Two playgrounds border the Recovering Hope Treatment Center for addiction that sits at the end of a gravel road in eastern Minnesota's rural Kanabec County. A meeting room inside is furnished with rocking chairs and baby walkers. And there are strollers in the halls.
Recovering Hope is one of only five providers in the state that offer family-based residential treatment, allowing women to enter the program while pregnant or to bring one of their children younger than 5 with them for the duration of their stay. Men can receive outpatient treatment but aren't permitted in the residential program.
Meanwhile, maternal opioid-related diagnoses have increased nationwide. From 2010 to 2017, the rates of women with those diagnoses at delivery increased by 131% and babies born with withdrawal symptoms increased by 82%, according to the Centers for Disease Control and Prevention. The increases disproportionately affected rural areas. At Recovering Hope, opioids are among the top substances, along with alcohol and meth, that lead women to seek treatment.
Even at Recovering Hope, which has operated since 2016 and is expanding its outpatient treatment to include teenagers and building sober houses, smaller insurance reimbursements have affected care. Women in the center's residential program previously spent up to an average of 40 days in high-intensity care at the beginning of their treatment, but that timespan is now closer to 30 days to contain costs due to those low reimbursement rates.
Related Stories"The school district kind of said, 'Hey, if you put kids in our school district, and then take them out, that’s not great for us,'" she said. "'We don’t have enough teachers. So, if you put three kids in the classroom that’s already at max, we would technically need to hire another teacher, but they’re only here for three months.
In neighboring North Dakota, the state Department of Health and Human Services has been trying to establish a family-based residential treatment option like Recovering Hope since 2020. The state has been without one since April 2019, when its lone provider shut down.
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