Who Can Get Help?

Alliance Health manages public funds for services for both children and adults, which are provided by a large network of private providers in an office setting or in your home or community. [toc]

You may be eligible for substance use services through Alliance Health if:

  • You have Medicaid from Durham, Wake, Cumberland or Johnston county, OR
  • You live in Durham, Wake, Cumberland or Johnston county and do not have insurance.

Alliance has limited state funds available for those without Medicaid so entry requirements and benefit maximums may be different than the Medicaid requirements for the same service. Most requests for these services require a review to make sure they are the most appropriate service for you.

Access a brochure with more information about mental health recovery services.

How Can I Get Help?

You can call the Alliance Health Access and Information Center 24 hours a day, 7 days a week at (800) 510-9132 to find out how to obtain services and support for mental health and substance use disorders, and intellectual/developmental disabilities. If needed, the Access and Information Center may direct you to a crisis center, behavioral health urgent care center in your community, or connect you with mobile crisis services.

If you are insured by Medicaid from Wake, Durham, Cumberland, or Johnston County or are uninsured and live in Wake, Durham, Cumberland, or Johnston County in North Carolina, you can find a service provider in your area using our online Provider Search.

Also, Alliance offers a screening tool that is the quickest way to determine if you or someone you care about should connect with a behavioral health professional. The screening is completely anonymous and confidential, and immediately following the brief questionnaire you will see your results, recommendations, and key resources that are available to you. Think of our free screening tool as a checkup from the neck up! Take a screening.

What Kinds of Help are Available?

Mental health disorders are quite common and affect nearly 1 in 5 adults in the United States. These health disorders involve changes in emotion, thinking or behavior (or a combination of these). Mental health disorders can cause problems in functioning in social, work, or family activities. The good news is these disorders are treatable and you can recover to improve your health and wellness, live a self-directed life, and reach your full potential.

Recovery-oriented care and recovery support systems help people with mental and substance use disorders manage their conditions successfully. According to the Substance Abuse and Mental Health Services Administration (SAMHSA), there are four major dimensions that support recovery:

  • Health – overcoming or managing one’s disease(s) or symptoms and making informed, healthy choices that support physical and emotional well-being
  • Home – having a stable and safe place to live
  • Purpose – conducting meaningful daily activities and having the independence, income, and resources to participate in society
  • Community – having relationships and social networks that provide support, friendship, love, and hope

Some examples of mental health disorders are anxiety, attention-deficit/hyperactivity disorder, bipolar disorder, depression, personality disorders, and psychotic disorders. Click on any of the disorders below to learn more.


Fear and anxiety are part of life. You may feel anxious before you take a test or walk down a dark street. This kind of anxiety is useful, as it can make you more alert or careful. It usually ends soon after you are out of the situation that caused it.

But for millions of people in the United States, the anxiety does not go away and gets worse over time. You may have chest pains or nightmares and may even be afraid to leave home. If so, you may have an anxiety disorder. Types include panic disorder, obsessive-compulsive disorder, post-traumatic stress disorder (PTSD), and generalized anxiety disorder. Treatment can involve medicines, therapy, or both.

Attention-Deficit/Hyperactivity Disorder (ADHD)

Attention-deficit/hyperactivity disorder (ADHD) is one of the most common mental health disorders affecting children.  ADHD also affects many adults. Symptoms of ADHD include inattention (not able to focus), hyperactivity (lots of movement), and impulsivity (quick acts that occur in the moment without thought).

ADHD is often first identified in school-aged children when it leads to disruption in the classroom or problems with schoolwork.  It can also affect adults. It is more common among boys than girls.

Many ADHD symptoms, such as high activity levels, difficulty remaining still for long periods of time, and limited attention spans, are common to young children in general. The difference in children with ADHD is that their hyperactivity and inattention are noticeably greater than expected for their age and cause distress and/or problems functioning at home, at school, or with friends. For girls, this disorder can manifest primarily as inattention or daydreaming and due to the lack of hyperactivity can be underdiagnosed. Treatment often includes a combination of medication and therapy.

Bipolar Disorder (Manic Depressive Illness)

Bipolar disorder is a mental illness that causes “ups and downs” in a person’s mood, energy, and ability to think clearly. People with bipolar disorder experience high and low moods – known as mania and depression – which differ from the typical ups-and-downs experienced by most people.

The causes of bipolar disorder aren’t always clear. It can run in families. Several factors may contribute to the cause of bipolar disorder such as genetics and changes in the brain. Bipolar disorder often starts in a person’s late teen or early adult years, but young children and older adults can have bipolar disorder too. The illness usually lasts a lifetime.

Bipolar disorder is a mental health condition that requires understanding and medical care. If you think you may have it, tell your health care provider. A medical checkup can rule out other illnesses that might cause your mood changes. If not treated, bipolar disorder can lead to damaged relationships, poor job or school performance, and even suicide. However, there are effective treatments to control symptoms such as medicine and talk therapy. A combination usually works best. With proper treatment, individuals with bipolar disorder can live healthy, productive lives.


Depression is more than just feeling down or having a bad day. When a sad mood lasts for a long time and interferes with normal, everyday life, you may be depressed. Depression is a mental health condition that requires understanding and medical care. Symptoms can include sadness, loss of interest or pleasure in activities you used to enjoy, a change in weight, difficulty sleeping or oversleeping, energy loss, trouble concentrating, feelings of worthlessness, and thoughts of death or suicide.

Depression does not have a single cause and sometimes will occur for no apparent reason. Depression is most likely caused by a combination of factors such as genetics, changes in the brain, and environmental factors. Other factors may also contribute to depression such as experiencing a life crisis or traumatic event or having a history of other medical conditions. Depression does often run in families. Depression usually starts between the ages of 15 and 30 and is much more common in women. Women can also get postpartum depression after the birth of a baby. Some people get seasonal affective disorder in the winter. Depression is also one part of bipolar disorder.

If you are one of the more than 20 million people in the United States who have depression, the feelings do not go away. They persist and interfere with your everyday life. Fortunately, people can and do recover from depression.  There are effective treatments, including medications and talk therapy. Most people do best by using both.

Personality Disorders

Personality disorders are a group of mental illnesses. They involve long-term patterns of thoughts and behaviors that are unhealthy and inflexible.  The behaviors cause serious problems with relationships and work. People with personality disorders have trouble dealing with everyday stresses and problems. They often have stormy relationships with other people. The cause of personality disorders is unknown, but genes and childhood experiences may play a role.

The symptoms of each personality disorder are different. They can be mild or severe. People with personality disorders may have trouble realizing that they have a problem. To them, their thoughts are normal and they often blame others for their problems. They may try to get help because of their problems with relationships and work. Treatment usually includes talk therapy and sometimes medicine.

Psychotic Disorders

Psychotic disorders are severe mental disorders that cause abnormal thinking and perceptions. People with psychoses lose touch with reality. Two of the main symptoms are delusions and hallucinations. Delusions are false beliefs, such as thinking that someone is plotting against you or that the TV is sending you secret messages. Hallucinations are false perceptions, such as hearing, seeing, or feeling something that is not there.

Schizophrenia is one type of psychotic disorder. People with bipolar disorder may also have psychotic symptoms. Other problems that can cause psychosis include alcohol and some drugs, brain tumors, brain infections, and stroke.

Treatment depends on the cause of the psychosis. It might involve drugs to control symptoms and talk therapy. Hospitalization is an option for serious cases where a person might be dangerous to him/herself or others.

Here are some services and supports that may be available to individuals experiencing mental health challenges such as depression, anxiety, mood disorders, attention-deficit/hyperactivity disorder, or schizophrenia.

Mental Health Services for Adults

Assertive Community Treatment (ACT) – A program for adults with severe mental illness who work with a team of professionals to achieve their goals, addressing their needs related to therapy, health, housing, substance use, medication support, and employment.

Community Support Team (CST) – A program providing a team approach for adults with mental illness and/or a substance use disorder, who have complex needs, designed to assist them in meeting their recovery goals.

Peer Support – A service for adults that promotes recovery, use of natural supports, coping skills, and the development of independent living skills to improve housing, employment, and community involvement. The service is provided by trained peers, who are people that have been in similar situations in their past.

Psychosocial Rehabilitation (PSR) – A day program for adults with mental illness and substance use issues to receive support, learn new skills and be encouraged to reach their goals.

Mental Health Services for Children and Adolescents

Day Treatment – A service for children and adolescents and their families focused on providing support and structure in a therapeutic setting to support the child/adolescent’s integration into the school setting.

Intensive In-Home Services (IIH), Family Centered Treatment (FCT), Intercept Services – A team and family approach that provides intensive services for children/adolescents who have serious emotional disturbances, complex family challenges, or serious behavioral problems that could result in out-of-home placement if not treated.

Multisystemic Therapy (MST) – A team and family-based intervention designed to enhance the skills of youth and their families who have aggressive behaviors or delinquency issues, including involvement with the juvenile justice system.

Rapid Response Homes – A safe and therapeutic short-term residential option for children dealing with serious behavioral or emotional disturbances or family crises.

Respite – An in-home service that provides temporary support and relief for the family or loved ones caring for a child/adolescent with a mental health diagnosis.

Mental Health Services for Both Adults and Children/Adolescents

Evaluation and Testing – Collecting information about an individual’s history, strengths, needs, and abilities in order to better develop a plan of services and supports. This can include an evaluation by a therapist, psychologist, or psychiatrist

Housing Assistance – Once an individual is receiving services, their provider can help them decide which residential supports they will need to achieve their goals. This can include various kinds of assistance, like rent subsidies and help with start-up expenses, to help ensure safe, stable housing.

Medication Management – Evaluation of medication options by an approved provider to help determine which medicine might be best for you, how it should be taken, and whether it is working.

Outpatient Therapy (OPT) – Professionals teach new skills or ways to cope with problems in individual, family, or group settings. Our providers offer many different evidenced-based practices within outpatient therapy, such as Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), and Trauma-Focused Cognitive Behavioral Therapy (TFCBT) to name a few.

Partial Hospitalization Program – This is a short-term service for individuals with mental health disorders designed to prevent hospitalization (for mental health reasons) or to continue to stabilize after being hospitalized and before returning home.

Residential Services – A short-term therapeutic setting for individuals with family engagement that provides structure and supervision to improve functioning with the goal of independent living or reunification with family.

Supported Employment – Helps people with disabilities obtain jobs that pay at least minimum wage and that are not set aside for people with disabilities while providing the level of professional help the individual needs to obtain and maintain the job.

Page last modified: November 17, 2020