Community Alternatives, Inc. – CASCADE in Charlotte, NC is a licensed outpatient and residential substance use treatment and recovery program that supports adults, especially women and mothers with children, whose alcohol or drug use has significantly disrupted daily life, roles and wellbeing. The CASCADE program integrates clinical care, life skills, peer support, and family services within structured outpatient and optional residential settings.
Integrated Outpatient and Support Services Within Everyday Life
At the Charlotte CASCADE office, individuals participate in intensive outpatient (IOP), partial hospitalization (PHP), regular outpatient care and recovery planning tailored to their goals and life responsibilities. Care includes individual and group counseling, cognitive-behavioral therapy (CBT), dialectical behavior therapy (DBT), relapse-prevention work and motivational interviewing, helping clients build coping skills and behavioral change within their daily environments.
Support for Pregnant, Parenting and Trauma-Impacted Participants
CASCADE is known for services that prioritize pregnant women and parenting mothers, offering wraparound supports such as childcare, case management, transportation assistance, health coordination and parenting education so families can stay intact while addressing substance use. The program also provides tailored interventions for people with co-occurring mental health challenges, trauma histories and other complex needs.
Connections to Continuity and Transition Support
In addition to core outpatient care, the organization helps with transitional planning, naloxone education, discharge coordination and aftercare linkage to support continuity of recovery beyond scheduled sessions. Payment options include Medicaid, Medicare, private insurance and financial assistance to improve accessibility of services.
An Accessible Recovery Pathway Embedded in Real-World Responsibilities
Community Alternatives’ CASCADE program allows people to pursue structured recovery work while living at home and maintaining daily roles such as work, family and schooling. By blending clinical engagement with practical support and accountability, the program helps participants build healthier routines and coping strategies.


