Adolescent Substance Abuse

  • Michael V. Bloom
  • David A. Smith


Family physicians can make a real difference with teenagers who suffer from substance abuse, but it can be a challenge. In fact, the challenge starts with defining the problem. Studies show that there has been at least some alcohol consumption by more than 50% of high school seniors, and up to one-third have tried marijuana; 90% of college sophomores report the use of alcohol during their freshman year of college, with approximately 40% bingeing on the weekends with some regularity. After about the age of 22, there is a gradual but significant decline in the use of alcohol and other substances by most young people. About 10% of the population continue to have a substance abuse problem at some time in their lives (excluding nicotine). Nearly all who do started substance usage during their teens.


Social Anxiety Family Therapy Substance Usage Drug Screen Substance Abuse Problem 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. Beman DS (1995) Risk factors leading to adolescent substance abuse. Adolescence 30:201–207.PubMedGoogle Scholar
  2. Botvin GJ, Baker E, Dunsenbury L, Botvin EM, Diaz T (1995) Long-term follow-up results of a randomized drug abuse prevention trial in a white middle-class population. JAMA 273: 1106–1112.PubMedCrossRefGoogle Scholar
  3. Fishman HC, Stanton MD, Rosman BL (1982) Treating families of adolescent drug abusers. In Stanton MD (ed) The Family Therapy of Drug Abuse and Addiction. New York: Guilford.Google Scholar
  4. Heyman RB, Adger H (1997) Office approach to drug abuse prevention. Pediatri Clin North Am. 44:1447–1455.CrossRefGoogle Scholar
  5. Kaufman P (1979) Family therapy with adolescent substance abusers. In Kaufman E, Kaufman P (eds) Family Therapy of Drug and Alcohol Abuser. New York: Gardner.Google Scholar
  6. Werner MJ (1995). Principles of brief interventions for adolescent alcohol, tobacco and other drug use. Pediatr Clin North Am 42:335–349.PubMedGoogle Scholar
  7. Sloboda Z, David SL (1997) Preventing Drug Use Among Children and Adolescents: A Research-based Guide. NIH 97-4212. Bethesda: National Institute on Drug Abuse.Google Scholar
  8. Trepper TS, Piercy FP, Lewis RA, Volk R.J, Sprenkle DH (1993) Family therapy for adolescent alcohol abuse. In O’Farrell TJ (ed) Treating Alcohol Problems. New York: Guilford.Google Scholar

Copyright information

© Springer Science+Business Media New York 2001

Authors and Affiliations

  • Michael V. Bloom
    • 1
  • David A. Smith
    • 2
    • 3
  1. 1.Sioux Falls Family Practice ResidencySioux FallsUSA
  2. 2.College of MedicineTexas A&M UniversityUSA
  3. 3.BrownwoodUSA

Personalised recommendations