The North Carolina Substance Abuse Comprehensive Outpatient Treatment (SACOT) program is an intensive, daily outpatient service designed for individuals with severe substance use disorders who need a high level of care without entering a residential facility. SACOT offers a structured therapeutic environment, clinical services, and recovery supports that promote long-term stability and prevent relapse.
This program is recognized and regulated by the NC Division of Mental Health, Developmental Disabilities and Substance Abuse Services (DMH/DD/SAS) and is suitable for meeting the needs of those involved in DWI offenses, court diversion programs, probation requirements, or continuing care following inpatient treatment.
Key features of SACOT include:
- Daily group and individual counseling (typically 5 days per week, 4–6 hours per day)
- Comprehensive clinical assessments and treatment planning
- Substance use education and relapse prevention
- Support for co-occurring mental health disorders
- Life skills development and vocational readiness
- Random drug and alcohol testing
- Case management and discharge planning
SACOT is ideal for individuals who:
- Require intensive daily support but do not need 24/7 residential care
- Are transitioning out of inpatient or residential treatment
- Have multiple DWI offenses or severe patterns of use
- Need DMV or court-mandated treatment in a structured setting
Are committed to recovery but need close monitoring and therapeutic engagement
The typical duration of SACOT varies based on progress, but many programs last up to 90 days, with gradual step-down planning into less intensive outpatient care or aftercare services.
Participants who complete SACOT receive a state-recognized certificate of completion, which may be submitted to the NC DMV, probation officers, or the courts to satisfy legal or clinical treatment requirements.
To locate certified SACOT providers, visit Online Class Advisor’s North Carolina SACOT Program Directory, which features both urban and rural program options, including some with transportation support or flexible schedules.