Methamphetamines are powerfully addictive stimulants that dramatically affect the central nervous system. The drugs are made easily in clandestine, or illegal laboratories with cheap over the counter ingredients. These factors combine to make methamphetamines drugs extremely dangerous, and vulnerable to widespread use. Methamphetamines are also commonly known as speed, meth, or chalk. In its" smoked form they are often referred to as ice, crystal, crank, or glass. They are a white, odorless, bitter-tasting crystalline powder that easily dissolves in water or alcohol. Methamphetamine's chemical structure is similar to that of amphetamine, but it has more pronounced effects on the central nervous system. Like amphetamines, they causes increased activity, decreased appetite, and a general sense of well being, which can last 6 to 8 hours. After the initial rush, there is typically a state of high agitation that in some individuals can lead to violent behavior. Contrary to the stereotype of rural areas as idyllic, protected environments in which to raise families, substance abuse is as great a problem as it is in the cities. One must realize that rural communities vary in characteristics considerably, which complicates our understanding of rural substance use problems and increases the need for prevention, intervention, and treatment programs. For too long, the problems of alcohol and drug abuse in rural areas have received little attention from the federal level. As national studies show, those who live in rural areas are just as likely to have alcohol and other drug problems as those who live in large and small cities. The choice of addictive substances may differ, but the prevalence of abuse is virtually the same for country and city dweller alike. Less attention has been focused on drug use in rural than urban areas despite evidence that metro and nonmetro differences in rates of substance abuse have been declining.