We strive to provide compassionate, beneficial, and clinically appropriate mental health services for children, adults and families in the office, the community, and home settings.

Intake Assessments

• If you need mental health services, we’ll schedule an appointment for you with one of our licensed clinicians.
• Following this appointment, you will be referred to a level of care based on your individual or family’s needs.
• Before leaving the office, we’ll also provide your family with a follow-up appointment, and you’ll have the opportunity to develop a Person Centered Plan with a Qualified Mental Health Professional.

Tailored Care Management     

• The overall goal of Tailored Care Management is to improve health outcomes for patients by assigning one Care Manager to coordinate their care and assist in addressing unmet needs.
• The assigned care manager will work with patient’s care team through multidisciplinary team approach.

Therapy Services

• These services include, individual, family, and group therapy.
• These services are provided in the patient’s home or in the community.
• Through evident based interventions, clinicians use a person centered approach to help patients overcome mental health symptoms.

Psychiatric Services

• These services include initial Psychiatric Evaluations and Medication Management services.
• These services are through the telehealth platform with one of our Licensed Psychiatrists or Psychiatric Nurse Practitioners.
• Providers in our clinic include Board Certified Child, Adolescent, Adult Psychiatrists and Psychiatric Nurse Practitioners.
• Initial Evaluations are scheduled for one hour and include a comprehensive review of individual and family medical and mental health history.
• Follow-up appointments vary based on clinical complexity but generally require a 20 minute appointment.

Intensive In Home Services

• This is a team approach designed to address the identified needs of children and adolescents who are unable to remain stable in the community/home without intensive interventions due to crisis behaviors.
• The team delivering services is comprised of a licensed professional, a qualified professional, and one additional qualified or associate professional.
• All three team members work with the family as a unit to provide services to the patient and family.
• As part of this service, the team can also link the patient to other services as they need.

Day Treatment

• This is a facility based mental health service designed for children and adolescents 5-20 years old.
• Day Treatment services are provided at a maximum of 6 hours a day and a minimum of 3 hours a day, based on need and clinical appropriateness.
• Day Treatment services provide mental health interventions in a structured therapeutic group treatment setting.
  • These interventions build on strengths and address identified functional difficulties associated with the complex conditions of each individual patient and family.

Partial Hospitalization

A physician will participate in the diagnosis, treatment planning, and admission or discharge decisions.

Partial Hospitalization is a short-term service designed to prevent hospitalization or to serve as an interim step for those leaving the hospital.

Each listed Evidence Based Practice is offered in each department.

Trauma Focused Cognitive Behavioral Therapy (TFCBT)

• In this model, children and parents learn new skills to help manage and resolve distressing thoughts, feelings, and behaviors related to their trauma.

Parent Child Interaction Therapy (PCIT)

• This model works with children between the ages of two-and-a-half and seven with their caretakers.
• There is an emphasis on strengthen the bond between parent and child while also providing parents with appropriate discipline strategies.

Positive Parenting Program (Triple P)

• This model is designed to prevent and treat behavioral and emotional symptoms in children birth to twelve.
• It aims to prevent problems in the family, school, and community and to improve family interactions.

Structured Psychotherapy for Adolescents Responding to Chronic Stress (SPARCS) (Group Therapy)

• Group Sessions (age 12-21) focus on gaining coping strategies and teaching adolescents how to make choices mindfully even in the face of ongoing trauma and/or chronic stressors.
• Adolescents learn concrete steps to help them better manage the moment and make it more likely that they can get what they want and need when under stress and struggling with conflict in their relationships.

Cognitive Behavioral Therapy (CBT)

• This model focuses on helping patients identify unhealthy thoughts and learn to make adjustments to their thinking which will impact the way they respond in situations.

Eco-Systemic Structured Family Therapy (ESFT)

• This model works with the entire family.
• Staff will help families understand unhealthy interactions and learn to interact with one another in healthy ways.

Child Parent Psychotherapy (CPP)

• In this model, the clinician will work with the child (age 0-5) who has experienced a traumatic event and primary caregiver.
• The aim is to support and strengthen the relationship between them in order to restore the child’s sense of safety, attachment, and appropriate affect.
• CPP will also improve the child’s cognitive, behavioral, and social functioning.

Cognitive Processing Therapy (CPT)

• In this model, the clinician will work with individuals age 16 and older to help them learn new ways to think about traumatic events by helping them to identify and change distressing thoughts related to the trauma.

Eye Movement Desensitization and Reprocessing (EMDR)

• This model treats mental health conditions that happen because of memories from traumatic events in your past.
• It’s best known for its role in treating post-traumatic stress disorder (PTSD), but its use is expanding to include treatment of many other conditions.

Dialectical Behavior Therapy (DBT) Group

• This is a group-based model for teens led by a trained therapist and meet weekly for several months.
• In each session, teens learn and practice specific skills related to one of the four modules of DBT:
  • Emotion regulation
  • Interpersonal effectiveness
  • Distress tolerance
  • Mindfulness
• The skills are taught through a combination of didactic teaching, group discussion, and experiential exercises.

Outpatient Therapy

• Outpatient Therapy Services are provided by licensed clinicians.
• We offer services in English and Spanish.
• Therapy Services can be provided in various formats:

Note: Based on patient’s preferences as well as specific goals of treatment one or more of these treatment settings may be recommended.

• Individual Therapy – Most therapy sessions are individual sessions when the clinician meets only with the patient.
  • For children and adolescents all individual therapy is combined with a parent and family therapy component.
  • Family Therapy – This can be used when identified goals will be best reached when the entire family or a portion of the family is engaged in therapy.
  • Group Therapy – Several specific therapy models are conducted in a group format. This generally has 8-12 participants that meet weekly. Groups run for an average of 12-16 weeks.
• We currently accept the following insurance:
  • All Medicaid standard and tailored plans
  • BCBS
  • Cigna
  • United Behavioral Health
  • Aetna
• If you do not see your insurance listed or you are uninsured please contact our intake department. 

Intensive Outpatient Therapy (IOP)

Patients will receive crisis support, psychoeducation, skills building, case management, and care coordination as clinically indicated. 

Intensive Outpatient Therapy (IOP) is a facility-based intensive therapy model. 

Services are facilitated by a Licensed Professional (LP). 

IOP is typically provided in the group format, three days per week, two hours per day.

Based on clinical recommendations/clinical needs and specific goals of the patient and family, services may also be provided partially as individual or family therapy. 

Psychiatric Services are provided by Board Certified Child/Adolescent, Adult Psychiatrist, and Psychiatric Nurse Practitioners.

Initial appointments are scheduled for one hour and require a parent or legal guardian to be present.

Follow-up appointments are usually between 20-30 minutes.

Prescribers reserve the right to monitor prescription use through the NC controlled substance reporting system for all patients being seen for psychiatric services.

When reports are run, they are made a permanent part of your clinical record.

Concerns with drug interactions and prescribing may be discussed with all medical prescribers regardless of written consent.

For patients receiving Psychiatric Services we ask the following:

• Attend telehealth appointments in a safe, secure location.
  • If you must be outside of your home during your appointment time, ensure you are able to have confidential conversations.
  • Under no circumstances will providers conduct appointments while patients/parents are driving a vehicle or in a public location such as a grocery store.

• Do not stop taking medications or change medication dosing without discussing it with the prescriber.
  • There is risk of potential physical or mental negative effects if patients do not take medications as prescribed.

• Notify your prescriber of all medications/supplements you are taking.
  • This is necessary to reduce the risk of drug interactions.

• Submit refill requests in the Patient Portal. 
  • Refill requests will only be granted if a follow-up appointment is scheduled, which can also be completed via the Patient Portal.
  • When contacting the clinic to request a refill, be prepared to provide patient name, DOB, pharmacy name/location, and what medications/dose medications need to be refilled.
  • Allow 48 business hours to process refill requests.
    • If 48 (business) hour’s notice is not provided, the prescription may not be available in time.

• Pick up certain prescriptions in person when necessary.
  • Some prescriptions require a written prescription and cannot be called in. These prescriptions will have to be picked up in person.

• For follow-up appointments, if the parent or guardian of a minor patient is not present at the appointment, then the parent or guardian must be available by phone to discuss treatment recommendations.

• Report any changes in custody or any parental objections in order to be prescribed medications.

• If you do not have contact with the clinic in 60 days, it will be assumed that services have been identified with another provider and you will be discharged from the care of the staff psychiatrist, NP or PA.

If you arrive over 15 minutes late for an appointment, be aware that it may need to be rescheduled.

We currently accept the following insurance:

• All Medicaid standard and tailored plans

• BCBS

• Cigna

• United Behavioral Health

Aetna

If you do not see your insurance listed or are uninsured, please contact our intake department. 

Communication

• If you have any questions or concerns for the providers, please contact the clinic manager during the hours of 8AM – 5PM on Monday through Thursday and 8AM-12PM on Friday at 919-714-7369.
• Outside of those hours, contact the agency after hours line at 919-417-2929 or wait until normal business hours.
• For all medical emergencies, contact 911.

Attendance

Failure to maintain scheduled appointments in one service may result in being discharged from ALL services.

As a comprehensive service provider, Hope Services provides a comprehensive array of services to ensure the best outcomes for the patients and families we serve.

Hope Services strives to provide patients/families with services and appointment times that meet their family’s needs.

Regular attendance in recommended services and consistent communication are essential to successful treatment outcomes.

Hope Services, LLC requires that notification of all appointments that need to be cancelled should be done 24 hours prior to the scheduled appointment time.

Appointments can be cancelled via telephone, email or via the patient portal.

Tailored Care Management provides a single care manager who listens to your needs and coordinates care with all your providers.

Your care manager helps with unmet needs such as housing, food, transportation, personal safety, employment, etc.

Your Care Manager will:

• Work to understand where you are now and walk with you to where you’d like to be.

• Complete a Tailored Care Management Assessment to determine your unique needs.

• Work directly with you to form a wholistic plan that will address your unique needs.

• Assist you with accessing and navigating the resources you deserve such as transportation, food, housing, and physical and behavioral health resources.

Bring together the people that care for you such as your therapist, your doctors, your family, and the community services that will help and empower you to live a productive and successful life.

Communication

• Communication can be done by phone, email, patient portal and in person.

Location and Frequency

• In person meetings can occur in your home/community, at already scheduled appointments with providers, and in any of our offices.
• Frequency is determined by your needs and preferences.

Who Is Eligible?

It is an additional service available to help navigate your physical and behavioral health needs.

You must be enrolled or eligible for enrollment in a Medicaid Tailored Plan

Tailored Care Management is not available if you have a Medicaid Standard Plan or are receiving Assertive Community Treatment (ACT), Tailored Care Management for At Risk Children (CMARC), or High Fidelity Wrap Around (HFW)

Tailored Care Management does not replace any of your current services.

IIH is a home and community based treatment model that is delivered by a team of highly trained mental health professionals.

The goal of this service is to reduce crisis behaviors and prevent out of home placement for the child and adolescents.

The team delivering services is comprised of a licensed professional, a qualified professional, and one additional qualified or associate professional.

All three team members work with the family to provide services to the identified patient and their family.

Treatment will include:

• Individual therapy

• Family therapy

• Skill building exercises

Connecting the family to other community and mental health resources.

A team member may work with one individual during a session or multiple family members during a session.

The first month of IIH services is the most intensive. There will be 4-5 scheduled IIH sessions per week. There must be at least 12 sessions in the first 30 days.

Program Goals

• Expected outcomes include but are not limited to:
  • A decrease in crisis intensity/episodes
  • Reduction and improved management of mental health symptoms
  • Improved functioning in all settings
  • Increased use of coping skills
  • Increased use of support systems and overall healthy family interactions.
• Discharge planning often includes step down to community resources and natural supports.

Attendance

• It is our program’s belief that patient and their family’s participation in treatment is essential in making progress on their treatment goals.
• Guardians must commit to the patient and the immediate family members attending the sessions as per the agreed upon treatment schedule on a regular and consistent basis.
• If a patient accumulates more than 3 unexcused absences, discharge from the program may be recommended.
• Each session date/time and needed family participants will be determined the week prior for the following weeks sessions.
• If you must be outside of your home during your appointment time, ensure you are able to have confidential conversations.
  • Under no circumstances will team members conduct appointments while patients/parents are driving a vehicle or in a public location such as a grocery store.

Scheduling and Communication

• IIH team members create schedules on Fridays for the following week.
  • Patients and families are expected to confirm the schedule within 24 hours of receipt of schedule.
• Please help us identify the preferred method of communication (phone, text, email).
  • We will do our best to utilize this method when possible.
• If there are any concerns regarding treatment or communication, we ask that you address these concern with your team lead.

Inclement Weather

• Please be aware that IIH is a 24/7/365 service and as such staff will do the best they can to maintain scheduled appointments during time of inclement weather.
• If driving is unsafe staff will communicate with patients and families to ensure that scheduled appointments are rescheduled within the give day/week based on safety.

Intensive In Home Treatment Models

• Trauma Focused Cognitive Behavioral Therapy (TFCBT) is a conjoint child and parent psychotherapy approach for children and adolescents who are experiencing significant emotional and behavioral difficulties related to traumatic life events.
  • Children and parents learn new skills to help manage and resolve distressing thoughts, feelings, and behaviors related to their trauma.
  • Within the IIH services, the team lead conducts the specialized therapy sessions with the individual patient, identified non-offending support person and joint sessions.
  • The IIH support staff play a vital role in this model by working with the patient on identified coping skills and case coordination to reinforce skills learned in therapy.
• Parent Child Interaction Therapy (PCIT) is an evidence-based, real time, coached, behavioral parent training intervention for young children with emotional and behavioral disorders.
  • The parent and child are seen together with an emphasis on restructuring interaction patterns in order to strengthen the bond between parent and child while also providing parents with appropriate discipline strategies.
  • Within IIH services, the team lead or QP conducts a weekly office based coaching session.
  • The support staff assists families with implementing the treatment model in the home by assisting with barriers to completing “special time” practice.
• Eco-Systemic Structured Family Therapy (ESFT) is an evidenced-based family therapy model that promotes the functioning and well-being of the family.
  • While the team assesses the needs of all family members including siblings of the referred child, the primary therapeutic focus involves the referred child, the child’s parents or legal guardians, and the family system as a whole.
  • An underlying assumption of ESFT is that each child lives in a family and a community, and that the child’s functioning needs to be understood within the context of relationships within the family and relationships with individuals and systems external to the family, not just in terms of the characteristics of the child individually.
  • ESFT interventions are based on an understanding of the developmental tasks and challenges that involve the child and the family as a whole.

IIH Crisis Line 919.866.2223

• The IIH team provides “first responder” crisis response 24/7/365 to recipients of IIH services.
• This may include phone and/or in-person support in efforts to ensure the safety of your child and family as well as crisis planning to prevent further incidents.
• By using us as the first crisis response, we will assist your family in preventing police involvement or acute hospitalization for your child whenever possible.

Student Interns

Declining intern involvement in your families treatment will not affect your ability to receive services.

As part of IIH Services, Student Interns may shadow sessions or assist with session planning.

Interns are held to the same Patient Rights and Confidentiality as well as reporting requirements (in regard to allegations of abuse/neglect or exploitation) as all other Hope Services staff.

If you wish to not have an intern work with your family, please let your assigned team lead know.

Highwoods Office

Outpatient Therapy, Psychiatric Evaluation, Medication Management, Tailored Care Management, Intensive In Home

8am-7pm, Monday-Friday

3000 Highwoods Blvd

Suite 310

Raleigh, NC

Ray of Hope

Day Treatment: 9am-5pm, Monday-Friday

Partial Hospitalization: 11am-3pm Monday-Friday

2900 Kidd Road

Raleigh, NC

Light of Hope/Smithfield Office

Day Treatment, Partial Hospitalization, Outpatient Therapy, Intensive In Home

Day Treatment: 9am-5pm, Monday-Friday

Partial Hospitalization: 11am-3pm, Monday-Friday

1329 N Brightleaf Blvd

Building D

Smithfield, NC

Holiday Closures

• Hope Services, LLC and its facilities will be closed in observance of the following holidays:
  • New Year’s Day
  • MLK Day 
  • Memorial Day
  • Juneteenth
  • 4th of July
  • Thanksgiving (Thursday and Friday)
  • Christmas (24^th and 25^th)
• If a particular holiday listed here falls on a Saturday or Sunday, then the actual holiday will be observed on the Friday prior or Monday immediately following the holiday.
• The patient’s Lead Instructor can provide you with specific information regarding any of the aforementioned holidays.
• On days when school is not in operation or operates on a different schedule (i.e. teacher workdays, early release days, school holidays, and Spring/Summer Break), the program may change treatment times to be closer to a traditional workday schedule.
  • Due to the change in schedule, parents/guardians will need to assist with transportation on these days.
    • Please speak with the Lead Instructor assigned to your child’s treatment group for further information.
• Please contact us if you have any questions/concerns regarding our operation hours.
• We strive to accommodate patients who are on the Year-Round school calendar. Please let us know if there are additional matters with the schedule that you feel we should consider.

After Hours Crisis

We ask that you utilize office support staff for questions regarding billing, payment, documentation requests, or other non-treatment related information.

Each office/program also provides after-hours crisis support.

See Crisis Support in the Resources section for a list of all of the crisis resources.

After-hours crisis support should only be utilized for patient/family related crisis situations.