This study aims to examine the relationship between family rituals, religious involvement, mental health, and drug attitudes among 141 African-American women recovering from substance abuse. Results indicate a significant negative relationship between religious attendance and substance abuse. A hierarchical regression analysis found that mental health problems and mental health problem severity together were significant predictors of substance use, and that church attendance with one's family (religious ritual) accounted for a significant portion of the variance for substance abuse, above and beyond the variance accounted for by mental health problems and drug attitudes.