In the Caribbean, sexuality is omnipresent; that is, it is seen but not heard. The Caribbean region can be characterized as a dualistic society. On the one side, sexuality is embraced and highly visible, manifesting itself in the culture of the music, dance, and the popular Carnival. The other side presents a society that is conservative and inhibiting, one that is heavily influenced by religion. There is a lack of communication regarding sexuality, both within schools and homes, making it very challenging for parents to be open with their children on the subject matter. Let’s face it, many parents do not feel comfortable talking to their children about sexuality for a variety of reasons. In this respect, sexual education offered in schools helps open the discussion. However, it is not a panacea. Parents should not leave this important topic to the schools. Rather, parents should work together with the schools and the information that is disseminated to ensure the values and beliefs of the family, community and society are integrated. In this book, we present recent research on sexuality, alcohol, drugs and violence from the Caribbean region.