This technical report examines legal and policy issues affecting agencies offering alcohol and other drug prevention and treatment services to youth. Specific issues covered include: (1) whether such agencies must comply with federal laws and regulations governing confidentiality of patient records, and, if they must comply, how they must do so; (2) when such agencies may offer services to minors without parental consent; (3) when and how they must report child abuse and neglect; (4) how they can best screen employees and volunteers to ensure that no one on staff abuses or injures a client; and (5) whether they are in compliance with applicable quality of care standards. The report cites and discusses applicable federal and state regulations, provides illustrative examples, and answers hypothetical questions pertaining to the agencies affected by these regulations. The report concludes with a legal checklist for agencies and an appended table summarizing state parental consent laws for the treatment of minors. (TE)