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Ctr for Adol Subst Use Treat (CAST) - Duke Medical Center (Psychiatry)

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Contact Information
2608 Erwin Road Suite 300, Durham, NC, North Carolina 27710
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Duke Center for Adolescent Substance Use Treatment (CAST)

The Duke Center for Adolescent Substance Use Treatment (CAST) offers specialized and comprehensive care for adolescents and young adults facing substance use challenges. Part of the renowned Duke Medical Center’s Department of Psychiatry, CAST is dedicated to providing evidence-based interventions tailored specifically to the developmental needs of this younger population. Recognizing the unique complexities that contribute to addiction in adolescents, the center focuses on treating both the substance use disorder and any co-occurring mental health issues.

Program Overview and Philosophy

CAST integrates medical expertise with therapeutic approaches to offer holistic recovery. Their philosophy emphasizes early intervention, recognizing that timely support can significantly alter the trajectory of a young person’s future. The center utilizes cutting-edge research from Duke University to inform their clinical practices, ensuring that patients receive the most effective and current treatments available. The staff, consisting of experienced psychiatrists, psychologists, and clinical social workers, collaborates closely to create individualized treatment plans.

Treatment Services

Treatment at CAST is highly personalized and may include a combination of modalities designed to promote lasting change. These services are delivered in a supportive, confidential environment where young patients feel safe to explore their issues and develop healthier coping mechanisms. While specific programming may evolve, core offerings generally encompass:

  • Individual and Family Therapy: Essential components focused on improving communication and addressing underlying issues.
  • Medication Management: When appropriate, psychiatric professionals provide oversight for medications that support recovery.
  • Outpatient Programs: Varying levels of care, including intensive outpatient programs (IOP), allowing patients to receive structured treatment while continuing with school and home life.
  • Diagnostic Assessments: Thorough evaluations to understand the full scope of a patient’s mental and substance use health.

Contact and Location

Located in Durham, North Carolina, CAST provides a vital resource for families throughout the region seeking high-quality care for adolescent substance use disorders. While various Duke Health services operate near or at 2608 Erwin Road, the most reliable contact method for program specifics and scheduling an appointment is via phone. CAST is committed to helping adolescents achieve sobriety and develop the necessary skills for long-term well-being.

Frequently Asked Questions

What age range does CAST typically treat?

The center focuses specifically on adolescents and young adults, typically covering individuals in their early to late teens and potentially early twenties, depending on the specific program guidelines.

Does CAST offer inpatient or residential services?

CAST primarily focuses on outpatient and intensive outpatient programming, allowing patients to remain engaged in their daily lives while receiving treatment. For residential needs, staff can often provide referrals within the Duke Health system or community partners.

Are family members involved in the treatment process?

Yes, family involvement is considered crucial for adolescent recovery. Treatment often includes family therapy sessions to educate loved ones and improve family dynamics.

How long does the typical treatment program last?

The duration of treatment varies significantly based on the individual’s needs, severity of the substance use disorder, and progress. Treatment is tailored and reviewed regularly, often spanning several weeks to months in the IOP setting.

What types of substances does CAST treat?

CAST treats a wide variety of substance use disorders common among adolescents, including alcohol, cannabis, prescription medications, and other illicit drugs.

Opening Hours
Monday
6:00 am - 10:00 pm
Tuesday
6:00 am - 10:00 pm
Wednesday
6:00 am - 10:00 pm
Thursday
6:00 am - 10:00 pm
Friday
6:00 am - 10:00 pm
Saturday
6:00 am - 10:00 pm
Sunday
6:00 am - 10:00 pm
Type of Care
Substance use treatment
Treatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Service Setting
Outpatient
Intensive outpatient treatment
Outpatient methadone/buprenorphine or naltrexone treatment
Regular outpatient treatment
Age Groups Accepted
Children/Adolescents
Young Adults
Adults
Gender Accepted
Female
Male
Payment/Insurance/Funding Accepted
Medicare
Medicaid
Federal military insurance (e.g. TRICARE)
Private health insurance
Cash or self-payment
State-financed health insurance plan other than Medicaid
Type of Opioid Treatment
Accepts clients using MAT but prescribed elsewhere
External Opioid Medications Source
In-network prescribing entity
No formal relationship with prescribing entity
Type of Alcohol Use Disorder Treatment
Accepts clients using medication assisted treatment for alcohol use disorder but prescribed elsewhere
Source of Medications Used for Alcohol Use Disorder Treatment
In-network prescribing entity
No formal relationship with prescribing entity
Assessment/Pre-treatment
Comprehensive mental health assessment
Comprehensive substance use assessment
Interim services for clients
Outreach to persons in the community
Screening for tobacco use
Screening for substance use
Screening for mental disorders
Treatment Approaches
Anger management
Brief intervention
Cognitive behavioral therapy
Contingency management/motivational incentives
Motivational interviewing
Relapse prevention
Substance use disorder counseling
Trauma-related counseling
Telemedicine/telehealth therapy
Facility Operation
Private for-profit organization
Special Programs/Groups Offered
Adolescents
Young adults
Clients who have experienced trauma
Testing
Drug or alcohol urine screening
Transitional Services
Aftercare/continuing care
Discharge Planning
Outcome follow-up after discharge
Education and Counseling Services
Substance use disorder education
Smoking/vaping/tobacco cessation counseling
Individual counseling
Group counseling
Family counseling
Marital/couples counseling
Facility Smoking Policy
Smoking not permitted
Facility Vaping Policy
Vaping not permitted
Ancillary Services
Case management service
Mental health services
Social skills development
Language Services
Sign language services for the deaf and hard of hearing
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