Services: Substance Use


Office-Based Opioid Treatment (OBOT) is a service designed to offer individuals an opportunity to maintain changes in their lifestyle by using opioid replacement therapy approved by the Food and Drug Administration (FDA) for the treatment of opioid addiction. This treatment approach is provided in conjunction with rehabilitation and medical services and is a tool in the detoxification and rehabilitation process of opioid-dependent individuals. At B & D Integrated Health Services, OBOT consists primarily of the prescribing of buprenorphine (e.g., Suboxone) for the treatment or maintenance of individuals suffering from opioid addiction, coupled with therapeutic services like outpatient therapy (individual or group), or appropriate enhanced services.(e.g., SAIOP, CST and Peer Support)

The Substance Abuse Intensive Outpatient Program provides structured individual and group addiction services which are designed to assist adult consumers in initiating abstinence, and learning skills for recovery maintenance. The SAIOP at B & D Integrated Health Services adheres to the Matrix Model, and includes individual, group, family counseling, case management, urinalysis, relapse prevention, life skills education, crisis planning, and disease management. SAIOP is delivered 3 to 5 days per week for a minimum of 3 hours each day. A typical treatment episode for SAIOP is 90 days.

The Adolescent Community Reinforcement Approach (A-CRA) is a behavioral intervention that aims to support adolescents with substance use disorders. The treatment aims to support adolescents’ substance use recovery by encouraging positive family and peer relationships and helping adolescents engage in prosocial activities.

Primary Care Service’s goal is to improve the health outcomes of adults diagnosed with mental illness, and those with co-occurring substance use disorders. B&D’s targeted population of patients are at risk for, or diagnosed with, one or more chronic physical illnesses and are not currently utilizing preventive health care services.

Tenancy Support Team (TST) is a service provided to individuals participating in the Transition to Community Living Initiative (TCLI). B & D Behavioral Health Services provides TST to individuals with TCLI housing slots in Durham and Wake Counties. TST is a rehabilitation service intended to increase and restore an individual’s ability to live successfully in the community by maintaining tenancy. TST focuses on increasing the individual’s ability to live as independently as possible, managing the illness, and reestablishing his or her community roles related to the following life domains: emotional, social, safety, housing, medical and health, educational, vocational, and legal. TST provides structured rehabilitative interventions.

Expected outcomes include, but are not limited to, the following:

Achieved recovery goals identified in the individuals Person Centered Plan (PCP);
Continued community tenure;
Improved personal, social, and community living skills;
Increased access to necessary services in all life domains;
Improved functioning in community roles;
Re-established or restored network of healthy natural supports and community contacts;
Re-established or restored independent living abilities.
For more information about the Transition to Community Living Initiative (TCLI):