Behavioral Health Center - First Step-Behavioral Health Care in the Carolinas in Monroe, NC

Call (980) 993-7700 to Contact Behavioral Health Center - First Step-Behavioral Health Care in the Carolinas

Overall Rating

(4.6 of 5)
Treatment Effectiveness
Accommodations & Amenities
Meals & Nutrition
1623 East Sunset Drive
Monroe NC 28112

Behavioral Health Center - First Step-Behavioral Health Care in the Carolinas Philosophy

We believe addiction is a difficult condition for the mind and body, a challenge for anyone to overcome alone. At First Step, you are not alone. Together with a team of caring staff and a part of a connected system we address the mind and body on the road to recovery. We offer a variety of options to improve health, elevate hope and advance healing from substance use.

Areas of Specialization

  • Intensive Outpatient (IOP)
    Patients who undergo intensive outpatient treatment continue to live at home and sometimes go to school or work while participating in a highly structured treatment protocol that is focused on ending substance abuse. Programs vary in terms of how much treatment patients receive, how often and for how long. Some facilities design individualized intensive outpatient treatment programs.

  • Individualized Treatment
    Some facilities have an addiction treatment protocol that all patients or clients are expected to follow, while others customize or individualize treatment based on a person’s unique needs and circumstances. Factors that may affect treatment decisions include age, lifestyle, medical conditions, type of drug, religious beliefs, etc.

Facility Highlights

Best Practice Models of Care

The Joint Commision Accredited

Licensed and Certified Addiction Specialists

Meet the Staff

William F Wright, MD

Medical Director

Photo of William F Wright, MD

Double Boarded in Addiction Psychiatry and General Psychiatry 360 Guide

Review by Contributors


Carolinas Healthcare System’s substance abuse treatment center, First Step, in Monroe, N.C., offers inpatient and outpatient treatment. Medical detoxification is available on-site at First Step. Treatment programs for children and adults is available.


Treatment is individualized and emphasizes 12-Step programming, education, and the importance of support networks. Clients will begin treatment with detoxification, if needed, before continuing into residential or intensive outpatient programs. Employees collaborate with clients to help them understand their addiction. Dual-diagnosis treatment is offered as is DWI assessments.

Intensive outpatient programming involves clients in group sessions, relapse prevention, and individual counseling.

Partial hospitalization, outpatient, and inpatient programming is offered for children and teens dealing with behavioral problems.

Aftercare services are available for clients and their families.

Carolinas HealthCare System employs masters-level mental health professionals and registered nurses that are available 24/7 and work the emergency crisis line.


No information regarding accommodations and related offerings is available on the facility’s website. However, individuals reviewing the facility for gave four- and five-star ratings for the facility. One reviewer noted that the facility “needs improved holistic offerings."


Alumni responding to a survey gave the facility positive reviews. “Individual counseling was great,” wrote Wendy. “Great place that helped me immensely,” wrote an anonymous individual who felt the food was “good..but not enough.”
However, reviewers on Google were more critical, with eight reviewers giving the facility an average 2.8 out of five stars. Reviewers complained of a lack of professionalism. “It is basically adult daycare with preschool teachings which the state makes you pay for to prove you are rehabilitated,” wrote Tony. The facility responded: “We do our best to ensure everyone receives the best services possible, but we know it isn't always pleasing to everyone.” Bob, one of three five-star reviewers, wrote: “Fabulous company. Top notch rehabilitation services. Compassionate and caring.” [1]


Though no current or former staff members have responded to a poll to date, Carolina’s Healthcare System earned four out of five stars on Indeed. [2]


Financial assistance is available for clients in need. Uninsured patients receive a 50 percent discount.


Published on August 2017

User Reviews

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  • Treatment Effectiveness
  • Accommodations & Amenities
  • Meals & Nutrition
bed side manner were fine, good food but not enough. Great place that helped me immensely.

  • Treatment Effectiveness
  • Accommodations & Amenities
  • Meals & Nutrition
Individual counseling was great.

  • Treatment Effectiveness
  • Accommodations & Amenities
  • Meals & Nutrition
Not a bad choice for rehab but lacks in a comprehensive on-going plan after IOP. In patient needs to be longer before IOP starts.

Strong, patient/client-centered program, highest ethical standards. CARF accredited. Multiple locations in Raleigh, Durham, Garner & Cary NC

  • Treatment Effectiveness
  • Accommodations & Amenities
  • Meals & Nutrition
Great facility, but needs improved holistic offerings.

  • Treatment Effectiveness
  • Accommodations & Amenities
  • Meals & Nutrition
An overall great program.

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