This report describes a service model developed for the Division of Children and Family Services in Wenatchee, Washington that attempts to address the needs of families impacted by substance abuse. The service area is rural and has an overwhelming drug problem. Caseload trends provide evidence for a large number of drug-related referrals and an increase in the placement of children in care. In response to these trends, the program was formulated in order to provide intensive in-home services to pregnant and parenting women. These women have family histories of dependency, violence, and abuse; are often on public aid; and generally lack self-esteem. The intervention attempts to structure their lives towards predictability. The services provided reduce the risk to children posed by their parents' substance abuse and prevent the need for out-of-home placement. Services also expedite the movement of children who are out of their homes into permanent residences. Specific services include drug assessments and counseling, on-site nursing care, recovery support groups, education about community services, and day care. (BC)