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Ann B. Bruner, MD; Marc Fishman, MD

JAMA. 1998;280:597-598.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

INTRODUCTION

PLANO, a small Texas community (population, 180000; median family income, $54000) just north of Dallas, has been shocked by the deaths of more than 12 adolescents from heroin overdoses in the past 18 months.¹ In Fairfax County, Virginia (population, 900000; median household income, $70000), drug-related arrests of adolescents have increased more than 10-fold in 10 years.² Across the country parents wonder, "How could it happen to our children?" Lifetime prevalence rates of adolescent drug use have been rising since 1992³ (Figure 1), and the percentage of teens saying they would never try illegal drugs is decreasing: 86% in 1995, 51% in 1996, and 46% in 1997.^4-5

Figure appears in full text version. Lifetime prevalence of any illicit drug use, by grade, from Monitoring the Future Study data.

Adolescent substance abuse is an overwhelming public health problem in the United States. In 1997, the lifetime prevalence of any . . . [Full Text of this Article]

Selected Trends

Responding to the Problem

Prevention

Diagnosis

Treatment

Conclusions

From the Departments of Pediatrics (Dr Bruner) and Psychiatry and Behavioral Sciences (Dr Fishman), The Johns Hopkins University School of Medicine, and Mountain Manor Treatment Center (Drs Bruner and Fishman), Baltimore, Md.

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