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Since the beginning of this century, thousands of research projects have been conducted involving Native American communities. There is an increasing awareness, often painful to communities, that this research usually does not come back to the community directly, either in the form of knowledge contributed to the community or contributions toward social development. With the incidence of alcohol-related illness, suicide, and other poverty related socio-economic conditions rising annually, the urgency for community-based research to develop solutions is now felt as never before.