The problem of alcohol and other drug (AOD) abuse is significant to the American Indian and Alaska Native (AI/AN) community. Al cohol disorders, although not as rampant as stereotypes might sug gest, are disproportionately prevalent in the AI/AN population, and are associated with a variety of social problems. Although tribes dif fer in their rates of general alcohol use, with overall rates less than the overall US population, the general prevalence of problem drinking in AI/AN populations is substantially higher than overall US rates, often by a factor of two or three times (see May, 1994, for a detailed review). Brian McCaffrey (2000), the drug control adviser for the Clinton administration, reports that 19.6 percent of teenage Ameri can Indians used illicit drugs, the highest rate of any group in the country. The national average for adolescents ages twelve through seventeen is 9 percent. While Indians as a whole drink alcohol at a lower rate then the general population, the alcohol-related deaths