Appalachian Community Services

About Appalachian Community Services

Appalachian Community Services (ACS) in Franklin, North Carolina provides mental health, substance use and developmental disability services to adults in Macon County and the surrounding region.

The center provides access to treatment around the belief that quality care should be accessible to everyone, regardless of finances, making it a vital resource in a rural mountain community where treatment can be limited.

Sustainable Recovery

ACS Franklin offers a Substance Abuse Intensive Outpatient Program designed to help adults begin and sustain recovery.

The program meets a minimum of three hours per day, at least three days per week and is structured to accommodate individuals with co-occurring mental health conditions or developmental disabilities.

SAIOP sessions incorporate daily counseling, biochemical testing, relapse prevention strategies, life skills development and crisis contingency planning.

This structured approach addresses both the immediate and underlying factors of substance use to support lasting recovery.

DWI Assessment and Support Services

ACS Franklin is an approved site for court-required DWI assessments, conducted by certified clinicians specializing in addiction.

Based on assessment results, clinicians may recommend DWI education classes, Prime for Life, individual or family counseling or other services for a personalized treatment pathway.

ACS Franklin also extends access through telehealth, including recovery-oriented and trauma-focused group programs for those with transportation challenges.

Edited by: Patti Croft, MBA

Addiction Treatment Programs

Dual Diagnosis
For many people in North Carolina, dual diagnosis treatment that addresses mental health and substance use is essential to their recovery. In dual diagnosis programs, the activities, peer support, and counseling are tailored to the unique needs of those with mental health concerns. This may include additional therapy, medication, or peer support.
Adult Program
Adult program programs in North Carolina address the specific needs of this stage of life. In an adult program, the activities, peer support, and counseling are tailored to the unique needs of this age group. This may include talking about how to build a career, raise a family, and handle the many responsibilities of independent living.
Senior Rehab
Adults who are older have different needs than younger generations. A senior rehab in North Carolina can give you the tools you need to overcome addiction. In the senior program, the activities, peer support, and counseling are tailored to the unique needs of older clients. This may include pain management education, lower-impact exercise, and outings that are accessible to those with mobility challenges.
Young Adult Rehab
A young adult rehab in North Carolina addresses the recovery needs of clients in this life stage and gives them the tools they need to succeed. In a young adult program, the activities, peer support, and counseling are tailored to the unique needs of this age group. This may include talking about how to start a career, have a family, and live independently.
Substance Abuse Intensive Outpatient Program (SAIOP)
This intensive outpatient track at Appalachian Community Services delivers structured group and individual sessions for adults needing a higher level of substance use support while remaining in the Franklin, NC community.
Substance Abuse Outpatient Program (SAOP)
The standard outpatient program at Appalachian Community Services offers ongoing counseling and recovery support for individuals managing substance use disorders while continuing daily responsibilities in Macon County.
Substance Abuse Comprehensive Outpatient Treatment (SACOT)
Appalachian Community Services offers this comprehensive outpatient treatment option combining clinical services and group programming for clients requiring more structured substance use care in the Franklin, NC area.
Medication Assisted Treatment (MAT)
Appalachian Community Services provides Outpatient Opioid Treatment (OBOT) combining medication with counseling and behavioral therapies for eligible individuals working through opioid use disorder in Macon County.
Perinatal Substance Exposure Program (PSEP)
This specialized program at Appalachian Community Services delivers comprehensive substance use disorder treatment for pregnant and parenting women and their children, addressing recovery needs unique to this population in Franklin, NC.
Crisis Services
Appalachian Community Services offers Mobile Crisis Management, Facility-Based Crisis, and Behavioral Health Urgent Care for individuals experiencing mental health or substance use crises throughout the Macon County service area.
Intensive In-Home Services
Children and adolescents with serious emotional disturbances and their families receive in-home clinical support through Appalachian Community Services, extending care beyond the Franklin, NC outpatient office setting.
Comprehensive Clinical Assessments
Appalachian Community Services conducts Substance Use Comprehensive Clinical Assessments to evaluate individual needs and connect clients with the appropriate level of care within its Macon County treatment network.

Insurance Coverage

Medicaid
How do you pay for rehab in North Carolina? If you qualify, a good option is Medicaid. You’ll need to choose a program that accepts Medicaid as payment, and you can access multiple levels of care, including detox, inpatient, and outpatient treatment.
Private insurance
If you’re looking for ways to pay for rehab in North Carolina, consider using private insurance. Insurance plans can pay some or all of the costs of rehab. Each plan has different coverage details, and you’ll pay less if you choose a treatment center in the plan’s network. Contact the insurer to find out more information.
Self-pay options
In North Carolina, one option to pay for substance use treatment is self-pay, also known as private pay. You can use a medical loan, write a check, or send money to the center electronically. Check on the fee structure, which can vary depending on the type of care.
Financial aid
Paying for rehab in North Carolina can be done in multiple ways, including using financial aid programs if you qualify. Community groups or non-profits in your area may offer assistance, or you might find a treatment program that has grants or scholarships.
Sliding scale payment assistance
Paying for rehab in North Carolina can be done in multiple ways, including finding a program with a sliding scale payment plan. A sliding scale allows those in need to pay less for treatment based on their income and family size. You may have to provide financial documentation.
Medicare
When you’re planning to use Medicare to pay for rehab in North Carolina, there are a few details to keep in mind. You’ll want to find out what treatment centers accept your plan and get the details on what out-of-pocket costs you might have, such as deductibles and copays.
Military insurance
Paying for rehab in North Carolina can be done in multiple ways, including using military insurance. Plans vary, so contact the insurer to find out what treatment centers are in your plan’s network and to learn coverage details.

Levels of Care

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Outpatient Rehab
Appalachian Community Services provides outpatient substance use treatment for Macon County residents, including SAIOP and SAOP programming, comprehensive clinical assessments, and structured counseling to support recovery without residential stay.

Therapies

Cognitive Behavior Therapy
Receiving cognitive behavioral therapy in North Carolina helps you identify your automatic interpretations of situations and how that impacts your behavior. CBT can help you identify and challenge maladaptive thoughts, calm your mind, and face your fears rationally.
Dialectical Behavior Therapy
Receiving dialectical behavioral therapy in North Carolina helps you identify your strengths and learn how to create a better life for yourself. DBT can help you replace problem behaviors with skills that give you a healthier way to manage stress and handle substance use triggers.
Family Therapy
Appalachian Community Services includes substance abuse family therapy within its outpatient treatment array, helping loved ones understand addiction and strengthen support systems for clients working toward recovery in Macon County.
Group Therapy
Substance abuse group therapy is provided through structured outpatient programming, allowing clients at the Franklin, NC office to connect with peers and build recovery skills in a supportive, facilitated setting.
Individual Therapy
Appalachian Community Services offers substance abuse individual therapy as part of its outpatient continuum, giving Macon County clients one-on-one counseling to address substance use patterns and build personalized recovery plans.
Trauma Therapy
When you’ve experienced trauma, it’s natural to try to protect yourself from further harm. Trauma-informed therapy in North Carolina can help you see how substance use is connected to your past experiences and how you can learn to care for yourself in healthier ways. Substance use and trauma are interrelated, and trauma-informed therapy involves working with the therapist and your support network to create healthy coping skills, become empowered, and improve resilience.
Cognitive Behavioral Therapy (CBT)
Outpatient counseling at Appalachian Community Services incorporates evidence-based behavioral approaches to help clients identify triggers and develop coping strategies during substance use treatment in Franklin, NC.