Young mothers suffering with opioid addiction are not a central emphasis of present-day treatment approaches. This research project explored perspectives of social workers who counsel young mothers suffering with opioid addiction. A qualitative research approach focused on systems theory and was designed to tell the story of individual experiences. Semi-structured questions were asked to a focus group consisting of six master’s level social workers to develop explanations and a better understanding of the problem. Systems Theory was the constant premise discussed throughout the focus group. Themes identified by the focus groups that directly impact this group of women were services, informal supports, community supports, and the legal system. Young mothers with opioid addiction face significant barriers to long-term sobriety. They often face financial insecurity, housing uncertainty, and transportation issues. By, understanding the clients’ systems and how they impact the client, the social worker can be instrumental in helping the client to choose positive support system relationships. These relationships are assets and can reinforce the mother’s goal to reach and maintain recovery. A sober mother is considered to be a healthier and better-quality woman, mother, friend, daughter, employee, etc. The findings of this study will help social workers to be more successful with opioid addicted young mothers by identifying strategies that have had successful outcomes with this population leading to positive social change