Reliability of information about drug histories was assessed by comparing drug use survey (DUS) and family history/research diagnostic criteria (FH/RDC) estimates of drug use by the proband with FH/RDC estimations from first-degree relatives. 73% of parental evaluations agreed (completely) with the probands’ evaluations of all pedigree members’ status with respect to all abused substances. 81% of sib evaluations were concordant (completely) with the proband’s evaluations of his/her own drug use. Differences were most prominent in both cases due to family member underestimation and/or under-reporting of offspring/sib drug use.