In 1997, the Federal drug control budget totaled $16 billion, with more than two-thirds targeted on drug enforcement, interdiction, and international programs to reduce the supply of drugs coming into the United States. Nonetheless, drugs are more readily available at cheaper prices than ever before, and teenagers in some cities report it is easier to obtain marijuana than beer. The National Drug Control Strategy recognizes the urgent need to teach children to resist drugs, and a $195 million antidrug advertising initiative has been approved. Even so, prevention remains the lowest priority in the Federal drug control budget. More Federal funds are spent for incarcerating drug offenders than for drug education and prevention programs. Several promising programs are highlighted that reflect innovation in drug prevention and treatment. The extent of alcohol, tobacco, and other drug use by young people is examined. Perceptions and attitudes of adolescents toward drug use are considered, key elements of an effective drug prevention curriculum are outlined, and the link between child abuse and family violence and drug use is addressed. Consideration is also paid to needle exchange programs, drug courts, driving under the influence, and violent crime. References and figures