Substance Use in Pregnancy
Portland Metro & Oregon

From their website:
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Our mission is to provide evidence-based, low barrier, on-demand access to medications for addiction treatment to people who are interested in cutting back or stopping their drug or alcohol use. We approach addiction treatment with a harm reduction lens, therefore, patients are not required to commit to abstinence from all substances in order to receive care within the clinic. Our team consists of physicians, advance practice providers, a social worker, care transistions coordinators, patient access specialists, and certified recovery mentors/peer support specialists.
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Services:
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Urgent access to medication/treatment for the following substance use disorders (SUDs):
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Alcohol use disorder (AUD)
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Opioid use disorder
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Nicotine use disorder
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Kratom use disorder
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Methamphetamine use disorder
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Limited behavior health support for SUDs/MOUD
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Peer support services
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HIV and Hepatitis C screening
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Hepatitis C treatment
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Note: We do not treat acute alcohol withdrawal or benzodiazepine withdrawal in HRBR. In general, HRBR does not provide individuals with buprenorphine for chronic pain. HRBR is able to care for patients 15 years of age and older. If you have specific questions about what services we do or do not provide in HRBR, please contact the clinic at (503) 494-2100.

Link to Specific sites: here
From their website:
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Project Nurture provides prenatal care, inpatient maternity care, and postpartum care for women who struggle with addictions as well as pediatric care for their infants.
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Women enrolled in Project Nurture receive outpatient addiction treatment by certified alcohol and drug counselors (CADCs) and receive Medications for Opioid Use Disorder (MOUD), including methadone or buprenorphine, alongside their pregnancy care. This program provides comprehensive evidence-based care both for both the pregnancy and addiction, improving maternal and infant outcomes.
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Project Nurture has been shown to reduce placement of children in foster care, increase prenatal visits, and decrease child maltreatment.
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Project Nurture’s model is to engage women in prenatal care and drug treatment as early in pregnancy as possible, provide inpatient care for their delivery and follow them and their infants for a year postpartum providing case management and advocacy services throughout. Women who participate in Project Nurture are informed of policies regarding DHS Child Welfare reporting and we believe that this transparency facilitates a trusting relationship with providers and allows us to advocate for women and their families whenever possible.

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1st and 3rd Monday at 6PM (EST)/3PM (PST)
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Join PSI-trained peer facilitators, who have lived and/or professional experience, for a recovery-focused virtual gathering. This peer support group is for those from pregnancy to two years postpartum who are engaged in recovery or considering recovery from substance use disorders (SUD This is a meeting focused on recovery, meaning a goal of abstaining from use, excluding medications taken as prescribed. For people who are considering recovery or have had a slip, and have used the day of the meeting, listening and observing is welcome, rather than active participation. No diagnosis is needed to attend. The perinatal period brings about unique challenges for those trying to maintain sobriety, and this group is a space to share those experiences and receive support whether you’ve been sober for one day or one hundred days. Substance use disorders may include, but are not limited to, alcohol use disorder, opioid use disorder, and/or marijuana use disorder. PSI recognizes SUD as a chronic illness of the brain from which we can recover and lead healthy lives, and we honor that there are multiple, unique pathways to recovery for each individual. We hope to support those on their recovery journey as they also navigate pregnancy and postpartum. We do not treat, diagnose, or conduct therapy in our sessions as the focus is peer support. These sessions would not be a replacement for therapy, addiction treatment, or medical care.
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This group will take place on Zoom.

From their website:
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Comagine Health, the Oregon Perinatal Collaborative, Project Nurture, and many other stakeholders are working together to improve care and outcomes for pregnant and postpartum people with substance use disorders (SUDs) in Oregon. Oregon’s Maternal Mortality and Morbidity Review Committee reports that behavioral health conditions, including SUD, were the underlying cause for 41.2% of all pregnancy-related deaths in the state from 2018 and 20201. Much work is needed increase access to wrap-around behavioral and physical health care for pregnant and postpartum people with SUDs in Oregon to improve care, health, and safety for these mothers and their families.​
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Read the: Oregon Health Authority. January 2023. Oregon Mortality & Morbidity Review Committee Biannual Report.
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Since 1989, Letty Owings Center has helped young mothers to become sober, healthy and hopeful about the future.
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Because recovery is more complex during pregnancy and while raising young children, we offer a safe, inclusive environment for women to live with their children while in treatment for substance use disorders.
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Letty Owings has helped more than 400 women regain stability. Our residents often are able to stay with their children, who might otherwise be placed in foster care. Last year alone, we helped 23 children be reunited with their mothers.
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Contact
(971) 352-8765

​County wide resources lists for mental health and addiction services across the lifespan. Additional resources available for providers and patients.
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​From their website:
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For substance use disorders (alcohol and drugs):
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Call the Alcohol and Drug Help Line: 1-800-923-4357
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Find your connection to recovery through the Oregon Hopeline: 1-833-975-0505 or OregonHopeline.org
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Find a local treatment provider in the Substance Use Disorder Provider Directory.
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You can use the Oregon Behavioral Health Provider Directory to find providers that accept your health coverage, including Oregon Health Plan.
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The Oasis Center in partnership with Nurture Oregon has a mission to keep families healthy and unified by providing quality, integrated care.
We provide prenatal and postpartum care for women who have been using, or are using, substances. We provide peer support, pregnancy care with our family medicine practitioners, group services, mental health, advocacy and service coordination. You and your family matter – no shame and no blame.
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Oasis Center’s Medication Assisted Treatment (MAT) Program can help you to reduce withdrawal symptoms and cravings to support recovery from opioid or alcohol addiction.
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MAT is the use of FDA-approved medications, including Buprenorphine, Naltrexone, and Vivitrol, and is a safe and effective way to overcome substance abuse issues and break free from addiction. If you are interested in Medication Assisted Treatment please contact the Oasis Center and talk with our Patient Services Coordinator at 541-200-1530
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We believe all people deserve access to
pregnancy, lactation, parenting support and doula care ​from qualified professionals
​and peers in their community
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We provide the community with research and evidence-based support services and education for individuals and families on their Pregnancy and parenting journeys.
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Services are at no cost to all clients. Offering birth doulas, dandelion doulas, postpartum doulas, loss doulas, abortion doulas, lactation support and bilingual services.
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This toolkit was written in collaboration with Academy of Perinatal Harm Reduction. For a full list of authors, see the acknowledgements. For visuals and worksheets, you can download the full toolkit. Check out APHR’s website for more resources.​
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As the founder of Yasiin's Luv, Telia’s mission is to create safe, healing spaces for birthing individuals and their families. She offers holistic, culturally sensitive birthing support, honoring each person's beliefs and desires with a trauma-informed lens. Telia views her work as both empowering and transformative, valuing respect, healing, discernment, love, and active listening. Her dedication to peace and healing in the birthing space drives her ongoing commitment to supporting her community.
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Telia's past experiences as an African American woman, a recovering addict, and a trauma survivor enrich her ability to connect with and support those she serves. She sees every encounter as an opportunity for mutual learning and growth, constantly evolving her values to better support birthing individuals during pregnancy, birth, and postpartum for the most positive outcomes.
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