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1. Explain the trends in substance abuse and discuss the need for related prevention programs.

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Adolescents are at more risk for substance abuse. their high-risk behavior associated with alcohol use and illicit drug use increased in the US aged 12 years or older, it leads to mental health issues. National survey on drug use and health annual survey about adolescents aged 12 to 17 years makes a household interview survey through face to face. Interview about drug prevention program participation in the last 12 months outside the school. In the US, 2015 73% of adolescents heard drug prevention messages through media, posters, pamphlets, radio, etc. Media sources reduced the percentage of drug use in 2015 from 2002, it was 78% in 2002. 42% of adolescents not exposed to preventive programs because they are talking with parents and not exposed to preventive programs and school sources. Prevention program educated adolescents in schools and outside about the risk factors, adverse outcomes through the practitioner, educators, messages, policymakers and parents.most of the adolescents getting messages through school sources. Substance abuse and mental health services administration aim to reduce underage habits of substance use educating parents to reduce the issues to children.

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