This report summarizes two joint sessions held by the Indian Nations At Risk Task Force and the National Advisory Council on Indian Education to hear testimony on health and substance abuse prevention issues relevant to Native American children. Issues and problems fell into the following areas: (1) general health and wellness, including the need for culturally relevant programs to address issues of substance abuse and health, and Native traditional approaches to counseling; (2) prenatal and infant health, including failure of infants to thrive and fetal alcohol syndrome; (3) substance abuse prevention, including the emotional needs of students from alcohol abusing families and the growing problem of inhalant abuse; and (4) suicide prevention. For each area, recommendations for action are made, and programs and strategies that work are described. Many of these programs are cooperative efforts between schools and tribal communities and involve such strategies as: (1) leadership training for students who then start community service projects; (2) a student and adult running club; (3) traditional approaches to prenatal care and maternal education; (4) Navajo drug and alcohol programs linked to traditional healing practices and concepts of balance and order in one's life; (5) community funding of special events as incentives for improved school performances; and (6) student peer counseling. (SV)