Substance Use

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A blue rectangle with the words "Substance Use Resources" in large white font accompanied by a black and white photo of an outstretched hands with colorful pills in it.

The Road to Recovery: Substance Use Resources

If you or someone you know has a problem with substances such as alcohol, prescription drugs, and/or other drugs, there are many national, state, and local resources available to help. If you think your drug and alcohol use has gotten out of control, or if you have tried to quit and have not been able to, you are not alone and there are resources available to help listed below.

Provider  Resources 

Substance Abuse and Mental Health Services Administration logo

1-800-662-HELP (4357)

SAMHSA’s National Helpline is a free, confidential, 24/7, 365-day-a-year treatment referral and information service (in English and Spanish) for individuals and families facing mental and/or substance use disorders.

 Peer Warmline Logo

 

1-855-733-7762 

The Peer Warmline is a phone line staffed by Peer Support Specialists who offer non-clinical support and resources to those in crisis. Their unique expertise helps reduce stigma while strengthening overall engagement in care.

 The word Monarch with a butterfly hovering over the word

 

Crisis Line: 800-568-7235 

866-272-7826

Monarch provides services for those who are experiencing a mental health or substance use crisis and are in immediate need of the proper care, as well as therapy and medication management services.

WEBSITE

Vaya Health logo

800-849-6127

Vaya Health is Chatham County's managed care organization that provides connection to care for mental health and substance use. 

WEBSITE

 Logo for Never Use Alone, 1-877-696-1996

877-696-1996

Toll-free national overdose prevention, detection, life-saving crisis response and medical intervention services for people who use drugs while alone. Never Use Alone’s peer operators are available 24-hours a day, 7 days a week, 365 days a year. No stigma. No judgment. Just love!

WEBSITE

 Reintegration Support Network Logo

984-777-5282

The RSN is a community that embraces, empowers, and inspires youth and emerging adults who need support. 

WEBSITE

How do I know if I or a loved one has an alcohol or drug problem?

Mental Health Providers in Chatham County

información en español sobre recursos locales de abuso de sustancias

Tobacco Cessation Resources

Providers listed below serve all Chatham County residents unless otherwise stated. If you are experiencing a life-threatening emergency or crisis, call 911 immediately.

VERIFY LISTINGS BELOW:  To verify the information provided in this list, please contact Vaya Health toll-free at 1-800-849-6127.

Chatham County Service Providers

Daymark Recovery Services

Siler City Office
1105 E Cardinal Street
Siler City, NC 27344

P (919) 663-2955

WEBSITE

Hours: Monday-Friday 8am-5pm

Please Call To Discuss Any Questions Or Concerns. 24-Hour, Toll-Free Access Call Center
(800) 939-5911
FULL BROCHURE

Substance use services include:

-Comprehensive Clinical Assessments

Walk-ins available anytime between 8:00am-3:30pm to complete the paperwork and get clinic assessment.

-Outpatient group therapy
-Substance use intensive outpatient 
-Interpreters available for Spanish-speaking clients.

Accepts most major private insurance, Medicaid, and Medicare. Sliding scale fees available for individuals without any insurance. Fees may be as low as zero.

Clients meet with trained staff to review fees required prior to first appointment.

Freedom House Recovery Center

Chapel Hill Office
104 New Stateside Drive
Chapel Hill, NC 27516
P (919) 942-2803
WEBSITE

Substance use services for children, adolescents, and adults include:

  • Comprehensive clinical assessment
  • Individual, family, and group therapy
  • Peer support and peer group therapy
  • Comprehensive outpatient treatment appointments
  • Substance Abuse Intensive Outpatient Program
  • Psychiatric evaluation and medication management
  • Support services for children and adolescents with a parent struggling with mental illness or substance abuse
  • Parenting workshops and trainings

Chatham Recovery

1758 E. 11th Street, Suite E
Siler City, NC 27344
P (919) 663-3303
WEBSITE

Chatham Recovery is an opioid treatment program that provides medication assisted therapy and counseling to help people overcome addiction to heroin and opiates. Services for individuals over the age of 18 include opioid treatment, substance abuse counseling, and psychiatric services.

  • Methadone Treatment
  • Buprenorphine Treatment
  • Substance Abuse Counseling
  • Medication Management
  • Individual and group counseling
  • Urine drug screens
  • Referral Services

Medicaid (Cardinal and Sandhills) accepted. Self-pay also accepted.

Currently providing Telehealth therapy for clinical and medical appointments. Still open and operating normal business hours (weekday 6-11am, weekends 7-9am) for medication management.

El Futuro, Inc.

401 N Ivey Avenue
Siler City, NC 27344
P (919) 688-7101 ext. 600
F (919) 688-7102
Serves Spanish speakers
WEBSITE

Bilingual mental health and substance use services are available on Mondays and Tuesdays 10:00 a.m.-6:00 p.m. in the Siler City office. Services are also available in Durham Monday through Friday Services provided include:

  • Mental Health Evaluations
  • Individual, Family and Group Therapy
  • Psychiatric Treatment
  • Substance Use Evaluation and DWI Classes (Virtual only at the moment)
  • Trauma Treatment (all ages)

Medicaid, Health Choice, and Medicare accepted. Uninsured patients accepted (based on county of residence). For further questions surrounding payment, clients are encouraged to call the clinic.

Renaissance Wellness Services, LLC

288 East Street Suite 1001-F7
Pittsboro, NC 27312
P (919) 259-5308
rwellnessservices@gmail.com
WEBSITE

Substance Use Services include:

  • Comprehensive outpatient treatment appointments
  • Adolescent Substance Abuse Intensive Outpatient Program
  • Adult Substance Abuse Intensive Outpatient Program
  • Substance Abuse Comprehensive Outpatient Therapy

Bilingual therapists are available for Spanish speaking clients.

Medicaid and private insurance accepted (BCBS, Cigna, Aetna, and United). Uninsured patients accepted. A sliding-scale fee based on household income is available. Clients may meet with trained staff to determine service fees prior to their first appointment.

Currently providing Telehealth therapy, as well as in-office or in-home if it is deemed necessary and essential for the client

Chatham 360: Pretrial Release & Court Diversion Programs

Chatham County Justice Center | 40 E. Chatham St., Suite 1300 | Pittsboro

Renita Foxx
Phone: (919) 642-1213
Email: renita.foxx@chathamcountync.gov

Kirsten Pavlich, Pretrial Release Coordinator
Phone: (919) 642-1212
Email: kirsten.pavlich@chathamcountync.gov

WEBSITE

Chatham 360 is a county office that manages several court programs for youth and adult offenders. 

Chatham 360 Diversion Program: Works to assist members of our community with accessing various resources and educational materials to avoid further involvement with the criminal justice system. This is a new initiative in Chatham County to educate our youth and young adults being charged for the first-time with non-violent offenses.

First-Time Offenders Program: provides first-time drug offenders an opportunity to keep criminal records clean. Defendants must complete treatment based on their charges. Treatment can range from six months for misdemeanor charges to 10-12 months for felony charges.

Pretrial Services: Assists the courts in making release-and-detention decisions that preserve public safety as well as a defendant’s statutory and constitutional rights. Key steps include screening defendants, completing a risk assessment to determine the defendant’s risk, and contacting resources the defendant needs. Pretrial supervision services are only available to eligible referred defendants.

UNC Horizons

Department of Obstetrics and Gynecology at UNC-Chapel Hill
P (800) 862-4050
WEBSITE

UNC Horizons Program is a substance use disorder treatment program for pregnant and/or parenting women and their children, including those whose lives have been touched by abuse and violence. Services include:

  • Pregnancy and post-delivery care
  • Infant and children care services
  • Case management
  • Peer support
  • Individual and/or group counseling
  • Family counseling
  • Residential treatment programs
  • Outpatient treatment appointments
  • Substance Abuse Intensive Outpatient Program
  • Psychiatric evaluation and medication management (includes Suboxone)

Naloxone Saves

Locate local Public Health Departments and pharmacies that dispense naloxone (the opioid overdose reversal drug).

Needle Exchange Programs

Locate needle exchange programs throughout the state. Nearest programs are in Orange County, Winston-Salem, Durham, and Raleigh.

Local Support Groups

Additional Resources

National Resources

Click here (English) (Spanish) for more information on protecting your child from opioid misuse.

Unused Prescription Pill Disposal Locations

Pittsboro Police Department:  635 East Street, Pittsboro, NC Monday-Friday 8am-5pm

Siler City Police Department: 312 North Chatham Avenue, Siler City, NC Open 24/7

Chatham County Detention Center: 627 Renaissance Drive, Pittsboro, NC 27312

Siler City Pharmacy: 202 E Raleigh Street, Siler City, NC 27344

For more locations: Chatham Drug Free

Most locations still accepting unused medications during COVID-19. Please call ahead first to confirm. 

Laws and Protections

Good Samaritan Law: Prevents a person seeking medical assistance for a drug overdose victim from being prosecuted for underage drinking or possession of a small amount of drugs or paraphernalia. The law affords the individual who overdosed the same immunity. (MORE INFO)

Naloxone Access Law: Allows physicians to prescribe Naloxone (opioid overdose reversal drug) to people at risk of an opioid overdose, or to a friend or family members of a person at risk for an overdose. Pharmacists are also allowed to to dispense Naloxone without a prescription. (Pharmacies That Dispense Naloxone in NC)

Needle and Syringe Law: Legalizes the establishment of syringe service programs in North Carolina and offered limited immunity to people associated with syringe services programs. The nearest syringe services programs are located at the Orange County Health Department in Hillsborough and Chapel Hill and the NC Harm Reduction Coalition in Durham and Wake Counties. Click for a complete list of needle exchange programs in North Carolina