Clean

A drunk teen was babysitting his sister when she fell down the stairs, an accident that left her brain damaged. Another character threatens a bully with a chair. When a girl says no to sex, a boy shakes her. The same girl later reveals that she had been raped four years ago. Mention of parental abuse. A high character crashes her car. Another girl cuts herself.

A boy trades drugs for sex with another boy; a girl and a boy sneak into a bathroom to have sex, but don't; a girl admits that she had lots of partners; a pregnant character and another who was a prostitute to pay for drugs. Another boy recalls sleeping with a virgin, who may be as young as 12, and then shooting her up with his semen.

Some mature words, such as "s--t" and "f--k"; also, a slur for gay people, "bitch," etc.

This is a book about addiction, and the teen characters in the rehab center have different dependencies, including alcohol, painkillers, cocaine, and meth. They describe their drug use, but don't glamorize it and know that their addictions are destructive to them.

Parents need to know that this book is about teen drug addicts in a rehabilitation facility. The teen characters have different dependencies, including alcohol, painkillers, cocaine, and meth. The characters have done terrible things -- or had terrible things done to them -- but in the end, they form bonds and become stronger as a result of their therapy and friendships. There is a hopeful conclusion here. In a final letter, one of the protagonists reminds the friends that she met in rehab that they "deserve to be happy" even though they have made serious mistakes in their lives. Also, most of the more disturbing details are told as memories so they don't seem quite as visceral.