摘要:AbstractAdolescence can be associated with increased difficulties for young people, and those experiencing mental health problems can be more susceptible to substance misuse. This increased vulnerability is something health professionals must be aware of and recognise promptly; this increased risk is escalating and can have detrimental effects on both psychological and physical health. This is a re-audit including 369 case notes of substance misuse prevalence in a 16-17 year old community based Manchester CAMHS service “Emerge”. 28% of referrals disclosed problems with substance misuse – confirming the suspected high levels of misuse present amongst young people with mental health problems. This audit offers an opportunity to evaluate service provisions and analyse data collected.