Part I explores conceptual issues and their application in alcohol and other drug (AOD) service delivery systems. Papers in this section chronicle the historical development of early prevention, intervention, and treatment efforts. Definitions of related terms are also presented. The development of a culture-specific and multicultural framework in the AOD field is the focus of papers in Part II of the book. It blends what is known about the five major racial and cultural groups in America with current treatment, prevention, and intervention strategies. These cultural groups are examined in terms of their history, demographics, patterns of AOD use and abuse, customs, beliefs, values, attitudes, norms, traditions, and learning and communication styles. The management of diversity is discussed in Part III. This final section addresses effective management strategies in the AOD field. The book concludes with four major related recommendations. These recommendations call for radical changes in public policies that impact AOD and point out the need for system change and a paradigm shift in traditional planning and service delivery in the AOD field. Chapter references and tables and appended goals and objectives of multicultural framework, multicultural substance abuse prevention program forms, and author and subject indexes