The role of ESW in clients’ lives What became clear from this research is the importance of the role that ESW service co-ordinators play in their clients’ lives and in the communities in which they work. [...] Expanding and enhancing the community service network may lead to improved outcomes and improved access to services for women who are in need of support for the prevention of FASD and other harm caused by substance use. [...] The results of this research describe the complex nature of the lives of women involved in ESW and other addiction services. [...] The goal of ESW services is two-fold: • enhancing AADAC treatment outreach into the community to better provide addiction service to pregnant/at-risk substance-using women and increase their access to other support services in the community; and • strengthening the service network to better meet the needs of at- risk/pregnant women through training, case management and advocacy. [...] This report describes the various components that comprise the “essence” of the shared experience of making changes in the lives of clients in the ESW program.