One of a series of state profiles, this report describes the dimensions of the problems caused by alcohol, tobacco, and other drugs in Kansas and the public and private initiatives to reduce these problems. It highlights positive developments and identifies areas to be strengthened. Demographic characteristics, state agency organization, and state priorities are presented. The patterns of substance abuse in Kansas are presented using graphs to focus on smoking and drinking patterns among teens; use of illicit drugs is less common than in most states. Teen attitudes toward alcohol, tobacco, and marijuana as well as prevention strategies are addressed. Prevention programs across the state, including crime prevention and law enforcement programs, are described. Deaths from drunken driving are high. Health issues, costs, and changes in health policy are described; Kansas's new managed care system is intended to improve treatment access and outcomes while keeping costs low. The section "Looking to the Future" describes efforts to update and unify statewide prevention, treatment, and criminal justice programs. Recommendations are presented under the following sections: (1) "Statewide Leadership"; (2) "Gathering Data"; (3) "Prevention"; (4) "Tobacco Control"; (5) "Treatment for Juveniles"; (6) "Welfare to Work"; (7) "Criminal Justice." A list of resources are appended. (EMK)