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It's sunny and springtime at Lake Waccamaw! Call us for a visit to learn more about Boys & Girls Homes --910-646-3083.

Programs of Care

Admissions Referrals and Application

BGHNC accepts referrals from various sources. We provide both long and short-term care for children and youth. 

For more information about admissions and referrals, please contact Director of Solomon Assessment Center Erika Brown. You can email admissions@bghnc.org or call (910) 641-2499.

Admissions Criteria

To be eligible for youth program residential admission, a child must:

  • Be between the ages of 6 and 21
  • Be unable to successfully live in his/her family and/or home community or a less restrictive setting
  • Have educational goals he/she is willing to work toward
  • Able to live in a non-secure, non-therapeutic environment without posing a risk to themselves or others

To be eligible for Family or Therapeutic Foster Care in BGHNC Foster Homes, children must be ages 0-21. 

Guardian/Department of Social Services Required Child Documents for Admission per state law:
Legal & Placement Documents

  • Written consent for placement

  • Documentation of placement authority

  • Current court orders

  • Birth certificate or other documentation verifying birth

    Consent Forms

  • Consent for release of information

  • Consent for emergency medical treatment

  • Consent for family time/visitation

  • Consent for outpatient therapy 

  • Consent for time-limited audio-visual recordings signed by: Child (Over the age of 12) or Parent/guardian/legal custodian

    Medical/Dental Documentation

  • Copies of any current medical examination reports (prior 12 months)

  • Medical records

  • Immunization records

  • Documentation of medical insurance

  • Include any CCA’s, psychological assessments, IEP’s/504’s

    Family Contact & Permanency Information

  • Out-of-home family services agreement

  • Family contact and visitation plan include: Type of visitation, Duration, Frequency, On-site/off-site location, Rationale for any restrictions

    Reference

  • 10A NCAC 70J .0204 Recordkeeping Requirements


BGHNC offers its services to clients regardless of race, color, religion, sex, sexual orientation, national origin, age, genetic information, disability or any other characteristic protected by law.

The Application for Placement can be completed here and will be emailed to admissions@bghnc.org.

Additional Program and Contact Information

  • Residential Campus Services

    Offering services for Level I Youth
    • Solomon Assessment Center (90-day youth emergency shelter)
    • Level I Cottages
    • Teen Mom Cottages

    For more information, contact Erika Brown, Director of Solomon Assessment Center at erika.brown@bghnc.org or call 910-646-3083.

    For questions, please call -- 910-646-3083

  • Family Foster Care

    Kinston Office - 252-520-6727

    Fayetteville Office - 910-642-2525

    Lake Waccamaw Office - 910-646-3083 | 877-211-5322

    Emergency/After Hours - 910-770-1474

  • Therapeutic Foster Care

    For more information please call -- 910-646-3083 ext. 212

    Emergency After Hours 910-770-0083

    Toll Free 877-211-5322

  • Adoption

    For more information, please call 910-646-3083

  • Create Hope

    Providing therapy services for children who are in Boys & Girls Homes programs in rural North Carolina.

    For more information, please call -- 910-646-3083

  • Carolyn's Kaleidoscope Child Advocacy Center

    Assisting victims of physical and sexual abuse with a full suite of Child Advocacy Center services. This is a program of Boys and Girls Homes of North Carolina.

    For more information, please call 910-356-0322

  • Intensive In-Home Services

    Providing support and advocacy for families with home-based mental health services that are designed to meet each child and family’s unique needs through intensive case management, individual counseling, family therapy, skill building, person-centered planning, and crisis support/management.

    For more information, please email Aliza Blumstein -- aliza.blumstein@bghnc.org

Boys & Girls Homes Placement Application
Date of Application
Month
/
Day
/
Year
Date Placement is needed:
Month
/
Day
/
Year
Type of Placement Requested:
Reason
Reason for referral (choose one):
What is the current placement time length for the child or children?
Please list number of days, weeks, months and years.
Level of care
Please choose the level of care the child had at their previous placement.
Preference for Future Foster Care or Group Home care?
Does the child have family visitation requirements?
Child's full name:
First Name *
Last Name *
Sex
Child's birth gender:
Child's date of birth:
Month
/
Day
/
Year
Child's current age:
Child's home county:
Child's weight:
Child's height
Child's current address:
Country
Address Line 1 *
City *
State/Province *
Postal Code *
Child's primary language:
Child's Medicaid number:
Please describe the child's distinguishing features.
Name of this child's legal guardian:
First Name *
Last Name *
Name of Assigned Assessment/Foster Care Social Worker
First Name *
Last Name *
Address of Assigned Assessment/Foster Care Social Worker
Country
Address Line 1 *
City *
State/Province *
Postal Code *
Phone number of social worker:
ext Extension
Name of child's Guardian Ad Litem:
First Name *
Last Name *
Guardian Ad Litem phone number:
ext Extension
Please list child's current medications:
Please list the child's previous medications:
Medication compliance
Is child compliant with taking his/her meds?
Name of medication provider:
First Name *
Last Name *
Medical concerns/diagnosis/special accommodations:
Referring social worker:
First Name *
Last Name *
Referring social worker phone:
ext Extension
Child's trauma history
Please describe the child's trauma history.
If checked, please describe the nature of the trauma.
Please describe current emotional/behavioral concerns for the child:
Verbal aggression
Is the child verbally aggressive?
Physical aggression
Is the child physically aggressive?
If the child is verbally or physically aggressive, please describe these behaviors.
Previous property damage infractions
Has this child committed property damage?
If the child committed property damage, please describe the incident(s) and whether others were injured in this act.
Were criminal charges filed and what were those charges?
Aggression characterization
This child's aggression could be characterized as:
Targets of aggression
Who are the main targets of the child's aggression?
Place of aggression
Where is the member aggressive?
Describe any known triggers for the child's aggression.
Please describe the most recent episode of aggression.
Has the child had a CCA (Comprehensive Clinical Assessment)? If yes, please upload their CCA results below.
No file selected
Please add your additional comments here.
400 Flemington Drive
PO Box 127
Lake Waccamaw, North Carolina 28450
Phone (910) 646-3083
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