This article describes the recent dramatic change in the drug-using population. While the drug user was formerly confined to a small segment of our society, he may now be from any level, any group. The range of drugs now used is also discussed, and emphasis is placed on the increasingly young age at which drug use is beginning. After giving a brief background of New York State's narcotics program, the article describes the new directions the program is taking, particularly in regard to youthful drug abuse, one of its top priorities. Local communities are advised on development of programs which will be appropriate to their needs, and outlines two publications for communities wishing to develop programs for youthful drug abusers. Emphasis is placed on the need for total involvement among local and state agencies if effective programming is to be developed and carried out.