Attitudes toward alcohol abuse are changing in Indian country. A number of separate but complementary attitudes are creating a circle of support in the fight against alcohol abuse. These new attitudes hold that: (1) Native Americans are not condemned by their race to a destiny of alcohol-related problems, but, rather, have a choice; (2) abstinence…

According to a national survey, about 80% of American Indian and Alaska Native youth have experimented with alcohol or drugs, compared to about 50% of youth nationwide. Particular risk factors for Native youth include low self-esteem, post-traumatic stress, and culture conflict arising from differences between traditional Native values and values…