Southcentral Foundation (SCF) through its residential treatment program, Dena A Coy (DAC), will work with other SCF health programs and local organizations to reduce unmet treatment needs of pregnant and postpartum women in rural Alaska through the provision of prevention, treatment and recovery services for substance use disorders and increase access to culturally appropriate and evidence-based treatment at the DAC Residential Treatment facility in Anchorage, Alaska. DAC is a primary service provider for the residential treatment of pregnant and postpartum women in Alaska. As such, the program is responsible for intake, orientation that includes state-mandated classes, inpatient treatment, and classes on life-skills, health relationships, parenting, substance abuse, wellness, emotional and peer-to-peer processing. The Dena A Coy residential treatment program supports family reconciliation and reunification through family therapy and education sessions and visitation. Additionally, the program includes childcare, postpartum health care, health and wellness, coordination of care during discharge and transition, including outpatient and aftercare services. This project proposes to serve at least 100 pregnant and postpartum women along with their children and families over a five year period with a target group of over 2,000 women of childbearing age from twelve rural, remote villages plus the Matanuska Valley. Although SCF as a tribal organization serves primarily Alaska Native and American Indian, DAC serves all women and children because the needs is very high throughout the state for residential treatment for women with children and DAC is the only program that focuses on needs specific to prenatal and pregnant women and their children living in the same facility. Using current evidence-based practices and tools, the twenty individuals selected each year will be based on priority: 1. Pregnant IV users, 2. Non-pregnant IV users, 3. Pregnant women with SUD, 4. Women involved with the Office of Children Services, and 5. Women with non-IV SUD. The endeavor for the next five years is to help pregnant and postpartum women to achieve an optimum quality of life through developing treatment plans, enhancing life skills, addressing health and mental health needs, engaging in meaningful activities and building social connectedness and community relations. The program's 4-point approach will be to: (1) Promote services to pregnant and postpartum women and their families in thirteen Alaska rural locations and identify women with substance use disorders to encourage treatment to protect the unborn; (2) Provide residential treatment and a continuum of services to pregnant and postpartum women in need of treatment for substance use disorders; (3) Provide relevant services to the children of women who are in residential treatment for substance use disorders at DAC during the project period; and (4) Provide quarterly and annual evaluations based on data collected during the project period.