904 Morven Road Wadesboro, NC 28170     (704) 269 – 6800

418 S. Eugene Court, Greensboro, NC 28401   (336) 365 – 8354

Enhanced Behavioral Health Services

Enhanced Behavioral Health Services

Enhanced Behavioral Health Services, as defined by the North Carolina Department of Health and Human Services (NC DHHS), encompass a range of state-funded mental health and substance use services designed to provide comprehensive and intensive support to individuals in need. These services are tailored to address various behavioral health challenges and include:

Services Offered

  • Intensive In-Home Services: Targeted support for children and adolescents with significant behavioral health needs, delivered within the home setting.
  • Multisystemic Therapy (MST): An intensive, family- and community-based treatment program that addresses the multiple determinants of serious antisocial behavior in juvenile offenders.
  • Psychosocial Rehabilitation: Services aimed at helping individuals with psychiatric disabilities to restore and enhance their personal, social, and vocational competencies.
  • Child and Adolescent Day Treatment: Structured treatment services provided to children and adolescents with mental health or substance use disorders, focusing on improving functional abilities.
  • Partial Hospitalization: A short-term, intensive treatment program that provides therapeutic services during the day, allowing individuals to return home in the evenings.
  • Professional Treatment Services in Facility-Based Crisis Programs: Immediate, short-term care provided in a non-hospital setting for individuals experiencing a behavioral health crisis.
  • Substance Abuse Intensive Outpatient Program (SAIOP): Structured individual and group addiction activities and services that are provided in an outpatient setting.
  • Substance Abuse Comprehensive Outpatient Treatment Program (SACOT): An intensive service designed to assist individuals in initiating recovery and maintaining abstinence from addictive chemicals.
  • Substance Abuse Residential Treatment: Residential services for individuals requiring a structured environment to support recovery from substance use disorders.
Intensive Behavioral Health Services

Intensive Behavioral Health Services

Intensive Behavioral Health Services, as defined by the North Carolina Department of Health and Human Services (NC DHHS), are specialized interventions designed to provide comprehensive and focused support for individuals with significant mental health and substance use challenges. These services aim to stabilize and improve the individual's condition, promoting recovery and enhancing quality of life.

Key Services

  • Assertive Community Treatment (ACT): A multidisciplinary team approach providing 24/7, community-based psychiatric treatment, rehabilitation, and support to individuals with severe and persistent mental illness. (NCDHHS.GOV)
  • Community Support Team (CST): Community-based mental health and substance use rehabilitation services delivered through a team approach to assist adults in achieving rehabilitative and recovery goals. (NCDHHS.GOV)
  • Integrated Dual Disorder Treatment (IDDT): An evidence-based practice that combines mental health and substance use services to improve the quality of life for individuals with co-occurring severe mental illness and substance use disorders. (NCDHHS.GOV)
  • Intensive In-Home Services: Structured, family-centered services provided in the home to children and adolescents with significant behavioral health needs, aiming to prevent out-of-home placements. (NCDHHS.GOV)
  • Multisystemic Therapy (MST): An intensive, family- and community-based treatment program addressing the multiple determinants of serious antisocial behavior in juvenile offenders. (NCDHHS.GOV)
  • Psychosocial Rehabilitation: Services aimed at helping individuals with psychiatric disabilities restore and enhance their personal, social, and vocational competencies. (NCDHHS.GOV)
  • Child and Adolescent Day Treatment: Structured treatment services provided to children and adolescents with mental health or substance use disorders, focusing on improving functional abilities. (NCDHHS.GOV)
  • Partial Hospitalization: A short-term, intensive treatment program that provides therapeutic services during the day, allowing individuals to return home in the evenings. (NCDHHS.GOV)
  • Professional Treatment Services in Facility-Based Crisis Programs: Immediate, short-term care provided in a non-hospital setting for individuals experiencing a behavioral health crisis. (NCDHHS.GOV)
  • Substance Abuse Intensive Outpatient Program (SAIOP): Structured individual and group addiction activities and services provided in an outpatient setting. (NCDHHS.GOV)
  • Substance Abuse Comprehensive Outpatient Treatment Program (SACOT): An intensive service designed to assist individuals in initiating recovery and maintaining abstinence from addictive substances. (NCDHHS.GOV)
  • Substance Abuse Residential Treatment: Residential services for individuals requiring a structured environment to support recovery from substance use disorders. (NCDHHS.GOV)
Services Comparisons

Mental Health Services: Services Comparisons

Category Outpatient Mental Health Services Enhanced Mental Health Services Intensive Mental Health Services
Definition Basic mental health services focused on individual or group therapy and medication management. Comprehensive services addressing more complex needs, often including home- and community-based supports. Intensive, structured services targeting severe and persistent mental health and substance use challenges.
Setting Clinics, offices, or telehealth. Combination of clinic, community, or in-home environments. Community-based, home-based, or partial hospitalization programs.
Target Population Individuals with mild to moderate mental health conditions. Individuals with moderate to severe behavioral health challenges needing more structured interventions. Individuals with severe and persistent mental health or substance use issues requiring 24/7 care or intensive services.
Level of Intensity Low intensity, with weekly or bi-weekly sessions. Moderate intensity, involving multiple visits and structured programs. High intensity, often requiring daily or around-the-clock care.

Addressing Specific Challenges

Problem Outpatient Mental Health Enhanced Mental Health Intensive Mental Health
ADHD Behavioral therapy, medication management. In-home therapy, school collaboration. Multisystemic therapy, crisis support.
Anxiety Individual therapy (CBT), medication. Day treatment, coping skill programs. Partial hospitalization, crisis intervention.
Depression CBT/DBT therapy, medication adjustments. Psychosocial rehabilitation, family therapy. ACT, crisis stabilization.
Community Violence Trauma-focused therapy, education. Group therapy, community reintegration. Trauma-informed care, crisis intervention.
Food Insecurity Referrals to food resources. Community support teams assist with benefits. Case management for nutritional needs.

Can Enhanced and Intensive Services Be Effective Without Outpatient Services?

Research indicates that enhanced and intensive mental health services can operate independently, but integration with outpatient services often enhances their effectiveness. For example:

  • Day treatment programs are effective but show no clear superiority to outpatient therapy (NCBI).
  • Both intensive outpatient programs and individual therapy have been shown to be effective for various conditions (Connections Wellness Group).

Therefore, combining these services ensures a more comprehensive approach, particularly for complex mental health needs.