The Mindfulness-Based Stress Reduction program (MBSR) was offered in a community-based addiction treatment setting to provide skills training for relapse prevention. The population consisted of highly marginalized and poor African American and Latina women with histories of trauma. Through an iterative feedback process, the more systematized MBSR practices were adapted to meet the specific needs of this population. Adaptations focused on the role of stress in relapse prevention and addressed the following common sequelae of addiction and trauma-shortened attention span and sensitivity of particular body areas to revived traumatic memories-as well as low literacy levels of the population served. With appropriate adaptations, MBSR can be implemented successfully for relapse prevention in early recovery. Client ratings indicated high levels of acceptability and satisfaction. BACKGROUNDResearchers and treatment providers in the field of addictions have become increasingly aware of the strong relationship between substance abuse and Correspondence should be addressed to Zayda Vallejo,

We examined feasibility, acceptability, and benefits of a mindfulness-based relapse prevention (MBRP) intervention in a racially and ethnically diverse sample of 318 low-income women in substance use disorder treatment (2003-2006). The study used a single group, repeated measures design. Participant satisfaction was high (M = 3.4, SD = .3), but completion was modest (36%). Linear regressions examining change in addiction severity and psychological functioning by dosage showed that higher dosage was associated with reduced alcohol (β = -.07, p < .05), drug severity (β = -.04, p < .05), and perceived stress (β = -2.29, p < .05) at 12 months. Further research on MBRP efficacy for this population is warranted. The study's limitations are noted.

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