Digitally Enhanced Peer Doula Model for Perinatal Patients With Substance Use Disorder

The goal of this pilot study is to learn if a digitally enhanced peer doula program for people with perinatal substance use disorders (PSUD) is feasible and acceptable to patients and staff at two clinics. Participants will include staff members, such as healthcare providers, recovery support doulas, and administrators, who work at one of the two clinics. It will also include PSUD patients receiving care through the digitally enhanced peer doula program. Participants will be asked to complete short surveys and take part in a one-time interview with research staff. This study will also explore engagement in perinatal substance use disorder treatment and prenatal and postpartum visits.

Staff Participant Inclusion Criteria: 1. 18 years of age or older. 2. Employed by the participating clinic site and identified as care providers and/or administrative staff. Clinic roles may include: 1. Provider (including MD, CNM, DO, PA, NP, nurse, medical assistant, behavioral health clinician, social worker, lactation consultant and/or other clinical roles that provide care to patients). 2. Peer doulas. 3. Administrator (including front desk staff, scheduler, clinic and/or team manager). 4. Site leadership. 3. Able to speak English sufficiently to understand the study and, having understood, provide written informed consent to participate in the study. Exclusion Criteria: 1. Unwilling or unable to provide consent 2. Currently detained in jail, prison, residential substance use treatment facility, or other overnight facility as required by court of law; or have pending legal action that could prevent participating in study activities Patient Participant (Cohort 1 \& Cohort 2) Inclusion Criteria 1. 18 years of age or older 2. Patient of the participating site who is eligible to receive prenatal, postpartum, or delivery services •Either 1. Not currently engaged in the digitally enhanced peer doula model and no prior exposure to the model or less than 30 days exposure to the model if newly enrolled, AND currently pregnant or up to 6 weeks postpartum. OR 2. Currently engaged in the digitally enhanced peer doula model for more than 30 days, AND currently pregnant or up to one year postpartum 3. Able to speak English sufficiently to understand the study and, having understood, provide written informed consent to participate in the study. Exclusion Criteria: 1. Unable or unwilling to provide consent to participate in study activities 2. Currently detained in jail, prison, residential substance use treatment facility, or other overnight facility as required by court of law; or have pending legal action that could prevent participating in study activities 3. Currently unable to engage in the digitally enhanced peer doula model or attend research visits