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Book Title: Treating and Preventing Adolescent Mental Health Disorders  > pp. [815]
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confidentiality , 566–67 , 569
in emergency rooms , 563–64
financing , 569
lack of, reasons for , 566–67
in primary care settings , 563 , 584
in schools , 51
system change considerations , 567–69
training programs , 568–69
international comparison , 346
locker searches , 565
multiple agents , 392
parental substance use and , 392
prevalence and trends , 343–46 , 343f–345 f, 345t–346 t
school professional findings , 601 , 602 t
subgroup differences , 345–46
versus substance use disorders , 563
zero-tolerance policies , 565
Substance use disorders , xxviii
animal models
biological research based on , 372–74 , 373 f, 374 f
of conditioned drug effects , 376–77
of drug reward , 374
genetic contributions , 384–85
of motivational effects of withdrawal , 375
anxiety disorders and , 170 , 228–29
brain executive inhibitory circuitry defects , 379–80
brain reward center dysregulation , 337 , 338
allostasis and , 378
animal models , 372–77 , 373 f, 374 f
imaging studies , 380–84
pharmacotherapy for , 402–3
clinical aspects , 347–72
alcohol , 356–63 , 357 t
club drugs , 372
cocaine/stimulants , 349–53 , 352 t
“ecstasy” (MDMA), 367–68
GHB , 369–70
hallucinogens , 370–71
heroin/opioids , 347–49 , 347 t, 349 t
inhalants , 368–69
marijuana , 353–56
PCP , 371–72
rohypnol , 370
tobacco , 363–67
comorbidity
anxiety disorders , 409–10
attention-deficit/hyperactivity disorder , 408
bipolar disorder , 23 , 408–9
data sources , 342–43
depression , 9 , 37 , 409
eating disorders , 272 , 273
treatment , 392 , 399–400 , 407–10
definitions , 336 , 568–69
detoxification , 403–4
developmental theories , 413–16
drug-related cues , 382–84
epidemiology , 339–47
identification , 563 , 568–69 . See also Substance use, identification
mediating factors , 417 , 417 t
molecular aspects , 377–78
neuroadaptations , 378
neurobiology , 372–84
overview , 336–39
pharmacotherapy , 401–10
abstinence and relapse prevention , 404–7
comorbidity and , 407–10
detoxification , 403–4
to reduce drug reward and craving , 402–3
prevention programs , 417–26
future directions and challenges , 422 , 426
indicated , 421
model, summaries and reviews , 422 , 423t–425 t
multilevel , 421–22
selective , 421
theoretical and conceptual models , 412
universal , 417–21
psychosocial therapy , 393–401
assessment issues , 399
comorbidity and , 399–400
disease model approaches , 398
evaluation studies , 393–94
inpatient approaches , 393–94
motivational approaches , 397–98
multisite studies , 399
multisystem approaches , 395–96
outpatient approaches , 394
process research and mechanisms of action , 399
randomized clinical trials , 394–99
research agenda , 428–29
risk factors and protective factors , 412–13
schizophrenia and , 79
suicide and , 434 , 437
treatment , 392–410 , 618–19
access to
barriers , 569–71
for step-down services , 575
system change considerations , 571–72
credentialing process , 570–71
financing mechanisms , 571 , 572
gaps , 562
gender differences , 562
matched to clinical prototypes , 573
obstacles , 392–93
recommended expansion of capacity , 571–72
service delivery systems , 572–76
emerging trends , 576–77
limited assessment practices , 572–74
end p.815
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