About Us

The Division of State Operated Healthcare Facilities (DSOHF) is North Carolina’s safety-net healthcare system, made up of 13 state operated facilities that provide compassionate, high-quality, whole-person care for individuals with the most complex behavioral health, developmental, substance use, and neuro-medical needs. We serve adults, adolescents, and children whose needs often exceed what today’s community system provides, especially during times of crisis. As part of the broader health system, DSOHF works collaboratively to bridge gaps in care, share expertise, and support integrated solutions across the continuum.

Purpose

DSOHF exists to meet people where they are, offering stabilization, treatment, and recovery supports during moments of greatest need.  Across our 13 facilities, we provide whole-person care that reflects the broader challenges and opportunities within North Carolina’s healthcare system. Our work is profoundly meaningful, shaped by compassion, teamwork, and shared purpose. Our healthcare providers bring lived experience, empathy, and specialized training to create safe, inclusive environments where people we support can heal and thrive. From trauma-informed care and peer support to unique therapeutic experiences like adaptive water skiing and Special Olympics, DSOHF is more than a healthcare system—it’s a place where people find hope, connection, and the dignity they deserve.

Our facilities meet immediate and complex care needs; our Central Office leads healthcare strategy. Together, we ensure care for today and a stronger system for tomorrow.

Mission Statement

In collaboration with our partners, we provide a system of high-quality, integrated care to individuals whose complex behavioral and medical treatment needs exceed the level of supports or level of care available in the community. We deliver exceptional care today while helping shape the future of North Carolina’s healthcare system, so every person can thrive in their home community with dignity, choice, and necessary supports. Our success is measured not only by the care we provide in our facilities, but by the strength of community systems that promote recovery, wellness, and resilience before state-level care is needed. As both a healthcare provider and a partner, DSOHF brings others to the table to strengthen care across the state.