An Anger Assessment that incorporates a clinical interview and two objective anger specific scales: the Anger Disorders Scale and State Trait Anger Expression Inventory 2. This assessment is referred by an attorney or court ordered. It may be recommended by a clinician, the Department of Social Services, or another provider.

Anger management is training for temper control and building the skill of remaining calm and composed. Effective management of anger does not extinguish the anger experience but instead it allows for the safe, healthy experience, and expression of anger. Anger is frequently experienced as a result of frustration or of feeling blocked from something we feel to be important. Anger can also be a defensive response to underlying fear or feelings of vulnerability or powerlessness. Engagement in anger management treatment is appropriate for individuals who experience difficulty managing their individual anger experience.

Clinical consultation is a review of clinical concerns to assist in clinical direction regarding treatment needs.

Includes a clinical interview that incorporates PHQ-9 or other appropriate instruments that may include the Beck, Burns, or Zung Depression Screening that objectively measure symptoms experience as determined appropriate by the assessing clinician. The completion of a CCA precedes the recommendation for service engagement.

A DWI Substance Abuse Assessment is required of any individual who is convicted of Driving While Impaired or Driving While Licensed Revoked, Impaired Revocation in the state of North Carolina. You cannot receive a Limited Driving Privilege without a DWI Assessment. DWI and Substance Abuse assessments and groups can only be conducted by facilities licensed by the state of North Carolina to meet requirements to restore your drivers license. This assessment includes a general clinical interview that incorporates a Urinary Drug Screen, AUDIT/DAST (objective tools utilized to measure substance use), and other clinical measures as determined appropriate by the clinician. Clients must bring copy of the DWI or DWLR citation (if possible) and a blood alcohol content reading for completion of this assessment. The cost of all NC DWI Assessments is $100. The $100 fee is established by the Legislature of the State of NC. No agency in the state of NC is allowed by law to charge more or less than the $100 fee. The full fee is to be collected at the time of the assessment and paid upfront. This service is not billable to insurance under any circumstances.

Family Centered Treatment

Family Centered Treatment (FCT) was developed as a model of treatment for use in the provision of intensive in-home services. FCT origins derive from practitioners’ efforts to find simple, common sense solutions for families faced with forced removal of their children from the home or dissolution of the family due to external and internal stressors and circumstances. Out of a desire and mission to create opportunity for lasting change for families that were seemingly stuck in a downward spiral, grew a practice approach that is non-traditional, yet grounded in the use of treatment components that are sound and research based. Eco-Structural Family Therapy, Emotionally Focused Therapy, and the Peers Helping Peers model provide the theoretical framework from which FCT has developed.

FCT is a best practice, tested, and evidence-based model of home based treatment that was developed by practitioners over a 20 year period. FCT promotes sustained behavioral change for the family by restructuring critical areas of family functioning and by utilizing emotion to build attachments. These emotional enactments that occur in the FCT family sessions give meaning to family members’ perceptions, motivate them to action, and provide a method for communication.

Individual therapy (sometimes called psychotherapy or counseling) is a process through which clients work one-on-one with a trained therapist - in a safe, caring, and confidential environment - to explore their feelings, beliefs, or behaviors. The client will work through challenging or influential memories, identify aspects of their lives that they would like to change, better understand themselves and others, set personal goals, and work toward desired change. Individual counseling is appropriate for child, adolescent, and adult clients. Individual or other services may include a trauma based approach if appropriate. Trauma based services may be recommended following exposure to violence, crisis situations, and traumatic events. The therapist responds to the needs of children and adults who have been victims of trauma, sexual assault, or domestic violence.

Some types of individual counseling include:

• EMDR (Eye Movement Desensitization and Reprocessing) - Eye movement desensitization and reprocessing (EMDR) is a psychotherapy technique developed by Francine Shapiro that emphasizes disturbing memories as the cause of psychopathology. It is used to help with the symptoms of post traumatic stress disorder (PTSD), anxiety, the processing of traumatic events, personal growth and development, public speaking related anxiety, and other mental health conditions. According to Shapiro, when a traumatic or distressing experience occurs, it may overwhelm normal coping mechanisms. The memory and associated stimuli are inadequately processed and stored in an isolated memory network.

• COGNITIVE BEHAVIOR THERAPY - Cognitive Behavior Therapy (CBT) is a type of psychotherapeutic treatment that helps patients understand the thoughts and feelings that influence behaviors. CBT is commonly used to treat a wide range of disorders including phobias, addictions, depression, and anxiety. Cognitive behavior therapy is generally short-term and focused on helping clients deal with a very specific problem. During the course of treatment, clients learn how to identify and change destructive or disturbing thought patterns that have a negative influence on behavior.

• OTHER - evidenced based and person centered counseling approaches

Couples counseling is a process through which a couple (who may be engaged, dating, married, partnered—or sometimes even parent and child or other pairings) works with a trained therapist to identify specific areas of conflict and/or aspects of their relationship they would like to change. The clients then develop a plan of action to improve each individual’s satisfaction and contentment.

Incorporates a Comprehensive Clinical Assessment, the Adolescent Angers Disorder SCALE, and PETRA (an objective tool used for the measurement of risk in adolescents). Referred by local schools/private request.

School based outpatient therapy refers to quality behavioral health services provided to students in their natural school setting where they identify as experiencing difficulties that are impacting their educational success. The therapist works with students, teachers, and families to overcome behavior health issues that prevent students from achieving their academic potential.

A sex offender evaluation is a process in which individuals who have committed a sex crime, violent or not, are evaluated to determine the level of risk to the community and to determine the best treatment options and placement. This service involves a Comprehensive Clinical Assessment, impact interviews, multiple clinical interviews, review of collaborative documentation, and a structured assessment (either ABEL/JSOAP or other assessment tools to be determined by clinician). Referrals may be received by the Department of Juvenile Justice, Adult probation, or by an order of the court.

A sex offender risk assessment is an evaluation process where individuals who have committed a sex crime, violent or not, are evaluated to determine the level of risk to the community and to determine the best treatment options and placement. The risk assessment is less thorough than the sex offender evaluation but does include a Comprehensive Clinical Assessment, impact interviews, and a structured assessment (either ABEL/JSOAP or other assessment tools to be determined by clinician). Referral can be general referral, the local Department of Social Services, or an independent attorney.

A general clinical substance use disorder assessment that incorporates a Urinary Drug Screen, AUDIT/DAST (objective tools utilized to measure substance use), and a clinical interview. A substance use disorder assessment is referred by Comprehensive Clinical Assessment, an internal clinician, or by general referral.