styles and detoxification.
Detoxification is the first step in any treatment plan. During this process, a medical professional ensures that your system is free of toxins. For most patients, this is the most mentally and physically challenging aspect of treatment as they will experience some level of withdrawal.
Withdrawal sets in when your body is low on the substance you’re addicted to, which is usually 6 hours after your last ingestion of the drug or alcohol. Withdrawal occurs because drugs and alcohol are depressants, which essentially slow down your system. Therefore, the body works harder to keep you awake when drugs are in your system. However, when your system becomes clean, it takes some time for the body to come down from this heightened state of awareness. 
As a result, most patients experience anxiety, insomnia, and poor concentration during the early stages of withdrawal.
Depending on your addiction level, you may also experience more serious symptoms like hallucinations, delusions, and grand mal seizures. Perhaps the most serious symptom of withdrawal is Delirium Tremens (DTs).
DTs usually don’t set in until the second or third day of sobriety and affect about five percent of all people experiencing alcohol withdrawal. However, if left untreated, DTs can result in a heart attack, stroke, or even death. Therefore, it’s essential to go through the detoxification process under medical guidance. Fortunately, 18 inpatient programs, 42 outpatient programs, and 30 hospitals in North Carolina offer detoxification services and will monitor your progress until you are stable.
After about a week or two (depending on your addiction level), the physical symptoms will subside, though the withdrawal process won’t do much to rewire the brain and reduce cravings.
Unfortunately, this process takes months, and even years to achieve, so it’s essential to attend either an inpatient or outpatient treatment center following the detoxification process.
The main difference between an outpatient and inpatient treatment center is that you live at an inpatient treatment center 24/7, whereas you live at home during an outpatient treatment center.
Therefore, inpatient treatment centers are generally better for people with a history of treatment relapse or those with a much heavier addiction. Inpatient treatment is also usually much shorter than outpatient treatment, with about one-third of all inpatient programs in North Carolina (32 percent) offering 30-day programs.
Outpatient programs are generally more appropriate for people with mild addictions that still care for a family or work. If you are a functioning addict and have never tried treatment, your doctor may recommend outpatient treatment. Studies have shown that an intensive six-week outpatient treatment program is generally just as effective as inpatient treatment, though it’s still best to check with your doctor before committing to it. 
You can see a full breakdown of all the inpatient and outpatient treatment centers available here:
|Type of Care, by number and percent|
|Day Treatment/Partial Hospitalization||63||12.28%|
|Methadone/buprenorphine maintenance or naltrexone treatment||158||30.80%|
Withdrawal Treatment Center Accreditation
The next step in the process is to select a treatment center that is properly accredited. While there are plenty of advertisements for treatment centers, it’s essential to pick a center that uses approved programs. Otherwise, your investment in treatment could be a complete waste.
The first thing you should do is search for their accreditation. Most reputable treatment centers are accredited with either the state mental health department and the state substance abuse agency.
Additionally, you can see if they are accredited with industry agencies such as the Commission on Accreditation of Rehabilitation Facilities (CARF). To become accredited with an agency like CARF, the treatment center must fill out an application detailing their facility, staff, and programs and pass an in-person inspection. Therefore, you can trust that these facilities are high-quality and meet industry expectations.
You can find a list of facilities in North Carolina that are accredited with CARF here.
Other reputable accreditations include the National Committee for Quality Assurance (NCQA), the Council on Accreditation (COA), and the Healthcare Facilities Accreditation Program (HFAP).
Here is a breakdown of the treatment facilities in North Carolina and their accreditations with various third parties:
|Facility Licensing, Certification, or Accreditation, by number and percent|
|Any listed agency/organization||456||88.89%|
|State substance abuse agency||335||65.30%|
|State mental health department||266||51.85%|
|State department of health||228||44.44%|
|Hospital licensing authority||24||4.68%|
|The Joint Commission||68||13.26%|
|Commission on Accreditation of Rehabilitation Facilities (CARF)||227||44.25%|
|National Committee for Quality Assurance (NCQA)||15||2.92%|
|Council on Accreditation (COA)||33||6.43%|
|Healthcare Facilities Accreditation Program (HFAP)||2||0.39%|
|Other national organization or federal, state or local agency||23||4.48%|
Paying for Withdrawal Treatment by Insurance in North Carolina
Once you’ve decided on a treatment program and have a list of qualified treatment centers, your next question is probably how you’ll afford addiction treatment in North Carolina. Fortunately, you don’t have to pay for everything out of pocket.
About 64 percent of North Carolina facilities accept private insurance, and your insurer is required to pay for some of the cost of treatment under the Affordable Healthcare Act.
Unfortunately, North Carolina has one of the highest percentages of uninsured people at 11.3 percent. However, the good news is that you may qualify for Medicare or Medicaid if you don’t have private health insurance.
You can learn more about Medicaid eligibility in North Carolina here. If you’re over the age of 65 or have a disability, you may be eligible for Medicare. You can read more about North Carolina Medicare qualifications here.
If you qualify for Medicare or Medicaid, you should be able to find some affordable treatment as 44 percent of facilities in North Carolina accept Medicare, and 68 percent accept Medicaid.
Nevertheless, even if none of those insurance situations seem plausible for your situation, there are still other options.
This table below breaks down the payment options available for North Carolinians and how withdrawal treatment centers in the state accept them.
|Facility Payment Options, by Number and percent|
|Cash or self-payment||458||89.28%|
|Private Health Insurance||326||63.55%|
|State-financed Health insurance||268||52.24%|
|Federal military insurance||214||41.72%|
|No payment accepted (free treatment for all clients)||16||3.12%|
|IHS/Tribal/Union (ITU) funds||26||5.07%|
|Sliding fee scale||244||47.56%|
|Treatment at no charge or minimal payment for clients who can’t pay||235||45.81%|
State-Funded Rehab vs. Private Rehab in North Carolina
Addiction is a major economic cost to the government. In a single year, addiction cost the North Carolina government over $7 billion dollars.
Unfortunately, jail time is minimally effective at stopping the problem. Rather than investing more money in incarcerating people, the government now funds treatment programs to eliminate the root of the problem.
Therefore, state-funded treatment facilities now exist for those in desperate situations. They are either free to attend or very low cost, though this also means that they usually have a long waitlist, and some are only available to those who have been court-ordered to attend.
The program quality is usually equal to that of a private paid treatment facility, though there is often a time limit on how long patients are allowed to stay.
Another option is a non-profit private treatment facility. These facilities are funded by taxes, charities, or donations and operate on either a sliding scale fee or are free to attend.
Non-profit private treatment facilities lack the amenities of private for-profit facilities, though you’ll be able to receive all of the basic care. Nevertheless, you may still have to apply to attend, given that these facilities are also competitive to enter.
For more information on the options available, see the table breaking down withdrawal treatment facility operations here.
|Facility Operation, by number and percent|
|Private for Profit||279||54.39%|
|Local, county, or community government||13||2.53%|
Find Withdrawal Treatment in North Carolina Today
If you’re ready to create a new life and let go of the past, call one of our professionals today. They can help guide you through the process of selecting the best treatment program, understanding treatment costs, and how you can move forward. Give us a call at 1-888-935-1318.
 “2018 Drug Overdose Death Rates.” Centers for Disease Control and Prevention, Centers for Disease Control and Prevention, 10 Mar. 2020, www.cdc.gov/drugoverdose/data/statedeaths/drug-overdose-death-2018.html.
 “Behavioral Health Barometer.” SAMHSA, 2015. https://www.samhsa.gov/data/sites/default/files/2015_North-Carolina_BHBarometer.pdf
Ambardekar, Nayana. “Alcohol Withdrawal: Symptoms, Treatment and Alcohol Detox Duration.” WebMD, WebMD, 6 Nov. 2019, www.webmd.com/mental-health/addiction/alcohol-withdrawal-symptoms-treatments.
“Detoxification And Substance Abuse Treatment.” SAMHSA, Oct. 2015.
Casarella, Jennifer. “Delirium Tremens (DTs): Causes, Symptoms, Treatment.” WebMD, WebMD, 13 July 2020, www.webmd.com/mental-health/addiction/delirium-tremens.
”2018 N-SSATS State Profiles .” SAMHSA, Dec. 2019.
RV. Bijl, A. Ravelli, et al. “Effectiveness of Inpatient versus Outpatient Complex Treatment Programs in Depressive Disorders: a Quasi-Experimental Study under Naturalistic Conditions.” BMC Psychiatry, BioMed Central, 2 Dec. 2019, bmcpsychiatry.biomedcentral.com/articles/10.1186/s12888-019-2371-5.https://bmcpsychiatry.biomedcentral.com/articles/10.1186/s12888-019-2371-5
“Drug and Alcohol CARF Accredited Rehabilitation Centers & Addiction Associations in North Carolina.” CARF Accredited Substance Abuse Treatment & Addiction Associations in North Carolina, NC, www.addicted.org/drug-and-alcohol-carf-accredited-rehabilitation-centers-in-north-carolina.html.
Abraham, Amanda J, et al. “The Affordable Care Act Transformation of Substance Use Disorder Treatment.” American Journal of Public Health, American Public Health Association, Jan. 2017, www.ncbi.nlm.nih.gov/pmc/articles/PMC5308192/.
 “North Carolina Medicaid Program.” Welcome to Benefits.gov | Benefits.gov, 2020, www.benefits.gov/benefit/1390.
Norris, Louise. “Medicare in North Carolina: Find Affordable Coverage.” Healthinsurance.org, Healthinsurance.org, 1 Dec. 2020, www.healthinsurance.org/north-carolina-medicare/.
“Excessive Alcohol Use in North Carolina .” NCDHHS. https://www.injuryfreenc.ncdhhs.gov/DataSurveillance/2018-AlcoholFactSheet-WEB.pdf
“Alcohol and Drug Abuse Treatment Centers.” NCDHHS, 2020, www.ncdhhs.gov/divisions/dsohf/facilities.