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Black adolescents in the United States experience disproportionate rates of substance‑use disorders (SUDs) and face unique barriers to treatment, including systemic racism, socioeconomic disadvantage, and cultural stigma. This paper reviews the current epidemiology, explores psychosocial and structural contributors, and proposes a “free‑access” framework that integrates community‑driven prevention, culturally responsive treatment, and policy reforms. By emphasizing low‑cost, stigma‑free resources—such as school‑based brief interventions, peer‑support networks, tele‑health platforms, and publicly funded recovery programs—this model aims to reduce the prevalence of addiction among Black boys and promote long‑term health equity.

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