diff --git a/api/routes/snitch.py b/api/routes/snitch.py
index aab7b7c..65dfb15 100644
--- a/api/routes/snitch.py
+++ b/api/routes/snitch.py
@@ -5,6 +5,7 @@ api/routes/snitch.py - API endpoints for snitch system
 import flask
 import jwt
 import os
+from datetime import datetime
 import core.postgres as postgres
 import core.snitch as snitch_core
 
@@ -85,7 +86,7 @@ def register(app):
             "require_consent": data.get("require_consent", True),
             "consent_given": data.get("consent_given", False),
             "snitch_cooldown_hours": data.get("snitch_cooldown_hours", 4),
-            "updated_at": flask.datetime.utcnow(),
+            "updated_at": datetime.utcnow(),
         }
 
         # Check if settings exist
@@ -95,7 +96,7 @@ def register(app):
             postgres.update("snitch_settings", update_data, {"user_uuid": user_uuid})
         else:
             update_data["user_uuid"] = user_uuid
-            update_data["created_at"] = flask.datetime.utcnow()
+            update_data["created_at"] = datetime.utcnow()
             postgres.insert("snitch_settings", update_data)
 
         return flask.jsonify({"success": True}), 200
@@ -167,7 +168,7 @@ def register(app):
             "priority": data.get("priority", 1),
             "notify_all": data.get("notify_all", False),
             "is_active": data.get("is_active", True),
-            "created_at": flask.datetime.utcnow(),
+            "created_at": datetime.utcnow(),
         }
 
         result = postgres.insert("snitch_contacts", contact_data)
diff --git a/config/migration_20250217.sql b/config/migration_20250217.sql
new file mode 100644
index 0000000..1be5510
--- /dev/null
+++ b/config/migration_20250217.sql
@@ -0,0 +1,93 @@
+-- Migration: Add snitch and adaptive medication tables
+-- Run this if tables don't exist
+
+-- Snitch Settings
+CREATE TABLE IF NOT EXISTS snitch_settings (
+    id UUID PRIMARY KEY DEFAULT gen_random_uuid(),
+    user_uuid UUID REFERENCES users(id) ON DELETE CASCADE UNIQUE,
+    snitch_enabled BOOLEAN DEFAULT FALSE,
+    trigger_after_nags INTEGER DEFAULT 4,
+    trigger_after_missed_doses INTEGER DEFAULT 1,
+    max_snitches_per_day INTEGER DEFAULT 2,
+    require_consent BOOLEAN DEFAULT TRUE,
+    consent_given BOOLEAN DEFAULT FALSE,
+    snitch_cooldown_hours INTEGER DEFAULT 4,
+    created_at TIMESTAMP DEFAULT CURRENT_TIMESTAMP,
+    updated_at TIMESTAMP DEFAULT CURRENT_TIMESTAMP
+);
+
+-- Snitch Contacts
+CREATE TABLE IF NOT EXISTS snitch_contacts (
+    id UUID PRIMARY KEY DEFAULT gen_random_uuid(),
+    user_uuid UUID REFERENCES users(id) ON DELETE CASCADE,
+    contact_name VARCHAR(255) NOT NULL,
+    contact_type VARCHAR(50) NOT NULL,
+    contact_value VARCHAR(255) NOT NULL,
+    priority INTEGER DEFAULT 1,
+    notify_all BOOLEAN DEFAULT FALSE,
+    is_active BOOLEAN DEFAULT TRUE,
+    created_at TIMESTAMP DEFAULT CURRENT_TIMESTAMP
+);
+
+-- Snitch Log
+CREATE TABLE IF NOT EXISTS snitch_log (
+    id UUID PRIMARY KEY DEFAULT gen_random_uuid(),
+    user_uuid UUID REFERENCES users(id) ON DELETE CASCADE,
+    contact_id UUID REFERENCES snitch_contacts(id) ON DELETE SET NULL,
+    medication_id UUID REFERENCES medications(id) ON DELETE SET NULL,
+    trigger_reason VARCHAR(100) NOT NULL,
+    snitch_count_today INTEGER DEFAULT 1,
+    message_content TEXT,
+    sent_at TIMESTAMP DEFAULT CURRENT_TIMESTAMP,
+    delivered BOOLEAN DEFAULT FALSE
+);
+
+-- Adaptive Medication Settings
+CREATE TABLE IF NOT EXISTS adaptive_med_settings (
+    id UUID PRIMARY KEY DEFAULT gen_random_uuid(),
+    user_uuid UUID REFERENCES users(id) ON DELETE CASCADE UNIQUE,
+    adaptive_timing_enabled BOOLEAN DEFAULT FALSE,
+    adaptive_mode VARCHAR(20) DEFAULT 'shift_all',
+    presence_tracking_enabled BOOLEAN DEFAULT FALSE,
+    nagging_enabled BOOLEAN DEFAULT TRUE,
+    nag_interval_minutes INTEGER DEFAULT 15,
+    max_nag_count INTEGER DEFAULT 4,
+    quiet_hours_start TIME,
+    quiet_hours_end TIME,
+    created_at TIMESTAMP DEFAULT CURRENT_TIMESTAMP,
+    updated_at TIMESTAMP DEFAULT CURRENT_TIMESTAMP
+);
+
+-- User Discord Presence Tracking
+CREATE TABLE IF NOT EXISTS user_presence (
+    id UUID PRIMARY KEY DEFAULT gen_random_uuid(),
+    user_uuid UUID REFERENCES users(id) ON DELETE CASCADE UNIQUE,
+    discord_user_id VARCHAR(255),
+    last_online_at TIMESTAMP,
+    last_offline_at TIMESTAMP,
+    is_currently_online BOOLEAN DEFAULT FALSE,
+    typical_wake_time TIME,
+    presence_history JSONB DEFAULT '[]',
+    updated_at TIMESTAMP DEFAULT CURRENT_TIMESTAMP
+);
+
+-- Adaptive Medication Schedules
+CREATE TABLE IF NOT EXISTS medication_schedules (
+    id UUID PRIMARY KEY DEFAULT gen_random_uuid(),
+    medication_id UUID REFERENCES medications(id) ON DELETE CASCADE,
+    user_uuid UUID REFERENCES users(id) ON DELETE CASCADE,
+    base_time TIME NOT NULL,
+    adjusted_time TIME,
+    adjustment_date DATE NOT NULL,
+    adjustment_minutes INTEGER DEFAULT 0,
+    nag_count INTEGER DEFAULT 0,
+    last_nag_at TIMESTAMP,
+    status VARCHAR(20) DEFAULT 'pending',
+    created_at TIMESTAMP DEFAULT CURRENT_TIMESTAMP
+);
+
+-- Indexes
+CREATE INDEX IF NOT EXISTS idx_med_schedules_user_date ON medication_schedules(user_uuid, adjustment_date);
+CREATE INDEX IF NOT EXISTS idx_med_schedules_status ON medication_schedules(status);
+CREATE INDEX IF NOT EXISTS idx_snitch_log_user_date ON snitch_log(user_uuid, DATE(sent_at));
+CREATE INDEX IF NOT EXISTS idx_snitch_contacts_user ON snitch_contacts(user_uuid, is_active);