Substance Misuse and Young People : Critical Issues book cover
1st Edition

Substance Misuse and Young People
Critical Issues

ISBN 9781444118636
Published December 5, 2019 by CRC Press
500 Pages

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Book Description

Substance Misuse and Young People: Critical Issues is a comprehensive source of information on young people’s requirements for assessment, treatment and other interventions because of their misuse of substances. It highlights approaches that enhance understanding of the routes that lead young people to substance misuse and also the routes away from it. The emergence of new substances and methods of misuse makes this ever more relevant. The authors are international experts in the fields of psychiatry, paediatrics, medicine, psychology, genetics, resilience, neuropharmacology and epidemiology.

This book acknowledges how widespread both substance misuse and psychiatric disorders are and explores the complex, challenging links between co-occurring conditions. Use of substances is associated with illness and premature mortality, and more so for people who have combined disorders. The authors critically assess the vital need for intervention during adolescence and early adulthood. They provide detailed clinical views of the psychosocial interventions and medications currently available and illustrate them with case studies that emphasise adolescents’ experiences and thoughtful lifestyle-specific interventions.

This book provides theoretical knowledge and indicates the practical skills that practitioners require for work with young people who misuse substances. It is highly applicable to medical practitioners, psychologists, pharmacists, social workers, police officers, probation officers, educationalists and related social and healthcare professionals.

Table of Contents

Chapter 1. Setting the Scene: Young People who Use and Misuse Substances

Crome & Williams

PART 1: Background Considerations

Chapter 2. The Historical Context of Drug Use by Young People


Chapter 3. Drug Use from Adolescence to Later Years: Persistence or Progress

Robertson, Priyadarshi & James

Chapter 4. The Nature of Adolescence and its Family, Societal, Community, Cultural and Developmental Challenges


Chapter 5. Psychosocial Resilience, Adaptive Capacities and the Psychosocial Approach

Williams & Kemp

Chapter 6. Acute Management of Substance Use Disorders in Youth

Courtney & Milin

Part 2: Epidemiology and Determinants of Substance Use and Misuse

Chapter 7.Epidemiology of Substance-Related Abuse Disorders Among Young People

Frisher & Weston

Chapter 8. Psychological Determinants of Substance Misuse by Young People


Chapter 9. Genetic and Environmental Determinants of Adolescent Alcohol Use

Clarke & Crist

Chapter 10. Substance Misuse and Young People: Reward Mechanisms

Nestor & Nutt

Chapter 11. Pharmacogenetics of Opioid Addiction. Are They Relevant to Young People?

Davey & Baldacchino

Part 3: The Drugs that Are Used and Misused

Chapter 12. Central Nervous System Depressants

Bloor & Sgouros

Chapter 13. Stimulants

Bloor & Sgouros

Chapter 14. Cannabinoids


Chapter 15. Novel Psychoactive Substances and Inhalants

Bloor & Sgouros

Part 4: Young People Who Have Particular Needs

Chapter 16. Long-term Care Management of Young People: Substance Use and Misuse by Young People Who Have Long-term Conditions

Gleeson & McDonagh

Chapter 17. Young People Who Use and Misuse Substances While They are Pregnant

Brandt, Moser & Fischer

Chapter 18. Substance Misuse and Comorbid Psychiatric Disorders

Ahuja & Crome

Chapter 19. Substance Misuse and Forensic Adolescent Mental Health

Bailey, Chitsabesan & Theodosiou

Part 5: Needs Assessment, Screening and Diagnosis

Chapter 20. Needs Assessment: Assessing the Needs of Young People Who Use or Misuse Substances


Chapter 21. Classification and Diagnosis: ICD-10 and DSM-5 and their Application to Young People Who Have Substance Use Disorders


Chapter 22. Screening and Standardised Assessment of Young People


Chapter 23. Diagnostic Laboratory Investigations


Part 6: Intervening to Help Young People

Chapter 24. Educational and Family Approaches to Drug Prevention for Young People

Carlin & Lee

Chapter 25. Psychosocial Treatments


Chapter 26. Pharmacological Interventions

Judge & Mellen

Chapter 27. Treatment of Adolescents Who Have Co-occurring Substance Misuse and Suicidal Behaviours

Goldston, Tunno & Esposito-Smythers

Chapter 28. Towards A Learning Stance in Teams: Developing a Community of Practice to Capture and Disseminate What Works for Whom


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Ilana B. Crome is Emeritus Professor of Addiction Psychiatry at Keele University. She is an Honorary Consultant Psychiatrist at the Midlands Partnership NHS Foundation Trust, and an Honorary Professor at St George’s, University of London.

Richard Williams is Emeritus Professor of Mental Health Strategy in the Welsh Institute for Health and Social Care at the University of South Wales. He was a child and adolescent psychiatrist until 2014. Now, he is directing a project to improve care for staff who work in emergencies for the Royal College of Surgeons of Edinburgh.


'Given the current crisis in adolescent mental health services, this timely handbook is a valuable and enlightening contribution to discussion, training and education. It explains the why and how of substance misuse among young people and gives guidance on what to do. The overall framing derives from addiction psychiatry but is relevant to all professions in today’s multi-disciplinary, multi-agency set of services. Succinct, clear and accessible chapters include comprehensive literature and evidence reviews, demonstrate the critical issue of complexity and show the way forward for prevention and early intervention.'- Professor Susanne MacGregor, London School of Hygiene and Tropical Medicine

'Drug use generally starts when people are young so it is vital to understand the roles played by various factors in order to improve prevention, minimise immediate and enduring associated harms and optimise treatment. This book brings together a range of experts to provide the latest evidence alongside pragmatic advice in all these areas. It is a vital resource as specialist knowledge and services may be hard to access resulting in a large unmet need.' - Professor Anne Lingford-Hughes, Professor of Addiction Biology, Imperial College London & Hon Consultant Psychiatrist, Central North West London NHS Foundation Trust