A collaborative community approach to adolescent substance misuse in Iceland

Abstract Substance use has become a major threat to health and human development in many European countries. In 23 out of 28 countries participating in the European School Survey Project on Alcohol and Other Drugs (ESPAD), there was a constant and substantial increase in substance use among secondary-school students between the years 1995 and 2003 (Hibell et al, ref. 2003). Iceland experienced a similar upward trend in substance use (Sigfusdottir et al, ref. 2008). Throughout the 1990s, the use of