This presentation will focus on (a) providing the theoretical rationale for the use of couple’s therapy for substance-abusing patients (b)describing theoretical and practical underpinnings of Behavioral couples’ therapy for substance use disorders (BCT-SUD) along with key components of this intervention, (c) reviewing eligibility criteria and contra-indications, and d) presenting a potential model for implementation. Research results of numerous studies over the past four decades have consistently revealed the effectiveness of couple and family-based approaches for drug and alcohol abuse.