RiverValley Behavioral Health, a Community Mental Health Center located in Western Kentucky, proposes to expand residential treatment and recovery housing services for pregnant and postpartum women with substance use disorders utilizing a holistic, family-centered, comprehensive approach that extends to family members and the minor children of the women in treatment or recovery housing. The majority of the catchment area is medically underserved and the goals of this project are to increase capacity to provide care coordination, case management, supported employment, and housing assistance; provide harm reduction services; offer trauma-informed services to minor children, fathers of the children, partners of the women, caregivers for the children, and extended family members; address disparities in care by increasing staff competency in providing culturally and linguistically appropriate services; and add evidence-based primary prevention strategies to promote physical health and address the social determinants of health. The expected outcomes are to reduce infant and maternal mortality, decrease disruption of the family unit through improved access and retention in treatment, and increase access to clinically appropriate evidence-based substance use disorder residential services. 500 unduplicated individuals will be served during the project.