We’re Here to Help!
If you have been using alcohol or drugs or struggle with mood disorders that are a concern, we encourage you to talk with a professional counselor. Are mental health or alcohol and drug use are causing you any type of difficulty? Do they cause arguments with family or friends, job difficulties, legal difficulties, DWI, or having hangovers? If you or someone who cares isn’t sure if your use has become a problem, it is a good idea to have a substance use assessment by a trained professional.
First Step offers multiple proven interventions and treatments based on client need and preference. This is usually determined during the comprehensive substance abuse assessment or mental health evaluation. First Step believes that assessing client needs and wishes is an ongoing process. If a type of therapy is chosen during the first session, it can be changed if the needs of the client indicate that it should be changed.
First Step uses a motivational model to help you not only end the problems associated with drug or alcohol use, but also to help you become a more self-confident person who is able to achieve your chosen goals in life. Alcohol and drug counseling can be the first step in getting your life back on track. Our therapists and counselors utilize a variety of proven therapy models including “12-Step support facilitation,” “Motivational Enhancement Therapy,” “Cognitive Behavioral Therapy,” and “Stages of Change” group therapy to assist people who want to quit using alcohol and drugs.
We practice a strength based therapeutic relationship with our clients and patients. This client-counselor relationship focuses on what you already know and experience rather than on what you are doing wrong and shouldn’t do. We honor and respect your values rather than what others think you “should” think, feel or do.
Dr. Joseph Mazzaglia is Medical Director for First Step Services, LLC. Dr. Mazzaglia is an active contributor to the field of Psychiatry. He is a board-certified physician who specialize in the diagnosis and treatment of mental disorders. Dr. Mazzaglia provides supervision to all our therapists and counselors to ensure each individual in our programs receive the highest quality clinical care. Dr. Mazzaglia can be seen at our Raleigh facility Wednesdays by appointment only.
Mental Health, Relationship and Family Counseling Services
- First Step Services, LLC provides mental health counseling at all our locations. Our psychiatrist provides psychiatric evaluations, follow up and medication checks.
- Mental health counselors are Licensed Clinical Social Workers and other Licensed Professional Counselors, Masters level counselors. Therapists coordinate care with Dr. Mazzaglia to provide the best mental health counseling possible.
Substance Use Counseling Options
First Step provides individual and group substance abuse and counseling services. Substance Abuse groups range from as few as 16 hours of education to 30 or more Substance Abuse Intensive Outpatient treatment groups, depending on your need.
Inpatient, Residential & Hospital Aftercare
First Step Services, LLC provides Intensive Outpatient and General Outpatient aftercare for people completing and discharging from inpatient programs & hospitals across the country. We provide intensive group counseling, family counseling, individual counseling and other services as needed. The goal is to continue treatment and recovery while one transitions back into community living, returning to work, and resuming a “normal” lifestyle after completing inpatient or hospitalization. We provide this service at all our locations. We can even begin meeting with you by video conferencing before you leave your inpatient facility to ease the transition.
Intensive Outpatient (IOP)
Variety of Week Day & Evening Programs across all our locations
Recovery in Action IOP
Utilizes the stages of change model to focus on recovery protection & healthy coping skills. We use a wellness model centered on self-care, problem solving & life skills that can be applied to daily life.
Virtual Mon & Raleigh In-Person Tue/Thu Mon, Tue & Thu (6pm-9pm)
Together in Change IOP
Utilizes the stages of change model to focus on recovery protection & healthy coping skills. We use a wellness model centered on self-care, problem-solving & life skills that can be applied to daily life.
Mon, Tue & Thu (6 PM – 9 PM)
Creating Focus IOP
Focuses on stages of change & value-based decision-making skills. We provide education on the disease model of addiction and look at how we can create focus in our lives.
Tue, Thu (6:30-9:30pm) & Sat (9am-12pm)
Every client who successfully completes any level of counseling groups at First Step, is remaining abstinent and no longer requires monitoring or reporting, is welcome to continue aftercare for as long as he or she would like to attend. This aftercare program provides extra support during early recovery. People who attend First Step group programs after completing an inpatient or residential program also qualify for the $5 per day aftercare program as long as you have completed your primary care at First Step, are remaining abstinent and are working a program of recovery.
First Step is an approved provider for nurses who are required to attend treatment by the NC Board of Nursing. We meet all their assessment, treatment and aftercare requirements. We accept insurance for these services and provide a hardship/sliding fee scale for Nurses who do not have insurance. We provide these services at all our facilities.
Living in Recovery
Focuses on helping people live their best life! Emphasis is placed on peer accountability & individual recovery protection to help people live a fulfilling life in sustained recovery.
Family Counseling & Couples Counseling for Alcohol and Drug Use Concerns
Sometimes the first step is for the family to reach out. The family asking for help might be just the thing that gets the alcohol or drug abuser to make positive changes. The person using alcohol or drugs might not be ready to quit. However, there is something the family can do to help. If you have reached your bottom, you might just be ready to help him or her to make changes. Contact First Step Services, LLC for more information on how to help an alcohol or drug user.
F.A.C.E. (Family And Community Education)
Our Family And Community Education class (currently on hiatus) is for families & friends interested & concerned about a loved one’s substance use disorder. Open to the community. No cost & no appointment needed.
Short-term groups are 20 – 30 hours and intermediate level longer-term groups are 40 – 60 hours. The number of groups a client is assigned to is determined by the assessment. The assessment is provided for every client and patient in our adult programs. A DWI Assessment is required by law of all who are convicted of DWI and DWLR. If it is your first DWI arrest and your Breathalyzer reading was .14 or less, you may qualify for ADETS, which is 16 hours. Call today for information. View additional details and schedule here.
Victim Impact Panel (VIP) Meeting
Appropriate for individuals in all levels of care. Focused on raising awareness of the consequences of substance impaired driving.