The current substance use and abuse climate in Indiana is dangerous. It is essential that young adults across the state receive the best information regarding alcohol consumption and substance abuse. The state is currently dealing with the worst outbreak of drug related disease and injury in the country. Infectious disease diagnosis is at an all-time high. Drug experimentation and abuse in the country continues to rise and Indiana has suffered the most. A recent study conducted by government professionals has stated that doctors are not warning future college students about the danger from alcohol and drugs or encourage them to reduce drinking or substance use. Survey of College Students A survey was taken of approximately 2,100 young adults across the nation in 2012 and in 2013. They were asked if they had seen a doctor in the previous year. If they had they were asked if the doctor asked them about smoking, drinking, and substance use and if they offered them any counseling. These participants took part in a previous government study while in high school. The new survey questioned mostly college students, but about a third was not students. Most of the students surveyed had seen a physician in the previous year. Fewer than half had been counseled about the risks of their dangerous habits. Of those that admitted to drinking at least six times in the previous month stated that their physician advised them to cut down or stop. College students who were smokers or drug users were less likely to be given advice. Consequences of Under Aged Drinking Under-age drinking can cause a slew of negative effects on teenager’s lives. It can lead to problems in school, such as higher absences and poor grades. Over consuming alcohol can cause social problems due to the hostilities it causes. Under-age drinking is illegal and will cause legal problems for teens. Binge drinking is dangerous because it can lead to physical injury and sexual assault. Alcohol Consumption Statistics Alcohol consumption among this age group is astounding. Drinking has become part of growing up and these are the prime years for it. Approximately forty percent of these individuals in the study have admitted to consuming five or more drinks on at least one occasion and ten percent had been drunk at least six times in the past month. In the 2013 Youth Risk Behavior Survey, high school students in the past thirty days: 35% drank some amount of alcohol, 21% binge drank, 10% drove after drinking alcohol, and 22% rode with a driver who had been drinking alcohol. The 2012 National Survey on Drug Use and Health reported that 24% of youth aged 12 to 20 years drink alcohol and 15% reported binge drinking. Physician Counseling Professionals believe that physicians are not discussing substance abuse or alcohol abuse with college students because they assume those students are already aware of the dangers. It is also true that physician training does not stress the importance of those problems being preventable and treatable. Some physicians may believe as though there is not enough time in an office visit to address the problem. What is true is that physicians must make more of an effort to speak with patients about substance abuse and problematic drinking. Young adults have a higher risk for substance abuse and problem drinking entering their college years. Physicians should have a counseling plan that they can offer patients that show they could have substance abuse problems. Young adults must know the dangers of problematic drinking and abusing substances.