Information & Guidance

If you or a loved one is dealing with addiction, Vaya is here to help. Call 1-800-849-6127 any time, 24/7, to find help where you live. Our Access to Care line is staffed by qualified professionals to get you the help you need when you need it.

Prevention and treatment can make a difference. We know that the development of a substance use disorder is complex, involving interactions between biological and environmental risk factors. Many who have a substance use disorder can also have one or more psychiatric disorders. This knowledge has led to the development of effective ways to intervene. Parents and other concerned adults can help to bring prevention strategies to their homes and communities. They can be alert to signs of substance abuse, and seek treatments that can help.

The goal of this resource center is to offer members, families, providers and our communities with information for the prevention and treatment of substance abuse.

Learn more and begin making a difference in your community!

Substance Use Resources

Mandy Cohen, MD, MPH, Secretary of the North Carolina  Department of Health and Human Services, writes a letter asking for help in solving the opioid crisis. She lists specific actions that can be taken by clinicians and prescribers.

Related Pages

Vaya Health 2016 Gaps Analysis Report

NC Governor’s Task Force on Mental Health and Substance Use Report

This is the first-ever Surgeon General’s Report on Alcohol, Drugs, and Health reviews what we know about substance misuse and how you can use that knowledge to address substance misuse and related consequences.  It speaks to prevention through treatment and recovery –

Link to a 1/5/17  webinar to learn how to incorporate key findings from the Surgeon General’s report.

ASAM Weekly ( – This is a very good weekly resource that always has good information.  You might want to sign up to receive it regularly. There are stories that cover the full continuum from prevention through treatment through recovery.

The American Society of Addiction Medicine (ASAM) developed this National Practice Guideline for the Use of Medications in the Treatment of Addiction Involving Opioid Use to provide information on evidence-based treatment of opioid use disorder –

Federal Guidelines for Opioid Treatment Programs

We want to be sure that you know that SAMHSA’s  Decisions in Recovery: Treatment for Opioid Use Disorder  was released on December 15, 2016 and it is an innovative multimedia tool for people who want information about the role of medications in treating opioid use disorder. Decisions in Recovery focuses on “whether” medication-assisted treatment (MAT) is an informed treatment choice by a person in or seeking recovery from an opioid use disorder; and if so, “which” medication is the best fit for that person.  Individuals facing decisions about their own recovery and peers, clinicians, and others providing recovery support services can use Decisions in Recovery. It also includes a printable handbook that mirrors the web-based content.


  • Statistics for 2014 show that 17 of 23 WNC counties, particularly those along the Tennessee and southern border, had high rates of fatal drug overdoses – more than 20 deaths for every 100,000 residents.
  • Data for 2015 show that 10 of the state’s 17 counties with the highest rate of opioids prescribed per resident are in western N.C. Only four WNC counties (Buncombe, Jackson, Watauga and Alleghany) have rates lower than the state average.
  • Macon County had the highest rate of opioid pills per resident in the state (average of 258 pills per resident). Swain County had the highest rate of opioids prescribed per resident in 2015 in NC (average of 1.9 prescriptions per resident).
  • Since 2013, there have been 760 confirmed overdose reversals in the Asheville area – the second-highest number in the state, behind Wilmington.

Prescription Rates by County

There’s no getting around the fact that the abuse of prescription painkillers is a huge problem in the U.S. Prescription drug overdoses now kill more people each year than car crashes.

But the overdose risks vary quite a bit depending on where in the country, state and county you live. One reason is that how often doctors prescribed the drugs, such as Percocet, Vicodin and generic opioids, varies widely.

View how your county fares regarding prescriptions:

NC Prescription Rates by County

Founded on the principles of collaboration, community mobilization, and empowerment, community health assessments are used to identify priority health issues and to plan interventions to build healthier communities with the ultimate goal of making North Carolina one of the healthiest states in the nation.

The following are links to the most recent Community Health Assessment from the 23 counties in the Vaya Healthcare catchment area.  Most are from 2015, but a few are from earlier years. On these pages, which were developed as a guide for local communities wanting to address health issues in their county, you can:

Call 1-800-849-6127 toll free 24/7 to access mental health, substance use and intellectual and/or developmental disability services. Members can request materials in Spanish or English.

Llamar al número gratuito 1-800-849-6127 24/7 para obtener servicios y apoyo a la salud mental, discapacidades de desarrollo y abuso de sustancias. Los miembros pueden solicitar materiales en español o Inglés.