Spillane and Smith (2007, Psychol Bull 133:395-418) postulated that high levels of problem drinking in some First Nation (FN) communities resulted in part from the perception that there is low access to alternative reinforcers (e.g., jobs, friendships, family relationships, and financial security), that many alternative reinforcers are less contingent on sobriety, and that others are available regardless of drinking status for reserve-dwelling FN members.