Richard Rosner, M.D., D.L.F.A.P.A., F.A.C.Psych., F.A.S.A.P., F.A.A.F.S. (Psychiatry & Behavioral Science) is Clinical Professor of Psychiatry and Former Director of the Forensic Psychiatry Residency Program, New York University School of Medicine. Former Medical Director, Forensic Psychiatry Clinic, Bellevue Hospital Center, New York, NY; Former President, American Society for Adolescent Psychiatry; Former President, American Academy of Psychiatry and the Law; Former President, American Academy of Forensic Sciences

“In conclusion, this book provides a useful overview of the broad range of issues relevant to working with adolescent addiction. It will be particularly helpful for psychiatrists and other medical professionals who have little experience working with this population by way of alerting them to treatment related issues for consideration.”  (Early Intervention in Psychiatry, 15 April 2014)“This is an important resource for those in the field of adolescent mental health. It is not overly weighted with medical terminology, and the authors have done an excellent job of providing information with the depth that clinicians will find useful without being so clinical that the other intended readers would be lost. They have done a thorough job of providing more than just cursory information on the presentation, diagnosis, and treatment of adolescents with substance abuse problems. Although the issue of substance abuse is multifaceted, with many physiological and environmental factors at play, the book does a commendable job of organizing and outlining the evaluation and treatment modalities of substance abuse in the adolescent population.”  (Doody’s, 11 October 2013)“Nevertheless, this is the best compendium of evidence in the round in this field and an excellent reference book.”  (Addiction, 1 September 2013)"The wealth of information is brought together by a consummate clinician who cares profoundly for the young people who have come to him – whether for court reports or treatment – and who is determined to make a difference. The clinical eye that chose the authors and edited the whole has provided just what politicians as well as clinical and criminal justice practitioners are so often calling for – an evidence base for appropriate action. It should be widely read by those practitioners but also influence policy and improve life prospects for many, many young people." (From the Foreword by Pamela J. Taylor and John Gunn, 2012)

• List of Contributors xiPreface xvForeword xviiTHE SCOURGE OF ADOLESCENT ADDICTION 1Edited by Richard Rosner1 The Scourge of Addiction: What the Adolescent Psychiatrist Needs to Know 3Richard Rosner2 Adolescent Addictions in the United Kingdom 9Tahira Akbar, Alex Baldacchino, and Ilana CromeASSESSMENT OF THE SUBSTANCE-ABUSING ADOLESCENT 25Edited by Robert Weinstock and Manuel Lopez-Leon3 Clinical Assessment of Addiction in Adolescents 27FarzinYaghmaie and Robert Weinstock4 Emergency Room and Medical Evaluation 36Christopher William Racine and Stephen Bates Billick5 Psychological Assessment 48Lauren Reba-Harrelson and Daniel A. Martell6 Cultural Assessment 61Karen B. Rosenbaum and Roxanne M. Lewin7 Psychosocial Assessment of the Substance-Abusing Adolescent 68Eve Maram8 The Neurobiology of Adolescent Addiction 78Michael Boucher and Preetpal Sandhu9 Psychiatric Comorbidities in Adolescent Substance Use Disorders 88Todd Zorick10 Toxicology of Substances of Abuse 99Eleanor Vo and Dean De CrisceRISK AND PREVENTION 123Edited by Avram H. Mack11 Prevention of Adolescent Psychoactive Substance Use 125Maria E. McGee and Avram H. Mack12 Developmental Risks for Substance Use in Adolescence: Age as Risk Factor 132Manuel Lopez-Leon and Jesse A. Raley13 Genetic Risk Factors for Substance Use During Adolescence 139Hallie A. Lightdale14 Familial and Other Social Risk Factors in Adolescent Substance Use 147Michael Brendler15 Externalizing Disorders 154Yasmin Jilla16 Internalizing Disorders Among Adolescents: A Risk for Subsequent Substance Use 161Tiffany G. Townsend and Dionne Smith Coker-Appiah17 Risk due to Medical, Neurological, and Neurodevelopmental Conditions 170Malena Banks and Matthew BielCLINICAL CONDITIONS 177Edited by Charles Scott18 Adolescent Alcohol Use 179Karen Miotto, Andia Heydari, Molly Tartter, Ellen Chang, Patrick S. Thomas and Lara A. Ray19 Stimulants 190John W. Tsuang and Kathleen McKenna20 Cannabis Use Disorders 202Jan Copeland and John Howard21 Hallucinogens and Related Compounds 213Charles S. Grob and Marlene Dobkin de Rios22 Opioids and Sedative-Hypnotics 223Ann Bruner, Asad Bokhari, and Marc Fishman23 Nicotine Use Disorders 237Kevin M. Gray, Matthew J. Carpenter, and Himanshu P. Upadhyaya24 Emerging Clinical Conditions 247Christopher R. Thompson and Lauren Reba-HarrelsonTREATMENT 265Edited by Timothy W. Fong25 Adolescent Substance Abuse Treatment Outcomes 267Rachel Gonzales, Mary Lynn Brecht, and Richard A. Rawson26 Translating Evidence-Based Therapies into Outpatient Practice 271Ara Anspikian27 Albert Ellis’ Rational Emotive Behavior Therapy 282Richard Rosner28 Relapse Prevention 289Richard Rosner29 Adolescent Intensive Outpatient Treatment 295Tiffany Tsai30 Adolescent Behaviors Out of Control: An Introduction to Adolescent ResidentialTreatment 301Reef Karim31 Adolescent Group Treatments: Twelve-Step and Beyond 306Jeremy Martinez32 Psychopharmacology for the Addicted Adolescent 311Timothy W. Fong33 What’s Old is New: Motivational Interviewing for Adolescents 321Lois T. FlahertySPECIAL ISSUES IN ADOLESCENT ADDICTION 327Edited by Stephen Bates Billick and Dean De Crisce34 Substance Abuse Impact on Adolescent Brain Development 329Adam Raff35 Neuropsychological Effects of Substance Abuse in Adolescents 340Diane Scheiner, Ari Kalechstein, and Wilfred G. van Gorp36 Trauma and Adolescent Addiction 350Michal Kunz37 Sexual Addiction and Hypersexual Behaviors in Adolescents 362Dean De Crisce38 Sexting, Cybersex, and Internet Use: the Relationship Between Adolescent SexualBehavior and Electronic Technologies 377Abigail M. Judge and Fabian M. Saleh39 The Therapeutic Community for the Adolescent Substance Abuser 390Gregory C. Bunt and Virginia A. Stanick40 Treatment Issues for Youths with Substance Abuse in Juvenile Detention 405Eraka Bath, Le Ondra Clark, and Julie Y. LowFORENSIC CONSIDERATIONS 417Edited by Robert Lloyd Goldstein41 Forensic Psychiatry for Adolescent Psychiatrists: An Introduction 419Richard Rosner42 Ethical Considerations in Adolescent Addiction 423Robert Weinstock43 Informed Consent, Parental Consent, and the Right to Refuse Treatment 430Jack A. Gottschalk and Daniel P. Greenfield44 Third Party Liability for Supplying Adolescents with Illegal Substances 438Daniel P. Greenfield and Jack A. Gottschalk45 Older Adolescents in Drug Court: Hammering the Revolving Door Shut 445Laura A. Ward46 Confidentiality and Informed Consent Issues in Treatment for Adolescent Substance Abuse 457Robert Lloyd Goldstein47 Saving Adolescents 464Richard RosnerIndex 471

Richard Rosner, M.D., D.L.F.A.P.A., F.A.C.Psych., F.A.S.A.P., F.A.A.F.S. (Psychiatry & Behavioral Science) is Clinical Professor of Psychiatry and Former Director of the Forensic Psychiatry Residency Program, New York University School of Medicine. Former Medical Director, Forensic Psychiatry Clinic, Bellevue Hospital Center, New York, NY; Former President, American Society for Adolescent Psychiatry; Former President, American Academy of Psychiatry and the Law; Former President, American Academy of Forensic Sciences

“In conclusion, this book provides a useful overview of the broad range of issues relevant to working with adolescent addiction. It will be particularly helpful for psychiatrists and other medical professionals who have little experience working with this population by way of alerting them to treatment related issues for consideration.”  (Early Intervention in Psychiatry, 15 April 2014)“This is an important resource for those in the field of adolescent mental health. It is not overly weighted with medical terminology, and the authors have done an excellent job of providing information with the depth that clinicians will find useful without being so clinical that the other intended readers would be lost. They have done a thorough job of providing more than just cursory information on the presentation, diagnosis, and treatment of adolescents with substance abuse problems. Although the issue of substance abuse is multifaceted, with many physiological and environmental factors at play, the book does a commendable job of organizing and outlining the evaluation and treatment modalities of substance abuse in the adolescent population.”  (Doody’s, 11 October 2013)“Nevertheless, this is the best compendium of evidence in the round in this field and an excellent reference book.”  (Addiction, 1 September 2013)"The wealth of information is brought together by a consummate clinician who cares profoundly for the young people who have come to him – whether for court reports or treatment – and who is determined to make a difference. The clinical eye that chose the authors and edited the whole has provided just what politicians as well as clinical and criminal justice practitioners are so often calling for – an evidence base for appropriate action. It should be widely read by those practitioners but also influence policy and improve life prospects for many, many young people." (From the Foreword by Pamela J. Taylor and John Gunn, 2012)

• List of Contributors xiPreface xvForeword xviiTHE SCOURGE OF ADOLESCENT ADDICTION 1Edited by Richard Rosner1 The Scourge of Addiction: What the Adolescent Psychiatrist Needs to Know 3Richard Rosner2 Adolescent Addictions in the United Kingdom 9Tahira Akbar, Alex Baldacchino, and Ilana CromeASSESSMENT OF THE SUBSTANCE-ABUSING ADOLESCENT 25Edited by Robert Weinstock and Manuel Lopez-Leon3 Clinical Assessment of Addiction in Adolescents 27FarzinYaghmaie and Robert Weinstock4 Emergency Room and Medical Evaluation 36Christopher William Racine and Stephen Bates Billick5 Psychological Assessment 48Lauren Reba-Harrelson and Daniel A. Martell6 Cultural Assessment 61Karen B. Rosenbaum and Roxanne M. Lewin7 Psychosocial Assessment of the Substance-Abusing Adolescent 68Eve Maram8 The Neurobiology of Adolescent Addiction 78Michael Boucher and Preetpal Sandhu9 Psychiatric Comorbidities in Adolescent Substance Use Disorders 88Todd Zorick10 Toxicology of Substances of Abuse 99Eleanor Vo and Dean De CrisceRISK AND PREVENTION 123Edited by Avram H. Mack11 Prevention of Adolescent Psychoactive Substance Use 125Maria E. McGee and Avram H. Mack12 Developmental Risks for Substance Use in Adolescence: Age as Risk Factor 132Manuel Lopez-Leon and Jesse A. Raley13 Genetic Risk Factors for Substance Use During Adolescence 139Hallie A. Lightdale14 Familial and Other Social Risk Factors in Adolescent Substance Use 147Michael Brendler15 Externalizing Disorders 154Yasmin Jilla16 Internalizing Disorders Among Adolescents: A Risk for Subsequent Substance Use 161Tiffany G. Townsend and Dionne Smith Coker-Appiah17 Risk due to Medical, Neurological, and Neurodevelopmental Conditions 170Malena Banks and Matthew BielCLINICAL CONDITIONS 177Edited by Charles Scott18 Adolescent Alcohol Use 179Karen Miotto, Andia Heydari, Molly Tartter, Ellen Chang, Patrick S. Thomas and Lara A. Ray19 Stimulants 190John W. Tsuang and Kathleen McKenna20 Cannabis Use Disorders 202Jan Copeland and John Howard21 Hallucinogens and Related Compounds 213Charles S. Grob and Marlene Dobkin de Rios22 Opioids and Sedative-Hypnotics 223Ann Bruner, Asad Bokhari, and Marc Fishman23 Nicotine Use Disorders 237Kevin M. Gray, Matthew J. Carpenter, and Himanshu P. Upadhyaya24 Emerging Clinical Conditions 247Christopher R. Thompson and Lauren Reba-HarrelsonTREATMENT 265Edited by Timothy W. Fong25 Adolescent Substance Abuse Treatment Outcomes 267Rachel Gonzales, Mary Lynn Brecht, and Richard A. Rawson26 Translating Evidence-Based Therapies into Outpatient Practice 271Ara Anspikian27 Albert Ellis’ Rational Emotive Behavior Therapy 282Richard Rosner28 Relapse Prevention 289Richard Rosner29 Adolescent Intensive Outpatient Treatment 295Tiffany Tsai30 Adolescent Behaviors Out of Control: An Introduction to Adolescent ResidentialTreatment 301Reef Karim31 Adolescent Group Treatments: Twelve-Step and Beyond 306Jeremy Martinez32 Psychopharmacology for the Addicted Adolescent 311Timothy W. Fong33 What’s Old is New: Motivational Interviewing for Adolescents 321Lois T. FlahertySPECIAL ISSUES IN ADOLESCENT ADDICTION 327Edited by Stephen Bates Billick and Dean De Crisce34 Substance Abuse Impact on Adolescent Brain Development 329Adam Raff35 Neuropsychological Effects of Substance Abuse in Adolescents 340Diane Scheiner, Ari Kalechstein, and Wilfred G. van Gorp36 Trauma and Adolescent Addiction 350Michal Kunz37 Sexual Addiction and Hypersexual Behaviors in Adolescents 362Dean De Crisce38 Sexting, Cybersex, and Internet Use: the Relationship Between Adolescent SexualBehavior and Electronic Technologies 377Abigail M. Judge and Fabian M. Saleh39 The Therapeutic Community for the Adolescent Substance Abuser 390Gregory C. Bunt and Virginia A. Stanick40 Treatment Issues for Youths with Substance Abuse in Juvenile Detention 405Eraka Bath, Le Ondra Clark, and Julie Y. LowFORENSIC CONSIDERATIONS 417Edited by Robert Lloyd Goldstein41 Forensic Psychiatry for Adolescent Psychiatrists: An Introduction 419Richard Rosner42 Ethical Considerations in Adolescent Addiction 423Robert Weinstock43 Informed Consent, Parental Consent, and the Right to Refuse Treatment 430Jack A. Gottschalk and Daniel P. Greenfield44 Third Party Liability for Supplying Adolescents with Illegal Substances 438Daniel P. Greenfield and Jack A. Gottschalk45 Older Adolescents in Drug Court: Hammering the Revolving Door Shut 445Laura A. Ward46 Confidentiality and Informed Consent Issues in Treatment for Adolescent Substance Abuse 457Robert Lloyd Goldstein47 Saving Adolescents 464Richard RosnerIndex 471

Richard Rosner, M.D., D.L.F.A.P.A., F.A.C.Psych., F.A.S.A.P., F.A.A.F.S. (Psychiatry & Behavioral Science) is Clinical Professor of Psychiatry and Former Director of the Forensic Psychiatry Residency Program, New York University School of Medicine. Former Medical Director, Forensic Psychiatry Clinic, Bellevue Hospital Center, New York, NY; Former President, American Society for Adolescent Psychiatry; Former President, American Academy of Psychiatry and the Law; Former President, American Academy of Forensic Sciences

“In conclusion, this book provides a useful overview of the broad range of issues relevant to working with adolescent addiction. It will be particularly helpful for psychiatrists and other medical professionals who have little experience working with this population by way of alerting them to treatment related issues for consideration.”  (Early Intervention in Psychiatry, 15 April 2014)“This is an important resource for those in the field of adolescent mental health. It is not overly weighted with medical terminology, and the authors have done an excellent job of providing information with the depth that clinicians will find useful without being so clinical that the other intended readers would be lost. They have done a thorough job of providing more than just cursory information on the presentation, diagnosis, and treatment of adolescents with substance abuse problems. Although the issue of substance abuse is multifaceted, with many physiological and environmental factors at play, the book does a commendable job of organizing and outlining the evaluation and treatment modalities of substance abuse in the adolescent population.”  (Doody’s, 11 October 2013)“Nevertheless, this is the best compendium of evidence in the round in this field and an excellent reference book.”  (Addiction, 1 September 2013)"The wealth of information is brought together by a consummate clinician who cares profoundly for the young people who have come to him – whether for court reports or treatment – and who is determined to make a difference. The clinical eye that chose the authors and edited the whole has provided just what politicians as well as clinical and criminal justice practitioners are so often calling for – an evidence base for appropriate action. It should be widely read by those practitioners but also influence policy and improve life prospects for many, many young people." (From the Foreword by Pamela J. Taylor and John Gunn, 2012)

• List of Contributors xiPreface xvForeword xviiTHE SCOURGE OF ADOLESCENT ADDICTION 1Edited by Richard Rosner1 The Scourge of Addiction: What the Adolescent Psychiatrist Needs to Know 3Richard Rosner2 Adolescent Addictions in the United Kingdom 9Tahira Akbar, Alex Baldacchino, and Ilana CromeASSESSMENT OF THE SUBSTANCE-ABUSING ADOLESCENT 25Edited by Robert Weinstock and Manuel Lopez-Leon3 Clinical Assessment of Addiction in Adolescents 27FarzinYaghmaie and Robert Weinstock4 Emergency Room and Medical Evaluation 36Christopher William Racine and Stephen Bates Billick5 Psychological Assessment 48Lauren Reba-Harrelson and Daniel A. Martell6 Cultural Assessment 61Karen B. Rosenbaum and Roxanne M. Lewin7 Psychosocial Assessment of the Substance-Abusing Adolescent 68Eve Maram8 The Neurobiology of Adolescent Addiction 78Michael Boucher and Preetpal Sandhu9 Psychiatric Comorbidities in Adolescent Substance Use Disorders 88Todd Zorick10 Toxicology of Substances of Abuse 99Eleanor Vo and Dean De CrisceRISK AND PREVENTION 123Edited by Avram H. Mack11 Prevention of Adolescent Psychoactive Substance Use 125Maria E. McGee and Avram H. Mack12 Developmental Risks for Substance Use in Adolescence: Age as Risk Factor 132Manuel Lopez-Leon and Jesse A. Raley13 Genetic Risk Factors for Substance Use During Adolescence 139Hallie A. Lightdale14 Familial and Other Social Risk Factors in Adolescent Substance Use 147Michael Brendler15 Externalizing Disorders 154Yasmin Jilla16 Internalizing Disorders Among Adolescents: A Risk for Subsequent Substance Use 161Tiffany G. Townsend and Dionne Smith Coker-Appiah17 Risk due to Medical, Neurological, and Neurodevelopmental Conditions 170Malena Banks and Matthew BielCLINICAL CONDITIONS 177Edited by Charles Scott18 Adolescent Alcohol Use 179Karen Miotto, Andia Heydari, Molly Tartter, Ellen Chang, Patrick S. Thomas and Lara A. Ray19 Stimulants 190John W. Tsuang and Kathleen McKenna20 Cannabis Use Disorders 202Jan Copeland and John Howard21 Hallucinogens and Related Compounds 213Charles S. Grob and Marlene Dobkin de Rios22 Opioids and Sedative-Hypnotics 223Ann Bruner, Asad Bokhari, and Marc Fishman23 Nicotine Use Disorders 237Kevin M. Gray, Matthew J. Carpenter, and Himanshu P. Upadhyaya24 Emerging Clinical Conditions 247Christopher R. Thompson and Lauren Reba-HarrelsonTREATMENT 265Edited by Timothy W. Fong25 Adolescent Substance Abuse Treatment Outcomes 267Rachel Gonzales, Mary Lynn Brecht, and Richard A. Rawson26 Translating Evidence-Based Therapies into Outpatient Practice 271Ara Anspikian27 Albert Ellis’ Rational Emotive Behavior Therapy 282Richard Rosner28 Relapse Prevention 289Richard Rosner29 Adolescent Intensive Outpatient Treatment 295Tiffany Tsai30 Adolescent Behaviors Out of Control: An Introduction to Adolescent ResidentialTreatment 301Reef Karim31 Adolescent Group Treatments: Twelve-Step and Beyond 306Jeremy Martinez32 Psychopharmacology for the Addicted Adolescent 311Timothy W. Fong33 What’s Old is New: Motivational Interviewing for Adolescents 321Lois T. FlahertySPECIAL ISSUES IN ADOLESCENT ADDICTION 327Edited by Stephen Bates Billick and Dean De Crisce34 Substance Abuse Impact on Adolescent Brain Development 329Adam Raff35 Neuropsychological Effects of Substance Abuse in Adolescents 340Diane Scheiner, Ari Kalechstein, and Wilfred G. van Gorp36 Trauma and Adolescent Addiction 350Michal Kunz37 Sexual Addiction and Hypersexual Behaviors in Adolescents 362Dean De Crisce38 Sexting, Cybersex, and Internet Use: the Relationship Between Adolescent SexualBehavior and Electronic Technologies 377Abigail M. Judge and Fabian M. Saleh39 The Therapeutic Community for the Adolescent Substance Abuser 390Gregory C. Bunt and Virginia A. Stanick40 Treatment Issues for Youths with Substance Abuse in Juvenile Detention 405Eraka Bath, Le Ondra Clark, and Julie Y. LowFORENSIC CONSIDERATIONS 417Edited by Robert Lloyd Goldstein41 Forensic Psychiatry for Adolescent Psychiatrists: An Introduction 419Richard Rosner42 Ethical Considerations in Adolescent Addiction 423Robert Weinstock43 Informed Consent, Parental Consent, and the Right to Refuse Treatment 430Jack A. Gottschalk and Daniel P. Greenfield44 Third Party Liability for Supplying Adolescents with Illegal Substances 438Daniel P. Greenfield and Jack A. Gottschalk45 Older Adolescents in Drug Court: Hammering the Revolving Door Shut 445Laura A. Ward46 Confidentiality and Informed Consent Issues in Treatment for Adolescent Substance Abuse 457Robert Lloyd Goldstein47 Saving Adolescents 464Richard RosnerIndex 471