Inclusion Criteria:  Study participants will be Milagro patients Engaged in medication assisted treatment At least 18 years of age Can read and speak English Are willing to be contacted for follow-up \ Are not incarcerated Are within the first or second trimester of pregnancy  Exclusion Criteria:  The study will not enroll non-English speaking Milagro patients Patients with obvious cognitive impairments Patients with the inability to provide informed consent.