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 perinatologist.

The Horizons Prenatal Clinics are held at UNC OB-GYN at Weaver Crossing on Weaver Dairy Road in Chapel Hill. In addition to our nurse practitioner and perinatologist, the team at the clinic includes a Horizons substance abuse counselor and a peer support specialist. Medication assisted treatment with buprenorphine is available at the clinic for women using opiates.

Services also include:

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

The Horizons substance abuse counselor and peer support specialist 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. Horizons has two residential programs, Sunrise and Daybreak, and the two programs together can accommodate 28 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:

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 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

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