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Coordination and integration of systems of care are of utmost importance for these vulnerable youth. This study delineates the negative sequelae and increased service utilization patterns of adolescents with a history of trauma, substance abuse, and co\u2010occurring trauma and substance abuse to support the need for integrated mental health and substance abuse services for youth. Data from two national sources, the National Child Traumatic Stress Network and Center for Substance Abuse Treatment demonstrate the increased clinical severity (measured by reports of emotional and behavioral problems), dysfunction, and service utilization patterns for youth with co\u2010occurring trauma exposure and substance abuse. We conclude with recommendations for an integrated system of care that includes trauma\u2010informed mental health treatment and substance abuse services aimed at reducing the morbidity and relapse probability of this high\u2010risk group.<\/jats:p>","DOI":"10.1007\/s10464-011-9464-8","type":"journal-article","created":{"date-parts":[[2011,8,11]],"date-time":"2011-08-11T18:48:34Z","timestamp":1313088514000},"page":"430-440","source":"Crossref","is-referenced-by-count":51,"title":["Supporting the Need for an Integrated System of Care for Youth with Co\u2010occurring Traumatic Stress and Substance Abuse Problems"],"prefix":"10.1002","volume":"49","author":[{"given":"Liza M.","family":"Suarez","sequence":"first","affiliation":[{"name":"Department of Psychology University of Illinois at Chicago  Chicago IL USA"},{"name":"Department of Psychiatry (MC 747), Institute for Juvenile Research University of Illinois at Chicago  1747 W. 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