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NC Department of Health and Human Services Division of Mental Health, Developmental Disabilities, and Substance Abuse Services

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Women's and Children's Substance Abuse Initiatives

North Carolina supports a full continuum of substance abuse services including prevention, intervention and treatment.  Below are some of the specialty programs and services available to pregnant and parenting women and their families and women seeking custody of the child(ren).

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Alcohol/Drug Council of NC (ADCNC): Substance Use Specialist

The NC Division of MH/DD/SAS and the NC Division Public Health jointly fund a Substance Use Specialist position housed at ADCNC.  The Substance Use Specialist can be reached at 1-800-688-4232 or through the 1-800-FOR-BABY hotline, Monday through Friday, from 8 am to 5 pm.  Services are available to the public and professionals to provide support in accessing gender-responsive substance abuse treatment services statewide.  Technical assistance, training and education regarding screening and referral for pregnant women with a substance related disorder are also available.  A capacity management (bed availability) listing of residential substance abuse services for pregnant and parenting women and their children is maintained in order to assist the public and professionals to identify appropriate and available services statewide.   Additional information is available at

North Carolina Perinatal and Maternal Substance Abuse Initiative

The Perinatal and Maternal Substance Abuse Initiative is composed of 21 specialized programs for pregnant and parenting women with a substance related disorder and their children.  These programs provide comprehensive gender-responsive substance abuse services that include, but are not limited to the following: screening, assessment, case management, out-patient substance abuse and mental health services, parenting skills, residential services, referrals for primary and preventative health care, and referrals for appropriate interventions for the children.  The children in these families benefit from the services provided by the local health departments (pediatric care), early intervention programs and child services coordination services. 

NC CASAWORKS for Families Residential Initiative

The NC CASAWORKS for Families Residential Initiative is a collaborative project between the Division of MH/DD/SAS and the Division of Social Services.  This Initiative supports 8 comprehensive residential substance abuse programs for women receiving Work First cash assistance and their children. The CASAWORKS for Families model was developed by the Center for the Study of Addiction and Substance Abuse (CASA) at Columbia University in response to the impact of welfare reform on substance abusing families. The model proposes that the best way to help families who receive TANF (Temporary Assistance for Needy Families) and are substance involved become economically self-sufficient is to provide an integrated and concurrent gender responsive substance abuse and co-occurring treatment and job readiness, training, and employment program. 

Alcohol and Drug Treatment Centers (ADATC)

North Carolina has three Alcohol and Drug Treatment Centers across the state that provide acute detoxification services and short term inpatient rehabilitative services.  Each of these Centers, R. J. Blackley in Butner, J. F. Keith in Black Mountain and Walter B. Jones in Greenville, provide gender responsive services for pregnant and parenting women.  They accept pregnant women as priority admissions into their facilities. 

The Walter B. Jones ADATC in Greenville North Carolina also has the Eastern Regional Women and Infants Project (ERWIP) that began in 1994 as a part of the North Carolina Perinatal and Maternal Substance Abuse Initiative.  Perinatal Services at WBJ/ADATC serves pregnant substance abusing adults, and post-partum women with infants up to 12 months of age.  ERWIP can accommodate any number of pregnant women (based on facility capacity), and up to five infants.  Perinatal Services accepts referrals from anywhere in the state.  Treatment Services are provided in an inpatient setting and length of stay is based on medical necessity.  Pregnant women at WBJ/ADATC receive all prenatal care through the East Carolina University School of Medicine, Family Practice Center.  (High-risk pregnancies are seen at the ECU-Brody OB/GYN Clinics.) If a patient has a local OB-GYN in the Pitt County area, she may continue to receive services from them.  Women with infants also receive well-baby check-ups through the ECU Family Practice Center. 

North Carolina Oxford House for Women

Oxford Houses are self-supporting group residences for individuals in recovery from alcoholism and/or drug addiction.  Oxford House offers a low-cost, peer-supportive living environment rooted in 12-step recovery and is an effective extension of the Minnesota Model for detoxification and treatment.  Oxford House living encourages personal responsibility and promotes equality through the house democratic process  At Oxford House, residents attend weekly house meetings; attend outside 12-step recovery meetings; and develop a personal recovery plan.  The peer group dynamic encourages helpful recovery techniques and awareness of relapse triggers.  Location of houses as well as vacancies can be found at

The Pregnancy Exposure Riskline

The Riskline is a part of the North Carolina Teratogen Information Service (NCTIS), whose goal is to provide accurate evidence-based, clinical information to patients and health care professionals about exposures during pregnancy and lactation.  The NCTIS works to minimize damage caused by use of alcohol, drugs, medications, chemicals, and other exposures during pregnancy.  In addition, it provides educational sessions for prevention, education and support activities and help with patient evaluations and referrals.  The Pregnancy Exposure Riskline number is 1-800-532-6302. More information is available at

Work First/CPS Substance Abuse Initiative

The goal of the Work First/CPS Substance Abuse Initiative is to provide early identification of Work First recipients that have substance abuse problems severe enough to impact their ability to become self-sufficient, to assist parents who have substance abuse problems and who are involved with Child Protective Services engage in appropriate treatment and Class H or I controlled substance felons applying for Work First and/or food stamps.  Each Local Management Entity receives funding to support this initiative.  Qualified Professionals in Substance Abuse (QPSAs) are out-stationed, when possible, in the local Departments of Social Services to provide screening, assessment, care coordination and referral to treatment.  The QPSA and the Work First case manager or CPS worker jointly develop a plan with the family to ensure success.



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