By Mark Powell
How an Office Calendar Exposed a Barrier to Treatment for Pregnant Woman
An office calendar can reveal surprising secrets. One day in 2013, Dr. Julie Frew looked at her schedule and noticed something disturbing. She is director of the Dartmouth-Hitchcock Addiction Treatment Program at Lebanon’s Dartmouth Hitchcock Medical Center, and what she saw troubled her. Pregnant women receiving addiction treatment weren’t showing up for their prenatal appointments. So she began asking questions.
“It was difficult for women in recovery,” she explains. “They were missing a lot of prenatal visits. We wanted to support these women and provide tightly coordinated care.”
A big part of the problem was expectant women had to travel to different locations to receive prenatal and addiction care. So Dr. Frew decided to try something different.
Moms in Recovery put everything under one roof. Starting small in 2013 with just a midwife, an addiction clinician, and a psychiatrist, the program provided prenatal care and medication-assisted treatment to five women.
Since then, Moms in Recovery has grown substantially. It now