Abstract:Comorbid Post-Traumatic Stress Disorder (PTSD) and Alcohol Use Disorder (AUD) are highly prevalent among U.S. military Veterans, with rates significantly exceeding those seen in the general population (Fuehrlein et al., 2016). This dual diagnosis is associated with severe clinical and functional impairments, including suicidal ideation, increased suicide attempts, cognitive dysfunction, and reduced quality of life (Blanco et al., 2013; Rojas et al., 2014; Normal et al., 2018). Despite the profound impact of PTSD and AUD on Veterans, culturally and linguistically adapted tools for assessing these conditions are lacking for Hispanic populations, particularly Hispanic Veterans. Current instruments, such as the Alcohol Craving Experience Strength Scale (ACE-S), the Responses to Script-Driven Imagery Scale (RSDI), the Alternating Block Design Imagery Paradigm, and the Script-Driven Imagery Paradigm, have not been validated in Spanish or tailored for this population. This gap underscores the need for effective assessment tools to support treatment in Hispanic Veterans with PTSD and AUD.This study aimed to translate and culturally adapt the ACE-S, RSDI, Alternating Block Design Imagery Paradigm, and the Script-Driven Imagery Paradigm for Hispanic Veterans with PTSD and AUD. The process included forward and back translation, expert panel review and qualitative evaluation through an in-depth interview. The results demonstrated that the translation and cultural adaptation process successfully identified and addressed linguistic and cultural nuances, leading to clearer and more culturally aligned terminology to the targeted population. This study contributed to the growing body of research on culturally responsive mental health assessment tools. By addressing gaps in the availability of validated instruments for Hispanic Veterans, this research enhances the capacity for treatment and intervention.