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
Women in the Horizons Prenatal Care Program receive their prenatal and postpartum care from the Horizons nurse practitioner and perinatologist.
The Horizons Prenatal Clinics are held at our integrated behavioral and physical health location of Shelton Station in Carrboro. In addition to our nurse practitioner and perinatologist, the team at the clinic includes a Horizons substance use disorder counselor and a peer support specialist. Medication assisted treatment with buprenorphine or naltrexone is available at the clinic for women using opioids.
Services also include:
The Horizons substance use disorder counselor and peer support specialist will:
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:
While in residence each family lives in a rent-free apartment at a local apartment complex. Horizons has two residential programs, Sunrise and Daybreak, and the two programs together can accommodate 36 families at a time. 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 clients 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 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 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 clients in our offices, in their homes or at other agencies. After admission, a woman will receive case management, peer support, 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 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:
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 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 relapse 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
Psychiatric medication management (includes suboxone) | Case management and peer-support