Old Vineyard Behavioral Health Winston-Salem
Old Vineyard Behavioral Health, located in Winston-Salem, offers detox and mental health care alongside substance use. It is one of 430 SAMHSA-listed facilities in North Carolina. Our free helpline connects you with licensed providers.
- Joint Commission
- Detox
- Co-Occurring Mental Health
- 7+ days



Old Vineyard Behavioral Health works with teens, adults, and seniors facing mental health conditions and substance use. The center blends holistic methods with evidence-based practices, so care attends to both emotional and physical health. Treatment is individualized, with distinct tracks for mood disorders, trauma, and co-occurring disorders. If you are comparing detox and dual diagnosis programs in North Carolina, then ask how each center separates medical detox from mental health treatment.
This program serves people who need structured support for concerns such as anxiety, depression, bipolar disorder, post-traumatic stress disorder, and suicidal thoughts, plus substance use involving alcohol, benzodiazepines, opioids, and other drugs. Care includes detox and co-occurring mental health treatment, and the team draws on methods such as dialectical behavior therapy, motivational interviewing, and medication-assisted treatment.
The Joint Commission accredits Old Vineyard, and that body reviews quality and safety standards. The campus sits in a quiet part of Winston-Salem, and the center provides both inpatient and outpatient options. When you call a North Carolina rehab center, the first question should be whether it can meet your medical and psychiatric needs at the same time. Our helpline gives no diagnoses and is not a clinic; through trained advisors, it links callers with licensed treatment providers at no cost and with no obligation.
Programs at this Winston-Salem center
Old Vineyard's main levels of care are detox and co-occurring mental health treatment, and a typical stay runs 7 or more days. If you have been drinking heavily or using benzodiazepines, then clinical supervision should guide withdrawal because those can be dangerous without medical monitoring. Detox suits people who need medical support while stopping alcohol, benzodiazepines, or other substances. The center's medical team can watch and adjust care as needed.
Therapy choices include individual counseling, dialectical behavior therapy, motivational interviewing, medication-assisted treatment, expressive arts, animal therapy, meditation and mindfulness, and yoga. Asking how a North Carolina treatment center combines therapy with medical care helps you judge whether the program fits your situation. The center calls its approach evidence-based, holistic, and individualized. If you do not know which level of care suits, our helpline can help compare options and check what the center currently offers.
- 1-on-1 Counseling
- Dialectical Behavior Therapy
- Holistic
- Meditation & Mindfulness
- Medication-Assisted Treatment
- Yoga
- Expressive Arts
- Animal Therapy
- Motivational Interviewing
- Individual Treatment
Who this program serves in Winston-Salem
- Adolescents, adults, and older adults, with programming for each age group.
- Individuals coping with mental health conditions including depression bipolar disorder post traumatic stress disorder anxiety, trauma, and suicidal thoughts.
- People whose substance use involves alcohol, benzodiazepines, cocaine, heroin, methamphetamine, opioids, or psychedelics.
- Individuals who have co-occurring disorders, meaning mental health and substance use get treated at the same time.
- Families and individuals looking for a Joint Commission-accredited program in the Winston-Salem area.
Languages, housing, and how long you stay
Old Vineyard is a 31-50 bed facility with a campus-like setting in Winston-Salem, and a typical stay is 7 or more days. If you need a program in Spanish or another language, then ask the center directly before making plans, because services are listed in English only. On-site activities include yoga, games, meditation, and creative arts. The center also runs outpatient programs, including a partial hospitalization program that meets daily and an intensive outpatient program that meets three times per week.
Paying for care at Old Vineyard
Old Vineyard posts rates for private pay. Before you commit to a Winston-Salem rehab, confirm your insurance benefits directly with the center and your insurer so you understand what is covered. Insurance coverage is not listed in the center's public information, so verify benefits by phone with the center and your insurer prior to admission. Our helpline can help you begin that call and know what to ask. If North Carolina Medicaid covers you, ask the center whether it takes your plan, since coverage is different by plan and treatment level.
What to clarify before you admit
- Will the center accept my insurance or Medicaid plan, and what out-of-pocket cost will I face?
- Is detox available on site, and who supervises withdrawal for alcohol or benzodiazepines?
- How long do most people stay in detox and in the co-occurring track?
- What does a typical day include for my age group, and are family sessions offered?
- How do I arrange an assessment, and what should I bring to it?


Other programs to consider
-
North Wilkesboro, NC
North Wilkesboro Comprehensive
- Outpatient
North Wilkesboro Comprehensive Treatment North Wilkesboro is an outpatient clinic for opioid use disorder.
- 30+ days program
-
Charlotte, NC
High Focus Charlotte
- Outpatient
High Focus Charlotte is an outpatient treatment center on Queens Road in Charlotte.
- 90+ days program
-
Joint Commission Charlotte, NC
The Blanchard Institute
4.6/5231 Google reviews
- Co-Occurring Mental Health
- Outpatient
The Blanchard Institute Charlotte provides outpatient care for both mental health needs and substance use needs alongside substance misuse.
- 30 days program
-
Charlotte, NC
Grace Healing Journey
- Co-Occurring Mental Health
Grace Healing Journey Charlotte is a small Christian counseling practice in south Charlotte.
- 14+ days program
- 2-5 beds
-
Hillsborough, NC
Hillsborough Comprehensive Treatment
- Outpatient
Hillsborough Comprehensive Treatment Hillsborough provides outpatient care for opioid use disorder.
- 30+ days program
-
Brevard, NC
Tapestry Brevard
- Outpatient
Tapestry Brevard is a treatment center for women located in Brevard, North Carolina.
- 30+ days program
- 16-30 beds

FAQ
Does NC Medicaid pay for inpatient rehab?
Inpatient rehab may be covered by North Carolina Medicaid, but that is based on your plan and the care level. Old Vineyard posts cash pay rates and does not publicly state that it accepts Medicaid. Before you go, call the center and your Medicaid plan to verify benefits. Our helpline can guide you through the questions to ask and connect you with licensed providers.
How long is treatment at Old Vineyard?
According to the center's listed information, a typical stay is 7 or more days. Detox may run shorter, and outpatient choices such as the partial hospitalization program and intensive outpatient program keep their own schedules. Ask the center about the expected length for your situation, since it can depend on your needs and level of care.
What does Old Vineyard treat?
The center treats mental health conditions including post traumatic stress disorder anxiety depression bipolar disorder, trauma, and suicidal thoughts. It also addresses substance use involving alcohol, benzodiazepines, cocaine, heroin, methamphetamine, opioids, and psychedelics. Care for mental health needs that present alongside substance use is offered there as well. No one is treated or diagnosed by the helpline; its trained advisors connect callers with licensed providers.
Is Old Vineyard accredited?
Yes, the Joint Commission accredits Old Vineyard, and that body reviews standards for quality and safety. When you compare programs, accreditation is one thing worth checking, alongside licensing and whether the services fit what you need. If reviewing options feels like a lot, our helpline links you to licensed providers via trained advisors, at no cost and with nothing owed afterward.
Does Old Vineyard offer detox for alcohol and benzodiazepines?
Yes, detox is among the care options Old Vineyard offers for people stopping alcohol, benzodiazepines, and other substances. Withdrawal from alcohol and benzodiazepines can be hazardous so clinical supervision should guide it. Ask the center who manages withdrawal and what monitoring is provided. Our helpline can support you in beginning that dialogue and check availability.
Speak with a person about this facility
Our free helpline is open at all hours to help you learn more about Old Vineyard Behavioral Health and other North Carolina programs. Advisors can help you check availability and coverage, and the call costs nothing and commits you to nothing. We are not a treatment provider and do not diagnose. Call when you are ready to compare options and decide your next step.