Center for Addiction and Pregnancy (CAP)

Director: Vickie Walters, LCSW-C

Center for Addiction and Pregancy
The Johns Hopkins Bayview Medical Center
4940 Eastern Avenue
Baltimore, MD 21224

Phone 410-550-3020 / Fax 410-550-3027

Click here for DIRECTIONS to The Johns Hopkins Bayview Medical Center

OVERVIEW

The Center for Addiction and Pregnancy (CAP) offers an innovative approach to help mothers and infants deal with the physical, emotional, and social problems caused by addiction. CAP, an outpatient and residential program, provides a comprehensive, coordinated, and multidisciplinary approach to one of our greatest problems today: drug-dependent mothers and their drug-affected babies.
 
CAP is committed to the following goals:

• Reducing the number and severity of obstetric complications, including HIV infection
• Delivering healthier infants to mothers who no longer abuse drugs or alcohol
• Providing effective family planning services that are acceptable to the patient
• Ensuring initial and long-term pediatric assessments and care to the neonate and other children of program patients

The program is housed entirely in one wing of the Mason F. Lord Building at The Johns Hopkins Bayview Medical Center and includes a broad spectrum of care in an effort to address all issues related to this group of women. Health care services include: psychiatry, pediatrics, obstetrics/gynecology, and family planning. CAP also offers transportation, methadone maintenance and a childcare center.
 
By providing comprehensive health care and complementary services in one convenient location, CAP breaks down the barriers than often keep this high-risk population of women and children from receiving the care they need.

SERVICES  OFFERED

Substance Abuse Treatment 
Our clinical staff specializes in women's issues and substance abuse treatment and offers individual and group therapy on a daily basis. Case management, referrals and coordination with community resources are also provided. Group therapy is provided daily on a variety of topics, including relapse prevention, physical and psychological trauma, HIV education, drug education, parenting, and stress management. In addition, CAP offers couples counseling and family education. When indicated, methadone maintenance is used as an adjunct to treatment.
 
Obstetric Evaluation and Care 
Obstetric evaluations and examinations are performed by nurse midwives and an obstetrician specializing in the care of substance-abusing women. The labor and delivery suite is on the same campus as the treatment facility and is close to a state-of-the-art neonatal intensive care unit (NICU) for newborns requiring intensive medical treatment after birth.
 
Childcare Program 
All children ages five and under are eligible to participate in the childcare program. The program is open Monday through Friday. All staff members have a background in early childhood education.
 
Pediatric Health Care 
Comprehensive pediatric care and immunizations are provided to our patients' children from birth to age 21 years. All children in CAP receive frequent developmental testing during their first three years, including developmental screenings every three months.
 
A parenting coordinator offers group and individual parenting sessions, and a case manager provides comprehensive case management and follow-up for each mother-infant pair.
 
Residential Service 
A 16-bed residential unit at the CAP site is fully staffed 24 hours a day, seven days per week by nurses, patient aides, and mental-health staff. Patients may be referred to this unit for more intensive obstetric or psychiatric observation.
 
In addition, patients and their infants can be readmitted to the unit following delivery for individual and group support and further parenting education before they return home.
 
Family Planning 
The program provides education and contraception to patients who wish to delay future pregnancies

OUR STAFF

Program Director - Vickie Walters, LCSW-C
Research Director - Hendree Jones, Ph.D. 
Research Director - Michelle Tuten, LCSW-C
Ob/Gyn Director - Lorraine Milio, M.D.
Pediatric Director - Lauren Jansson, M.D. 
Psychiatric Director - Margaret Chisholm, M.D.
Medication Assistant Treatment Consultant - Van King, M.D.
Patient Care Manager - Michelle Thompson, RN

REFERRALS

For more information or to make a referral to the Center for Addiction and Pregnancy, please call 410-550-3066.