Alcohol is the most frequently used and misused substance in the United States, and it can have devastating consequences. Alcohol misuse is especially problematic among youth and college-aged populations. People who drink to excess, including binge and heavy drinkers, are at even greater risk. SAMHSA staff collect and analyze data better to understand patterns of use and risk and protective factors. CBHSQ reports inform prevention, treatment, and recovery efforts at national and state levels.