The recent trends in the use of alcohol, tobacco, and marijuana among people in Germany are outlined, followed by a description of the prevention and treatment approaches that have been undertaken. Treatment is divided into two branches: one for those with alcohol dependence and one for those dependent on other drugs. Germany offers an extensive network of outpatient and inpatient treatment services that include methadone dispensaries, detoxification centers, and aftercare programs. Social workers comprise a key element of the German treatment approach, serving in both inpatient and outpatient facilities. Those in in-patient facilities generally have additional training in psychotherapy. The article describes the role of the social worker as changing; becoming more professional as social workers increasingly become involved in research about substance dependencies. In conclusion, the author asserts that as time progresses and more is learned about alcohol and drug dependence, social work training will need to change to reflect the greater knowledge. References