Suggests strategies for assessment, design, implementation, and evaluation of substance abuse prevention programs with American Indian youth. Illustrates use of each strategy with examples from drug abuse prevention activities in Northwest Indian communities. (JHZ)

Statistics indicate that while half of America's teenagers are sexually active by age 18, many of these youth do not use contraception regularly and most delay doing so for more than a year. Of the nearly 500,000 teenage pregnancies resulting in birth annually, most of the mothers are unmarried and about half are under 18. This report argues that…