Sickle Cell Disease (SCD) is part of the family of single-gene inherited blood disorders. Living with an acute and chronic illness like SCD means being inundated with enormous amounts of information, having to make critical life-changing decisions, and complying with medical care requirements. Young African American adults face the challenge of transitioning from a parent-controlled, supportive pediatric healthcare setting to assuming greater responsibility and control over their healthcare. Research shows that this age group experiences increased morbidity and mortality due to SCD complications, disparities in adult healthcare resources, and lack of supportive services. Some living with SCD may utilize spirituality as a means of coping. Religious leaders and faith organizations have the potential to influence coping and positive health outcomes among its members, however, this age group is less actively engaged in faith communities. Young adults are less religious than older Americans, and are usually in the minority in most religious settings. A Pew Research reported, “young adults, statistically are not a booming population in a church. Statistics show that the number of young adults unaffiliated with a religion is now at 26%,” According to a more recent study, the trend is not improving as Millennials enter into adulthood. 36% of 18 and 24 are religiously unaffiliated, as are 34% of 25-33. Therefore, finding venues for integrating spiritual counseling into a system of interdisciplinary communication and support within health care is critical to helping young adults cope with and manage chronic conditions. Using quantitative and qualitative data gathered to assess spiritual awareness and coping of young African American adults living with SCD, this project will be gathering data to develop a collaborative, interdisciplinary model of care intervention in hopes of addressing integrating pastoral counseling that will foster spirituality and enhance coping.