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…

Rather than viewing youth as an isolated and alienated subculture, it is more useful to view the needs of youth as largely determined by where and how they live, and to recognize that they differ from one another just as adults do. Professionals and volunteers in community youth programs need to understand how the youth they work with experience…