The document discusses substance abuse treatment programs for teens in the 21st century. It outlines key issues like short attention spans and co-occurring disorders. It describes the ten key elements for effective adolescent substance abuse treatment according to SAMHSA, including being community-based, individualized treatment, and engaging and retaining clients. It then details specific program foundation elements like harm reduction, motivational enhancement therapy, relapse prevention, family work, and case management. It provides an example of a two-week intensive after-school substance abuse treatment program called SOAP.