Adolescent drug abuse: problem and prospectus.

Available research indicates that adolescent alcohol and drug abuse is a multi-level phenomenon which seriously affects the functioning of the individual, his (her) interpersonal experiences, the school and society in terms of problem behaviour and other psychopathological and social dysfunctional correlates. Data of the prevalence and problems of abuse obtained by a survey of high school students indicate a high prevalence of alcohol and marijuana used combinationally and heavy users are likely to experience psychopathological consequences, including personal problems of identity diffusion, self-esteem, a motivational syndrome, and acute brain syndrome, interpersonal problems with peers and parents and problems with school participation and the law: adolescents who abuse alcohol and marijuana in combination at the same time are likely to have severe, chronic, and progressive psychopathological problems. Presented is an integrated prospectus for a comprehensive, integrated, longitudinal prevention and intervention program on the community level including components of a holistic information and education programme with a prevention focus; counselling through a student assistance programme of intervention, evaluation and treatment; and rehabilitation through alternative schools. Also included are recommendations for further study and a caution of the implications of drug research and programme for adolescents.