American Indians, Eskimos & Australian aboriginals all suffered the loss of traditional lands & gross disruption of culture when the Europeans made contact. The resulting social disorganization & stress has resulted in high rates of similar forms of psychopathology. Alcohol excess is implicated in child neglect, domestic violence & family breakups. Suicide, accidental death & homicide rates are 3 times the national rates. Indigenous service programs are effective interventions. 15 Refs.