Self-Harm Treatment for Teens in North Carolina

Self-harm treatment for teens in North Carolina addresses non-suicidal self-injury including cutting, burning, hitting, and other self-destructive behaviors for adolescents ages 12-18 throughout North Carolina. Bright Path provides comprehensive self-harm care through programs designed by licensed marriage and family therapists. Our treatment philosophy centers on working with teens rather than on them.

Our facilities hold CARF accreditation from the Commission on Accreditation of Rehabilitation Facilities. The North Carolina Department of Health and Human Services awarded us state licensing authorizing partial hospitalization and day activity programming. These licenses authorize self-harm treatment delivery across our Wake Forest and Hillsborough locations plus virtual telehealth services statewide.

Bright Path offers four developmentally appropriate self-harm treatment tracks tailored to adolescent needs and symptom severity. The Summit Path serves adolescents ages 15-18 requiring intensive daily support for acute self-harm presentations including frequent cutting or burning behaviors. The Meadow Path provides programming for adolescents ages 12-15 experiencing self-harm symptoms interfering with middle school functioning. The Virtual Path offers intensive outpatient services for teens with self-harm behaviors and minimal prior DBT experience. The Horizon Path serves adolescents with self-harm stepping down from higher care levels while maintaining symptom management skills.

Our clinical team integrates Dialectical Behavior Therapy strengthening distress tolerance providing alternatives to self-injury and emotional regulation addressing overwhelming emotions driving self-harm. Safety planning interventions address urge management and harm reduction strategies developing throughout self-harm treatment. Psychiatric Nurse Practitioners and Physician Assistants evaluate every teen weekly regardless of medication status addressing mental health conditions underlying self-harm when clinically appropriate.

Our admission process offers frequent intake opportunities throughout the week with multiple daily slots. Our facilities are located in Wake Forest at 203 Capcom Ave, Suite 104, Wake Forest, NC 27587 and in Hillsborough, with virtual telehealth options also providing convenient access for families throughout North Carolina.

Meta-analyses estimate that non-suicidal self-injury affects approximately 17–18% of adolescents worldwide (lifetime prevalence). North Carolina reports significant prevalence of self-harm among teens with many cases undetected until emergency department visits for severe injuries. Untreated adolescent self-harm increases risk for suicide attempts, chronic self-injury patterns, substance abuse, and severe emotional dysregulation. These statistics demonstrate the critical treatment gap facing North Carolina adolescents with self-harm requiring professional intervention beyond crisis management alone.

  • Evidence-based self-harm treatment protocols
  • DBT distress tolerance skills training
  • Weekly psychiatric provider meetings
  • Comprehensive safety planning
  • Developmentally appropriate track assignments
  • Age-specific programming (12-15 and 15-18)
  • Weekly family therapy for PHP
  • Self-harm-focused DBT skills training
  • School coordination and homebound services
  • Music therapy integration
  • Horticulture therapy programming
  • CARF accreditation
  • NC state-licensed facilities
  • Three service delivery options (Wake Forest, Hillsborough, Virtual)

    About Self-Harm in Teens

    What you might see your teen doing

    • Making excuses for scratches and marks that you call attention to
    • Avoiding activities where their skin might be seen (Swimming, sports, etc.)
    • Wearing clothing that covers their body, even when the weather does not match
    • Carrying sharp objects in their personal bags that seem unnecessary for the event
    • Becoming suddenly protective or secretive about certain belongings or areas in their room
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    How Does Each Program Address My Teen’s Self-Harm?

    The different types of teen self-harm treatment programs Bright Path offers are highlighted below:

    Programs

    Partial Hospitalization Program

    Description

    The Partial Hospitalization Program (PHP) provides daily support for teens that have been experiencing intense challenges related to their mental health. These challenges feel all consuming and can make every day activities overwhelming. When this happens, teens seek ways to manage those emotions and challenges which may include self-injurious behavior. Self-injurious behaviors are intentional behaviors that cause physical harm.

    The Meadow Path serves teens ages 12-15 focusing on teaching teens coping skills and stabilization of symptoms that come with the transition to middle school. Teens in the Meadow path are experiencing early stages of new independence, early identity exploration, and exploring their interests. The Summit Path serves teens ages 15-18 focusing on relationships, planning for the future and autonomy.  

    Teen participate in PHP, on average, 5 weeks. Clinical necessity determines program extensions based on mood stabilization progress and safety concerns.

    What to Expect

    Your teen participates in structured daily group therapy designed to teach coping skills that reduce self-harm urges and increase emotional safety. Groups focus on developing healthy alternatives to self-injury, managing overwhelming emotions, improving communication and relational skills, noticing urges earlier, and increasing awareness of internal experiences. Each group emphasizes practicing skills in a supportive peer environment.

    Weekly individual therapy sessions provide a private space for your teen to apply coping strategies, help teens practice managing urges and develop alternative coping options. 

    Your teen meets weekly with a psychiatric provider, whether or not they take medication. These appointments address the mental health conditions that often contribute to self-harm, such as depression, anxiety, and emotion dysregulation. The provider also offers guidance on sleep, nutrition, stress, and other wellness factors that influence mood stability and reduce vulnerability to self-injury.

    Family therapy sessions occur weekly to support healthy communication and strengthen the family’s ability to respond to self-harm safely. Sessions focus on improving supportive responses, establishing effective safety plans at home and reducing conflict.

    Teens receive educational support during treatment, including coordinated homebound status and structured classroom time, helping them maintain academic progress while lowering stress that can intensify self-harm urges.

    Advantages of Working with Bright Path for Teen Self-Harm Treatment in North Carolina

    The advantages of working with Bright Path for teen self-harm treatment in North Carolina are listed below:

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    1. DBT Was Built for This

    Dialectical Behavior Therapy was originally developed specifically for people who engage in self-harm and suicidal behavior. It's not a borrowed framework — it's the most evidence-based tool we have for addressing the emotional dysregulation that underlies self-harm. At Bright Path, DBT isn't just a curriculum — it's how we help teens build an entirely new relationship with distress, one skill at a time.

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    2. A Safe Place for Families Too

    When a parent discovers their teen is self-harming, the fear and confusion can be just as overwhelming as the behavior itself. Our integrated family therapy and caregiver support helps families understand what's actually happening, move away from reactive responses that can inadvertently increase shame, and learn how to be a source of support rather than another source of pressure. Because how the family responds matters enormously — and we want to get everyone on the same page.

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    3. We Recognize Every Form It Takes

    Self-harm isn't one thing. It shows up in many forms, and our clinical team is trained to recognize and respond to the full picture — not just the most visible presentations. Every teen's experience is taken seriously, regardless of how it looks from the outside.

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    4. Medical Support On-Site, Every Day

    Because our psychiatric nurse practitioner or physician assistant is on-site every day, we're able to respond to self-harm injuries with the same care and dignity we bring to everything else. Whether an injury needs a gentle cleaning or further medical attention, it gets addressed — clinically, compassionately, and without drama. Teens aren't left managing their physical safety alone, and parents aren't left wondering.

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    5. We Don't Take an All-or-Nothing Approach

    Self-harm doesn't stop the moment treatment starts — and we don't pretend it does. Self-harm is a coping skill. Not a good one, but one that has been reinforced in a teen's brain over time as the most reliable way to manage overwhelming distress. Expecting it to disappear overnight isn't realistic, and pretending otherwise just teaches teens to hide it. At Bright Path, teens know they won't be shamed, discharged, or sent to the hospital for being honest with us. That honesty is what makes real progress possible.

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    6. We Understand What's Actually Driving It

    Self-harm is not attention-seeking behavior — and one of the most important things we do is help teens, families, and everyone around them understand that. Teens self-harm for deeply human reasons: a sense of control when everything feels out of control, a way to feel grounded in the middle of overwhelming distress, or sometimes a reaching out for connection that doesn't have words yet. Before we can teach healthier coping skills, we have to understand what the self-harm is actually doing for that teen. That's where the real work begins.

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    From First Call to First Day

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      Contact Us

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    2. 2

      Trailhead Check-In

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    3. 3

      Clinical Review

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    4. 4

      First Day of Care

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    Our Team

    Bright Path’s teams includes licensed therapists, psychiatry providers, educators, and other professionals who are both skilled and passionate about adolescent mental health

    Shantel Sullivan

    Shantel Sullivan - Chief Executive Officer

    Dr. Sullivan brings extensive experience to her role as Bright Path’s Chief Executive Officer. She has been a clinical leader in residential adolescent treatment, adult outpatient services, and academia. With more than a decade of experience as a licensed social worker in New York and North Carolina, Dr. Sullivan has collaborated broadly with individuals, families, and the community. Dr. Sullivan earned a Bachelor of Arts in sociology from the State University of New York at Potsdam in 2006, a Master’s Degree in Social Work (MSW), and a graduate certificate in addictions counseling in 2008 from the University of New England. She went on to complete a doctoral degree in Educational Leadership with a concentration in transformational leadership also from the University of New England in Portland, Maine in 2017. She served as a faculty member for the State of New York Office of Alcoholism and Substance Abuse Services Bureau of Workforce Development where she provided regional education on adolescent co-occurring disorders. She moved to North Carolina in 2016 to work in academia as an assistant professor of social work at Western Carolina University. In 2020, she moved to Raleigh to be closer to family and became an adjunct professor at North Carolina State University School of Social Work, where she still teaches part-time. She is a seasoned national speaker, social worker instructor, clinical field instructor, and member of the National Association of Social Workers. In addition to Dr. Sullivan's clinical work, she edits all of the content on the Bright Path Teen Mental Health Blog to ensure accuracy and accessibility to all of our readers. Dr. Sullivan is committed to increasing access to evidence-based, compassionate, mental health care for adolescents. She further understands the challenges ALL members of a family experience when their loved one is suffering.

    Jennifer Hoffman

    Jennifer Hoffman - Psychiatric Nurse Practitioner

    Jennifer is a licensed and nationally board-certified psychiatric mental health nurse practitioner who provides psychiatric care including assessment, diagnoses, medication management, and therapeutic treatment for teens admitted to PHP programming. She is a graduate of Duke University with a Master of Science in Nursing, with 13 years of experience in health care including but not limited to pediatric inpatient psychiatry and perinatal care. Jennifer believes in patient and family-centered health care, collaboration, and integrative care. She is passionate about spreading access to quality mental health care and responding to mental health crises with effective treatment, empathy, and support. In her free time, Jennifer enjoys crafting with her children. She also loves to create a comfortable and relaxing space in her office at Bright Path!


    Abigail Krieck

    Abigail Krieck - Director of Strategic Impact and Outreach

    Dedicated to the cause of mental health and well-being, Abigail is a compassionate Clinical Outreach Specialist at Bright Path Behavioral Health. She plays a pivotal role in bringing support, hope, and healing to individuals and communities in need.

    With 10 years of experience in mental health, Abigail is an advocate for those who may otherwise go unnoticed. Her work as a Clinical Outreach Specialist revolves around ensuring that no one is left behind, that everyone has access to the resources and care they deserve.

    At Bright Path Behavioral Health, Abigail plays a central role in connecting individuals to the vital services they require when stepping down from programming. She specializes in community engagement, and is known for resource coordination that bridges the gap between need and assistance.

    Abigail is committed to fostering partnerships and collaboration within the community. She actively engages in other mental health providers and programs, schools, youth groups, government agencies, and extracurricular programs, working tirelessly to expand access to mental health support.

    Abigail holds her role at Bright Path Behavioral Health with distinction, ensuring that the program’s mission of making quality mental health treatment accessible is realized every day. She is instrumental in breaking down the barriers and stigma associated with mental health, making it easier for individuals to seek help when they need it.

    Outside of her role at Bright Path, Abigail enjoys hiking with her dogs, cooking, baking, and raising carnivorous plants, which provide a well-deserved break and contribute to her own mental well-being.

    Abigail is driven by the belief that everyone should have the opportunity to lead a mentally healthy life. As a Clinical Outreach Specialist, she embodies this principle and works tirelessly to ensure that help is just a call or conversation away.

    Jalecia Beatty

    Jalecia Beatty - Regional Clinical Director

    Jalecia is a licensed clinical mental health counselor associate (LCMHC) and serves as the Clinical Director. She started at Bright Path as a graduate student intern and is an instrumental part of the program’s growth and development.

    Jalecia attended East Carolina University for undergraduate and graduate studies; and has a Bachelor of Science in Nutrition with a concentration in science, and a master’s in clinical counseling in mental health and substance abuse.

    She is passionate about expanding access to intensive and quality mental health care for adolescents. As someone who has navigated their own journey towards healing and self-acceptance, she personally knows how important it is to have a safe space during your healing journey and how limited the options are for teens. It’s her goal, as one of the psychotherapists and as the PHP program manager, to provide that for teens who are struggling as well as work towards increasing the resources that are available.

    In her free time, she loves traveling and spending time watching Supernatural with her dogs!

    Ari D’Alessandro

    Ari D’Alessandro - Teen Care Advocate

    Ari graduated from NC State in 2024 with a B.A. in psychology and minors in philosophy, cognitive science, and dance. She spent two years working as a research assistant with a focus on ethics of transcranial magnetic stimulation (TMS) and serves as an editorial intern for the American Journal of Bioethics Neuroscience. She has also volunteered as a crisis counselor with Crisis Text line since 2021, which sparked her interest in crisis intervention and providing empathetic mental health care to those in need.

    Ari is enthusiastic about providing empowering mental health care to teens and young adults, particularly through teaching dialectical behavior therapy (DBT) skills, and is interested in the application of creative therapies, such as dance movement therapy (DMT). She hopes to pursue a Ph.D. in clinical psychology with an interdisciplinary research focus on personality disorders and the development of novel personality assessments at the intersection of psychology and philosophy. In her free time, Ari enjoys writing, dancing, and spending time with friends.

     Michele Jones

    Michele Jones - Education Liaison

    Michele is a native of Fayetteville N. C. Ms. She attended and graduated from Hampton University with a bachelor’s in social work (BSW). Working in various positions before settling in New York to work for a Non-Profit Foster Care Agency as a Social Worker, where she learned of her love for working with adolescents and their families. Ms. Jones then decided to further her education to learn how to effectively help individuals and families deal with the many struggles they faced and went on to earn a master’s degree in social work (MSW) from Hunter College School of Social Work.

    Upon moving back to North Carolina and continuing to work with young people as a North Carolina Board Certified Special Education Master Teacher. Ms. Jones taught in North Carolina Public Schools for 18 years as a Special Education Teacher for students with various Learning Disabilities at the Elementary and High School level.

    She believes students must be healthy to be educated and educated to be healthy. She uses a collaborative approach and various treatment modalities that have helped strengthen family units, also identifying and treating the core of any diagnosis or issue is essential when working with individuals.

    In her spare time, Ms. Jones enjoys spending time with her family and friends, traveling, and enjoying her happy place, the North Carolina Beaches.

    North Carolina Teen Mental Health Treatment Center Reviews

    Choosing a teen mental health treatment center in North Carolina means selecting a facility trusted by adolescents experiencing overwhelming emotional pain driving self-harm, families navigating cutting discoveries and safety fears, schools supporting students with self-injury, and referring clinicians seeking evidence-based self-harm intervention partners beyond crisis response alone.

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    Scout O’Brien

    This place is awesome!!!! From my experience as a patient here, all the staff are really kind and patient and have helped me through my crisis and my therapy journey. They also have snacks!!! I highly recommend this place for anyone who needs it. :D

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    10 months ago
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    Ben Pfotenhauer

    Bright Path Behavioral Health offers exceptional anxiety treatment for teens in Wake Forest. Their tailored treatment plans and compassionate staff helped my teen manage their anxiety effectively. Highly recommend their comprehensive approach to anxiety treatment!

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    11 months ago
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    John Doe

    Ride The Wave!
    - Tony

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    a year ago
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    CROAXER

    Changed my life forever. Put me on a Brightpath :)

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    a year ago
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    Lesley Ireland

    I don’t typically leave reviews but I do not want any other child or family to struggle when there is an amazing resource like Bright Path in our community. My daughter is still a patient in the PHP and has also been in the IOP. I can’t say enough wonderful things about the program, the staff and most importantly, the significant improvement in my daughter’s symptoms. It is not an exaggeration when I say she is a different person and for the better. She was suffering with symptoms she didn’t understand and the team at Bright Path has given her the tools to continue her mental health self care throughout her life. I wish every teen had this opportunity. I can’t thank BP enough and I wish I could give a million stars rather than 5!

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    a year ago
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    K Farnsworth

    My child went through the PHP program and it was a major turning point in their recovery. It was Bright Path or residential, and having that option for PHP at a place that felt safe with practitioners who truly care was a godsend. I can’t say enough good things about how my child did. The bonus was that my child also liked going! They made some true friends there.

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    a year ago
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    Tiffany Munro

    I can't say enough good things about Bright Path. They are so different than other PHPs in the Raleigh area. The staff genuinely cares about the clients and their families. From intake to graduation from the program we felt care and professionalism every step of the way. Positive attitudes, willingness to look deeper into issues, communication is excellent, and always willing to listen to find solutions or just be the support we needed. I wish they could train other PHPs in the state, because they are doing it the right way.

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    a year ago

    North Carolina Teen Self-Harm Treatment FAQ

    Teens may engage in self-harm for multiple reasons. Self-harm may develop as maladaptive coping mechanism for overwhelming emotional pain, to manage intense emotions or due to emotional numbness. Additionally, teens may engage in self-harm because the believe it provides a temporarily relief from emotional pain and distraction from what they are experiencing in that moment. While these are common reasons that teens engage in self-harm, each teen is different and Bright Path works with you and your teen to develop an understanding of their specific experience.

    Self-harm is not something we diagnose, but rather is a symptom and behavior related to your teen's mental health. Self-harm is associated with several diagnoses, including but not limited to depression, OCD, PTSD and others.

    Bright Path understands that it can feel overwhelming to decide when your teen may need more support than they are already getting. You should consider Bright Path if your teen's self-harm becomes a frequent coping mechanism. Additionally, if your teen is struggling to engage in alternative coping skills to replace self-harm indicates that your teen would benefit from treatment at Bright Path.

    Self-harm encompasses various self-injury methods, including cutting with sharp objects, burning skin, hitting or punching objects or self, scratching skin causing wounds, pulling hair, interfering with wound healing, and ingesting harmful substances. Bright Path works with your teen to understand the different ways they may engage in self-harm and create a safety plan for it.

    Teens engaging in self-harm have an increased suicide risk, though most adolescents who self-harm do not engage in it as a way to end their life. Self-harm and suicidal ideation frequently co-occur, but that is not every teen's experience. Your teen team will evaluate all safety concerns to ensure that safety plans address each teen's individual needs.

    Your teen's self-harm treatment maintains confidentiality within legal and safety parameters established by North Carolina mental health regulations. Teens participate in private assessment portions without parent presence, allowing disclosure of cutting locations, methods, and triggers requiring confidentiality. Therapists share self-harm treatment progress and general functioning information with parents through weekly PHP updates or bi-weekly IOP check-ins. The clinical team discloses safety concerns, including severe self-injury, medical complications, or suicidal ideation, requiring parent knowledge for safety planning while maintaining therapeutic trust.

    Bright Path provides psychiatric services for mental health conditions underlying self-harm when clinically appropriate. While no medications treat self-harm directly, psychiatric providers address underlying depression, anxiety, and trauma contributing to self-injury.

    It can feel overwhelming and confusing to determine the best way to support your teen while they are engaging in self-harm. During family therapy, caregivers are taught coping skills that their teen feels may be beneficial, supportive language to use, and validation techniques. Caregivers are encouraged to ask their teen what support they need, rather than assuming they know.

    Self-harm behaviors could return during stressful life transitions if significant events occur. Bright Path teaches relapse-prevention skills during the final treatment weeks, including urge monitoring, early-intervention strategies, and a safety plan. While it does not always happen, relapse is a part of the treatment process, and each teen's experience is different.

    Teen Mental Health Insurance Providers We Work with in North Carolina

    Bright Path accepts major insurance providers for adolescent self-harm treatment throughout North Carolina. Insurance providers covering Bright Path self-harm treatment include:

    We Serve Teen Self-Harm Clients Throughout North Carolina

    Bright Path's teen self-harm treatment centers operate at two physical North Carolina locations and one virtual telehealth option serving adolescents with self-injury statewide. Both physical facilities maintain identical CARF accreditation and North Carolina state licensing providing equivalent quality self-harm programming. All locations offer Summit Path PHP (ages 15-18), Meadow Path PHP (ages 12-15), Virtual Path (introductory DBT for self-harm), and Horizon Path (self-harm skill maintenance) programming.

    Wake Forest Location

    Our Wake Forest facility occupies 203 Capcom Ave, Suite 104, Wake Forest, NC 27587 serving Raleigh, Durham, Cary, Chapel Hill, Apex, Holly Springs, Garner, Clayton, Knightdale, and Wake County communities experiencing adolescent self-harm. The facility provides convenient access for families throughout the Research Triangle region with Wake Forest Chamber of Commerce membership demonstrating our community engagement commitment supporting local families managing teen self-injury.

    Hillsborough Location

    Our Hillsborough location serves Chapel Hill, Durham, Carrboro, Mebane, Burlington, and Orange County communities with adolescent self-harm treatment needs. Orange County Chamber of Commerce membership reflects our commitment to local families and community partnerships addressing teen mental health challenges including self-injury. The Hillsborough facility provides northern Research Triangle and Piedmont region access for families seeking self-harm treatment.

    Take a Tour of Our Teen Mental Health Facilities in North Carolina

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    Mental Health Conditions We Treat in North Carolina

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    Depression

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    Anxiety

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    Self-Harm

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    Suicidal Ideation

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    Co-occurring Disorders with Primary Mental Health Presenting Symptoms

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    Licenses, Accreditations and Awards