Researchers conducted a five-year retrospective study to understand the trends in infant mortality (IM) in Nigeria and its associated risk factors.
Austen Building, Suite 502
55 Fruit Street
Boston, MA 02114
Hours: Mondays 12:30 pm-4:30 pm and Wednesdays 9:30 am-4:00 pm
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:
- Family medicine
- Psychiatry during pregnancy and postpartum (after birth)
- Social work
- Peer recovery
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, 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.
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
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.
Sarah Bernstein, MD, Maternal Fetal Medicine
Diana Punko, MD, Psychiatrist
Deviney Chaponis, MD, Family Medicine & Addiction Medicine
Jessica Gray, MD, Family Medicine & Addiction Medicine, Medical Director
Susan Hernandez, CNM, MSN, nurse-midwife, OB/GYN
Edwin Raffi, MD, Psychiatrist, Director of Behavioral Health
Davida Schiff, MD, Pediatrics
Beth Marron, LICSW, Social Work
Naomi Hurst, RN, Nurse Case Manager
Jasmine Irvin, Administrative Manager
Hannah Powell, Administrative Coordinator
Nekeyla Falaise, Patient Service Coordinator
Clinical Advisory Committee
- 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, director of finance, Department of Psychiatry
- 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
- Sarah Wakeman, MD, medical director, Substance Use Disorders Initiative
- Caryn Wilson, MBA, executive director, Department of Obstetrics and Gynecology
- Janika L. Roy, practice manager, Division of Obstetrics
- Michelle O’Hara, DNP, RN, NE-BC. nursing director, Labor and Delivery
- Kim Francis, PhD, RN, PHCNS-BC, nursing director, Newborn Family Unit
- Alice Newton, MD, medical director, Child Protection Team
- Christopher Shaw, NP, nursing director, Addiction Consult Team
- Kelly Santomas, MS, RN, nursing director, Vincent Obstetrics and Gynecology
- 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, MS, vice president, behavioral health
- 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
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.
Common myths and misunderstandings around opioid use disorder in pregnancy.
Mass General's HOPE Clinic: Katie's Story
View this video of our recovery coach and former patient.
A View Inside the Clinic
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