To properly implement RHRD, project staff must assess community priorities and decide which interventions to use and how to adapt them. Typically, this involves working closely with local community organizations, opinion leaders, law enforcement, zoning and planning commissions, policy makers, and the public to collect this information. A developmental perspective on the etiology of substance use is instructive in our understanding of how best to prevent early experimentation with alcohol, tobacco, and other drugs. The second decade of life involves physical, biological, social, and psychological changes that are profound and numerous. Adolescence is a key period for experimentation with a wide range of behaviors Halfway house and lifestyle patterns.
- Along with exposure to positive attitudes and expectations regarding substance use, the modeling of substance use behavior by important others (e.g., parents, older siblings, and peers) is a critical negative social influence (7).
- Unfortunately, as much as teenagers don’t want to hear it, this isn’t just parental advice; it’s the reality.
- Once you’ve visited a doctor and received a diagnosis, a personalized treatment program can help your child overcome their substance use disorder.
- Finally, while great progress has been made in including both males and females in research samples, many of the studies mentioned above exclusively studied males (particularly the preclinical studies).
- Provider training is recommended for all program providers in the form of a face-to-face training workshop, CD-ROM, or online training.
- Teenage drug abuse is a pressing issue that affects individuals and communities across the nation.
Teenage Drug Abuse Statistics & Facts
Teenagers in New Hampshire are 27.56% more likely to have used drugs in the last month than the average American teen. Teenagers in Nevada are 22.98% more likely to have used drugs in the last month than the average American teen. Teenagers in Nebraska are 1.89% less likely to have used drugs in the last month than the average American teen. Teenagers in Montana are 39.58% more likely to have used drugs in the last month than the average American teen.
Substance Use in Older Adults DrugFacts

Adolescent injections of alcohol in rats also cause changes in PFC subregion astrocyte morphology in the anterior cingulate cortex (ACC) and ventral orbital frontal cortex (vOFC) 77, implying that AAE’s cognitive effects come from changes to multiple brain regions. While resources vary from community to community, be assured that help is within reach. Local resources include schools, medical professionals, mental health specialists and treatment providers. If you are searching for an addiction treatment provider specializing in teen rehabilitation, start with your insurance company.
What are some risks associated with the use of other illicit drugs?
About 37% of high school seniors reported having used one or more illicit drugs over the past year and 48% report having done so during their lifetime. The annual and lifetime prevalence rates among high school seniors were 32% and 42%, respectively, for marijuana use; 5% and 9%, respectively, for hallucinogen use; and 8% and 12%, respectively, for amphetamine use. If you are a parent who notices changes in your teen’s behavior or has seen signs of drug use, it is crucial to understand the risk factors.
Family Programs
On the other hand, there are articles that reported some individual traits to be protective for adolescents from engaging in drug abuse. Youth with the optimistic trait, a high level of mindfulness, and social phobia were less likely to become drug dependent 31, 33, 37. All of these articles used different psychometric instruments to classify each individual trait and were mutually exclusive. Therefore, each trait measured the chance of engaging in drug abuse on its own and did not reflect the chance at the end of the spectrum. These findings show that individual traits can be either protective or risk factors for the drugs used among adolescents.

Substantial progress has been made in developing prevention programs for adolescent drug abuse. The most effective interventions target salient risk and protective factors at the individual, family, and/or community levels and are guided by relevant psychosocial theories regarding the etiology of substance use and abuse. This article reviews the epidemiology, etiologic risk and protective factors, and evidence-based approaches that have been found to be most effective in preventing adolescent substance use and abuse. Exemplary school and family-based prevention programs for universal (everyone in population), selected (members of at-risk groups), and indicated (at-risk individuals) target populations are reviewed, along with model community-based prevention approaches.
Research Review: What Have We Learned About Adolescent Substance Use?
Common socially and culturally tolerated substances affect the development of the brain. Alcohol, for example, can cause long-lasting neurophysiological changes, including alterations in both gray-matter and white-matter brain structures, as well as aberrations in brain activity. These structural and functional differences translate into poorer performances in neurocognitive tests of attention, working memory, spatial functioning, verbal and visual memory, and executive functioning 11.
- As shown by Li et al. 32 and El Kazdouh et al. 46, peers exert a certain influence on other teenagers by making them subconsciously want to fit into the group.
- The American Academy of Pediatrics (AAP) recommends that teens be screened at each annual medical exam appointment with questionnaires that ask them about substance use and their knowledge of the risks.
- Future studies would benefit from investigating the impacts of drug exposure at multiple developmental points and how this compares with adolescent-exclusive use.
- Detailed conceptual framework, methodology, and other potential interventions have been discussed in separate articles 24, 25, 26, 27, 28, 29, 30.
Digitized interventions can offer automated feedback, individually tailored messages, and can assess outcome expectations, motivation, and self-efficacy 76. In the last three years, there have been several studies examining the effectiveness of digitized interventions such as web-applications 77, 78, text messaging 79, video games 80, and cognitive bias training 81. Development of many of these promising interventions has been based on interventions such as MI 77, 82•,83, with the aim of effectively reducing substance use and substance-related cravings and problems through the delivery of automated, personalized text messages 83–85. Given only modest efficacy of current psychosocial treatments, pharmacotherapy has been explored as a potential complement to the standard of care 46•. “Third-wave” CBTs, such as Acceptance and Commitment Therapy (ACT) and Mindfulness-Based Cognitive Therapy, emphasize acceptance (e.g., accepting rather than avoiding or denying feelings) and mindfulness (e.g., meditation) techniques. Adolescents and young adults engaged in a single-arm motivational interviewing/ACT intervention 23 and a single-arm mindfulness-based cognitive therapy intervention both showed reductions in substance use during treatment 41; however, randomized controlled trials are currently lacking.
Teenagers are increasingly engaging with prescription and synthetic drugs, often misusing medications intended for legitimate medical purposes. Recent statistics teenage drug abuse indicate that about 9.4% of high school seniors have used prescription drugs without a prescription in the past year. This trend underscores a concerning normalization of prescription drug misuse among youth.