The HOPE Clinic (Harnessing support for Opioid and substance use disorders in Pregnancy and Early childhood) provides care for pregnant women with substance use disorder and their infants from conception through early childhood.
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.
Explore This Treatment Program
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.
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 Massachusetts General Hospital 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 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:
Obstetrics
Addiction
Family medicine
Pediatrics
Psychiatry during pregnancy and postpartum (after birth)
Social work
Peer recovery
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.
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.
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:
Monitoring of ongoing neonatal withdrawal symptoms
Pediatric primary care, affiliated with the MassGeneral Hospital for Children Pediatric Group Practice
Breastfeeding support
Referral to early intervention services
Access to other clinical specialists, including:
Infectious disease specialists
Developmental specialists
Eye specialists
Our services for women after delivery include:
Addiction Medicine, including medication management of substance use disorders
Psychiatry, including medication management of mental health disorders
Behavioral health therapy and counseling
Linkage to primary care
Family planning and contraception
Parenting education
Peer support
Care Coordination
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.
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). 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:
Addiction services
Psychiatry and behavioral health
Parenting education
Social support
Access to other clinical specialists, including:
Primary care providers
Infectious disease specialists
Coordinated Care from a Team of Specialists
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.
Most members of the HOPE Clinic team (Shayla Partridge, Martha Kane, Sarah Bernstein, Jessica Gray, Edwin Raffi, Susan Hernandez, Robin Mahrouk, Davida Schiff) pose for a photo.
Elsie Taveras, MD, 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
Initial Clinic Development and Implementation (not previously mentioned)
Joseph H. Chou, MD, PhD, director, Clinical Analytics and Performance Improvement; Neonatology and Newborn Services
Hiyam Nadel, RN, BSN, MBA, CGC, nursing director, Obstetrics Program
Monique Tello, MD, primary care physician, Women’s Health Associates
Charles D. Weinstein, PhD
Marie Henderson, CNM, MSN, nurse-midwife, Obstetrics & Gynecology
Robin Mahrouk, RN nurse coordinator, Outpatient Obstetrics
Shayla Partridge, BA
Patient Resources
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.
The Hope Clinic was mentioned in this NY Times Opinion Series.
Mass General's HOPE Clinic: Katie's Story
View this video of our recovery coach and former patient.
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A View Inside the Clinic
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.
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Department of Obstetrics & Gynecology
The Department of Obstetrics and Gynecology at Mass General has advanced the science and the quality of care for women since 1891.
A Lifetime of Exceptional Care
MassGeneral Hospital for Children provides expert primary and specialty care for your child from birth through adulthood.
Obstetrics Program
We provide state-of-the-art, individualized care for women and their families before, during and after childbirth.
Addiction Medicine Fellowship
Part of the Mass General Substance Use Disorders Initiative, this is a one-year clinical fellowship with advanced training in addiction medicine.
Mariya and Rado met in their native Bulgaria, after a career opportunity brought Rado to Massachusetts the two were married. This story follows their fertility story and experience with the Massachusetts General Hospital Fertility Center.
In the largest study of its kind to date, researchers have found the new mRNA COVID-19 vaccines to be highly effective in producing antibodies against the SARS-CoV-2 virus in pregnant and lactating women.
A medida que la vacuna esté disponible para las personas en todo EE.UU., hay muchas preguntas sobre la recepción de la misma durante el embarazo o la lactancia.
March is Endometriosis Awareness Month. John Petrozza, MD, chief of the Division of Reproductive Medicine and In Vitro Fertilization at Massachusetts General Hospital and director of the Mass General Fertility Center, explains what endometriosis is and how it can impact fertility.
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Learn More About Our Services
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.