Drug Rehab Centers

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North Carolina, as well as the entire nation, is facing a health crisis with the ever -growing misuse and abuse of prescription drugs. In 2014, a group of state leaders representing North Carolina participated in both the National Governors Association Policy Academy on Reducing Prescription Drug Abuse and the Substance Abuse and the Mental Health Services Administration Policy Academy on Reducing Prescription Drug Abuse.

The Prescription Drug Crisis In North Carolina

In the last 15 years, the United States and the state of North Carolina have seen a dramatic increase in the rate of death caused by an overdose of opioid prescription drugs. This increase is running parallel with the ever-increasing rate of prescription of opioid painkillers.

North Carolina has one of the highest rates of opioid prescribing in the US. There is a direct correlation between the rates of prescribing and the rates of overdose (per the CDC, 2014). States that have implemented strong CME programs focusing on opioid use and abuse saw an immediate decrease in their total overdose deaths in just one year while seeing lower dosing rates from clinicians.

In 2017, North Carolina providers wrote 72.0 opioid prescriptions for every 100 persons. The average U.S. rate in the same year was 58.7 prescriptions per 100 persons according to the CDC.

North Carolina's 2010 prescription painkiller death rate of 11.4 per 100,000 residents is just below the national average of 12.4 per 100,000 (per the CDC, 2013). Across the nation, death from prescription pain relievers is nearly double that of the rate of overdose for all other illegal drugs combined according to NIDA.

Because the majority of the prescription drugs being abused are opioids, North Carolina has seen a rise in heroin use, as those individuals addicted to pills find a cheaper, more accessible method to continue their addiction. This is not isolated to North Carolina, but a national problem.

By far, the leading cause of overdose death in the state of North Carolina is from opioids. At the time of death 51% had an active prescription for opioids. In North Carolina, as in the United States as a whole, unintentional opioid overdose deaths have rapidly increased.

They increased from just over 100 deaths in 1999 to over 1,300 deaths in 2016. The increase in the last year was gut-wrenching: from 2015 to 2016 there was an increase of nearly 40%.

Provisional emergency department visit data for 2017 showed over 5,700 visits for opioid overdose this past year, a 40% increase from the 4,103 emergency department visits in 2016. In addition, the economic cost of unintentional opioid-related overdose death in North Carolina in 2015 was estimated to be over $1.5 billion.

In SAMHSA's 2014 report, 53% of people using a prescribed pain reliever for non-medical use reported receiving it free from a friend or relative. An additional 14% reported purchasing it from a friend or relative.

The rate of overdose deaths involving opioid prescriptions was 6.5 deaths per 100,000 persons in 2017 and has not significantly changed in the past several years. The same year, there were 1,953 overdose deaths involving opioids in North Carolina — a rate of 19.8 deaths per 100,000 persons compared to the average national rate of 14.6 deaths per 100,000 persons.

The greatest rise occurred among deaths involving synthetic opioids other than methadone (mainly Fentanyl), from 116 in 2013 to 1,285 deaths in 2017. In the same four-year period, heroin-involved deaths rose from 189 to 537 cases.

Prescription opioid-involved deaths have not statistically changed in the past several years with 659 reported deaths in 2017.

NAS or neonatal opioid withdrawal syndrome (NOWS) may occur when a pregnant woman uses drugs such as opioids during pregnancy. The most recent data on the rate of babies born with NAS/NOWS in North Carolina is from 2014 hospital discharge data.

From 2008 to 2014, the rate of NAS/NOWS increased from 1.8 cases per 1,000 hospital births to 8.2 cases per 1,000 hospital births (per Healthcare Cost and Utilization Project).

Of the new HIV cases in 2016, 1,404 occurred in North Carolina. Among males, 7.1 percent of new HIV cases were attributed to opioid and prescription opioid abuse or male-to-male contact and opioid abuse. Among females, 9.8 percent of new HIV cases were attributed to opioid and prescription opioid abuse.

In 2015, an estimated 29,814 persons were living with a diagnosed HIV infection in North Carolina — a rate of 354 cases per 100,000 persons. Of those, 14.6 percent of cases among males were attributed to opioid abuse or male-to-male contact and opioid abuse. Among females, 19.1 percent were living with HIV attributed to opioid abuse.

There were approximately 82 new cases of acute HCV (0.8 per 100,000 persons) reported in North Carolina in 2016 (per the CDC). In North Carolina, there are an estimated 67,200 persons living with Hepatitis C (per the 2013-2016 annual average), a rate of 880 cases per 100,000 persons. A large number of these cases were attributable to opioid and prescription opioid abuse.

Addiction Treatment In North Carolina

The good news here is that there are numerous centers of treatment and rehab available in North Carolina. There are many types of treatment centers such as long term addiction treatment facilities, short term drug abuse treatment, outpatient detoxification programs, outpatient substance abuse treatment services, inpatient drug abuse treatment and others.

There is a wide range of drug and alcohol rehab facilities available. They include individual psychotherapy, dialectical behavior therapy, couple/family therapy, trauma therapy, trauma-related counseling, cognitive/behavior therapy and others, to name a few. If you need rehab in North Carolina, all you need to do is place a call to any of the available rehab centers.

CITATIONS

https://www.carnevaleassociates.com/our-work/emerging-drug-trends-prevention-issue-brief.html

https://www.dea.gov/resource-center/2016%20NDTA%20Summary.pdf#page=40&zoom=auto,-80,792

https://www.dea.gov/sites/default/files/2018-11/DIR-032-18%202018%20NDTA%20final%20low%20resolution.pdf

https://www.drugabuse.gov/publications/principles-drug-addiction-treatment-research-based-guide-third-edition/drug-addiction-treatment-in-united-states/types-treatment-programs

https://www.getsmartaboutdrugs.gov/news-statistics/emerging-drug-trends

https://www.ncbi.nlm.nih.gov/books/NBK234579/

https://www.shadac.org/publications/50-state-analysis-drug-overdose-trends-evolving-opioid-crisis-across-states

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North Carolina Drug Rehab by Cities

Aberdeen Advance Ahoskie Alamance Albemarle Albertson Alexander Alexis Alliance Almond Altamahaw Andrews Angier Ansonville Apex Arapahoe Ararat Archdale Arden Ash Asheboro Asheville Atkinson Atlantic Atlantic Beach Aulander Aurora Autryville Avon Ayden Aydlett Badin Bahama Bailey Bakersville Balsam Balsam Grove Banner Elk Barco Barium Springs Barnardsville Barnesville Bat Cave Bath Battleboro Bayboro Bear Creek Beaufort Belews Creek Belhaven Bellarthur Belmont Belvidere Bennett Benson Bessemer City Bethania Bethel Beulaville Biscoe Black Creek Black Mountain Bladenboro Blanch Blounts Creek Blowing Rock Boiling Spring Lakes Boiling Springs Bolivia Bolton Bonlee Boomer Boone Boonville Bostic Brasstown Brevard Bridgeton Broadway Browns Summit Brunswick Bryson City Buies Creek Bullock Bunn Bunnlevel Burgaw Burlington Burnsville Butner Buxton Bynum Calabash Calypso Camden Cameron Camp Lejeune Candler Candor Canton Caroleen Carolina Beach Carrboro Carthage Cary Casar Cashiers Castalia Castle Hayne Catawba Cedar Falls Cedar Grove Cedar Island Cedar Mountain Cerro Gordo Chadbourn Chapel Hill Charlotte Cherokee Cherry Point Cherryville Chimney Rock China Grove Chinquapin Chocowinity Claremont Clarendon Clarkton Clayton Clemmons Cleveland Cliffside Climax Clinton Clyde Coats Cofield Coinjock Colerain Colfax Collettsville Columbia Columbus Comfort Como Concord Conetoe Connellys Springs Conover Conway Cooleemee Corapeake Cordova Cornelius Corolla Council Cove City Cramerton Creedmoor Creston Creswell Crossnore Crouse Crumpler Culberson Cullowhee Cumberland Cumnock Currie Currituck Dallas Dana Danbury Davidson Davis Deep Gap Deep Run Delco Denton Denver Dillsboro Dobson Dover Drexel Dublin Dudley Dunn Durants Neck Durham Eagle Springs Earl East Bend East Flat Rock East Spencer Eden Edenton Edneyville Edward Efland Elizabeth City Elizabethtown Elk Park Elkin Ellenboro Ellerbe Elm City Elon Emerald Isle Enfield Engelhard Enka Ennice Ernul Erwin Ether Etowah Eure Everetts Evergreen Fair Bluff Fairfield Fairmont Fairview Faison Faith Falcon Falkland Fallston Farmville Fayetteville Ferguson Flat Rock Fleetwood Fletcher Fontana Dam Forest City Fort Bragg Fountain Four Oaks Franklin Franklinton Franklinville Fremont Frisco Fuquay Varina Garland Garner Garysburg Gaston Gastonia Gates Gatesville Germanton Gerton Gibson Gibsonville Glade Valley Glen Alpine Glendale Springs Glenville Glenwood Gloucester Godwin Gold Hill Goldsboro Goldston Graham Grandy Granite Falls Granite Quarry Grantsboro Grassy Creek Green Mountain Greensboro Greenville Grifton Grimesland Grover Gulf Halifax Hallsboro Hamilton Hamlet Hampstead Hamptonville Harbinger Harkers Island Harmony Harrells Harrellsville Harris Harrisburg Hassell Hatteras Havelock Haw River Hayesville Hays Hazelwood Henderson Hendersonville Henrico Henrietta Hertford Hickory Hiddenite High Point High Shoals Highfalls Highlands Hildebran Hillsborough Hobbsville Hobgood Hobucken Hoffman Hollister Holly Ridge Holly Springs Hookerton Hope Mills Horse Shoe Hot Springs Hubert Hudson Huntersville Hurdle Mills Icard Indian Trail Iron Station Ivanhoe Jackson Jackson Springs Jacksonville Jamestown Jamesville Jarvisburg Jefferson Jonas Ridge Jonesville Julian Kannapolis Kelford Kelly Kenansville Kenly Kernersville Kill Devil Hills King Kings Mountain Kinston Kipling Kittrell Kitty Hawk Knightdale Knotts Island Kure Beach La Grange Lake Junaluska Lake Lure Lake Toxaway Lake Waccamaw Lakeview Landis Lansing Lattimore Laurel Hill Laurel Springs Laurinburg Lawndale Lawsonville Leasburg Leicester Leland Lemon Springs Lenoir Lewiston Woodville Lewisville Lexington Liberty Lilesville Lillington Lincolnton Linden Linville Linville Falls Linwood Little Switzerland Littleton Locust Longwood Louisburg Lowell Lowgap Lowland Lucama Lumber Bridge Lumberton Lynn Macclesfield Macon Madison Maggie Valley Magnolia Maiden Mamers Manns Harbor Manson Manteo Maple Maple Hill Marble Margarettsville Marietta Marion Mars Hill Marshall Marshallberg Marshville Marston Matthews Maury Maxton Mayodan Maysville Mc Adenville Mc Farlan Mc Grady Mc Leansville Mccutcheon Field Mebane Merritt Merry Hill Micaville Micro Middleburg Middlesex Midland Midway Park Mill Spring Millers Creek Mills River Milton Mineral Springs Minneapolis Misenheimer Mocksville Moncure Monroe Montezuma Montreat Mooresboro Mooresville Moravian Falls Morehead City Morganton Morrisville Morven Mount Airy Mount Gilead Mount Holly Mount Mourne Mount Olive Mount Pleasant Mount Ulla Mountain Home Moyock Murfreesboro Murphy Nags Head Nakina Naples Nashville Nebo New Bern New Hill New London Newell Newland Newport Newton Newton Grove Norlina Norman North Wilkesboro Northwest Norwood Oak City Oak Island Oak Ridge Oakboro Ocean Isle Beach Ocracoke Old Fort Olin Olivia Oriental Orrum Otto Oxford Pantego Parkton Parmele Patterson Paw Creek Peachland Pelham Pembroke Pendleton Penland Penrose Pfafftown Pikeville Pilot Mountain Pine Hall Pine Level Pinebluff Pinehurst Pineola Pinetops Pinetown Pineville Piney Creek Pink Hill Pinnacle Pisgah Forest Pittsboro Pleasant Garden Pleasant Hill Plumtree Plymouth Point Harbor Polkton Polkville Pollocksville Pope A F B Poplar Branch Potecasi Powells Point Powellsville Princeton Proctorville Prospect Hill Providence Purlear Raeford Raleigh Ramseur Randleman Red Oak Red Springs Reidsville Rex Rhodhiss Rich Square Richfield Richlands Ridgecrest Ridgeway Riegelwood Roanoke Rapids Roaring Gap Roaring River Robbins Robbinsville Robersonville Rockingham Rockwell Rocky Mount Rocky Point Rodanthe Roduco Rolesville Ronda Roper Rose Hill Roseboro Rosman Rougemont Rowland Roxboro Roxobel Ruffin Rural Hall Rutherford College Rutherfordton Salemburg Salisbury Salter Path Saluda Salvo Sandy Ridge Sanford Sapphire Saratoga Saxapahaw Scaly Mountain Scotland Neck Scotts Scottville Scranton Seaboard Seagrove Sealevel Sedalia Selma Semora Seven Springs Severn Shallotte Shannon Sharpsburg Shawboro Shelby Sherrills Ford Shiloh Siler City Siloam Simpson Sims Skyland Smithfield Smyrna Sneads Ferry Snow Camp Snow Hill Sophia South Mills Southern Pines Southmont Southport Sparta Speed Spencer Spindale Spring Hope Spring Lake Spruce Pine St. Pauls Stacy Staley Stanfield Stanley Stantonsburg Star State Road Statesville Stedman Stella Stem Stokes Stokesdale Stoneville Stonewall Stony Point Stovall Stumpy Point Sugar Grove Summerfield Sunbury Sunset Beach Supply Swannanoa Swanquarter Swansboro Swepsonville Sylva Tabor City Tar Heel Tarawa Terrace Tarboro Taylorsville Teachey Terrell Thomasville Thurmond Tillery Timberlake Toast Tobaccoville Todd Topton Townsville Traphill Trenton Trinity Troutman Troy Tryon Tuckasegee Turkey Turnersburg Tuxedo Tyner Union Grove Union Mills Valdese Vale Valle Crucis Vanceboro Vandemere Vass Vaughan Vilas Waco Wade Wadesboro Wagram Wake Forest Walkertown Wallace Wallburg Walnut Cove Walstonburg Wanchese Warne Warrensville Warrenton Warsaw Washington Waves Waxhaw Waynesville Weaverville Webster Welcome Weldon Wendell Wentworth West End West Jefferson Westfield Whitakers White Oak White Plains Whiteville Whitsett Whittier Wilkesboro Willard Williamston Williston Willow Spring Wilmington Wilson Wilsons Mills Windsor Winfall Wingate Winnabow Winston Salem Winterville Winton Wise Woodland Woodleaf Wrightsville Beach Yadkinville Yanceyville Youngsville Zebulon Zionville Zirconia

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If you are addicted to alcohol or drugs, it is imperative that you look for professional help as soon as you possibly can. However, you might not know where to start or the options that are open to you. Similarly, you may have little to no idea about the differences between the different treatment facilities and the programs they have in store for their patients.

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