SCO's Comprehensive Support Program for Postpartum and Pregnant Women - SCO Family of Services, an experienced provider of comprehensive family unification and foster care, behavioral health treatment, shelter, health home, and preventive services proposes the Comprehensive Support Program, an enhanced trauma-informed residential treatment and transitional recovery support program for women with co-occurring disorders, traumatic stress, and histories of victimization, and their children and partners. Women and children from 0 to 3 will enter the Morning Star residential program at SCO’s Madonna Heights campus in Dix Hills, NY—the only behavioral health treatment facility for mothers with children on Long Island. There is an escalating crisis of opioid dependence and a severe treatment bed shortage for women in this area of 7.8 million people. Thirty PPW, 33 children, and 15 spouses/partners will be served per program year, with a total of 355 unduplicated persons served over 5 years. An estimated 50% of mothers will be white, 25% African-American, 20% Latina, and 5% will identify as mixed race. From 10% to 15% of women will identify as lesbian or bisexual. The racial and ethnic makeup of adults and children in the community will roughly parallel that of the PPW. Approximately 90% of the population will be English speaking, 10% will have languages other than English as a 1st language, and 95% will be Medicaid eligible. Forty-five per cent of women will abuse heroin as the primary drug of choice, 70% of women will have at least one child, and 70% of women will have active CPS cases. The goals of the project will be to decrease SUD and the impact of co-occurring disorders and trauma, and to improve birth outcomes and promote healthy child development and improved family functioning for PPW and their families. The objectives will be: 1) Provide comprehensive clinical service coordination blending EBPs for substance abuse, co-occurring disorders , trauma, and health issues into a seamless system of care for PPW women, minor children, and partners; 2) Provide ongoing integrated family services for PPW, partners, and children to strengthen parenting, family unification and family wellness, and to promote age appropriate child development; 3) Implement transition recovery case management, linkage, and “warm-handoffs” to community support services for PPW and family members; 4) Provide preventive services [to non-CPS involved families] in home and community settings to reduce risks to PPW families and children associated with parental substance abuse, trauma, and family disruption; and 5) Provide health home care management for all eligible children of PPW in the community. The project team consists of a Project Director, Project Coordinator, Women’s Coordinator, Children’s Coordinator, Nurse, two Family Peer Advocates, and a Family Parenting Specialist. Evidence-based strategies include MET, Helping Women Recover/Beyond Trauma, Seeking Safety, The Incredible Years, Celebrating Families!, the Sanctuary Model, and TF-CBT. A Project Evaluator experienced working with PPW will monitor project performance and provide regular feedback to the project team. A total of $2,410,816 is requested over the life of the project.