In North Carolina, Family Drug Treatment Courts are operational in thirteen counties.
- Alamance (District 15A)
- Buncombe (District 28)
- Chatham (District 15B)
- Cumberland (District 12)
- Durham (District 14)
- Halifax (District 6A)
- Lenoir (District 8)
- Mecklenburg (District 26)
- New Hanover (District 5)
- Orange (District 15B)
- Robeson (District 16B)
- Union (District 20B)
- Wayne (District 8)