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…

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…