Top Priority Care Services offers a variety of services to both children/adolescents and adults. Evidence-Based Treatment approaches are utilized to provide the most appropriate treatment relating to Substance Abuse, Mental Illnesses, Family Crisis, Behavioral Problems, and Developmental Disabilities.
  • Child Services
  • CAP I/DD
  • Adult Services
  • CAP I/DD
  • Residential Services and Facilities

Admission Criteria

All services begin with a Diagnostic Assessment or a Comprehensive Clinical Assessment.  These assessments are conducted by a Licensed Professional. The Clinician may meet with you in the office or in your home to gather information about the concerns that you are seeking treatment for. After reviewing the information, the Clinician will make recommendations and discuss various treatment options with you and or your family/guardians.

Child Services

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Child and Adolescent Day Treatment:

This program provides a combination of both clinical and educational services in a highly structured group setting. In partnership with local school systems, Top Priority Care Services operates an array of day-treatment programs for students with mental-health problems that interfere with their ability to function successfully in regular school classrooms settings. This service is offered to children and adolescents through age 20.

Individual/Group Therapy

This service provides therapeutic weekly/bi-weekly counseling sessions both individually or as a group.

Medication Management

Provided under the medical direction of our Medical Director, this service is provided based on the needs of the consumer to assist in managing or alleviating the concerning symptoms.

Intensive In-Home

This is a highly intensive service, delivered by a three-person team that is designed to help diffuse crises, stabilize the living situation of the youth, and prevent the need for more restrictive services. This service is offered to children and adolescents up to age 18. Top Priority Care Services utilizes treatment approaches from various Evidence-Based Practices to identify and address the current concerns for both the child and their family.

Substance Abuse Services

The ultimate goal of our SA Program is long-term abstinence from drugs and alcohol. This is achieved through individualized treatment planning, group education and individual counseling.

Our goal is to assist each consumer in sustaining sobriety and becoming successful at implementing the tools provided for recovery in their lives.

Urinalysis Screening

This screening provides evidence of illegal drugs such as  alcohol, amphetamines, benzodiazepines, marijuana, cocaine, and opioids (narcotics) and prescription medicines.

Once these problems are identified and monitored, doctors can start a treatment plan.

Intellectual Developmental Disability Services (NC I/DD)

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In Home Skill Building

In Home Skill Building is an Individual or Group Service that provides habilitation and skill building to enable the participant to acquire and maintain skills, which support more independence. In-Home Skill Building augments the family and natural supports of the participant and consists of an array of services that are required to maintain and assist the participant to live in community settings.

In-Home Skill Building consists of:

  •  Training in interpersonal skills and development and maintenance of personal relationships.
  •  Skill building to support the participant in increasing community living skills, such as shopping, recreation, personal banking, grocery shopping and other community activities.
  •  Training with therapeutic exercises, supervision of self-administration of medication and other services essential to healthcare at home, including transferring, ambulation and use of special mobility devices.
  • Transportation to support implementation of in-home skill building.

In-Home Skill Building is provided when a primary caregiver is home or when that primary caregiver is regularly scheduled to be absent. In-Home Skill Building is individualized, specific, and consistent with the participant’s assessed disability specific needs and is not provided in excess of those needs.

In Home Skill Building is furnished in a manner not primarily intended for the convenience of the participant, primary caregiver, the provider, employer of record or the managing employer. This service is distinctive from personal care by the presence of training. The mixture of in-home skill building and personal care must be specified in the Individual Support Plan. It is anticipated that the presence of In-Home Skill Building will result in a gradual reduction in hours as the participant is trained to take on additional tasks and masters skills (fading plan). A formal fading plan is not required. These services are provided in the participant’s private home and not in the home of the direct service employee. In-Home Skill Building Services must start and/or end at the home of the participant.

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Nursing Respite (Services are conducted by a LPN or RN)

Similar to regular Respite service as a periodic support and relief to the primary caregiver(s) from the responsibility and stress of caring for the participant. This service enables the primary caregiver to meet or participate in planned or emergency events, and to have planned time for him/her and/or family members. Respite may include in and out-of-home services, inclusive of overnight, weekend care, emergency care (family emergency based, not to include out of home crisis) or continuous care up to ten consecutive (10) days. The primary caregiver is the person principally responsible for the care and supervision of the participant and must maintain his/her primary residence at the same address as the participant.

Personal Assistance

Personal Assistance is a teaching service that helps develop skills to help the recipient become independent in the home and community.

Personal Care Services

Personal Care Services offers support, supervision and engaging participation with eating, bathing, dressing, personal hygiene and other activities of daily living.

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Respite

Respite provides periodic relief for the family or primary caregiver.

Specialized Consultative Services

Specialized Consultative Services provides expertise, training, and technical assistance in a specialty area to assist family members, caregivers and other direct service employees in supporting individuals with developmental disabilities who have long term habilitative treatment needs.

Adult Services

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Substance Abuse Intensive Outpatient Program (SAIOP)

SA Intensive Outpatient Program (SAIOP) means structured individual and group addiction activities and services that are provided at an outpatient program designed to assist adult and adolescents individuals to begin recovery and learn skills for recovery maintenance. The program is offered at least 3 hours a day, at least 3 days a week, with no more than 2 consecutive days between offered services, and distinguishes between those individuals needing no more than 19 hours of structured services per week (ASAM Level II.1). The individual must be in attendance for a minimum of 3 hours a day in order to bill.

 

SAIOP services shall include a structured program consisting of, but not limited to, the following services: Individual counseling and support; Group counseling and support; Family counseling, training or support; Biochemical assays to identify recent drug use (e.g. urine drug screens); Strategies for relapse prevention to include community and social support systems in treatment; Life skills; Crisis contingency planning; Disease Management; and Treatment support activities that have been adapted or specifically designed for individuals with physical disabilities; or individuals with co-occurring disorders of mental illness and substance abuse or dependence; or an intellectual or developmental disability and substance abuse or dependence.

Community Support Team

CST provides mental health and substance abuse rehabilitative services and supports. This service is conducted by a team approach with the primary goal of assisting consumers to reach their recovery goals.

Psychosocial Rehabilitation (PSR)

My Friend’s House is a structured therapeutic program designed to help adults with psychiatric disabilities increase their functioning so that they can be successful and satisfied in the environments of their choice with the least amount of ongoing professional intervention. PSR focuses on skill and resource development related to life in the community and to increasing the participant’s ability to live as independently as possible, to manage their illness and their lives with as little professional intervention as possible, and to participate in community opportunities related to functional, social, educational and vocational goals.

 

The service is based on the principles of recovery, including equipping individuals with skills, emphasizing self-determination, using natural and community supports, providing individualized intervention, emphasizing employment, emphasizing the “here and now”, providing early intervention, providing a caring environment, practicing dignity and respect, promoting individual choice and involvement in the process, emphasizing functioning and support in real world environments, and allowing time for interventions to have an effect over the long term.

 

The following are classes, skills and pre-vocational trainings to assist each participant in successful developments:

  • community living – such as housekeeping, shopping, cooking, use of transportation facilities, money management;
  • personal care – such as health care, medication self-management, grooming; social relationships; use of leisure time;
  • educational activities – which include assisting the individual in securing needed education services such as adult basic education and special interest courses; and
  • prevocational activities – which focus on the development of positive work habits and participation in activities that would increase the individual’s self-worth, purpose and confidence; these activities are not to be job specific training.

Assertive Community Treatment Team ACTT

Assertive Community Treatment Team is a more intensive service than Community Support Team provided 24/7 days per week. ACTT is designed for individuals who have a serious and persistent mental illness and are in need of intensive mental health services. These individuals often have difficulty taking care of their basic needs such as; maintaining adequate housing and employment, connecting and completion of educational/vocational goals, substance abuse, medication management and issues relating to probation or other legal concerns.

 

The goals of ACTT services are addressed by the individual’s  needs such as;  promoting symptom stability, appropriate and consistent use of medication(s), promoting and maintaining physical health through linkage and coordination of primary care attention; establishing access to entitlements such as; housing, work and social opportunities while promoting and maintaining the highest possible level of functioning in the community. ACTT services are offered in the homes, workplace and other settings where problems occur or where support is needed.

 

ACT teams give consumers whatever services and supports they need for as long as they need them. With ACTT, consumers benefit from services most because they are hospitalized less often and have more stable housing. 

Substance Abuse Services

The ultimate goal of our SA Program is long-term abstinence from drugs and alcohol. This is achieved through individualized treatment planning, group education and individual counseling. Our goal is to assist each consumer in sustaining sobriety and becoming successful at implementing the tools provided for recovery in their lives.

Camel Avenue Transitional Home For Men

The Camel Home is currently a transitional housing program designed for highly functioning adult males. This program aims to provide a temporary place of residency while the individual is in the process of securing permanent housing. The length of stay will be determined by each referring professional, the resident and TPCS staff.

 

The Camel Home is a traditional style 4 bedroom home with a common area for all the residents to share, kitchen and dining room. There is one bed per room. There will only be one occupant per room at a time. The home has 1 full bath. The home also has a washer and dryer located in the kitchen of the home. All living areas are located on the main level. Rent, utilities, access to a washer/dryer, land line, cable and a PC is provided in the home for one weekly fee.

Medication Management

Provided under the medical direction of our Medical Director, this service is provided based on the needs of the consumer to assist in managing or alleviating the concerning symptoms.

Individual & Group Therapy

This service provides therapeutic weekly/bi-weekly counseling sessions both individually or as a group.

Urinalysis Screening

This screening provides evidence of illegal drugs such as  alcohol, amphetamines, benzodiazepines, marijuana, cocaine, and opioids (narcotics) and prescription medicines.

Once these problems are identified and monitored, doctors can start a treatment plan.


Intellectual Developmental Disability Services (NC I/DD)

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Community Guide:

 Community Guide is a service that provides support to participants in developing social networks in the communities. The purpose of this service is to promote self-determination, increase independence and enhance the participant’s ability to interact with and contribute to his or her local community. This service also emphasizes, promotes and coordinates the use of the natural and generic supports (unpaid) to address the participant’s needs in addition to paid services.

 

Community Guide Services are intermittent and fade as community connections develop and skills increase for the participants.  Some special functions included in this service is as follows:

  • Assistance in forming and sustaining a full range of relationships with natural and community supports that allows the participant meaningful community integration and inclusion. 
  • Support to develop social networks with community organizations to increase the participant’s opportunity to expand valued social relationships and build connections within the participant’s local community. 
  • Assistance in locating and accessing non-Medicaid community supports and resources that are related to achieving Individual Support Plan (ISP) outcomes: this includes social and educational resources, as well as natural supports.

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  • Advocacy and collaborating with other individuals and organizations on behalf of the participant 
  • Supporting the person in preparing, participating in and implementing plans of any type (IEP, ISP, or service plan) 
  • Providing training on the Individual and Family Directed Supports Option, if the participant is considering directing services and supports (Agency With Choice and Employer of Record Models).
  • Instruction and counseling which guides the participant in problem solving and decision making

In Home Skill Building

 In Home Skill Building is an Individual or Group Service that provides habilitation and skill building to enable the participant to acquire and maintain skills, which support more independence. In-Home Skill Building augments the family and natural supports of the participant and consists of an array of services that are required to maintain and assist the participant to live in community settings.

In-Home Skill Building consists of:

  •  Training in interpersonal skills and development and maintenance of personal relationships.
  •  Skill building to support the participant in increasing community living skills, such as shopping, recreation, personal banking, grocery shopping and other community activities.
  •  Training with therapeutic exercises, supervision of self-administration of medication and other services essential to healthcare at home, including transferring, ambulation and use of special mobility devices.
  •  Transportation to support implementation of in-home skill building.

In-Home Skill Building is provided when a primary caregiver is home or when that primary caregiver is regularly scheduled to be absent. In-Home Skill Building is individualized, specific, and consistent with the participant’s assessed disability specific needs and is not provided in excess of those needs.

In Home Skill Building is furnished in a manner not primarily intended for the convenience of the participant, primary caregiver, the provider, employer of record or the managing employer. This service is distinctive from personal care by the presence of training.

The mixture of in-home skill building and personal care must be specified in the Individual Support Plan. It is anticipated that the presence of In-Home Skill Building will result in a gradual reduction in hours as the participant is trained to take on additional tasks and masters skills (fading plan).

A formal fading plan is not required. These services are provided in the participant’s private home and not in the home of the direct service employee. In-Home Skill Building Services must start and/or end at the home of the participant.

Personal Assistance

Personal Assistance is a teaching service that helps develop skills to help the recipient become independent in the home and community.

Personal Care Services

Personal Care Services offers support, supervision and engaging participation with eating, bathing, dressing, personal hygiene and other activities of daily living.

Respite

Respite provides periodic relief for the family or primary caregiver.

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Day Supports

Day Supports is primarily a group service for participants 18 years or older with an Intellectual  Development Disability. This service provides assistance to the participant with acquisition, retention, or improvement in self-help socialization and adaptive skills. (To learn more about our program see our Facilities page.)

Specialized Consultative Services

Specialized Consultative Services provides expertise, training, and technical assistance in a specialty area to assist family members, caregivers and other direct service employees in supporting individuals with developmental disabilities who have long term habilitative treatment needs.

Residential Supports/Group Home

This program allows adult individuals with a adult developmental disability an opportunity to become part of a family with other similar residents. This 3 bedroom home provides the benefits  and responsibilities of sharing a household and all the experiences of independent living. Intense supervision is provided to ensure the safety and the developed skills connections and friendships that enable them to thrive in the community. (See our Facilities page)

Residential Services and Facilities