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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 their prenatal and postpartum care from the Horizons nurse practitioner and medical consultants in the Raleigh area.

The Horizons Prenatal Clinics are held at our integrated behavioral and physical health location of Shelton Station in Carrboro and at UNC WakeBrook in Raleigh. In addition to our nurse practitioner, the team at the clinic includes a Horizons substance use disorder counselor and a peer support specialist/care coordinator. Buprenorphine or naltrexone is available at the clinic for women using opioids.

Services also include:

Delivery at UNC Hospitals, WakeMed, or in your community | Postpartum check-ups after delivery | Family planning and well woman gynecology | Meeting with a substance use disorder counselor and/or peer support specialist/care coordinator at each medical visit.

Traditional Outpatient Treatment in Raleigh

The perinatal outpatient program in Raleigh provides comprehensive behavioral health services in the Raleigh and surrounding counties for pregnant and parenting women and their children impacted by substance use, violence, and incarceration in the Wake County and Alliance Health area. Our treatment model provides gender-responsive and trauma-responsive care, with an emphasis on mother-child attachment. We work alongside medical providers at WakeBrook, the Wake County Health Department, WakeMed and maternal-child health advocates to support the emotional and physical health of women and children.

We provide post-release services for pregnant and parenting women impacted by substance use disorders transitioning from prison to avoid overdose death, improve their financial stability and independence with employment, maintain drug abstinence. We aim to strengthen the connection between behavioral health services, post-release programs, maternal-child health agencies to avoid recidivism and improve their use of positive parenting practices.

Outpatient Treatment at WakeBrook

The Horizons Prenatal Clinic in Raleigh is a satellite OB site within UNC WakeBrook Clinic. We facilitate integrated behavioral and physical health services every Wednesday afternoon. Our team consists of the Horizons’ NP as the medical lead, WakeBrook Primary Care and WakeMed providers, Horizons substance use disorder counselor, and a peer support specialist/care coordinator. Buprenorphine or naltrexone is available at the clinic for women using opioids who are getting prenatal care through the WakeBrook clinic or at another facility. Women have access to family planning education and contraceptive care if requested.

Our women have access to an on-site primary care provider for ongoing care post-delivery. During their physical health appointments, women are able to receive routine care and referrals to specialists when needed. Additionally, our medical providers are equipped to manage low-moderate mental health symptoms and medication assisted treatment.

At WakeBrook our team of clinical supports that provides traditional outpatient treatment, including comprehensive peer support/clinical case management, transportation, informal childcare, and individual therapy, as well as a diverse variety of therapeutic and educational groups. The perinatal outpatient treatment program offers group therapy every Tuesday from 11:00 a.m. to 12:00 p.m at UNC WakeBrook and every Thursday from 11:00 am to 12:30 pm at 107 Sunnybrook Rd. Raleigh, NC 27610. 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

Traditional Outpatient Treatment at the Health Department

The perinatal outpatient offices embedded in the Wake County Health Department enables us to provide behavioral health services from the maternal-child units. At the Health Department, we have individuals housed to provide co-located behavioral health services. Our team works alongside the maternal-child health clinics to provide comprehensive clinical assessments, individual therapy, transportation, and intensive clinical case management services. We also refer women at the Health Department for OB services and family planning education.

The Horizons substance use disorder counselor and care coordinator 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 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 recovery/substance use prevention plan
  • Development of a network of support, including a community recovery group; tools for self-care and healthy management of emotions and stress; a continuing care 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 in one of our two programs, Sunrise and Daybreak
  • To qualify for our residential programs a woman needs to either be pregnant or have physical custody of at least one of her children under age 12 who will come to live with her in the residential program
  • The residential programs are staffed 24 hours per day, seven days per week. Staff interact with women throughout the day and night as needs arise, and make rounds on a regular basis
  • The women in the residential program attend full-time treatment programming in Carrboro, including the Horizons’ Substance Abuse Comprehensive Outpatient Treatment (SACOT) program, followed by our Substance Abuse Intensive Outpatient Program (SAIOP).
  • Children in the families up to age 5 are provided care at our 5-star Child Development Center. Older children attend the Chapel Hill schools.

Outpatient Treatment Program

Horizons staff members are available to speak with any woman to see what level of treatment will work for her. Counselors are able to meet with women in our offices, in their homes or at other agencies. After admission, a woman will receive care coordination, individual and/or group counseling. If a woman 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 Carrboro Center

The SACOT (Substance Abuse Comprehensive Outpatient Treatment) program meets daily (Monday-Friday) from 9:00 a.m. to 1:45 p.m. at our Carrboro site. 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 program meets in Carrboro three days each week (Monday, Wednesday and Friday) from 9:00 a.m. to 12:15 p.m. Topics covered in this program include return to use warning signs/patterns, developing and practicing new recovery management tools, recovery from trauma, and understanding and managing dual diagnoses.

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 medication to treat opioid use disorder) | Care coordination

Continuing Care Services

Individual psychotherapy | Support group | Care coordination