This document presents witness testimonies and prepared statements from the Congressional hearing called to examine mental health trends for treating adolescents with emotional or substance abuse problems. Committee chairman George Miller voices concern that while insurance coverage changes and third party health care reimbursements are expanding in-patient psychiatric and drug-related hospitalization for adolescents, public and community-based mental health resources are becoming scarce. Other statements are heard from representatives Gerry Sikorski and Dan Coats, and from two panels of witnesses. The first panel consists of the director of the Center for the Study of Youth Policy, Hubert H. Humphrey Institute of Public Affairs, University of Minnesota, who discusses hospital admission criteria and program monitoring; a mother and daughter who describe their experiences with the adolescent mental health care system; and the chairman of the Department of Psychiatry at Children's Hospital National Medical Center in Washington, D.C., who outlines the problem of adolescent mental health care and explains existing admissions review procedures. The second panel includes the research coordinator, Center for Health Policy and Management, John F. Kennedy School of Government, Harvard University, who discusses the commercialization of the American health care system; the commissioner, Maine department of mental health and mental retardation, who advocates state strategies for providing alternative treatment plans; and the chief juvenile probation officer, Dallas County, Texas, who discusses the power and potential abuse of power exercised in psychiatric and chemical dependency programs. An extensive set of prepared statements, letters, and supplemental materials is provided. (NRB)