therapeutic alternatives, inc.


Phone: 336-495-2700

Mobile Crisis: 1-877-626-1772

Serving People Since 1958


Inspiring       Care. Achieving        Together.

Our mission is to deliver comprehensive human services that enable people to achieve their goals in life.

Community Services:

Our community services coordinators link each individual in the community with a direct care employee who helps to meet the specific needs of the individual. Then, under the supervision of the community services coordinator, each one-on-one direct care employee helps the individual and his or her family to achieve a variety of individualized goals based on the person’s needs, strengths and preferences. Goals may be addressed in the home, community or vocational settings.

Staff are trained in person centered thinking, person centered planning, Client Rights, First Aid, CPR and crisis response. We have staff who are able to interpret for people with hearing impairments.

Community Services Include:

  • Innovations Waiver Services

  • Hospital Transition Teams (Sandhills Center catchment area & Wake County)

  • Psychosocial Rehabilitation Programs in Montgomery, Chatham, Moore, Randolph and Person Counties

  • Adult Developmental Day Programs in Lexington and Randleman

  • Mobile Crisis Management in Chatham County, Guilford County, Wake and Johnston Counties and Randolph, Anson, Richmond, Lee, Harnett, Montgomery, Moore, Hoke and Cumberland Counties

  • Residential Services (DDA and SPMI group homes)

  • Geriatric Adult Specialty Teams

Group Home Service:

Therapeutic Alternatives, Inc. operates group homes for adults in Guilford, Randolph, Hoke and Moore Counties. We operate licensed group homes for adults with developmental disabilities (DDA) as well as for adults with mental illness (SPMI).  Individuals must be at least 18 years of age and live in family-style, community-integrated homes with an emphasis on community involvement, education, employment and gaining independent skills. All group homes are licensed for adults and are staffed 24 hours a day, 7 days a week, 365 days a year.

Our group homes range in size from three to six beds. Many of the people we support work in the community, attend day programs, or receive compensatory education at local community colleges. Some receive either Innovations Waiver services or other mental health services to support them in their vocational placements and personal care activities in the group home.







Let GAST provide you with free, quality in-services!





We provide training on behavior management, de-escalation techniques, person-centered, care, dementia, mental health and substance use disorder, and psychotropic medications.



“To care for those who once cared for us is one of the highest honors”-Tia Walker

Who is GAST?

The Geriatric/Adult Mental Health Specialty Team (GAST) provides free professional, high quality in-service education in nursing homes, family care homes, senior centers, home health agencies, adult day cares, adult day health, as well as other community-based organizations.

“To the world you may be one person; but to one person you may be the world”-Dr. Seuss


GAST Training Topics:

  • Dementia Care

  • Depression & Anxiety

  • Substance Use Disorder

  • Psychotropic Medications

  • Behavioral Management

  • Person-Centered Care

How much do our training cost?

GAST services are state-supported and always at no cost to you or your staff.

How long are GAST training?

Training's are from one to five hours in length, depending on your staffs’ needs.

Who is the intended audience for GAST trainings?

We come to your organization to provide in-services. Our training's are targeted to direct caregivers and those who work with older adults who have dementia or mental illness. Effective communication skills and person-centered care are emphasized throughout our training.