State Operated Healthcare Facilities

What We Do

The Division of State Operated Healthcare Facilities oversees and manages 14 state operated healthcare facilities that treat adults and children with mental illness, developmental disabilities, substance use disorders and neuro-medical needs.

Our Facilities

Alcohol and Drug Abuse Treatment Centers

The ADATCs are charged with serving adults in need of substance use disorder treatment and psychiatric stabilization. They offer an array of specialized programs to meet the complex needs of their population, such as evidence-based treatment for trauma survivors, veteran’s treatment, and statewide perinatal and opioid treatment programs.

ADATC services are designed to assist individuals who:

  • Have a substance use disorder or co-occurring substance use and mental health disorder
  • Experience toxic effects and potentially dangerous withdrawal symptoms that require a medical detoxification
  • Have chronic medical problems that pose significant risk during detoxification and treatment and/or they have concurrent acute medical problem(s) that require medical consultation and monitoring by primary care physicians
  • Have a need for supervised medication management
  • Have difficulty making sufficient clinical gains at a given level of care
  • Require daily monitoring and support, and cannot be served in a lower level of care
  • Are on an Involuntary Substance Abuse and/or Involuntary Mental Health Commitment

Developmental Centers

The NC Division of State Operated Healthcare Facilities oversees three regional state operated Developmental Centers:  Caswell Developmental Center located in Kinston, NC; Murdoch Developmental Center located in Butner, NC; and J. Iverson Riddle Developmental Center located in Morganton, NC.  The Developmental Centers provide services to individuals:

  • With intellectual/developmental disabilities who are at least 18 years of age (excluding the Murdoch Center’s specialized programs for children); and
  • Complex behavioral challenges and/or medical conditions  with clinical treatment needs; and
  • Who meet the ICF-IID level of care; and
  • For whom community resources have been explored and appropriate community based services are not available

All three facilities provide residential, medical, habilitation (assistance in developing functional living skills), and other support services to promote independence and self-determination.  In addition, Murdoch and Caswell Centers provide short-term, specialized programs for individuals in specific target populations (See facility websites for details about these programs).  The goal for all admissions to the developmental centers is successful re-integration back to the community. 

Admissions to state operated developmental centers are voluntary and require consent of the individual or legal guardian, if the individual is a minor or has been adjudicated incompetent.  Additional information about admissions is available from the individual’s responsible Managed Care Organization or the regional developmental center’s admissions office.

Neuro-Medical Treatment Centers

The Neuro-Medical Treatment Centers are specialized skilled nursing facilities (SNF) certified by the Centers for Medicare and Medicaid Services (CMS) under the Omnibus Budget Reconciliation Act (OBRA) long term care regulations.  The three facilities serve adults with chronic and complex medical conditions that co-exist with neuro-cognitive disorders often related to a diagnosis of severe and persistent mental illness, or intellectual disability.  The health and physical status of these residents require 24 hour supervision, daily nursing care and assistance with activities of daily living.  See which neuro-medical treatment center serve which counties

Psychiatric Hospitals

The Division's psychiatric hospitals provide comprehensive inpatient mental health services to people with psychiatric illness who cannot be safely treated at a lower level of care.  Treatment modalities utilized at the State hospitals include:  medication, psychosocial rehabilitation, counseling, educational sessions, group therapy, recreation therapy, work therapy, diet, and occupational therapy.  These facilities are accredited by the Joint Commission for Accreditation of Healthcare Organizations (JCAHO) and are certified by the Centers for Medicare and Medicaid Services (CMS). See which psychiatric hospitals serve which counties

All State hospitals provide treatment to adults and adolescents in their service area.  Treatment is offered statewide on specialty units for the following populations:

  • Deaf individuals:  Broughton Hospital
  • Children:  Central Regional Hospital
  • Forensic patients: Central Regional Hospital

Residential Programs for Children

Wright and Whitaker are residential schools for children and adolescents who have severe emotional and behavioral needs.  Both schools employ a re-education model which prepares the child/adolescent to successfully return to his community. These schools serve the entire state.

Who to Call in a Crisis

Any person may receive crisis and emergency services in North Carolina. Regardless of where you are in the state, simply call the LME's 24-hour Access/Crisis hotline at any time. The trained person answering the crisis line arranges for the right service for you and your situation. You may receive crisis services regardless of your ability to pay.


Contact us

Mailing Address

3006 Mail Service Center
Raleigh, NC 27699-3006


919-855-4700 (Central Office)
24-hour Access/Crisis Hotline

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