         #AJ3 ,WE ,C ,W9 ! ,W>

  ,PREV5;N1 SUPPORT = ABUS]S1 & TR1T;T
>E ALL /EPS 9 ! BATTLE 65D ALCOHOL & O!R
DRUG ABUSE 9 YR -MUN;Y4 ,C;Y GOV]N;TS1
NEI<BORHOOD AC;N GR\PS1 P>5TS1 &
TE5AG]S1 !MVS1 C 3/RUCT A V]ITA# MAZE1 A
MATRIX ( 9FLU;ES 6CURB SUB/.E ABUSE4
,X'S "W+ 9 C;Y AF C;Y1 T[N AF T[N4
  ,&A -B9$-=CES APPROA* C "W 9 YR C;Y1
TOO4
  ,?9K "? ! ,PREV5;N ,MATRIX DIAGRAM %[N
9 ,FIGURE #AJ-A2 EVALUATE & ADAPT X 6YR
[N -MUN;Y4 ,H[ _M B1MS ( 9FLU;E A6ECT !
KIDS 9 YR T[N1 YR NEI<BORHOOD8
  ,IS ANY"O "W+ 6COORD9ATE ! EF=TS ( ^!
9FLU5TIAL PO9TS1 65C\RAGE !M 9 CURB+
SUB/.E ABUSE AM;G YR TE5AG]S8 ,IF N1 :Y
N Y8 ,Z ,I'VE BE5 TOLD "T & "T AG :5 ,I
VISIT C;Y AF C;Y3 ,WE'RE ALL 9 ? TGR2
"EYBODY C D "S?+ 6HELP W9 ! W> AG/
SUB/.E ABUSE--F (FICIALS 6KIDS ON !
/REET4
  ,USE YR IMAG9,N 6FOCUS ON :AT !
FAMILIES ON YR BLOCK CD D TGR 6SQUEL*
SUB/.E ABUSE 9 YR S*OOL1 YR NEI<BORHOOD1
YR T[N1 YR C.TRY4 ,B 2 SURE 6KEEP YR MA9
?RU/ ( ACTIVISM T>GET$ "R AT HOME4 ,!
BE/ PREV5TIVE FACTOR 64C\RAGE SUB/.E
ABUSE 9 A TE5AG]'S LIFE IS A -MUNICAT+1
AW>E P>5T1 &! TE5AG]'S [N GR[+ S5SE (
MATUR;Y & RESPONSIBIL;Y4

    ,! ,ALCOHOL-,ABUSE ,PREV5;N ,MATRIX3
    ,H[ 6,EVALUATE ,YR ,-MUN;Y'S ,FI<T
    ,AG/ ,SUB/.E ,ABUSE
      ,FIGURE #AJ-A3
      ,! ,ALCOHOL-,ABUSE ,PREV5;N
    ,MATRIX3 ,H[ 6,EVALUATE ,YR
    ,-MUN;Y'S ,FI<T ,AG/ ,SUB/.E ,ABUSE
      ,MATRIX DEVELOP$ 0,JOE ,W4 ,K+1
    ,M4,D4
      ,? DIAGRAM IS N REPRODUC$4
                99 99 99
    ,IS ,MY ,KID A ,US]8 ,:AT ,D ,I ,D8
  ,DRUG ABUSE IS RAMPANT AM;G TE5AG]S1
EV5 ?\< ! P]C5TAGES ( US]S >E 9*+
D[NW>D4 ,F ANY (! M5TAL H1L? ORGANIZ,NS
9 YR NE>E/ C;Y1 Y C GET M 9=M,N ?AN Y C
PROBABLY H&LE ON :AT 6D AB DRUG PRO#MS )
YR Y\?4
  ,M* ( T G5]AL 9=M,N W HELP IF Y
SUSPECT YR KID IS SLID+ 96ALCOHOL USE4
,:AT C Y D SPECIFIC,Y AB YR TE5AG]'S
9VOLVE;T ) BOOZE8
  ,WAT* = CLUES--DANG] SIGNALS S* Z3
  --,HAS MY TE5AG]'S 4POSI;N *ANG$
NOTICEABLY 2Y ! USUAL TE5AGE HORMONAL
UPS & D[NS8 ,UNPROVOK$ HO/IL;Y1 SU45
MOOD SW+S1 DEPRES.N8 ,ANY ( ^! SIGNS
9DICATE "S?+ IS WR;G--:E!R 9 ! >EA (
SUB/.E ABUSE OR O!R >1S4
  --,IS HE OR %E ESPECI,Y IRRESPONSI#
LATELY AB DO+ *ORES1 >RIV+ ON "T1 ETC48
  --,>E S*OOL GRADES DROPP+8 ,H ,I *ECK$
LATELY ) 8 OR H] T1*]S = ANY SIGNS (
T>DI;S1 TRUANCY1 A S]IES ( UND"O HOME"W
ASSIGN;TS1 4CIPL9E PRO#MS1 OR NOTICEA#
WE>I;S AT S*OOL8
  --,IS MY TE5AG] LOS+ OR DROPP+ AN OLD
CIRCLE ( FRS 9 FAVOR (A R[DY CR[D T IS
OR MAY 2 96DR9K+8
  --,AM ,I MISS+ M"OY OR OBJECTS 9 !
HOME T MI<T 2 PAWN$8 ,IF ,I KEEP LIQUOR
9 ! HOME1 IS ! SUPPLY DW9DL+8
  --,H ,I *ECK$ ! 3T5TS 65SURE BOTTLES
HAV5'T BE5 REFILL$ OR DILUT$ ) WAT]8
  --,H ,I HE>D ANY -;TS OR EV5 RUMORS AB
MY TE5AG]--T HE OR %E IS RUNN+ )A R\<
GR\P OR HAS BE5 ASSOCIAT$ ) DR9K+ OR O!R
DRUG USE8
  --,IS MY TE5AG] 9 TR\# )! POLICE8
  --,AL? ,I "K M* ( 8 OR H] 9DEP5D;E IS
NORMAL TE5AGE REBELLION1 DOES HE OR %E
SP5D 9ORD9ATE AM.TS ( "T AL"O 9 A
B$ROOM1 REFUSE 6ANSW] "QS AB ACTIVITIES
& DE/9,NS8
  ,HAS MY TE5AG]'S FAMILY REL,N%IPS--
ESPECI,Y "OS T 7 ONCE CLOSE--DET]IORAT$8
  --,DOES MY TE5AG] *ANGE ! SUBJECT OR
REFUSE 6TALK OP5LY AB ALCOHOL1 OR AB 8
OR H] PE]S' 9VOLVE;T ) BOOZE & O!R
DRUGS8
  ,Y MI<T 2 "O (! P>5TS :O ?9K _! KID WD
N"E IMAG9E GETT+ 9VOLV$ 9 ALCOHOL4 ,OR A
P>5T :O ?9KS T X'S NO BIG D1L IF !
TE5AG] IS DR9K+ A LL4 ,OR Y MAY 2
RELIEV$ T X'S 8ONLY0 ALCOHOL T'S 2+
ABUS$ & N 8H>D] DRUGS40 ,?9K AG4 ,IF Y
CAME UP ) M ?AN TWO 8YES0 ANSW]S 6! ABV
W>N+ LI/1 YR KID--& Y--CD 2 9 R1L TR\# )
A S]I\S BOOZE PRO#M T NE$S 6BE AC"KL$G$1
3FRONT$1 & TR1T$4
  ,:AT C Y D8 ,I ASK$ ,JOE ,W4 ,K+1
,M4,D41 ! PSY*IATRI/ :O D1LS EXT5SIVELY
) ADOLESC5TS :O >E C\RT+ A4IC;NS4
  ,:AT FOLL[S 9 ! NEXT PAGES IS ! ADVICE
HE G5]\SLY %>$3 ,:AT D ,I D )A DR9K+
TE5AG]8
  ,:5"E A PRO#M ( SUB/.E ABUSE 7ALCOHOL
OR O!R DRUG7 IS SUSPECT$1 P>5TS %D3
  --,RECOGNIZE ! PRO#M4
  --,EVALUATE ! PRO#M'S S]I\S;S4
  --,9T]V5E AT "O ( F\R LEVELS4
  #A4 ,RECOGNIZE ! PRO#M4 ,?9K AB
-MUNIC,N 9 TRY+ 6CAT* ON 6SUB/.E ABUSE
ON ! "P ( YR TE5AG]4
  7,REVIEW REGUL>LY ! 8,:5 ,I ,0 ,YR
,AGE0 -MUNIC,N TIPS 9 *APT] #I47 ,&
DON'T 2 AFRAID 6WAT* = W>N+ SYMPTOMS4
,IF AN ADOLESC5T DEVELOPS A FEV]1 =
EXAMPLE1 MO/ P>5TS WD TAKE A TEMP]ATURE1
GIVE "S E>LY SYMPTOMATIC TR1T;T1 GET
FUR!R EVALU,N (! PRO#M1 TALK 6! KID )!
FEV]1 & CALL 9 \TSIDE PROFES.NAL HELP IF
_! [N 9T]V5;NS DID N CAUSE ! FEV]
6SUBSIDE OR IF ! FEV] GOT WORSE4
  ,(T5 P>5TS 2COME 9DIRECT & SN1KY &
9/ANTLY 2HAVE Z DETECTIVES 9 D1L+ )!
SUSPICION T _! "Y/]S MAY 2 ON DRUGS4 ,!
9ITIAL /EP %D 2 6SIT D[N & TALK )!
TE5AG] 9 A V /RAI<T=W>D MANN]4 ,WE D N H
6H PRO( ( ANY?+ 6EXPRESS 3C]N--J Z WE
MI<T N "K ! EXACT CAUSE (A FEV]--B WE C
TAKE A C\RSE ( AC;N :5 WE RECOGNIZE
C]TA9 SYMPTOMS4
  ,3C]N REPRES5TS \R FEEL+S OR P]CEP;NS
AB A SITU,N4 ,\R FEEL+S1 P]CEP;NS1
WORRIES1 & 3C]NS _C 2 REPUDIAT$ EV5 IF
AN ATTEMPT IS MADE 6D S4
  ,ON ! O!R H&1 IF ! 9ITIAL /EP 9 TRY+
6ASC]TA9 A SUB/.E-ABUSE PRO#M IS 6A3USE1
!N ! A3US+ "PY1 ! P>5T1 C 2 REFUT$ ON !
BASIS ( MULTIPLE 8TE*NICALITIES0 Z !
"Y/] DEF5SIVELY ATTEMPTS 6COV] 8 OR H]
TRACKS4 ,= EXAMPLE3 ,P>5T3 8,YR CLO!S
/>T$ SMELL+ FUNNY & WE ?"\ X MI<T 2
M>IJUANA4 ,S WE W5T "? YR ?+S & F.D ?
BAG ( /UFF 9 YR DRESS] DRAW]1 & WE WANT
6"K H[ M* Y'RE SMOK+ & :AT O!R DRUGS
Y'RE US+4 ,& : "O ( YR SL1ZY NEW FRS IS
RESPONSI# = GETT+ Y />T$ ON ? /UFF80
  ,N[1 9 T "O LL SPEE* ,I'VE 3D5S$ S"EAL
8C>D9AL S9S0 6MAKE MY PO9T4 ,A RESPONSE
6S* AN 9T]V5;N MI<T BE3 ,ADOLESC5T3
8,X'S N MY /UFF4 ,I'M KEEP+ X =A FR2 &
2SS T1 :AT >E Y DO+ GO+ "? MY /UFF8 ,Y
TELL ME ALL ! "T T Y WANT ME 6TRU/ Y & Y
WANT 6TRU/ ME4 ,H[ C ,I TRU/ Y IF Y'RE
SN1K+ >.D 9 MY /UFF8 ,MY NEW FRS >5'T
SL1ZY & !Y'RE M 9T]E/$ 9 H[ ,I FEEL ?AN
Y >E6 ,I'M N US+ DRUGS--& D Y ?9K ,I'D
TELL Y IF ,I WAS80
  ,OBVI\SLY1 F ! V ONSET1 WE H AN ALM
-PLETE BR1KD[N ( -MUNIC,N1 TRU/1 &
"U/&+4 ,WE'VE BUNGL$ ! OPPORTUN;Y =
EMPA?IC 9T]V5;N4
  ,Z AN ALT]NATIVE1 ,I WD SU7E/ ! FOLL[+
TYPE ( 9T]V5;N3 ,P>5T3 8,BOB/,M>Y1 WE'RE
3C]N$ AB Y4 ,WE'VE NOTIC$ "S *ANGES 9 Y
: WORRY U4 ,YR CLO!S & YR ROOM SMELL
FUNNY 6U4 ,Y SEEM 6BE LESS AVAILA# 6U
EMO;N,Y & PHYSIC,Y & N Z 9T]E/$ 9 DO+
?+S )! FAMILY4 ,YR S*OOL"W HAS FALL5 (F4
,WE'RE WORRI$ AB :AT HAS HAPP5$ 6YR OLD
FRS2 WE DON'T SEEM 6"K YR NEW FRS V
WELL1 & T WORRIES U1 TOO4 ,Y SEEM 6H
M"OY & WE DON'T "K ": X'S -+ F4 ,Y'VE
LO/ 9T]E/ 9 2+ ON ! TRACK T1M1 &
PHYSIC,Y Y LOOK TIR$ & YR EYES >E (T5
BLOOD%OT--ESPECI,Y ON ! WEEK5D4 ,WE >E
RE,Y WORRI$ AB Y & WANT 6"K IF Y >E ALL
"R1 IF Y'RE OKAY4 ,Y DON'T SEEM Z HAPPY
6U Z Y US$ TO40
  ,OBVI\SLY1 ? K9D ( APPROA* NE$S 6BE
UTILIZ$ :5 ! P>5TS & "Y/] >E N D1L+ )
ANY HOT ISSUE4 ,X %D 2 A "T :5 BO? P>5TS
& "Y/] >E EMO;N,Y 8IN NEUTRAL GE>10 >E
AVAILA# 6EA* O!R1 & H AMPLE "T 6PURSUE
ANY 4CUS.N : MI<T FOLL[4
  ,AL1 A P>5T %D N WAIT UNTIL ALL !
SYMPTOMS T ,I H ID5TIFI$ 9 ! EXAMPLE ABV
-E =?4 ,HOPE;LLY1 ONLY "O OR TWO ( ^?
SYMPTOMS WD 2 RECOGNIZ$ 2F P>5TS WD SIT
D[N & EXPRESS _! 3C]N 6A "Y/]4
  ,P>5TS NE$ 6BE PREP>$ T ! "Y/] MI<T
RESPOND 9 A V DEF5SIVE1 HO/ILE1 & 8%[-
/OPP+0 WAY4 ,IF ! SITU,N IS N S URG5T Z
6W>RANT AN EM]G5CY TYPE ( 9T]V5;N1 ,I WD
SU7E/ T )9 ! NEXT TW5TY-F\R H\RS OR S !
P>5TS ONCE AG EXPRESS _! 3C]N 6_! "Y/]1
TELL+ ! TE5AG] T 8 OR H] /ORM+ \ (! ROOM
OR 9 ANY WAY /OPP+ ! 4CUS.N IS N GO+
6ALLEVIATE _! FE>S1 B 9 FACT X RE9=CES
!M4 ,P>5TS MI<T WANT 6SIT D[N A SECOND
OR EV5 ?IRD "T 6PRES5T _! 3C]N AB !
*ANGES !Y >E SEE+ 9 _! SON OR DAU<T]4
  ,! KEY ELE;TS 9 RECOGNIZ+ ! PRO#M >E A
G5U9E EXPRES.N ( 3C]N &! PURSUIT (
"U/&+--N ! E/ABLI%;T ( 8PRO(0 &!
ID5TIFIC,N ( GUILT4
  ,IF ! SITU,N IS "O ( R1L URG5CY--T IS1
IF ! "Y/] IS -+ 9 DRUNK OR /AY+ \ ALL
NI<T OR RUNN+ AWAY OR SKIPP+ S*OOL--IF
?+S H G"O 6T DEGREE1 OBVI\SLY ? E>LY
/AGE M/ 2 EXP$IT$ QKLY 9 ! 9T]E/ (!
"Y/]'S PHYSICAL & EMO;NAL SAFETY4
  ,HAV+ EXPRESS$ A S9C]E DESIRE 6D1L )
_! SON OR DAU<T] 9 AN H"O/ & /RAI<T=W>D
WAY1 P>5TS %D !N 3T9UE 6SEEK 69T]V5E OV]
A R1SONA# P]IOD ( "T--& :AT IS R1SONA#
DEP5DS ON ! URG5CY (! SITU,N4
  ,IF ?+S LOOK S]I\S1 !N P>5TS M/ TURN
62+ DETECTIVES4 ,H["E1 9VE/IGAT+ %D 2 A
CLE> 8,PLAN ,B40 ,P>5TS %D 2COME FAMILI>
) :AT IS 9 _! "Y/]'S ROOM1 SEEK 9=M,N F
ANY"O :O "KS ! TE5AG]1 ESPECI,Y 8 OR H]
8OLD0 PE] GR\P1 COA*ES1 T1*]S1 ETC4
  ,TALK+ X \ 78,PLAN ,A07 OR A 8,PLAN
;,B0 DETECTIVE 9VE/IG,N %D GIVE P>5TS "S
CL>;Y Z 6:E!R _! ADOLESC5T IS US+ DRUGS
S* Z ALCOHOL4 ,AT T PO9T1 X 2COMES
IMPORTANT 63FRONT ! SITU,N--W>MLY1
FIRMLY1 B DIRECTLY--& !N 6DET]M9E H[
6EVALUATE ! S]I\S;S (! SITU,N4
  #B4 ,EVALUATE ! S]I\S;S (! "Y/]'S
SUB/.E ABUSE4
  ,"S"TS ! USE ( DRUGS IS SIMPLY T--A
USE ( DRUGS4 ,9 T SITU,N1 ! "Y/] MAY NE$
"S TYPE ( 9T]V5;N 9 AN \TPATI5T C\NSEL+
PROGRAM : HELPS ! P]SON "U/& !
SIGNIFIC.E ( SUB/.E ABUSE1 XS POT5TIAL 9
T]MS ( XS IMPACT ON 8 OR H] [N LIFE1 & S
=?4 ,? PROGRAM %D 3TA9 A /R;G COGNITIVE
-PON5T4 ,X CD 2 "? "S GR\P SES.NS AT
S*OOLS4 ,_M S*OOLS >E N[ HAV+ PE]-RUN
&/OR PROFES.N,Y RUN AF-S*OOL SES.NS =
KIDS :O H BE5 96BOOZE & O!R DRUGS1 OR >E
WORRI$ AB GETT+ 96DRUGS4
  ,AT ? LEVEL ( 9T]V5;N1 P>5TS %D
FAMILI>IZE !MVS ?OR\<LY )! _M S]VICES =
BO? EVALU,N & TR1T;T AVAILA# ON AN
\TPATI5T BASIS 9 _! -MUN;Y4
  ,IF ! "Y/] />TS RUNN+ AWAY F HOME1
/AY+ \ AT NI<T1 OR 2COM+ M DEFIANT OR
OPPOSI;NAL1 !N OBVI\SLY \TPATI5T C\NSEL+
W N 2 SU6ICI5T1 2C ! TE5AG] W PROBABLY N
%[ UP = SES.NS ON A REGUL> BASIS4 ,S
P>5TS AT ? "T (T5 GET PROFES.NAL HELP 9
EVALUAT+ ! PRO#M4
  ,I URGE P>5TS 6SEEK PSY*IATRIC OR
PROFES.NAL SUB/.E-ABUSE HELP AT ? LEVEL1
J Z !Y WD IF _! * _H A PHYSICAL SYMPTOM
T P]SI/$ T !Y DIDN'T "U/&4 ,IF A "Y/] _H
P]SI/5T1 F"R5+ AS?MA ATTACKS1 NO C>+
P>5T WD GIVE 9 TO 8,I DON'T WANNA G SEE
A DOCTOR10 "U ^? CIRCUM/.ES4 ,9 ! SAME
WAY1 A P>5T DOESN'T NE$ 6GIVE 9 TO 8,I
WON'T G SEE A C\NSELOR2 ,I WON'T G SEE A
%R9KL0 ,P>5TS NE$ 6-MUNICATE T !Y
SUPPORT _! SON OR DAU<T]'S GETT+ HELP &
T !Y >E WILL+ 6"PICIPATE 9 ! :OLE
PROCESS4 ,? REASSUR.E J MI<T 2 SPIT BACK
9 A P>5T'S FACE2 B X IS LAY+ ! F.D,N =
POT5TIAL GR[? 9 ! FUTURE (! P>5TAL-"Y/]
REL,N%IP4
  ,? EVALU,N /AGE IS A "T :5 P>5TS1 IF
!Y HAV5'T D"O S YET1 M/ ?OR\<LY $UCATE
!MVS )! SIGNS & SYMPTOMS ( SUB/.E ABUSE4
,$UC,NAL RES\RCES >E AVAILA# 03TACT+ ANY
LOCAL M5TAL H1L? AG5CY OR ! ORGANIZ,NS
LI/$ 9 ! ,RES\RCES SEC;N 9 ,APP5DIX ,B4
  #C4 ,9T]V5E4 ,! LEVEL ( 9T]V5;N W1 (
C\RSE1 2 MO/LY DET]M9$ 0! DEGREE (
PSY*OPA?OLOGY ! "Y/] DEMON/RATES4
  ,6GLIMPSE T PSY*OPA?OLOGICAL /ATE1 ,I
D A M5TAL-/ATUS *ECK ON ADOLESC5TS--T
IS1 ,I DET]M9E "? EXPLORATORY PSY*IATRIC
9T]VIEWS ! TYPE & LEVEL ( FUNC;N+ T !
"Y/]S >E EXP]I5C+ 9T]N,Y3 ,>E !Y ORI5T$
6"T1 PLACE1 & P]SONS PRES5T8 ,D !Y SEEM
6H ANY 4RUP;N (! ?9K+ PROCESS8 ,IS _!
?9K+ APPROPRIATE 6_! CURR5T LIFE SITU,N8
,>E _! JUDG;T & 9TELLECT 9TACT8 ,>E !Y
A# 6UTILIZE _! ABIL;Y 6R1D1 WRITE1 & D
>I?METIC8 ,:AT LEVEL ( PSY*OLOGICAL
MATUR;Y OR DEVELOP;T D !Y SEEM 6BE
UTILIZ+8 ,D !Y D1L ) /RESS OR A DI6ICULT
LIFE SITU,N 9 AN AGE-APPROPRIATE WAY1 OR
D !Y RESPOND 6S* A SITU,N L A M* "Y] *8
  ,NEXT1 ,I EVALUATE H[ ! "Y/] IS COP+ )
! F\R >1S ( RESPONSIBIL;Y T WE ALL H Z
9DIVIDUALS3 #A7 ! FAMILY1 #B7 ! 8JOB10 :
= MO/ KIDS IS PRIM>ILY S*OOL1 #C7 ! PE]
GR\P1 & #D7 ! -MUN;Y 9 G5]AL4
  #A4 ,! FAMILY4 ,I ATTEMPT 6DET]M9E :AT
! "Y/]'S REL,N%IP )! FAMILY IS &
ESPECI,Y IF "! HAS BE5 A SIGNIFICANT
*ANGE4 ,9 DO+ ?1 X IS V IMPORTANT
6REMEMB] T A NORMAL DEVELOP;TAL PROCESS
( ADOLESC;E IS 6EMANCIPATE PSY*OLOGIC,Y
F DEP5D5CY ON ! FAMILY & 2COME A FREE/&+
9DIVIDUAL 0LATE ADOLESC;E OR "Y
ADULTHOOD4 ,S ALL ( ? HAS 6BE V C>E;LLY
PUT 96P]SPECTIVE4 ,I WD ESPECI,Y LOOK =
ANY M>K$ DI6];ES OR *ANGES 9 ! REL,N%IP
)! FAMILY--& "PICUL>LY >1S 9 : ! "Y/]
US$ 6DERIVE PL1SURE & SATISFAC;N )
P>5TS1 SIBL+S1 & EV5 EXT5D$ FAMILY
MEMB]S4
  #B4 ,! JOB4 ,! VOC,NAL ASPECTS (!
"Y/]'S LIFE NE$ 6BE EVALUAT$ AG1
ESPECI,Y LOOK+ = *ANGES4 ,OBVI\SLY1 !
PRIM>Y VOC,NAL 9T]E/ = MO/ "Y/]S IS
S*OOL1 AL? _M KIDS MAY H JOBS4 ,? >EA (
H[ !Y PRODUCTIVELY 5GAGE 9 VOC,NAL OR
$UC,NAL PURSUITS IS AN IMPORTANT >EA
6EVALUATE4
  #C4 ,! PE] GR\P4 ,! "Y/]'S REL,N%IP )
PE]S AL NE$S 6BE V C>E;LLY EVALUAT$4
,HAS "! BE5 ANY *ANGE 9 PE] REL,N%IPS8
,HAS ! "Y/] PULL$ AWAY F =M] PE]
REL,N%IPS T US$ 6BR+ HM OR H] PL1SURE8
,H ! ACTIVITIES )! PE] GR\P 2COME LESS
PLANN$ & M AIM.S--N NECESS>ILY
DE/RUCTIVE1 B AT L1/ N 3/RUCTIVE8 ,X IS
NORMAL ADOLESC5T 2HAVIOR 6D "S 8CRUIS+10
& X C 2 D"O NONDE/RUCTIVELY4 ,? IS A WAY
T ADOLESC5TS D1L ) DESIRES = AN 9CR1S$
S5SE ( MA/]Y OV] ! HUGE RESPONSIBILITIES
( 2+ 8ON _! [N10 & C 2 A V IMPORTANT "T
9 TE5AG]S' DEVELOP;T4 ,ON ! O!R H&1 IF
"! IS A S5SE ( AIM.S;S1 IF ! W&]+ >.D
M1NS T ! "Y/] MISSES D9N] "T1 DOESN'T D
HOME"W1 -ES 9 TOO LATE OR N AT ALL1 ? C
SIGNAL A PRO#M4
  #D4 ,! -MUN;Y4 ,! ADOLESC5T'S G5]AL
REL,N%IP 6! -MUN;Y C 2 EVALUAT$ 9 TWO
MAJOR >1S4 ,"O HAS 6D )! "Y/]'S BASIC
RESPECT = -MUN;Y /&>DS3 ,IS ! TE5AG] "U
>RE/1 REP1T$LY SPE$+1 ETC48 ,! O!R MAJOR
>EA IS 8 OR H] "PICIP,N 9 :AT"E
OPPORTUNITIES ! -MUN;Y (F]S4 ,IS %E "P (
! LOCAL ,SC\T TROOP OR IS HE A MEMB] (A
MOTORCYCLE GANG8 ,IS 8 BE/ FR A FR F
S*OOL OR *UR*1 OR IS 8 FR 8 FAVORITE
PU%]8 ,"! >E MULTIPLE OPPORTUNITIES 9 !
-MUN;Y 62COME 9VOLV$1 & X IS IMPORTANT
6SEE 6: ( ^! ! "Y/] 9 "Q IS DRAWN4
  ,ANO!R MAJOR DET]M9ANT 9 ! EVALU,N
PROCESS IS 6DET]M9E H[ COOP]ATIVE &
AVAILA# A "Y/] IS = AN 9T]V5;N PROCESS4
,OBVI\SLY1 IF ! "Y/] REFUSES 6-E 96!
OBS]V,N SES.N1 IF HE REFUSES 6-E 9 ON
"T1 IF HE REFUSES 6G 6S*OOL1 !N WE >E
D1L+ )A SITU,N T W PROBABLY 9VOLVE ! NE$
= 9PATI5T 9T]V5;N ": EXT]NAL SUPPORT &
/RUCTURE C 2 PROVID$ =! "Y/] UNTIL HE OR
%E C PROVIDE ^? /RUCTURES & SUPPORTS
9DEP5D5TLY F 9T]NAL RES\RCES4
  ,ALM ANY "Y/] :O -ES 9 = EVALU,N W D S
) "S DEGREE ( DEFI.E OR RES5T;T4 ,? IS
"U/&A#1 ESPECI,Y IF HE OR %E HAS N"E BE5
9VOLV$ 9 ANY K9D ( EVALU,N PROCESS 0A
C\NSELOR4 ,AF ALL1 "S KIDS ?9K1
,PSY*IATRI/S ONLY SEE P :O >E CRAZY1 S
!Y M/ ALL ?9K ,I'M 9SANE4
  ,T'S :Y X IS V IMPORTANT T ! 9ITIAL
EVALU,N PROCESSES 9VOLVE ! P>5TS &!
PATI5T1 & "S"TS EV5 SIBL+S1 S T "EY"O C
/>T ON A BASIC LEVEL ( "U/&+- : DOES N
ALW M1N A BASIC LEVEL ( AGREE;T4
  ,I EMPHASIZE /R;GLY T X IS N IMPORTANT
T ! FAMILY AGREE1 B T FAMILY MEMB]S "U/&
H[ EA* ( !M EXP]I;ES ! CURR5T LIFE
SITU,N4 ,MOM MAY 2 3C]N$ AB ! GRADES
DROPP+ (F1 ,DAD MAY 2 3C]N$ AB ! KID
GETT+ KICK$ (F ! FOOTBALL T1M1 &! KID
MAY 2 3C]N$ AB ! P>5TS 2+ 8SCREW$ UP40
,^? >E ALL IMPORTANT PO9TS ( VIEW4
  ,B (T51 "U/&+ IS PREC$$ 0RESI/.E &
FE>2 ,I H "W$ ) \TPATI5T TE5AG]S :O H V
QKLY EXPRESS$ A S5SE ( RELIEF :5 !Y "U/&
!Y >E N 9 TR\# 9 T]MS (A PUNITIVE
APPROA*4 ,RELIEF IS "S"TS OBVI\S :5 !Y
SEE T1 9 FACT1 _! P>5TS1 MYF1 & O!RS >E
3C]N$1 AB !M1 T WE >E SEEK+ RESOLU;N &
"U/&+ & N 8PRO( & GUILT40
  ,HAV+ !N DET]M9$ ! DEGREE ( 4RUP;N (!
"Y/]'S 9T]NAL /ATE1 %[N \TW>DLY 9 8 OR
H] 9T]AC;NS ) FAMILY1 PE]S1 S*OOL1 OR
VOC,NAL >EA RESPONSIBILITIES1 & )9 !
-MUN;Y1 A LEVEL ( 9T]V5;N %D 2 *OS5 T IS
APPROPRIATE 6! 4RUP;N ( FUNC;N+4 ,X IS A
C>D9AL RULE 6REMEMB] T ! PRIM>Y 3C]N IS
! "Y/]'S SAFETY &! FAMILY'S SAFETY--
PHYSICAL1 Z WELL Z EMO;NAL4 ,IF ,I AM
TORN 2T HAV+ A "Y/] "PICIPATE ON AN
\TPATI5T OR 9PATI5T LEVEL ( TR1T;T1 ,I
*OOSE ! SAFE R\TE & OP5LY ADMIT ,I AM
DO+ S4 ,IF ,I H OV]COMP5SAT$1 T W 2COME
APP>5T E>LY 9 ! 9PATI5T TR1T;T PROCESS &
GRADU,Y ! TR1T;T W 2 MOV$ 6AN \TPATI5T
LEVEL ( 9T]V5;N4
  ,! "Y/]S :O >E A# 6BE TR1T$ ON AN
\TPATI5T BASIS >E "OS3 99 :O H A /R;G
FAMILY SUPPORT SY/EM ) : !Y >E / 5GAG$1
99 ^: SUB/.E-ABUSE PRO#M IS FAIRLY NEW1
99 ^: ABIL;Y 6FUNC;N 9 ANY (! >1S M5;N$
PREVI\SLY REMA9S 9TACT1 & 99 :O FEEL A
DEGREE ( 4PL1SURE ) _! DR9K+ OR SUB/.E
ABUSE4
  ,X IS T]RIBLY IMPORTANT 6EMPHASIZE T
KIDS (T5 USE DRUGS Z AN EXPRES.N ( 9T5SE
"ULY+ 4COM=T1 UNHAPPI;S1 & S =?4 ,^!
"Y/]S FREQU5TLY FALL 96! CATEGORY ( 2+
8DUAL DIAGNOS$0--!Y H A SUB/.E-ABUSE
DIAGNOSIS1 B !Y AL H A LEGITIMATE
PSY*IATRIC DIAGNOSIS4 ,? PSY*IATRIC
DIAGNOSIS C 2 ANY?+ & "EY?+ T NON-
SUB/.E-ABUS+ "Y/]S 5DURE1 Z WELL1 9CLUD+
PSY*OSIS1 2HAVIORAL OR ADJU/;T PRO#MS 9
ADOLESC;E1 &/OR DEPRES.N 9 *ILDHOOD OR
ADOLESC;E4 ,UN=TUNATELY1 ? IS A GR[+ *
PRO#M4 ,S X IS V IMPORTANT T 2T EVALU,N
& 9T]V5;N AN 9T5SE EF=T IS MADE 6"U/& !
8TOTAL KID10 & N J LOOK AT ! SURFACE
2HAVIOR ( SUB/.E ABUSE4 ,X IS IMPORTANT
6"U/& ! M1N+--,I L 6CALL X !
8PSYCBOLOGICAL ECONOMY0--( ANY SURFACE
2HAVIOR =A GIV5 P]SON1 9CLUD+ ! SURFACE
2HAVIOR ( ALCOHOL &/OR O!R SUB/.E ABUSE4
  ,AT ANY LEVEL ( 9T]V5;N1 X IS
IMPORTANT T ! P>5TS RE,Y "K "S?+ AB !
PROGRAM T !Y WD 5GAGE _! "Y/] & !MVS IN2
!Y M/ MAKE A -MIT;T 6BE "R 9 "! )! "Y/]
ALL ! WAY4
  ,! C>D9AL RULE T ,I USE IS 6TRY AT ALL
"TS 6RECOMM5D :AT IS BE/ =! "Y/] &!
FAMILY4 ,T'S ! ONLY PROMISE ,I "E MAKE
6A PATI5T OR ! PATI5T'S P>5TS1 ,I W D OR
RECOMM5D :AT ,I ?9K IS BE/ = _! *1 &/OR
= !M4 ,I AM 3C]N$ ) TWO ?+S3 #A7 :AT ,IS
SAFE PSY*OLOGIC,Y & PHYSIC,Y =! ID5TIFI$
PATI5T &=! FAMILY1 & #B7 :AT IS FAIR &
R1SONA# 6ASK (! ID5TIFI$ PATI5T &!
FAMILY4

    ,LEVELS ( ,9T]V5;N
  ,I G5],Y ?9K 9 T]MS ( F\R LEVELS (
9T]V5;N3 #A4 ACUTE-C>E HOSPITAL 9PATI5T1
#B4 RESID5TIAL TR1T;T C5T]1 #C4 "PIAL
HOSPITALIZ,N1 & #D4 \TPATI5T LEVEL (
9T]V5;N4
  ,! ACUTE-C>E LEVEL ( 9T]V5;N IS
APPROPRIATE :5 ! SAFETY (! PATI5T IS
P>AM.T--:5 ! PATI5T IS CLE>LY 2HAV+ 9 A
SELF-DE/RUCTIVE & C]TA9LY SELF-DEF1T+
WAY 9 ! FAMILY1 ! PE] GR\P1 ! JOB1 OR !
-MUN;Y4 ,I AL WANT 6DET]M9E :AT IS FAIR
& R1SONA# 6ASK (! PATI5T &! FAMILY4
  ,IF BO? P>5TS >E OV]:ELM$ 0! PATI5T'S
2HAVIOR1 OR IF X IS A S+LE P>5T :O "WS
NI<TS :5 ! * IS N 9 S*OOL1 X IS N
R1SONA# !N 6LAY D[N A TR1T;T PLAN T WD
REQUIRE A SIGNIFICANT DEGREE ( SUP]VI.N
0! P>5T Z "P (! 9T]V5;N PROCESS4
  ,"S"TS "O-P>5T & TWO-P>5T FAMILIES >E
J FLAT BURN$ \ & C'T RE,Y FUNC;N1 &(
C\RSE IF ! "Y/] HAS A SIGNIFICANT "ULY+
PSY*IATRIC 4ORD]1 ? TOO IS M LIKELY
69DICATE ! NE$ = ACUTE-C>E 9T]V5;N4 ,"!
>E _M SUB/.E ABUS]S :O >E N AT ALL
SUICIDAL2 "! >E O!RS :O >E 3SCI\SLY OR
UNCONSCI\SLY V SELF-DE/RUCTIVE1 & ^!
9CL9,NS NE$ 6BE DET]M9$4
  ,SECOND-LEVEL 9T]V5;N IS RESID5TIAL
TR1T;T C5T] 7,,RTC7 C>E4 ,? IS ! LEVEL (
C>E AT ! CL9IC ": ,I PRACTICE4 ,WE H A
SPECIALIZ$ SUB/.E-ABUSE PROGRAM = "Y/]S
:O H BE5 /ABILIZ$ 9 ! HOSPITAL & H BE5
TRANSF]R$ 6U =! SUB/.E-ABUSE PROGRAM4
,WE AL C>E = "Y/]S :O DON'T REQUIRE !
ACUTE C>E ( HOSPITAL-LEVEL 9T]V5;N & >E
ADMITT$ DIRECTLY 6\R CL9IC4 ,! ,,RTC
SUB/.E-ABUSE PROGRAM 9 \R SETT+ IS = ^?
KIDS = :OM BOOZE OR O!R DRUGS H 2COME A
CORE "P ( _! LIVES4
  ,"PIAL HOSPITALIZ,N IS A LEVEL (
9T]V5;N = ^? KIDS :O3 99 NE$ !RAPEUTIC
9T]V5;N DUR+ ! "D1 9CLUD+ $UC,NAL
9T]V5;N1 99 C "PICIPATE 9T5SIVELY 9
9DIVIDUAL1 GR\P1 & FAMILY !RAPIES (!
RECOV]Y PROGRAM1 99 2 9VOLV$ 9 AN
9T5SIVE ,TWELVE-,/EP PROGRAM AL;G ) _!
FAMILIES1 99 C H&LE ! RESPONSIBIL;Y ( 2+
HOME AT NI<T & ON ! WEEK5DS1 99 & ^? ^:
FAMILIES C H&LE T RESPONSIBIL;Y Z WELL4
  ,"S"TS KIDS >E ADMITT$ DIRECTLY 6!
8"PIAL0 LEVEL ( C>E1 & "S"TS KIDS H
GRADUAT$ F ACUTE C>E 6"PIAL1 OR F ACUTE
C>E 6RESID5TIAL 6"PIAL4
  ,F9,Y1 ! \TPATI5T LEVEL ( C>E IS !
LEVEL ( C>E : MO/ "Y/]S RCV Z _! 5TIRE
TR1T;T PROCESS4 ,X'S ! DESIR$ LEVEL (
C>E :5 AT ALL POSSI#1 2C X M1NS T ! "Y/]
3T9UES 6"PICIPATE 9 ! FAMILY1 9 ! JOB OR
S*OOL SETT+ &)! PE] GR\P4 ,AL1 HE IS A#
6D S )A R1SONA# DEGREE ( 9T]NAL S5SE (
WELL-2+ & FUNC;N+4
  ,AT ALL LEVELS ( 9T]V5;N1 ,I 2LIEVE
"Y/]S NE$ 6H ! SURFACE 2HAVIOR PRO#MS (
_! SUB/.E ABUSE D1LT ) "? A V A7RESSIVE
,TWELVE-,/EP PROGRAM : 9CLUDES A
DIDACTIC POR;N1 ! /UDY (! ,ALCOHOLICS
,ANONYM\S 8,BIG ,BOOK10 & S =?4 ,9
A4I;N1 IF !Y'RE 9PATI5TS1 ! "Y/]S C />T
ATT5D+ -MUN;Y-BAS$ ,ALCOHOLICS ,ANONYM\S
OR ,N>COTICS ,ANONYM\S PROGRAMS4 ,!
,,AA/,,NA & ,TWELVE-,/EP APPROA*ES >E V
IMPORTANT1 9 MY OP9ION1 = 9PATI5TS1 =
KIDS ) "PIAL SUB/.E-ABUSE PRO#MS1 &=
\TPATI5TS1 2C ^! PROGRAMS H A H1VY
EMPHASIS ON ! FAMILY ASPECTS ( ? PRO#M4

    ,RECAPP+ ,JOE'S ,ADVICE
  ,JOE'S SUMM>Y ( TR1T;T :5 Y SUSPECT YR
Y\? IS GETT+ 96BOOZE IS BASIC,Y SIMPLE3
,RECOGNIZE1 EVALUATE1 & 9T]V5E4
  ,LET'S HOPE Y N"E H 6MOVE "? ^? /EPS4
,LET'S HOPE YR TE5AG] HAS D"O 8 OR H] [N
EVALU,N & DECID$ N 6BE A NUMB] ON A
SUB/.E-ABUSE /ATI/ICAL *>T4

    ,:AT ,C A ,TE5AG] ,D ,AB ,ALCOHOL
    ,ABUSE8
  ,! LI/ IS PRETTY SIMPLE =A TE5AG] :O
FACES ! DR9K+ ISSUE H1D-ON4 ,"H >E "S
SU7ES;NS 6PASS ON 6TE5AG]S Y "K3 ,IF
Y'RE "U AGE1 X'S ILLEGAL = Y 6DR9K
ALCOHOL4 ,DON'T DR9K4
  --,IF Y'RE ( DR9K+ AGE 9 YR >EA1
DECIDE = YRF :AT Y'LL D AB BOOZE--DON'T
LET ADV]TIS]S OR PE]S OR PRO#MS TWI/ YR
>M 96DR9K+ AG/ YR [N BETT] JUDG;T4 ,SEE
! 4CUS.N CALL$ 8,:ATSITGONNABE80 9 *APT]
#H 6GET A GRIP ON "S BASIC PR9CIPLES T W
HELP Y =M YR [N /&>DS AB DR9K+4 ,IF Y'RE
"U AGE & Y'RE (F]$ A DR9K1 ASS]T YR
9DEP5D;E 6SAY NO4 ,"! >E PROBABLY 5 R\<
/ORIES ( ALCOHOLISM 9 YR -MUN;Y OR YR
FAMILY2 SIMPLY REF] 6! SITU,N & SAY1
8,I'M N GO+ 65D UP )A DR9K+ PRO#M1 S
,I'D R H A ,PEPSI OR "S?+40 ,PRACTICE
ROLE-PLAY+ YR RESPONSE2 Y W 2 (F]$ AN
ALCOHOLIC DR9K "S"T4 ,DON'T 2 9TIMIDAT$
0-;TS2 PRACTICE "S -EBACKS S* Z1 8,OH
Y1H1 BOOZE IS TOO T\< = ME 6H&LE1 ALL
"R4 ,I WI% ,I CD 2 Z MATURE Z Y ''' @60
  --,DON'T GET 96A C> ^: DRIV] HAS BE5
DR9K+4 ,ALW H 5 *ANGE 6CALL HOME OR CALL
A CAB 9 AN EM]G5CY4 ,& REMEMB]3 FRS
DON'T LET FRS DRIVE DRUNK4
  ,"! >E _M CR1TIVE WAYS TE5AG]S C HELP
CE;T _! /&>DS ON ALCOHOL USE4 ,!Y C JO9
S*OOL OR -MUN;Y PROGRAMS 6FI<T ALCOHOL &
O!R DRUG ABUSE4 ,!Y C EV5 GET A R1LI/IC
GLIMPSE (! PA9;L TOLL ALCOHOL TAKES ON
_! T[N 0VOLUNTE]+ AT ! LOCAL HOSPITAL4
,"H'S A LR F A KID :O HAS DECID$ 6G
/RAI<T 2C ( :AT HE'S SE5 9 8 VOLUNTE]
POSI;N AT AN EM]G5CY ROOM3
  ,I AM A TE54 ,N YET OLD 5 6?9K ?+S "?
Z WELL Z ,I "\ 6"S"TS1 B ,I'M OLD 5
6LOOK >.D ME & J OBS]VE ! ?+S HAPP5+ 9
MY [N -MUN;Y4
  ,S ,I VOLUNTE] 9 ! EM]G5CY ROOM ( \R
T[N'S HOSPITAL4 ,& ,I AM ASK+ O!R
TE5AG]S L ME IF !Y H ! GUTS 6D ? E WEEK1
2C :AT ,I SEE 9 ! EM]G5CY ROOM W ="E
KEEP ME F DRIV+ ) "S"O :O HAS BE5 DR9K+4
  ,WAT* :O -ES 96! HOSPITAL ON A /RET*]4
,Y MAY RECOGNIZE A FACE OR TWO4 ,WAT*
:AT ! DOCTORS H 6D 6HELP !M1 & H[ _!
FAMILY FEELS4 ,!N WAT* !M TRY
6RECUP]ATE4
  ,"S"TS X DOESN'T ALL /OP ! M9UTE Y
CRA% A C> '''4 ,IF Y'RE LUCKY 5 6BE
ALIVE1 X W 2 ) Y =A L;G "T4
  ,VOLUNTE]+ GIVES ME A *.E 6HELP O!R P4
,B X AL HELPS ME LE>N AB LIFE ''' & :AT
,I C D 6SAVE X4
  ,TE5AG]S NE$ 62LIEVE !Y1 TOO1 C D "S?+
AB SAV+ LIVES F ! RAVAGES ( ALCOHOL &
O!R DRUGS4
  ,I "K !Y C2 2C Z A TE5AG] ,I 2GAN !
*ANGES 9 MY [N LIFE T EV5TU,Y WD HELP MY
ALCOHOL-CURS$ & A4IC;N-DRIV5 FAMILY
6:OLE;S4 ,\R /ORY ( HOPE & VICTORY J
MI<T 2 ! 9C5TIVE Y NE$ 6"W 6RID YR
FAMILY OR YR NEI<BORHOOD (! SUB/.E ABUSE
T'S KILL+ \R KIDS4
  ,R1D ON4

