This presentation provides a framework for treating the pregnant and parenting population experiencing challenges with substance use disorder, using a gender-responsive treatment approach. Shame and fear of severe consequences, such as losing custody of one’s children, may result in the denial or minimization of the existence of a problem. This in addition to society’s stereotypes of women often result in women remaining stuck in their substance use longer. Additionally, a significant percentage of women presenting for substance use treatment often report a history of trauma as well as difficulty in developing and maintaining meaningful, healthy, and sustaining relationships, which often goes unaddressed and influences the experience of addiction. Due to these issues, this workshop will discuss clinical practices to help improve outcomes for this population, with specific focus on gender and trauma responsive approaches for women’s addiction treatment.