Finding show that in 2001 more than 564,500 students were served by general prevention programs and more than 43,000 were evaluated for prevention counseling. Prevention services in New York are in large part made up of Student Assistance programs and prevention counseling. Literature defines four counseling processes consistent across student assistance and prevention counseling programs that present areas for further investigation that will lead to a greater understanding of services that are reaching many New York State adolescents. These processes are identifying and referring students into the program, an assessment process, a referral process for sending children on to other needed services, and aftercare and case management services. Evaluating these components to determine the best methods in use, and how to improve all services, will have a tremendous impact on the future of many in our society. Given the concerns cited earlier in regard to fidelity of implementation of the curriculum-based interventions, it would appear worthwhile to invest resources in evaluating programs that have developed naturally, in addition to finding the best ways to implement researched programs. Data were collected from 137 surveys completed by substance abuse prevention providers funded or overseen by Office of Alcoholism and Substance Abuse Services (OASAS) in the State of New York. Tables and references