Home - Bottom Up Outreach Center

◘ Bottom Up is Committed ◘

OUR MISSION

Bottom Up Outreach Center is committed to supporting, teaching, and empowering people with intellectual and developmental disabilities, as well as mental health illnesses, reach their highest potential through innovative and extraordinary services.

Empowering Lives Through Purpose and Support

At Bottom Up Outreach Center, we are dedicated to creating opportunities for individuals with intellectual and developmental disabilities, as well as those facing mental health challenges. Through personalized support and innovative programs, we help people lead fulfilling, independent lives.
Our commitment goes beyond care—we build confidence, nurture skills, and empower growth from the bottom up.

Residential Support

We assist with daily living—meals, hygiene, transportation, and more—ensuring a safe and empowering home life.

Day Program

Enriching daytime activities that promote independence, socialization, and personal growth.

Supported Living

Personalized assistance for those transitioning to greater independence in their own space.

Live Life to the Fullest

Bottom Up is more than care—we foster growth, confidence, and inclusion.

Community-Based Support System

Career and Life Skills Training

Inclusive Health & Wellness Activities

Advocacy and Mentorship Programs

Discover How We Make a Difference

why choose us

01

Compassionate Team

Our staff is more than qualified—they’re deeply dedicated. With empathy at the heart of everything we do, we treat every individual with the dignity, patience, and attention they deserve.

02

Person-Centered Approach

We tailor every plan to the person. No cookie-cutter services—just support built around real goals, real needs, and real people.

03

Community Advocates

We go beyond service provision. Bottom Up actively partners with local organizations, policymakers, and families to push for inclusion, visibility, and long-term change.

04

Affordable & Accessible

We work with Medicaid and other funding programs to provide high-quality care without high costs. Accessibility is part of our mission, not an afterthought.

◘ Businesses You Can Back ◘

Donate Your Way With BOTTOM UP

Locate The Best Fit For You

Our volunteers are matched with Bottom Up Programs and Services based on your needs.

Volunteer Opportunities Statewide

We’re headquartered in Winston Salem, NC, but we have opportunities throughout NC.

Bottom Up Volunteers

Meals Provided

Years of Experience

Children Mentored

◘ The Bottom Up Story ◘

Together, We Can Change The Lives Of Many

Learn More

COMMUNITY PARTNERS

What People Say

“Joe’s team really knows and understands this population. They are a trusted company, where we have placed several of our behaviorally toughest individuals from our lockdown facilities, and they have managed to turn these individuals’ lives around for the better.”

— TIMOTHY, NETWORK PLACEMENT SPECIALIST

“I enjoy being a member of the Bottom-Up Outreach team. As a developmental technician, I have the opportunity to make a positive impact through the dynamic and hands-on nature of my work. This role also allows me to build meaningful relationships and encourages my ongoing professional growth.”

— julie h., developmental technician

“Since David moved into the group home, I’ve seen a real change in him. He’s more independent, more social, and finally part of a community where he’s thriving. For the first time in a long time, I sleep peacefully knowing he’s safe and supported. I’ve also been able to share resources with other families like ours. This program has made a big difference in both our lives.From the first call, we felt supported. Bottom Up truly listens and cares.”

— velma g., parent

Stay Connected with BUOC

Get updates on our programs, events, and opportunities to get involved.

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