The fundamental premise of this report is that acculturation change and its effects over time on Alaska Natives has contributed to the emergence of elder abuse among Alaska Natives. It also stresses that there is a relationship among acculturation stress, substance abuse, and elder abuse. Of primary importance is the recognition of how cultural loss is interwoven with elder abuse. The discussion also stresses how cultural values and traditions are vital to the integrity of the Alaska Native Community, and the critical role that these values and traditions have in the health and welfare of the elders.