Case Management
Tides provides case management to coordinate all aspects of the program. This helps women navigate their recovery plan, communicate with program partners, and meet their requirements and goals. The Tides’ case management team consists of in-house and community partner case managers and the Executive Director, to facilitate continuity of care. This team builds relationships and encourages, guides, and directs women throughout their time in the program. This team consistently assesses progress, hurdles, goals, and/or emerging needs.
Transportation
Tides offers transportation to all women and children in the program for essential appointments. This is an important component since most women entering the program do not have a valid driver’s license or adequate and consistent transportation resources. Transportation is provided by utilizing a company vehicle, Medicaid Transport, bus passes and third party transportation vendors such as Uber Health® (HIPAA compliant platform).
Prenatal/Postpartum Care
Prenatal care is provided by a local OB/GYN clinic and is an important part of having a healthy baby. Many pregnant women with SUD do not go to the doctor for fear they will be ridiculed or shamed. Tides breaks this stigma by providing a consistent, caring clinician that is designated for all Tides patients. This person understands what these women are going through and helps ease their fears. This same clinician oversees and cares for them throughout their pregnancy and postpartum visit.
Medication Assisted Treatment (MAT)
For women with Opioid Use Disorder (OUD), a Medication Assisted Treatment (MAT) program is available. This program prescribes Buprenorphine to diminish the desire for opioids. It binds to the same receptors in the brain as opioids to keep women from experiencing withdrawal symptoms or strong cravings for opioids. This greatly decreases the risk of relapse and increases the chances of having a healthy baby. The MAT program is managed by the Tides clinician at the OB/GYN clinic or if alternative medication is needed, by a local Tides partner that is a MAT provider.
Mental Health/Recovery Counseling
Tides participants also work with local mental health/recovery organizations to receive recovery and counseling services. Once a woman is admitted to the Tides program, she completes an assessment for mental health and recovery needs. Once an assessment is completed, appropriate mental health and recovery services are arranged for the participant.
To provide consistency in care, a designated Licensed Clinical Social Worker (LCSW) coordinates services for all Tides participants at each partner site. This coordinator works closely with their mental health providers and meets with Tides’ in-house case management team to provide continuity of care.
Housing
Since many women struggling with SUD come into the program from impoverished areas, these women frequently encounter homelessness or unsafe housing. Providing housing is a strategy implemented by Tides to eliminate socioeconomic challenges that can be detractors in the treatment process. By providing a safe, stable environment with 24/7 onsite staff, participants can focus on the program components to help build resilience and develop healthy lifestyles—ultimately strengthening the family units in the community. Tides’ housing program is provided at no expense to the residents.
Peer Support
A Certified Peer Support Specialist (CPSS) is also provided, as needed, for Tides participants. These Peer Support Specialists provide a unique layer of care. They have personal experience with substance use, parenting during recovery, and overcoming adversity. Their role is to relate to the women, empower them to achieve their hopes, dreams, and goals, and walk with them through their personal recovery journey.
Childcare
Once a woman has her baby, she spends the first three months focusing on self-care and learning to care for her child. As the baby reaches six months old, mom prepares to re-enter the workforce. As she finds employment, the case management team assists with obtaining a childcare voucher from social services, if applicable, and locating appropriate childcare facilities. Tides also provides transportation for babies to and from childcare.
Spiritual Care
Tides offers various optional groups for those interested in a spiritual component to their recovery. Participants can be transported to church to attend services and/or take part in events. Participants can also be transported to Celebrate Recovery® and Embrace Grace (Single Mothers group) both held at area churches.
How to Get Started
Assessments & Referrals
Although referrals are primarily received by community agencies, anyone can make a referral, even a woman needing services.
If you are in need of help or know someone that is, please go to the Contact Us page to contact the Tides office near you.
The Tides program will schedule an assessment for women with a primary diagnosis of SUD who are pregnant or newly postpartum with an infant less than 6 months old. Once an assessment is completed, the Tides Team will determine either admission into the program or referral to more appropriate community resources.
Admission
Once a woman is accepted into the program, she will either be admitted to the Outpatient or Residential program.
The Outpatient Program is for women who reside in safe housing and have some transportation. They must be willing to participate in regular case management meetings, complete a 12-week recovery based training program, take all medications as prescribed, test negative on all drug screens and attend various training courses including parenting, job readiness and life skills. They must also attend all prenatal/postpartum appointments and follow all directives of the program and its community partners.
The Residential Program offers a limited amount of housing to participants that have been accepted into the program who are living in unsafe housing, homeless or have an open Child Protective Services (CPS) case where child custody is based on acceptance into the housing program. Residents have a strict set of rules and are graduated through the program according to a three phase system of accomplishments. During the assessment, housing options are discussed if there is availability. If there is no availability, a woman will be placed on the wait list.
