In order to help the most vulnerable children in our community we need to break the multi-generational cycle of substance use. Through a collaborative effort of doctors, nurses, social workers, counselors, and researchers we have developed a set of tools that help begin important conversations between families and community health professionals. We are looking to build a strong continuum of care that starts with trust between families struggling with substance use and the community that wants to help them. The Care Notebook that we have developed for women of child bearing age and The Screening and Referral Toolbox for community health professionals has been received with great enthusiasm by all parties. We are looking for support to continue on this journey, to supply more resource guides, and through the unabating support of our community help to decrease the number of babies exposed to substances in-utero.