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.



