3 MB 30th Nov 2014 Caron Treatment Presentation

Parenting for Prevention
Traci Wojciechowski
twojciechowski@caron.org
Caron Quick Facts
• Nationally recognized chemical dependency
treatment facility
• Addiction treatment services (50+ year history)
• Student assistance services/prevention (20+ year
history)
• Offers a full spectrum of treatment programs to meet
the needs of everyone (adolescents to seniors)
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PART I:
Parents need to Arm Themselves
with the Facts
It is easier to talk about things when you’re
comfortable with the material
Mindset of Class of 2017
• They are the sharing generation, sharing everything no matter how
personal
• Having a chat has seldom involved talking and Gaga has never been
baby talk
• They could always get rid of their outdated toys on eBay
• They have known only two presidents
• Rites of passage: Having their own cell phone and Instagram
accounts rather than getting a driver’s license and car
• A tablet is no longer something you take in the morning
• With GPS, they have never needed directions, just an address
• Their parents’ car CD player is so ancient and embarrassing
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Current Trends (2013 MTF)
The Good News…
• Vicodin and Salvia use on decline
• Alcohol use on decline although the most widely used by
teens
• Inhalant use has been on the decline for some years and
has continues to decline especially amongst 8th graders
• Use of synthetic marijuana dropped
Areas of Concern…
• Adderall (especially among 12th graders)
• Marijuana (especially daily use of this drug)
• Drugs holding steady: LSD; amphetamines; MDMA,
Ritalin, ecstasy, cocaine, crack, meth, steroids, sedatives,
OC’s and heroin
• Bath salts also holding steady but perceived risk is up
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Match the slang term
with the drug
a.
b.
c.
d.
e.
f.
g.
h.
i.
j.
Cocaine
Marijuana
RX Painkillers
Inhalants
MDMA
Meth
Heroin
Alcohol
OTC Drugs
Hallucinogens
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Glass or Tweak
Kush, Spliff or Schwag
Yayo or Blow
Bagging or Airblast
Perks, Xanie Bars or Bricks
Crunk or Pregame
Molly or Vitamin E
Cheese or Bobby Brown
Skittles or Tussin
25i or Smiles
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Why Teens Use Drugs
• To reduce stress/anxiety
• To be accepted/fit in with
peers
• Belief that “Everyone’s
doing it”
• To escape
• To lessen uncomfortable
feelings
• To decrease social
inhibitions and
increase social confidence
• Belief in invincibility
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To appear more grown up
To be better at something
To feel good
To seek thrills
To rebel against their
parents
To satisfy their curiosity
Misinformation
Parents’ cues/influence
Availability
Because they work
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Drug In Our Schools
• 17% of high school students say they smoke,
drink or use drugs during the school day
• 86% of teens say they know which peers are
abusing substances during the school day
• 60% of high school students say they can
purchase drugs at school
• 54% of private school students say their
school is drug infested which is up from 36%
in 2011
CASA 2012
How can caffeine be harmful?
It is a stimulant drug
• It increases your heart rate
• It increases your blood
pressure
• Students on ADHD meds at are
an increased risk for negative
side effects
It can cause sleep problems
• You can’t fall asleep
• You don’t get good quality
sleep
• Your mind races not allowing
you to sleep
It can become addicting
• Tolerance-You need more
caffeine to get the same effect
• Withdrawal- Without caffeine
you feel tired, irritable, have
difficulty concentrating, and
have headaches.
Creates an unhealthy
“jolt and crash” cycle.
Alcohol
• The most widely abused drug by teens and
adults
• Children under the age of 21 drink 11%
of the alcohol consumed in the U.S.
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Alcohol
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Binge drinking
Drinking games
Pre-Gaming
Alco-Pop drinks
Alcohol and energy drinks
Pocket Shots
Mixing Prescription and other
drugs with alcohol
Boozie Bears
Alcohol eye-ball shots
Extracts (Lemon, Mint)
Hand Sanitizer
Dirty Sprite
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Alcohol-New Trends
BLAST- “Binge in a Can”
• New fruit flavored alcoholic energy drink
by Colt 45
• 23.5-ounce cans and 12% alcohol
Scotch in a Can
• 40% alcohol, 12 oz aluminum can
• Equivalent of eight 1 ½ oz servings
• $5.00 per can
“Whipanol”
• Looks like a can of whipped cream
• 15% alcohol (30 proof)
Snobars
• Alcoholic ice cream and popsicles
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Smoking Alcohol
• Due to the alcohol
bypassing the digestive
system, it can lead to
alcohol poisoning much
faster
• Could cause lung
irritation, inflammation
and infection
Tobacco Current Trends
The CDC reports cigarette use dropped
33% from 2000 to 2011. However,
during that same time period,
people's consumption of other types
of tobacco products climbed 123%
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Smoke-free, Spit-free pouches (snus)
Cigarillos/Cigars
Hookah
Electronic cigarettes
Dissolvables
Newports, Camels and Marlboros
MarijuanaHow is it smoked?
• Joint
• Bowls
& Pipes
• Bong
(water pipe)
• Blunt
• Homemade
• Vaporizer
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Edible Marijuana
• “Bud Butter”/“Canna
Butter” recipes:
– Brownies, cookies, etc.
• Firecrackers:
– Ground cannabis mixed
with peanut butter and
baked in oven
• Candy Weed
• Green Dragon:
– Marijuana soaked in
high-proof liquor
Marijuana Candy
Dabbing
• Wax, Dabs, Oil, Errl,
Earwax, Budder, or
Shatter
•Oils usually have the
consistency of molasses
and are amber or golden in
color
Marijuana Risks
• Doubles the risks of car crashes
• Link to testicular cancer
• Reduces IQ (8 pt decline) and contributes to
poor school outcomes
• Mental Illness
• Heart and lung complications
• Poor quality of life outcomes
• Poor job performance
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Marijuana & Perceived Risk
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Synthetic Drugs in the News
• Synthetic marijuana: (aka-K2; Spice; Scooby Snax)
• Synthetic Cocaine/Amphetamine: Mephedrone (akaBath Salts ;Insect Repellant; Plant Food; etc.)
• Synthetic Hallucinogen: 2C-I (aka- Smiles)
• Synthetic PCP/Ketamine: MXE (Mexxy, ATM)
MDMA (Ecstasy)
• A synthetic drug with amphetamine-like and
hallucinogenic properties
• Usually a pill- can be any color, shape, or logo
• Generally laced with other ingredients, such
as caffeine or methamphetamine
• Repeated use may damage the cells that
produce serotonin, which has an important
role in the regulation of mood, appetite, pain,
learning and memory
Molly
• Perceived to be pure MDMA
(Ecstasy) in powder/crystal
form
• However, a lot of what has
been recently seized is not
MDMA
• “Bath Salts”
methadrone or
cathinone (from
Khat plantamphetamine like)
are regularly found
in molly
Pharmaceutical Trends
• 22% of teens taking controlled medications misused
them in the past year
• Crushing and snorting a pill (“bump” or “blow”)
• Crushing pills and sprinkling on blunts to smoke
• Crushing into a powder, dissolving in water and then
injecting
• Combining with other prescribed drugs and illicit drugs
to counteract or enhance their effects
• Zannie Spray -marketed on the Internet as
a relaxing air freshener ; contains Rx
tranquilizer similar to Valium and Xanax
Why/Where?
• Why do they use? To party, to escape reality,
to experiment, or to relieve boredom, to help
them cope
• To self-medicate, belief that it is not illegal,
less shame and fewer side effects
• Because “parents don’t care as much if you
get caught.”
• Where do they get them? More than
70% get them from family or friends
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Methamphetamine
• Stimulant drug that releases increased levels of dopamine
from the brain
• Has a neurotoxic effect, damaging brain cells that contain
dopamine and serotonin
• Can be snorted, smoked or injected.
• Can be manufactured quick and cheap using ingredients
found at the local pharmacy and hardware store, such as
ingredients from cold tablets, alcohol, lithium from
batteries, and deadly ammonia
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Inhalants
• Any time an inhalant is used or experimented with,
it could be a fatal episode
• Data from national and state surveys suggest that
inhalant abuse is most common among 7th through
9th graders
• For example, 2012 MTF survey, 66% of 8th graders
don’t think trying inhalants once or twice is risky
• 41% don’t consider the regular use of
inhalants to be harmful
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Heroin and Cocaine
• Heroin
– Processed from morphine, an opiate that reduces sensitivity to pain
– Can be injected, snorted, and smoked
– Snorting and smoking heroin has gained increased popularity because
of the misperception that taken this way it is less addictive
• Cocaine
– Cocaine is a drug extracted from the leaves of the coca plant. It
is a potent brain stimulant and one of the most powerfully
addictive drugs
– Research has demonstrated that vulnerability to cocaine is much
higher in the teen years, when the brain is developing,
increasing risks for addiction
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The adolescent brain is different
from the adult brain, making it
more vulnerable to addiction…
Ages
5
20
Side View
Prefrontal
Cortex
Front View
Blue represents maturing of brain areas.
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Adolescent Chemical
Dependency
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Typically poly-substance abusers
More internal reasons to continue to use
Levels of use are more difficult to determine
Emotional arrestment
More complicated delusional system
High rates of co-occuring disorders
Addiction develops more rapidly
– For adults, addiction may take 5-10 yrs to develop
– For teens, addiction may take only 2 to 3 years
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PART II:
PARENTS HAVE THE POWER
As Parents We Can Make A Difference
Parent’s Role in Prevention…
• Parents are the # 1 influence in a child’s life – not their
friends
• Many teens report they want their parents to talk with
them about substance use
• CASA’s most recent study shows that drugs are teen’s
#1 concern – above social and academic pressure,
crime, and violence
• Teens consistently identified “disappointing their
parents” as a major deterrent of drug use
Basic Principles of
D & A Education
• Begin early to educate your children about the dangers of
drugs
• Convey your values clearly to your children when they are still
young enough to want to hear them
• Set the example – be the example. Role model the behavior
you want your kids to follow
• Consider having other trusted family members
like an uncle or grandparent speak with your
kids as well to reinforce your message
• Use texts, emails, tweets
Good Times to Talk
•
When doing everyday
things in the house, like
prepping for dinner
• While walking the dog
• In the car
– You have a captive
audience. Your teen
isn’t going anywhere.
You don’t have to
make eye contact
Tips on Talking About Drug
and Alcohol Use
• State your clear disapproval about any use. When
parents strongly disapprove, kids are less likely to
use
• Provide facts about the dangers and risks to your
teens
• Be prepared for them to push back and
stand firm in your no-use message
• Allow opportunities for them to feel
that
that they’ve been heard, but again stand
firm
• Use teachable moments
Use Every Day Situations to
Talk About Substance Abuse
• When a beer commercial comes on TV
• When you see a ball player on TV chewing tobacco
• When you’re watching a show on TV and see kids or adults
drinking or smoking
• When the local news highlights a relevant story
• If a song comes on the radio that is about drugs, alcohol, or sex
• When you see teenagers smoking
• If you see a drunk person on the street
• Current events like Lindsay Lohan, Cory Monteith, Phillip
Seymour Hoffman etc.
• Other references in the media (once you start looking for them
you will realize they are all over the place!)
Things you can do as
a parent
• Get involved in their lives
• Be accessible/keep tabs after school (The afterschool hours of 3-6 pm are the most dangerous
times for teens to be on their own)
• Nurture your relationship with your child
• Accentuate the positive
• Provide structure
• Be an asset builder
Things you can do as
a parent
• Refuse to supply alcohol to anyone under 21
• Be at home when your teen has friends over
• Make sure that alcohol is not brought into your
home or property by your child’s friends
• Talk to other parents about not providing alcohol at
other events your child will be attending
• Create alcohol-free opportunities and activities in
your home so teens will feel welcome
• Report underage drinking
Eat Dinner Together
• Of those teens who have 0-2 family dinners per week:
– 48% have ever used alcohol
– 29% have ever used tobacco
– 27% have ever used marijuana
• As opposed to those teens who have 5-7 dinners per
week:
– 30% have ever used alcohol
– 13% have ever used tobacco
– 11% have ever used marijuana
2012 CASA Study
Research
• A 2011 study (University of Minnesota) found that teens
who drink under their parents’ supervision are more likely
to become problem drinkers a few years later than those
whose parents adopted a zero-tolerance policy
• A 2010 study of Dutch teens (Journal of Studies on Alcohol
and Drugs), found that the more teenagers were allowed to
drink at home, the more they drank outside of home. Teens
who drank under their parents’ watch also had an elevated
risk of developing alcohol-related problems: trouble with
school work, missed school days and getting into fights with
other people
Recommended Rules
• Clearly establish no use rules for children
everywhere (at home, in school, at parties,
etc)
• Clearly establish significant consequences to
these rules, and follow through if they disobey
(curfews, limiting social activities, etc)
• Consider having them sign a no use contract
with you
Make sure your teen’s parties
are free from drugs and alcohol!
Party checklist:
Find out where the party is
Who is supervising
Talk to the parents to make sure they will be home
Have your teen call to check-in
Set a reasonable curfew
Work out a system to be able to pick them up if
drugs & alcohol are present
Tell your child to NEVER ride with a driver who has
been drinking
Physical Changes
• Energy - conspicuously high periods of energy coupled
with very low energy
• Changes in sleeping patterns
• Changes in appetite or weight
• Changes in speech patterns –slurring, slowing, rapid, or
pressured speech
• Dilated or constricted pupils
• Consistently red eyes
• Heightened sensitivity of senses
• Smells of alcohol, tobacco or marijuana
Changes in Behavior
and Attitude
• Decreased involvement or talkativeness at home
• Secretiveness and lying
• An abrupt change in friends (hangs out with an identified
drinking and drug crowd)
• Apathetic
• More irritable
• Defensive about drug use
• Loss of motivation, particularly
for previous favorite activities
• Increased need for money
Productivity Changes
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Tardy or absent from school
Late for class
Not completing homework
Refuses to do any work
Insists teachers are unfair
Sleeps in class
Daydreaming frequently
Increase or drop in grades
Draws pot leaves
Red Flags
• Smell of alcohol on breath, or sudden obsession
with breath mints
• Early cigarette use
• Evidence of drugs or drug paraphernalia in their
room / personal spaces
If You Suspect Use
• Take action
• Ask your child if they are using drug
• If you feel your child has given you a
dishonest answer, you have the authority to
investigate whether he/she is using via other
methods
• Get help:
– School counselors,
– Family physician
– National Clearinghouse for Alcohol and Drug
Abuse Information at 1-800-788-2800
Parent Websites
• Community of Concern - Parent Site
http://www.thecommunityofconcern.org
• MVParents - Parent Site (Search Institute Sponsored)
https://www.parentfurther.com
• Not My Kid. Org - Parent Site
http://www.notmykid.org
• The Partnership for a Drug-Free American - Parent Site
http://www.drugfree.org
• National Institute on Drug Abuse
http://www.drugabuse.gov/parents-teachers
Parents Have the Power
Thank you for your participation!