Referral Options for those in need of higher levels of care

(This is not a comprehensive list)

CALL 911 if this is a medical or life-threatening emergency.

If you need the police, ask for a CIT (Crisis Intervention Teams) officer. They have received specialized training designed to better assist, understand, and respond more effectively to persons with mental illness, and in a manner that enhances both their safety and the safety of the public. It is a jail diversion and de-escalating model.

Crisis Support: In crisis call or text 988 or chat at www.988lifeline.org for a trained crisis counselor 24/7. To reach a Spanish-speaking crisis counselors, call or text 988 and press option 2, text “AYUDA” to 988, or chat online at 988lineadevida.org. The center is contracted out to a group called Real Crisis Intervention. 9-8-8 callers/texters will immediately be put in touch with a trained crisis counselor who many times is able to de-escalate the situation over the phone.

For further questions regarding Crisis Services within NC, please contact 984-236-5300, or 800-662-7030 for Spanish. For additional resources to assist you with a crisis immediately, visit Crisis Solutions North Carolina and select your county from the drop-down box.

Warm Line: (833) 390 7728 A peer-run mental health service agency, Promise Resource Network based in Charlotte, expanded its warm line to people across North Carolina. It’s a free mental health support line operated entirely by people in mental health recovery, meaning all of the staff and management are people who have dealt with personal mental health issues, incarceration, homelessness, substance use or a combination of these. National: –https://www.crisistextline.org/ or Text HOME to 741741 Crisis Text Line is free, 24/7 support for those in crisis, from anywhere in the US to text with a trained Crisis Counselor.

North Carolina: HopeLine, Inc: PO Box 10490, Raleigh NC 27605 • 919-231-4525 • https://www.hopeline-nc.org/ offers free and confidential listening and referral information. Our mission is to support people and save lives during times of crisis through confidential conversations.

Wrenn House / Haven House Crisis Line: 919-832-7866 https://www.havenhousenc.org/ Wrenn House is the only homeless, runaway, crisis intervention program & 24 hour shelter for youth in the Triangle. They provide a safe, legal & responsible environment for youth who run away, who are homeless, or are otherwise in a crisis situation.

National Suicide Prevention Lifeline: 800-273-8255 Website: https://suicidepreventionlifeline.org/ Reach someone 24 hours a day. Staffed by people of all ages and identities.

For Young Children:

Holly Hill – inpatient for children 5-17 for anxiety, PTSD, depression, ADHD, psychosis, and behavioral issues.

For Youth Ages 12-18

Youth Behavioral Health Hospital – 100 West H Street, Butner, NC, 54 bed in patient facility, run by UNC Health and DHHS,

Substance Use Issues: (inpatient treatment, detox treatment, intensive outpatient treatment, etc.)

Welwynn Outpatient Center-program for executives and professionals (Raleigh, NC), Triangle Springs for Substance Use, Wilmington Treatment Center (in Wilmington), Walter B Jones (state hospital), Freedom Detox.

Holly Hill (Raleigh): Inpatient and outpatient options. Great resource: https://findtreatment.gov/results The Substance Abuse and Mental Health Services Administration (SAMHSA) collects information on thousands of state-licensed providers who specialize in treating substance use disorders, addiction, and mental illness.

NCDHHS’s page on Mental Health and Substance Use, has many links including crisis care services and treatment facilities: Mental Health and Substance Use (ncdhhs.gov)

Issues Relating to Acute and/or Complex Trauma: (EMDR/acute trauma treatment)

https://www.emdria.org/find-an-emdr-therapist/

This is a listing of EMDR-certified therapists and should be a good way to locate providers w/in geographical area

Gender Identity Related Issues:

QueerNC – http://queernc.org/ QueerNC aims to connect youth in rural and urban areas of NC by providing a safe space both online and in person for teens to talk about their ideas, find resources, and get help with problems that they’re facing. We educate teens on current LGBTQ community issues and empower youth to create change in their own communities. We also hold monthly meetups in the Triangle area.

UNC Children’s: https://www.uncchildrens.org/uncmc/unc-childrens/care-treatment/endocrinology/clinical-programs/gender-clinic/resources-for-medical-providers/

Duke Health: https://www.dukehealth.org/locations/duke-child-and-adolescent-gender-care-clinic

Trans Lifeline 877-565-8860 https://translifeline.org/ The first U.S. suicide hotline dedicated to transgender people. Trans Lifeline is entirely staffed by trans-identified volunteers … “by trans people, for trans people”

Trevor Project Lifeline 866-488-7386 https://www.thetrevorproject.org/get-help/ For LGBTQ youth (ages 24 and younger) contemplating suicide… Need a safe, non-judgmental place to talk? Call the Trevor Lifeline – it’s free and available 24 hours a day, 7 days a week. You can also ask for help on TrevorChat or TrevorText.

Eating Disorders:

Veritas: https://veritascollaborative.com/ Offers inpatient, residential outpatient, PHP and IOP for children, adolescents and adults.

Carolina House: https://www.carolinaeatingdisorders.com/ Offers partial hospitalization programs (PHP), intensive outpatient programs (IOP) and for those 17+ they also offer residential/inpatient treatment. Located in the Raleigh/Durham area.

Renfrew Center: https://renfrewcenter.com/ Located in Charlotte, NC and numerous locations in other states. Adolescent girls and women of all ages, as well as transgender and non-binary gender individuals—at all locations. Also has diabetic specific support. Offers Residential (only in Florida and Pennsylvania), day treatment, intensive outpatient, outpatient services, virtual programming.

Foothills at Red Oak Recovery: https://www.foothillsatredoak.com/ They work with adolescent boys between the ages of 14 to 17 who struggle with a wide range of issues from substance use, trauma, co-occurring issues, and gaming addiction, have equine and adventure therapy. LGBTQ+ friendly.

UNC: https://www.med.unc.edu/psych/eatingdisorders/ Inpatient and outpatient programs.

Geriatrics: (ages 61-up)

Holly Hill: Designed to meet the behavioral health needs of older adults who require supportive medical care, Holly Hill’s Medical Psychology Geriatric Program includes a specialized medical evaluation, an assessment of daily living skills and a full psychosocial assessment and intervention.

UNC: https://www.med.unc.edu/psych/eatingdisorders/ Inpatient and outpatient programs.

Grief: Grief.com: has resources, workshops, online groups and more. https://grief.com Griefshare: https://www.griefshare.org, provides in-person and online support groups, Christian leaning

Also check with area Hospices and churches

EMDR, DBT and CBT individual and group therapy: some even virtual

https://www.threeoaksbehavioralhealth.com/services/

Area Specific Organizations:

In North Carolina, to locate help in your area for a mental health or substance use crisis: https://www.ncdhhs.gov/divisions/mental-health-developmental-disabilities-and-substance-abuse/crisis-services

OR-

For mental health or substance use crisis call or text 988 or chat at www.988lifeline.org for a trained crisis counselor 24/7. To reach a Spanish-speaking crisis counselors, call or text 988 and press option 2, text “AYUDA” to 988, or chat online at 988lineadevida.org.

OR- NAMI North Carolina: Mental Health Support, Education & Resources (naminc.org) has information and links

Johnston County: Behavioral Health Services (some are free, some are on a sliding pay scale), there are licensed clinicians who will do screening by appt and a walk in crisis center M-F 8-5. https://www.johnstonnc.com/health/content.cfm?pageid=lcs They also have psychiatric services provided by an MD https://www.johnstonnc.com/health/content.cfm?pageid=ms and a Patient Assistance Program which involves a nurse assisting patients who have limited or no income to obtain psychiatric medications for free from pharmaceutical companies. The Johnston County Health Department Behavioral Health Division is a division of the Johnston County Health Department and is located directly behind the Johnston County Health Department. Some services are free; however, most services charge a fee that is set on a sliding fee scale based on household income. (919) 989-5200.

Orange County Rape Crisis Center: 1506 East Franklin St Suite 302, Chapel Hill NC 27514 Phone: 919-967-7273 [email protected] https://ocrcc.org/ The Orange County Rape Crisis Center offers survivors of sexual violence and their loved ones support through a 24/7 Help Line, referrals, accompaniment and support groups. The OCRCC also offers a support group for LGBTQ-identified survivors.

Durham Crisis Response Center: 206 N Dillard St, Durham NC 27701 Phone: 919-403-6562 [email protected] DCRC works with the community to end domestic and sexual violence through advocacy, education, support and prevention. DCRC provides a confidential 24-hour crisis line, hospital and court accompaniment, support groups, and individual counseling.

Durham: https://www.lgbtqcenterofdurham.org/resources/

Raleigh:

LGBT Center of Raleigh – https://www.lgbtcenterofraleigh.com/

Mission Statement: To strengthen individual and community development through social and educational activities; to facilitate the incubation of supportive services and groups; and to identify needs and advocate for resources benefiting the diverse population of lesbian, gay, bisexual, and transgender people, their friends and supporters within and beyond central North Carolina.

Alliance Medical Ministry: http://www.alliancemedicalministry.org/ Provides access to primary medical care to working, uninsured adults in Wake County. Services include primary care, pastoral care and counseling, chronic disease management, nutrition and wellness programming, health education, lab work, select screenings, on-site specialty care including cardiology, physical therapy, orthopedics, eye and dental care, and access to community garden. Open M-T, 8:30 am -4:30 pm; Fridays, 8:00am-12:00pm.(919) 250-3320

Wake County: Behavioral Health Page to locate services https://www.wake.gov/living-visiting/behavioral-health

Mobile Crisis Unit (Therapeutic Alternatives, Inc.) 1-877-626-1772 Professionals are standing by for a telephone assessment and are able to meet face to face with an individual in crisis within 2 hours. This is for substance abuse, mental health crisis and developmental disability issues. Open 24-7

Mental Health and Substance Use (ncdhhs.gov)

OCD/Anxiety help

The OCD and Anxiety Podcast by Dr. Robert James

DBT (type of therapy) app: Diarycard.net