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Adolescent and Substance Abuse

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Textbook of Addiction Treatment: International Perspectives

Abstract

Substance use disorder (SUD) in adolescence is a serious mental health and social problem with its significant association with morbidity and mortality. Substance abuse has progressed from the more antisocial, risk-taking, and marginal groups of the population to the mainstream of society and dramatically to younger populations, reinforcing and expanding the boundaries of at-risk populations for SUD. Research in the area of adolescent substance use has expanded significantly over time, and while many studies have contributed to the growth of knowledge in this area, ongoing study remains important. Substance use may be seen through a developmental perspective progressing across adolescence into young adulthood. We have included the most recent studies and research findings on adolescent substance use and related disorders in this chapter. The chapter will focus on enhancing knowledge and comprehension of adolescent substance abuse in addressing the following areas: epidemiology, vulnerability and developmental course, comorbidity, assessment, treatment, and outcomes. The transitional period of adolescence presents itself as an especially critical and vulnerable time for the onset of substance use disorder (SUD) with its impact on normal development, future SUD, and for society as a whole. Adolescence is a period of major risk for the onset of SUD. Treatment approaches must be tailored to developmental patterns of substance use and include comprehensive assessment and a holistic approach. High rates of comorbid mental disorders among adolescents with SUD further emphasize the need for psychiatric care. An integrated approach to treatment for youth with SUD and comorbid mental disorders is paramount to effective intervention.

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Acknowledgment

We gratefully acknowledge Jennifer Goldberg, BA, for all her hard work and help with the literature review for and editing of the manuscript.

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Authors and Affiliations

  1. Division of Addiction and Mental Health, Department of Psychiatry, University of Ottawa, Ottawa, ON, Canada

    Robert Milin

  2. Youth Program, Royal Ottawa Mental Health Centre, 1145 Carling Ave, Ottawa, ON, K1Z 7K4, Canada

    Selena Walker

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  1. Robert Milin
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  2. Selena Walker
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Correspondence to Robert Milin .

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Editors and Affiliations

  1. Department of Psychiatry, Alberta Gambling Research Institute University of Calgary, Calgary, Alberta, Canada

    Nady el-Guebaly

  2. Faculty of Brain Sciences UCL Division of Psychiatry, University College London, London, United Kingdom

    Giuseppe Carrà

  3. Division of Alcoholism & Drug Abuse, New York University School of Medicine, New York, New York, USA

    Marc Galanter

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Milin, R., Walker, S. (2015). Adolescent and Substance Abuse. In: el-Guebaly, N., Carrà, G., Galanter, M. (eds) Textbook of Addiction Treatment: International Perspectives. Springer, Milano. https://doi.org/10.1007/978-88-470-5322-9_124

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  • DOI: https://doi.org/10.1007/978-88-470-5322-9_124

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  • Online ISBN: 978-88-470-5322-9

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