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State Facilities Description | LME Map | Mission Statement

The Division of MH/DD/SAS

The Division's organizational structure is designed to implement the State Plan and reform efforts. The substance of the Division's goals and objectives will guide the development of the workings of the Division and that work will be carried out through this organizational structure.

The Division's central administration consists of the Director's Office and five sections organized along functional lines. The five sections of the Division are State Operated Healthcare Facilities, Community Policy Management, Resource/Regulatory Management, Advocacy and Customer Services, and Operations Support. The Division's state facilities consist of four regional psychiatric hospitals, four developmental disabilities centers, three substance abuse treatment centers, a specialty nursing facility for consumers with mental illness, a specialty nursing facility for consumers with developmental disabilities, and two residential facilities for children with emotional disturbances.

Division Director's Office
The vision, mission and guiding principles are the substance of the organization - where we are going, what we are dedicated to do and what we adhere to in all of our efforts.

The Director's Office provides strategic and operational leadership and oversight for the public MH/DD/SAS system. This office sets the overall policy direction of the Division under the supervision and leadership of the Secretary of the Department of Health and Human Services (DHHS). The Division Director seeks the involvement of all stakeholders in the public services. Clinical leadership ensures the quality and effectiveness of service delivery and the continuum of care and strengthens the clinical relationship between the public, private and academic sectors.

Community Policy Management

This section is primarily responsible for leadership, guidance and management of relationships with the local management entities (LMEs). This section collaborates with a wide variety of public and private partners and customers, to promote recovery through the reduction of stigma and barriers to services.

Teams of this section include:

Employee Assistance Program (EAP); Quality Management Team; Best Practice and Community Innovations Team; Local Managing Entity Systems Performance Team; Justice System Innovations Team; and the Prevention and Early Intervention Team

Resource and Regulatory Management

Jim Jarrard, Chief

This section is responsible for fulfilling the Division's needs for fiscal monitoring, accountability, and regulatory compliance, support of information technology and contracts management.

Teams of this section include:

Budget and Finance Team; Information Systems Team; Accountability Team; and the Contract Management and Development Team

Advocacy and Customer Service

Stuart Berde, Acting Section Chief

This section is responsible for providing consumer advocacy leadership.

It is responsible for:
Ensuring that state-operated healthcare facilities and community-based systems remain compliant with rights protections for recipients of supports and services. Developing, maintaining and advancing relationships with advocacy organizations and ensuring that disability populations are adequately represented in the Division's planning, implementation, management and improvement efforts.
Consumers, family members and advocates are included in all functions of this section.

Teams of this section include:

Customer Service and Community Rights Team and the Consumer Empowerment Team

Operations Support

Steve Hairston, Chief

This section is responsible for implementing the operational functions of the Division. It is responsible for all matters related to planning, rule and policy development, media relations, trainings and communication with external stakeholders.

Teams of this section include:

Planning Team; Division Affairs Team and the Communications and Training Team

State Operated Healthcare Facilities

J. Luckey Welsh Jr., FACHE
Director of State Operated Healthcare Facilities

The Division holds a dual role as manager and provider of state-operated healthcare facilities and is held to the same quality and best practice standards as are the local management entities (LMEs) in overseeing local service delivery.

This section is responsible for defining the purpose, roles and responsibilities of state operated healthcare facilities.

Carrying out administrative consolidation efforts that promote increased efficiencies and effectiveness as required by the reform statute and state 2001 appropriations bill.

Determining roles and responsibilities for developing partnerships with regional advocates, LMEs, area/county programs, counties, provider systems and Division stakeholders.

Devising statewide standards for each type of state operated healthcare facilities (by disability group and within unique programs) that reflect best practice and emerging best practice and that are understandable, accountable, appropriate, efficient, effective and consistent with regulatory and accreditation compliance, performance and outcome expectations.

The State Facilities

State Psychiatric Hospitals
The Division's psychiatric hospitals provide inpatient services to people with disabilities within the state. These facilities are accredited by the Joint Commission for Accreditation of Healthcare Organizations (JCAHO) and are certified by the Centers for Medicare and Medicaid (CMS).

Broughton Hospital, Morganton
Cherry Hospital, Goldsboro
Central Regional Hospital (CRH) - Raleigh Campus, Raleigh
Central Regional Hospital, Butner

Developmental Centers
The four developmental centers are certified as Intermediate Care Facility/Mental Retardation (ICF/MR) level of care by CMS. The centers primarily serve adults with severe and profound mental retardation, many of whom have significant physical disabilities and/or medical fragility. Services provided by the centers include communication; recreational, occupational, and physical therapies; psychology; education; pharmacy; dietary; medical and advocacy. The centers are:

Caswell Developmental Center, Kinston
J. Iverson Riddle Developmental Center, Morganton
Murdoch Developmental Center, Butner

Alcohol and Drug Abuse Treatment Centers
The Alcohol and Drug Abuse treatment centers provide residential treatment designed to meet the needs of alcohol and other drug dependent citizens of North Carolina. These ADATCs are:

Julian F. Keith ADATC, Black Mountain
Walter B. Jones ADATC, Greenville
R. J. Blackley ADATC, Butner

Residential Programs for Children
The Division's two residential programs for children are:

Wright School, Durham
Whitaker School, Butner

Wright School serves children ages 6-12, focusing on treatment needs of school age children from around the state. Wright School uses a re-education model that teaches children appropriate ways of interacting in their environment. A staff-secure setting is provided for treatment and there is staff on duty 24 hours a day to ensure appropriate supervision.

Whitaker School is a residential treatment center located on the hospital grounds in Butner for youth ages 12-17. It serves adolescents statewide using the re-education model. Children are encouraged to go home or to an alternative community placement on weekends. Whitaker is a locked, physically secure treatment setting with staff on duty 24 hours a day to meet the needs of the children served.

Neuro-Medical Treatment Centers

Black Mountain Neuro-Medical Treatment Center
O'Berry Neuro-Medical Treatment Center
Longleaf Neuro-Medical Treatment Center

The neuro-medical treatment centers provide a unique service to particularly vulnerable citizens of North Carolina. These centers provide highly specialized residential or in-patient services targeting individuals with specific co-existing conditions who have been unsuccessful in traditional community placements. While the centers share certain overall goals, the mission of each center differs, based upon the needs of the individuals served. Black Mountain Neuro-Medical Treatment Center in Black Mountain serves two distinct populations: individuals with developmental disabilities who are aging and/or have co-existing medical concerns; and people with Alzheimer’s Disease or related dementias. Longleaf Neuro-Medical Treatment Center in Wilson likewise serves two distinct populations: individuals who have mental illnesses and co-existing medical concerns who require on-going nursing care; and individuals who have Alzheimer’s Disease or other related dementias. O’Berry Neuro-Medical Treatment Center in Goldsboro serves individuals with developmental disabilities who may be aging and/or may have co-existing medical conditions. These centers provide residential treatment that is resident-centered, family-oriented and quality-focused. By the year of 2009, all three of the neuro-medical treatment centers will have programs that operate under the Omnibus Reconciliation Act of 1989 (OBRA), regulated by CMS and in accordance with the guidelines for long-term care.