Ken Peake, DSW, is Assistant Director, Mount Sinai Adolescent Health Center (AHC), 320 East 94th Street,New York,NY10128. Michael Surko, PhD, is Coordinator of the ACT for Youth Downstate Center for Excellence at AHC. Irwin Epstein, PhD, is Helen Rehr Professor of Applied Social Work Research in Health, Hunter College School of Social Work, 129 East 79th Street, New York, NY 10021 (E-mail: iepstein@ hunter.cuny.edu). Daniel Medeiros, MD, is AHC's Director of Mental Health Services.