Substance abuse is a major health and social problem plaguing Native Americans both historically and today. After presenting the social and psychological factors that have contributed to Native American addictions and the patterns of behavior and circumstances associated with this complex and widespread problem, French discusses the treatment, intervention, and prevention issues facing therapists. He also explores the development and consequences of a new form of addiction, compulsive gambling, focusing on its relationship to substance abuse. A major contribution of this volume is its review and critique of regulatory acts documenting federal policy.