Crisis Services in North Carolina

Sometimes, immediate intervention or intensive treatment is needed to help a person get back on track. RHA offers Crisis Services in North Carolina is designed to support people who find themselves in urgent situations and safely stabilize individuals who are experiencing acute distress related to behavioral health, substance use or developmental disabilities. We offer a range of crisis support, from I/DD respite care to our facility-based and walk-in crisis centers and our mobile crisis teams, which come to your location to offer on-site treatment and support whenever and wherever needed.

Advanced Access Services

Our Advanced Access centers provide short-term psychiatric services, emergency clinical assessments, mental health and substance use crisis stabilization and first evaluations for voluntary and involuntary commitments.

Crisis Respite Services for I/DD

Are you facing a personal crisis situation such as illness, a death in the family, unforeseen damage to your home, or a period of hospitalization due to medical needs? Crisis Respite Services offer temporary assistance and relief when the caregiver for a person with intellectual/developmental disabilities faces a personal emergency and is unable to provide needed care during this time. We offer: • Caregiver Relief • Shelter • Meals • Leisure activities • and an experienced and compassionate staff trained in NCI and CPR/FA.

Crisis Intervention Team

CIT Training includes 40 hours of specialized training for law enforcement that helps them identify a person having a mental health/substance use crisis, teaches how to safely de-escalate the person, and helps them connect the person with needed help and resources in the community.

Facility-Based Crisis (FBC)

FBC services offer intensive, community-based therapeutic interventions for individuals in crisis situations as a viable alternative to expensive hospitalization. RHA’s three FBC facilities include The Harbor in Wilmington, Foothills Regional Treatment Center in Lenoir, and Neil Dobbins Center (NDC) in Asheville. In these secure, 24-hour facilities, RHA provides crisis stabilization and short-term mental health services (including evaluation, therapy and treatment, and behavioral/medication management) for adults with mental illness. Upon discharge from Facility-Based Crisis services, all individuals receive a detailed discharge plan that includes links to important community supports and services and a crisis coordination plan.

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NC START Respite & Team

NC START stands for North Carolina Systemic Therapeutic Assessment, Respite, and Treatment.  This program offers intervention and community crisis supports for people with developmental disabilities and challenging behavioral health needs.  Each region in the state (East, Central, and West) has two clinical teams that provide 24/7 crisis response and clinical consultation as well as prevention training and crisis planning.  NC START also provides respite services for eligible individuals.  RHA provides NC START services in the Eastern and Western regions of the state.

Mobile Crisis Management (MCM)

Mobile Crisis services provide intensive, on-site intervention to people of all ages who are experiencing a crisis due to mental health disturbances, developmental disabilities, or addiction.  Our team of behavioral health professionals are available 24/7/365 to safely stabilize the person at home, work, school or wherever in the community the crisis occurs.

Our MCM EAST Team serves 8 counties in Eastern NC: Onslow, Carteret, Craven, Jones, Pamlico, Pender, Brunswick and New Hanover. Call 1-844-709-4097 for RHA MCM EAST.

The MCM WEST Team serves 11 counties in Western NC: Buncombe, Madison, Yancey, Transylvania, Henderson, Polk, Rutherford, McDowell, Mitchell, Alexander & Caldwell. For MCM services in these western counties, please call RHA MCM WEST: 1-888-573-1006.

Non-Hospital Medical Detox

Our detox services include initial short-term detoxification for people who are motivated to go on to further extended treatment. We offer detox services for the use of substances such as drugs and alcohol and do not currently treat non-substance addiction disorders (such as gambling or sex addiction).

Peer Bridger

The Peer Bridger program embeds a Peer Support Specialist into the Behavioral Medicine Unit and Emergency Department of local hospitals so that people who have been treated for psychiatric crises are immediately connected with support at the time of discharge until routine treatment begins. The Peer Bridger engages with people in recovery, shares his/her own experiences and strengths, and instills hope while building a relationship with the person who is just beginning the recovery process. The Peer Bridger assists people in getting to their first appointments and helps them to address any barriers to beginning treatment.

Walk-in Crisis Centers

RHA Walk-in Crisis Clinics provide crisis assessment/evaluation, triage and interventions for adults, children, and adolescents in need of crisis mental health and substance use services. We have experienced and licensed professionals whose goal is to evaluate and stabilize people in crisis, which can reduce the need for hospitalization or more intensive care in acute psychiatric units and substance use treatment facilities.

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