Many children and adolescents use alcohol and other drugs. Some develop serious problems which require professional help to control. Such as inpatient treatment, outpatient treatment, twelve step programs, and dual diagnosis units for individuals with emotional and substance abuse problems.

There are a variety of substance abuse treatment programs. The decision to get treatment for a child or adolescent is difficult, and parents are encouraged to seek consultation from a child and adolescent psychiatrist when making decisions about substance abuse treatment. Other psychiatric disorders often co-exist with substance abuse problems and need assessment and treatment.

When substance abuse treatment is recommended, parents can obtain the information they need by asking the following questions from professionals:

1. Why do you believe this treatment in this program is indicated for my child? How does it compare to other programs or services which are available?

2. What are the credentials and experience of the members of the treatment team, and will the team include a child and adolescent psychiatrist with knowledge and skills in substance abuse treatment?

3. What treatment approaches does this program use regarding chemical dependency; detoxification; abstinence; individual, family, and group therapy; use of medications; a twelve-step program; mutual-help groups; relapse prevention; and a continuing recovery process?

4. Based on your evaluation, does my child have other psychiatric problems in addition to the substance abuse problem? If so, will these be addressed in the treatment process?

5. How will our family be involved in our child's substance abuse treatment -- including the decision for discharge and the after-care?

6. What will treatment cost? Are the costs covered by my insurance or health plan?

7. How will my child continue education while in treatment?

8. If this treatment is provided in a hospital or residential program, is it approved by the Joint Commission for the Accreditation of Healthcare Organizations (JCAHO)? Is this substance abuse treatment program a separate unit accredited for youngsters of our child's age?

9. How will the issue of confidentiality be handled during and after treatment?

10. How long will this phase of the treatment process continue? Will we reach our insurance limit before treatment in this phase is completed?

11. When my child is discharged from this phase of treatment, how will it be decided what types of ongoing treatment will be necessary, how often, and for how long?

12. As my child's problem improves, does this program provide less intensive/step-down treatment services?

Severe substance abuse and chemical dependence in adolescence may be a chronic relapsing disorder. Parents should ask what treatment services are available for continued or future treatment.

If questions or doubts persist about either admission to a substance abuse treatment program or about a denial of treatment, a second opinion may be helpful.

© Copyright © 1997 by the American Academy of Child and Adolescent PsychiatryAmerican Academy of Child and Adolescent Psychiatry