North Carolina State Laws, Policies and Funding
RH terminology used by the NC Department of Health and Human Services (NCDHHS) Division of Mental Health, Developmental Disabilities and Substance Abuse Services SSA – none/unknown
Accreditation, Certification, and State Licensing Requirement: No state requirement.
RH Law(s): None/unknown
Legislation: None/unknown
Regulations: None/unknown
SABG Program: The “Planned Priority Areas” documents for your state’s Substance Abuse Prevention and Treatment Block Grant (SABG) program and Community Mental Health Services Block Grant (MHBG) program do not specifically mention recovery housing as a priority, nor do they list recovery support services as an allowable activity. To learn more about specific recovery housing activities that are eligible for funding through these grant programs, please reach out to your state’s Single State Agency (SSA) that’s responsible for administering these funds by visiting https://www.ncdhhs.gov/divisions/mental-health-developmental-disabilities-and-substance-abuse-services
According to WebBGAS, this state has indicated that it has established a revolving loan fund using SABG funds to develop RH for individuals in recovery.
SOR Program: Your state’s Department of Health and Social Services (DHSS) has previously funded recovery activities using State Opioid Response (SOR) funds. To learn more about specific recovery housing activities that are eligible for funding through this grant program, please reach out to your state’s Single State Agency (SSA) that’s responsible for administering these funds by visiting https://www.ncdhhs.gov/divisions/mental-health-developmental-disabilities-and-substance-abuse-services
Medicaid Funding: Nothing in the state Medicaid plan suggests direct support for RH, however, certain covered activities could evolve to be provided in RH settings to include supported employment, life skills, counseling, and case management.
https://medicaid.ncdhhs.gov/media/11027/download?attachment
NARR Affiliate Status: Yes, the North Carolina Association of Recovery Residences (NCARR)
Housing Assistance Funding: https://www.nchfa.com/
Directory/Registry: Certified Recovery Residences
North Carolina Funders
Bernhardt Furniture Foundation
The Bernhardt Furniture Foundation was created as the charitable giving branch of the Bernhardt Furniture Company, which was established in 1889 in Lenoir, North Carolina. The Furniture Company was established by J.M. Bernhardt.
Regions: The Bernhardt Furniture Foundation primarily serves Lenoir County and partially rural Caldwell County, in North Carolina.
Issues Supported: The Foundation funds health clinics and organizations supporting arts and culture, education, and human services.
Grant Process and Application: Grant application deadlines are usually in May each year. The first step in the application process is to contact the foundation by phone at 828-759-6288.
Grant-Making Per Year: In FY 2020, the Foundation provided grants in the amount of $220,000.
Recovery and Supportive Housing Grantee Example: The Caldwell House supports men recovering from a substance use disorder. Based in Lenoir, the Caldwell House provides a safe and sober living environment to help recovering addicts transition into society following inpatient treatment.
The Cannon Foundation
The Cannon Foundation was established by Charles A. Cannon in 1943 and is based in Concord, North Carolina. Charles A. Cannon established the Foundation using funds garnered from Cannon Mills Company, a successful textile business.
Regions: The Cannon Foundation serves all of North Carolina, with particular focus on Cabarrus County. The Foundation also supports projects in rural counties including Jackson, Polk, Stanly, and Surry.
Issues Supported: The primary issue areas of focus include community development, cultural programs, education, health care, and human services.
Grant Process and Application: The first step in the application process is to contact Jennifer Ritchie at jritchie@cannonfoundation.org or call the Foundation at 704-786-8216. Find out more information about the application process by visiting the Foundation website. Deadlines are usually in January, April, July, and October each year.
Grant-Making Per Year: In FY 2020, the Cannon Foundation provided grants in the amount of $12 million.
Recovery and Supportive Housing Grantee Example: Bridge to Recovery is a grantee based in Albemarle, North Carolina, in rural Stanly County. Bridge to Recovery offers treatment services as well as supportive sober living facilities.
The Community Foundation of Western North Carolina
The Community Foundation of Western North Carolina is based in Asheville, North Carolina. Affiliate funds include Black Mountain-Swannanoa Valley Endowment Fund, Cashiers Community Fund, the Fund for Haywood County, Highlands Community Fund, the McDowell Endowment, the Fund for Mitchell County, Rutherford County Endowment, Transylvania Endowment, and Yancey Fund. The Foundation’s mission is to support thriving communities throughout the region.
Regions: The Foundation serves 18 counties in Western North Carolina, which is a largely rural area of the state. The rural counties served include: Avery, Cherokee, Clay, Graham, Jackson, Macon, McDowell, Mitchell, Polk, Rutherford, Swain, Transylvania, and Yancey.
Issues Supported: The primary areas of interest are education, health, and human services. The Foundation supports several funding initiatives that address early childhood development, food and farming, human services, and natural and cultural resources.
Grant Process and Application: The Foundation supports many issue-specific or county-specific funds. Many of these funding cycles are yearly, though application deadlines vary. For example, the Human Services fund accepts proposals for funding projects that support low-income populations. The deadline for the letter of intent for this fund is usually in August. Find more information about funding programs and deadlines by visiting the Foundation website.
Grant-Making Per Year: In FY 2021, the Foundation provided grants in the amount of $29 million grants for nonprofits in the region. Since its founding in 1978, the Foundation has awarded over $305 million in grants.
Recovery and Supportive Housing Grantee Examples: The Caldwell House supports men recovering from a substance use disorder. Based in Lenoir, North Carolina, the Caldwell House provides a safe and sober living environment to help recoveringaddicts transition into society following inpatient treatment. Life Challenge of Western North Carolina is another grantee that provides support and treatment in a 12-month residential setting. Life Challenge is a Christian program that provides support and safe housing for women.
The Hayes Family Charitable Trust
The Hayes Family Charitable Trust was established in 2008 and is based in Charlotte, North Carolina.
Regions: The Trust’s grantmaking is focused on North Carolina. Examples of rural counties served include Moore, Stanly, and Yadkin.
Issues Supported: The Hayes Family Charitable Trust focuses grantmaking on family services, human services, mental health care, and youth development.
Grant Process and Application: Unsolicited funding requests are not accepted. Find out more information by contacting the Trust by phone at 704-973-4500.
Grant-Making Per Year: In 2019, the Foundation provided grants in the amount of $400,000.
Recovery and Supportive Housing Grantee Example: Bridge to Recovery is a grantee based in Albemarle, North Carolina, in rural Stanly County. Bridge to Recovery offers treatment services as well as supportive sober living facilities.
Kate B. Reynolds Trust
The Kate B. Reynolds Trust was established in 1947 by Kate Bitting Reynolds and is based in Winston-Salem, North Carolina. The Trust works to support the health and well-being of all individuals in North Carolina, with a focus on those with low socioeconomic standing.
Regions: The Trust serves the whole state of North Carolina, including both rural and non-rural counties. The Trust also has a particular focus on Forsyth County.
Issues Supported: Issue areas receiving the most funding dollars include health, human services, and education. The Healthy Places NC initiative specifically focuses on improving health and well-being for communities in 10 rural North Carolina counties, including Beaufort, Bladen, Burke, Columbus, Edgecombe, Halifax, McDowell, Nash, Rockingham, and Robeson.
Grant Process and Application: Deadlines may vary depending on the funding program. The first steps in the application process are to look at open funding programs and eligibility requirements, and to then contact the program coordinator. Find out more about the grant application process and open funding opportunities by visiting the Trust’s website.
Grant-Making Per Year: In 2019, the Kate B. Reynolds Trust provided grants in the amount of $23 million to support the health of North Carolina communities.
Recovery and Supportive Housing Grantee Example: Daymark Recovery Services is a grantee that has locations across North Carolina and provides a range of addiction services. The Guilford Residential Center focuses on several stages of recovery and provides varying levels of care depending on the individual’s needs. Transitional services are also designed to support individuals in leading a productive life in society.
North Carolina Community Foundation
The North Carolina Community Foundation is based in Raleigh, North Carolina, and was founded in 1988 to serve the communities of North Carolina. The Foundation has 53 affiliate foundations serving communities in all regions of the state. The Foundation’s advisory board includes leaders from the Craven County Community Foundation, Duplin County Community Foundation, Edgecombe Charitable Foundation, Franklin County Community Foundation, Jackson County Community Foundation, Lee County Community Foundation, Martin County Community Foundation, and Wilkes County Community Foundation.
Regions: Serving rural North Carolina is an explicit part of the Foundation’s mission, and many affiliate foundations serve rural counties. Examples of rural counties served include Alleghany, Anson, Ashe, Avery, Beaufort, Bertie, Cherokee, Clay, Dare, Hyde, Jones, Moore, Wilkes, Wilson, and Yadkin.
Issues Supported: The North Carolina Community Foundation funds projects that improve the lives of North Carolina residents and is also focused on encouraging North Carolinians to engage in
philanthropy. Issue areas include arts and culture, education, family services, health, and residential care.
Grant Process and Application: Application deadlines vary. Visit the Foundation website to find out more information about the grant application process.
Grant-Making Per Year: In FY 2019, the Foundation provided grants in the amount of $12.6 million.
Recovery and Supportive Housing Grantee Example: Triangle Residential Options for Substance Abusers (TROSA) is a grantee based in Durham, North Carolina. TROSA offers multi-year recovery housing for individuals recovering from a substance use disorder. Examples of services provided include education, mental health treatment, and vocational training to facilitate sustained sobriety and reintegration into society.
Triangle North Healthcare Foundation
The Triangle North Healthcare Foundation began grant-making in 2013 and is based in Henderson, North Carolina. Originally called the Maria Parham Healthcare Foundation, the name changed when Maria Parham Medical Center was purchased by Duke LifePoint. The Foundation’s mission is to support the health and well-being of the communities it serves.
Regions: The Triangle North Healthcare Foundation primarily serves Franklin, Granville, Vance, and Warren Counties in North Carolina, all of which are rural.
Issues Supported: The Triangle North Healthcare Foundation focuses mainly on health as a funding priority. The primary issue areas within the health scope include child well-being, chronic disease, mental health and substance use disorder, nutrition and physical fitness, and reproductive health.
Grant Process and Application: The Foundation offers one yearly grant making cycle. The deadline for letters of interest is usually in March and the deadline for the full grant application is usually in April. More information and resources regarding the grant cycle and application process can be found by visiting the Foundation website.
Grant-Making Per Year: In 2020, the Triangle North Healthcare Foundation provided grants in the amount of $449,357.
Recovery and Supportive Housing Grantee Example: Triangle Residential Options for Substance Abusers (TROSA) is a grantee based in Durham, North Carolina. TROSA offers multi-year recovery housing for individuals recovering from a substance use disorder and actively recruits from rural counties. Examples of services provided include mental health treatment, education, and vocational training to facilitate sustained sobriety and reintegration into society.
North Carolina Opioid Settlement Funds
Total Settlement Funds in North Carolina
- $757,666,411
Fund Distribution
•85% of funds will go towards local governments (counties and municipalities)
•15% of funds will go towards the state government
Timeline
- Funds from three distributors will be paid over 18 years
- Funds from Johnson & Johnson will be paid over 9 years
- Payments to state and local governments began in April 2022 and will continue through summer 2038
Application Process
- Not established
Spending So Far
- NA
Key Contacts
- opioidsettlement@ncdoj.gov for legal questions
- opioidsettlement@dhhs.nc.gov for opioid-related questions and resources
- opioidsettlement@unc.edu for technical issues
- Special Counsel-Person Ron Aycock (ronaycocknc@bellsouth.net)
- Special Counsel-Catawba Debra Bechtel (debra@catawbacountync.gov)
- Moore County Attorney Misty Leland (mistyleland@moorecountync.gov)
- Guilford County Attorney Mark Payne (mpayne@guilfordcountync.gov)
- Forsyth County Attorney Gordon Watkins (watkinbg@forsyth.cc)
- NCACC Deputy Director and General Counsel Amy Bason (amy.bason@ncacc.org)
Key Links
- North Carolina Department of Justice website on the opioid settlements
- Information from the North Carolina Association of County Commissioners
- Information from More Powerful NC
How About Your County?
To get a quick overview of the resources available in your county, including gaps that may need to be addressed, visit the Recovery Ecosystem Index Map developed through a partnership between the Fletcher Group Rural Center of Excellence, the NORC Walsh Center at the University of Chicago, and East Tennessee State University.
Need More Info?
A year in the making by a staff of ten, the Fletcher Group’s 82-page Recovery Housing Landscape Report provides an in-depth overview of the most recent laws, policies, and funding affecting recovery housing. You’ll find sections devoted to state laws, SAMHSA funding, Medicaid, corrections, and housing assistance plus numerous links to valuable resources and official documents. To see the complete downloadable report, click the image to the left.
This web page is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) as part of an award totaling $13.7 million with 0% financed with non-governmental sources. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by HRSA, HHS, or the U.S. Government.
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