HOPE Clinic

The HOPE Clinic (Harnessing support for Opioid and substance use disorders in Pregnancy and Early childhood) at Massachusetts General Hospital and MassGeneral Hospital for Children provides comprehensive care for pregnant women with substance use disorder, their partners and their infants from conception through early childhood.

Overview

The HOPE Clinic (Harnessing support for Opioid and substance use disorders in Pregnancy and Early childhood) provides coordinated care for pregnant and parenting women with substance use disorder and their families. Our goal is to maximize our patients’ ability to successfully navigate pregnancy, early parenting and substance use recovery. We welcome women, their partners and their infants at any time during their pregnancy or first two years following the birth of their child.

Complete Care During and After Pregnancy

The HOPE Clinic is a collaborative program of the Departments of Obstetrics & Gynecology, Psychiatry and Medicine at Mass General and MassGeneral Hospital for Children. Our goal is to give women and their families extra support through this special period in their lives. We know that every woman’s path is different, so we tailor our medical and social services to meet each individual where she is at in her substance use and recovery.

hope clinic clinicians talking
Members of the HOPE Clinic team work together to care for patients.

Women and their families are seen at our outpatient clinic at Mass General. The HOPE Clinic includes clinicians trained in:

  • Obstetrics
  • Addiction
  • Family medicine
  • Pediatrics
  • Psychiatry during pregnancy and postpartum (after birth)
  • Social work
  • Peer recovery

Learn more about our services

Coordinated Care from a Team of Specialists

The HOPE Clinic team is made up of specialists with experience treating substance use disorder. It includes:

  • Physicians (including obstetricians, pediatricians, psychiatrists and family practice specialists)
  • Social workers
  • Nurses
  • Recovery coaches
  • Clinical care coordinators

Meet our team

Our Services

At the HOPE Clinic, we work with each woman to create a care plan that meets her where she is at in her substance use and recovery. The clinic provides complete care for women and their families during this exciting and challenging time. Through these services, we help pregnant women and new parents maximize their ability to navigate pregnancy, early parenting and substance use recovery with success.

During Pregnancy

The HOPE Clinic provides complete care for pregnant women, including:

  • Prenatal care in partnership with midwifery and high-risk obstetrics
  • Addiction specialists
  • Mental health care
  • Counseling and peer support
  • Social services
  • Primary care

We offer medication treatment for substance use disorders (such as buprenorphine or naltrexone). We also work with local methadone clinics.

When a patient is admitted at Mass General for labor, our team coordinates her substance use treatment during childbirth. We work with the inpatient obstetrics team to support our patients through childbirth and their hospital stay at Mass General.

Portfolio of Recovery

We also work with women during their time with us at the HOPE Clinic to create a “portfolio of recovery.” The goal of the portfolio of recovery is to highlight the recovery work done by the mother during her pregnancy. It outlines the patient’s treatment goals and identifies her strengths, support systems and plan for the safety of herself and her family. The portfolio can then be presented with the help of the inpatient social work team to social services agencies, including the Department of Children and Families (DCF).

See our Frequently Asked Questions to learn more about how we work with patients to support and advocate for them during DCF proceedings.

After Delivery

After delivery, we welcome mothers and their newborns back to the HOPE Clinic. We continue to provide care for the family for the next two years.

During this period, we provide services for the mother, her partner and her baby. For infants, we offer:

Our services for women after delivery include:

  • Addiction specialists, including medication management of substance use disorders
  • Psychiatry, including medication management of mental health disorders
  • Behavioral health therapy and counseling
  • Primary care
  • Family planning and contraception
  • Parenting education
  • Peer support
  • Access to outside resources to help address housing and financial stressors

When children reach two years old, we help connect families to providers in their community who can continue care for the whole family.

Services for Partners and Other Children

The HOPE Clinic is committed to providing access to care not just for our patients and their babies, but also for the rest of the family.

We provide the following services to family members:

 

Our Team

Clinical Team

HOPE clinic team
Members of the HOPE Clinic care team.

The HOPE Clinic includes a multidisciplinary team with experience providing care for patients facing substance use disorders.

We understand that each person's recovery journey is different. We work with each woman to tailor a care plan that meets her where she is at in her substance use and recovery.

 


  • Jessica Gray, MD

    Clinical director, HOPE Clinic
    Addiction, pediatrics, adult primary care

  • Davida Schiff, MD

    Medical director, HOPE Clinic
    Pediatrics

  • Sarah Bernstein, MD

    Medical director, Obstetrics Program
    Obstetrics, maternal-fetal medicine

  • Edwin Raffi, MD

    Perinatal and reproductive psychiatry

  • Marie Henderson, CNM, MSN

    Nurse-midwife
    Obstetrics & gynecology

  • Robin Mahrouk, RN

    Nurse coordinator, Outpatient Obstetrics

  • Katie Raftery

    Recovery coach

  • Gretchen Stearns, LICSW

    Social worker

  • Janika Gates

    Practice manager

Clinical Advisory Committee

Joseph H. Chou, MD, PhD - Director, Clinical Analytics and Performance Improvement; Neonatology and Newborn Services
Martha T. Kane, PhD - Clinical director, Substance Use Disorders Initiative and Ambulatory; Department of Psychiatry
Leslie S. Kerzner, MD - Director, Newborn Development Follow-up Clinic; Associate medical director, Special Care Nursery; Division of Newborn Medicine
Tricia McNamara, MBA - Finance director, Department of Psychiatry
Hiyam Nadel, RN, BSN, MBA, CGC - Nursing director, Obstetrics Program
Julie Ritucci, CPA, MPH – Director of finance, Department of Pediatrics
Elizabeth Ann Powell - Senior administrative manager, Substance Use Disorders Initiative and Addiction Services, Department of Psychiatry
Alexandra Sobran, MSW LICSW - Clinical director, Social Work
Monique Tello, MD - Primary care physician, Women’s Health Associates
Sarah Wakeman, MD - Medical director, Substance Use Disorders Initiative
Charles D. Weinstein, MA - Program manger, Recovery Coach Program
Caryn Wilson, MBA - Executive director, Department of Obstetrics and Gynecology 

Leadership Council

Alexy Arauz Boudreau, MD - Director, Pediatric Population Health, MassGeneral Hospital for Children
William Barth, MD - Chief, Division of Maternal Fetal Medicine
Lee Cohen, MD - Director, Center for Women’s Mental Health
Jeff Ecker, MD - Chief, Department of Obstetrics and Gynecology
Paul Lerou, MD - Chief, Neonatology and Newborn Medicine, MassGeneral Hospital for Children
Raymond Levy, PsyD - Director, The Fatherhood Project, Department of Psychiatry
Joy Rosen - Vice president, Behavioral Health
Elsie Taveras - Executive director, Kraft Center for Community Health; Chief, Division of General Academic Pediatrics
Tim Wilens, MD - Chief, Division of Adolescent and Child Psychiatry; Co-director, Center for Addiction Medicine

FAQ

General Questions

When is your clinic open?

We are open to see patients in the clinic on Wednesdays from 9:00 am-4:00 pm in the Founders Building on the 5th floor.

Our program staff are also available to support you daily when the HOPE Clinic is not in session. You can get in touch when we are not open by calling 617-724-4643 or emailing hopeclinic@partners.org.

How do I schedule an appointment?

Please call 617-724-4643 to reach our program coordinator. Please leave a message and you will receive a call back within two business days to schedule an appointment.

What happens if I need to reach the clinic on days when the clinic is not open?

You can reach us every day by calling 617-724-4643. Our program staff will be available to answer calls during business hours. After hours, you will be directed to the on-call services for Obstetrics, Pediatrics, Addiction and Primary Care providers, who are available 24 hours a day to answer any urgent concerns.

What happens if I am late for my appointment?

We know things can come up in life. Please call the clinic at 617-724-4643 as soon as you know you will be late. If you are running very late, we will do our best to reschedule the visit later in the day, but we cannot guarantee you will be seen for your planned appointment. If we cannot reschedule your appointment, we will discuss other options with you to make sure you get the care you need. You will be registered for any necessary lab work and testing.

Prenatal Care

I love my current obstetrician or nurse-midwife. Can I still receive care at the HOPE Clinic?

Yes. We are happy to provide consultations to supplement your current prenatal care. We can also offer comprehensive addiction treatment services, including medication treatment, behavioral therapy and psychiatry from clinicians with expertise in management of substance use and mental health disorders during pregnancy.

Substance Use

Do I have to be on medication through the HOPE Clinic to receive care?

No, you do not need to be on medication treatment with our program to receive prenatal care, substance use disorder treatment, behavioral treatment or psychiatric care in our clinic. We are committed to meeting you wherever you are in your recovery.

What is the clinic policy around drug testing?

Drug testing is used as part of the usual treatment plan for patients prescribed buprenorphine to ensure they are taking the medication as directed. When drug testing results identify a relapse, we will work with you to ensure the safety of you and your children. We also work with you to step up your addiction treatment.

Pediatrics

Can my other children be seen at the HOPE Clinic for routine care?

Yes, we are available to provide routine and urgent care on HOPE clinic days to pediatric patients and their parents. If your child gets sick or needs to be evaluated more frequently than weekly, we will help you schedule an appointment with Mass General Hospital for Children in the Yawkey building on the Mass General main campus.

Child Welfare

I am nervous about the Department of Children and Families (DCF) process. How do I learn more?

We are required to notify DCF about all newborns who are exposed to illegal drugs at delivery. DCF also requires that we report infants who have been exposed to prescribed treatments for opioid use disorder, such as methadone or buprenorphine, who develop signs of withdrawal.

We understand the confusion and anxiety this generates for our patients and their families. In preparation for this, we will work with you during pregnancy to prepare a Recovery Portfolio that highlights the strength of your recovery to DCF. Although the HOPE Clinic team does not have control over the decisions made by DCF, we will support you and will advocate for you throughout this entire process.

If I do not have custody of my child, can I still be part of the clinic postpartum?

We want to take care of you during this time in your life, whether or not you are actively parenting at any given time. If you lose custody of your child while you are both receiving care at the HOPE Clinic, we will strive to maintain relationships with you and your infant. The HOPE Clinic is also available as a location for supervised visits and meetings.


Additional Resources

Learn more about Neonatal Opioid Withdrawal Syndrome (also commonly called Neonatal Abstinence Syndrome): March of Dimes

Learn more about substance use and pregnancy: Journey Recovery Project

Contact Us

HOPE Clinic

Founders 502
55 Fruit Street
Boston, MA, 02114

The HOPE Clinic sees all patients from 9:00 am-4:00 pm on Wednesdays and postpartum and pediatric patients from 1:00-4:00 pm Fridays on the Mass General main campus. However, you can reach our team any time during the week by phone or email.

Phone: 617-724-4643
Email: hopeclinic@partners.org

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