When I moved from Alaska to the East Coast (Virginia and South Carolina), it did not occur to me that there would be little to no substance use disorder treatment programs for adolescents. I lived in Alaska 36 years. Alaska had (and still has) these services for adolescents. Why not here? I have heard over and over again that we need to wait until the teen is 18 before they are eligible for a treatment program. When an adolescent can be diagnosed with a substance use disorder