Ask about consequences

Have you had any problems at school, at home, or with the law?” If yes, “Were you drinking or using drugs just before that happened?”

He denies any trouble with the law. His grades have gone down a little in the last 6 months but he doesn't think it has anything to do with his substance use-"I'm just not into school right now." His parents, especially his Mom, are convinced he is a junkie for some reason and her accusations are making home really tough right now. It especially bugs him that they blame his new friends for the school stuff.

Ask him for details of his substance use
Has he tried to quit?

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