I had occasion to revisit this article doing some policy consultations, and I delighted that this article had received a number of citations. From a policy prospective, this paper presents a novel leverage point for prevention of substance abuse and related serious substance abuse issues. Federal, state/provincial, and local policymakers or coalitions are not acting on this study and related findings about the role of the connection of sleep deprivation in multiple mental, emotional, and behavioral disorders. This study lays the theoretical groundwork for some major prevention efforts.