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This 12\u2010month study explored associations of family adverse circumstances and services (case management, therapeutic, and community\u2010based) received by 57\u2010mothers with SUDs and their infants (less than 24\u2010months\u2010old) with changes in social\u2010emotional functioning. All mothers were enrolled in a relationship\u2010based case management program (Parent\u2013Child Assistance Program [PCAP]) that emphasized connecting mothers to appropriate community services. A subset of mothers was additionally provided a trauma\u2010focused psychotherapeutic intervention (infant\u2013parent psychotherapy [IPP]). Dyads in both treatment groups improved in overall social\u2010emotional functioning as assessed by the Functional Emotional Assessment Scale (FEAS). A combined\u2010sample regression analysis revealed that improved FEAS scores were significantly predicted by the number of community services received but not by PCAP case management hours (IPP was not included in this analysis). More adverse circumstances were associated with less improvement in social\u2010emotional functioning in the children; but among the mothers trauma level did not predict FEAS scores. 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