This report focuses on drinking by college students. Rather than debating how many drink how much, the Task Force that prepared the report concentrated on the consequences of drinking. Data from many sources are used to show the effects of drinking and to develop a series of recommendations for college, researchers, and the National Institute of Alcohol Abuse and Alcoholism. At least 14,000 college student deaths each year are linked to alcohol, and high-risk drinking results in serious injuries, assaults, and other health and academic problems. The report outlines factors affecting student drinking and reviews both direct and indirect consequences. To change the culture of drinking on campus, the Task Force recommends that all colleges and universities adopt an overarching approach to program development that targets individuals, the student population as a whole, and the college and surrounding community. A number of research-based strategies can be used within this framework, with the selection of strategies tailored to the colleges individual situation. Examples of such strategies include increased enforcement of minimum drinking age laws and restrictions on retail alcohol outlet density. The report outlines the special role of college presidents, and makes recommendations for the research community and federal agencies that focus on alcohol abuse and alcoholism. (Contains 145 references.) (SLD)