Chapter 15

Alcohol and Substance Abuse in Children and Adolescents

Steven L. Jaffe, M.D. and Robin J. Mogul, M.D.

INTRODUCTION AND EPIDEMIOLOGY

Following a downward trend from the 1980s through 1992, adolescent alcohol and substance abuse is on the rise. According to a 1994 survey by the National Institute on Drug Abuse (NIDA)(Johnston, O’Malley, & Bachman, 1993, 1995), the peak annual prevalence rate (i.e., the use of any illicit drug one or more times in the prior 12 months) among high-school seniors in 1979 was 54 percent, and in 1992 was 27 percent.

Specifically for marijuana, the peak annual prevalence rates were 51 percent and 22 percent respectively. In 1994 the peak annual prevalence rate increased to 32 percent, while marijuana increased ...

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