Prevention and treatment professionals play a key role in combating underage drinking. This section provides health-specific information about underage drinking and resources for developing prevention and treatment programs.

2005 National Injury Prevention and Control Conference: Injury and Violence in America 
Centers for Disease Control and Prevention
Alcohol use among youth is a major risk factor for injury. The purpose of this study conducted by the Centers for Disease Control was to quantify recidivism and related characteristics of youth completing an injury prevention program for first-time offenders of underage drinking laws as part of a program evaluation.

2005 National Injury Prevention and Control Conference: Injury and Violence in America

Alcohol Alert No. 58: Changing the Culture of Campus Drinking (October 2002) 
National Institute on Alcohol Abuse and Alcoholism
Drinking on college campuses is more pervasive and destructive than many people realize. The extent of the problem was recently highlighted by an extensive 3-year investigation by the Task Force on College Drinking, commissioned by the National Institute on Alcohol Abuse and Alcoholism (NIAAA).

Alcohol Alert No. 58: Changing the Culture of Campus Drinking (October 2002)

Alcohol Alert No. 59. Underage Drinking: A Major Public Health Challenge 
National Institute on Alcohol Abuse and Alcoholism
This Alcohol Alert describes some of the most harmful consequences of underage drinking, as well as prevention and treatment approaches that can be applied successfully to meet the unique needs of this age group.

Alcohol Alert No. 62: Alcohol - An Important Women's Health Issue 
National Institute on Alcohol Abuse and Alcoholism
This Alcohol Alert summarizes some of the most practical implications for women's alcohol consumption across the lifespan.

Alcohol Alert No. 67 : Underage Drinking - Why Do Adolescents Drink, What Are the Risks, and How Can Underage Drinking Be Prevented?  
National Institute on Alcohol Abuse and Alcoholism
Alcohol is the drug of choice among youth. Many young people are experiencing the consequences of drinking too much, at too early an age. As a result, underage drinking is a leading public health problem in this country. Each year, approximately 5,000 young people under the age of 21 die as a result of underage drinking; this includes about 1,900 deaths from motor vehicle crashes, 1,600 as a result of homicides, 300 from suicide, as well as hundreds from other injuries such as falls, burns, and drownings (1–5).

Alcohol Alert No. 68: Young Adult Drinking 
National Institute on Alcohol Abuse and Alcoholism
This Alcohol Alert describes why young people often choose to drink and how alcohol affects their brains.

Alcohol and Development in Youth— 
National Institute on Alcohol Abuse and Alcoholism
The recent National Research Council and Institute of Medicine report, Reducing Underage Drinking: A Collective Responsibility, underscores the dangers of underage drinking, even when the level of drinking falls short of a diagnosable condition. This report also proposes a strategy to begin to address this issue. This issue of Alcohol Research & Health is a first step in National Institute on Alcohol Abuse and Alcoholism’s (NIAAA) efforts to bring the developmental perspective to bear upon the problem of underage drinking.

Alcohol Marketing and Advertising: A Report to Congress 
Federal Trade Commission
This Federal Trade Commission report, requested by Congress, examines whether the beverage alcohol industry implemented the recommendations contained in the Commission’s 1999 report to Congress regarding alcohol industry self-regulation and the impact of advertisements for new flavored malt beverages on underage consumers.

Alcohol Marketing and Advertising: A Report to Congress

Alcohol Research & Health: Focus on Young Adult Drinking 
National Institute on Alcohol Abuse and Alcoholism
Alcohol Research & Health is NIAAA’s quarterly, peer-reviewed scientific journal. This issue focuses on young adult drinking and contains a special section on prevention. The articles in this volume provide data and discuss social and psychological consequences, violence, maturation, brain and body development, environmental influences, and international perspectives.

Application of Antitrust Principles to Voluntary Industry Efforts to Restrict Marketing to Underage Persons 
Federal Trade Commission
Restrictions in industry self-regulatory codes that are reasonably designed to prevent the targeting of alcohol advertising to underage persons are unlikely to violate the antitrust laws.

College Drinking: Changing the Culture 
National Institute on Alcohol Abuse and Alcoholism
The goals of the Task Force on Underage Drinking are threefold: 1. Provide research-based information about the nature and extent of dangerous drinking to high school and college administrators, students, parents, community leaders, policymakers, researchers, and members of the retail beverage industry 2. Offer recommendations to college and university presidents on the potential effectiveness of current strategies to reverse the culture of drinking on campus 3. Offer recommendations to the research community, including NIAAA, for future research on preventing hazardous college student drinking.

College Drinking: Changing the Culture

CSAT Inventory of Effective Substance Abuse Treatment Practices 
Substance Abuse and Mental Health Services Administration
The Center for Substance Abuse Treatment (CSAT) promotes the quality and availability of community-based substance abuse treatment services for individuals and families who need them. CSAT's Inventory of Effective Substance Abuse Treatment Practices is a helpful resource for locating effective treatment practices for adolescents.

Focus On Prevention 
Center for Substance Abuse Prevention
This guide was developed to help a wide range of groups and communities move from concerns about substance abuse to proven and practical solutions. It is a starting point that offers brief, practical, and easy-to-read information that is useful in planning and delivering prevention strategies.

FTC Report Cites Improvements in Alcohol Industry Self-Regulation 
Federal Trade Commission
This press release accompanies the FTC’s 2003 report to Congress on self-regulation of alcohol marketing

Healthy Youth! Alcohol & Drug Topics 
Centers for Disease Control and Prevention
This site provides data and statistics, science-based strategies, and references for alcohol and drug use among youth.

Indicators of School Crime and Safety No. 17: Student’s Use of Alcohol on School Property and Anywhere 
Institute of Education Sciences
In the Youth Risk Behavior Survey, students in grades 9–12 were asked whether they had consumed alcohol at all in the past 30 days (referred to as “anywhere” in this analysis) and if they had consumed alcohol on school property. This indicator reviews the use of alcohol among young people.

Life’s First Great Crossroad: Tweens Make Choices That Affect Their Lives Forever 
Centers for Disease Control and Prevention
We are all too familiar with today’s portrayal of teenagers—rebellious, difficult, and driven by peer pressure. However, what we don’t see is that kids often start making good or bad choices before their teen years. Often referred to as the tween years, children between 9–13 years of age (grades 4–8) are straddling the fence between childhood and choice. On the one hand, they are beginning to branch out in their lives, looking to new horizons and taking on new responsibilities. Yet, as children, they still look to their parents for guidance about what is right and what is wrong; they still longingly seek approval and support from the adults who surround them. Tweens are facing life’s first great crossroad: the decisions they make today will last a lifetime. If we reach them now, we can help them grow into healthier adults.

National Institute on Alcohol Abuse and Alcoholism's Initiative on Underage Drinking 
National Institute on Alcohol Abuse and Alcoholism
This initiative is an undertaking borne of the convergence of recent scientific advances and increased public concern about the seriousness of this longstanding societal problem.

NIH News Release: College Drinking Hazardous to Campus Communities. Task Force Calls for Research-Based Prevention Programs  
National Institute on Alcohol Abuse and Alcoholism
The consequences of college drinking are larger and more destructive than commonly realized, according to a study supported by the National Institute on Alcohol Abuse and Alcoholism (NIAAA). Commissioned by the NIAAA Task Force on College Drinking, the study reveals that drinking by college students ages 18–24 contributes to an estimated 1,400 student deaths, 500,000 injuries, and 70,000 cases of sexual assault or date rape each year. It also estimates that more than one-fourth of college students in this age group have driven in the past year while under the influence of alcohol.

OJJDP: EUDL Program Tackles Underage Drinking 
Office of Juvenile Justice and Delinquency Prevention
The Center for Enforcing Underage Drinking Laws can be reached here and offers many resources OJJDP has developed to help prevent and reduce underage drinking.

Pediatrics Journal Supplement for Physicians—News Release  
National Institute on Alcohol Abuse and Alcoholism
“These papers comprehensively address the complex relationship between development and underage drinking,” noted Vivian B. Faden, Ph.D., deputy director of NIAAA’s Division of Epidemiology and Prevention Research and co-editor of the Pediatrics supplement.

Peers and Their Relationship to Family 
Office of National Drug Control Policy
Peers have long been recognized as a key influence on adolescents’ choices with respect to substance use. Some studies that look at peer influence in relationship to family influence are reviewed in this article.

Public Services Activities by the Beverage Alcohol Industry 
Federal Trade Commission
The alcohol industry’s public service efforts include an array of programs and resources designed to reduce the harm associated with underage and abusive drinking, and to assist enforcement of the legal drinking age and drunk-driving laws. Many of these programs are undertaken in partnership with local, State and national community organizations, educational groups, and Government agencies. Materials are widely available free of charge, and often in different languages. This appendix gives examples of initiatives supported by industry organizations and individual companies.

Quick Stats Underage Drinking 
Centers for Disease Control and Prevention
This fact sheet provides general statistics on underage drinking and includes facts about drinking levels among youth, consequences of underage drinking, and prevention of underage drinking.

Reach Out Now National Teach-In Media Package 
Substance Abuse and Mental Health Services Administration
The Reach Out Now National Teach-In media package contains tools that can help engage the media’s support in local Teach-In events. Materials in this kit include a sample press release, sample media advisory, talking points, and sample proclamation.

Reach Out Now National Teach-In Media Package

SAMHSA National Registry of Evidence-Based Programs & Practices 
Substance Abuse and Mental Health Services Administration
NREPP is a searchable database of interventions for the prevention and treatment of mental and substance use disorders. SAMHSA has developed this resource to help individuals, agencies, and organizations implement programs and practices in their communities.

SAMHSA's Office of Applied Studies (OAS) Web site on Underage Drinking 
Substance Abuse and Mental Health Services Administration
SAMHSA's OAS collects and reports on national and State data to assist policymakers, treatment providers and patients make informed decisions regarding the prevention and treatment of mental and substance use disorders. This specific site on underage drinking includes reports on underage drinking, detailed tables on underage and legal age drinking, SAMHSA’s National Survey on Drug Use and Health, current rates of underage drinking by race/ethnicity, region, and size of metropolitan area, and underage drinking trends by State and region.

Self Regulation in the Alcohol Industry: A Review of Industry Efforts to Avoid Promoting Alcohol to Underage Consumers 
Federal Trade Commission
This Federal Trade Commission report, requested by Congress, looks at the effectiveness of industry self-regulation of alcohol advertising. The report identified best practices but recommended the industry improve self-regulatory standards and implementation

Sober Truth On Preventing (STOP) Underage Drinking Act 
U.S. Congress
This Act states that the Secretary of Health and Human Services shall, with input and collaboration from other appropriate Federal agencies, States; Indian tribes; territories; and public health, consumer, and alcohol beverage industry groups, annually issue a `report card' to accurately rate the performance of each State in enacting, enforcing, and creating laws, regulations, and programs to prevent or reduce underage drinking. The report card shall include ratings on outcome measures for categories related to the prevalence of underage drinking in each State.

The NSDUH Report: Underage Drinking in Rural Areas 
Substance Abuse and Mental Health Services Administration
Studies show that underage persons (aged 20 or below) in rural areas use alcohol at rates similar to or higher than underage persons in urban areas. However, little research has focused on how this pattern varies across geographic and demographic subgroups. This report presents comparisons from the 2002 National Survey on Drug Use and Health (NSDUH) on the prevalence of any past month and binge alcohol use among persons aged 12 to 20 who lived in rural and nonrural areas.

The Prevention of Alcohol Use by Rural Youth 
National Institute on Drug Abuse
This chapter critically examines the issue of alcohol use by rural youth within a public health framework. The literature is reviewed to identify what is known about the prevalence, consequences, and causes of rural adolescent drinking. An overview of current prevention efforts is then provided. Next, the match between problem and solution is assessed to reveal gaps in knowledge about rural teenage drinking and discrepancies between available knowledge and current prevention practice. Recommendations for policy and research flow from this analysis.

Underage Alcohol Use and Risks 
Federal Trade Commission
In 1998, about one-quarter of surveyed 8th graders, two-fifths of 10th graders, and half of all 12th graders reported use of alcohol one or more times in the past month. This report provides incidence rates and trends, and and explanation of the risks associated with underage drinking.

Underage drinking and related risk behaviors among youth 
National Institute on Alcohol Abuse and Alcoholism
This resource list provides tables that present data on alcohol-related risk behaviors among youth.

Underage Drinking Prevention Action Guide and Planner  
Center for Substance Abuse Prevention
In its ongoing effort to assist community-based organizations in understanding and effectively addressing the issues surrounding underage drinking, the Substance Abuse and Mental Health Services Administration (SAMHSA), through its Center for Substance Abuse Prevention (CSAP), introduces the Underage Drinking Prevention Action Guide and Planner. This Action Guide is intended to help communities create programs to prevent the tragedies that underage drinking can cause. It's an issue that demands our attention and action! The solution lies at the grassroots level where all members of a community can work together to create healthy environments.

Underage Drinking: A Growing Healthcare Concern 
National Institute on Alcohol Abuse and Alcoholism
Preventing underage drinking continues to be central to the mission of the National Institute on Alcohol Abuse and Alcoholism (NIAAA). NIAAA supports research aimed at developing early intervention approaches that will prevent alcohol problems among youth, especially those between ages 12 and 20. Helping people understand the significance of this problem is an important component of this initiative. This report describes the scope of underage drinking today, including the most harmful consequences, as well as prevention and treatment approaches that are proving particularly effective in meeting the needs of this age group.

Use by Parent and Parent’s Acceptance of Other People’s Use 
Office of National Drug Control Policy
This article explains that the parents’ or caregivers’ use or abuse of alcohol, tobacco, and drugs significantly increases the youth’s chances of using, using early, and being dependent on the substance. Furthermore, encouraging or ignoring the youth’s use of alcohol and drugs significantly increases their use.