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To the Editor.—
A drug-orientated youth medical clinic was held for 15 months in downtown Toronto. This was part of a larger youth project which also consisted of a drug crisis intervention center, a drug education program, a home base for street workers, and a drop-in counseling service ("12 Madison Project," funded jointly by the Alcoholism and Drug Addiction Research Foundation of Ontario and the Toronto YMCA).The general-practice type clinics were held three to five times weekly and were conducted by community physicians and residents from teaching hospitals. Long-term care was not provided and patients were encouraged to utilize local hospitals and doctors. Medical services were intentionally orientated toward drug related problems but other youths also utilized the facilities.Most patients were aged 16 to 21 years, with 3% being under 16 and 20% over 21. Fifty-nine percent of the patients were male, with an average age of 19.7