Feasibility and Acceptability of a Telehealth Intervention Among Women With Perinatal Mental Health

Inclusion Criteria: * Women 18 and older who, at the time of enrollment * Have a viable pregnancy or who are up to 12 months postpartum, * Read and understand English, and * Have an access to electronic device with internet access. And who have at least one of the following risk factors for perinatal depression/anxiety: * Have an Edinburgh Postnatal Depression Scale (EPDS) score of 9-20, * History of depression or anxiety, * Have experienced two or more significant life events that put them at risk for developing depression (measured on the screening questionnaire), * Have an NIDA Quick Screen and answered "yes" with any choices, * Have a total score of NIDA Modified ASSIST 0-26 (mild to moderate risk) and report the use of common substances (cannabis, prescription opioids, inhalants, prescribed stimulants, and sedatives or sleeping pills) based on NIDA-Modified ASSIST. Exclusion Criteria: * Less than 18 years old * Have an EPDS score \> 20 * Have a NIDA Modified ASSIST score \> 26; * Have a current diagnosis of a serious mental illness, such as psychosis, schizophrenia, bipolar disorder, severe depression, or suicidality * Have a current diagnosis of substance use disorder; or * Currently use street opioids, cocaine, methamphetamine, and/or hallucinogens based on NIDA-Modified ASSIST