Updated for today's health care climate, the revised and expanded second edition of this popular volume offers a thorough introduction to clinical work with this difficult-to-treat population. Providing a unique synthesis of chemical dependency and mental health models, the book articulates a framework for assessment and treatment and describes a range of effective counseling and motivational strategies for adolescents and adults. The second edition is fully compatible with DSM-IV , and includes discussions of the latest developments in treatment, sample treatment plans, increased coverage of ways to incorporate 12-step concepts into mental health interventions, and a new section on trauma-based disorders in addicted female adolescents. The practical utility of the volume is enhanced by clinical vignettes, clearly presented tables, and reproducible forms.