I need help but have no insurance — where do I start?

Call SAMHSA's National Helpline at 1-800-662-HELP (free, 24/7). They'll connect you to state-funded treatment providers that accept uninsured clients. Every state has a Single State Agency for Substance Use that funds community treatment on sliding-scale fees.

What's MAT (Medication-Assisted Treatment)?

MAT combines medications (methadone, buprenorphine/Suboxone, naltrexone/Vivitrol) with counseling to treat opioid and alcohol use disorders. It's evidence-based, reduces overdose risk substantially, and is covered by Medicaid and most private insurance. Find providers at findtreatment.gov.

Will going to rehab hurt my custody case?

Voluntarily seeking treatment is almost always viewed favorably by courts — it shows responsibility and commitment to sobriety. Coordinate with your attorney so treatment documentation supports your case. Court-ordered programs through drug courts specifically protect custody rights.

How long is treatment?

Detox: 3–7 days. Residential rehab: 30–90 days typically. Intensive outpatient: 8–12 weeks, 9–15 hours per week. Standard outpatient: months to years. Aftercare and peer support (AA, NA, SMART Recovery) is ongoing and free.

Substance Abuse in North Carolina

14 verified resources.

About Substance Abuse for Fathers

Substance abuse treatment in the US is delivered through state-licensed treatment providers, nonprofit recovery programs (AA, NA, SMART Recovery), hospital-based detox, methadone clinics, and sober living houses. SAMHSA's National Helpline (1-800-662-HELP) provides free, confidential referrals to local treatment 24/7. Most states fund a network of publicly-supported treatment centers that accept uninsured and Medicaid clients; the Substance Abuse and Mental Health Services Administration maintains a national treatment locator at findtreatment.gov. Fathers dealing with substance issues during custody disputes often need documented treatment compliance — court-ordered programs exist for this specific purpose. Recovery support includes peer recovery specialists, medication-assisted treatment (MAT), and drug courts. This directory pulls together the state's single state agency for SUD, treatment finders, mutual aid meetings, and MAT providers.

Substance Abuse in North Carolina

North Carolina district courts handle family matters in all 100 counties, with some counties having dedicated family court sessions. The Child Support Services Section operates under DHHS. Charlotte, Raleigh, Greensboro, Durham, and Winston-Salem are the largest metros. Legal Aid of North Carolina is the primary LSC-funded statewide civil legal aid program.

14 Resources

1. SAMHSA National Helpline — Free

Free, confidential 24/7 treatment referral and information service for substance use disorders. SAMHSA connects callers to local treatment facilities, support groups, and community-based organizations. Available in English and Spanish. No insurance required. Call 1-800-662-4357 at any time. Fathers struggling with alcohol, opioids, or other substances can get referrals to local NC programs immediately. All calls are confidential and no personal information is required to access referrals.

1-800-662-4357 · National · 24/7 · Visit Website

2. Triangle Area Intergroup (Alcoholics Anonymous) — Free

AA meetings throughout the Raleigh-Durham-Chapel Hill Triangle area with in-person and online meetings available daily for men seeking recovery from alcohol addiction. Men's-only meetings are available along with open and closed groups. No registration needed to attend. Call 919-783-6144 for a current meeting schedule. Located at 6012 Glenwood Ave, Raleigh. Meetings are free and welcoming to newcomers. Bring willingness to participate — nothing else is required to attend.

919-783-6144 · 6012 Glenwood Ave, Raleigh, NC 27612 · 24/7 (meetings daily)

3. Charlotte Area Intergroup (Alcoholics Anonymous) — Free

AA meetings across the Charlotte metro area with multiple daily meetings including men's-only groups. Walk-ins are welcome at all open meetings without registration or referral. Online meetings also available. Call 704-332-4387 or visit charlotteaa.org for current schedules. Located at 1820 South Blvd, Charlotte. Meetings are free. Newcomers are encouraged to attend any open meeting to find the group that feels most comfortable. Daily meetings statewide.

704-332-4387 · 1820 South Blvd, Charlotte, NC 28203 · Daily meetings statewide · Visit Website

4. Fellowship Hall — Paid

Nonprofit residential treatment center in Greensboro specializing in alcohol and drug addiction treatment since 1971. Offers medically supervised detox, residential inpatient, and outpatient programs for adults. Fellowship Hall provides individualized treatment plans in a therapeutic community setting. Call 336-621-3381 for admissions 24 hours. Located at 5140 Dunstan Rd, Greensboro. Insurance, private pay, and some state-funded placements accepted. Open 24/7 for admissions inquiries.

336-621-3381 · 5140 Dunstan Rd, Greensboro, NC 27405 · 24/7 admissions · Visit Website

5. Julian F. Keith ADATC — Paid

State-operated Alcohol and Drug Abuse Treatment Center in Black Mountain providing medically supervised detox and residential substance abuse treatment for adults. Julian F. Keith ADATC accepts Medicaid and serves individuals who cannot afford private treatment. Residential programs address alcohol and drug addiction with medical and therapeutic support. Call 828-257-6200 for admission information. Located at 201 Tabernacle Rd, Black Mountain. Available 24/7 for admissions calls.

828-257-6200 · 201 Tabernacle Rd, Black Mountain, NC 28711 · 24/7 · Visit Website

6. McLeod Addictive Disease Center - Charlotte — Paid

Outpatient substance abuse treatment center in Charlotte offering individual and group counseling, medication-assisted treatment, and DUI/DWI assessment and education programs. Services are available for adults seeking help with alcohol and drug issues. Court-ordered and voluntary clients accepted. Call 704-332-9001 to schedule an intake assessment. Located at 145 Remount Rd, Charlotte. Open Mon-Fri 8am-7pm and Sat 9am-1pm. Insurance and private pay accepted.

704-332-9001 · 145 Remount Rd, Charlotte, NC 28203 · Mon-Fri 8am-7pm; Sat 9am-1pm · Visit Website

7. Oxford House NC — Paid

Network of democratically run sober living houses across North Carolina providing self-supporting recovery residences for men and women in recovery from addiction. Residents pay their own expenses and vote on house rules, encouraging accountability. No time limits on stays as long as sobriety and house standards are maintained. Call 919-960-7218 or visit oxfordhouse.org to find a vacancy in NC. Multiple locations statewide. Monthly dues are the primary cost. Referrals from treatment programs are welcome.

919-960-7218 · Multiple locations across NC · 24/7 (residential) · Visit Website

8. Greensboro Area Intergroup (AA) — Free

Alcoholics Anonymous meetings throughout the Greensboro-Triad area with multiple daily meetings including men's-only groups. Walk-ins are welcome at all open meetings without prior registration or referral. Online meetings also available. Call 336-273-3056 or visit the local Greensboro AA website for current schedules. Multiple locations across Greensboro. Meetings are free to attend. Newcomers are encouraged to just show up — nothing more is required to get started.

336-273-3056 · Greensboro, NC (multiple locations) · Daily meetings

9. TROSA (Triangle Residential Options for Substance Abusers) — Free

Free 2-year residential substance abuse treatment program in Durham including vocational training, education, individual counseling, and transitional support services. Residents live and work together while building sobriety, job skills, and stable lives. TROSA is entirely self-funded through resident labor. Call 919-419-1059 for admission information. Located at 1820 James St, Durham. Intake Mon-Fri 9am-4pm. Bring photo ID and willingness to commit to the two-year program structure.

919-419-1059 · 1820 James St, Durham, NC 27707 · 24/7 (residential); intake Mon-Fri 9am-4pm · Visit Website

10. Pavillon - Alcohol & Drug Treatment — Paid

Residential and outpatient addiction treatment center in Mill Spring, western NC offering medically supervised detox, residential treatment, and structured aftercare programs. Pavillon specializes in alcohol and drug addiction with a focus on family healing and long-term recovery. Located in a serene mountain setting. Call 828-694-2300 for admissions 24 hours. Located at 171 Pavillon Dr, Mill Spring. Insurance, private pay, and some state-funded options accepted. Open 24/7 for admissions.

828-694-2300 · 171 Pavillon Dr, Mill Spring, NC 28756 · 24/7 admissions · Visit Website

11. Wilmington Treatment Center — Paid

Residential drug and alcohol treatment facility in Wilmington providing medical detox, residential treatment, intensive outpatient, and a family program for addiction recovery. Wilmington Treatment Center specializes in co-occurring mental health and substance use disorders. A clinical team supports each patient through individualized treatment plans. Call 910-762-2727 for admissions 24 hours. Located at 2520 Troy Dr, Wilmington. Insurance and private pay accepted. Open 24/7 for admissions calls.

910-762-2727 · 2520 Troy Dr, Wilmington, NC 28401 · 24/7 admissions · Visit Website

12. Fayetteville Area NA Meetings — Free

Narcotics Anonymous meetings in the Fayetteville-Fort Liberty area with multiple weekly gatherings including open and closed groups for men in recovery from drug addiction. NA is free to attend and open to anyone with a desire to stop using. No registration required. Call 1-888-764-6232 or visit na.org to find meeting locations and times in the Fayetteville area. Multiple meeting locations available. Military veterans and civilians are both welcome at all meetings.

1-888-764-6232 · Fayetteville, NC (multiple locations) · Daily meetings · Visit Website

13. Anuvia Prevention & Recovery Center - Charlotte — Paid

Outpatient substance abuse treatment and prevention services in Charlotte offering DWI assessment and education, substance abuse counseling, adolescent programs, and workplace prevention services. Individual and group therapy available. Court-ordered assessments accepted. Call 704-376-7447 to schedule an appointment. Located at 100 Billingsley Rd, Charlotte. Open Mon-Fri 8am-8pm and Sat 8am-12pm. Insurance, Medicaid, and sliding fee scale accepted. Spanish language services available.

704-376-7447 · 100 Billingsley Rd, Charlotte, NC 28211 · Mon-Fri 8am-8pm; Sat 8am-12pm · Visit Website

14. Insight Human Services - Triad — Paid

Substance abuse and mental health services in the Piedmont Triad offering outpatient counseling, residential programs, and crisis stabilization for adults in the Winston-Salem area. Insight provides individualized treatment plans for drug and alcohol issues alongside co-occurring mental health disorders. Call 336-725-8389 to schedule an intake assessment. Located at 200 Charlois Blvd, Winston-Salem. Open Mon-Fri 8am-5pm. Medicaid and private insurance accepted.

336-725-8389 · 200 Charlois Blvd, Winston-Salem, NC 27103 · Mon-Fri 8am-5pm

Substance Abuse — Common Questions

I need help but have no insurance — where do I start?: Call SAMHSA's National Helpline at 1-800-662-HELP (free, 24/7). They'll connect you to state-funded treatment providers that accept uninsured clients. Every state has a Single State Agency for Substance Use that funds community treatment on sliding-scale fees.
What's MAT (Medication-Assisted Treatment)?: MAT combines medications (methadone, buprenorphine/Suboxone, naltrexone/Vivitrol) with counseling to treat opioid and alcohol use disorders. It's evidence-based, reduces overdose risk substantially, and is covered by Medicaid and most private insurance. Find providers at findtreatment.gov.
Will going to rehab hurt my custody case?: Voluntarily seeking treatment is almost always viewed favorably by courts — it shows responsibility and commitment to sobriety. Coordinate with your attorney so treatment documentation supports your case. Court-ordered programs through drug courts specifically protect custody rights.
How long is treatment?: Detox: 3–7 days. Residential rehab: 30–90 days typically. Intensive outpatient: 8–12 weeks, 9–15 hours per week. Standard outpatient: months to years. Aftercare and peer support (AA, NA, SMART Recovery) is ongoing and free.