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Community Alternatives Inc - Comm Choices/Cascade at Durham

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Overview

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CASCADE at Community Alternatives in Durham provides residential and outpatient substance use treatment for pregnant and parenting women. Located in a community-based setting, the program integrates childcare and housing assistance so mothers can stay connected to their children during recovery. Evidence-based therapies and trauma-focused counseling, combined with transportation support, job training, and aftercare planning, help women achieve long-term stability for themselves and their families.

Address

2634 Durham-Chapel Hill Boulevard, Suite 11
Durham, NC 27707

Directions

Ages Served

  • Seniors (Ages 65+)
  • Adults (Ages 26-64)
  • Young Adults (Ages 18-25)

Genders Accepted

  • Female

Languages Served

  • English

Treatment

  • Intensive outpatient treatment (IOP)
  • Long-term residential
  • Regular outpatient treatment

Special Programs

  • Adult women
  • Pregnant/postpartum

Specialized Care for Mothers and Families

CASCADE at Community Alternatives offers substance use treatment specifically for pregnant and parenting women. The program creates a safe, family-inclusive environment where mothers can receive care without separation from their children. Residential beds and childcare services allow recovery to take place alongside daily parenting responsibilities, helping women maintain family bonds while working toward stability.

Flexible Residential and Outpatient Options

Located in the heart of Durham, CASCADE provides several levels of care from residential and long-term residential to intensive outpatient and standard outpatient services. This structure lets mothers begin treatment at the right intensity and continue care as their needs evolve through pregnancy, early parenting, and long-term recovery.

Evidence-Based, Women-Centered Treatment

The program follows the Relational Model, a women-centered approach emphasizing trust, community, and mutual growth. Core therapies include cognitive behavioral therapy (CBT), motivational interviewing, relapse prevention, trauma-related counseling, and 12-step facilitation. Treatment focuses on helping women build confidence, manage stressors, and restore balance in their lives.

Support for Lasting Recovery and Stability

Beyond therapy, CASCADE connects recovery to real-life support. Clients receive case management, job training, housing assistance, parenting education, health counseling, and transportation. Aftercare and overdose education extend guidance beyond treatment, equipping mothers with the skills and community resources they need to sustain recovery and provide stable, healthy homes for their children.

Cost and Insurance

Insurance Accepted

  • Medicaid
  • TRICARE
  • State insurance
  • Some Private Insurance

Disclaimer: Additional insurance plans may be accepted. Please contact the provider directly to confirm current coverage details, as this information may change.


Financial Assistance

  • Does not offer Free
  • Does not offer Payment assistance
  • Does not offer Sliding fee scale

Treatment

Treatment Setting

  • Intensive outpatient treatment (IOP)
  • Long-term residential
  • Regular outpatient treatment

Treatment Approaches

  • 12-step program support
  • Anger control support
  • Brief intervention
  • Cognitive behavioral therapy (CBT)
  • Incentive-based therapy
  • Motivational interviewing
  • Relapse prevention support
  • Substance use counseling
  • Trauma-focused counseling

Additional Support and Services

  • Case management support
  • Child care services
  • Help with transportation
  • Residential beds for children
  • Social skills training

Counseling and Education

  • General health education services
  • Group therapy
  • HIV/AIDS education and support
  • One-on-one counseling
  • Substance use education
  • Tobacco and vaping cessation counseling

Transition Support

  • Discharge and next steps planning
  • Ongoing recovery care
  • Overdose prevention and naloxone education
  • Post-discharge follow-up

Testing & Pre-Treatment

  • Mental health screening
  • Oral fluid testing for drugs or alcohol
  • Substance use assessment
  • Tobacco use assessment
  • Urine testing for drugs or alcohol
  • Substance use screening

Amenities and Experiences

Activities

  • Job training

Settings

  • City

Policies

  • No smoking allowed
  • No vaping allowed

Ownership Type

  • Non-profit

Quality and Trust

Commission on Accreditation of Rehabilitation Facilities

CARF reviews rehab programs to make sure they provide respectful, effective, and personalized care. For addiction treatment, CARF uses standards developed with the American Society of Addiction Medicine (ASAM), so this accreditation shows the program follows trusted, evidence-based guidelines for treating substance use.

Learn more

Community Alternatives Inc
Call 919-864-5381

Start Your Recovery provides facility information using publicly available data from the Substance Abuse and Mental Health Services Administration as well as other sources. We cannot independently verify the accuracy of all data. Start Your Recovery does not guarantee the quality of care or results of working with any provider or treatment facility. Please contact us if you are the proprietor of a facility and have updates or corrections to site content. The information provided on this site is intended for educational purposes, and is not a substitute for professional medical guidance or treatment.