North Carolina

2018 NC START Executive Summary

2018 NC START East Program Evaluation
2018 NC START Central Program Evaluation
2018 NC START West Program Evaluation

Mission Statement

NC START are statewide community crisis support programs for individuals (ages 18 and above) with intellectual/developmental disabilities and complex behavioral or mental health needs. Crisis prevention and intervention services are provided through crisis response, clinical consultation, training and respite.

Contact Info



NC START Central


Clinical Team: Asheville, Concord

Resource Center: Statesville

(888) 974-2937

RHA and VayaHealth

Clinical Team: Durham

Resource Center: Franklinton

(919) 865-8730, (800) 662-7119, x8730

Easter Seals UCP and Alliance Behavioral Healthcare

Clinical Team: New Bern, Wilmington, Greenville

Resource Center: New Bern

(888) 962-3782

RHA and Trillium Health Resources


State Overview

NC START Overview from UNH IOD/START on Vimeo.

Additional Information

The NC START program is divided into three regions (East, Central and West) and each region consists of a clinical team and a respite home. The clinical team (consisting of four START Coordinators) provides 24/7 crisis response and consultation, as well as on-going preventative cross-systems crisis prevention and intervention planning for eligible individuals. The crisis prevention component of NC START also involves working with the existing I/DD and mental health systems of care to provide technical assistance, consultation and support when working with individuals eligible for NC START. NC START also provides training and education on topics pertaining to care and treatment for individuals with I/DD, when requested and available.

The NC START clinical team will continue to work with referred individuals and their service/support system to reach sustained stabilization for the individual and their system of care, which generally takes one year from the start of the service. Within that time, the NC START team will work with the individual and their system of services and supports to systematically prepare for crises and reduce the frequency of restrictive interventions, hospital admissions and overall crisis events.

The NC START regional therapeutic respite homes each have two beds reserved for eligible individuals in crisis and two beds reserved for planned crisis prevention-eligible individuals* (4 beds total). START Coordinators are the conduit for access to all START services, including therapeutic respite.

*NC START planned therapeutic respite beds are only intended for eligible individuals living in unlicensed residential settings, such as family homes.

Additional information is located on the Alliance Behavioral Health Website

NC DHHS: Guided by Science, Grounded By Practice