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Adolescent Substance Use and Disruptive Behavior Disorders. Christopher R. Thompson, M.D. Child & Adolescent and Forensic Psychiatrist Juvenile Justice Mental Health Program Los Angeles County Department of Mental Health Assistant Clinical Professor Child & Adolescent Division
Christopher R. Thompson, M.D.
Child & Adolescent and Forensic Psychiatrist
Juvenile Justice Mental Health Program
Los Angeles County Department of Mental Health
Assistant Clinical Professor
Child & Adolescent Division
UCLA Department of Psychiatry
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Johnston LD, et al. (2007). Monitoring the Future: National Results on Adolescent Drug Use. Overview of Key Findings. Ann Arbor, MI. University of Michigan, Institute for Social Research, Survey Research Ctr.
Maladaptive pattern of substance use leading to clinically significant impairment or distress, as manifested by one or more of the following, occurring within a 12-month period:
A maladaptive pattern of substance use, leading to clinically significant impairment or distress, as manifested by three (or more) of the following, occurring at any time in the same 12-month period:
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Active substance use complicates process
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Misuse:Medication used in a manner in which it was not prescribed
Abuse: Meets DSM-IV TR criteria for abuse (see previous slide)
Diversion: Transfer of medication from the patient to another person for any purpose, such as performance enhancement or recreational use
The term nonmedical use can be used to describe all of the above.
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WISC-III (or WAIS-III)/WRAT
Ages IQ Reading Spelling Math
9-12 73.7 73.0 78.6 77.2
13-14 74.3 81.6 82.3 80.0
15-16 72.6 82.7 84.4 83.0
17-18 87.6 83.4 83.9 85.4
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