Durham VA Medical Center


Contact Details
Description

There are currently state and federally funded or sponsored drug and alcohol treatment centers in the state of North Carolina

Questions & Answers

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What kinds of care do they offer?

  • Mental health treatment

    Includes interventions such as therapy or psychotropic medication that treat a person's mental health problem or condition, reduce symptoms, and improve behavioral functioning and outcomes.

  • Substance use treatment

    Refers to a broad range of activities or services, including identification of the problem (and engaging the individual in treatment); brief interventions; assessment of substance abuse and related problems including histories of various types of abuse; diagnosis of the problem(s); and treatment planning, including counseling, medical services, psychiatric services, psychological services, social services and follow-up for persons with alcohol or other drug problems (Institute of Medicine, 1990).


What types of treatment approaches do they offer?

  • Individual psychotherapy

    Focuses on a patient's current life and relationships within the family, social, and work environments through one-on-one conversations with a therapist. The goal is to identify and resolve problems with insight, as well as build on strengths.

  • Couples/family therapy

    Are two similar approaches that use discussions and problem-solving sessions facilitated by a therapist to help couples and family members improve their understanding of and the way they respond to one another. This type of therapy can resolve patterns of behavior that might lead to more severe mental illness. Family therapy can help educate about the nature of mental disorders and teach skills to better cope with the effects of having a family member with a mental illness, such as how to deal with feelings of anger or guilt.

  • Group therapy

    Involves groups of usually 4 to 12 people who have similar problems and who meet regularly with a therapist. The therapist uses the emotional interactions of the group's members to (1) help them get relief from distress and (2) possibly modify their behavior.

  • Cognitive behavioral therapy

    Involves recognizing unhelpful patterns of thinking and reacting, and then modifying or replacing these with more realistic or helpful ones. The therapy can be conducted with individuals, families, or groups, and clients are generally expected to be active participants in their own therapy.

  • Dialectical behavior therapy

    A cognitive behavioral treatment approach with two key characteristics: a behavioral, problem-solving focus blended with acceptance-based strategies, and an emphasis on dialectical processes. "Dialectical" refers to the issues involved in treating patients with multiple disorders and to the type of thought processes and behavioral styles used in the treatment strategies. DBT has five components: (1) capability enhancement (skills training); (2) motivational enhancement (individual behavioral treatment plans); (3) generalization (access to therapist outside clinical setting, homework, and inclusion of family in treatment); (4) structuring of the environment (programmatic emphasis on reinforcement of adaptive behaviors); and (5) capability and motivational enhancement of therapists (therapist team consultation group). DBT emphasizes balancing behavioral change, problem-solving, and emotional regulation with validation, mindfulness, and acceptance.

  • Integrated Mental and Substance Use Disorder treatment

    Provides combined treatment for mental illness and substance abuse from the same clinician or treatment team. Effective integrated treatment programs view recovery as a long-term, community-based process. The approach employs counseling designed especially for those with co-occurring disorders.

  • Telemedicine/telehealth therapy

    The ability for healthcare providers, working from a distance using telecommunications technology, to communicate with patients, diagnose conditions, provide treatment, and discuss healthcare issues with other providers to ensure quality healthcare services are provided. Other names used for this treatment approach are: e-medicine, e-therapy, e-psychiatry, and telepsychiatry.


  • Smoking not permitted

    Smoking is not allowed.


What type of setting is this location?

  • Outpatient

    Describes patients who receive treatment services without an overnight stay at a treatment facility or hospital.


Who is responsible for the operation of this facility?

  • U.S. Department of Veterans Affairs

    Facility operated by the U.S. Department of Veterans Affairs, including general hospitals, and/or residential treatment programs, and/or?psychiatric out?patient clinics.

  • Federal Government


What types of payment or funding do they accept?

  • U.S. Department of VA funds


Do they offer any emergency mental health services?

  • Psychiatric emergency walk-in services

    Designed to provide accessible, professional, cost-effective services to individuals in psychiatric crisis, and strive to stabilize consumers on site and avoid psychiatric hospitalization whenever possible.


What specific groups are treated here?

  • Clients with co-occurring mental and substance use disorders

    Facility has a program or group specifically tailored for persons with co-occurring mental and substance abuse disorders.

  • Lesbian, gay, bisexual, transgender, or queer/questioning (LGBTQ)

    Facility has a program or group specifically tailored for LGBT clients.

  • Veterans

    Facility has a program or group specifically tailored for Veterans.

  • Active duty military

    Facility has a program or group specifically tailored for active duty military persons.

  • Members of military families

    Facility has a program or group specifically tailored for Military families.

  • Seniors or older adults

    Facility has a program or group specifically tailored for Seniors or older adults.

  • Clients with HIV or AIDS

    Facility has a program or group specifically tailored for persons with HIV or AIDS.

  • Clients who have experienced trauma

    Facility has a program or group specifically tailored for persons who have experienced trauma.

  • Persons 18 and older with serious mental illness (SMI)

    Facility has a program or group specifically tailored for persons with serious mental illness.

  • Persons with Alzheimer's or dementia

    Facility has a program or group specifically tailored for persons with Alzheimer's or dementia.

  • Persons with post-traumatic stress disorder (PTSD)

    Facility has a program or group specifically tailored for persons with post-traumatic stress disorder.

  • Persons with traumatic brain injury (TBI)

    Facility has a program or group specifically tailored for persons with traumatic brain injury.

  • Young adults

    Facility has a program or group specifically tailored for Transitional age young adults.

  • Persons with eating disorders

    Facility has a program or group specifically tailored for persons with eating disorders.


What ancillary services are offered at this facility?

  • Case management service

    Helps people arrange for appropriate services and supports through a case manager who monitors the needs of clients/patients and their families and coordinates services, such as mental health, social work, health, educational, vocational, recreational, transportation, advocacy, and respite care, as needed.

  • Court-ordered outpatient treatment

    Known by different terms in different states, such as, ?assisted outpatient treatment (AOT),? ?involuntary outpatient treatment,? or ?mandatory outpatient treatment.? Forty-four states permit the use of court-ordered outpatient treatment as a condition for persons with severe mental illness, who are too ill to seek care voluntarily, to remain in their community. Each state has its own civil commitment laws that establish criteria for determining when court-ordered treatment is appropriate for these individuals. (https://www.crimesolutions.gov/ProgramDetails.aspx?ID=228)

  • Education services

    Locate or provide educational services from basic literacy through a general equivalency diploma and college courses including special education at the pre-primary, primary, secondary, and adult levels.

  • Family psychoeducation

    Helps consumers and their families and supporters, through relationship building, education, collaboration, and problem solving to: 1) learn about mental illness; 2) master new ways of managing their mental illness; 3) reduce tension and stress within the family; 4) provide social support and encouragement to each other; 5) focus on the future; and 6) find ways for families and supporters to help consumers in their recovery.

  • Psychosocial rehabilitation services

    Offered individually or in groups, provide therapeutic or intervention services such as daily and community-living skills, self-care and skills training (grooming, bodily care, feeding, social skills training, and basic language skills).

  • Suicide prevention services

    Include identifying risk factors; educating staff on identifying the signs of suicidal behavior and using methods to detect risk; and the assessment, intervention, and management of suicidal patients including treatment of an underlying mental or substance use disorder, and use of psychotropic medication, supportive services, and education. Hotlines help individuals to contact the nearest suicide prevention mental health provider.


What types of recovery support services are offered here?

  • Mentoring/peer support

  • Housing services

    Are designed to assist individuals with finding and maintaining appropriate housing arrangements.


What specific pharmacotherapy treatments do they provide?

  • Nicotine replacement

    Administers nicotine to the body by means other than tobacco, without other harmful chemicals found in tobacco. Common forms of nicotine replacement therapy are nicotine patches, nicotine gum or lozenges, nasal spray and inhaler. The goal of nicotine replacement is to prevent cravings in a tobacco user, allowing the person to abstain from tobacco.

  • Non-nicotine smoking/tobacco cessation

    Are medications that do not contain nicotine but act on the brain to reduce a person's craving for tobacco. Some common medications are Bupropion (Zyban, Wellbutrin), and Nortriptyline (Pamelor). Medications are often prescribed in conjunction with behavioral counseling or support groups to provide the best chance for achieving long-term smoking abstinence. (http://www.mayoclinic.com)

  • Aripiprazole

  • Olanzapine

  • Olanzapine/Fluoxetine combination

  • Paliperidone

  • Quetiapine

  • Risperidone

  • Ziprasidone

  • Antipsychotics used in treatment of SMI

    A multi-disciplinary clinical team approach, helps those with serious mental illness live in the community by providing 24-hour intensive community services in the individual's natural setting.


What types of screening and assessment methods are used here?

  • Screening for tobacco use

    Determines a client's use of tobacco products, such as cigarettes, cigars, pipe tobacco, or smokeless tobacco. It is generally recommended that providers screen for tobacco use on a regular basis by asking clients, as they are seen, about their current and past use of tobacco products and their exposure to secondhand smoke or tobacco.


What kinds of education and counseling services are offered here?

  • Smoking/vaping/tobacco cessation counseling

    Includes interventions for persons who use tobacco and want help with stopping, including behavioral support or counseling in groups or individually.


What age groups are accepted here?

  • Young Adults

    Facility accepts young adults (13-25) for treatment.

  • Adults

    Facility accepts adults (26-64) for treatment.

  • Seniors

    Facility accepts seniors (65 or older) for treatment.


What types of testing do they offer?

  • Metabolic syndrome monitoring

  • Laboratory testing


What type of facility is this?

  • Veterans Affairs Medical Center or other VA healthcare facility


Is vaping allowed at this facility?

  • Vaping not permitted


How do I apply for admission at this location?


Have you been to this facility? What was your experience?


Is there a wait-list for treatment center?


Is any payment required?