North Carolina has seen a steady and deeply concerning rise in substance use disorders over the past two decades, driven by waves of prescription opioids, heroin, and now fentanyl.
According to the North Carolina Department of Health and Human Services, over 4,000 North Carolinians died from drug overdoses in a recent year, with synthetic opioids responsible for the overwhelming majority of fatalities.
Urban areas like Charlotte, Raleigh, and Greensboro offer a broader range of treatment options, including inpatient rehab, detox, outpatient therapy, and MAT (medication-assisted treatment), but access in rural regions—particularly in the Appalachian west and coastal eastern counties—remains limited.
Many rural residents face transportation barriers, long waitlists, and a shortage of licensed behavioral health professionals. Telehealth services have expanded rapidly, especially during and after the COVID-19 pandemic, providing a critical bridge for remote care, but broadband access and digital literacy challenges persist in some of the state's poorest counties.
North Carolina has not fully expanded Medicaid as of recent years, which has left tens of thousands of low-income residents without affordable access to addiction treatment. Some pilot programs and state grants have attempted to fill the gap, but systemic underfunding continues to strain the treatment infrastructure.
Harm reduction efforts, including naloxone distribution, syringe service programs, and fentanyl test strip access, have grown significantly in cities and select counties, yet these services often face political and community resistance in more conservative areas.
Faith-based recovery programs and church-affiliated ministries are deeply embedded in North Carolina’s culture and serve as a primary access point for many seeking help—though not all offer evidence-based or clinically integrated services. Youth substance use, particularly involving vaping, alcohol, and marijuana, is a growing concern across suburban and rural school districts.
Prevention efforts are underway but face staffing shortages and variable curriculum implementation. The state’s Hispanic and immigrant populations face additional challenges, including language barriers, fear of deportation, and limited access to culturally competent care.
In response, some nonprofit organizations have begun offering bilingual services and community outreach initiatives focused on trust-building and education. Drug courts and diversion programs are expanding, particularly in urban counties, but rural access to alternative sentencing and post-incarceration support is inconsistent.
North Carolina’s diverse geography and population demand flexible, region-specific strategies to effectively address substance use. Continued investment in rural provider recruitment, Medicaid expansion, stigma reduction, and integrated care models will be essential for making treatment more accessible and sustainable statewide..
 | A Better Way Residential ServicesA Better Way Residential Services is a dedicated treatment facility located in Shannon, North Carolina. The center focuses on providing residential care for individuals facing mental health challenges and co-occurring substance abuse issues. Their programs are tailored to meet the needs of both adolescents and adults, including those with severe mental illnesses.Key Features: 1. Residential Treatment Program: Comprehensive Support:The facility offers a structured residential treatment program designed to provide a safe and supportive environment for individuals seeking recovery from mental health and substance abuse issues. 2. Targeted Services for All Ages: Adolescents and Adults:A Better Way Residential Services caters to a diverse population, offering specialized programs for both adolescents and adults. This ensures that treatment plans are age-appropriate and relevant to the unique challenges faced by each group. 3. Focus on Co-Occurring Disorders: Integrated Care Approach:The center addresses the complexities of co-occurring mental health and substance use disorders, providing integrated care that supports individuals in their journey towards recovery and improved mental well-being. 4. Programs for Severe Mental Illnesses: Specialized Treatment Options:A Better Way offers programs specifically designed for individuals with severe or serious mental illnesses, ensuring that those with the highest needs receive appropriate and effective care. Commitment to Healing: A Better Way Residential Services is committed to providing compassionate, high-quality care that empowers individuals to overcome their challenges and achieve lasting recovery. Their focus on comprehensive support and specialized programs underscores their dedication to the well-being of their clients.Conclusion: Located in Shannon, NC, A Better Way Residential Services is a vital resource for individuals struggling with mental health and substance abuse issues. With a commitment to personalized and age-appropriate care, the center plays an essential role in fostering recovery and improving the lives of those they serve. 220 Calvins Rd, Shannon, NC 28386 | Levels of Care:Inpatient Payment Options:Medicaid Private insurance Self-Pay Options Military Insurance | ||
 | A Helping Hand of WilmingtonA Helping Hand of Wilmington in Wilmington, NC, provides supportive recovery services for individuals facing substance use disorders and mental health challenges. Our programs include outpatient treatment, counseling, and community support designed to foster healing and personal growth. With a focus on individualized care and evidence-based practices, our compassionate team is dedicated to helping clients regain control of their lives and achieve lasting recovery. At A Helping Hand, we believe in the transformative power of support and connection. Contact us today to learn more about our services and how we can assist you or your loved ones on the path to recovery. 5013 Wrightsville Ave, Wilmington, NC 28403 | Levels of Care:outpatientIntensive Outpatient (IOP)Aftercare SupportIntervention ServicesMedically Assisted Detox Payment Options:Medicaid Self-Pay Options Financial Aid Medicare |  | |
 | A Life’s Journey Counseling CenterA Life’s Journey Counseling Center in Chapel Hill, NC, offers compassionate counseling services for individuals seeking support in overcoming personal challenges, including substance use disorders and mental health issues. Our center provides a range of therapeutic options, including individual therapy, group sessions, and holistic approaches tailored to meet the unique needs of each client. With a focus on creating a safe and nurturing environment, our experienced team is dedicated to empowering clients on their journey toward healing and self-discovery. At A Life’s Journey, we believe in the power of connection and understanding. Contact us today to learn more about our services and how we can assist you or your loved ones in navigating life’s challenges. 1709 Legion Rd suite 200, Chapel Hill, NC 27517 | Levels of Care:outpatient Payment Options:Self-Pay Options Private insurance Medicaid Medicare | ||
 | A New DimensionA New Dimension in Lenoir, NC, offers innovative recovery services for individuals seeking to overcome substance use disorders and mental health challenges. Our programs focus on personalized treatment plans that incorporate evidence-based therapies, holistic approaches, and life skills training to support sustainable recovery. With a dedicated team of professionals, we create a nurturing environment where clients can thrive and build a brighter future. At A New Dimension, we believe in the transformative power of community and support. Contact us today to learn more about our services and how we can help you or your loved ones embark on a journey of healing and renewal. 116 Main St SW, Lenoir, NC 28645 | Levels of Care:outpatient Payment Options:Self-Pay Options | ||
 | ACDM Assesment and Counseling of GuilfordACDM Assesment and Counseling of Guilford114 North Elm Street Suite 402 Greensboro NC, 27401 www.acdmassessment.com(336) 574-3772 | Payment Options:Self-pay options | ||
ACPP - Cornerstone Christian CenterACPP - Cornerstone Christian Center | Payment Options:Financing available | |||
 | ACS - Appalachian Community ServicesACS - Appalachian Community Services100 Teptal Terrace Bryson City NC, 28713 www.acswnc.com(828) 488-3294 | Payment Options:Medicaid Private insurance Self-pay options Financial aid Medicare Military insurance | ||
 | Adapted Integrated Methods HealthAdapted Integrated Methods Health4004 Ben Franklin Boulevard Durham NC, 27704 www.aimhealthservicesnc.com(919) 471-5474 | Payment Options:Medicaid Private insurance Self-pay options Medicare | ||
 | ADATCADATC10720 Carmel Commons Blvd No. 350 Charlotte NC, 28226(704) 544-1156 | |||
 | Addiction Recovery Care AssociationThe Addiction Recovery Care Association offers a unique, free program designed to assist individuals seeking lasting recovery from addiction. This program is open to both men and women and focuses on building essential life skills to support productive and responsible living.Key Features: 1. No Cost for Services: Free Program: The program is completely free, eliminating financial barriers and the need for insurance, making it accessible to anyone seeking help. 2. Structured and Supportive Environment: Healing Focus: Participants join a highly structured program that provides the support necessary for healing and recovery. The environment is designed to foster growth and accountability. 3. Easy Enrollment Process: No Referral Needed: Interested individuals do not need a referral to join the program. They can directly apply by completing a 45-minute phone interview, simplifying the process of getting help. Commitment to Recovery: The Addiction Recovery Care Association prioritizes creating a supportive community where individuals can focus on their recovery journey. By equipping participants with the skills needed for a productive life, the program aims to empower them to maintain lasting recovery.Conclusion: The Addiction Recovery Care Association is a vital resource for individuals seeking recovery from addiction without the burden of financial constraints. With a focus on skill-building and a supportive environment, the program is dedicated to helping participants achieve lasting healing and reintegration into society. 5755 Shattalon Dr, Winston-Salem, NC 27105 | Levels of Care:InpatientAftercare Support12-StepMedically Assisted Detox Payment Options:Private Insurance Self-Pay Options Free |  | |
 | Addiction Recovery Center for MenThe Addiction Recovery Center for Men, situated at 1020 County Home Road, Henderson, NC 27536, is a private rehabilitation facility dedicated to providing treatment for a variety of substance abuse addictions, including alcoholism and opiate addiction. The center offers a supportive and structured environment for men seeking recovery, emphasizing personalized treatment plans that cater to individual needs. With a focus on holistic healing and evidence-based practices, the Addiction Recovery Center for Men aims to empower clients on their journey to sobriety and overall wellness. The facility is committed to fostering resilience and growth, helping men reclaim their lives from addiction in a compassionate and understanding setting. 1020 County Home Rd, Henderson, NC 27536 | Levels of Care:InpatientSober Living HomesAftercare Support12-Step Payment Options:Medicaid Private insurance Self-Pay Options Financial Aid Medicare | ||
Adolescent AlternativesAdolescent Alternatives | Payment Options:Medicaid | |||
 | Advancing Forward HealthAdvancing Forward Health specializes in medication-assisted treatment programs for individuals struggling with opioid addiction. The facility provides a comprehensive approach that combines medication with therapeutic counseling to support recovery and well-being.Key Features: 1. Medication-Assisted Treatment (MAT): Personalized Treatment Plans: After a thorough assessment, clients receive a tailored treatment plan that integrates prescription medications (such as methadone and suboxone) to help manage withdrawal symptoms and cravings. Easing Withdrawal Symptoms: The use of medications is designed to interrupt the cycle of opioid use, making the recovery process more manageable. 2. Therapeutic Counseling: Evidence-Based Approaches: Clients participate in therapeutic counseling to uncover the underlying drivers and triggers of their opioid use, developing effective coping strategies to aid their recovery. Co-Occurring Conditions: Individuals struggling with co-occurring medical or mental health issues receive integrated treatment to address all aspects of their health. 3. Intensive Outpatient Program for Women: Specialized Support: Advancing Forward Health offers a unique intensive outpatient program specifically designed for women, held multiple times a year. Holistic Outdoor Activities: The program takes place on over 45 acres of beautiful farmland, incorporating activities such as hiking, meditation, art therapy, and yoga. These holistic practices aim to build confidence and teach self-regulatory and problem-solving skills. Commitment to Recovery: Advancing Forward Health is dedicated to providing a supportive and empowering environment for individuals in recovery from opioid addiction. Their focus on personalized treatment and holistic approaches aims to foster lasting change and resilience.Conclusion: Located in Winston-Salem, NC, Advancing Forward Health serves as a vital resource for those seeking help with opioid addiction. By combining medication-assisted treatment with therapeutic counseling and unique programs for women, they strive to support individuals on their journey to recovery. 1312 Westgate Center Dr, Winston-Salem, NC 27103 | Levels of Care:InpatientoutpatientMedically Assisted Detox Payment Options:Military Insurance Private Insurance Self-Pay Options Medicaid Medicare Financial Aid |  | |
 | Advantage Behavioral Healthcare1600 East 5Th Street Lumberton NC, 28358 www.advantagebeh.com(910) 738-3571 | |||
 | Advantage Behavioral Healthcare405 Biggs Street Laurinburg NC, 28352 www.advantagebeh.com(910) 521-7288 | |||
Advantage Behavioral HealthcareAdvantage Behavioral Healthcare | Payment Options:Medicaid | |||
 | Advantage Behavioral Healthcare - Whiteville, NCAdvantage Behavioral Healthcare is a treatment center located in Whiteville, North Carolina, dedicated to supporting individuals facing substance abuse issues, mental health challenges, and developmental disabilities. Their mission is to strengthen families and communities by providing comprehensive care and support.Key Features: 1. Comprehensive Treatment Services: Substance Abuse Support: Offers programs and resources aimed at helping individuals recover from substance use disorders through evidence-based treatments. Mental Health Services: Provides support for a wide range of mental health issues, helping clients manage their conditions and improve their overall well-being. Developmental Disabilities Support: Offers specialized services for individuals with developmental disabilities, ensuring they receive the support they need to thrive. 2. Commitment to Accessibility: Financial Assistance: Advantage Behavioral Healthcare is committed to serving everyone, regardless of their ability to pay. They assess clients based on income level and family size to provide financial support, making treatment accessible to those in need. Community Focus: The center emphasizes building bridges within the community, aiming to empower families and enhance the overall health of the community. Their holistic approach to care fosters collaboration and connection among clients, families, and support networks.Conclusion: Advantage Behavioral Healthcare plays a crucial role in the Whiteville community by offering vital services for substance abuse, mental health, and developmental disabilities. With a commitment to accessibility and community support, the center is dedicated to helping individuals and families achieve lasting wellness. 732 Davis Ave, Whiteville, NC 28472 | Levels of Care:outpatient Payment Options:Private Insurance Self-Pay Options Medicaid Medicare Financial Aid |  | |
Agape HomesAgape Homes | Payment Options:Medicaid | |||
Ainuddins HomeAinuddins Home | Payment Options:Private insurance | |||
 | Al Counseling609 Walter Reed Drive Greensboro NC, 27403 www.business.site(336) 299-4655 | Payment Options:Self-pay options |
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