New dawn-warrior women - the overall purpose of new dawn-warrior women is to enhance and expand access to affirming culturally tailored substance use disorder (SUD) and CO-occurring disorder (COD)…

New dawn-warrior women - the overall purpose of new dawn-warrior women is to enhance and expand access to affirming culturally tailored substance use disorder (SUD) and CO-occurring disorder (COD) harm reduction, treatment, and recovery support services for under-resourced indigenous women from across the state of arizona and hispanic women from southern arizona-primarily in pima county. The university of arizona's southwest institute for research on women (sirow), the haven, and the pima county health department will collaborate on new dawn-warrior women to achieve this purpose. New dawn-warrior women will provide culturally-tailored comprehensive residential, intensive outpatient, and outpatient SUD and COD harm reduction, treatment, and recovery support services to 135 unduplicated under-resourced indigenous and hispanic women who have SUD or COD (year 1=35; year 2=45; YEAR3=55). The majority of these participants are expected to be ages 18-45, to have dependent children, to be living at or below the poverty line, and to be homeless or near-homeless. The culturally-tailored treatment and services will include substance use and relapse prevention, family therapy and parenting classess; evidence-based practices to address substance use and mental health issues; primary and family care services; an array of recovery support services; active case management; as well as housing, vocational, and job placement support adapted to meet the unique needs of indigenous and hispanic women. In addition, the services will include the women-centered, culturally-tailored sirow health education for women sexual and relationship health intervention (sirow-HEW), which includes an educational and motivational curriculum, sexual risk preventive behavioral skill development, and viral hepatatis, sexually transmitted infection, and HIV testing, counseling, and treatment. In addition, new dawn-warrior women will expand activities for the haven's native ways, an awrd-winning program that offers culturally supportive treatment options for indigenous women with SUD or COD. The new dawn-warrior women project team will utilize ongoing monitoring and evaluation to inform ongoing quality improvement and to examine the effectiveness of SUD and COD treatment, sirow-HEW, and related services in decreasing substance use and related risk behavior and improving health-related well-being among indigenous and hispanic women. Throughout the duration of new dawn-warrior women, the project team will regularly engage stakeholders to provide project support; will reinforce capacity by providing ongoing trainings; and will disseminate SUD, COD, and health risk relevant information and resources to practitioners and the public.