This informative and useful volume provides a substantial contribution to the understanding of adolescent risk behavior. The book combines theoretical analysis and the findings of a broad-based research project, with accessible presentation throughout.

Adolescence is a time when youth make decisions, both good and bad, that have consequences for the rest of their lives. Some of these decisions put them at risk of lifelong health problems, injury, or death. The Institute of Medicine held three public workshops between 2008 and 2009 to provide a venue for researchers, health care providers, and community leaders to discuss strategies to improve adolescent health.

Adolescents obviously do not always act in ways that serve their own best interests, even as defined by them. Sometimes their perception of their own risks, even of survival to adulthood, is larger than the reality; in other cases, they underestimate the risks of particular actions or behaviors. It is possible, indeed likely, that some adolescents engage in risky behaviors because of a perception of invulnerabilityâ€"the current conventional wisdom of adults' views of adolescent behavior. Others, however, take risks because they feel vulnerable to a point approaching hopelessness. In either case, these perceptions can prompt adolescents to make poor decisions that can put them at risk and leave them vulnerable to physical or psychological harm that may have a negative impact on their long-term health and viability. A small planning group was formed to develop a workshop on reconceptualizing adolescent risk and vulnerability. With funding from Carnegie Corporation of New York, the Workshop on Adolescent Risk and Vulnerability: Setting Priorities took place on March 13, 2001, in Washington, DC. The workshop's goal was to put into perspective the total burden of vulnerability that adolescents face, taking advantage of the growing societal concern for adolescents, the need to set priorities for meeting adolescents' needs, and the opportunity to apply decision-making perspectives to this critical area. This report summarizes the workshop.

Adolescents are generally thought to be healthy. However, adolescent risk behaviours, such as substance use, a poor diet or early sexual activity, are topics that keep generating high academic and media interest. Despite considerable explanatory efforts, not much is known yet about the proximate and distal determinants as well as the psychosocial and health-related consequences of risk behaviour in adolescence. The study is among the first to systematically examine the antecedents and consequences of risk behaviour from a comparative perspective over time and across countries. Matthias Richter presents findings from several empirical studies and extends current theoretical and empirical knowledge on adolescent risk behaviour. This book is valuable reading for academics, practitioners and policy makers in a range of disciplines: sociology, psychology, educational sciences, public health and nursing sciences, with a special focus on adolescent risk behaviour.

Rich with illustrative case material, this book guides mental health professionals to break the cycle of at-risk behavior by engaging adolescents and their families in home, school, and community contexts. The authors explore the multigenerational patterns that shape the lives of poor and ethnic minority adolescents and present innovative strategies for intervening beyond the walls of the agency or clinic. Grounded in research, the book shows how to implement both home-based family therapy and school-based achievement mentoring to provide a comprehensive web of support. Building on the earlier Reaching Out in Family Therapy, this book reflects the ongoing development of the authors' multisystems approach and many other important changes in the field; the majority of the content is completely new. It is an indispensable resource for beginning and experienced professionals or text for courses on adolescent intervention or adolescent mental health.

Adolescence is a developmental period of accelerating physical, psychological, social! cultural, and cognitive development, often characterized by confronting and surmounting a myriad of challenges and establishing a sense of self-identity and autonomy. It is also, unfortunately, a period fraught with many threats to the health and well-being of adoles cents and with substantial consequent impairment and disability. Many of the adverse health consequences experienced by adolescents are, to a large extent, the result of their risk behaviors. Many adolescents today, and perhaps an increasing number in the future, are at risk for death, disease, and other adverse health outcomes that are not primarily biomedical in origin. In general, there has been a marked change in the causes of morbidity and mortality among adolescents. Previously, infectious diseases accounted for a dispro portionate share of adolescent morbidity and mortality. At present, however, the over whelming toll of adolescent morbidity and mortality is the result of lifestyle practices.

At least 7 million young Americansâ€"fully one-quarter of adolescents 10 to 17 years oldâ€"may be at risk of failing to achieve productive adult lives. They use drugs, engage in unprotected sex, drop out of school, and sometimes commit crimes, effectively closing the door to their own futures. And the costs to society are enormous: school and social services are overwhelmed, and our nation faces the future with a diminished citizenry. This penetrating book argues that the problems of troubled youth cannot be separated from the settings in which those youths liveâ€"settings that have deteriorated significantly in the past two decades. A distinguished panel examines what works and what does not in the effort to support and nurture adolescents and offers models for successful programs. This volume presents an eye-opening look at what millions of the nation's youths confront every day of their lives, addressing: How the decline in economic security for young working parents affects their children's life chances. How dramatic changes in household structure and the possibilities of family and community violence threaten adolescents' development. How the decline of neighborhoods robs children of a safe environment. How adolescents' health needs go unmet in the current system. Losing Generations turns the spotlight on those institutions youths needâ€"the health care system, schools, the criminal justice, and the child welfare and foster home systemsâ€"and how they are functioning. Difficult issues are addressed with study results and insightful analyses: access of poor youths to health insurance coverage, inequities in school funding, how child welfare agencies provide for adolescents in their care, and the high percentage of young black men in the criminal justice system.