Money game. Cascade in Durham is unprofessional. They are not educated or skilled to provide care for clients with substance abuse issues. They don't care about the clients or their families. They don't mind playing with the lives of these clients and their families. They do ...
About Cascade
Overcoming drug and alcohol addiction is challenging enough on its own. When you’re also pregnant at the time or you have a baby at home, it just complicates matters even more. That’s why I’m glad there’s a specialized program called CASCADE in Durham, North Carolina to help moms who are in this situation.
CASCADE stands for Courage and Support for Changing Attitudes, Dependences and Environments. This program offers help at either the residential level or the outpatient levels. This allows them to help pregnant and new mothers and their children in the best way possible for each family.
Location
Location
Accepted Insurance
Other Forms of Payment
Private insurance refers to any kind of healthcare coverage that isn't from the state or federal government. This includes individual and family plans offered by an employer or purchased from the Insurance Marketplace. Every plan will have different requirements and out of pocket costs so be sure to get the full details before you start treatment.
Self-pay involves paying for treatment out of your own pocket. You can use savings or credit, get a personal loan, or receive help from family and friends to fund your treatment. If you don't have insurance or your insurance plan doesn't cover a specific program, self-pay can help ensure you still get the care you need.
Financial aid can take many forms. Centers may have grants or scholarships available to clients who meet eligibility requirements. Programs that receive SAMHSA grants may have financial aid available for those who need treatment as well. Grants and scholarships can help you pai for treatment without having to repay.
Military members, veterans, and eligible dependents have access to specific insurance programs that help them get the care they need. TRICARE and VA insurance can help you access low cost or no cost addiction and mental health treatment. Programs that accept military insurance often have targeted treatment focused on the unique challenges military members, veterans, and their families face.
Medicaid is a state based program that helps lower-income individuals and families pay for healthcare. Medicaid covers addiction treatment so those enrolled can use their coverage to pay for rehab. When a program accepts Medicaid the client often pays very little or nothing out of their own pocket.
Addiction Treatments
Levels of Care
Outpatient Outpatient Programs (OP) are for those seeking mental rehab or drug rehab, but who also stay at home every night. The main difference between outpatient treatment (OP) and intensive outpatient treatment (IOP) lies in the amount of hours the patient spends at the facility. Most of the time an outpatient program is designed for someone who has completed an inpatient stay and is looking to continue their growth in recovery. Outpatient is not meant to be the starting point, it is commonly referred to as aftercare.
Inpatient Clients receiving treatment at an inpatient rehab facility are typically in early recovery or are at heightened risk of relapse. Clients in inpatient care remain at the facility for the duration of their program, enabling them to focus solely on their recovery. Inpatient treatment typically involves extensive psychotherapy, often including group and family counseling as well as one-on-one sessions. Recovery-focused life skills education is another common service. Many rehabs also offer evidence-based holistic therapies.
Intensive Outpatient Intensive Outpatient Programs (IOP) are for those who want or need a very structured treatment program but who also wish to live at home and continue with certain responsibilities (such as work or school). IOP substance abuse treatment programs vary in duration and intensity, and certain outpatient rehab centers will offer individualized treatment programs.
Aftercare Support Rehab aftercare programs offer a complete continuum of care for clients in the maintenance phase of recovery and are predicated on the idea that addiction disease is a chronic condition prone to relapse and warranting continuing care. Clients collaborate with their care team and case manager to access the specific rehab aftercare services they need to promote their sustained sobriety. Peer coaching, relapse prevention services, career counseling, and 12 step program induction are common in these programs.
Partial Hospitalization Program Often used as a "step-down" option after you've completed a residential or inpatient program, the partial hospitalization program (PHP) typically involves a minimum of 20 hours of treatment per week for approximately 90 days. Programs offer structured programming that includes relapse prevention, medication management, and behavioral therapy services. Insurance coverage for PHP treatment varies among insurance providers.
Medically Assisted Detox A medically assisted detox is the safest way to remove addictive drugs and alcohol from your body. A team of licensed medical professionals will look after you 24/7 to monitor your health, help minimize discomfort, and provide medications if necessary to alleviate any withdrawal symptoms. This process is typically the first step in your recovery and may take around 5-7 days, although length will depend on your individual needs.
Treatments
The goal of treatment for alcoholism is abstinence. Those with poor social support, poor motivation, or psychiatric disorders tend to relapse within a few years of treatment. For these people, success is measured by longer periods of abstinence, reduced use of alcohol, better health, and improved social functioning. Recovery and Maintenance are usually based on 12 step programs and AA meetings.
There are many types of drug rehab in North Carolina. To receive treatment for addiction, you can choose from many inpatient and outpatient programs. Often, participants start with detox and work through a full continuum of care that continues with ongoing support for long-term recovery.
Many of those suffering from addiction also suffer from mental or emotional illnesses like schizophrenia, bipolar disorder, depression, or anxiety disorders. Rehab and other substance abuse facilities treating those with a dual diagnosis or co-occurring disorder administer psychiatric treatment to address the person's mental health issue in addition to drug and alcohol rehabilitation.
Opioid rehabs specialize in supporting those recovering from opioid addiction. They treat those suffering from addiction to illegal opioids like heroin, as well as prescription drugs like oxycodone. These centers typically combine both physical as well as mental and emotional support to help stop addiction. Physical support often includes medical detox and subsequent medical support (including medication), and mental support includes in-depth therapy to address the underlying causes of addiction.
Substance rehabs focus on helping individuals recover from substance abuse, including alcohol and drug addiction (both illegal and prescription drugs). They often include the opportunity to engage in both individual as well as group therapy.
Programs
Teen Program
Teen programs are designed to address the unique pressures teens face, pressures that can drive them to experiment with dangerous, addictive substances. They need programs that meet them exactly where they are and give them tools for long-term recovery. Therapy can help teenagers understand and work through underlying issues so they can reclaim the life ahead of them.
Adult Program
Adult rehab programs include therapies tailored to each client's specific needs, goals, and recovery progress. They are tailored to the specific challenges adult clients may face, including family and work pressures and commitments. From inpatient and residential treatment to various levels of outpatient services, there are many options available. Some facilities also help adults work through co-occurring conditions, like anxiety, that can accompany addiction.
Program For Women
Rehabs for women provide a safe, nurturing space for female clients to heal. These treatment programs consider the specific obstacles that women can face during recovery and place a special emphasis on mental, social, physical, and reproductive health. They explore how each woman's experience has shaped the trajectory of their substance use, addressing issues such as sexual abuse and past trauma.
Young Adult Program
Young adulthood can be an exciting, yet difficult, time of transition. Individuals in their late teens to mid-20s face unique stressors related to school, jobs, families, and social circles, which can lead to a rise in substance use. Rehab centers with dedicated young adult programs will include activities and amenities that cater to this age group, with an emphasis on specialized counseling, peer socialization, and ongoing aftercare.
Child Program
The providers who specialize in the children's rehab space understand the specialized needs that this population faces. School-based and social services such as tutoring and family counseling are often central to treatment. Child programs may also address the needs of youth experiencing substance abuse in the home, including a parent's or sibling's addiction.
Seniors Program
Nearly one million adults age 65 and older live with a substance use disorder. Treatment providers who specialize in senior care understand the social, psychological, and physical effects of aging and how they relate to recovery. They can help clients address particular challenges and risks they may face as they get older such as overdosing and medication interactions and dependencies.
HIV/AIDS Program
HIV/AIDS programs support disease prevention and management in high-risk individuals in recovery. Individuals who engage in intravenous drug use and other addictive behaviors are at a higher risk of becoming infected with HIV. Rehab centers that specialize in treating this population typically have a high number of nurses, physicians, and psychiatrists on staff who can make sure both their medical and mental health needs are met.
LGBTQ Program
Recovery is most successful when clients feel accepted and validated by their peers and treatment providers. Facilities that offer LGBTQ-inclusive programming are committed to creating a safe space where everyone can grow and recover without fear of judgment or discrimination. They will have dedicated policies in place to create a safe and supportive environment that fosters free expression.
Military Program
Serving in the military is both mentally and physically challenging, and can result in trauma that persists even after combat ends. Military programs are tailored to the specific and often complex needs of active duty personnel, veterans, and military families. Clients often access these programs through the U.S. Department of Veterans Affairs (VA).
Postpartum Program
The postpartum period is a sensitive time, especially for women in addiction recovery. Rehabs with specialized programs for new mothers will offer compassionate, personalized care to meet each client's needs as they transition from pregnancy to this season of life. Care teams may include obstetricians, pediatricians, and social workers working collaboratively to give women, children, and families a healthy future.
Clinical Services
Clients who receive cognitive behavioral therapy in North Carolina typically attend five to 20 sessions. During this time, they work with their therapist to learn healthier patterns of thinking, which can help them change their behavior related to substance use.
Counseling that applies dialectical behavior therapy teaches you coping skills to apply to your daily life. The focus is on intense emotions and developing coping mechanisms to manage them. Therapy sessions are a series of teaching lessons that help you develop these coping skills.
Group therapy is any therapeutic work that happens in a group (not one-on-one). There are a number of different group therapy modalities, including support groups, experiential therapy, psycho-education, and more. Group therapy involves treatment as well as processing interaction between group members.
You usually develop a strong bond with your therapist during individual therapy sessions. This helps you explore the underlying causes of your substance use in a safe and nonjudgmental environment. Therapists help you develop effective coping strategies you can use in the community and improve your self awareness so you understand your addiction triggers.
If you're struggling with insecurity about your ability to make changes in your life, motivational interviewing in North Carolina could be a good solution. This type of therapy offers support and empowerment to help you explore your options and decide how to move forward with positive changes.
Trauma therapy addresses traumatic incidents from a client's past that are likely affecting their present-day experience. Trauma is often one of the primary triggers and potential causes of addiction, and can stem from child sexual abuse, domestic violence, having a parent with a mental illness, losing one or both parents at a young age, teenage or adult sexual assault, or any number of other factors. The purpose of trauma therapy is to allow a patient to process trauma and move through and past it, with the help of trained and compassionate mental health professionals.
Research clearly demonstrates that recovery is far more successful and sustainable when loved ones like family members participate in rehab and substance abuse treatment. Genetic factors may be at play when it comes to drug and alcohol addiction, as well as mental health issues. Family dynamics often play a critical role in addiction triggers, and if properly educated, family members can be a strong source of support when it comes to rehabilitation.
Routine tasks are difficult for someone experiencing addiction. Daily skills deteriorate, which makes it harder to achieve recovery. That's why drug rehab programs in North Carolina reteach basic life skills. This gives you the tools you need to manage daily life without returning to substance use.
If you've been smoking for a while, your body has become physically dependent on the addictive substance nicotine. To avoid unpleasant withdrawal as you quit smoking, you can use nicotine replacement therapy in North Carolina. This gives you controlled amounts of nicotine in the form of lozenges, inhalers, sprays, patches, or gum.
Accreditations
The Commission on Accreditation of Rehabilitation Facilities (CARF) is a non-profit organization that specifically accredits rehab organizations. Founded in 1966, CARF's, mission is to help service providers like rehab facilities maintain high standards of care.
CARF Accreditation: Yes
Contact Information
(919) 490-6900 
3325 Chapel Hill Boulevard
Suite 250
Durham, NC 27707
Get Help Now - 800-985-8516
Who Answers?
Who Answers?
Fact checked and written by:
Nikki Wisher, BA
Edited by:
Courtney Myers, MS
