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Project RESPECT (Recovery, Empowerment, Social Services, Prenatal care, Education, Community and Treatment), is a high risk obstetrical and addiction recovery medical home at Boston Medical Center and Boston University School of Medicine. Project RESPECT provides a unique service of comprehensive obstetric and substance use disorder treatment for pregnant women and their newborns in Massachusetts.
Dr. Saia is very attentive, caring, and thorough and answers question that any patient can understand! She has worked very hard to help me in every way possible to feel better. I have been through a lot in the last 2 years. I've seen several doctors, but Dr. Saia is the one who has helped me the most. She is determined to make sure I am feeling better. Thank You Dr. Saia for everything!"~ Nicole W.
Yawkey Center 617-414-6376
Monday-Friday 9:00 AM - 4:30 PM
- For questions about your pregnancy or medications: Call 617.414.4165
- For prenatal care, social work & mental health appointments: Call 617.414.6376
After 4:30 PM and weekends
- Please call: 617.414.2000
Conditions We Treat
The Family Medicine clinic provides care to patients with substance use disorders (addiction to opioids, alcohol, cocaine, and other substances). Providers are trained to initiate treatment with Suboxone, Naltrexone and Vivitrol, and host weekly group visits where patients taking Suboxone can meet with a doctor and a behavioral health specialist to discuss long-term maintenance therapy.
As part of its commitment to care for patients with substance use disorder where they seek medical care, Boston Medical Center has developed several programs to help pregnant women and newborn babies with addiction. Pregnant women with substance use disorders need care for both their pregnancy and addiction. Their babies are often born with neonatal abstinence syndrome, which also requires medical attention. Further, BMC is committed to supporting mothers and babies after delivery and into the first years of life.
Learn more about our pregnancy services including Midwives, Maternal Fetal Medicine, Centering Pregnancy, Addiction and Pregnancy and Pregnancy Ultrasound
Treatments & Services
The majority of Project RESPECT patients are in recovery from opioid addiction. Inpatient, monitored, acute substance withdrawal treatment and induction of opioid maintenance therapies for pregnant woman seeking addiction treatment are provided. Intensive, individualized outpatient treatment plans are outlined for each patient based on the severity of their disease and their recovery progress. The outpatient medical home model provides on site, collaborative and multidisciplinary care for pregnant and post-partum women in recovery.
The Project RESPECT clinical team includes buprenorphine-waivered obstetric providers, a psychiatrist specializing in mood disorders in pregnancy, an addiction psychiatry nurse practitioner, and a Licensed Independent Clinical Social Worker. The team collaborates and coordinates all of the mom-to-be’s care with their inpatient obstetric, pediatric, psychiatry, social work, nursing and lactation teams to provide them with supportive and informed care.
Project RESPECT works in collaboration with multiple community based organizations including local methadone clinics, residential addiction treatment centers, the Department of Public Health, and the Department of Children and Families.
Ana Cecilio, RN
Caitlin Clark LICSW, RESPECT Program Manager
Basilissa Teixeira, RESPECT Medical Assistant
Ingrid St. Hill, RESPECT Clinic Coordinator
Quality improvement initiative to improve inpatient outcomes for Neonatal Abstinence Syndrome - Wachman EM, Grossman M, Schiff DM, et al. . J Perinatol. 2018;38(8):1114-1122. doi:10.1038/s41372-018-0109-8
Opioid addiction in pregnancy. - Shainker SA, Saia K, Lee-Parritz A. Obstet Gynecol Surv. 2012;67(12):817-825. doi:10.1097/OGX.0b013e3182788e8c
Caring for Pregnant Women with Opioid Use Disorder in the USA: Expanding and Improving Treatment. - Saia KA, Schiff D, Wachman EM, et al. Curr Obstet Gynecol Rep. 2016;5(3):257-263. doi:10.1007/s13669-016-0168-9
Naltrexone Treatment for Pregnant Women With Opioid Use Disorder Compared With Matched Buprenorphine Control Subjects - Wachman EM, Saia K, Miller M, et al.. Clin Ther. 2019;41(9):1681-1689. doi:10.1016/j.clinthera.2019.07.003
Prenatal treatment for opioid dependency: observations from a large inner-city clinic. - Saia K, Bagley SM, Wachman EM, Patel PP, Nadas MD, Brogly SB. Addict Sci Clin Pract. 2017;12(1):5. Published 2017 Jan 13. doi:10.1186/s13722-016-0070-9
Residency and Fellowship Information
Addiction Medicine Fellowship
Mission of the Grayken Fellowship in Addiction Medicine is to train physician addiction medicine leaders in clinical care, research, education, public health, and advocacy to improve addiction care for people vulnerable to health inequities due to race, ethnicity, gender, poverty, age, disability or stigmatizing illness.
The Grayken Addiction Medicine Fellowship Program is a 1 or 2 year fellowship. There is also a 3-year combined Infectious Disease-Addiction Medicine Fellowship and a 2-year Fellowship in Maternal Health Addiction. Fellows are mentored by our multidisciplinary faculty from Internal Medicine, Infectious Disease, Emergency Medicine, Obstetrics & Gynecology and Addiction Psychiatry. The Grayken Fellowship in Addiction Medicine is accredited by the ACGME. Click here to learn more