The Strong Start Study tested an innovative, High-Fidelity Wraparound intervention with families in early recovery from substance use. The Strong Start Wraparound model addressed the complex needs of pregnant and parenting women who were in early recovery to increase the protective factors of parental resilience, social connections, concrete support in times of need, knowledge of parenting and child development, and capacity to support the social and emotional competence of children. The study enrolled pregnant women who recently had been admitted to substance use treatment and randomized half into Strong Start Wraparound and half into standard care. findings showed that Strong Start Wraparound families had more supports and less family conflict at 1 year postpartum as well as fewer self-reported mental health symptoms. Implications of these findings for the use of Wraparound with this population are discussed.