Alcohol, Drugs and Young People

A comprehensive book dealing with drug, tobacco and alcohol abuse in both children and young people.

• Presents the facts of drug and alcohol abuse, evidence for prevention and treatment, and reviews of the various types of treatments
• Reviews all drugs of abuse, including tobacco and alcohol
• Offers a practical presentation of evidence from particular therapies, such as cognitive behavioural therapy and family therapy
• Presents a comprehensive review of the pharmacological advances for this age group with substance use disorders and other mental health problems
• Written by an international team of professionals and academics, each with a background in adolescent development as well as addiction.

Clinics in Developmental Medicine No. 172

AUTHORS’ APPOINTMENTS vii

FOREWORD xi

Professor Sir Alan Craft

1. POLICY: THE PRINCIPLES OF SERVICE ORGANIZATION AND 1

PRACTICE

Paul McArdle and Eilish Gilvarry

2. DETERMINANTS OF SUBSTANCE MISUSE 9

Paul McArdle

3. DRUG USE IN YOUNG PEOPLE: SHORT-TERM EFFECTS AND 18

LONG-TERM HARMS

Dan Lubman, Yvonne Bonomo and Murat Yvcel

4. YOUNG PEOPLE, SUBSTANCES AND HARM 51

Mandy Abbott, Fariah Khan and Eilish Gilvarry

5. TRENDS IN SUBSTANCE USE AND ABUSE IN YOUNG PEOPLE 62

Cecilia A Essau and Peter Wennberg

6. SUBSTANCE USE AND PSYCHIATRIC COMORBIDITY IN 75

CHILDREN AND ADOLESCENTS

Michael Farrell

7. THE EFFECTIVENESS OF UNIVERSAL YOUTH SUBSTANCE ABUSE 82

PREVENTION PROGRAMMES

David R Foxcroft, Debby Allen and Lindsey Coombes

8. PREVENTION OF SUBSTANCE ABUSE: TARGETED APPROACHES 96

Paul McArdle

9. TREATMENT: COURSE AND OUTCOME 104

Eilisih Gilvarry and Giles Hayden

10. LEGAL AND ETHICAL ISSUES IN THE TREATMENT OF CHILDREN 114

AND YOUNG PEOPLE

Sarah Woolrich

11. PRINCIPLES OF ASSESSMENT FOR ADOLESCENTS WITH 127

SUBSTANCE USE DISORDERS

Oscar G Bukstein and Theresa Lutka-Fedor

12. ASSESSMENT INSTRUMENTS AND OUTCOME MEASUREMENT 136

Oscar G Bukstein and Teresa Lutka-Fedor

13. BIOLOGICAL MARKERS (DRUGS) 150

Kim Wolff

14. ASSESSMENT AND MANAGEMENT IN THE EMERGENCY 157

DEPARTMENT AND THE PAEDIATRIC UNIT

Joan Robson

15. BRIEF ALCOHOL INTERVENTIONS IN YOUNG PEOPLE: 164

EVIDENCE AND APPLICABILITY

Malathi Natarajan and Eileen Kaner

16. PSYCHOSOCIAL INTERVENTIONS FOR YOUNG PEOPLE WITH 176

SUBSTANCE MISUSE DISORDERS

Gillian Tober

17. EMPIRICAL AND CLINICAL FOUNDATIONS OF FAMILY-BASED 185

INTERVENTIONS FOR ADOLESCENT SUBSTANCE ABUSE

Howard A Liddle, Cynthia L Rowe and Gayle A Dakof

18. PHARMACOLOGICAL TREATMENT OF ADOLESCENT 197

SUBSTANCE USE DISORDER

E Jane Marshall and KAH Mirza

19. THE ROLE OF PRIMARY CARE IN MANAGEMENT OF SUBSTANCE 217

USE/ABUSE

Clare Gerada

20. INTEGRATED TREATMENT OF SUBSTANCE USE DISORDERS AND 225

CO-OCCURRING PSYCHIATRIC DISORDERS IN ADOLESCENTS

Robert D Davies and Paula D Riggs

INDEX 235