chapter  15
12 Pages

Substance-Related Disorders

Because of growing concern about the abuse of tobacco, alcohol, and other legal and illegal substances by children and adolescents, we have added a chapter to address Subs tan ce-Rela ted Disorders. The broad interest in recognizing such abuse in childhood, or cer­ tainly in adolescence, across all these substances is based on consid­ erable research linking early use of tobacco with later alcohol and illegal substance abuse-the concept of "gateway" drugs (Kandel & Logan, 1984) that lead to further abuse of other substances and are predictive of addiction in later life. For this reason, accurate detection of early substance abuse in this population is important for prevention of more serious consequences in adulthood.