“…Indeed, 13.7% of African American males and 5.5% of African American females meet criteria for past year substance abuse or dependence. Importantly, among substance users in both community (Gillespie et al, 2007; Hagman et al, 2009) and clinical (Alterman et al, 2009; Bender et al, 2007) settings, heavy use of substances is associated with increased substance use problems (SUP), defined hereafter as negative physical (e.g., poor eating habits, declining physical health), psychological (e.g., mood changes, feelings of guilt), and social (e.g., damaged relationships and social life) consequences of substance use (Blanchard et al, 2003; Gillespie et al, 2007; Newcomb and Locke, 2005; Office of National Drug Control Policy, 2004). Substance use problems are a particular concern among African American substance users receiving treatment, who also evidence high rates of comorbid psychopathology (Chen et al, 2011).…”