Tides provides an intensive treatment program for women with opioid use disorder and their children who are interested in engaging in recovery and are:
·         Pregnant
·         Anticipating pregnancy
·         Postpartum

Through a combination of medically assisted treatment, the pregnancy centering model for prenatal care and existing community support services (child therapy, parenting skills, employment assistance, etc), the program focuses on the unique circumstances of mothers and children. Rather than duplicating services, existing services in the community are weaved together in a unique way to meet the specific needs of this population. Given the urgency of the opioid epidemic, providing access to treatment is a priority.
 
The Tides mission is to keep the mother-child dyad intact by engaging pregnant women with opioid use disorder in the recovery process regardless of race, color, creed, sexual orientation or national origin of the mother or child. Mothers and their children may participate for 6 - 12 months depending on the amount of time needed to achieve positive outcomes. Recovery is seen as a gradual, ongoing process of cognitive change through clinical interventions. Participants set personal objectives as they advance through the stages of treatment.
 
Prospective patients are identified through multiple sources, including referrals from:

• Obstetrics/gynecology practices

• Legal system (drug court will give prospective defendants the option of  incarceration or treatment)

• County health department

• Department of Social Services/Child Protective Services

The Tides program is modeled after the UNC Horizons substance use disorder treatment program, an internationally recognized, evidence-based program for pregnant and/or parenting women and their children, including those whose lives have been touched by abuse and violence. UNC Horizon’s trauma-informed model of care focuses on both the mother and the child to heal the whole family and create systems of hope and renewal. Over 90% complete the UNC Horizons program successfully.
 
To foster self-reliance, emotional growth, social adjustment and the physical well-being of program, in partnership with existing community organizations, the program integrates the following services into a comprehensive framework for intervention:
 

• Medication-Assisted Treatment (MAT)

• Substance Abuse Intensive Outpatient Treatment (SAIOP)

• Prenatal and Postpartum Care

• Psychiatric Care

• Parenting Skills

• Life Skills

• Legal Assistance

• Developmental Screening for Children

• Early Childhood Intervention Service

• Childcare Services

• Residential Services

• Transportation

• Career Counseling & Job Readiness Training