1. Appointed by the Chief of State Operated Services with the approval of the Director of the Division of Mental Health, Development Disabilities, and Substance Abuse Services (DMH/DD/SAS)
2. Administratively supervises:
   Chief of Professional Services 
   Chief of Support Services
   Chief of Standards Management
   Director of Nursing
   Unit Directors

1. Appointed by the Hospital Director in consultation with the Chief of State Operated Services & Director of DMH/DD/SAS.
2. Has the authority and responsibility for diagnosing and treating patients
3. Delegates to the appropriate clinical staff 
4. Responsible for the enforcement of the Medical Staff By-Laws, Rules and Regulations
5. Supervises the following areas:

Psychiatric Services
Medical Services:
    Dental Department
    Medical Laboratory
    Pharmacy/Central Svcs.
    Physical Therapy
    Radiology
    Employee Health

1. Appointed by the Hospital Director
2. Heads Professional Services
3. Administratively supervises:

Psychology
Rehabilitation Services
Riverbend School
Social Work
Special Services
 

1. Appointed by the Hospital Director
2. Heads Support Services
3. Administratively supervises:

Environmental Services
Nutritional Services
Information Systems
Maintenance
Police 
Budget Office

1. Appointed by the Hospital Director
2. Heads Standards Management
3. Administratively supervises:

Compliance
Environment of Care
Infection Control
Medical Records
Staff Development
Performance Improvement
Utilization Review  

1. Appointed by the Hospital Director
2. Participates in management and leadership activities
3. Supervises the Nursing Services Department
   1. One Assistant Director of Nursing responsible for administrative management of nursing staff in assigned treatment units
   2. Nursing care is provided for each patient on a 24-hour basis
   3. Providers of nursing care require licensure/certification
   4. All nursing care is governed by the North Carolina Nurse Practice Act. 
   5. Care is planned, supervised, directed and evaluated by a registered nurse/nurse manager 
4. Supervises the Admission Office*, which coordinates the screening and admission processes
5. Supervises the Transportation Department  which provides escort, transportation, & mail services for the hospital.

1. Appointed by the Hospital Director
2. Participates in management and leadership activities
3. Supervises Business Services (Budget Office, Patient Relations, Purchasing, Warehouse) and Central Timekeeping.