Monarch's Open Access Model

At Monarch, we believe in providing the help people need when they request it. Open Access means we encourage individuals who need services and are new to Monarch to simply walk-in for the first appointment. Our goal is to jumpstart the road to recovery by providing a comprehensive clinical assessment, a treatment plan, a psychiatric evaluation with prescriptions if needed, and a referral to the proper level of care. 

While this process takes longer than a traditional appointment, it reduces what could otherwise be months of waiting for help to same day access. Click here to download a copy of our What You Can Expect document.

Open Access Step 1 - Referral Coordinator 

Open Access Steps 2 & 3 - Therapist & Doctor  

Open Access Step 4 - Lab Work

Open Access/Walk-in and Referral Hours:

Please click here to view the Monarch location map to find the days and times this service is available in your area.
On-Site Assessment and Referral Locations:

  • Albemarle, Stanly County
  • Charlotte, Mecklenburg County
  • Raleigh, Wake County
  • Cary, Wake County
  • Wake Forest, Wake County
  • Guilford Groups Assessment Locations MapFuquay Varina, Wake County
  • Zebulon, Wake County
  • Greensboro, Guilford County
  • Winston-Salem, Forsyth County
  • Lexington, Davidson County
  • Shelby, Cleveland County
  • Gastonia, Gaston County
  • Lincolnton, Lincoln County
  • Lauringburg, Scotland County
  • Lumberton, Robeson County
  • Whiteville, Columbus County
  • Rocky Mount, Nash County
  • Wilson, Wilson County

For more information about Monarch's Open Access or for details about other Monarch Behavioral Health Services, call (866) 272-7826.

Download a PDF copy of the Open Access brochure for more information about these services.

In Home Therapy Services (IHTS)

(Ages 3-21)

In Home Therapy Services (IHTS) is a time-limited service that combines evidence-based therapy services and coordination of care interventions to be provided in the home setting for children and adolescents - ages 3-21 - with complex clinical needs that traditional outpatient cannot adequately address in a time-limited fashion. For some individuals in high-risk situations, such as families involved in domestic violence or child protective services, traditional outpatient services alone are not sufficient to address the needs and prevent future incidents. The population targeted for this program is children and adolescents in need of individual and family therapy services, as well as coordination of care due to complex psychosocial situations and/or multisystem involvement. These are not individuals whose mental health needs are yet at a severity that is putting them at risk for residential treatment or other forms of out-of-home placement, but rather individuals who need focused family systems work and coordination. Currently, this service is offered in Stanly and Mecklenburg counties.

Treatments and Services

Treatments for any person

That’s exactly what we provide to people every day. People who are trying to overcome significant life challenges like anger management issues, family problems, substance abuse, anxiety, and depression. They come to us for help, which is good, because helping is what we do best. Here’s some of the ways we provide support:

  • Assertive Community Treatment Team (ACTT) (Adults only)
  • Open Access for First Assessment
  • Outpatient Therapy (Individual Support and Counseling)
  • Hospital Discharge & Transition Services / Assertive Engagement
  • Group Counseling
  • Parenting ClassesServices for any person
  • Family Counseling
  • Substance Abuse Assessment, Treatment, and Counseling
  • Psychiatric/Medication Evaluation and Management (Telemedicine)
  • DWI Services
  • Community Support Team (Adults only)
  • Transitional Care Team (Guilford County)
  • Peer Support (Adults only)
  • Intensive In Home (Children only)
  • Psychosocial Rehabilitation (PSR - Adults only)
  • Clubhouse International Model (Monarch’s Club Horizon - PSR)
  • Crisis Assessment Services
  • Facility-Based Crisis / Non-Hospital Medical Detox  (Adults only)
  • Mobile Crisis Services (Children and Adults)
  • Psychological Evaluation and Treatment
  • Play Therapy

If you need behavioral health services from Monarch, call our referral department at (866) 272-7826 or email This email address is being protected from spambots. You need JavaScript enabled to view it.. If you are in need of services and are in Guilford County, call (336) 676-6840. In Robeson County, please call (910) 618-5606.


Counseling for individuals and familiesMonarch counseling services are for individuals and families needing help. We start with a comprehensive assessment to best determine an individual’s specific needs. Then, we  work with that person to construct an individual plan to achieve their goals. Services are offered in traditional, office-based settings as well as in an individual’s school. We provide individual, group, and family counseling for people of all ages. In most offices, people in crisis can be seen the same day they request services on a “walk-in” basis.

Peer Support Services

Peer Support Specialist

At Monarch we understand that life poses many challenges, but achieving a successful recovery plan is something no one should have to face alone. Our Peer Support Specialist Services help structure and schedule activities for adults 18 and older with a MH/SA disability. We provide an individualized, recovery-focused service that allows participants the opportunity to learn and manage their own recovery and advocacy process through the help of a peer support specialist who has been through similar circumstances.

What is a Peer Support Specialist?
North Carolina Certified Peer Support Specialists (PSS) self-identify as an individual diagnosed with a serious mental illness or substance abuse addiction who has demonstrated at least one full year in his/her own life without crisis, relapse, psychiatric inpatient treatment, substance abuse inpatient treatment or criminal justice involvement.

PSS’ assist individuals they support in recovery by focusing on their strengths, and emphasizing hope and wellness. Together they create and utilize specific personal recovery goals and develop a network of contacts and collaborative relationships (based on the experience of the PSS, or others who have had similar experiences).

Peer Support Services emphasize personal safety, self-worth, confidence, and growth. They also provide a connection to the community and development of social supports and effective communication skills.  

How can I receive Monarch’s Peer Support Services?
To inquire if you are eligible for this service, call toll free (866) 272-7826.
You can also direct questions to Peer Services Director Brandon Tankersley at This email address is being protected from spambots. You need JavaScript enabled to view it..

Psychiatric Care and Medication Management

Psychiatric Assessment & CareThe doctors at Monarch use evolving technology to reach out to those in need. When they cannot be there in person to talk, consult, and diagnose, they are able to meet with people in our office using telemedicine technology. Our doctors provide a complete psychiatric assessment and prescribe and monitor medication as needed.

Intensive In-Home Services

In-home Child Services Ages 3-20(ages 3-20)

When a family feels they have come to a point of crisis with a child experiencing mental health problems, Monarch will go to them to create an environment for success. We help manage a child’s behavior and assist and empower families in developing problem-solving skills and accessing community resources. Our staff are available around the clock to work with the entire family. We will do whatever it takes to prevent out-of-home placement for a child with a mental health diagnosis.

Psychosocial Rehabilitation

(adults only)

For some, recovery from mental illness is a long and especially challenging road. For people with Severe and Persistent Mental Illness (SPMI), Monarch provides Psychosocial Rehabilitation (PSR). PSR utilizes evidence-based practices to empower individuals with the skills they need to serve as active members of their community. PSR staff members work with people in a group setting where positive peer support is part of the healing initiative. Group sessions are designed to increase self-confidence, maintain mental stability, develop employment opportunities, and seek out increased community interaction.

Community Support Team

(adults only)

Monarch’s community support team is available 24/7/365 to help adults who are struggling with mental illness recover and maintain the greatest level of independence possible within their community. Our three-person team of mental health professionals will work with individuals to build skills that help them live in the community they wish and work effectively in the job of their choice.

Assertive Community Treatment Team

The Monarch Assertive Community Treatment Team (ACTT) provides a comprehensive, personalized treatment program for people who have been diagnosed with a severe and persistent mental illness. ACTT staff work with people in their home, at school, or at work, and are available 24/7 with rapid response to calls. ACTT employs an integrated team approach to help individuals with everyday basics such as getting moving in the morning, taking medications, and making it through the day. Team members closely monitor progress to ensure that medication is working and being administered correctly. They also help people find proper housing, sort out expenses, and build skills for the home, community and workplace. The team includes a psychiatrist, nurses, vocational specialists, therapists, and other mental health professionals as well as peer support staff. The main goal of this intensive service is to help people remain out of the hospital and living in the community.

Mobile Crisis Services

(children and adults)

Monarch’s mobile crisis services are available when there is an immediate need for compassionate and expert intervention. Our Mobile Crisis Team is a 24/7/365 support service that assists individuals who are experiencing a mental health or substance abuse crisis in their home, school or any other safe community location. Mobile Crisis team members are trained to evaluate and de-escalate crisis situations and then get the services needed to begin the process of recovery.

Facility-Based Crisis Services

(adults only)

Our Facility-Based Crisis/Non-Hospital Medical Detoxification unit is designed to help stabilize individuals presenting with acute symptoms of depression, bipolar disorder, schizophrenia, or other mental illnesses, as well as those individuals requiring detox for alcohol or drug addiction. Individuals remain on-site for the duration of a focused treatment program, which generally lasts an average of 5-7 days. People gain the basic skills necessary to resolve their crisis and return to their community. Our discharge planning staff works hard to ensure that follow-up services are in place and working properly to avoid future crises.

Additional Crisis Services

(adults and children)

It’s never fun when your life seems to fall apart, but it does happen sometimes.  Monarch is there to provide the immediate support to ensure that you get what you need to manage your crisis.  Whether it’s a short term stay away from home, someone who comes to your home to support you, or visiting one of our crisis counselors, Monarch is there to help.

Group Therapy Services

Group Therapy SessionIn addition to traditional outpatient individual therapy, Monarch offers a variety of Group Therapies. Group Therapy has significant benefits, including reducing mental health symptoms and addressing personal goals.

Group members experience emotional support, empathic understanding, and authentic encouragement from one another. Individuals can increase self-confidence through revealing their interior lives. Group therapy is instrumental in healing many types of emotional and psychological struggles people experience: depression, anxiety, anger, fear, shame, etc. Participants learn to accept support from others. Members feel less alone in the world through understanding that what they’re going through is not altogether uncommon, and they can often rely on others for support. Understanding other people's problems, goals, and solutions helps members clarify their own.

Committed attendance is encouraged, as the commitment to the group is in itself therapeutic. When members "show up," they do so not only for themselves, but for others as well.

Currently, Monarch offers Group Therapy in all outpatient locations. To download information about services offered in Stanly, Mecklenburg, Robeson and Guilford counties, click the links below.

Transitional Care Team

Transitional Care TeamIt can be very challenging to transition from the hospital back home after a mental health crisis. Monarch has a dedicated team of nurses, case managers, and peers who will help individuals to understand their medications, get to medical and mental health appointments, and settle back into life following a stay in the hospital.

What is Transitional Care?

The Transitional Care program is a free service for people with mental health, developmental disabilities, and substance abuse condition(s) who may also have a chronic physical health condition such as diabetes, hypertension or breathing problems and are at risk of unplanned hospital stays or Emergency Department (ED) visits.

The program focuses on follow-up care after you leave the hospital. Our goal is to help you improve your overall health, and to help you understand your discharge instructions and medication routine to avoid returning to the hospital for complications.

The Transitional Care Team (TCT) will schedule to see you at home within a few days of discharge from the hospital. During the visit in your home, you can expect the nurse and case manager to:

  • Check your blood pressure, heart rate, weight, oxygen level
  • Answer your healthcare questions
  • Help you understand your health condition(s)
  • Update your current medication list
  • Help you better understand your medicines and how to take them
  • Help you improve your health at home and in the community
  • Access the services and/or equipment you may need
  • Schedule needed follow-up appointments with doctors

Communicate your health information to your doctors. This service is offered in partnership with The Sandhills Center, Partnership for Community Care and Cone Behavioral Health.

For information about the program, or to ask questions about your home visit, please call (336) 676-6867.

Administrative Office: 350 Pee Dee Avenue, Suite 101, Albemarle, NC 28001
Phone: (866) 272-7826 | Fax: (704) 982-5279