Piedmont Community Services Horizons Day Rocky Mount
Piedmont Community Services Horizons Day Rocky Mount is an outpatient program. It is one of 247 SAMHSA-listed facilities in Virginia. The center combines addiction and mental health treatment for adults.

Co-Occurring Mental HealthOutpatient5 days
This is a nonprofit outpatient program for adults who are living with mental illness, often alongside a substance use disorder. The staff works as a team with each person, aiming at both challenges at once rather than treating them as separate problems. Care is structured around psychosocial rehabilitation, which means building daily living skills and stability over time.
Payment is handled on a sliding scale, so the cost adjusts to what someone can afford. The program is listed by SAMHSA as offering dual diagnosis care, and it serves people who need ongoing support without staying overnight. Sessions are typically held during the day, which is where the day treatment name comes from.
Piedmont Community Services Horizons Day
Care at this center is outpatient, and it also addresses dual diagnosis care; a typical stay runs five days. That short format suits people who can attend during daytime hours and return home each evening. Counseling options include trauma-specific therapy, Twelve Step facilitation, online therapy, group therapy, life skills, relapse prevention counseling, nutrition counseling, cognitive behavioral therapy, and individual sessions. The program takes a Twelve Step approach.
At this center, outpatient drug rehab in Virginia covers both individual and group work. When weekly counseling is not enough care, the five-day structure may suit you better than standard outpatient. People in Rocky Mount and surrounding communities can access relapse prevention counseling and trauma-specific therapy.
- Cognitive Behavioral Therapy
- Nutrition Counseling
- Life Skills
- Group Therapy
- Relapse Prevention Counseling
- Twelve Step
- Trauma-Specific Therapy
- Online Therapy
- Twelve Step Facilitation
- 1-on-1 Counseling
People the program serves in Rocky Mount
- Adolescents and children who need mental health and substance use support
- Women and men, among them older and younger adults
- People facing mental health conditions and substance use disorders together at the same time
- Those dealing with trauma, post-traumatic stress disorder, anger, or gambling
- Individuals experiencing chronic relapse who need structured outpatient care
Duration, size, and language options
A typical program runs five days, and services are offered in English. Because the center is outpatient, it has no overnight beds or residential amenities. It runs as a day treatment program: participants come to sessions during the day and sleep at home. Virginia rehab services here are provided in a day format, not residential care. For Rocky Mount residents, that means treatment can fit around home and work duties. Call the helpline to ask about the weekly schedule and how many days a week you would attend.
Paying for care in Rocky Mount
This center accepts cash pay rates, and a sliding-scale option exists for those who qualify. Its SAMHSA record does not list private insurance or Medicaid, so confirm coverage with the center directly. If insurance is part of your plan, verifying by phone before admission is essential. Virginia Medicaid may cover certain outpatient services, but you must ask the center whether it participates. You can get help from an advisor on the helpline check what this program accepts and estimate your share of the cost.
Questions to ask before admission
- How is a typical week structured in the five-day program?
- Does the center accept my insurance or Virginia Medicaid, and what is the sliding-scale rate?
- In what ways are dual diagnosis care treated alongside substance use?
- What is the process for starting, and is there a waitlist?
- Which continuing care options or support meetings can I attend once the program is over?

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Good to know
What is the typical program length at Piedmont Community Services Horizons Day Rocky Mount?
A typical stay lasts five days. This brief, structured format is built for outpatient care, so you come in during the day and go home at night. Should you require a longer course of treatment, ask the center about continuing care or step-down options. Five days is a starting point; your real schedule may differ according to your needs and the center's assessment.
Does Piedmont Community Services Horizons Day Rocky Mount accept Medicaid or private insurance?
Cash pay rates and a sliding-scale option appear on the SAMHSA listing, while Medicaid and private insurance do not. Coverage can shift, so contact the center directly to confirm what it takes. If Virginia Medicaid is your coverage, ask point-blank whether the program is in network. The helpline can help you verify coverage too, before you commit to anything.
What therapies are offered for co-occurring disorders?
Counseling here includes individual sessions, cognitive behavioral therapy, group therapy, life skills, nutrition counseling, online therapy, relapse prevention counseling, trauma-specific therapy, and Twelve Step facilitation. It follows a Twelve Step approach and treats dual diagnosis care alongside substance use. That pairing matters, because both challenges are handled in one plan rather than in separate tracks.
How do I find out if Piedmont Community Services Horizons Day Rocky Mount is right for me?
Start by calling the helpline. It costs nothing, remains private, and reaching out commits you to nothing. An advisor can explain how the outpatient format works and help you compare it with other SAMHSA-listed programs in Virginia. You can also ask the center how its assessment process works. If you are unsure whether day treatment or another level of care fits, the advisor can walk through the choices with you.
What should I ask about payment before starting?
Ask the center directly whether it accepts your insurance or Virginia Medicaid, and request the sliding-scale rate as it stands now. The SAMHSA listing shows only cash pay rates and a sliding-scale option, so you need to confirm what is accepted today. The helpline can help you arrange those questions and understand what you might pay.