Nine fundamental issues were presented to the conference in plenary session. Each issue was analyzed, and response recommendations were developed by the participants in six small groups. The groups were composed of judges, agency and organization guests, and faculty resource persons. The issues were the reality of substance use/abuse; supply/demand sides of the substance abuse equation; screening, testing, assessing, and evaluation of substance use/abuse in cases referred to courts; the timing of court intervention in substance abuse; court authority to intervene in juvenile and family substance abuse; effective intervention and treatment; youth groups' involvement in substance manufacture, distribution, and sale; interjurisdictional coordination; and community leadership by judges. This report outlines the findings and recommendations for juvenile and family courts in each of the aforementioned areas.