HOPE Clinic

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.

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.

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.

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 through MassGeneral Hospital for Children
• 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 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.

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.

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:

• Addiction services
• Psychiatry and behavioral health
• Parenting education
• Social support
• Access to other clinical specialists, including:
  • Primary care providers
  • Infectious disease specialists

Clinical Team

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, MD - 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, PhD - 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, MD, MPH - 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