Adult Services


Outpatient Therapy is based on clinical need and is available to children, adolescents, and adults for whom it is determined therapy may be an effective means to reduce symptoms or eliminate impairment. Individual, family, and group therapies are available and ongoing individual sessions are offered either at the B & D office or the individual’s home.

Community Support Team services consist of community-based mental health and substance abuse rehabilitation services provided through a team approach to assist adults in achieving their rehabilitative and recovery goals. CST services at B & D Integrated Health Services are intended for individuals with mental illness and or co-morbid illness such as substance abuse disorders and who have complex and targeted treatment needs.

Peer Support Services is a community-based, recovery-oriented service for adults with identified mental health and/or substance abuse issues. PSS differs from other services in that individuals in need are paired with peers who have lived experience, trained, and certified individuals who are stable in recovery from their own mental health or substance abuse issues, and who can listen, provide guidance, and instill hope for recovery based on their own personal experiences. Peer Support allows those seeking recovery the opportunity to learn directly from those who have been, and continue, walk that same path.

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):


Medication Management is provided by B & D’s psychiatrist to determine whether a medication would be helpful for the child, adolescent or adult and works with the individual over time to assess effectiveness of the medication. Proper medication can assist the individual in being better able to positively affect their mental health and fully utilize all aspects of their treatment. Common conditions treated with medication regimens are ADHD, depression, Bipolar disorder, PTSD, anxiety and psychotic disorders.

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., 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 5 days per week for a minimum of 3 hours each day. A typical treatment episode for SAIOP is 90 days. 

COVID Testing (Antigen or PCR), Curbside Monday through Friday, 9a – 4p or by appointment in the evening or on the weekend.

Pfizer and Moderna vaccines and boosters available Monday through Friday, walk in or curbside 9a – 4p. 
If you are not vaccinated against COVID-19, you are at risk of serious illness, which could prevent you from enjoying upcoming plans. Get your initial dose of a COVID-19 vaccine, schedule your second and get boosted when the time is right for you. #DontWaitToVaccinate

Illness Management and Recovery. ... Illness Management and Recovery (IMR) is a curriculum that a specially trained mental health practitioner or specially trained consumer specialist uses to help people to develop personal strategies for coping with mental illness and moving forward with their life.