Introduction
SUD
DISORDERS
Ensuring access to contraception is critical for populations at high risk for unintended pregnancies, particularly those in states with restricted abortion access. Women with a history of substance use disorders (SUD) have long suffered disproportionately high rates of unintended pregnancies. A nationally representative sample of women reported a 70% increased likelihood of unintended pregnancy among women with preconception illicit or recreational drug use, compared to those with no drug use [Women with history of SUD often desire contraception but face access barriers [Entry into recovery services is an opportune time to help individuals meet unmet contraception desires. While contraception access is important at all stages of SUD including recovery, women describe recovery initiation as a time of peak readiness to address broader health needs. Further, women initiating recovery generally state they prefer to plan pregnancies for a time when they have reached stable, long-term recovery [Although some studies have shown increased contraceptive use with SUD recovery-based interventions, they have had limitations [We designed an intervention, 