This qualitative study explored substance abuse providers' attitudes, perceptions and beliefs about the impact of crack cocaine in the African American community.

Fifteen participants were surveyed utilizing a semi-structured interview guide about (a) their experiences working with African American clients; (b) biases, stereotypes and stigmas that have impacted African Americans in relation to the use of crack cocaine; and (c) attitudes, perceptions and beliefs about the media's role in the racialization of imagery and its impact on the African American community.

Participants reported multiple significant indicators regarding a client's success in treatment as well as the competence of providers who work with African American clients. Furthermore, participants indicated that a thorough knowledge base of the historical experience of African Americans and its implication for the use of crack cocaine is necessary. Mental health professionals need to have a better understanding of the historical impact of crack cocaine on African American individuals, families and the community as a whole.