Abstract
An ever-increasing cultural diversification within American society has resulted in variegated dialogues involving different cultural backgrounds, beliefs, values, practices, behaviors, and/or languages. These demographic changes combined with the complexities of contemporary racism, racial prejudice, and/or cultural miscommunication have impacted the level of addiction treatment needs for communities of color, in particular, African American and Hispanic communities. This lack of recognition of cultural differences has often led to the development and implementation of ineffective, inefficient, and inequitable substance use disorder (SUD) treatment services. Cultural competency is necessary for the effectiveness of delivery and the quality of services; however, studies have shown that some SUD treatment organizations have failed to adequately understand African American and Hispanic clients with regard to their treatment needs. To facilitate in the process of improving SUD treatment services for African American and Hispanic communities, this chapter will discuss challenges associated with SUDs by gender via the identified groups. The chapter will also explore risk factors, cultural issues, and complexities in diagnosing SUDs and co-occurring disorders (i.e., alcohol or drugs and mental health). Finally, treatment recommendations and service models that have shown to be effective when working with these two communities of color will also be presented.
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Redding-Raines, A., Monk, J.J. (2018). Portrait of Addiction. In: MacMillan, T., Sisselman-Borgia, A. (eds) New Directions in Treatment, Education, and Outreach for Mental Health and Addiction. Advances in Mental Health and Addiction. Springer, Cham. https://doi.org/10.1007/978-3-319-72778-3_4
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