Caroline's Story: A Long Labor of Love
During the summer of 2021, Caroline and her husband, Ryan, found out they were expecting a daughter, due on St. Patrick’s Day.
Contact Information
Austen Building, Suite 502
55 Fruit Street
Boston,
MA
02114
Phone: 617-724-4643
Fax: 617-724-5573
Email: hopeclinic@partners.org
Hours:
Mondays 12:30 pm-4:30 pm and Wednesdays 9:30 am-4:00 pm
COVID-19 NOTICE:
Due to the pandemic, we have relocated our office to the first floor of the Cox Building, Suite 110, in the West End and Bridge Clinics. Please call our clinic at 617-724-4643 before walking in for care so that we can identify the best location for you, your child or your partner to be seen.
Our goal is to address your urgent needs and questions as they come up. While HOPE Clinic is only open two days a week, you can contact us 24/7 with your questions.
For non-urgent issues, leave a message. We usually return your call within one business day.
For urgent issues, follow the voice recording prompts to page the on-call providers for addiction, psychiatry, pediatrics or obstetrics.
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.
The HOPE Clinic is a collaborative program of the Departments of Obstetrics & Gynecology, Psychiatry and Medicine at Massachusetts General Hospital and Mass General 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 in her substance use and recovery.
Women and their families are seen at our outpatient clinic at Mass General. The HOPE Clinic includes clinicians from a variety of fields who work together to care for patients. Our team includes clinicians trained in:
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.
The HOPE Clinic provides complete care for pregnant women, including:
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.
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:
When children reach two years old, we help connect families to providers in their community who can continue care for the whole family.
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). This portfolio serves as a ‘Plan of Safe Care’ which is required for all infants affected by substance use or withdrawal.
See our Frequently Asked Questions to learn more about how we work with patients to support and advocate for them during DCF proceedings.
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:
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 in her substance use and recovery. The HOPE Clinic team is made up of specialists with experience treating substance use disorder. It includes physicians (obstetricians, pediatricians, psychiatrists and family practice specialists), social workers, nurses, recovery coaches and clinical care coordinators.
At the Department of Obstetrics & Gynecology, each patient is an important member of her own care team. We support you with education resources such as childbirth classes, pregnancy-related information and access to women's health resources.
We offer classes to help new and expectant parents prepare for childbirth and parenthood.
Learn more about Neonatal Opioid Withdrawal Syndrome from the March of Dimes.
Learn more about substance use and pregnancy with this interactive resource.
Outpatient services for those struggling with substance use or mental health issues.
Designed to transform all aspects of care for patients with substance use disorders.
Treatment of psychiatric disorders associated with female reproductive function.
This grant provides services to pregnant/parenting women with a history of opioid use.
Common myths and misunderstandings around opioid use disorder in pregnancy.
The Hope Clinic was mentioned in this NY Times Opinion Series.
View this video of our recovery coach and former patient.
The HOPE Clinic Team meets weekly for interdisciplinary rounds. Pictured here are Dr. Sarah Bernstein and Dr. Davida Schiff (Maternal Fetal Medicine/Obstetric and Pediatrics).
The HOPE Clinic Team meets weekly for interdisciplinary rounds. Pictured here are Gretchen Stearns and Dr. Edwin Raffi (Social Work and Psychiatry).
Dr. Davida Schiff, HOPE Clinic Medical Director and Pediatrician, speaks to a mom during her newborn’s appointment.
Social Worker Gretchen Stearns meets with a patient and her infant before their pediatric visit.
Dr. Davida Schiff (Medical Director & Pediatrician) in the HOPE Clinic waiting area.
HOPE Clinic’s mental health providers often work together to develop mental and behavioral health treatment plans.
The Department of Obstetrics and Gynecology at Mass General has advanced the science and the quality of care for women since 1891.
Mass General for Children provides expert primary and specialty care for your child from birth through adulthood.
We provide state-of-the-art, individualized care for women and their families before, during and after childbirth.
Part of the Mass General Substance Use Disorders Initiative, this is a one-year clinical fellowship with advanced training in addiction medicine.
During the summer of 2021, Caroline and her husband, Ryan, found out they were expecting a daughter, due on St. Patrick’s Day.
Anna Haring is a mom of two young girls. She’s a board-certified clinical specialist in neurologic physical therapy and highly values research. After her traumatic birth experience with her younger daughter, she learned about the childbirth-related post-traumatic stress disorder (PTSD) research.
The Massachusetts General Hospital Department of Obstetrics and Gynecology is pleased to expand urogynecological care for patients on the North Shore. We provide comprehensive urogynecologic evaluation and treatment for female pelvic floor problems to help patients return to their lifestyle.
Maternal SARS‐CoV‐2 positivity during pregnancy was associated with nearly two-fold higher odds of a neurodevelopmental diagnosis at 12 months of age among male children.
Learn more about how Gabriela Lupatkin, LICSW, a social worker at the Mass General Fertility Center supports patients navigating infertility.
We believe each patient is an important member of her own care team and education is the cornerstone of our care. Find answers to some of the most common questions about pregnancy.
We work with each woman to create a care plan that meets her where she is in her substance use and recovery as well as help navigate pregnancy, early parenting and substance use recovery with success.