For pregnant women, recovery from opioid use disorder presents challenges related to fetal health, managing neonatal abstinence syndrome, and maintaining a stable mother-child relationship. Started in 2018, the non-profit Tides Inc. in Wilmington, North Carolina provides the full spectrum of services necessary to achieve these goals via multi-agency coordination in both outpatient and residential settings. Services include treatment using medications for opioid use disorder (MOUD), medical and psychiatric referrals, peer counseling, transportation, prenatal and post-partum care, life skills training, and assistance in finding housing and employment. 

Women entering the program are typically from low income communities and have experienced trauma, violence, and other risk factors associated with substance use disorders. A recovery plan is developed to address specific needs and participants are assigned a licensed clinical social worker to oversee appointments and track progress. Financial support is available from the program for participants unable to pay for services. 

The Tides fourth annual report documents its mission, operations, and outcomes. Given its positive impact on maternal and child health, and its success in leveraging community resources in addressing addiction, the Tides program has expanded to a second location in Southern Pines, NC. The program is funded by the county, grants from local organizations, and charitable donations. Contact information is available here.