ABSTRACT
Pregnant Hispanic women face compounded risks of substance use disorder (SUD) and trauma exposure, yet little research explores their resilience and coping from a strengths-based lens. This qualitative study explored the lived experiences of eight women enrolled in an integrated obstetric and SUD treatment program who reported a recent prenatal alcohol or other drug use event (defined as any instance of substance use during pregnancy). Using interpretative phenomenological analysis (IPA), we identified key themes that facilitated recovery, including social support, self-efficacy, and motivation. Framed within Yosso’s (2005) community cultural wealth (CCW) framework, findings highlight how familial, social, and navigational capital supported women in returning to harm-reducing strategies and sustaining abstinence following a use event. These results emphasize the need for strengths-based interventions and policies that enhance resilience, reduce stigma, and promote long-term recovery support for pregnant Hispanic women with SUD and other co-occurring mental health conditions.