Focus Behavioral Health Services, LLC Focus Behavioral Health Services, LLC
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Welcome to FOCUS Behavioral Health Services, LLC; formerly, Hand Up Homes for Youth, Inc. Our agency originated in 1996 in Colorado. We have established programs in Colorado, North Carolina and Nevada.

During 2010 our agency branched out from our parent company and developed a Critical Access Behavioral Health Agency (CABHA) under the name of FOCUS Behavioral Health Services, LLC. Through the North Carolina Division of Mental Health, Developmental Disabilities and Substance Abuse Services we met all requirements to achieve the CABHA status. With this certification we have developed and continue to develop a full continuum of care for children and their families.

We work closely with community stake-holders, including; primary care physicians, DSS, DJJDP, Guardian Ad Litem, public school system, LME, and other mental health agencies to ensure that all care given to consumers and their families is as integrated and comprehensive as feasibly possible. See our service description page for information on our current service continuum.

FOCUS Leadership

Pam Douglas RN, QP
Program Director

Dr. David Cook, MD
Medical Director

Francine Kirkpatrick-Karuba, LCSW
Clinical Director

Jennifer Russell, BSW, QP
Quality Management Training Director

FOCUS Facilities

Admin Office

Administrative Office and Outpatient Clinic

Burke Day Treatment Facility

Hand In Hand Burke County
Day Treatment Facility


Burkwell Residential Facility

McDowell Hand In Hand

Hand In Hand McDowell County

The Landing

The Landing Residential Facility