NHSDA and MTF survey data indicate "epidemic"-like growth in hallucinogen u
se from 1992-1996 and associated increases in cocaine, crack, heroin and am
phetamine use. These trends might have resulted from a proliferation of rav
es and dance clubs in the U.S. as occurred in Europe and elsewhere, althoug
h in contrast to evidence regarding European experiences the American epide
mic involves primarily teens as opposed to persons in their twenties and in
volves primarily use of LSD as opposed to MDMA. This analysis highlights th
e need for further research into the context, significance, and consequence
s of these recently popular American drug use practices.