
At a Glance
Location
3637 Old Vineyard Road, Winston Salem, NC 27104
Phone
336-794-3550Primary Focus
Treatment Settings
Treatment Approaches
Special Programs
About Old Vineyard Behavioral Health Service
Old Vineyard Behavioral Health Service in Winston-Salem, NC offers a full continuum of addiction treatment and behavioral health care — from medical detox through residential treatment, PHP, IOP, and outpatient programs. With a capacity of 164 and 24-hour operations, the center serves a wide range of populations, including adolescents, veterans, and adults managing co-occurring disorders alongside substance use.
Old Vineyard Behavioral Health Service sits at 3637 Old Vineyard Road in Winston-Salem, North Carolina, operating around the clock with a 164-bed capacity. As a dedicated substance use treatment facility in Forsyth County, it covers the full arc of recovery — from the earliest stabilization phase through longer-term outpatient support — making it a meaningful option for individuals and families thinking beyond short-term crisis care. The center also addresses behavioral health conditions including trauma, PTSD, mood disorders, and co-occurring diagnoses alongside substance use.
The continuum of care at Old Vineyard spans five distinct levels: medical detox, residential treatment, Partial Hospitalization Program (PHP), Intensive Outpatient Program (IOP), and standard outpatient services. This stepped-down model allows people to move through treatment at a pace suited to their clinical needs, transitioning from higher-intensity care to community-based outpatient programming without leaving the same treatment system. For those pursuing longer-term recovery, having PHP and IOP available within the same facility supports continuity across the recovery journey.
Cognitive Behavioral Therapy (CBT) is a confirmed therapeutic method used at the center. CBT is a structured, skills-based approach that helps people identify and shift the thought patterns driving addictive behaviors — a practical fit for individuals managing dual diagnoses, trauma histories, or mood disorders alongside substance use. The facility's focus on co-occurring conditions reflects a treatment philosophy that treats the whole person, not just the presenting substance use.
Old Vineyard serves a notably broad range of populations: adolescents, young adults (18–25), men, women, seniors and older adults, veterans, individuals requiring court-ordered treatment, and those needing HIV/AIDS support. Payment options include Medicare, TRICARE, private insurance, state insurance, and self-pay, making the center accessible across different financial situations. Veterans in particular benefit from TRICARE acceptance alongside the center's court-ordered program infrastructure — a combination that signals experience working with individuals navigating complex life circumstances alongside their recovery.
A Full Continuum of Addiction Treatment in Winston-Salem
For people evaluating long-term recovery options in North Carolina's Piedmont Triad, Old Vineyard Behavioral Health Service offers something that standalone detox or single-level outpatient programs cannot: a connected path from medical stabilization all the way through community-based outpatient care. Medical detox at the center provides the clinical foundation, followed by residential treatment for those who need structured, immersive support before transitioning to less intensive levels.
From residential care, individuals can step down into the Partial Hospitalization Program (PHP) — a structured daytime program that maintains clinical intensity while allowing for some reintegration into daily life — and then into the Intensive Outpatient Program (IOP) or standard outpatient services. This graduated model is especially relevant for people who understand that recovery is a process, not a single event. Being able to transition between levels of care without switching providers supports the kind of continuity that longer-term recovery demands.
Treating Co-Occurring Disorders as Part of the Recovery Process
Substance use rarely exists in isolation. Old Vineyard Behavioral Health Service explicitly addresses trauma and PTSD, mood disorders, and co-occurring dual diagnoses alongside addiction treatment — a clinical scope that matters deeply for the many people whose substance use is intertwined with unresolved mental health conditions. Cognitive Behavioral Therapy (CBT), a structured method focused on identifying and reshaping thought and behavior patterns, is part of the therapeutic approach at the center.
This dual-focus orientation is particularly relevant for veterans, who often carry trauma histories alongside substance use, and for young adults navigating mood disorders during early adulthood. Rather than treating addiction as separate from the behavioral and emotional conditions driving it, Old Vineyard's clinical framework acknowledges that sustainable recovery often depends on addressing both simultaneously within a single treatment setting.
Who Old Vineyard Serves and How to Access Care
Old Vineyard Behavioral Health Service is designed to serve a wide cross-section of the community. The facility accepts adolescents, young adults (18–25), adults of all ages including seniors, men and women, veterans, individuals in court-ordered treatment, and those requiring HIV/AIDS support. Few recovery centers in the region offer this breadth of population-specific programming within a single facility.
Accessing care is supported by a range of payment options. The center accepts Medicare, TRICARE (making it a viable option for active-duty and veteran populations), private insurance, state insurance, and self-pay. The facility operates 24 hours a day, which means intake and admissions are not limited to standard business hours — an important practical consideration for individuals and families ready to begin the recovery process. Reach Old Vineyard Behavioral Health Service directly at (336) 794-3550 or visit oldvineyardbhs.com.
From Residential Treatment to Outpatient Recovery: The Step-Down Model
The step-down model at Old Vineyard reflects a clinical understanding of how recovery actually works. Rather than discharging someone from residential treatment back into their daily environment without support, the center's continuum allows for a measured transition: residential treatment to PHP, PHP to IOP, and IOP to standard outpatient programming. Each level maintains clinical engagement while gradually rebuilding independence.
For families supporting a loved one through recovery, this structure also provides a clearer framework for what comes next. Instead of confronting an abrupt handoff after inpatient care, the step-down approach keeps the treatment relationship intact while the person in recovery regains footing in their daily life. This is precisely the kind of long-arc recovery planning that distinguishes a behavioral health center from a one-stop detox provider.
Why Choose Old Vineyard Behavioral Health Service
- Full continuum from medical detox through outpatient — all under one roof in Winston-Salem, NC
- 164-bed capacity with 24-hour operations, supporting individuals at every stage of the recovery journey
- Specialized support for veterans through TRICARE acceptance and court-ordered treatment programming
- Treats co-occurring disorders including trauma/PTSD and mood disorders alongside substance use
- Serves one of the broadest population ranges in the region, from adolescents to seniors and older adults
Frequently Asked Questions
What levels of addiction treatment does Old Vineyard Behavioral Health Service offer?
Old Vineyard provides a full continuum of substance use treatment: medical detox, residential treatment, Partial Hospitalization Program (PHP), Intensive Outpatient Program (IOP), and standard outpatient services. This range allows individuals to enter at the appropriate level of care and step down gradually as they progress through recovery.
Does Old Vineyard offer medical detox?
Yes. Medical detox is one of the confirmed levels of care at Old Vineyard Behavioral Health Service in Winston-Salem, NC. The facility operates 24 hours a day, which supports timely access to detox services for individuals ready to begin treatment.
Does Old Vineyard treat co-occurring mental health conditions alongside addiction?
Yes. Old Vineyard addresses co-occurring disorders and dual diagnoses, including trauma and PTSD as well as mood disorders, as part of its substance use treatment programs. This integrated focus means mental health conditions are treated alongside addiction rather than as a separate concern.
What therapy approaches are used at Old Vineyard Behavioral Health?
Cognitive Behavioral Therapy (CBT) is a confirmed therapeutic method at Old Vineyard. CBT is a structured, skills-based approach that helps individuals identify and change the thought patterns and behaviors associated with substance use and mental health challenges.
Does Old Vineyard serve veterans?
Yes. Veterans are among the specific populations served at Old Vineyard Behavioral Health Service. The center also accepts TRICARE, the health coverage program for military members, retirees, and their families, making it a practical option for veteran populations seeking addiction treatment and co-occurring disorder care.
Does Old Vineyard treat adolescents and young adults?
Yes. Old Vineyard serves both adolescents and young adults (ages 18–25), in addition to adults across the age spectrum including seniors and older adults. The center's broad population scope means programming is designed to meet people at different life stages.
What payment options does Old Vineyard accept?
Old Vineyard Behavioral Health Service accepts Medicare, TRICARE, private insurance, state insurance, and self-pay. Individuals who are unsure about their coverage can contact the facility directly at (336) 794-3550 to discuss payment options.
Is Old Vineyard open for admissions at all hours?
Yes. Old Vineyard Behavioral Health Service operates 24 hours a day. This means prospective patients and their families can initiate contact or begin the admissions process at any time, without being restricted to standard business hours.
Does Old Vineyard accept court-ordered clients?
Yes. Court-ordered treatment is among the populations and program types supported at Old Vineyard. Individuals navigating legal requirements alongside their recovery can contact the center directly to discuss the intake process.
What is the difference between PHP and IOP at a recovery center like Old Vineyard?
A Partial Hospitalization Program (PHP) typically involves structured programming for most of the day, several days per week, offering intensive clinical support while the individual lives outside a residential setting. An Intensive Outpatient Program (IOP) provides a lower level of daily hours but still delivers more clinical engagement than standard outpatient care. Both are available at Old Vineyard as part of its step-down continuum.
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