North Carolina

North Carolina At a Glance

The START program in North Carolina is currently implemented statewide:

  • NC START Central operated by Easter Seals UCP of NC and VA
  • NC START East operated by RHA
  • NC START West operated by RHA

Project Description

NC START is the first and only state to achieve statewide program certification!

NC Central paved the way becoming the first Certified START Program in the United States on Jan. 15, 2015.

NC East followed suit on March 19, 2015, and NC West was soon after on April 23, 2015.

What does this mean?

START Program Certification demonstrates that the Program has maintained fidelity to the mission and values of START. This has been verified through the use and mastery of evidence informed positive practices and systems linkage approaches. The Program Certification process is rigorous and requires teams to demonstrate fidelity to the START Model in a number of ways. Teams must demonstrate START competencies through random record reviews, in-depth review of the program's data and outcomes, the demonstration of important elements of the START program including the CET. A systematic review of the START Resource Center is also conducted including observations of the Center and environmental screenings.

Mission Statement

The NC START Model provides prevention and intervention services to individuals with developmental disabilities and complex behavioral needs through crisis response, training, consultation, and respite. The goal is to create a support network that is able to respond to crisis needs at the community level. Providing community-based, person-centered supports that enable an individual to remain in their home or community placement is the first priority.


NC DHHS: Guided by Science, Grounded By Practice