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Center for Addiction and Pregnancy (CAP)

Director: Denis Antoine, M.D.
Administrative Director: Dana Madden, M.A., L.C.P.C.

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

Directions to The Johns Hopkins Bayview Medical Center

Phone 410-550-3066 / Fax 410-550-3027

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 program with an available overnight housing unit for patients requiring  a recovery-oriented domicile, 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: substance abuse treatment, psychiatry, pediatrics, obstetrics/gynecology, and family planning. CAP also offers transportation and methadone maintenance.

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 as well as medication-assisted treatment (primarily methadone). 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, opioid agonist maintenance is used as an adjunct to treatment.

Psychiatric Evaluation and Care
We offer psychiatric assessment and on-going care for dually diagnosed women enrolled in the program. CAP fosters collaboration in patient care, teaching and research, and best practices for this special population.

Obstetric Evaluation and Care 
Obstetric evaluations and examinations are performed obstetricians specializing in the care of substance-abusing women. The labor and delivery suite is on the same campus as the treatment facility and near to a state-of-the-art neonatal intensive care unit (NICU) for newborns requiring intensive medical treatment after birth.

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.

Overnight Stay Service
A 16-bed overnight sleeping area at the CAP site is fully staffed with trainined resident assistants from 4:00 PM to 8 AM seven days per week.

Family Planning 
The program provides education and contraception to patients who wish to delay future pregnancies

Our Staff

Director - Denis Antoine, M.D.
Administrative Director -
Dana Madden,
M.A., L.C.P.C.
Ob/Gyn Director - Lorraine Milio, M.D.
Ob/Gyn Midwife - Adi Lazary-Dagan
Pediatric Director - Lauren Jansson, M.D. 

Staff Psychiatrist - Alexis Hammond, M.D., Ph.D.
Staff Psychologist - Jessica Peirce, Ph.D.


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

Learn more about the RESEARCH currently underway at the Center for Addiction and Pregnancy.

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