Testimony indicates that drinking is endemic among American youth and that alcoholic beverages remain easily accessible to youth under 21 years old. The hearings confirmed that youth impaired driving is a societal problem that will not be resolved in the short term or by a single approach. Testimony emphasized the pivotal role parents play in preventing youth-impaired driving. The hearings suggest that every systemwide approach to youth-impaired driving must combine prevention, deterrence, and treatment/intervention. Recommendations pertain to school responsibilities, extracurricular activities, community responsibilities, work-based activities, enforcement, licensing, adjudication, supervision, and legislation. General recommendations are that legislation should be enacted to regulate alcohol beverage advertising; education programs should emphasize the wearing of safety belts; the effectiveness of all programs must be evaluated; and the problem demands strategies that go beyond current measures. Appendixes include findings from a survey on drinking and driving among high school seniors and statistics on fatal crashes involving youth.