HOPE Program

Institutes & Services > Women's Health Services > TriHealth Community Resources > HOPE Program

Tosha Hill LSW, LCDC III, C-SWCM discusses HOPE, the difference it makes in the lives of women in Cincinnati, and a recent award from First Step Home.

Through the Helping Opiate-addicted Pregnant women Evolve (HOPE) program, TriHealth provides safe and non-judgmental care to chemically dependent women throughout greater Cincinnati.

HOPE Program: What We Do

The goal of our program is to have better birth outcomes and reduce preterm labor through developing personalized care plans for each patient. An individual's treatment plan usually involves a combination of the following:

  • Case management
  • Social work support
  • Referrals to available community support services
  • Nutrition counseling
  • Financial counseling
  • Referrals to Methadone Maintenance Treatment (MMT) Facilities/Subutex providers
  • Ongoing follow up with MMT facility counselors
  • Referrals to outpatient and inpatient treatment facilities
  • Referrals to prenatal care
  • Ongoing patient follow up at the Good Samaritan Hospital Faculty Medical Center Prenatal Clinic staffed by OB/GYN residents who are supervised by maternal fetal medicine physicians.
  • Prenatal care, as well as, follow up for high-risk pregnancy problems with state-of-the-art interventions to reduce the risk of preterm birth and optimize pregnancy outcomes.

HOPE Program: Measuring Success

We offer comprehensive prenatal care integrated with chemical dependency treatment to reduce the average low birth weight in this population, and improve the percentage of patients who remain substance-free during their pregnancy.

Specific Maternal Measures:

  • Toxicology results
  • Involvement in chemical dependency treatment programs
  • Compliance with prenatal appointments
  • Gestational age at delivery
  • Gestational age at entry of care

Specific Neonatal Measures:

  • Birth weight
  • Gestational Age
  • Length of Stay

How Are Referrals Obtained? 

  • Positive drug screens on new or existing patients at the Good Samaritan Hospital Faculty Medical Center
  • Outside agencies, such as inpatient or outpatient drug rehabilitation programs, methadone maintenance programs, drug court, self-referrals

Our Team

Tosha Hill-200x  

Tosha Hill, LSW, LCDC lll, C-SWCM, HOPE Program Coordinator 

Tosha is passionate about her work with women in addiction, and she believes that women in addiction should always feel valued and empowered. Ongoing case management is her primary role, helping to ensure the women in the program will have a successful birth outcome. She works in collaboration with other community agencies that have the same purpose of achieving better birth outcomes for women in addiction. She also provides training and education on opiate addiction in pregnancy to new nurses entering into TriHealth. Tosha has worked with pregnant patients struggling with opiate addiction at Good Samaritan Hospital since 2007.

She is a graduate of Northern Kentucky University and has worked more than 20 years in the field of social work with a concentration in the area of children and families. She is also a licensed chemical dependency counselor, as well as a certified social work case manager.

Sarah Jaeger

Sarah Bryant, LSW HOPE Social Worker

Sarah is currently working as social worker for the HOPE Program. She has recently completed her Bachelor of Science in Social Work at Northern Kentucky University. She is dedicated to improving birth outcomes in the Cincinnati area. She is passionate about helping people, and also has a strong interest in the fight against human trafficking and the Safe Sleep campaign. Sarah has also started focusing more helping patients with family planning and discussing the importance of spacing between children. When patients come in for their post-partum visit, she discusses the importance of having a primary care provider, dental provider and follow up for other health concerns.

She has served as the team captain for her department for the United Way in the past as well as continues to serve on the Service Leadership group in her department. Sarah started working with Trihealth in 2007. “I am honored to work with such amazing women; to get to know the patients and learn how strong they have been when faced with adversity is truly amazing.”

Siasa Simeton

Siasa Simeton, HOPE Community Health Worker

Siasa Simeton, known as Asa, is a native of Cincinnati, Ohio. She graduated from Withrow High School in 2001, and then attended the University of Cincinnati where she received her Bachelor of Science degree in Health Promotion and Education. She also completed her community health worker certification at Cincinnati State in 2015. Asa is currently a graduate student with Liberty University where she is studying Marriage and Family Counseling. Asa has been a team member of TriHealth since 2007 and is currently a certified community health worker (CCHW) for the HOPE program.

She has a passion for helping people and being an advocate for people with addictions. As a community health worker she supports the ladies in the program as they start their road to recovery and is an advocate for them as they start their journey of parenting. Asa has been a volunteer in the community for 15 years.

Denise Wagner

Denise Wagner, MSN, RNC-OB, HOPE Nurse Case Manager

Denise is the Nurse Case Manager for the HOPE Program at Good Samaritan Hospital. She holds a Bachelor of Science degree in Nursing and a Master of Science degree in Nursing from the Mount St. Joseph University. Denise has worked in the arena of women's health for more than 25 years and has been certified as an Inpatient Obstetrics Nurse through the National Certification Corporation (NCC) since 1996. As a previous Labor and Delivery Nurse, Denise is able to help patients navigate through the prenatal period and offer them support as they approach their delivery date.

She is committed to go the distance, offering ongoing, on-site, individualized care to all patients. “I love helping people reach their dreams. Our patients need emotional support and personal contact, and the most important part of my job is giving people strength and hope so that they can fully participate in their treatment. I have the honor of making a difference in someone's journey to recovery."


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