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 that 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.

She is a graduate of Northern Kentucky University and has worked over 16 years in the field of social work with a concentration in the area of children and families.

Sarah Jaeger

Sarah Jaeger, HOPE Assistant

Sarah is currently working as an assistant for the HOPE Program. She has recently completed her Associates of Arts as well as a Human Services Certificate from Cincinnati State. She is currently working on a Bachelors of Social Work at Northern Kentucky University, as well as working toward CDCA certification. 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 served as the team captain for her department for the United Way for the past few years as well as captain on the Service Excellence committee for her department.

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 her undergraduate study was Health Education.  Siasa will complete her community health worker certification at Cincinnati State where she plans to continue in the field of social services and social work.
Asa has been an employee of TriHealth since 2007 and is currently a certified community health worker (CCHW) for the HOPE program.  Siasa 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, RNC-OB, BSN, HOPE Nurse Case Manager

Denise is the nurse case manager for the HOPE Program at Good Samaritan Hospital. She holds a Bachelor's of Science in Nursing from the Mount St. Joseph University and is currently completing her Masters of Science in Nursing from the Mount St. Joseph University. Denise has worked in the arena of women's health for over 25 years and has been certified as an Inpatient Obstetrics Nurse through the National Certification Corporation (NCC) since 1996.

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 so that they can fully participate in their treatment.”


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