Findings from recent epidemiological investigations indicate that substance use in rural America has increased to the point where it nearly equals, if not exceeds, the rates found in suburban and urban areas. Although previous research has examined factors that have influenced use patterns, little attention has been devoted to the social and…

This model starts with the assumption that a drinking problem is a family problem. Alcoholism is seen as a complex, progressive illness dangerous not only to the individual drinker but also to his family, friends, and society as a whole. Early intervention is seen as important in dealing with the problem. Early warning signs and symptoms are set…

Student responses were elicited in classroom discussions about alcohol use in their own rural community. Teachers and parents responded to questionnaires and interviews concerning various aspects of alcohol consumption as part of the local lifestyle. Students gave reasons for drinking such as ethnic and religious acceptance in the local community,…