This study presents part of the research from a 2019 project in Czechia's residential educational facilities for children with emotional and behavioral disorders. The high prevalence of drug use among these adolescents has a cumulative set of harms to health. The main research objective was to examine the prevalence of substance use among adolescent girls and boys living in residential educational facilities. The auxiliary research objective was to compare its results with the ESPAD (2015 and 2019) survey of the general Czech adolescent mainstream population. The sample consisted of 204 respondents aged 15-19 years. The primary data collection instrument was the ESPAD questionnaire. The analysis of the collected data was carried out using SPSS software. The findings arrived from statistical procedures such as descriptive data analysis and various statistical methods. Data from ESPAD research (2015, 2019) was selected for analytical comparisons. The findings indicate a high prevalence of drug use among the study group of adolescents in residential education facilities and a high majority of selected substance use in comparison with the results found in the ESPAD (2015, 2019) study in the general school population of Czechia. The findings support a systemic focus on the prevention of health risks, harm reduction, as well as the treatment of substance use disorder among adolescents. Data on the incidence and prevalence of substance use should be regularly collected and evaluated in these facilities

Masaryk University Faculty of Education Department of Special and Inclusive Education Brno

St Elisabeth University of Health Care and Social Work Bratislava

The National Institute of Mental Health Klecany

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