This handbook is for administrators of programs in higher education settings which deal with alcohol and other drug (AOD) related problems. Chapter 1, "Defining the Problem, Issues, and Trends" examines the problem from various perspectives and presents the latest statistics on the extent of AOD use on campuses, specific problems affecting students, and barriers facing program administrators. Chapter 2, "Changing the Campus Culture," points out that the prevention task is one of dealing with the total campus culture through multiple strategies of policies and programs. Chapter 3, "Building Strong Intervention Into the Campus Community," focuses on meeting the needs of students, faculty, and staff suffering from AOD problems. Chapter 4, "Summary," identifies key points made in the book. The appendix contains information on campus prevention efforts, describes self-help groups, and provides sources for AOD policies. In addition, the appendix includes tables and figures with additional information about AOD problems on campuses, including differences in use among males and females, the prevalence of binge drinking and cocaine use, and the prevalence of 14 types of drugs. (JB)