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Women's Health Services

HOPE Program

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

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.

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.


HOPE Program
375 Dixmyth Ave.
Cincinnati, OH 45220
Call 513 862 5132