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(p. 619) The American Treatment System for Adolescent Substance Use Disorders in the 21st Century: Challenges Remain But Change Is on the Horizon 

(p. 619) The American Treatment System for Adolescent Substance Use Disorders in the 21st Century: Challenges Remain But Change Is on the Horizon
Chapter:
(p. 619) The American Treatment System for Adolescent Substance Use Disorders in the 21st Century: Challenges Remain But Change Is on the Horizon
Author(s):

Kathleen Meyers

, John Cacciola

, Suzanne Ward

, and Abigail Woodworth

DOI:
10.1093/med-psych/9780199928163.003.0031
Page of

date: 15 July 2018

Use of alcohol and other drugs is common in adolescence, but too few teens receive appropriate treatment. The U.S. substance abuse treatment system for adolescents has not kept pace with numerous scientific advances. Like other chronic illnesses with social, biological, and environmental determinants, substance use disorders are best addressed with a full continuum of care that includes screening, early intervention, treatment, and continuing care and supportive services. However, the current treatment (and reimbursement) for adolescent substance use disorders is based upon an acute-care model that is not effective for treating this chronic illness. These system problems contribute to relapse, recidivism, and increased healthcare costs in this at-risk and under-served population. However, the U.S. system is poised to be positively transformed in the coming years by both the current state of scientific knowledge and the legislative changes to the healthcare system.

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