The abuse of alcohol and other drugs by adolescents must be treated as the primary problem in inpatient treatment programs, even though there may be problems with other destructive behaviors. Components of an inpatient treatment program for adolescents encompass family therapy, continuing care, self-help groups such as Alcoholics Anonymous and Narcotics Anonymous, group and individual counseling, medical detoxification, education, physical recovery, and nutrition. The Wilderness Adventure Program is cited as one approach to foster group dynamics and acquaint adolescents with "natural highs." Objectives of this program are to increase participants' self-esteem, develop an increased level of agility and physical confidence, and help adolescents learn about themselves and enjoy interacting with others. Chemical dependency during adolescent growth years halts the developmental process, and inpatient treatment programs must consider adolescents' developmental needs and include components that facilitate re-entry into the home environment and effective aftercare. 20 references.