Reviews what is known about drug and alcohol abuse in rural settings, to identify gaps in this knowledge base, and to suggest areas for further study. The first 4 chapters establish the characteristics of rural settings and the interpersonal social contexts that shape drug and alcohol abuse patterns and services. There are chapters on the health, social, and economic consequences of the abuse of drugs and alcohol. Also, prevention and treatment services, access and delivery issues, and information dissemination to improve these services. Presents the special needs of rural Native American, African-American and Hispanic-American.