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Programs of Care

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 Admissions Director Donna Moody. You can email admissions@bghnc.org or call 910-646-3083 or 910-234-6477.

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

The Application for Placement can be completed below and will be emailed to admissions@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 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.
Please choose the level of care the child had at their previous placement.
Child's full name:
First Name *
Middle *
Last Name *
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:
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
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:
Is the child verbally aggressive?
Is the child physically aggressive?
If the child is verbally or physically aggressive, please describe these behaviors.
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?
This child's aggression could be characterized as:
Who are the main targets of the child's aggression?
Where is the member aggressive?
Describe any known triggers for the child's aggression.
Please describe the most recent episode of aggression.
Please add your additional comments here.

Additional Program and Contact Information

Our Sponsors and Partners

  • Jaycees have been a longtime supporter of Boys & Girls Homes of North Carolina

  • Civitan has been a longtime supporter of Boys & Girls Homes

  • North Carolina ECA is a longtime supporter of Boys & Girls Homes

  • The GFWC is a longtime supporter of B&GH

  • Rotary has been a longtime supporter of Boys & Girls Homes

  • Key Clubs have been longtime supporters of B&GH

  • Kiwanians have long been supporters of B&GH

  • Lions Clubs have long supported B&GH

  • Optimists have long supported Boys & Girls Homes

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