Offers integrated prenatal and addiction care, and offers either OB services or addiction medical management in collaboration with an existing care team.        
Staffed by physicians experienced in helping pregnant women with addictions, while providing care through all phases of their pregnancy.         
Dedicated to nonjudgmental and patient-centered comprehensive care. Offers dedicated nursing staff, an onsite social worker, and resources throughout the region to help patients reach their goals.             

Services include:       
 - OB-specific Addiction consultation     
 - Routine prenatal care      
 - Medication assisted treatment        
 - Care coordination and social work.

START Clinic offered at MultiCare East Pierce Family Medicine

Offers integrated prenatal and addiction care and offers either OB services or addiction medical management with an existing care team. Physicians experienced in helping pregnant women with addiction, while providing care in all phases of pregnancy. Drop-in to start.

Programs that integrate medication assisted treatment (MAT) for people with opioid use disorders into primary care settings as a way to expand access to appropriate prevention, treatment, recovery and wellness services for this condition. The goal of these programs is to help clients get a full continuum of care incorporating their primary medical and mental health providers as part of the larger substance use disorder treatment plan under a single program while still providing MAT services. Common components of existing care models include pharmacotherapy with buprenorphine or naltrexone, provider and community education, coordination and integration of opioid use disorder treatment with other medical and psychological needs, and psychosocial services and interventions. Models vary in how each component is implemented.

Integrated Care for Opioid Use Disorders

Programs that provide comprehensive treatment services on a residential, outpatient or day treatment basis for pregnant individuals who have a substance use disorder, postpartum individuals who are parenting children, generally age three or younger, and/or postpartum individuals who have babies who were exposed to drugs and/or alcohol during pregnancy. Services may include individual and group counseling, 12-step meetings, social and recreational activities, educational and vocational services, life skills training, primary health care, perinatal health care, HIV testing and counseling, AIDS prevention, a program for family members, relapse prevention services, a continuing care program and a wide array of supportive services such as child care, transportation and parenting skills development. The objective of the program is to help participants to restructure their lives so that they can handle their parenting responsibilities as well as remain alcohol and/or drug free.