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Unfortunately, women with substance use disorders often do not receive adequate prenatal care. Barriers to accessing care for pregnant women with substance use disorders include medical and psychiatric comorbidities, transportation, caring for existing children, housing and food insecurity, and overall lack of resources. In a health care system where care is delivered by each discipline separately, lack of communication between providers causes poorly coordinated services and missed opportunities. The integration of mental health and substance use treatment services in medical settings is a goal of health care reform. However, this approach has not been widely promoted in the context of maternity care. The Dartmouth\u2010Hitchcock Medical Center Perinatal Addiction Treatment Program provides an integrated model of care for pregnant and postpartum women with substance use disorders, including the colocation of midwifery services in the context of a dedicated addiction treatment program. A structured approach to screening and intervention for drug and alcohol use in the outpatient prenatal clinic facilitates referral to treatment at the appropriate level. Providing midwifery care within the context of a substance use treatment program improves access to prenatal care, continuity of care throughout pregnancy and the postpartum, and availability of family planning services. The evolution of this innovative approach is described. This article is part of a special series of articles that address midwifery innovations in clinical practice, education, interprofessional collaboration, health policy, and global health.<\/jats:p>","DOI":"10.1111\/jmwh.12340","type":"journal-article","created":{"date-parts":[[2015,12,21]],"date-time":"2015-12-21T13:21:09Z","timestamp":1450704069000},"page":"706-712","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":58,"title":["Improving Access to Maternity Care for Women with Opioid Use Disorders: Colocation of Midwifery Services at an Addiction Treatment Program"],"prefix":"10.1111","volume":"60","author":[{"given":"Daisy","family":"Goodman","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,12,14]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/1748-5908-8-110"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugpo.2007.03.001"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1176\/ps.2010.61.1.38"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2012.3951"},{"key":"e_1_2_6_6_1","author":"Feely P","journal-title":"\u2018Alarming\u2019 rise seen in drug\u2010addicted infants"},{"key":"e_1_2_6_7_1","unstructured":"Mainefocus Newly born and withdrawing from drugs: As number of Maine babies exposed to opiates rises experts explore new options"},{"key":"e_1_2_6_8_1","unstructured":"Neonatal Abstinence Syndrome 2013 New Hampshire Department of Health and Human Services Maternal Child Health Division"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1038\/jp.2008.70"},{"key":"e_1_2_6_10_1","unstructured":"American College of Obstetricians and Gynecologists Committee on Health Care of Underserved Women.Opioid Use Dependence and Addiction in Pregnancy. 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