RT Book, Section A1 Kaul, Paritosh A2 Hay Jr., William W. A2 Levin, Myron J. A2 Abzug, Mark J. A2 Bunik, Maya SR Print(0) ID 1172100692 T1 Adolescent Substance Abuse T2 Current Diagnosis & Treatment: Pediatrics, 25e YR 2020 FD 2020 PB McGraw-Hill Education PP New York, NY SN 9781260457827 LK accesspediatrics.mhmedical.com/content.aspx?aid=1172100692 RD 2024/04/19 AB Substance abuse tends to be a chronic, progressive disease. Initiation of substance use is becoming such a common feature of an American adult that many authorities call it normative behavior. At this stage, substance use is typically limited to experimentation with tobacco or alcohol (so-called gateway substances). During adolescence, young people are expected to establish an independent, autonomous identity. They try out a variety of behaviors within the safety of families and peer groups. This process often involves experimentation with psychoactive substances, usually in culturally acceptable settings. Continuation of substance abuse, however, is a nonnormative risk behavior with the potential to compromise adolescent development.