Greenville, N.C. – ECU Health is proud to announce the opening of the IMPACT (Integrated Model of Perinatal Addiction Care and Treatment) Clinic, a new outpatient addiction medicine clinic dedicated to providing specialized care for pregnant individuals facing substance use disorders. Located within the high-risk clinic at the Brody School of Medicine at East Carolina University, this clinic is the first and only clinic of its kind in eastern North Carolina.
“We know that perinatal substance use disorder is a medical disease—not a moral failing,” said Dr. David H. Ryan, obstetrician-gynecologist, addiction medicine provider and clinical assistant professor at ECU Health and the Brody School of Medicine. “Many individuals facing this challenge are eager to seek treatment but struggle to access the care they need due to stigma and systemic barriers. The IMPACT Clinic will provide a supportive and comprehensive approach to treatment, helping patients navigate recovery while receiving essential medical and prenatal care.”
Recognizing the unique challenges and barriers to health care that pregnant women with substance use disorders face, ECU Health has assembled a multidisciplinary team to provide integrated treatment, including obstetric care, mental health services, lactation support, social work and educational resources. The clinic will also be serviced by medical residents to train future providers in addiction medicine and obstetrics and gynecology.
“The IMPACT Clinic headed up by Dr. David Ryan is a tremendous step forward in ECU Health’s Department of Obstetrics and Gynecology mission to make eastern North Carolina a better place for mothers and infants to be born and thrive,” said Dr. James Whiteside, department chair, Obstetrics and Gynecology, ECU Health and the Brody School of Medicine. “Given the significance mental health disorders have in maternal death and illness in North Carolina, it is essential these and related services are expanded.”
The IMPACT Clinic aims to improve outcomes for pregnant individuals in North Carolina, where substance-related mortality rates are concerning. According to the North Carolina Department of Health and Human Services from 2019-2020, one in four maternal deaths was attributed to unintentional overdose. With only five other programs in the state offering dedicated OBGYN addiction care within a single setting, ECU Health will become the sixth, filling a critical gap in resources for eastern North Carolina residents.
“Access to specialized health care is often limited in rural communities, and ECU Health is working to change that,” said Brian Floyd, chief operating officer, ECU Health. “By establishing the IMPACT Clinic, we are expanding essential addiction treatment and maternal health services in eastern North Carolina, ensuring that pregnant women receive expert, compassionate care without having to travel long distances. Initiatives like the IMPACT Clinic support our mission and help us build the national model for academic rural health care.”
The clinic began seeing patients on May 7, 2025, through referrals from OBGYN providers, including private practices and health departments. Services will be available to individuals actively experiencing substance use as well as those in recovery. Patients seeking more information about the IMPACT Clinic can call 252-744-2350.