Crisis Services – Psychiatric Hospitalization Wake County
We Do Not Provide Crises ServicesFoundations Family Therapy of North Carolina, PLLC is not a crisis facility and cannot guarantee a response 24/7 to crisis situations. Please utilize this list in the case of a mental health emergency.
Emergency Service Providers
Call 919 & ask for a CIT Officer, a law enforcement officer who has received special training in de-escalating crisis situations involving people living with mental illness and substance abuse disorders.
Mobile Crisis Management
Crisis Line: 1-877-626-1772 – For crisis response 24 hours a day, 7 days per week, 365 days a year. (Therapeutic Alternatives, Inc.) – Will do a phone assessment and may come to your home.
UNC Crisis and Assessment Services,
107 Sunnybrook Rd., Raleigh NC 27610
Crisis help is available for emergency situations 24 hours a day by walking in or calling 919‐250‐1260.
Referrals to psychiatric hospitals and outpatient services. If you are determined to need involuntary commitment to a psychiatric hospital, staff will locate a bed either in Holly Hill Hospital or in another hospital which may be as close as Durham, Chapel Hill or Rocky Mount or as far as Jacksonville or Asheville. The UNC facility-based crisis unit also has 16 beds for residential crisis care if you meet the criteria for admission. You can expect to wait in the C&A Facility for an average of 2/3 days. Transport to the psychiatric inpatient facility will likely be by the Wake County Sheriff’s Department.
Holly Hill Hospital (HHH) RESPOND
3019 Falstaff Road, Raleigh NC 27610
Emergency Services Behavioral Health resource, HHH is committed to helping you address your needs when outpatient levels of service are no longer adequate to maintain your safety and your ability to perform normal daily functions, or when you are not certain and you need further assessment to ensure safety or functionality. Respond: (919 250‐7000). You can also go to the Holly Hill Hospital’s Respond Department for assessment. It is located at the rear of the hospital, 3019 Falstaff Road, Raleigh, NC. HHH is not authorized to bill for all types of insurance including Medicaid for adults between the ages of 22 and 64. You are also responsible for any charges your insurance doesn’t cover, so you might want to authorize someone to talk to business staff at HHH prior to your admission to determine how much you will be charged.
Emergency Departments at WakeMed (3000 New Bern Avenue), WakeMed Cary (1900 Kildaire Farm Road), Rex Hospital (4420 Lake Boone Trail), or Duke Raleigh (3400 Wake Forest Road)
None of these hospitals has a mental health unit, but they will check you for any medical problems and determine whether or not you need to be involuntarily committed to a psychiatric unit at another facility. If you are determined to need involuntary commitment to a psychiatric hospital, staff will locate a bed either in Holly Hill Hospital or in another hospital which may be as close as Durham, Chapel Hill or Rocky Mount or as far as Jacksonville or Asheville. You can expect to wait in the ED for an average of 2/3 days. Transport to the psychiatric inpatient facility will likely be by the Wake County Sheriff’s Department.
Emergency Departments at UNC Neuropsychiatric Hospital in Chapel Hill (101 Manning Drive), Duke Hospital in Durham (2301 Erwin Road), and Durham Regional Hospital in Durham (3642 N. Roxboro Street)
These hospitals have a psychiatric unit, and they will check you for any medical problems and determine whether or not you need to be involuntarily committed. If so, you may be admitted to their psychiatric unit if a bed is available. If not, staff will locate a bed in another hospital which may be as close as Durham, Chapel Hill or Rocky Mount or as far as Jacksonville or Asheville. You can expect to wait in the ED for an average of 2/3 days. Transport to and from the psychiatric inpatient facility will likely be by the Sheriff’s Department.
- Crisis Intervention Hotline: (919) 545-0224
7 days, 24 hours. Serves victims of domestic violence, domestic abuse and sexual assault.
- Drug Helpline: 800-DRUG-HELP
- Gay and Lesbian Helpline: (919) 821-0055
Provides general information on issues affecting the gay and lesbian population; also provides information and referrals for services.
- Hopeline: (919) 231-4525
7 days, 24 hours. Crisis and suicide prevention.
- Interact Rape Crisis Hotline: (919) 828-3005
Provides information and support for survivors of sexual violence, their friends, and family members.
- Interact Domestic Violence Hotline: (919) 828-7740
- Interact SAFE Center: (919) 828-3067
7 days, 24 hours. Provides evidence collection kit and emotional support to victims of rape and sexual assault. Or, “24 hours hospital counseling and support”
- Mental Health and Substance Abuse Emergencies: (919) 250-3133
- National CDC Hotline: 800-342-2437
- National Runaway Switchboard: 800-RUNAWAY
7 days, 24 hours. Provides crisis intervention for youth at-risk. Will make conference calls to parents, deliver messages from runaways to their parents or guardians, assists with free transportation for qualified runaways.
- National Suicide Prevention Helpline: 1-800-273 TALK (8255)
- Teen Talk Line: (919) 231-3626
- Wren House Youth Crisis Hotline: (919) 832-7866
Serves youth ages 10-17 who are homeless, runaway, or just need a place to stay (24 hrs to 14 days) and provide crisis intervention.
Suspected Neglect or Abuse
If you suspect a situation of abuse, neglect, or exploitation of a child or elder, call:
Child Protection Report Line – (919) 212-7990 (English) or (919) 212-7963 (Spanish)
Adult Protective Services Line – (919) 212-7264
What to Expect from Inpatient Psychiatric Hospitalization
Most inpatient stays are very short, i.e. less than a week. They are primarily intended to provide safety and stabilization through medication management and a safe and therapeutic environment. It is important to have good outpatient mental health services, i.e. psychiatrist, therapist, psychosocial, etc., in place to avoid hospitalization and to maintain as much stability as possible. If you are particularly psychotic or aggressive, you may not be appropriate for admission to a regular inpatient psychiatric unit. In that case, you will probably be admitted to state psychiatric hospital bed. For the Wake County area, most patients are admitted to Central Regional Hospital in Butner. On average, stays at state hospitals are not very long—usually one to two weeks but can be as long as several months when needed. Social workers at the hospitals are responsible for providing discharge planning which connects patients to outpatient resources in the community.
Residential Psychiatric Treatment
The American Residential Treatment Association provides an on‐line directory of residential treatment communities on this website: http://artausa.org/
There is one facility in North Carolina. Most facilities are extremely expensive, and most insurance plans do not cover residential psychiatric treatment.