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    Drug and Alcohol Counseling Programs

    Expressive Arts and Addiction Treatment

    Alcohol and Drug Counseling Groups

    All groups include participants who come to First Step for a variety of reasons. Groups include people who choose to receive services because they have become uncomfortable with their use, or aren’t sure if the substance use is a problem. Clients and patients are also  referred by families, self-referrals, hospitals, job/employers, attorneys, probation officers, colleges and universities, high schools, DWI, other agencies and many other referral sources. Participating in group session helps clients learn from other group members about the consequences of each others substance use to help each other avoid many of the difficulties experienced by peer group members.  If the thought of joining a counseling group is uncomfortable, just let us know. We can work out alternatives to get you started. Family counseling services are also available. Family support is encouraged and available for all levels of care at First Step.

    “When I first started the IOP group, I felt like this was one task of several to satisfy the Nursing Board. Now, I have a completely different view on my IOP experience. Opening up to my peers and learning of their own life experiences humbled me and made me realize I want to do this for me, not for the Board. I have learned so much about myself and gained some very valuable insight on how addiction can destroy everything you hold dear. I am very grateful to the IOP group and look forward to what aftercare will bring.”  Anonymous

    Short-term Substance Abuse Treatment Program:

    As the result of your substance abuse assessment, you might be recommended to complete an early intervention Short-term Substance Abuse Treatment Program. You will be placed in a level of care in strict accordance with guidelines issued by CARF (the Commission for Accreditation of Rehabilitation Facilities), person-centered practice, health insurance requirements, the N.C. Department of Health and Human Services and NC DWI Services.  First Step is fully licensed by the State of NC and accredited by CARF to ensure that your comprehensive assessment and the recommendation comply with all the highest standards of practice in the substance abuse treatment field.

    The First Step short-term program is a minimum of 20 hours but less than 40 hours, typically consisting on 20 – 30 hours depending on the outcome of the assessment.  The short term program consists of a Program Orientation and a minimum of 10 2-hour or seven 3-hour group counseling sessions, usually spread out over no less than 30 days. These groups meet on Six Forks Road in Raleigh on Monday and  Wednesday 6:30-8:30 PM or Tuesday and Thursday evenings from 6:30-9:30 PM in Raleigh. The Saturday morning session meets from 9:00 AM until 12:00 PM.

    Durham evening 2 hour groups meet on Monday and Wednesday evenings 6:30 – 8:30 pm. Garner 3 hour groups also meet Monday, Tuesday and Thursday evenings 6:00 – 9:00 PM. Cary groups meet Monday, Wednesday and Thursday evenings. This group is typically mixed with the longer term program below.

    We will assist you in arranging a schedule that works best for you. If you are attending the program to meet NC DWI requirements, state law requires that you must complete the required number of hours in no less than 30 days for the short-term program.

    If finances are a concern, ask about our 2 hour groups. If paying at group time, please arrive 15 minutes early to allow time to process payment. We are in network with most insurance companies for all our 3 hour groups. Often there is little or no cost to the program participant. First Step bills your insurance for services to reduce your cost of your treatment and counseling.

    Longer term Substance Abuse Treatment Program:  

    As the result of your substance abuse assessment, you could be recommended to complete a longer-term substance abuse treatment program. You would be placed in this program in accordance with guidelines issued by the N.C. Department of Human Services, which regulates substance abuse I assessments and treatment. These guidelines are established by the State of NC and we use the same guidelines to place all clients and patients at First Step. The Longer Term, or sometimes referred to as Intermediate Level, consists of no less than 40 hours and no more than 89 hours of group substance abuse counseling.

    The 40 hr. program consists of a Program Orientation and a minimum of 20 2-hour or fourteen 3-hour sessions and an individual closing session, spread out over at least 60 days.  These groups meet on Six Forks Road in Raleigh on Monday, Tuesday, Wednesday and Thursday evenings from 6:30-9:30 PM in Raleigh. The Raleigh 2 hour groups on Mondays & Wednesdays, 6:30 – 8:30 PM and a Saturday program that meets in Raleigh from 9:30 AM until 12:30 PM.

    Durham evening groups meet on Tuesday and Thursday evenings 6:30 – 9:30 pm. Garner groups also meet Monday, Tuesday and Thursday evenings 6:00 – 9:00 PM. Cary groups meet Monday, Wednesday and Thursday evenings.

    Intensive Outpatient Program (IOP):

    Many studies show that Intensive Outpatient Treatment spread out over at least 90 days, and a less intensive continued care afterwards, is the most successful form of substance abuse treatment. Studies show IOP may be more successful for long-term success than inpatient or residential treatment when participants complete  the recommended duration.  Inpatient and IOP afterwards tends to be create the best outcomes when inpatient is necessary. The best gauge to determine long-term success is how long a person will utilize continuing care and/or a community support program.

    The public sometimes hear how substance abuse treatment “doesn’t work” or has a low success rate. That is a mistaken belief. When a person abides by the treatment plan, completes treatment and continues care in an aftercare group and community support, the chances of long term sobriety and recovery are very high. There is also a sentiment at times that a person “has tried treatment; it didn’t work.”  Our experience demonstrates that not giving up on treatment, even if there have been return to use, will lead to long term success. The adage “keep coming back; it works if you work it” is as true for treatment as well as community support programs.

    IOP typically consists of approximately 12 weeks (20-30 sessions) of attending 3-hour sessions of group counseling. Groups meet Monday, Tuesday and Thursday evenings and Monday, Wednesday and Friday mornings at our Raleigh Six Forks Road location. IOP meets in Durham and Garner on Monday, Tuesday, and Thursday evenings from 6:00 – 9:00 PM.

    First Step offers weekday morning and Saturday morning substance abuse treatment programs. Saturday morning groups are currently offered at our Raleigh Facility. The weekday morning alcohol and drug counseling groups meet Monday, Wednesday and Friday mornings from 9:00 AM – 12:00 PM.  Durham groups meet on Monday, Tuesday and Thursday evenings 6:00 – 9:00 pm. Garner groups meet Monday, Tuesday and Thursday evenings 6:00 – 9:00 PM. Cary groups meet Monday, Wednesday and Thursday evenings.Call us today for more information. (919) 833-8899 or email 1ststep@firststepnc(Dot)com.  For more information call (919) 419-0229 or email 1ststep@firststepnc(Dot)com.

    Inpatient, Residential & Hospital Aftercare:
    First Step Services, LLC provides Intensive Outpatient and General Outpatient aftercare for people completing and discharging from inpatient programs & hospitals across the country. We provide intensive group counseling, family counseling, individual counseling and other services as needed. The goal is to provide people discharging  from facilities with continued treatment and recovery while they transition back into community living; returning to work, to families and resuming a “normal” lifestyle after completing inpatient or hospitalization.  We provide this service at all our locations. We can begin meeting with you by video conferencing before you leave your inpatient facility to ease the transition, if you would find it helpful.

    Alcohol and Drug Education, Prime for Life, Alcohol and Drug Education Traffic School (ADETS):  First Step provides several alcohol and drug education programs that satisfy court, job, schools, probation, DWI, and other requirements. Our Durham facility has an Alcohol & Drug Education program approved by the courts. The cost is $150 that may be paid in payments if paying the full amount all at once is too expensive. The program consists of four 2 1/2 hour sessions and you may be able to complete in less than a week to meet court requirements quickly and for a very low cost. ADETS is the education level for DWI clients. The cost of ADETS is $160. Prime for Life is available at all our locations for others needing substance abuse education for $185.

    Insurance will pay a significant portion of, and sometimes the entire, cost of the your outpatient treatment  and supportive counseling services at First Step.  Check with your insurance company or call us if you have questions. Insurance will pay for counseling groups but not “ADETS” (Alcohol/Drug Education Traffic School) or Prime For Life education programs.  Usually a co-pay is required by your insurance but sometimes they pay 100%.  In some cases your insurance company might allow reimbursement for your assessment, but only if you enroll in the program within a short time after the assessment.  Insurance does not pay for DWI or DMV ordered assessments.

    FOR NC DWI CLIENTS ONLY:  The State of North Carolina DWI Services requires all agencies providing services for  DWI in NC to collect a $100 fee for a DWI assessment. NC DWI law states DWI clients must complete the required number of hours in no less than 30, 60 or 90 days, depending on the recommended number of hours. NC DHHS DWI Services also requires no less than weekly attendance to complete State DWI requirements. All clients are generally recommended to complete counseling in a similar amount of time because these guidelines usually have excellent results for participants. However, all recommendations are determined by the counselor, according to state regulations, at the time of the assessment, if all the supportive paperwork is available. First Step is licensed by the NC Department of Health and Human Services to provide substance abuse outpatient counseling services to clients who have received an NC DWI. The State of NC has established a fee of $100 for all DWI substance abuse assessments statewide. This fee applies to every DWI program in the State of NC and is strictly enforced by NC DWI Services. No one should ever be charged more or less than $100 no matter where one receives an assessment for an NC DWI.  If the DWI was received an another state, those fees will likely vary among agencies throughout that particular state.

    I paid my fees and completed my program. Why can’t I get my drivers license restored?

    The number one reason for delays in getting drivers license restored is the client did not inform the assessing agency of the conviction date. DWI assessment & counseling agencies have no means of knowing when a case is resolved in court, whether conviction or dismissal. Until we are notified by the client that the case has been resolved and the exact date it was resolved, a “508” form cannot be completed. The “508” form is the document the State of NC requires to process the paperwork allowing for restoration of driving records. The correct conviction date is absolutely required for the State of NC to release a drivers license for restoration. It is always up to the client to notify the DWI assessment agency of the conviction date or drivers licenses cannot be restored until that time.

    “I came to treatment on my 2nd DWI charge, pre-trial, and I have enjoyed it. I received 40 hours and although it has taken a couple months to complete and expensive, I think it has helped my sobriety. Hearing stories and various points of views from other participants and the VIP speaker really helped me think of other things I can do or think of instead of using alcohol. I have been in “maintenance” mode since my DWI in Aug of 2014. This treatment has further encouraged me to continue this path. Thank you!”  Anonymous

    Our VIP – Victim Impact Panel session meets on the 3rd Tuesday of the month from 6:30 to 9:30 PM. The cost is $60. Call our Raleigh office for more information. The VIP session meets DWI requirements for all states that require it. It is beneficial for all who attend, including DWI offenders and interested others who may or may not have had a DWI. Pre-registration is required, so please call ahead: (919) 833-8899.

    Completion paperwork and reports are not final until all fees are paid.  Payment can be made by insurance, check, cash, credit/debit card or money order.

    Contact the First Step facility closest to you today for more information.
    Raleigh: (919) 833-8899 Cary: (919) 651-8349 Garner: (919) 329-9400 Durham: (919) 419-0229

    We are in network Health insurance companies at all our locations:
    Accepted Insurance programs.


    Aftercare from Inpatient, Residential & Hospital Programs

    Aftercare from Inpatient, Residential & Hospital Programs

    An aftercare program provides ongoing support and services as people go through life changes post
    NC DWI Offenses

    NC DWI Offenses

    In calculating a DWI offense in NC, driving records from all states in which a
  • Client Experiences

    “At first like most people I wasn’t really crazy about going to group. As time went on all of that began to change. I started seeing the difference that the treatment was making in my life. I also saw that my family was beginning to be a lot happier than I’ve seen in a while.

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