One out of every seven working age African Americans has an impairment that affects functioning in activities of daily living. These statistics suggest that most African Americans are touched by disability. This book examines the psychosocial aspects of disability and chronic illness using a culturally congruent framework. Chapters address prevalance, health and rehabilitation utilization patterns, the role of culture, empirical research, and strategies for improving mental health and functional outcomes. This book will be useful to professionals who work with people with disabilities, policymakers, and consumers, as well as faculty and students in rehabilitation, health, and African American courses.