You are visiting us from Virginia. You are located in HHS Region 3. Your Center is Central East ATTC.

Navigating the Maze

Navigating the Maze Banner

While the prevalence of unintended pregnancies in the general population in the United States is roughly 50%, it is much higher among women with substance use disorder (SUD).Unintended pregnancy is associated with a wide range of negative outcomes for women, children, and their families. A paradigm shift in how reproductive/sexual health is conceptualized for women with SUD is needed. The presenters will focus on sexual health education, literacy and reproductive life planning.


UNC Horizons Presenters: Department of Obstetrics and Gynecology, School of Medicine, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina

  • Hendrée Jones, Ph.D., Executive Director and Professor, is an internationally recognized expert in the development and examination of both behavioral and pharmacologic treatments for pregnant women and their children in risky life situations. She has received continuous National Institutes of Health funding since 1994 and has written more than 195 publications. Dr. Jones has also authored two books, one on treating patients for substance use disorders and the other on comprehensive care for women who are pregnant and have substance use disorders. She also has written multiple textbook chapters on the topic of pregnancy and addiction. In 2012 Dr. Jones won the Betty Ford Award from The Association for Multidisciplinary Education and Research in Substance use and Addiction (AMERSA) for her scientific contributions in advancing women’s addiction treatment. In 2018 she won the National Association of State Alcohol and Drug Abuse Directors, Inc. (NASADAD) Women’s Services Champion Award and in 2019 she won the Marian W. Fischman Lectureship Award which recognizes contributions of an outstanding woman scientist in drug abuse research. In 2020 Dr. Jones won the American Society of Addiction Medicine (ASAM) R. Brinkley Smithers and Distinguished Scientist Award. She is a consultant for the United Nations and the World Health Organization. Dr. Jones leads or is involved in projects focused on improving the lives of children, women, and families in Afghanistan, Argentina, Brazil, Chile, India, Paraguay, the Republic of Georgia, South Africa, and the United States. UNC Horizons is a substance use disorder treatment program for pregnant and/or parenting women and their children, including those whose lives have been touched by abuse and violence. It is a program of the Department of Obstetrics and Gynecology, School of Medicine, The University of North Carolina at Chapel Hill.
  • Elisabeth Johnson, Ph.D., FNP-BC, Director of Health Services, has over twenty years of clinical experience in women’s health and pediatrics, including caring for women with substance use disorders. Her current clinical practice consists primarily of providing obstetric care to women with substance use disorders, many of whom are on opioid agonist therapy. In April 2017, she received her DATA waiver and is able to prescribe buprenorphine. This has helped to expand access to treatment for the women who attend the UNC Horizons OB clinic. Dr Johnson also serves as the Director of Health Services of University of North Carolina (UNC) Horizons, a comprehensive substance use disorder treatment center for pregnant and parenting women and their children. She has collaborated on several research projects in the areas of chronic pain and substance use disorders and provided valuable clinical expertise to the 2018 SAMHSA publication entitled, Clinical Guidance for Treating Pregnant and Parenting Women with Opioid Use Disorder and Their Infants.
  • Essence Hairston MSW, Outpatient Program Manager, is a clinical instructor and social worker who has eleven years of experience working in residential services focused on substance use treatment, with the last six years working in perinatal residential services. Her interests are focused on perinatal substance use and mood disorder treatment, community-based research, evidence-based practices, gender and trauma-responsive care, addressing social determinants of health, integrative healthcare, and system linkage. She received a stipend by the Health Resources and Sciences Administration (HRSA) and the University of North Carolina at Chapel Hill School of Social Work for specialized integrated behavioral health care training, in which she participated in behavioral health services in a high-risk OB clinic for perinatal substance use. As a Clinical Instructor, she oversees a behavioral and physical healthcare model that includes access to medication-assisted treatment, therapy, psychiatry services, reproductive health education and contraceptive care, peer support services and care coordination, childcare, and transportation. Additionally, she works alongside community agencies and stakeholders to target social determinants of health for pregnant and postpartum women impacted by substance use, trauma, including justice-involved individuals by embracing a hub-and-spoke model. UNC Horizons is a substance use disorder treatment program for pregnant and/or parenting women and their children, including those whose lives have been touched by abuse and violence. It is a program of the Department of Obstetrics and Gynecology, School of Medicine, The University of North Carolina at Chapel Hill.



  • Kristen Metcalf-Wilson, DNP, WHNP-BC

Dr. Metcalf-Wilson has over 25 years’ experience in reproductive and sexual health. She has spent that time practicing as a Women’s health Nurse Practitioner in numerous settings and as an Assistant Teaching Professor with the  University of Missouri, Sinclair School of Nursing. Throughout her career, Dr. Metcalf-Wilson has worked with the Title X community  to educate and train clinicians around the country on quality family planning and Long Acting Reversible Contraceptives (LARC) methods.

  • Jacki Witt, JD, MSN, WHNP-BC, SANE-A

Jacki Witt’s nursing career has spanned three decades and during this time, she has provided health care services to diverse, low-income and under-or uninsured, women and has taught at all levels of nursing education.  She currently sees patients as a board-certified Women’s Health Nurse Practitioner at a local county health department. In the Collaborative to Advance Health Services, Jacki is the Principal Investigator/Project Director for the Office of Population Affairs-funded Title X National Clinical Training Center for Family Planning and Co-Director for the CDC-funded National Capacity Building Assistance for High Impact HIV Prevention Resource Center. Jacki, who is a Fellow of the American Association of Nurse Practitioners, is recognized as a national expert in reproductive health care; she has published multiple articles and speaks nationally.  Jacki is the Immediate Past Chair of the National Association of Nurse Practitioners in Women’s Health Board of Directors and is a member of the National Family Planning and Reproductive Health Association’s Board of Directors. She is the Secretary-Treasurer for the Board of Directors of the National Certification Corporation (the certifying body for Women’s Health Care and Neonatal Nurse Practitioners).

  • Maridee Shogren, DNP, CNM, CLC

Dr. Shogren has practiced women’s health, obstetrics and family planning in a variety of settings including private practice, rural health clinics, family planning and federally qualified health centers where she shares her passion for women’s health with her colleagues and her patients.  Maridee has been a faculty member at the University of North Dakota College of Nursing and Professional Disciplines since 2008.  Maridee has also been involved in SAMHSA funded grant work at UND where she spent three years on the interprofessional Screening, Brief Intervention, and Referral to Treatment (SBIRT) training grant and currently works with the Region 8: Mountain Plains Addiction Technology Transfer Center and the Mountain Plains Mental Health Technology Transfer Center grant teams where she is a technical trainer with a focus on women’s health concerns. Most recently, Dr. Shogren began work as the principal investigator on the Foundation for Opioid Response Efforts grant funded program, Don’t Quit the Quit, where she is working to increase access to care and grow community support for women who are pregnant or postpartum and in recovery from opioid use disorder.

Elinore F. McCance-Katz, M.D., Ph.D., is our Special Guest and and will provide opening remarks on June 23. Dr. McCance-Katz, is the Assistant Secretary for Mental Health and Substance Use and leads the Substance Abuse and Mental Health Services Administration (SAMHSA) at HHS.



June 24 (Day 2– Sessions 3 & 4):





1:00pm – 3:15pm Eastern | Noon – 2:15pm Central | 11:00am – 1:15pm Mountain | 10:00am – 12:15 pm Pacific