Substance use disorders include substance abuse and substance dependence. If you have a substance use disorder, it does not mean you are addicted to drugs or alcohol. A substance use disorder happens when you use a substance, such as tobacco, alcohol or drugs too often. This may lead to health issues, missing work and school, or problems in your relationships. You are more likely to suffer from a substance use disorder is your parents abused substances when you were a child. This is due to both a genetic and environmental connection that you have with substance use. Prevention and early intervention are important to ensure that the cycle of substance use and abuse are broken. Bluegrass offers education and early intervention services for youth and adults for alcohol, tobacco and drug use. These programs are focused on helping to prevent or reduce high risk behaviors such as underage alcohol and tobacco use, prescription drug misuse and abuse and illicit drug use.