Document Type


Publication Date

February 2005


Teenagers -- Substance abuse, Social work with teenagers, Substance abuse -- Treatment, Dual diagnosis -- Treatment, Comorbidity


This article considers the social and psychological challenges to youth in contemporary society. The authors examine the variety of social impediments that face youths in most of our social institutions, from schools and the juvenile justice system to the family. They underscore the need for prevention, health promotion, and comprehensive assessment. Further, they assert that ‘‘dual diagnosis’’ needs to be considered not as a ‘‘special population’’ but as the typical or common experience of at-risk youths once they are diagnosed at mental health centers or juvenile justice reception and diagnostic centers. They conclude that evidence-based assessment, intervention, prevention, and health promotion will start to unravel the matter of misdirected diagnosis and treatment. The articles in this special issue amply illustrate what can be done.


Originally published by Oxford University Press (

Persistent Identifier

Included in

Social Work Commons