In 2010, alcohol was once again the substance of choice among American youth. In fact, a greater proportion of American young people use alcohol than use other drugs or tobacco, and this use of alcohol by youth under the legal drinking age of 21 has profound negative consequences not just for underage drinkers, but also for their families, their…

This handbook describes the roles that parents, tribal governments, law enforcement personnel, courts, schools, and health care and social service providers play in alcohol and substance abuse intervention and prevention in Indian communities. It explains the legal responsibilities each group has and actions community members should expect the…