Services for Women

As a part of our funding, we are required to ensure that each pregnant woman who seeks or is referred for and would benefit from substance use disorder services is given preference in admission to our program. We also are required to give preference to treatment as follows:

  • Pregnant women injecting substances
  • Pregnant women with a substance use disorder
  • Individuals injecting substances
  • All others meeting our admission criteria

Perinatal Program

Women in the Horizons Prenatal Care Program receive prenatal care, including ultrasounds, from the Horizons nurse midwife and perinatologist.

The Horizons Prenatal Clinics are held at the UNC Women’s Hospital. We will work with you to have a healthy baby by stopping or reducing your use of alcohol or drugs. Suboxone/Subutex is available for women using opiates.

Services also include:

Delivery at UNC Hospitals or in your community | Six-week check-ups after delivery | Family planning and well woman gynecology | Consultation with a psychiatrist if desired | Meeting with a counselor at each medical visit.

The Horizons’ counselor will:

Meet with the patient during and after the pregnancy | Help the patient develop an individual treatment plan | Provide information about substance use during pregnancy and after the baby is born | Listen to the patient’s concerns and work with her toward solutions | Provide counseling for depression, anxiety, stress education and other issues | Refer interested patients to Horizons outpatient groups on treatment and recovery and parenting or to a residential program at Horizons or elsewhere in North Carolina.

Residential Programs

The residential program is designed to provide support and services to women and their dependent children in a residential setting. Treatment goals are individualized to address the needs of each woman and her family. Common program elements include:

Development of a relapse prevention plan and a network of support, including a sponsor and an NA/AA group; tools for self-care and healthy management of emotions and stress; an aftercare plan designed to continue on a path of recovery.
Assistance with employment or educational advancement-GED and certificates of special skills, housing, transportation, budgeting skills and special services for children.

While in residence, each family lives in a rent-free apartment at a local apartment complex. At Sunrise, eight of the apartments are reserved for families on Work First*: two are for families with other income, such as child support or a child disability, and six are for pregnant or postpartum women and their children. Daybreak has six apartments with the capacity for nine pregnant women and/or postpartum mothers and their children. The residential programs are staffed 24 hours per day, seven days per week. Staff interact with consumers throughout the day and night, and rounds are made every few hours.

The mothers attend full-time treatment programming, including the outpatient Substance Abuse Comprehensive Outpatient Treatment program followed by the Substance Abuse Intensive Outpatient Program.

Children in the families up to age 5 are provided care at our 5-star Early Head Start Child Development Center. Older children attend the Chapel Hill schools.

*Work First is part of the Temporary Aid to Needy Families (TANF) cash assistance program in North Carolina.

Outpatient Treatment Program

Horizons will meet with each woman to see what level of treatment will work for her. Counselors will also meet with clients in their home or at other agencies. After admission, a woman will receive case management, individual and/or group counseling. If a client needs a residential level of care, she will be referred to our residential programs or other similar residential programs in the State.

Group Treatment at the Chapel Hill Center
The SACOT (Substance Abuse Comprehensive Outpatient Treatment) meets daily (Monday-Friday) from 9:00 a.m. to 1:45 p.m. SACOT includes individual therapy as well as a diverse variety of therapeutic and educational groups. Examples of topics that are covered in group treatment include:

Addiction Education/Relapse Prevention | Managing Feelings and Stress | Relationship and Family Issues
Women's Health and The Women's Way through the 12 steps |How to Heal from Effects of Trauma
Parenting | Employment and Budgeting

The Horizons SAIOP (Substance Abuse Intensive Outpatient) Program
The Horizons SAIOP (Substance Abuse Intensive Outpatient) Program is for available at both the Chapel Hill and Wake County locations. The program meets three days each week (Monday, Wednesday and Friday) from 9:00 a.m. to noon or 1:30 p.m. Topics of this program include relapse warning signs/pattern, developing and practicing new recovery management tools, parenting and relationships.

Women in either SACOT or SAIOP program also receive individual counseling regularly.

Other Outpatient Services

Individual psychotherapy | Family counseling | Psychiatric evaluation
Psychiatric medication management (includes suboxone) | Case management and peer-support