TriHealth’s HOPE for Chemically Dependent Expectant Mothers

“Because of HOPE, I am getting to experience the greatest joy in life, being a mother to my precious baby girls.” – HOPE Patient

The opioid crisis has highlighted a critical need across our region for support and resources for those affected, and the need is particularly urgent for addicted expectant mothers. Through its Helping Opiate-addicted Pregnant Women Evolve (HOPE) program, TriHealth provides safe and non-judgmental care to chemically dependent women throughout Greater Cincinnati.

The HOPE program is being recognized by The Health Collaborative as a finalist for the Gen-H Award, as part of the 2017 Inspire | Healthcare dinner and awards celebration planned for November 1. The Gen-H Award recognizes an individual, team, or organization that has demonstrated progress on the Gen-H goals of making the healthy choice the easy choice where we live, work, learn, or play. Gen-H, or “The Health Generation,” is all of us working together to make health and healthcare a value we share in Greater Cincinnati and Northern Kentucky.

HOPE Program Team

Patient Advocacy
The HOPE program aligns with many of the Gen-H Triple Aim goals around healthier people, better care, and lower costs. During the course of a patient’s pregnancy, the HOPE team advocates for the expectant mother while modeling the way to build relationships with other health services. Patients are continuously encouraged to advocate for themselves, in order to obtain the needed services which will help them achieve a healthy pregnancy outcome.

“I honestly don’t know where I would be without the HOPE Program,” one recent patient remarked in a follow-up visit. “It has changed my life in such a great way! Because of you, I am getting to experience the greatest joy in life, being a mother to my precious baby girls. Every time I look at them it is a reminder of how truly blessed I am to have gotten the opportunity to “start fresh” and be able to care and provide for them. Thank you again for being my life saver!”

Empowering better choices
Patients are also given the opportunity to participate in HOPE classes that will improve their parenting skills, prepare them for issues such as postpartum depression and neonatal abstinence syndrome, and help them make good nutrition choices. Breastfeeding classes are also offered in order to provide patients with the benefits of breastfeeding, and proper breastfeeding techniques. A community health worker provides one-on-one baby care instruction, as well as education on infant milestones and child safety.

The HOPE Program holds quarterly meetings with community partners at Good Samaritan Hospital, with over 30 providers discussing how to better coordinate services across organizations to better support pregnant women and their families in recovery.

“Tireless and selfless service”
One patient described her experience with the HOPE program in transformative terms: “I have completed the program twice (once for each child) and I am very grateful for the invaluable assistance this program has given me,” she said. ” The women who operate the program have been there for me, helping me with substance abuse treatment, mental health care, and primary care. This comprehensive support is a major reason I’ve maintained my sobriety. I also appreciate how the HOPE workers keep track of the children of the clients. It’s comforting to know that during this difficult journey, I have had others looking out for the welfare of those whom I hold dear. Overall, the HOPE program (and the workers who further its cause) should be recognized and praised for the tireless and selfless service they provide to women who have found themselves, in many cases, abandoned and alone. I will forever be grateful for the many times they’ve aided me and my family, and for the second chance at life they offered.”

Increasing capacity to meet the need
The TriHealth prenatal clinic has been restructured making it possible to have a midwife participate in the weekly prenatal clinic every Wednesday. During that time each week, the team is able to provide specialized prenatal care to more than 20 patients. Each patient has a case manager to ensure comprehensive care for a healthy pregnancy outcome. A community health worker has also been added to the HOPE team to follow up with patients for up to one year past delivery, including monthly in-home visits.

Meet the HOPE team (click any photo for slideshow)

About Dr. Marcotte, HOPE Medical Director 

Dr. Michael Marcotte

Dr. Michael Marcotte,   HOPE Medical Director

Michael P. Marcotte is a maternal fetal medicine specialist at TriHealth, and is the medical director for HOPE at Good Samaritan Hospital, one of the largest tertiary maternity centers in Ohio. In addition, as the director of quality and safety for women’s services at TriHealth, he has had the opportunity to improve the childbirth experience for women. As a national speaker for the March of Dimes, he has worked with many hospitals throughout the United States to improve pregnancy outcomes. He is an obstetric content expert in the statewide Ohio Perinatal Quality Collaborative and a member of the Cradle Cincinnati Steering committee.

Please join The Health Collaborative in congratulating Dr. Marcotte and the HOPE team for their Gen-H award nomination. When opioid-addicted pregnant women and their babies have HOPE for a bright, healthy future, they are empowered and our community is stronger.

About Inspire | Healthcare: 
Inspire | Healthcare is the Greater Cincinnati and Northern Kentucky region’s premier annual healthcare event and awards celebration. The awards seek to recognize innovations by individuals, teams, and/or organizations in the areas of informatics, quality improvement, and population health. Other awards given annually include the Inspire Champion Award and the Hoxworth Blood Drive Awards, with separate nomination and judging processes. For more information about Inspire | Healthcare, visit

About the Health Collaborative:
The Health Collaborative strives to lead data-driven improvement initiatives that result in healthier people, better care, and smarter spending. Based in Cincinnati, we work with those who provide care, pay for care, and receive care, to find mutual solutions to healthcare’s most challenging problems. For more information about The Health Collaborative, visit

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