There is a serious lack of research and information on effective treatment approaches and modalities for Latinas. Latinas are less likely than other persons to seek treatment, less likely to complete treatment, and women with drinking problems may not initiate or continue treatment in a program that misunderstands or ignores important aspects of their lives. This article argues for the development of a theoretical framework for the treatment of alcohol abuse and dependency among Latinas based on feminist, cultural and community perspectives. Culturally competent programs should be supportive, non-judgmental and empowering places where Latinas can find relief from stigma and guilt, support for their choices from other women like themselves, understanding and insight into their own behaviors, education and job training, childcare and parenting education and family involvement in their treatment and recovery. Culturally competent programs for Latinas should lessen the risk of alcohol problems associated with changes in gender roles and lifestyles and reduce cultural and community stigma associated with female alcoholism. Notes, references