Abstract

use have become established in the lives of adolescents in many American communities. During the past decade patterns of use have undergone rapid and at times erratic changes (8-12), and their delineation has been hampered by practical constraints as well as methodological and theoretical differences and biases among investigators (13-15). An especially significant and continuing problem has been to identify adolescents who would benefit from programs of intervention and treatment. Studies (16-20) examining the pretreatment alcohol and drug use of adolescents enrolled in drug treatment programs suggest that their patterns of use may be more similar to those of adolescents in school populations than to those of adults receiving treatment for drug addiction or alcoholism. While alcohol is still the

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