The Lawrence County (IL) Health Department (LCHD) will deliver high quality substance use treatment, recovery and other needed services to at-risk pregnant and postpartum woman and their children within a three county service area (Lawrence, Crawford and Richland Counties) in rural southwestern Illinois. The project mission is to provide comprehensive services for pregnant and postpartum women with substance use disorders (SUDs), along with services for their minor children, in a residential setting that supports and sustains recovery. In order to fulfill this mission, LCHD will provide a continuum of care and services to a target population consisting of pregnant and postpartum women with SUDs who are living below the federal poverty level, uninsured, unemployed, and/or underemployed. There is significant need for this project because there is a tremendous lack of appropriate treatment and recovery resources available to this population in the region, especially safe and stable recovery housing. This will be a family-centered project that will provide these women and their families with care and services such as: 1) SUD screening, assessment, and treatment (including medication assisted treatment, if needed); 2) recovery support services; 3) behavioral health care; 4) primary health care; 5) case management and care coordination; 6) harm reduction services; 7) family and child development resources and supports; and, 6) additional human and social services and supports, as required. LCHD is seeking to reduce infant and maternal mortality among populations with high needs and health disparities, decrease disruption of the family families through improved access to treatment in a safe and stable living environment, and increase access to clinically appropriate care and services for these families. All care and services provided will be based on research-validated evidence-based practices (EBPs). The main project outcome will be significantly improved maternal and child health that in turn reduces the negative impact of substance use on project participants, their children and family members. Additional key outcomes achieved through the project include: abstinence from substance use among project participants; access to safe, decent and affordable housing; improved access to vocational development and employment opportunities; significant reductions in participant criminal justice system involvement; significantly increase access to, and retention in, treatment and recovery services; improved social connectedness; and, improved treatment and recovery outcomes among populations demonstrating health disparities. LCHD will carry out the project in close coordination with a wide array of community-based partner and collaborating organizations. LCHD is the largest public health provider in the service area, and also is the service area State designated Community Mental Health Center (CMHC). It has the organizational experience, expertise and capacity to carry out this project effectively. It has significant experience in the administration and oversight of federal grant funding, and is currently a SAMHSA grantee under the Certified Community Behavioral Health Clinic (CCBHC) grant program. LCHD is requesting $525,000 in funding annually over a five year project period.