PARTNER PROFILE

USA Children’s & Women’s Hospital

USA Children's & Women's Hospital is a proud grantee of the City of Mobile Opioid Abatement Program, pioneering comprehensive care that keeps mothers and babies together while addressing the devastating impact of the opioid crisis on our community's youngest and most vulnerable.
USA Children's and Women's Prenatal OUD
FOUNDED
2015
MISSION
To reduce Neonatal Abstinence Syndrome (NAS) incidence, improve maternal and infant health outcomes, and support mother-infant bonding through comprehensive, compassionate, evidence-based care.
Our Story

The Division of Neonatology at USA Children & Women’s Hospital has been at the forefront of addressing the opioid crisis’s impact on mothers and babies. Since 2012, its team has implemented NAS treatment protocols and earned national recognition for our innovative approaches to caring for infants affected by prenatal opioid exposure.

In 2015, a dedicated prenatal NAS clinic was established — the first of its kind in the state of Alabama. This groundbreaking clinic represented a fundamental shift in how it approaches opioid use disorder in pregnancy: instead of waiting until birth to address the problem, the health professionals intervene early, build trust, and equip mothers with tools for success.

The results speak for themselves: Through the efforts of the NAS clinic, treatment needs have decreased from 80% to about 35%. By teaching mothers about non-pharmacological interventions and addressing barriers ahead of time, success is ensured after delivery.

The team takes a personal approach to building trust and providing a nonjudgmental setting—critical when working with a population that faces tremendous stigma. There are dedicated private rooms at the Children’s and Women’s Hospital NICU to keep mothers and infants together from postpartum discharge to infant discharge, recognizing that bonding and breastfeeding are powerful tools in NAS treatment.

USA Children's and Women's Hospital Mobile

What We Do

Prenatal & Early Identification
  • Early identification during pregnancy
  • Trimester-specific NAS education
  • Barrier assessment and removal in a nonjudgmental, trust-building setting
  • Virtual + in-person counseling options (including for incarcerated mothers)
  • Coordination with the criminal-justice system to maintain continuity of care
  • Non-pharmacological care education
In-Hospital Care: Eat, Sleep, Console (ESC)
  • Evidence-based ESC model for NAS care
  • Rooming-in to support mother–infant bonding
  • Family-centered care with strong breastfeeding support
Breastfeeding Support Program
  • Loaner breast-pump program (300 pumps)
  • Dedicated lactation teams
  • Peer counselor support (breastfeeding champions)
  • Virtual lactation support via Pacify app
  • Education on breastfeeding benefits for reducing NAS severity
  • Follow-up breastfeeding support through the first year
Home Visitation & Post-Discharge Support
  • Community outreach coordinator home visits
  • Basic-needs support (diapers, Uber ride cards, meal cards, car seats, portable cribs)
  • Narcan kits with overdose-prevention education
  • CPR training before discharge
  • Ongoing post-discharge monitoring and linkage to community services (e.g., WIC, Early Intervention, SAFE Care/Plans of Safe Care)

Who We Serve

Approximately 60–70 mother–infant dyads per year (about 180–200 families over 3 years) across all seven Mobile council districts; program serves historically underserved communities.

Our Approach

  • Prenatal NAS counseling/education & streamlined referrals
  • Eat-Sleep-Console (ESC) training and implementation in NICU
  • Peer counselors, home visits, and breastfeeding supports (loaner pumps; “Pacify” app)
  • SAFE Care partnership & individualized Plans of Safe Care
  • Narcan kits with overdose-prevention education
  • REDCap registry and ongoing data monitoring/evaluation

Measuring Success

Metrics span breastfeeding, NAS treatment and length of stay, readmissions, prenatal visit compliance, and survival/safety outcomes.
  • Breastfeeding rates at discharge, 1, 4, 6, and 12 months
  • NAS pharmacologic treatment duration
  • NAS length of stay and 30-day readmissions
  • Prenatal NAS-education visit compliance by trimester
  • NAS-related infant mortality, SIDS, maternal overdose mortality
  • Enrollment of incarcerated OUD mothers in prenatal/parenting programs

Our Goals

Near-Term (6–12 Months)
  • Expand access to the prenatal NAS clinic to identify and support more pregnant women with OUD
  • Develop and train a peer counselor program to provide maternal mentorship and recovery support
  • Train NICU and maternity staff on the Eat, Sleep, Console (ESC) model to reduce medication use and length of stay
  • Build a centralized REDCap registry for real-time patient tracking and outcome measurement
  • Build a centralized REDCap registry for real-time patient tracking and outcome measurements
Long-Term (3 Years)
  • Deliver community-wide prenatal NAS education and expand public awareness
  • Prevent NAS-related morbidities, including SIDS and adverse childhood experiences (ACEs)
  • Reduce reliance on pharmacologic NAS treatments through full ESC implementation
  • Increase exclusive breastfeeding rates to at least 6 months postpartum
  • Strengthen mother–infant bonding and family stability through ongoing community supports
  • Address social determinants of health by providing transportation, car seats, diapers, and other essentials
  • Expand Narcan distribution with overdose-prevention training
  • Sustain hospital–community partnerships to maintain program impact beyond the initial funding period

Community Partnerships

Clinical–community model integrating hospital care with coordinated supports to sustain family safety and health.
  • SAFE Care (Plans of Safe Care; DHR/family-court navigation; housing, MH/SUD services)
  • Alabama Medicaid – Pacify app (virtual lactation support)
  • WIC (nutrition support)
  • Early Intervention & Developmental Clinic (infant follow-up)
  • Criminal-justice partners (coordination for counseling access for incarcerated mothers)
  • Local clinics, nonprofits, and public health partners (post-discharge linkage and supports)
Life buoy on a pole by the water's edge, overcast sky, coastal landscape in the background.
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Mind-Body Recovery

While it may seem new, incorporating mindfulness and yoga practices into recovery has been on the rise since these ancient practices were brought to the West from India during ‘60s and ‘70s. Even the 12-step, faith-based program Alcoholics Anonymous began including spiritual reflection and contemplative practices in recovery around that time. Cut to the present day, and you’ll find a range of faith- and nondenominational-based addiction treatment and services available to individuals seeking recovery, including those that incorporate holistic care such as yoga and meditation. Additionally, there is compelling evidence to support that mind-body interventions like yoga and meditation can be powerful complements to conventional care for various substance use disorders, including opioid misuse.

According to a clinical trial published in January of this year on the National Institute of Health’s National Library of Medicine’s PubMed site, a treatment center in Bengaluru, India, found that people withdrawing from opioids recovered from acute symptoms nearly twice as fast when traditional medication was paired with structured yoga practice. Participants practicing yoga on top of standard treatment with buprenorphine (a medication used to treat opioid use disorder and pain) stabilized within five days, compared with nine days among those receiving medication alone. The yoga group also reported markedly reduced anxiety, improved sleep quality, and better autonomic regulation (a physiological marker of stress resilience).

Beyond Detox

The Journal of the American Medical Association notes that opioid use disorder is not simply a matter of physical dependence; rather, it’s a multi-system dysregulation affecting brain reward pathways, stress systems, emotional processing and behavioral habits. Standard care often combines medication-assisted treatment with counseling and support groups, an approach that has saved countless lives. But relapse rates and treatment drop-outs remain high, leaving clinicians searching for additional tools to improve long-term success. This is where yoga and meditation enter, not as alternative treatments that replace evidence-based care, but as complements to reinforce physiological balance and emotional resilience.

Yoga engages breathing, posture and awareness, elements that tap into the autonomic nervous system, which governs stress responses. The Bengaluru trial’s findings that yoga enhanced heart-rate variability (a measure of parasympathetic “rest and digest” activity) suggest that these practices may ease the intensity of withdrawal and emotional agitation. Beyond withdrawal, research suggests that yoga and similar mind-body practices can improve outcomes across substance use disorders.

A systematic review published in the Journal of the American Board of Family Medicine found that among randomized controlled trials (some involving opioid users) yoga was associated with improvements in anxiety, pain and craving when used alongside traditional therapies.

Meditation practices, whether focused attention, breath awareness or guided imagery, are increasingly studied as tools to rewire reward circuitry disrupted by addiction. These practices bolster emotional regulation and reduce stress sensitivity, which are factors that often trigger relapse long after detoxification ends. Studies show that people receiving group mindfulness sessions (including remote or virtual varieties) alongside medication treatment reported significantly lower opioid craving compared with those receiving only standard care.

Whole-Person Healing

For people emerging from the acute phase of opioid withdrawal, long-term recovery hinges not just on avoiding substances but on rebuilding life with purpose, resilience and balance. Yoga and meditation do not replace medication-assisted therapies, counseling or peer support, but evidence increasingly suggests they can enhance those pillars by addressing underlying physiological stress responses and emotional triggers. As research continues to grow, clinics, therapists and recovery communities alike are watching closely: bridging neuroscience with ancient practices may offer a new frontier in healing from one of the most challenging public health crises of our time.

Local Resources and Integrative Options

In Mobile County, Alabama, there is a broad range of treatment options, many of which are listed on the Project Persevere website’s Treatment Programs page. Below, find the list of a few that incorporate holistic practices with traditional therapies. Remember, recovery is not one-size-fits-all, and not every center explicitly lists yoga or meditation on its roster of services. Still, many coordinate with community partners or wellness professionals to help clients explore these practices as part of holistic aftercare or ongoing relapse prevention.

  • Vets Recover – Mental health therapy and support for substance abuse to veterans, first responders and their families.
  • AltaPointe Health – Outpatient substance use disorder treatment prioritizing pregnant women with intravenous substance use disorders, women with dependent children, individuals with intravenous substance use disorders, individuals who are HIV positive and all others with substance use disorders.
  • Bradford Health Services – Inpatient and outpatient recovery programs for substance use disorders, incorporating a variety of evidence-based approaches.
Explore Our Programs

Discover how Project Persevere’s initiatives are creating real impact across treatment, prevention, recovery, and community support. Explore our programs below to see how each one contributes to lasting change in the fight against opioid addiction.

Man sitting outdoors at sunset, reflecting on opioid recovery and hope.

Wellborn Strategies + CiviConnections

Team Wellborn Strategies + CiviConnections develops and executes a multi-platform communications and paid media campaign that reduces stigma, raises awareness of treatment options, and strives to prevent new cases of opioid use disorder. The program includes polling and audience research, creative production, strategic media placement across digital and traditional channels, public relations, grantee coordination, and real-time campaign optimization.

Waterfront Rescue Mission

Waterfront Rescue Mission’s Recovery Readiness, the first of three phases in its LifeBuilder Recovery Program, addresses opioid issues in Mobile through a holistic, faith-based approach. By addressing the physical, emotional, and spiritual aspects of addiction, they help individuals build a strong foundation for long-term recovery and sustainable life change.

Volunteer Opportunities

Contact : mramani@health.southalabama.edu
1700 Center St; Mobile, AL 36604