The Solid Start Initiative recognizes that pregnancy is a critical window for disrupting intergenerational trauma. It will leverage this opportunity to improve mental health for Black patients at Zuckerberg San Francisco General Hospital and Trauma Center’s obstetrics, midwifery, and gynecology clinic. The goal is to strengthen coordination between Black patients and lead care managers who can streamline perinatal depression screenings and mental health care, as well as connect patients to doulas.