Substance abuse among young people is of critical concern to public health
nurses. When substance abusers are young mothers without the skills, experi
ence, guidance, or resources to became adequate parents, this problem is co
mpounded. This study examined a community-based intervention program for yo
ung mothers from the perspective of 42 participants, A qualitative, descrip
tive design was used within a process of participatory action research. Two
major domains emerged from the data: risk perceptions and behaviors, and h
ealth promoting perceptions and behaviors. The study demonstrated the value
of obtaining data from the participants and offers implications for practi
ce and research.