The six OB/GYN practices that are participating in the RI Department of Health-sponsored learning collaborative to improve universal screening and treatment of pregnant women (depression, anxiety and SUD) met and reported out on their screening results, successes, and challenges. The practices have all been successful in developing and implementing screening work flows and have made steady progress in increasing screening rates. Historically, practices have been routinely screening for depression. For many of the practices, screening for anxiety and substance use disorder using standardized tools is new. Practices reported that many patients have appreciated the opportunity to discuss anxiety, particularly in the context of COVID-19.