Services

An Assertive Community Treatment (ACT) team consists of a community-based group of medical, behavioral health, and rehabilitation professionals who use a team approach to meet the needs of individuals with severe and persistent mental illness.

ACT Team services are intended to serve:
•    Individuals 18 years and older with schizophrenia, other psychotic disorders and bipolar disorder.
•    Additionally, difficulty consistently performing the range of routine tasks required for  adult functioning in the community.
•    There is significant difficulty maintaining consistent employment or a safe living situation.
•    Individuals served by ACTT also have a high use of acute psychiatric hospital (2 or more admissions during the past 12 months) or psychiatric emergency services;
•    Coexisting mental health and substance abuse use disorders of significant duration (more than 6 months);
•    High risk or recent history of criminal justice involvement (such as arrest, incarceration, probation);
•     Difficulty effectively using traditional office-based outpatient services.

A comprehensive clinical assessment that demonstrates medical necessity must be completed prior to provision of ACT Team services.

ACT Team’s are to be the first-line (and generally sole provider) of all the services that an ACT individuals needs. Being the single point of responsibility necessitates a higher frequency and intensity of community-based contacts, and a very low individual-to-staff ratio.

Services are flexible; teams offer varying levels of care for all individuals, and appropriately adjust service levels given individuals changing needs over time.

ACT teams are available to individuals 24 hours a day, 7 days a week, and 365 days a year. ACT Teams shall have an office open 8 hours per day, Monday through Friday, for walk-ins and calls. Planned services must be available seven days per week.

It is expected that individuals will reduce the amount of time spent in institutional settings and become more integrated within their own community.

Individuals with a primary diagnosis of a substance use disorder, or intellectual developmental disabilities, borderline personality disorder, traumatic brain injury, or an autism spectrum disorder are not the intended beneficiary group and   are not eligible for services

Daymark’s Assessment and referral program provides a variety of activities, including prescreening, screening, psychosocial assessment, determination of need, and referral to appropriate level of care. An adequate assessment must be conducted to provide more informed referrals. Daymark performs assessment and referral as a routine function of entrance into other core programs, such as its Outpatient Treatment, Intensive In-Home, ACTT, residential programs, and others.  

Service hours are designed to maximize the availability of service to consumers and extend from Monday through Friday, from 8:00 AM until 5:00 PM at a minimum, and thru 8:00 PM in many locations.  Additionally, we often provide assessment and referral services in the community in order to improve accessibility for consumers.
  Individuals and families served are informed about the availability of 24/7/365 services available through Emergency, Crisis and Mobile Crisis services where they can also receive assessment and referral services.  Please refer to the Addendum for a complete listing of Daymark offices and locations.

DAYMARK Recovery Services, Inc. (Daymark) is a comprehensive community provider of evidence-based and culturally-affirmative mental health and substance abuse services which includes assessments and referrals.   Daymark’s  Assessment and Referral Program philosophy is to utilize valid and reliable screening and assessment tools as a method of determining the most appropriate level of care that will render the most optimal outcome for the consumer and impact his/her overall quality of life. 

Daymark’s assessment and referral process assists persons served in gaining access to services. Levels of care are determined through the assessment and referral process which facilitates entrance into core programs. Assessment and referral service consist of screening, triage, referring, comprehensive clinical assessments, and crisis assessments.
 Assessment and referral services also inform individuals about possible benefits, community resources, and services, and establishes and maintains linkages with community partners whenever possible.  Services are offered at the least restrictive level of care, with informed consent. 

Day Treatment is the name of the service provided to children/adolescent’s whose behaviors are severe enough that it is making it difficult for them to function in a typical academic setting in their community school. The service is provided in a separate classroom or building, is designed to be temporary and is structured to improve the child’s behavioral and coping skills so that they can return to their community school within eighteen months.

Day Treatment can be provided to students identified as Exceptional Children (EC), but this is not a requirement. Day Treatment services are focused on achieving functional gains and on reintegrating the child back into the school.

Day Treatment Services are offered in collaboration with the referring school system, participants will receive educational services as outlined in their Individualized Educational Programming (IEP).

Primary populations served are children and/or adolescents, age 6 through 18, with a mental health diagnosis and who meet the criteria for admittance.

•    The referred child must have an Axis I or II MH/SA diagnosis that is not solely a developmental disability,
•    Less restrictive MH/SA rehabilitative services in the educational setting have been considered or previously attempted but were found not effective or ineffective,
•    The child exhibits behavior resulting in significant school disruption or significant social withdrawal, and
•    The child is experiencing mental health and/or substance abuse symptoms/behaviors that severely impair functional ability in an educational setting which may include vocational setting.

This service is designed to serve children who, as a result of their mental health and/or substance abuse treatment needs, are unable to benefit from participation in academic or vocational services at a developmentally appropriate level in a traditional school or work setting.

The service operates no less than four days per week and three hours per day.  This is a day service that shall be available year round for a minimum of three hours a day during all days of operation. During the school year, DT operates each day that the schools in the local education agency are in operation. DT operating hours shall cover at least the range of hours that the local education agency operates. Individuals and families served are informed about the availability of 24/7/365 services available through Emergency, Crisis and Mobile Crisis services

Definition Composed by Our Patients

Dialectic Behavior Therapy is for people with Borderline Personality Disorder, substance use disorders, and binge eating disorders.  It helps individuals learn how to regulate strong emotions more effectively.  DBT teaches coping skills and different tools so a person can line a more healthy and stable life.  The end goal is to have a life worth living.

Summary from The National Institute of Mental Health

Dialectical behavior therapy (DBT), a form of CBT, was developed by Marsha Linehan, Ph.D. At first, it was developed to treat people with suicidal thoughts and actions. It is now also used to treat people with borderline personality disorder (BPD). BPD is an illness in which suicidal thinking and actions are more common.

The term "dialectical" refers to a philosophic exercise in which two opposing views are discussed until a logical blending or balance of the two extremes—the middle way—is found. In keeping with that philosophy, the therapist assures the patient that the patient's behavior and feelings are valid and understandable. At the same time, the therapist coaches the patient to understand that it is his or her personal responsibility to change unhealthy or disruptive behavior.

DBT emphasizes the value of a strong and equal relationship between patient and therapist. The therapist consistently reminds the patient when his or her behavior is unhealthy or disruptive—when boundaries are overstepped—and then teaches the skills needed to better deal with future similar situations. DBT involves both individual and group therapy. Individual sessions are used to teach new skills, while group sessions provide the opportunity to practice these skills.

Research suggests that DBT is an effective treatment for people with BPD. A recent NIMH-funded study found that DBT reduced suicide attempts by half compared to other types of treatment for patients with BPD

Daymark Intensive In-Home (IIH) services operate as a team approach designed to address the identified needs of children and adolescents, who due to serious and chronic symptoms of an emotional, behavioral, and/or substance use disorders, are unable to remain stable in the community without intensive interventions.

Daymark’s Intensive In-home philosophy is to provide high quality care through the use of evidence-based, person-centered interventions to reduce symptomology, improve functioning, decrease the frequency and intensity of crisis episodes, prevent the need for out of home placement, and increase the utilization of coping skills of the consumers receiving the service and their families. 

Intensive In-home services are delivered to children and adolescents, primarily in their living environments, with a family focus
Intensive In-home service is a time limited, person centered team approach that is offered in various environments and is available 24 hours a day, 7 days a week, 365 days a year.

Intensive in-home therapy is intended to:

•    Prevent the utilization of out-of-home placements (i.e., psychiatric hospital, therapeutic foster care, and residential treatment facility)
•    Reduce presenting psychiatric or substance abuse symptoms,
•    Provide first responder intervention to diffuse current crisis,
•    Ensure linkage to community services and resources.

A recipient is eligible for IIH services when  all of the following criteria are met:

A. There is a mental health or substance use disorder diagnosis (as defined by the DSM-5, or any subsequent editions of this reference material), other than a sole diagnosis of intellectual and developmental disability;

B. Tased on the current comprehensive clinical assessment, this service was indicated and outpatient treatment services were considered or previously attempted, but were found to be inappropriate or not effective;

C. The beneficiary has current or past history of symptoms or behaviors indicating the need for a crisis intervention as evidenced by suicidal or homicidal ideation, physical aggression toward others, self-injurious behavior, serious risk taking behavior (running away, sexual aggression, sexually reactive behavior, or substance use);

D. The beneficiary’s symptoms and behaviors are unmanageable at home, school, or in other community settings due to the deterioration of the beneficiary’s mental health or substance use disorder condition, requiring intensive, coordinated clinical interventions;

E. The beneficiary is at imminent risk of out-of-home placement based on the beneficiary’s current mental health or substance use disorder clinical symptomatology, or is currently in an out-of-home placement and a return home is imminent; and

F. There is no evidence to support that alternative interventions would be equally or more effective, based on North Carolina community practice standards (Best Practice Guidelines of the American Academy of Child and Adolescent Psychiatry, American Psychiatric Association, American Society of Addiction Medicine).

The services are time-limited and intensive face to face interventions are  expected. The team provides the service in various environments, such as homes, schools, court, secure juvenile detention centers and jails (for State funds only), homeless shelters, libraries, street locations, and other community settings. 

Individual Placement and Support (IPS) is a model of supported employment for people with serious mental illness (e.g., schizophrenia spectrum disorder, bipolar, depression). IPS supported employment helps people living with behavioral health conditions work at regular jobs of their choosing. Although variations of supported employment exist, IPS refers to the evidence-based practice of supported employment. Mainstream education and technical training are included as ways to advance career paths.

IPS is based on the following 8 principles:

1. Focus on Competitive Employment: Agencies providing IPS services are committed to competitive employment as an attainable goal for people with behavioral health conditions seeking employment. Mainstream education and specialized training may enhance career paths.
2. Eligibility Based on Client Choice: People are not excluded on the basis of readiness, diagnoses, symptoms, substance use history, psychiatric hospitalizations, homelessness, level of disability, or legal system involvement.
3. Integration of Rehabilitation and Mental Health Services: IPS programs are closely integrated with mental health treatment teams.
4. Attention to Worker Preferences: Services are based on each person’s preferences and choices, rather than providers’ judgments.
5. Personalized Benefits Counseling: Employment specialists help people obtain personalized, understandable, and accurate information about their Social Security, Medicaid, and other government entitlements.
6. Rapid Job Search: IPS programs use a rapid job search approach to help job seekers obtain jobs directly, rather than providing lengthy pre-employment assessment, training, and counseling. If further education is part of their plan, IPS specialists assist in these activities as needed.
7. Systematic Job Development: Employment specialists systematically visit employers, who are selected based on job seeker preferences, to learn about their business needs and hiring preferences.
8. Time-Unlimited and Individualized Support: Job supports are individualized and continue for as long as each worker wants and needs the support.

Mobile Crisis Management services seek to provide a comprehensive crisis intervention in the least restrictive environment with a team perspective to meet any individual consumer’s needs.  The service operates year round, seven days per week, twenty four hours per day.  The program is staffed with masters prepared staff that are licensed, licensed eligible therapists, or bachelor’s level Qualified Professionals.  .  Mobile Crisis Management serves anyone within the community experiencing a crisis related to mental health, substance abuse, or developmental disability concerns. 

Mobile Crisis Management program goals are to provide the right service in the right setting at the right time when the person served is in crisis or at risk for crisis.  These goals are met through crisis intervention modalities that include but are not limited to: telephone crisis intervention and face to face intervention that provides crisis intervention with diagnostic and de-escalation techniques.

The staff in this program has the capability to make appropriate clinical decisions in order to determine an appropriate course of action and stabilize a crisis situation as quickly as possible.  Follow up care post crisis in order to retain stability is also provided and arranged by these crisis services.

The overarching goals of crisis services are to take part in the support, recovery, and well-being of those we serve and enhance their quality of life by symptom reduction and supporting activities that promote community integration.

Mobile Crisis Management provides assessment, de-escalation and intervention techniques to achieve its program objectives of determining client’s safety.  Clinical staff provide responses via both telephone and face-to-face interventions/assessments in the community, including, jails, schools, physician offices, individuals’ homes, or other locations dependent upon the situation and needs of the person in crisis.

Any individuals or families presenting with behavioral health needs within a Daymark catchment area will be screened and evaluated to determine the need for crisis services.
 Individuals may contact Daymark directly to request help or another agency may facilitate the referral to crisis services.

Mobile crisis service requests are routed through a dispatch center that documents the request and contacts clinical staff to respond.

The initial screening determines if the situation meets MCM criteria as well as whether the community location is safe for the clinician to go to. 

Upon determining that crisis services are needed, the crisis clinician, in collaboration with the consumer, will provide an assessment of the consumer’s needs and presenting problems.  Information taken during the assessment shall include information from the individual served and the referral source or relevant collateral and the use of uniform screening tools administered by trained personnel to determine need. The admission process also includes the enrollment of consumers into LME / MCO networks as required.

Program specific policies and procedures include the following:
•    Provision of crisis services which include the importance of timely engagement
•    Utilization of involuntary commitment process and inpatient hospitalization
•    Inclusion of collateral (family, guardians, others) in determining the most appropriate disposition and crisis planning
•    Referring individuals for emergency medical interventions

Outpatient Treatment represents an array of services designed to meet significant behavioral and/or psychiatric symptoms that have been identified as treatment needs of the individual seeking services.

Needs are identified through clinical assessment and evaluation, and/or crisis planning, with the participation of the individual seeking services and others of their choosing.  Daymark provides outpatient treatment to adults and children (Age 3+) with primarily mental health and/or substance abuse disorders.

Hours of operation are designed to be available Monday through Friday, from 8:00 AM until 5:00 PM at a minimum, and  thru 8:00 PM in many locations.  Additionally, we often provide services in the community in order to improve accessibility for consumers.  Individuals and families served are informed about the availability of 24/7/365 services available through Emergency, Crisis, and Mobile Crisis services.

Daymark Recovery Services, Inc. is a comprehensive community provider of evidence-based and culturally-affirmative mental health and substance abuse services. 
Our Outpatient Program philosophy is one in which medical and behavioral healthcare professionals empower consumers with current best practices and effective, evidence-based treatment programs to effect self-determination, and quality of life.

Service may be provided to individuals, families, and/or groups.  Services include:  counseling, psychotherapy, medication management, parent therapy and support, some locations also provide peer support services.

Staff are encouraged to apply evidence-based, person-centered interventions.. These commonly include Cognitive Behavioral Therapy and/or Motivational Interviewing, but could include Dialectical Behavior Therapy, Seeking Safety, Matrix or other evidence-based treatments, depending upon client need and treatment objectives.

Our Outpatient Treatment serves a number population.  In addition to Mental Health and/or Substance Abuse adults we serve children 3 years of age and older, adolescents, geriatric consumers, and families.

Our group therapy modality enables us to usefully address gender-specific or diagnosis-specific concerns, co-occurring disorders, and wellness recovery and education.

Families and other members of the individual’s support network are actively encouraged to participate in outpatient services to the extent the person served agrees.

Overall, Daymark seeks to enhance the quality of life in our communities through Outpatient Treatment and the opportunities it provides for addressing the clinical needs of our fellow citizens

Psycho Social Rehabilitation is designed to help members learn skills that will help them live in the community without hospitalization.  While in the program, individuals learn daily living skills, socialization skills, educational skills, vocational skills, and how to organize their lives.

Those eligible for the program have to have an Axis I mental health diagnosis and they have to have impaired role functioning that adversely affects at least two of the following: employment, management of financial affairs, ability to procure needed public support services, appropriateness of social behavior, or activities of daily living.

The person’s level of functioning may indicate a need for psychosocial rehabilitation if the client has unmet needs related to recovery and regaining the skills and experience needs to maintain personal care, meal preparation, housing, or to access social, vocational and recreational opportunities in the community.

Philosophy of the Program

The Psychosocial Rehabilitation Program (PSR) is a therapeutic treatment modality that provides rehabilitation for behavioral disorders.  The program is designed to provide interventions for individuals to improve behavioral skills related to barriers affecting how they integrate into society.  This is accomplished by having a safe and empathetic place to practice skills in socialization, daily living and community access.  This in turn affords individuals the skills needed to increase the level of success to move forward with opportunities to improve housing, vocations, education, independent living, reduce paid supports, increase unpaid supports and have better relationships to name a few.  The program philosophy is best summarized by the proverb “if you take someone fishing you fed them a meal, if you teach one to fish you feed them a life time.”  Too often individuals functioning within a system to control safe behaviors results in specific loss of self motivation and confidence.  The focus of PSR is to give those individuals with the ability to show behavior control the skills to function in society at the least restrictive environment possible, with the motivation and confidence to at least try.

The dynamics of the PSR program is within its own rights a peer support system.  The staff of PSR monitors and assists in therapeutic boundaries between individuals to help assist them in appropriate interactions and safety.  All individuals are encouraged to participate in self-help groups of specific desires of the individual such as churches, services for aging and AA or NA to establish healthy peer groups.  Participation in community mental health specific meeting such as NAMI are also encouraged.  Daymark provides information and pamphlets concerning local, regional and statewide advocacy groups. We coordinate information about program availability with NAMI, and made an effort to encourage consumer participation in programs related to their specific recovery issues.  Professional Peer Support Specialists employees are integrated into the PSR services at some locations when appropriate and available

Programs operate Monday thru  Friday , generally 8 am – 4 pm

Guilford Residential Center, owned by Guilford County, and operated by Daymark Recovery Services, Inc., provides a comprehensive array of services to adults, both men and women (Age 18+) coping with addiction and related disorders, providing both high and low intensity residential care and treatment. The Guilford Residential Center is a 24 hour, 365 day per year residential treatment facility for persons with substance abuse issues. The center hosts a 56 bed capacity where rooms are semi-private and the space is arranged in such a way as to maximize privacy while not interfering with needed supervision. A staffed full-service kitchen provides three nutritionally balanced meals (along with snacks) daily.  Staff is available around the clock and provide hourly checks on persons served at night.  Referrals are accepted from anyone and admission interviews occur daily, 8-5, Monday through Friday.

Program referrals can be made by contacting the facility at:

Guilford Residential Center

5209 West Wendover Ave.

High Point, North Carolina, 27265

or by phone at 336.899.1550

Currently, this facility does not offer detoxification services.

The sole purpose of Guilford Residential Center is to provide a supportive and safe environment in which persons suffering from drug and alcohol addiction may find sobriety.

Guilford Residential Center acknowledges that this takes time and as such anticipates a minimum stay of 30 days with the actual length of stay being determined by the persons served progress. During the persons served stay, they will have access to addiction education, an in-depth study of coping mechanisms, group therapy and individual sessions s needed. Family therapy is also available for involved families and significant others.

Guilford Residential Center will not refuse treatment to any Guilford County resident suffering from drug and alcohol addiction because of the inability to pay.

The singular goal of this program is to restore the persons served of this service to sobriety.  Further, the primary objectives of this program are to return persons served to a satisfying and productive lifestyle or if they have never experienced a life with turmoil and unhappiness to assist them in learning how to have a life free from addiction, abuse and dissatisfaction.  It is up to the person served to determine what they want from life and the staff will assist them in determining if it is reasonable and obtainable.

Daymark SAIOP involves a series of structured individual, family, and group activities and services provided on an outpatient basis designed to assist adult and adolescent clients with addiction disorders to begin recovery and learn skills for recovery maintenance.  SAIOP also informs the client about benefits, community resources and services, and services; assists the client in accessing benefits and services and monitors the provision of services.  SAIOP provides education on both wellness and recovery.

Participants may be residents of their own home, a substitute home, or a group home setting; however, SAIOP services will be provided in a setting separate from the client’s residence in locations that meet the needs of the persons being served.

SAIOP is offered at times that maximize the ability of the person served to participate in the program SAIOP meets a minimum of 9 hours per week over a minimum of 3 days per week with no more than 2 consecutive days without services being offered equally out to be at least 3 hours each day.  Each day the client is in treatment, the person will be encouraged to attend at least one recovery support group of their choosing.  Each client will be alcohol and/or drug screened as clinically indicated.  Monthly Person Centered Plan (PCP) updates will take place to review and document necessary changes to one’s plan.  Each client is also provided necessary case management services as listed within one’s PCP.

SAIOP is typically provided to each client for a period of three months.

SAIOP services include the following (note service components are provided based off one’s goals in their plan):

• Individual counseling and support
• Group counseling and support
• Family counseling, training, or support
• Biochemical testing to identify recent drug and or alcohol us (UA and BAC)
• Relapse prevention (including community supports)
• Life skills training
• Crisis contingency planning
• Disease management
• Treatment support activities adapted specifically for person with physical disabilities or persons with co-occurring disorders
• Case management activity  to arrange, link, coordinate, or integrate multiple services, assessment and re-assessment of the client need for services

The primary goal of SAIOP is abstinence from addictive substances.  The secondary goals and outcomes may include sustained improvement in overall health, better relationships with family and friends, improvements in finding and maintaining work, reduced depression and anxiety (if present), and reduced risk of relapse in the future.  SAIOP will be tailored to fit each clients needs by developing a Person-Centered Plan which helps one identify goals, needs, and preferences in one’s treatment and life. 

Pregnant women seeking substance use disorder services at Daymark Recovery Services are given preference in admission to our centers. 

Preference in treatment include the following:

• Pregnant women injecting substances
• Pregnant women with a substance use disorder

Interim Services for Pregnant Women

Interim Services are made available should a facility not be able to admit a woman within 48 hours after seeking treatment.  Interim services are defined as services provided to an individual prior to admittance to a substance use disorder treatment program.

• The purpose of the services are to reduce the adverse health effects of such use, promote the health of the individual, and reduce the risk of disease transmission
• At minimum, interim services include counseling and education about HIV and TB, about the risks of needle sharing, the risk of transmission to sexual partners and infants, and about steps that can be taken to ensure HIV and TB transmission does not occur, as well as referral for HIV or TB treatment services if necessary.
• For pregnant women, interim services also include coounseling on the effects of alcohol and drug use on the fetus, as well as referral for prenatal care

Treatment for Women and Dependents

Women seeking our services that have dependent children will be treated as a family unit, as such, we will admit both women and children (including those women seeking to regain custody of their children) into treatment services, if appropriate.