Overall, the book integrates the varied and complex elements that impact the initiation, maintenance, and treatment of adolescent substance abuse. To achieve this, the biopsychosocial model is used to conceptualize the problem and develop creative treatment alternatives. The first section sets the tone for the remainder of the book as it focuses on current issues, definitions, and perspectives on adolescent substance abuse. Adolescents are presented as a clearly defined group with unique needs and concerns and as a population that requires the most sophisticated evaluation possible. The author presents the biopsychosocial premise and considers the various interactive elements that comprise the model. The biopsychosocial model as it applies to adolescent substance abuse is examined in greater detail in Part II. Salient issues in the biological, psychological, and social (peers and family) realms of experience for adolescents are addressed. These areas are discussed in terms of the normative issues for adolescents and how impairment in these areas can cause or result from substance abuse. The third section, which is the core of the book, offers the biopsychosocial model as the guide for treatment. Using the model as a starting point, assessment, treatment planning, service provision, and the adolescent (also family/peer) recovery process are examined. Consideration is given to adolescents who have multiple areas of impairment and subsequently require additional therapeutic understanding and skill to create the best opportunity for improvement. 260 references and author and subject indexes