Tag Archives: Teen Substance Abuse

American Academy of Pediatrics opposes drug testing in schools

5 Apr

Substance abuse is often a manifestation of other problems that child has either at home or poor social relations including low self esteem. Dr. Alan Leshner summarizes the reasons children use drugs in why do Sally and Johnny use drugs? http://archives.drugabuse.gov/Published_Articles/Sally.html The National Council on Alcohol and Drug Dependence lists Signs and Symptoms:

1. Physical and health warning signs of drug abuse
• Eyes that are bloodshot or pupils that are smaller or larger than normal.
• Frequent nosebleeds–could be related to snorted drugs (meth or cocaine).
• Changes in appetite or sleep patterns. Sudden weight loss or weight gain.
• Seizures without a history of epilepsy.
• Deterioration in personal grooming or physical appearance.
• Injuries/accidents and person won’t or can’t tell you how they got hurt.
• Unusual smells on breath, body, or clothing.
• Shakes, tremors, incoherent or slurred speech, impaired or unstable coordination.
•
2. Behavioral signs of drug abuse
• Drop in attendance and performance at work or school; loss of interest in extracurricular activities, hobbies, sports or exercise; decreased motivation.
• Complaints from co-workers, supervisors, teachers or classmates.
• Unusual or unexplained need for money or financial problems; borrowing or stealing; missing money or valuables.
• Silent, withdrawn, engaging in secretive or suspicious behaviors.
• Sudden change in relationships, friends, favorite hangouts, and hobbies.
• Frequently getting into trouble (arguments, fights, accidents, illegal activities).
•
3. Psychological warning signs of drug abuse
• Unexplained change in personality or attitude.
• Sudden mood changes, irritability, angry outbursts or laughing at nothing.
• Periods of unusual hyperactivity or agitation.
• Lack of motivation; inability to focus, appearing lethargic or “spaced out.”
• Appearing fearful, withdrawn, anxious, or paranoid, with no apparent reason.
Signs and symptoms of Drug Dependence:
Drug dependence involves all the symptoms of drug abuse, but also involves another element: physical dependence.
1. Tolerance: Tolerance means that, over time, you need more drugs to feel the same effects. Do they use more drugs now than they used before? Do they use more drugs than other people without showing obvious signs of intoxication?
2. Withdrawal: As the effect of the drugs wear off, the person may experience withdrawal symptoms: anxiety or jumpiness; shakiness or trembling; sweating, nausea and vomiting; insomnia; depression; irritability; fatigue or loss of appetite and headaches. Do they use drugs to steady the nerves, stop the shakes in the morning? Drug use to relieve or avoid withdrawal symptoms is a sign of addiction.
In severe cases, withdrawal from drugs can be life-threatening and involve hallucinations, confusion, seizures, fever, and agitation. These symptoms can be dangerous and should be managed by a physician specifically trained and experienced in dealing with addiction.
3. Loss of Control: Using more drugs than they wanted to, for longer than they intended, or despite telling themselves that they wouldn’t do it this time.
4. Desire to Stop, But Can’t: They have a persistent desire to cut down or stop their drug use, but all efforts to stop and stay stopped, have been unsuccessful.
5. Neglecting Other Activities: They are spending less time on activities that used to be important to them (hanging out with family and friends, exercising or going to the gym, pursuing hobbies or other interests) because of the use of drugs.
6. Drugs Take Up Greater Time, Energy and Focus: They spend a lot of time using drugs, thinking about it, or recovering from its effects. They have few, if any, interests, social or community involvements that don’t revolve around the use of drugs.
7. Continued Use Despite Negative Consequences: They continue to use drugs even though they know it’s causing problems. As an example, person may realize that their drug use is interfering with ability to do their job, is damaging their marriage, making problems worse, or causing health problems, but they continue to use…. https://ncadd.org/learn-about-drugs/signs-and-symptoms

Remember, these are very general signs, specific drugs, narcotics, and other substances may have different signs, it is important to know the specific signs.

Kathryn Doyle of Reuters wrote in Experts caution against random drug testing in schools:

Schools should not be using random drug tests to catch or deter drug abusers, the American Academy of Pediatrics advises in an updated policy statement.

The Academy recommends against school-based “suspicionless” drug testing in the new issue of the journal Pediatrics.

Identifying kids who use drugs and entering them into treatment programs should be a top priority, but there is little evidence that random drug testing helps accomplish this, said Dr. Sharon Levy, director of the adolescent substance abuse program at Boston Children’s Hospital and lead author of the new policy statement…

Scientifically, the best way to test the value of random drug tests would be to put some kids into a drug testing program and others not, in a single school, but practically, that is difficult to accomplish. Instead, researchers have compared schools with drug testing programs to similar schools without them – and found mixed results.

One study did find a short-term reduction in kids’ self-reported drug use at a school with random testing, but the kids were followed for a relatively short period and reductions in use applied only to the drugs included in the testing. This is a problem since most drug testing panels do not include alcohol, Levy said.
“It’s possible that you do get some prevention out of these programs, but on the other hand it seems very expensive, very invasive, and has pretty limited results,” she said.

Adolescent drug use is usually sporadic, so even a kid who does use illegal substances may easily pass a random annual test and then feel comfortable to use freely for the rest of the year, she said.

Drug tests can result in false positives, and even a true positive says nothing about frequency or quantity of drug use, according to Ken C. Winters of the psychiatry department at the University of Minnesota Medical School in Minneapolis, who is not in the AAP.
http://newsdaily.com/2015/03/experts-caution-against-random-drug-testing-in-schools/#eI8U6EOrbeuGbOZZ.99

Citation:

• From the American Academy of Pediatrics
Adolescent Drug Testing Policies in Schools
1. Sharon Levy, MD, MPH, FAAP,
2. Miriam Schizer, MD, MPH, FAAP,
3. COMMITTEE ON SUBSTANCE ABUSE
Abstract
More than a decade after the US Supreme Court established the legality of school-based drug testing, these programs remain controversial, and the evidence evaluating efficacy and risks is inconclusive. The objective of this technical report is to review the relevant literature that explores the benefits, risks, and costs of these programs.

Here is the AAP statement:

AAP Opposes In School Drug Testing Due to Lack of Evidence
3/30/2015
Drug testing can be useful for pediatricians and other health care providers to assess substance use or mental health disorders in adolescents, but random drug testing in schools is a controversial approach not recommended by the American Academy of Pediatrics (AAP).

In an updated policy statement and technical report, “Adolescent Drug Testing Policies in Schools,” in the April 2015 Pediatrics (published online March 30), the AAP encourages and supports the efforts of schools to identify and address student substance abuse, but recommends against the use of school-based drug testing programs, often called suspicionless or random drug testing.

Proponents of random drug testing refer to potential advantages such as students avoiding drug use because of the negative consequences associated with having a positive drug test results, while opponents of random drug testing agree that the disadvantages are much greater, and can include deterioration in the student-school relationship, confidentiality of students’ medical records, and mistakes in interpreting drug tests that can result in false-positive results.

The AAP recommends against the use of school-based drug testing programs because of limited evidence of efficacy and potential risks associated with this procedure. Pediatricians support the development of effective substance abuse services in schools, along with appropriate referral policies in place for adolescents struggling with substance abuse disorders.
# # #

The American Academy of Pediatrics is an organization of 62,000 primary care pediatricians, pediatric medical subspecialists and pediatric surgical specialists dedicated to the health, safety and well-being of infants, children, adolescents and young adults.
https://www.aap.org/en-us/about-the-aap/aap-press-room/Pages/AAP-Opposes-In-school-Drug-Testing-Due-to-Lack-of-Evidence.aspx

The National Institute on Drug Abuse (Institute) has some great information about drug testing. In Frequently Asked Questions About Drug Testing in Schools, the Institute discusses drug testing.

Why test teenagers at all?

Teens are especially vulnerable to drug abuse, when the brain and body are still developing. Most teens do not use drugs, but for those who do, it can lead to a wide range of adverse effects on the brain, the body, behavior and health.
Short term: Even a single use of an intoxicating drug can affect a person’s judgment and decisonmaking—resulting in accidents, poor performance in a school or sports activity, unplanned risky behavior, and the risk of overdosing.
Long term: Repeated drug abuse can lead to serious problems, such as poor academic outcomes, mood changes (depending on the drug: depression, anxiety, paranoia, psychosis), and social or family problems caused or worsened by drugs.
Repeated drug use can also lead to the disease of addiction. Studies show that the earlier a teen begins using drugs, the more likely he or she will develop a substance abuse problem or addiction. Conversely, if teens stay away from drugs while in high school, they are less likely to develop a substance abuse problem later in life….
Is random drug testing of students legal?
In June 2002, the U.S. Supreme Court broadened the authority of public schools to test students for illegal drugs. Voting 5 to 4 in Pottawatomie County v. Earls, the court ruled to allow random drug tests for all middle and high school students participating in competitive extracurricular activities. The ruling greatly expanded the scope of school drug testing, which previously had been allowed only for student athletes.
Just because the U.S. Supreme Court said student drug testing for adolescents in competitive extracurricular activities is constitutional, does that mean it is legal in my city or state?
A school or school district that is interested in adopting a student drug testing program should seek legal expertise so that it complies with all federal, state, and local laws. Individual state constitutions may dictate different legal thresholds for allowing student drug testing. Communities interested in starting student drug testing programs should become familiar with the law in their respective states to ensure proper compliance. http://www.drugabuse.gov/related-topics/drug-testing/faq-drug-testing-in-schools

The primary issue is whether students have privacy rights.

Your Debate.com summarizes the pros and cons of School Drug Testing:

PRO 1
The main purpose of random school drug testing is not to catch kids using drugs, it to keep them from ever using them. Once their using drugs its harder for them to break their addiction. With many employers drug testing its very important for a kid’s future not to use drugs. Drug use is responsible for many crimes. Its worth the inconvenience for all our future.
CON 2
One of the fundamental features of our legal system is that we are presumed innocent of any wrongdoing unless and until the government proves otherwise. Random drug testing of student athletes turns this presumption on its head, telling students that we assume they are using drugs until they prove to the contrary with a urine sample.
CON 3
“If school officials have reason to believe that a particular student is using drugs, they already have the power to require that student to submit to a drug test,” said ACLU-NJ Staff Attorney David Rocah.
CON 4
The constitutional prohibition against “unreasonable” searches also embodies the principle that merely belonging to a certain group is not a sufficient reason for a search, even if many members of that group are suspected of illegal activity. Thus, for example, even if it were true that most men with long hair were drug users, the police would not be free to stop all long haired men and search them for drugs.
PRO 5
Peer pressure is the greatest cause of kids trying drugs. If by testing the athletes or other school leaders, we can get them to say no to drugs, it will be easier for other kids to say no.
CON 6
Some also argue that students who aren’t doing anything wrong have nothing to fear. This ignores the fact that what they fear is not getting caught, but the loss of dignity and trust that the drug test represents. And we should all be afraid of government officials who believe that a righteous cause warrants setting aside bedrock constitutional protections. The lesson that our schools should be teaching is respect for the Constitution and for students’ dignity and privacy, not a willingness to treat cherished constitutional principles as mere platitudes. http://www.youdebate.com/DEBATES/school_drug_testing.HTM

See, What Are the Benefits of Drug Testing?http://www.livestrong.com/article/179407-what-are-the-benefits-of-drug-testing/

Substance abuse is often a manifestation of other problems that child has either at home or poor social relations including low self-esteem.

Resources:

Adolescent Substance Abuse Knowledge Base

http://www.crchealth.com/troubled-teenagers/teenage-substance-abuse/adolescent-substance-abuse/signs-drug-use/

Warning Signs of Teen Drug Abuse

http://parentingteens.about.com/cs/drugsofabuse/a/driug_abuse20.htm?r=et

Al-Anon and Alateen

http://al-anon.alateen.org/

National Clearinghouse for Drug and Alcohol Information

http://www.samhsa.gov/

The U.S. Department of Health and Human Services has a very good booklet for families What is Substance Abuse Treatment?

http://www.samhsa.gov/kap

The National Institute on Drug Abuse (NIDA) has a web site for teens and parents that teaches about drug abuse NIDA for Teens: The Science Behind Drug Abuse

http://teens.drugabuse.gov/

Where information leads to Hope. © Dr. Wilda.com

Dr. Wilda says this about that ©

Blogs by Dr. Wilda:

COMMENTS FROM AN OLD FART©
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Australian study: Frequent marijuana use among those under 17 may result in lower educational achievement

23 Sep

Often children who evidence signs of a substance abuse problem come from homes where there is a substance abuse problem. That problem may be generational. eMedicineHealth lists some of the causes of substance abuse:

Substance Abuse Causes
Use and abuse of substances such as cigarettes, alcohol, and illegal drugs may begin in childhood or the teen years. Certain risk factors may increase someone’s likelihood to abuse substances.
Factors within a family that influence a child’s early development have been shown to be related to increased risk of drug abuse.
o Chaotic home environment
o Ineffective parenting
o Lack of nurturing and parental attachment
Factors related to a child’s socialization outside the family may also increase risk of drug abuse.
o Inappropriately aggressive or shy behavior in the classroom
o Poor social coping skills
o Poor school performance
o Association with a deviant peer group
o Perception of approval of drug use behavior http://www.emedicinehealth.com/substance_abuse/article_em.htm

Substance abuse is often a manifestation of other problems that child has either at home or poor social relations including low self-esteem. Dr. Alan Leshner summarizes the reasons children use drugs in why do Sally and Johnny use drugs? http://archives.drugabuse.gov/Published_Articles/Sally.html

Simon Makin reported in the Scientific American article, Does Marijuana Harm the Brain?

The Claim
Casual cannabis use harms young people’s brains.
The Facts
A study found differences in the brains of users and nonusers, but it did not establish that marijuana use caused the variations or that they had any functional significance.
The Details
Researchers at Northwestern University and Harvard Medical School conducted MRI scans of two groups of 20 young adults ages 18 to 25. One group reported using marijuana at least once a week, smoking 11 joints a week on average, whereas the other had used it less than five times total and not at all during the last year. Neither group had any psychiatric disorders, and the users were psychiatrically assessed as not dependent on the drug.
The study focused on two brain regions involved in processing rewards, the nucleus accumbens and the amygdala. These areas create pleasurable experiences of things such as food and sex, as well as the high associated with drugs, and have been shown to change in animals given THC, the main psychoactive component of cannabis.
The researchers found that cannabis users had more gray matter density in the left nucleus accumbens and left amygdala, as well as differences in the shape of the left nucleus accumbens and right amygdala. The left nucleus accumbens also tended to be slightly larger in users. They concluded that recreational cannabis use might be associated with abnormalities in the brain’s reward system. News reports have proclaimed that scientists have shown that even casual cannabis use harms young people’s brains.
The Caveats
The most obvious problem with leaping to that conclusion is that the scans were conducted at only one point. This approach can compare the two groups, but it cannot prove cannabis caused any differences between them—or even that the differences represent changes over time. They could be preexisting variations, or cannabis use and brain changes may both be related to a third factor, such as tobacco (although the study did attempt to take levels of smoking into account)…..
Reality Check—Cannabis use has been found to:
• Cause dependence, at some point in their lives, in about 9 percent of people who try it.
• Impair various aspects of cognitive function, particularly memory. Impairments can remain for several days. One study showed that performance returns to nonusers’ levels after 28 days of abstinence, but evidence is mixed about how long the impairments last.
• Potentially reduce the volume of the hippocampus, which is critical for memory—but only after heavy and prolonged use. The evidence linking cognitive impairments to specific brain changes is inconclusive, and the degree to which such changes are reversible is hotly debated. http://www.scientificamerican.com/article/does-marijuana-harm-the-brain/

Science Daily reported a longitudinal study from Australia and New Zealand.

In Frequent cannabis use in adolescence linked with reduced educational attainment, other problems in young adults, Science Daily reported:

Individuals who are daily users of cannabis before age 17 are over 60% less likely to complete high school or obtain a degree compared to those who have never used the drug, new research published in The Lancet Psychiatry journal shows. The large meta-analysis also indicates that daily users of cannabis during adolescence are seven times more likely to attempt suicide, have an 18 times greater chance of cannabis dependence, and are eight times as likely to use other illicit drugs in later life.
“Our findings are particularly timely given that several US states and countries in Latin America have made moves to decriminalize or legalize cannabis, raising the possibility that the drug might become more accessible to young people”, says Richard Mattick, study author and Professor of Drug and Alcohol Studies at the National Drug and Alcohol Research Centre, University of New South Wales, in Australia.
Cannabis is the most widely used illicit drug globally and recent statistics have shown that in some countries adolescents are starting cannabis use at a younger age and more adolescents are using cannabis heavily. In England, 4% of 11-15 year olds report cannabis use in the past month, roughly 7% of US high-school seniors are daily or near-daily cannabis users, and in Australia, around 1% of 14-19 year olds are daily users of the drug, whilst 4% use weekly.
In this study, a team of Australian and New Zealand researchers combined individual-level data on up to 3765 participants who used cannabis from three large, long-running longitudinal studies to find out more about the link between the frequency of cannabis use before the age of 17 years (never, less than monthly, monthly or more, weekly or more, or daily) and seven developmental outcomes up to the age of 30 years (completing high school, obtaining a university degree, cannabis dependence, use of other illicit drugs, suicide attempt, depression, and welfare dependence)….
http://www.sciencedaily.com/releases/2014/09/140909192001.htm

Citation:

Frequent cannabis use in adolescence linked with reduced educational attainment, other problems in young adults
Date: September 9, 2014

Source: The Lancet
Summary:
Individuals who are daily users of cannabis before age 17 are over 60% less likely to complete high school or obtain a degree compared to those who have never used the drug, new research shows. The large meta-analysis also indicates that daily users of cannabis during adolescence are seven times more likely to attempt suicide, have an 18 times greater chance of cannabis dependence, and are eight times as likely to use other illicit drugs in later life.

Copyright © 2014 Elsevier Ltd All rights reserved.
Young adult sequelae of adolescent cannabis use: an integrative analysis
Dr Edmund Silins PhD a Corresponding AuthorEmail Address, L John Horwood MSc c, Prof George C Patton MD d g, Prof David M Fergusson PhD c, Craig A Olsson PhD d e g h, Delyse M Hutchinson PhD a, Elizabeth Spry BA d, Prof John W Toumbourou PhD d e, Prof Louisa Degenhardt PhD a d f i, Wendy Swift PhD a, Carolyn Coffey PhD d, Robert J Tait PhD j k, Primrose Letcher PhD g, Prof Jan Copeland PhD b, Richard P Mattick PhD a, for the Cannabis Cohorts Research Consortium†

Summary

Background

Debate continues about the consequences of adolescent cannabis use. Existing data are limited in statistical power to examine rarer outcomes and less common, heavier patterns of cannabis use than those already investigated; furthermore, evidence has a piecemeal approach to reporting of young adult sequelae. We aimed to provide a broad picture of the psychosocial sequelae of adolescent cannabis use.
Methods

We integrated participant-level data from three large, long-running longitudinal studies from Australia and New Zealand: the Australian Temperament Project, the Christchurch Health and Development Study, and the Victorian Adolescent Health Cohort Study. We investigated the association between the maximum frequency of cannabis use before age 17 years (never, less than monthly, monthly or more, weekly or more, or daily) and seven developmental outcomes assessed up to age 30 years (high-school completion, attainment of university degree, cannabis dependence, use of other illicit drugs, suicide attempt, depression, and welfare dependence). The number of participants varied by outcome (N=2537 to N=3765).

Findings

We recorded clear and consistent associations and dose-response relations between the frequency of adolescent cannabis use and all adverse young adult outcomes. After covariate adjustment, compared with individuals who had never used cannabis, those who were daily users before age 17 years had clear reductions in the odds of high-school completion (adjusted odds ratio 0•37, 95% CI 0•20—0•66) and degree attainment (0•38, 0•22—0•66), and substantially increased odds of later cannabis dependence (17•95, 9•44—34•12), use of other illicit drugs (7•80, 4•46—13•63), and suicide attempt (6•83, 2•04—22•90).

Interpretation

Adverse sequelae of adolescent cannabis use are wide ranging and extend into young adulthood. Prevention or delay of cannabis use in adolescence is likely to have broad health and social benefits. Efforts to reform cannabis legislation should be carefully assessed to ensure they reduce adolescent cannabis use and prevent potentially adverse developmental effects.

Funding

Australian Government National Health and Medical Research Council.
Young adult sequelae of adolescent cannabis use: an integrative analysis : The Lancet Psychiatry National Drug and Alcohol Research Centre, UNSW Australia, Sydney, NSW, Australia
Young adult sequelae of adolescent cannabis use: an integrative analysis : The Lancet Psychiatry
Young adult sequelae of adolescent cannabis use: an integrative analysis. By – Dr Edmund Silins PhD, L John Horwood MSc, Prof George C Patton MD, Prof David M Fergusson PhD, Craig A Olsson PhD, Del…
View on http://www.thelancet.com
b National Cannabis Prevention and Information Centre, UNSW Australia, Sydney, NSW, Australia
c Christchurch Health and Development Study, Department of Psychological Medicine, University of Otago, Christchurch, New Zealand
d Centre for Adolescent Health, Murdoch Childrens Research Institute, Royal Children’s Hospital, Melbourne, VIC, Australia
e School of Psychology, Deakin University, Geelong, VIC, Australia
f School of Population and Global Health, University of Melbourne, Melbourne, VIC, Australia
g Department of Paediatrics, University of Melbourne, Melbourne, VIC, Australia
h Psychological Sciences, University of Melbourne, Melbourne, VIC, Australia
i Department of Global Health, School of Public Health, University of Washington, Seattle, WA, USA
j National Drug Research Institute, Faculty of Health Sciences, Curtin University, Perth, WA, Australia
k Centre for Research on Ageing Health and Wellbeing, Australian National University, Canberra, ACT, Australia
Corresponding Author Information Correspondence to: Dr Edmund Silins, National Drug and Alcohol Research Centre, UNSW Australia, Sydney, NSW 2052, Australia
† Other members listed at end of paper

What Steps Should a Parent Take?

The Drug Enforcement Agency (DEA) has a series of questions parents should ask http://www.getsmartaboutdrugs.com/content/default.aspx?pud=a8bcb6ee-523a-4909-9d76-928d956f3f91
If you suspect that your child has a substance abuse problem, you will have to seek help of some type. You will need a plan of action. The Partnership for a Drug Free America lists 7 Steps to Take and each step is explained at the site. http://www.drugfree.org/intervene
If your child has a substance abuse problem, both you and your child will need help. “One day at a time” is a famous recovery affirmation which you and your child will live the meaning. The road to recovery may be long or short, it will have twists and turns with one step forward and two steps back. In order to reach the goal of recovery, both parent and child must persevere.

Related:

University of Washington study: Heroin use among young suburban and rural non-traditional users on the https://drwilda.com/2013/10/13/university-of-washington-study-heroin-use-among-young-suburban-and-rural-non-traditional-users-on-the-increase/

Resources

Adolescent Substance Abuse Knowledge Base http://www.crchealth.com/troubled-teenagers/teenage-substance-abuse/adolescent-substance-abuse/signs-drug-use/

Warning Signs of Teen Drug Abuse
http://parentingteens.about.com/cs/drugsofabuse/a/driug_abuse20.htm?r=et

Is Your Teen Using?
http://www.drugfree.org/intervene

Al-Anon and Alateen http://www.al-anon.alateen.org/

WEBMD: Parenting and Teen Substance Abuse http://www.webmd.com/mental-health/tc/teen-substance-abuse-choosing-a-treatment-program-topic-overview

The U.S. Department of Health and Human Services has a very good booklet for families What is Substance Abuse Treatment? http://store.samhsa.gov/home

The National Institute on Drug Abuse (NIDA) has a web site for teens and parents that teaches about drug abuse NIDA for Teens: The Science Behind Drug Abuse
http://teens.drugabuse.gov/

Where information leads to Hope. © Dr. Wilda.com

Dr. Wilda says this about that ©

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University of Pennsylvania Annenberg Public Policy Center study: Drug testing high school students might not be effective

14 Jan

Moi wrote in Missouri high school to drug test students:
Fox News reported in the story, Missouri high school reportedly to use hair samples for random drug tests:
Beginning in the 2013-2014 school year, students at Rockhurst High School in Kansas City will be mandated to undergo random drug testing by submitting roughly 60 strands of hair to a staff member at the 1,000-student school, KSHB.com reports….
If a student tests positive for any substance, according to the new policy, a guidance counselor will be notified. The counselor will then notify the student’s parents to determine how to best help the child.
The student would then be given 90 days to be drug-free, with no notification sent to administrative personnel. The incident would only be noted in the student’s guidance file, which would later be destroyed upon graduation and will not be sent to colleges or universities. The document would only become public if subpoenaed, the website reports. http://www.foxnews.com/us/2013/01/31/missouri-high-school-reportedly-to-use-hair-samples-for-random-drug-tests/#ixzz2KXRqmSpX
The National Institute on Drug Abuse (Institute) has some great information about drug testing.
In Frequently Asked Questions About Drug Testing in Schools, the Institute discusses drug testing.
Why test teenagers at all?
Teens are especially vulnerable to drug abuse, when the brain and body are still developing. Most teens do not use drugs, but for those who do, it can lead to a wide range of adverse effects on the brain, the body, behavior and health.
Short term: Even a single use of an intoxicating drug can affect a person’s judgment and decisonmaking—resulting in accidents, poor performance in a school or sports activity, unplanned risky behavior, and the risk of overdosing.
Long term: Repeated drug abuse can lead to serious problems, such as poor academic outcomes, mood changes (depending on the drug: depression, anxiety, paranoia, psychosis), and social or family problems caused or worsened by drugs.
Repeated drug use can also lead to the disease of addiction. Studies show that the earlier a teen begins using drugs, the more likely he or she will develop a substance abuse problem or addiction. Conversely, if teens stay away from drugs while in high school, they are less likely to develop a substance abuse problem later in life….
Is random drug testing of students legal?
In June 2002, the U.S. Supreme Court broadened the authority of public schools to test students for illegal drugs. Voting 5 to 4 in Pottawatomie County v. Earls, the court ruled to allow random drug tests for all middle and high school students participating in competitive extracurricular activities. The ruling greatly expanded the scope of school drug testing, which previously had been allowed only for student athletes.
Just because the U.S. Supreme Court said student drug testing for adolescents in competitive extracurricular activities is constitutional, does that mean it is legal in my city or state?
A school or school district that is interested in adopting a student drug testing program should seek legal expertise so that it complies with all federal, state, and local laws. Individual state constitutions may dictate different legal thresholds for allowing student drug testing. Communities interested in starting student drug testing programs should become familiar with the law in their respective states to ensure proper compliance. http://www.drugabuse.gov/related-topics/drug-testing/faq-drug-testing-in-schools
The primary issue is whether students have privacy rights.
Your Debate.com summarizes the pros and cons of School Drug Testing:
PRO 1
The main purpose of random school drug testing is not to catch kids using drugs, it to keep them from ever using them. Once their using drugs its harder for them to break their addiction. With many employers drug testing its very important for a kid’s future not to use drugs. Drug use is responsible for many crimes. Its worth the inconvenience for all our future.
CON 2
One of the fundamental features of our legal system is that we are presumed innocent of any wrongdoing unless and until the government proves otherwise. Random drug testing of student athletes turns this presumption on its head, telling students that we assume they are using drugs until they prove to the contrary with a urine sample.
CON 3
“If school officials have reason to believe that a particular student is using drugs, they already have the power to require that student to submit to a drug test,” said ACLU-NJ Staff Attorney David Rocah.
CON 4
The constitutional prohibition against “unreasonable” searches also embodies the principle that merely belonging to a certain group is not a sufficient reason for a search, even if many members of that group are suspected of illegal activity. Thus, for example, even if it were true that most men with long hair were drug users, the police would not be free to stop all long haired men and search them for drugs.
PRO 5
Peer pressure is the greatest cause of kids trying drugs. If by testing the athletes or other school leaders, we can get them to say no to drugs, it will be easier for other kids to say no.
CON 6
Some also argue that students who aren’t doing anything wrong have nothing to fear. This ignores the fact that what they fear is not getting caught, but the loss of dignity and trust that the drug test represents. And we should all be afraid of government officials who believe that a righteous cause warrants setting aside bedrock constitutional protections. The lesson that our schools should be teaching is respect for the Constitution and for students’ dignity and privacy, not a willingness to treat cherished constitutional principles as mere platitudes. http://www.youdebate.com/DEBATES/school_drug_testing.HTM
See, What Are the Benefits of Drug Testing? http://www.livestrong.com/article/179407-what-are-the-benefits-of-drug-testing/ https://drwilda.com/2013/02/11/missouri-high-school-to-drug-test-students/
Maanvi Singh of NPR reported in the study, Drug Tests Don’t Deter Drug Use, But School Environment Might:
Schools that do random drug testing say it helps students say no to illegal drugs, while critics say it’s an invasion of privacy. But feeling good about school may affect students’ drug use more than the threat of testing.
A survey of high school students found that the possibility that they might face drug testing didn’t really discourage students from alcohol, cigarettes or marijuana. But students who thought their school had a positive environment were less apt to try cigarettes and pot.
Those students were about 20 percent less likely to try smoke pot and 15 percent less likely to light up a cigarette than students who didn’t feel that their school was a positive place, the survey found. And the trend held true, more or less, regardless of demographic or geographic factors.
Researchers from the University of Pennsylvania’s Annenberg Public Policy Center looked at 361 high school students across the country. The students were initially interviewed in 2008 as part of the more general National Annenberg Survey of Youth. A year later, researchers followed up and asked participants whether they had tried alcohol, or smoked cigarettes or marijuana.
The research was published Monday in the Journal of Studies on Alcohol and Drugs. Dan Romer, an author of the study who directs Annenberg’s Adolescent Communication Institute, says he wasn’t surprised by the results. “In a school with a good climate, the kids will respect what the teachers say more,” he tells Shots.
The key, Romer says, is that students need to understand why a school has certain disciplinary policies. “It basically boils down to how much respect everybody feels toward each other,” he says.
Proponents of random drug testing say it can act as a deterrent, or as a way to identify students in need of help. The Supreme Court has upheld the constitutionality of the practice twice, in 1995 and 2002. But the court limited its use to students participating in competitive extracurricular activities.
A school that has a positive climate might also practice drug testing, Romer said – the two aren’t mutually exclusive. But this study suggests that administrators concerned about substance abuse might want to try programs that encourage a more respectful school climate before turning to drug testing.
This study is by no means conclusive. It doesn’t distinguish between schools that implement randomized drug testing and those that only test students suspected of drug use. And it doesn’t look at whether other drug education programs might have influenced the results.
These findings reinforce previous research that casts doubt on the effectiveness of drug testing as a deterrent. A 2010 study from the University of Michigan found that in schools with drug testing, students were more likely to turn from marijuana to other illicit drugs.
One thing that neither a drug policy nor a positive environment seemed to affect was underage drinking. “It suggests to us that alcohol may be so accepted now in high school culture,” Romer says, “that kids think if you’re at a party you should be able to drink.” http://www.npr.org/blogs/health/2014/01/14/262466903/drug-tests-dont-deter-drug-use-but-school-environment-might?utm_medium=Email&utm_source=share&utm_campaign=
See, School drug tests don’t work, but ‘positive climate’ might http://www.health.am/psy/more/school-drug-tests-dont-work/#ixzz2qQ58LUDr
Here is the press release from University of Pennsylvania’s Annenberg Public Policy Center:
School drug tests ineffective but a ‘positive climate’ might work
Monday, January 13th, 2014
A national study of teenagers suggests that school drug testing did not deter them from starting to smoke tobacco or marijuana or drink alcohol. But in high schools that had a “positive school climate,” teens were less likely to start smoke cigarettes or marijuana.
Research published in the January issue of the Journal of Studies on Alcohol and Drugs compared the effectiveness over one year of school policies of student drug testing, which are in place in an estimated 20 percent of U.S. high schools, with a positive school climate.
“The bad news is that a policy of drug testing has no effect on students starting to use alcohol, cigarettes or marijuana,” said study co-author Dan Romer, associate director of the Annenberg Public Policy Center (APPC) at the University of Pennsylvania. “There’s also no effect on escalating the use of those substances.”
The study found, however, that students in schools with a positive school climate reported a lower rate of starting to use cigarettes and marijuana, and a slower escalation of smoking at the one-year follow-up interview. Students in schools with positive climates were 15 percent less likely to start smoking cigarettes and 20 percent less likely to start using marijuana than students at schools without positive climates, the study shows.
Student drug testing “is a relatively ineffective drug-prevention policy,” wrote the researchers, Dan Romer and Sharon R. Sznitman, an APPC Distinguished Research Fellow and a lecturer at the School of Public Health, University of Haifa, Israel. “On the other hand, interventions that improve school climate may have greater efficacy.” The study added that “whole school” health efforts that engage students, faculty and parents, and promote a sense of security and well-being have been found to reduce substance abuse.
Neither drug testing nor school climate affected the start of drinking alcohol.
For the complete news release click here. http://www.annenbergpublicpolicycenter.org/wp-content/uploads/Student-drug-tests-01-13-14.pdf
To read the study click here. http://www.jsad.com/jsad/article/Student_Drug_Testing_and_Positive_School_Climates_Testing_the_Relation_Bet/4893.html
And for APPC’s issue brief on student drug testing, click here. http://www.annenbergpublicpolicycenter.org/issue-brief-drug-prevention-in-schools/
Citation:
Journal of Studies on Alcohol and Drugs
Volume 75, 2014 > Issue 1: January 2014
Download PDF Document

Click to access 5232.pdf

Student Drug Testing and Positive School Climates: Testing the Relation Between Two School Characteristics and Drug Use Behavior in a Longitudinal Study [OPEN ACCESS]
Sharon R. Sznitman, Daniel Romer
Objective: Fostering positive school climates and student drug testing have been separately proposed as strategies to reduce student drug use in high schools. To assess the promise of these strategies, the present research examined whether positive school climates and/or student drug testing successfully predicted changes in youth substance use over a 1-year follow-up. Method: Two waves of panel data from a sample of 361 high school students, assessed 1 year apart, were analyzed. Changes in reported initiation and escalation in frequency of alcohol, cigarette, and marijuana use as a function of perceived student drug testing and positive school climates were analyzed, while we held constant prior substance use. Results: Perceived student drug testing was not associated with changes in substance use, whereas perceived positive school climates were associated with a reduction in cigarette and marijuana initiation and a reduction in escalation of frequency of cigarette use at 1-year follow-up. However, perceived positive school climates were not associated with a reduction in alcohol use. Conclusions: Student drug testing appears to be less associated with substance use than positive school climates. Nevertheless, even favorable school climates may not be able to influence the use of alcohol, which appears to be quite normative in this age group. (J. Stud. Alcohol Drugs, 75, 65–73, 2014)
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If your child has a substance abuse problem, both you and your child will need help. “One day at a time” is a famous recovery affirmation which you and your child will live the meaning. The road to recovery may be long or short, it will have twists and turns with one step forward and two steps back. In order to reach the goal of recovery, both parent and child must persevere.
Related:
University of Washington study: Heroin use among young suburban and rural non-traditional users on the increase https://drwilda.com/2013/10/13/university-of-washington-study-heroin-use-among-young-suburban-and-rural-non-traditional-users-on-the-increase/
Northwestern University study: Young adolescent use of marijuana results in changes to the brain structure https://drwilda.com/2013/12/23/northwestern-university-study-young-adolescent-use-of-marijuana-results-in-changes-to-the-brain-structure/
Resources
Adolescent Substance Abuse Knowledge Base http://www.crchealth.com/troubled-teenagers/teenage-substance-abuse/adolescent-substance-abuse/signs-drug-use/
Warning Signs of Teen Drug Abuse http://parentingteens.about.com/cs/drugsofabuse/a/driug_abuse20.htm?r=et
Is Your Teen Using? http://www.drugfree.org/intervene
Al-Anon and Alateen
http://www.al-anon.alateen.org/
WEBMD: Parenting and Teen Substance Abuse http://www.webmd.com/mental-health/tc/teen-substance-abuse-choosing-a-treatment-program-topic-overview
The U.S. Department of Health and Human Services has a very good booklet for families What is Substance Abuse Treatment? http://store.samhsa.gov/home
The National Institute on Drug Abuse (NIDA) has a web site for teens and parents that teaches about drug abuse NIDA for Teens: The Science Behind Drug Abuse http://teens.drugabuse.gov/
Where information leads to Hope. © Dr. Wilda.com
Dr. Wilda says this about that ©
Blogs by Dr. Wilda:
COMMENTS FROM AN OLD FART© http://drwildaoldfart.wordpress.com/
Dr. Wilda Reviews © http://drwildareviews.wordpress.com/
Dr. Wilda © https://drwilda.com/

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Northwestern University study: Young adolescent use of marijuana results in changes to the brain structure

23 Dec

Often children who evidence signs of a substance abuse problem come from homes where there is a substance abuse problem. That problem may be generational. eMedicineHealth lists some of the causes of substance abuse:

Substance Abuse Causes
Use and abuse of substances such as cigarettes, alcohol, and illegal drugs may begin in childhood or the teen years. Certain risk factors may increase someone’s likelihood to abuse substances.
Factors within a family that influence a child’s early development have been shown to be related to increased risk of drug abuse.
o Chaotic home environment
o Ineffective parenting
o Lack of nurturing and parental attachment
Factors related to a child’s socialization outside the family may also increase risk of drug abuse.
o Inappropriately aggressive or shy behavior in the classroom
o Poor social coping skills
o Poor school performance
o Association with a deviant peer group
o Perception of approval of drug use behavior
http://www.emedicinehealth.com/substance_abuse/article_em.htm

Substance abuse is often a manifestation of other problems that child has either at home or poor social relations including low self-esteem. Dr. Alan Leshner summarizes the reasons children use drugs in why do Sally and Johnny use drugs? http://archives.drugabuse.gov/Published_Articles/Sally.html

Anahad O’Connor reported in the New York Times article, Increasing Marijuana Use in High School Is Reported:

A new federal report shows that the percentage of American high school students who smoke marijuana is slowly rising, while the use of alcohol and almost every other drug is falling.
The report raises concerns that the relaxation of restrictions on marijuana, which can now be sold legally in 20 states and the District of Columbia, has been influencing use of the drug among teenagers. Health officials are concerned by the steady increase and point to what they say is a growing body of evidence that adolescent brains, which are still developing, are susceptible to subtle changes caused by marijuana.
“The acceptance of medical marijuana in multiple states leads to the sense that if it’s used for medicinal purposes, then it can’t be harmful,” said Dr. Nora D. Volkow, director of the National Institute on Drug Abuse, which issued the report. “This survey has shown very consistently that the greater the number of kids that perceive marijuana as risky, the less that smoke it.” Starting early next year, recreational marijuana use will also be legal in Colorado and Washington.
Experts debate the extent to which heavy marijuana use may cause lasting detriment to the brain. But Dr. Volkow said that one way marijuana might affect cognitive function in adolescents was by disrupting the normal development of white matter through which cells in the brain communicate.
According to the latest federal figures, which were part of an annual survey, Monitoring the Future, more than 12 percent of eighth graders and 36 percent of seniors at public and private schools around the country said they had smoked marijuana in the past year. About 60 percent of high school seniors said they did not view regular marijuana use as harmful, up from about 55 percent last year.
The report looked at a wide variety of drugs and substances. It found, for example, that drinking was steadily declining, with roughly 40 percent of high school seniors reporting having used alcohol in the past month, down from a peak of 53 percent in 1997. Abuse of the prescription painkiller Vicodin is half what it was a decade ago among seniors; cocaine and heroin use are at historic lows in almost every grade.
Cigarette smoking has also fallen precipitously in recent years. For the first time since the survey began, the percentage of students who smoked a cigarette in the past month dropped below 10 percent. Roughly 8.5 percent of seniors smoke cigarettes on a daily basis, compared with 6.5 percent who smoke marijuana daily, a slight increase from 2010.
Studies show that the concentration of THC in marijuana, its psychoactive ingredient, has tripled since the early 1990s, and Dr. Volkow said there was concern that the rising use and increased potency could affect the likelihood of car accidents and could lower school performance.
“What is most worrisome is that we’re seeing high levels of everyday use of marijuana among teenagers,” Dr. Volkow said. “That is the type that’s most likely to have negative effects on brain function and performance.”
http://well.blogs.nytimes.com/2013/12/18/growing-marijuana-use-among-teenagers-spurs-concerns/?_r=1
Northwestern University researchers studied the effect of early marijuana use on adolescent brains.

Citation:

Cannabis-Related Working Memory Deficits and Associated Subcortical Morphological Differences in Healthy Individuals and Schizophrenia Subjects
Matthew J. Smith*,1,
Derin J. Cobia1,
Lei Wang1,2,
Kathryn I. Alpert1,
Will J. Cronenwett1,
Morris B. Goldman1,
Daniel Mamah3,
Deanna M. Barch3–5,7,
Hans C. Breiter1,6,7 and
John G. Csernansky1,7
+
Author Affiliations
1 Department of Psychiatry and Behavioral Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL;
2 Department of Radiology, Northwestern University Feinberg School of Medicine, Chicago, IL;
3 Department of Psychiatry, Washington University, St Louis, MO;
4 Department of Psychology, Washington University, St Louis, MO;
5 Department of Radiology, Washington University, St Louis, MO;
6 Warren Wright Adolescent Center, Northwestern University Feinberg School of Medicine, Chicago, IL
7Denotes shared senior authorship on this article.
↵*To whom correspondence should be addressed; Department of Psychiatry and Behavioral Sciences, Northwestern University Feinberg School of Medicine, 710 N. Lake Shore Drive, 13th Floor, Abbott Hall, Chicago, IL 60611, US; tel: 1-312-503-2542, fax: 1-312-503-0527, e-mail: matthewsmith@northwestern.edu
Abstract
Cannabis use is associated with working memory (WM) impairments; however, the relationship between cannabis use and WM neural circuitry is unclear. We examined whether a cannabis use disorder (CUD) was associated with differences in brain morphology between control subjects with and without a CUD and between schizophrenia subjects with and without a CUD, and whether these differences related to WM and CUD history. Subjects group-matched on demographics included 44 healthy controls, 10 subjects with a CUD history, 28 schizophrenia subjects with no history of substance use disorders, and 15 schizophrenia subjects with a CUD history. Large-deformation high-dimensional brain mapping with magnetic resonance imaging was used to obtain surface-based representations of the striatum, globus pallidus, and thalamus, compared across groups, and correlated with WM and CUD history. Surface maps were generated to visualize morphological differences. There were significant cannabis-related parametric decreases in WM across groups. Similar cannabis-related shape differences were observed in the striatum, globus pallidus, and thalamus in controls and schizophrenia subjects. Cannabis-related striatal and thalamic shape differences correlated with poorer WM and younger age of CUD onset in both groups. Schizophrenia subjects demonstrated cannabis-related neuroanatomical differences that were consistent and exaggerated compared with cannabis-related differences found in controls. The cross-sectional results suggest that both CUD groups were characterized by WM deficits and subcortical neuroanatomical differences. Future longitudinal studies could help determine whether cannabis use contributes to these observed shape differences or whether they are biomarkers of a vulnerability to the effects of cannabis that predate its misuse.
http://schizophreniabulletin.oxfordjournals.org/content/early/2013/12/10/schbul.sbt176.abstract

Here is the press release from Northwestern University:

Marijuana Users Have Abnormal Brain Structure and Poor Memory
Drug abuse appears to foster brain changes that resemble schizophrenia
December 16, 2013 | by Marla Paul
• The younger drug abuse starts, the more abnormal the brain
CHICAGO — Teens who were heavy marijuana users — smoking it daily for about three years — had abnormal changes in their brain structures related to working memory and performed poorly on memory tasks, reports a new Northwestern Medicine® study.
A poor working memory predicts poor academic performance and everyday functioning.
The brain abnormalities and memory problems were observed during the individuals’ early twenties, two years after they stopped smoking marijuana, which could indicate the long-term effects of chronic use. Memory-related structures in their brains appeared to shrink and collapse inward, possibly reflecting a decrease in neurons.
The study also shows the marijuana-related brain abnormalities are correlated with a poor working memory performance and look similar to schizophrenia-related brain abnormalities. Over the past decade, Northwestern scientists, along with scientists at other institutions, have shown that changes in brain structure may lead to changes in the way the brain functions.
This is the first study to target key brain regions in the deep subcortical gray matter of chronic marijuana users with structural MRI and to correlate abnormalities in these regions with an impaired working memory. Working memory is the ability to remember and process information in the moment and — if needed — transfer it to long-term memory. Previous studies have evaluated the effects of marijuana on the cortex, and few have directly compared chronic marijuana use in otherwise healthy individuals and individuals with schizophrenia.
The younger the individuals were when they started chronically using marijuana, the more abnormally their brain regions were shaped, the study reports. The findings suggest that these regions related to memory may be more susceptible to the effects of the drug if abuse starts at an earlier age.
“The study links the chronic use of marijuana to these concerning brain abnormalities that appear to last for at least a few years after people stop using it,” said lead study author Matthew Smith, an assistant research professor in psychiatry and behavioral sciences at Northwestern University Feinberg School of Medicine. “With the movement to decriminalize marijuana, we need more research to understand its effect on the brain.”
The paper was published Dec. 16 in the journal Schizophrenia Bulletin.
In the U.S., marijuana is the most commonly used illicit drug and young adults have the highest — and growing — prevalence of use. Decriminalization of the drug may lead to greater use.
Because the study results examined one point in time, a longitudinal study is needed to definitively show if marijuana is responsible for the brain changes and memory impairment. It is possible that the abnormal brain structures reveal a pre-existing vulnerability to marijuana abuse. But evidence that the younger a subject started using the drug the greater his brain abnormality indicates marijuana may be the cause, Smith said.
The groups in the study started using marijuana daily between 16 to 17 years of age for about three years. At the time of the study, they had been marijuana free for about two years. A total of 97 subjects participated, including matched groups of healthy controls, subjects with a marijuana use disorder, schizophrenia subjects with no history of substance use disorders, and schizophrenia subjects with a marijuana use disorder. The subjects who used marijuana did not abuse any other drugs.
Few studies have examined marijuana’s effect on the deep regions in the brain — the ‘subcortical gray matter’ below the noodle-shaped cortex. The study also is unique in that it looked at the shapes of the striatum, globus pallidus and thalamus, structures in the subcortex that are critical for motivation and working memory.
The Marijuana and Schizophrenia Connection
Chronic use of marijuana may contribute to changes in brain structure that are associated with having schizophrenia, the Northwestern research shows. Of the 15 marijuana smokers who had schizophrenia in the study, 90 percent started heavily using the drug before they developed the mental disorder. Marijuana abuse has been linked to developing schizophrenia in prior research.
“The abuse of popular street drugs, such as marijuana, may have dangerous implications for young people who are developing or have developed mental disorders,” said co-senior study author John Csernansky, M.D., chair of psychiatry and behavioral sciences at Northwestern University Feinberg School of Medicine and Northwestern Memorial Hospital. “This paper is among the first to reveal that the use of marijuana may contribute to the changes in brain structure that have been associated with having schizophrenia.”
Chronic marijuana use could augment the underlying disease process associated with schizophrenia, Smith noted. “If someone has a family history of schizophrenia, they are increasing their risk of developing schizophrenia if they abuse marijuana,” he said.
While chronic marijuana smokers and chronic marijuana smokers with schizophrenia both had brain changes related to the drug, subjects with the mental disorder had greater deterioration in the thalamus. That structure is the communication hub of the brain and is critical for learning, memory and communications between brain regions. The brain regions examined in this study also affect motivation, which is already notably impaired in people with schizophrenia.
“A tremendous amount of addiction research has focused on brain regions traditionally connected with reward/aversion function, and thus motivation,” noted co-senior study author Hans Breiter, M.D., professor of psychiatry and behavioral sciences and director of the Warren Wright Adolescent Center at Feinberg and Northwestern Memorial. “This study very nicely extends the set of regions of concern to include those involved with working memory and higher level cognitive functions necessary for how well you organize your life and can work in society.”
“If you have schizophrenia and you frequently smoke marijuana, you may be at an increased risk for poor working memory, which predicts your everyday functioning,” Smith said.
The research was supported by grants R01 MH056584 and P50 MH071616 from the National Institute of Mental Health and grants P20 DA026002 and RO1 DA027804 from National Institute of Drug Abuse, all of the National Institutes of Health.
– See more at: http://www.northwestern.edu/newscenter/stories/2013/12/marijuana-users-have-abnormal-brain-structure–poor-memory.html#sthash.coRZr6cm.dpuf

What Steps Should a Parent Take?

The Drug Enforcement Agency (DEA) has a series of questions parents should ask http://www.getsmartaboutdrugs.com/content/default.aspx?pud=a8bcb6ee-523a-4909-9d76-928d956f3f91
If you suspect that your child has a substance abuse problem, you will have to seek help of some type. You will need a plan of action. The Partnership for a Drug Free America lists 7 Steps to Take and each step is explained at the site. http://www.drugfree.org/intervene
If your child has a substance abuse problem, both you and your child will need help. “One day at a time” is a famous recovery affirmation which you and your child will live the meaning. The road to recovery may be long or short, it will have twists and turns with one step forward and two steps back. In order to reach the goal of recovery, both parent and child must persevere.

Questions to Ask a Treatment Facility

The U.S. Department of Health and Human Services, Center for Substance Abuse Treatment (Center), lists the questions that should be asked of a treatment center. http://findtreatment.samhsa.gov/faq.htm Assuming you are not one of those ill-advised parents who supply their child with alcohol or drugs like marijuana in an attempt to be hip or cool, suspicions that your child may have a substance abuse problem are a concern. Confirmation that your child has a substance abuse problem can be heartbreaking. Even children whose parents have seemingly done everything right can become involved with drugs. The best defense is knowledge about your child, your child’s friends, and your child’s activities

Related:

University of Washington study: Heroin use among young suburban and rural non-traditional users on the increase https://drwilda.com/2013/10/13/university-of-washington-study-heroin-use-among-young-suburban-and-rural-non-traditional-users-on-the-increase/

Resources

Adolescent Substance Abuse Knowledge Base
http://www.crchealth.com/troubled-teenagers/teenage-substance-abuse/adolescent-substance-abuse/signs-drug-use/

Warning Signs of Teen Drug Abuse http://parentingteens.about.com/cs/drugsofabuse/a/driug_abuse20.htm?r=et

Is Your Teen Using?
http://www.drugfree.org/intervene

Al-Anon and Alateen
http://www.al-anon.alateen.org/

WEBMD: Parenting and Teen Substance Abuse http://www.webmd.com/mental-health/tc/teen-substance-abuse-choosing-a-treatment-program-topic-overview

The U.S. Department of Health and Human Services has a very good booklet for families What is Substance Abuse Treatment? http://store.samhsa.gov/home

The National Institute on Drug Abuse (NIDA) has a web site for teens and parents that teaches about drug abuse NIDA for Teens: The Science Behind Drug Abuse http://teens.drugabuse.gov/

Where information leads to Hope. © Dr. Wilda.com

Dr. Wilda says this about that ©

Blogs by Dr. Wilda:

COMMENTS FROM AN OLD FART©
http://drwildaoldfart.wordpress.com/

Dr. Wilda Reviews ©
http://drwildareviews.wordpress.com/

Dr. Wilda ©
https://drwilda.com/

Tags: , , , , , , , , , , , , , , ,

Missouri high school to drug test students

11 Feb

Fox News reports in the story, Missouri high school reportedly to use hair samples for random drug tests:

Beginning in the 2013-2014 school year, students at Rockhurst High School in Kansas City will be mandated to undergo random drug testing by submitting roughly 60 strands of hair to a staff member at the 1,000-student school, KSHB.com reports.

Using a company called Psychemedics, officials at the Jesuit school said students will be tested for a variety of substances over the previous 90 days, including cocaine, PCP, opiates, methamphetamine, marijuana and binge alcohol.

“Our point is, if we do encounter a student who has made some bad decisions with drugs or alcohol, we will be able to intervene, get the parents involved, get him help if necessary, and then help him get back on a path of better decision making, healthier choices for his life,” Rockhurst Principal Greg Harkness told the website.

If a student tests positive for any substance, according to the new policy, a guidance counselor will be notified. The counselor will then notify the student’s parents to determine how to best help the child.

The student would then be given 90 days to be drug-free, with no notification sent to administrative personnel. The incident would only be noted in the student’s guidance file, which would later be destroyed upon graduation and will not be sent to colleges or universities. The document would only become public if subpoenaed, the website reports.
http://www.foxnews.com/us/2013/01/31/missouri-high-school-reportedly-to-use-hair-samples-for-random-drug-tests/#ixzz2KXRqmSpX

The National Institute on Drug Abuse (Institute) has some great information about drug testing.

In Frequently Asked Questions About Drug Testing in Schools, the Institute discusses drug testing.

Why test teenagers at all?

Teens are especially vulnerable to drug abuse, when the brain and body are still developing. Most teens do not use drugs, but for those who do, it can lead to a wide range of adverse effects on the brain, the body, behavior and health.

Short term: Even a single use of an intoxicating drug can affect a person’s judgment and decisonmaking—resulting in accidents, poor performance in a school or sports activity, unplanned risky behavior, and the risk of overdosing.

Long term: Repeated drug abuse can lead to serious problems, such as poor academic outcomes, mood changes (depending on the drug: depression, anxiety, paranoia, psychosis), and social or family problems caused or worsened by drugs.

Repeated drug use can also lead to the disease of addiction. Studies show that the earlier a teen begins using drugs, the more likely he or she will develop a substance abuse problem or addiction. Conversely, if teens stay away from drugs while in high school, they are less likely to develop a substance abuse problem later in life….

Is random drug testing of students legal?

In June 2002, the U.S. Supreme Court broadened the authority of public schools to test students for illegal drugs. Voting 5 to 4 in Pottawatomie County v. Earls, the court ruled to allow random drug tests for all middle and high school students participating in competitive extracurricular activities. The ruling greatly expanded the scope of school drug testing, which previously had been allowed only for student athletes.

Just because the U.S. Supreme Court said student drug testing for adolescents in competitive extracurricular activities is constitutional, does that mean it is legal in my city or state?

A school or school district that is interested in adopting a student drug testing program should seek legal expertise so that it complies with all federal, state, and local laws. Individual state constitutions may dictate different legal thresholds for allowing student drug testing. Communities interested in starting student drug testing programs should become familiar with the law in their respective states to ensure proper compliance. http://www.drugabuse.gov/related-topics/drug-testing/faq-drug-testing-in-schools

The primary issue is whether students have privacy rights.

Your Debate.com summarizes the pros and cons of School Drug Testing:

PRO 1

The main purpose of random school drug testing is not to catch kids using drugs, it to keep them from ever using them. Once their using drugs its harder for them to break their addiction. With many employers drug testing its very important for a kid’s future not to use drugs. Drug use is responsible for many crimes. Its worth the inconvenience for all our future.

CON 2

One of the fundamental features of our legal system is that we are presumed innocent of any wrongdoing unless and until the government proves otherwise. Random drug testing of student athletes turns this presumption on its head, telling students that we assume they are using drugs until they prove to the contrary with a urine sample.

CON 3

“If school officials have reason to believe that a particular student is using drugs, they already have the power to require that student to submit to a drug test,” said ACLU-NJ Staff Attorney David Rocah.

CON 4

The constitutional prohibition against “unreasonable” searches also embodies the principle that merely belonging to a certain group is not a sufficient reason for a search, even if many members of that group are suspected of illegal activity. Thus, for example, even if it were true that most men with long hair were drug users, the police would not be free to stop all long haired men and search them for drugs.

PRO 5

Peer pressure is the greatest cause of kids trying drugs. If by testing the athletes or other school leaders, we can get them  to say no to drugs, it will be easier for other kids to say no.

CON 6

Some also argue that students who aren’t doing anything wrong have nothing to fear. This ignores the fact that what they fear is not getting caught, but the loss of dignity and trust that the drug test represents. And we should all be afraid of government officials who believe that a righteous cause warrants setting aside bedrock constitutional protections. The lesson that our schools should be teaching is respect for the Constitution and for students’ dignity and privacy, not a willingness to treat cherished constitutional principles as mere platitudes. http://www.youdebate.com/DEBATES/school_drug_testing.HTM

See, What Are the Benefits of Drug Testing?http://www.livestrong.com/article/179407-what-are-the-benefits-of-drug-testing/

Substance abuse is often a manifestation of other problems that child has either at home or poor social relations including low self-esteem. Dr. Alan Leshner summarizes the reasons children use drugs in why do Sally and Johnny use drugs?

Resources:

Adolescent Substance Abuse Knowledge Base

Warning Signs of Teen Drug Abuse

Is Your Teen Using?

Al-Anon and Alateen

Center for Substance Abuse Publications

National Clearinghouse for Drug and Alcohol Information

WEBMD: Parenting and Teen Substance Abuse

The U.S. Department of Health and Human Services has a very good booklet for families What is Substance Abuse Treatment?

The National Institute on Drug Abuse (NIDA) has a web site for teens and parents that teaches about drug abuse NIDA for Teens: The Science Behind Drug Abuse

Where information leads to Hope. © Dr. Wilda.com

Dr. Wilda says this about that ©

Blogs by Dr. Wilda:

COMMENTS FROM AN OLD FART© http://drwildaoldfart.wordpress.com/

Dr. Wilda Reviews © http://drwildareviews.wordpress.com/

Dr. Wilda © https://drwilda.com/

Tags: , , , , , , , , , , , , , , ,

Johns Hopkins University study: Advertising affects alcohol use by children

11 Aug

Moi discussed alcohol use among teens in Seattle Children’s Institute study: Supportive middle school teachers affect a kid’s alcohol use:

Substance abuse is a serious problem for many young people. The Centers for Disease Control provide statistics about underage drinking in the Fact Sheet: Underage Drinking:

Underage Drinking

Alcohol use by persons under age 21 years is a major public health problem.1 Alcohol is the most commonly used and abused drug among youth in the United States, more than tobacco and illicit drugs. Although drinking by persons under the age of 21 is illegal, people aged 12 to 20 years drink 11% of all alcohol consumed in the United States.2 More than 90% of this alcohol is consumed in the form of binge drinks.2 On average, underage drinkers consume more drinks per drinking occasion than adult drinkers.3 In 2008, there were approximately 190,000 emergency rooms visits by persons under age 21 for injuries and other conditions linked to alcohol.4

Drinking Levels among Youth

The 2009 Youth Risk Behavior Survey5 found that among high school students, during the past 30 days

  • 42% drank some amount of alcohol.

  • 24% binge drank.

  • 10% drove after drinking alcohol.

  • 28% rode with a driver who had been drinking alcohol.

Other national surveys indicate

  • In 2008 the National Survey on Drug Use and HealthExternal Web Site Icon reported that 28% of youth aged 12 to 20 years drink alcohol and 19% reported binge drinking.6

  • In 2009, the Monitoring the Future SurveyExternal Web Site Icon reported that 37% of 8th graders and 72% of 12th graders had tried alcohol, and 15% of 8th graders and 44% of 12th graders drank during the past month.7

Consequences of Underage Drinking

Youth who drink alcohol1, 3, 8 are more likely to experience

  • School problems, such as higher absence and poor or failing grades.

  • Social problems, such as fighting and lack of participation in youth activities.

  • Legal problems, such as arrest for driving or physically hurting someone while drunk.

  • Physical problems, such as hangovers or illnesses.

  • Unwanted, unplanned, and unprotected sexual activity.

  • Disruption of normal growth and sexual development.

  • Physical and sexual assault.

  • Higher risk for suicide and homicide.

  • Alcohol-related car crashes and other unintentional injuries, such as burns, falls, and drowning.

  • Memory problems.

  • Abuse of other drugs.

  • Changes in brain development that may have life-long effects.

  • Death from alcohol poisoning.

In general, the risk of youth experiencing these problems is greater for those who binge drink than for those who do not binge drink.8

Youth who start drinking before age 15 years are five times more likely to develop alcohol dependence or abuse later in life than those who begin drinking at or after age 21 years.9, 10 http://www.cdc.gov/alcohol/fact-sheets/underage-drinking.htm

See, Alcohol Use Among Adolescents and Young  Adults http://pubs.niaaa.nih.gov/publications/arh27-1/79-86.htm

https://drwilda.wordpress.com/2012/03/26/seattle-childrens-institute-study-supportive-middle-school-teachers-affect-a-kids-alcohol-use/

A 2006 policy statement in Pediatrics discusses the issues involved in advertising to children.

The American Academy of Pediatrics outlines its policy in Children, Adolescents, and Advertising. Here is an excerpt from the policy:

Abstract

Advertising is a pervasive influence on children and adolescents. Young people view more than 40 000 ads per year on television alone and increasingly are being exposed to advertising on the Internet, in magazines, and in schools. This exposure may contribute significantly to childhood and adolescent obesity, poor nutrition, and cigarette and alcohol use. Media education has been shown to be effective in mitigating some of the negative effects of advertising on children and adolescents. INTRODUCTION
Several European countries forbid or severely curtail advertising to children; in the United States, on the other hand, selling to children is simply “business as usual.”1 The average young person views more than 3000 ads per day on television (TV), on the Internet, on billboards, and in magazines.2 Increasingly, advertisers are targeting younger and younger children in an effort to establish “brand-name preference” at as early an age as possible.3 This targeting occurs because advertising is a $250 billion/year industry with 900 000 brands to sell,2 and children and adolescents are attractive consumers: teenagers spend $155 billion/year, children younger than 12 years spend another $25 billion, and both groups influence perhaps another $200 billion of their parents’ spending per year.4,5 Increasingly, advertisers are seeking to find new and creative ways of targeting young consumers via the Internet, in schools, and even in bathroom stalls.1THE EFFECTS OF ADVERTISING ON CHILDREN AND ADOLESCENTS
Research has shown that young children—younger than 8 years—are cognitively and psychologically defenseless against advertising.6–9 They do not understand the notion of intent to sell and frequently accept advertising claims at face value.10 In fact, in the late 1970s, the Federal Trade Commission (FTC) held hearings, reviewed the existing research, and came to the conclusion that it was unfair and deceptive to advertise to children younger than 6 years.11 What kept the FTC from banning such ads was that it was thought to be impractical to implement such a ban.11 However, some Western countries have done exactly that: Sweden and Norway forbid all advertising directed at children younger than 12 years, Greece bans toy advertising until after 10 pm, and Denmark and Belgium severely restrict advertising aimed at children.12                                     http://pediatrics.aappublications.org/content/118/6/2563.full

Citation:

Pediatrics Vol. 118 No. 6 December 1, 2006
pp. 2563 -2569
(doi: 10.1542/peds.2006-2698)

  1. AbstractFree

  2. » Full TextFree

  3. Full Text (PDF)Free

Jeanette Mulvey, Business News Daily Managing Editor at LiveScience.com is reporting in the article, How Alcohol Ads Target Kids:

Parents might do their best to shield their kids from advertising related to alcohol, but alcohol marketers are doing their best to reach them anyway. That’s the finding of new research that discovered that the content of alcohol ads placed in magazines is more likely to violate industry guidelines if the ad appears in a magazine with sizable youth readership.

The research, which was done by the Center on Alcohol Marketing and Youth (CAMY) at the Johns Hopkins Bloomberg School of Public Health, found that ads in magazines with a substantial youth readership (15 percent or more) frequently showed alcohol being consumed in an irresponsible manner. Examples include showing alcohol consumption near or on bodies of water, encouraging overconsumption, and providing messages supportive of alcohol addiction. In addition, nearly one in five ad occurrences contained sexual connotations or sexual objectification.

“The bottom line here is that youth are getting hit repeatedly by ads for spirits and beer in magazines geared towards their age demographic,” said CAMY director and study co-author David Jernigan. “As at least 14 studies have found that the more young people are exposed to alcohol advertising and marketing, the more likely they are to drink, or if already drinking, to drink more, this report should serve as a wake-up call to parents and everyone else concerned about the health of young people.”http://news.yahoo.com/alcohol-ads-target-kids-125635247.html?_esi=1

Here is the press release from the Bloomberg School of Health:

For Immediate Release:                                                                                Contact: Tim Parsons
August 8, 2012                                                                                                410-955-6878 or tmparson@jhsph.edu

                  Alcohol Advertising Standards Violations Most Common in Magazines with Youthful Audiences

                              First study to examine the relationship of risky content in alcohol ads to youth exposure

The content of alcohol ads placed in magazines is more likely to be in violation of industry guidelines if the ad appears in a magazine with sizeable youth readership, according to a new study from the Center on Alcohol Marketing and Youth (CAMY) at the Johns Hopkins Bloomberg School of Public Health. Published in the Journal of Adolescent Health, the study is the first to measure the relationship of problematic content to youth exposure, and the first to examine risky behaviors depicted in alcohol advertising in the past decade.

     The researchers examined 1,261 ads for alcopops, beer, spirits or wine that appeared over 2,500 times in 11 different magazines that have or are likely to have disproportionately youthful readerships – that is, youth readerships equaling or exceeding 15 percent. Ads were analyzed for different risk codes: injury content, overconsumption content, addiction content, sex-related content and violation of industry guidelines. This latter category refers to the voluntary codes of good marketing practice administered by alcohol industry trade associations. Examples of code violations include ads appearing to target a primarily underage audience, highlighting the high alcohol content of a product, or portraying alcohol consumption in conjunction with activities requiring a high degree of alertness or coordination such as swimming.

     “The finding that violations of the alcohol industry’s advertising standards were most common in magazines with the most youthful audiences tells us self-regulated voluntary codes are failing,” said CAMY Director and study co-author David Jernigan, PhD. “It’s time to seriously consider stronger limits on youth exposure to alcohol advertising.”

     Specific examples the researchers identified in the sample included advertising showing alcohol consumption near or on bodies of water, encouraging overconsumption, and providing messages supportive of alcohol addiction. In addition, nearly one in five ad occurrences contained sexual connotations or sexual objectification. Results also show ads were concentrated across type of alcohol, brand and outlet, with spirits representing about two-thirds of the sample, followed by ads for beer, which comprised almost another 30 percent. The ten most advertised brands, a list comprised solely of spirits and beer brands, accounted for 30 percent of the sample, and seven brands were responsible for more than half of the violations of industry marketing guidelines.

     “The bottom line here is that youth are getting hit repeatedly by ads for spirits and beer in magazines geared towards their age demographic,” said Jernigan. “As at least 14 studies have found the more young people are exposed to alcohol advertising and marketing, the more likely they are to drink, or if already drinking, to drink more, this report should serve as a wake-up call to parents and everyone else concerned about the health of young people.”

     Alcohol is responsible for 4,700 deaths per year among young people under the age of 21, and is associated with the three leading causes of death among youth: motor vehicle crashes, homicide and suicide.

     The research was funded by grants from the Centers for Disease Control and Prevention to the Johns Hopkins Center for Injury Research and Policy.

    The Center on Alcohol Marketing and Youth monitors the marketing practices of the alcohol industry to focus attention and action on industry practices that jeopardize the health and safety of America’s youth. The Center was founded in 2002 at Georgetown University with funding from The Pew Charitable Trusts and the Robert Wood Johnson Foundation. The Center moved to the Johns Hopkins Bloomberg School of Public Health in 2008 and is currently funded by the federal Centers for Disease Control and Prevention. For more information, visit http://www.camy.org.

###

Additional media contact: Alicia Samuels, MPH, Center on Alcohol Marketing and Youth (CAMY), 914-720-4635 or alsamuel@jhsph.edu.

Assuming you are not one of those ill-advised parents who supply their child with alcohol or drugs like marijuana in an attempt to be hip or cool, suspicions that your child may have a substance abuse problem are a concern. Confirmation that your child has a substance abuse problem can be heartbreaking. Even children whose parents have seemingly done everything right can become involved with drugs. The best defense is knowledge about your child, your child’s friends, and your child’s activities. You need to be aware of what is influencing your child.

Our goal should be:

A Healthy Child In A Healthy Family Who Attends A Healthy School In A Healthy Neighborhood. ©

Related:

More school districts facing a financial crunch are considering school ads https://drwilda.wordpress.com/2012/06/04/more-school-districts-facing-a-financial-crunch-are-considering-school-ads/

Should there be advertising in schools? https://drwilda.wordpress.com/2011/11/10/should-there-be-advertising-in-schools/

Talking to your teen about risky behaviors https://drwilda.wordpress.com/2012/06/07/talking-to-your-teen-about-risky-behaviors/

Television cannot substitute for quality childcare https://drwilda.wordpress.com/2012/04/23/television-cannot-substitute-for-quality-childcare/

Dr. Wilda says this about that ©

Tags: , , , , , , , ,

Battling teen addiction: ‘Recovery high schools’

8 Jul

Teen substance abuse is at epidemic levels.

What is Substance Abuse?

HELPGUIDE.ORG defines substance abuse and also describes some of the traits of a substance abuser.  Although, the focus of this article is children and teens who abuse various substances, there is a widespread problem with their parents and caretakers. A recent report found that many children live with parents who are substance abusers Often children who evidence signs of a substance abuse problem come from homes where there is a substance abuse problem. That problem may be generational.

eMedicineHealth lists some of the causes of substance abuse:

Substance Abuse Causes

Use and abuse of substances such as cigarettes, alcohol, and illegal drugs may begin in childhood or the teen years. Certain risk factors may increase someone’s likelihood to abuse substances.

· Factors within a family that influence a child’s early development have been shown to be related to increased risk of drug abuse.

o Chaotic home environment

o Ineffective parenting

o Lack of nurturing and parental attachment

· Factors related to a child’s socialization outside the family may also increase risk of drug abuse.

o Inappropriately aggressive or shy behavior in the classroom

o Poor social coping skills

o Poor school performance

o Association with a deviant peer group

o Perception of approval of drug use behavior

Substance abuse is often a manifestation of other problems that child has either at home or poor social relations including low self esteem. Dr. Alan Leshner summarizes the reasons children use drugs in why do Sally and Johnny use drugs?

How Can You Recognize the Signs of Substance Abuse?

Parents provides general signs of substance abuse and also gives specific signs of alcohol abuse, and several different drugs, narcotics, and inhalants. The general warning signs are:

· Changes in friends

· Negative changes in schoolwork, missing school, or declining grades

· Increased secrecy about possessions or activities

· Use of incense, room deodorant, or perfume to hide smoke or chemical odors

· Subtle changes in conversations with friends, e.g. more secretive, using “coded” language

· Change in clothing choices: new fascination with clothes that highlight drug use

· Increase in borrowing money

· Evidence of drug paraphernalia such as pipes, rolling papers, etc.

· Evidence of use of inhalant products (such as hairspray, nail polish, correction fluid, common household products); Rags and paper bags are sometimes used as accessories

· Bottles of eye drops, which may be used to mask bloodshot eyes or dilated pupils

· New use of mouthwash or breath mints to cover up the smell of alcohol

· Missing prescription drugs—especially narcotics and mood stabilizers

Remember, these are very general signs, specific drugs, narcotics, and other substances may have different signs, it is important to read the specific signs. One way of helping children recover and continue with their lives is a “Recovery High School.”

Huffington Post is reporting in the article, ‘Recovery High’ Schools Help Students Battling Addiction (VIDEO):

At Northshore Recovery High School in Beverly, Massachusetts, teachers are not only focused on helping their students pass their classes and graduate — faculty members also play an active role in helping the student body overcome addiction. There are an increasing number of “recovery high schools” like this one opening across the country, where students are finding a safe haven with peers who are similarly committed to recovery from drug and alcohol addictions.

“There was a 50/50 chance of me either dying or getting better,” former Northshore student Alyssa Dedrick told NBC. “I think going to a recovery school really increased my odds, not only of recovery, but of survival in general.”                                                           http://www.huffingtonpost.com/2012/07/06/recovery-high-school-help_n_1654041.html?utm_hp_ref=education&ir=Education

All Treatment. Com provides a really good explanation of “Recovery High Schools.”

All Treatment interviewed Helene Cross, President and CEO of Fairbanks (in association with LaVerna Lodge) and Rachelle Gardner, Director of Adolescent Services at Fairbanks and COO for Hope Academy :

AT: What is a recovery high school?

Rachelle Gardner: It’s a school that provides a safe and sober environment, where young people can achieve academic success and also success in maintaining sobriety and support. It’s an environment that fosters relationships and long-term sobriety, giving young people the support in order to do that, and being able to achieve academic success, which in a normal traditional school, they haven’t been able to achieve. This gives young people hope and a chance to go on to secondary education, whether that is a community college or a large university.

This gives young people hope and a chance to go on to secondary education

AT: Who makes a good candidate for recovery high school?

RG: A young person who is willing to address their addiction issues, willing to receive support around staying sober and who want to achieve academic success. The two key points are that they want to be sober and they are interested in their education. If those two answers are ‘yes’ then a support system can be built around them in any type of recovery school.

Helene Cross: We should highlight the distinction between a recovery school and a treatment school. In recovery school, a young person has gone through treatment first and they have those tools that you learn in treatment, so there’s a common language and an opportunity to interact with peers in that culture using those tools.

RG: Most of the students are also receiving some sort of therapeutic support outside of the school. So they’re in an intensive outpatient program, family counseling, they’re seeing a private therapist, or they’re in some sort of halfway house. Since they’re treatment issues are dealt with outside of the school, the school is there to wrap their arms around them and support them in their recovery efforts.

AT: What should students and parents know before attending recovery high school?

HC: It’s a small school. One of the things parents want to know is how it is different than a normal school. We need to emphasize the difference in the way we teach and the fact that we understand recovery and provide this supportive environment, but there are some things they will sacrifice. A small school doesn’t have a football team, and a small charter school with a limit budget doesn’t have money for electives. We have talented teachers who can teach art and creative writing and music and we can play sports outside, but we don’t have organized sports the same way a normal school would. So they need to balance the sacrifices against the important goal – if we support the recovery and academic success, then this young person who is very vulnerable in terms of being able to graduate, will graduate. Sometimes it’s harder for the parent to give up their aspirations of their daughter being the homecoming queen or their son being a football star, but that’s a decision they have to make.                                  http://www.alltreatment.com/rehab-center-information-and-questions/rehab-interviews-recovery-high-schools

In Underage drinking costs society big-time, moi said:                                    Assuming you are not one of those ill-advised parents who supply their child with alcohol or drugs like marijuana in an attempt to be hip or cool, suspicions that your child may have a substance abuse problem are a concern. Confirmation that your child has a substance abuse problem can be heartbreaking. Even children whose parents have seemingly done everything right can become involved with drugs. The best defense is knowledge about your child, your child’s friends, and your child’s activities. You need to be aware of what is influencing your child                                      https://drwilda.wordpress.com/2012/02/16/underage-drinking-costs-society-big-time/

Resources:

Association of Recovery Schools                                                                       http://www.recoveryschools.org/

Recovery High Schools: Giving Students a Second Chance                                          http://www.drugfree.org/join-together/addiction/recovery-high-schools-giving-students-a-second-chance

Related:

Seattle Children’s Institute study: Supportive middle school teachers affect a kid’s alcohol use                                                                                                            https://drwilda.wordpress.com/tag/substance-abuse/

The rich are different: Mercer Island underage drinking                                            https://drwilda.wordpress.com/2012/03/10/the-rich-are-different-mercer-island-underage-drinking/

Schools have to deal with depressed and troubled children                                 https://drwilda.wordpress.com/2011/11/15/schools-have-to-deal-with-depressed-and-troubled-children/

New study about substance abuse and kids                                             https://drwilda.wordpress.com/2011/11/09/new-study-about-substance-abuse-and-kids/

Dr. Wilda says this about that ©

Tags: , , , , , , ,

Seattle Children’s Institute study: Supportive middle school teachers affect a kid’s alcohol use

26 Mar

Substance abuse is a serious problem for many young people. The Centers for Disease Control provide statistics about underage drinking in the Fact Sheet: Underage Drinking:

Underage Drinking

Alcohol use by persons under age 21 years is a major public health problem.1 Alcohol is the most commonly used and abused drug among youth in the United States, more than tobacco and illicit drugs. Although drinking by persons under the age of 21 is illegal, people aged 12 to 20 years drink 11% of all alcohol consumed in the United States.2 More than 90% of this alcohol is consumed in the form of binge drinks.2 On average, underage drinkers consume more drinks per drinking occasion than adult drinkers.3 In 2008, there were approximately 190,000 emergency rooms visits by persons under age 21 for injuries and other conditions linked to alcohol.4

Drinking Levels among Youth

The 2009 Youth Risk Behavior Survey5 found that among high school students, during the past 30 days

  • 42% drank some amount of alcohol.
  • 24% binge drank.
  • 10% drove after drinking alcohol.
  • 28% rode with a driver who had been drinking alcohol.

Other national surveys indicate

  • In 2008 the National Survey on Drug Use and HealthExternal Web Site Icon reported that 28% of youth aged 12 to 20 years drink alcohol and 19% reported binge drinking.6
  • In 2009, the Monitoring the Future SurveyExternal Web Site Icon reported that 37% of 8th graders and 72% of 12th graders had tried alcohol, and 15% of 8th graders and 44% of 12th graders drank during the past month.7

Consequences of Underage Drinking

Youth who drink alcohol1, 3, 8 are more likely to experience

  • School problems, such as higher absence and poor or failing grades.
  • Social problems, such as fighting and lack of participation in youth activities.
  • Legal problems, such as arrest for driving or physically hurting someone while drunk.
  • Physical problems, such as hangovers or illnesses.
  • Unwanted, unplanned, and unprotected sexual activity.
  • Disruption of normal growth and sexual development.
  • Physical and sexual assault.
  • Higher risk for suicide and homicide.
  • Alcohol-related car crashes and other unintentional injuries, such as burns, falls, and drowning.
  • Memory problems.
  • Abuse of other drugs.
  • Changes in brain development that may have life-long effects.
  • Death from alcohol poisoning.

In general, the risk of youth experiencing these problems is greater for those who binge drink than for those who do not binge drink.8

Youth who start drinking before age 15 years are five times more likely to develop alcohol dependence or abuse later in life than those who begin drinking at or after age 21 years.9, 10 http://www.cdc.gov/alcohol/fact-sheets/underage-drinking.htm

See, Alcohol Use Among Adolescents and Young Adults http://pubs.niaaa.nih.gov/publications/arh27-1/79-86.htm

Seattle Children’s Institute has just published the the study, “Emotional Health Predictors of Substance Use Initiation During Middle School,” was published in advance online in Psychology of Addictive Behaviors. Here is the press release from Seattle Children’s Institute:

Middle School Teacher Support Lowers Risk for Early Alcohol Use

March 21, 2012

Youth with parental separation anxiety also at decreased risk

Anxiety, depression, stress and social support can predict early alcohol and illicit drug use in youth, according to a study from Carolyn McCarty, PhD, of Seattle Children’s Research Institute, and researchers from the University of Washington and Seattle University.  Middle school students from the sixth to the eighth grade who felt more emotional support from teachers reported a delay in alcohol and other illicit substance initiation. Those who reported higher levels of separation anxiety from their parents were also at decreased risk for early alcohol use. The study, “Emotional Health Predictors of Substance Use Initiation During Middle School,” was published in advance online in Psychology of Addictive Behaviors.

Relatively few studies have examined support for youth from nonfamily members of the adolescent’s social support network, including teachers. “Our results were surprising,” said Dr. McCarty, who is also a University of Washington research associate professor.  “We have known that middle school teachers are important in the lives of young people, but this is the first data-driven study which shows that teacher support is associated with lower levels of early alcohol use.”  Middle school students defined teacher support as feeling close to a teacher or being able to talk with a teacher about problems they are experiencing.

Youth that are close to or even cling to parents can have separation anxiety and may be less susceptible to negative influences from peers, including experimentation with risky behaviors like alcohol use.  “Teens in general seek new sensations or experiences and they take more risks when they are with peers,” said Dr. McCarty.  “Youth with separation anxiety symptoms may be protected by virtue of their intense connection to their parents, making them less likely to be in settings where substance use initiation is possible,” she said.

The study also found that youth who initiated alcohol and other illicit drug use prior to sixth grade had significantly higher levels of depressive symptoms.  This suggests that depression may be a consequence of very early use or a risk factor for initiation of use prior to the middle school years.  Depression was defined by asking youth about their mood and feelings, and asking them if statements such as “I felt awful or unhappy” and “I felt grumpy or upset with my parents” were true, false or sometimes true during a two-week timeframe. 

“Based on the study and our findings, substance use prevention needs to be addressed on a multidimensional level,” said Dr. McCarty.  “We need to be aware of and monitor early adolescent stress levels, and parents, teachers and adults need to tune into kids’ mental health.  We know that youth who initiate substance abuse before age 14 are at a high risk of long-term substance abuse problems and myriad health complications.” 

Dr. McCarty Offers Tips for Parents to Help Reduce Early Alcohol Use 

  • Know where your child is, and check in with your child on a regular basis 
  • Get to know your child’s friends, and who your child spends time with 
  • Teach stress management skills 
  • Help your child feel connected with adults at school  

Dr. McCarty and the research team analyzed data from the Developmental Pathways Project, a longitudinal study of 521 youth sampled from the Seattle Public Schools.  Researchers analyzed the effects of depression, anxiety, stress and support on initiation of substance use, which was measured at five different time points between sixth and eighth grade.

Seattle Children’s Research Institute, in collaboration with the University of Washington and Seattle University, will continue to study this topic, next looking at the timing between youth substance use and depression, as well as how intervention programs for depression impact substance use.

Dr. McCarty’s co-authors were:  Elizabeth McCauley, PhD, Seattle Children’s Research Institute, University of Washington; Elise Murowchick, PhD, Seattle University; Isaac Rhew, PhD, University of Washington; and Ann Vander Stoep, PhD, University of Washington.

Supporting Materials: 

http://www.seattlechildrens.org/Press-Releases/2012/Middle-School-Teacher-Support-Lowers-Risk-for-Early-Alcohol-Use/

Assuming you are not one of those ill-advised parents who supply their child with alcohol or drugs like marijuana in an attempt to be hip or cool, suspicions that your child may have a substance abuse problem are a concern. Confirmation that your child has a substance abuse problem can be heartbreaking. Even children whose parents have seemingly done everything right can become involved with drugs. The best defense is knowledge about your child, your child’s friends, and your child’s activities. You need to be aware of what is influencing your child.

Our goal should be:

A Healthy Child In A Healthy Family Who Attends A Healthy School In A Healthy Neighborhood. ©

Related:

New study about substance abuse and kids https://drwilda.wordpress.com/2011/11/09/new-study-about-substance-abuse-and-kids/

Dr. Wilda says this about that ©

Tags: , , , , ,

Yale research: Why some adolescents are more easily addicted to cocaine?

22 Feb

Yale researchers examined why cocaine affects some adolescents more profoundly than others. Bill Hathaway writes in the Yale News article, Cocaine and the teen brain: Yale research offers insights into addiction:

When first exposed to cocaine, the adolescent brain launches a strong defensive reaction designed to minimize the drug’s effects, Yale and other scientists have found. Now two new studies by a Yale team identify key genes that regulate this response and show that interfering with this reaction dramatically increases a mouse’s sensitivity to cocaine. 

The findings may help explain why risk of drug abuse and addiction increase so dramatically when cocaine use begins during teenage years.

The results were published in the Feb. 14 and Feb. 21 issues of the Journal of Neuroscience.

Researchers including those at Yale have shown that vulnerability to cocaine is much higher in adolescence, when the brain is shifting from an explosive and plastic growth phase to more settled and refined neural connections characteristic of adults. Past studies at Yale have shown that the neurons and their synaptic connections in adolescence change shape when first exposed to cocaine through molecular pathway regulated by the gene integrin beta1, which is crucial to the development of the nervous system of vertebrates.

“This suggests that these structural changes observed are probably protective of the neurocircuitry, an effort of the neuron to protect itself when first exposed to cocaine,” said Anthony Koleske, professor of molecular biophysics and biochemistry and of neurobiology and senior author of both papers.

In the latest study, Yale researchers report when they knocked out this pathway, mice needed approximately three times less cocaine to induce behavioral changes than mice with an intact pathway.

The research suggests that the relative strength of the integrin beta1 pathway among individuals may explain why some cocaine users end up addicted to the drug while others escape its worst effects, Koleske theorized.

“If you were to become totally desensitized to cocaine, there is no reason to seek the drug,” he said.

Koleske and Jane R. Taylor, professor of psychiatry and psychology and an author of the Feb. 14 paper, are teaming up with other Yale researchers to look for other genes that may play a role in protecting the brain from effects of cocaine and other drugs of abuse.

http://news.yale.edu/2012/02/21/cocaine-and-teen-brain-yale-research-offers-insights-addiction

For the true policy wonks, here is the citation:

Journal of Neuroscience

Integrin β1 Signals through Arg to Regulate Postnatal Dendritic Arborization, Synapse Density, and Behavior

  1. M. Sloan Warren
  2. William D. Bradley
  3. Shannon L. Gourley
  4. Yu-Chih Lin
  5. Mark A. Simpson
  6. Louis F. Reichardt
  7. Charles A. Greer
  8. Jane R. Taylor
  9. Anthony J. Koleske

Abstract

Often children who evidence signs of a substance abuse problem come from homes where there is a substance abuse problem. That problem may be generational. eMedicineHealth lists some of the causes of substance abuse

Substance Abuse Causes

Use and abuse of substances such as cigarettes, alcohol, and illegal drugs may begin in childhood or the teen years. Certain risk factors may increase someone’s likelihood to abuse substances.

·         Factors within a family that influence a child’s early development have been shown to be related to increased risk of drug abuse.

o                       Chaotic home environment

o                       Ineffective parenting

o                       Lack of nurturing and parental attachment

·         Factors related to a child’s socialization outside the family may also increase risk of drug abuse.

o                       Inappropriately aggressive or shy behavior in the classroom

o                       Poor social coping skills

o                       Poor school performance

o                       Association with a deviant peer group

o                       Perception of approval of drug use behavior

Substance abuse is often a manifestation of other problems that child has either at home or poor social relations including low self esteem. Dr. Alan Leshner summarizes the reasons children use drugs in why do Sally and Johnny use drugs?

How Can You Recognize the Signs of Substance Abuse?

Parents provides general signs of substance abuse and also gives specific signs of alcohol abuse, and several different drugs, narcotics, and inhalants. The general warning signs are:

·         Changes in friends

·         Negative changes in schoolwork, missing school, or declining grades

·         Increased secrecy about possessions or activities

·         Use of incense, room deodorant, or perfume to hide smoke or chemical odors

·         Subtle changes in conversations with friends, e.g. more secretive, using “coded” language

·         Change in clothing choices: new fascination with clothes that highlight drug use

·         Increase in borrowing money

·         Evidence of drug paraphernalia such as pipes, rolling papers, etc.

·         Evidence of use of inhalant products (such as hairspray, nail polish, correction fluid, common household products); Rags and paper bags are sometimes used as accessories

·         Bottles of eye drops, which may be used to mask bloodshot eyes or dilated pupils

·         New use of mouthwash or breath mints to cover up the smell of alcohol

·         Missing prescription drugs—especially narcotics and mood stabilizers

Remember, these are very general signs, specific drugs, narcotics, and other substances may have different signs, it is important to read the specific signs.

What Steps Should a Parent Take?

The Drug Enforcement Agency (DEA) has a series of questions parents should ask If you suspect that your child has a substance abuse problem, you will have to seek help of some type. You will need a plan of action. The Partnership for a Drug Free America lists 7 Steps toTake and each step is explained at the site.

Parents, grandparents and other family members often feel tempted to wait things out and see if they get better. Sometimes they confront the child only to be accused of being distrustful or they hear angry denial, leaving them more confused than before.

It is important to remember that you don’t have to do it alone. Following are crucial steps that will ease getting help for you and your child.

1. Involve a professional to help determine what to do next….

2. Document as much evidence as you can.

§         Use checklists to record all the behaviors that concern you. Carefully record every behavior that concerns you during this period. Documenting your observations is important because your child will work hard to convince you that things didn’t happen the way you remember.

§         Some parents search their child’s room looking for evidence of drugs or paraphernalia. You should expect that your child will be offended at your invasion of privacy. If you do find contraband, oftentimes your child will claim that it belongs to someone else…..

3. Prepare what you want to say to your child….

4. Plan to talk with your child at a time in a setting where you can have uninterrupted discussion. Strengthen your interaction by using the following talking points:

§         Describe specific behaviors you and others have observed and when they occurred. The more specific you are, especially if you have written your observations down, the harder it will be for your child to deny, disagree, or argue.

§         Express your love and concern and your desire to help your child.

§         Emphasize your firm, non-negotiable position that you will not tolerate drug use and that you intend to determine if these behaviors are indications of drug use.

§         It is not useful simply to ask if your child if he or she is using drugs. Almost always, children will deny using. But it’s not a bad idea to voice your suspicions at some point.

§         If you haven’t observed very many warning signs and believe that your child has just begun using, emphasize that any use of alcohol or other drugs at all is unacceptable. Describe the consequences for further behaviors that concern you. Use strong leverage; consequences might include no driver’s license, no use of the family car, an earlier curfew. ….

5. Make an appointment for a drug assessment for your child.

§         A drug assessment is the surest way to determine the extent of your child’s problem with alcohol and other drugs. When you make the appointment, make sure that the agency understands that the evaluation is for an adolescent; also that the evaluation includes a drug test. Don’t alert your child that a drug test will be part of the assessment…..

6. Keep the appointment no matter what.

7. Don’t give up if things don’t go the way you want — go the distance.

§         If ignored, alcohol-other-drug use will progress. Your efforts to this point have been an effective intervention. Hopefully, it will work early on. Often, parents have to continue to discuss the situation with the child, document evidence and work with other significant adults in the child’s life to turn things around. This difficult intervention may take more time than you want. Persevere.

§         Get help for yourself. Parent support groups such as Families Anonymous, Tough Love, and Alanon can provide effective help as you strive to provide effective help to your child.

If your child has a substance abuse problem, both you and your child will need help. “One day at a time” is a famous recovery affirmation which you and your child will live the meaning. The road to recovery may be long or short, it will have twists and turns with one step forward and two steps back. In order to reach the goal of recovery, both parent and child must persevere.

Dr. Wilda says this about that ©

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Parents giving liquor to minors: New Mercer Island law

28 Dec

SeattlePI.Com reprinted an article by Amy Graff, which originally appeared in the San Francisco Chronicle, Kegging It With the Kids: Is OK for Parents to Drink With Their Teens?Graff reports about a European study of parental influence.

A team of European researchers set out to test the theory that parents can guide their teenagers into drinking responsibly by serving them alcohol. They looked at 428 Dutch families with two children between the ages of 13 and 15. Parents and teens completed questionnaires on drinking habits at the outset and again one and two years later.

The study results, published in the 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. The reverse was also true, with out-of-home drinking leading to more drinking at home.

What’s more, teens who drank under their parents’ watch or on their own had an elevated risk of developing alcohol-related problems. Drinking problems included trouble with school work, missed school days and getting into fights with other people, among other issues.

The findings, according to the lead researcher on the study, Dr. Haske van der Vorst, suggest that teen drinking begets more drinking — and, in some cases, alcohol problems — regardless of where and with whom they drink.

“If parents want to reduce the risk that their child will become a heavy drinker or problem drinker in adolescence,” van der Vorst of Radboud University Nijmegen in the Netherlands, says “they should try to postpone the age at which their child starts drinking.”

Well, duh. This is like saying give a college student a ticket to Cancun for Spring Break, they’ll go and have a good time. Hazelton.Org has some good reasons parents should not provide alcohol to children and the reasons can be summed up with the thought, someone has  to be the adult.    

Brian M. Rosenthal reports in the Seattle Times article, New city underage-drinking law targets parents:

Starting next month, Mercer Island parents will be held responsible for underage drinking at their homes even if they are out of town and unaware it is happening.

The recently passed “social host” ordinance, believed to be the first of its kind in the state, will take effect Jan. 13. The measure imposes a $250 fine on those who own, rent or lease property where teenage drinking has occurred.

It is already illegal for adults to provide alcohol to minors or for parents to let their underage children drink. The new ordinance takes the idea of parent responsibility a step further, City Councilmember Mike Cero said.

“What makes this different is that the parents don’t have to have any knowledge of wrongdoing to be held accountable,” he said. “They could be in Timbuktu (and) have no knowledge of alcohol being consumed.”

Cero acknowledged the measure is an extreme step, but he said the need to fight underage drinking outweighed concerns about infringement on personal liberties. He argued that parents have a duty to make sure their children are acting safely.

http://seattletimes.nwsource.com/html/localnews/2017089838_drinkinglaw25m.html

What is Substance Abuse?

HELPGUIDE.ORG defines substance abuse and also describes some of the traits of a substance abuser.

Drug abuse, also known as substance abuse, involves the repeated and excessive use of chemical substances to achieve a certain effect. These substances may be “street” or “illicit” drugs, illegal due to their high potential for addiction and abuse. They also may be drugs obtained with a prescription, used for pleasure rather than for medical reasons.

Different drugs have different effects. Some, such as cocaine or methamphetamine, may produce an intense “rush” and initial feelings of boundless energy. Others, such as heroin, benzodiazepines or the prescription oxycontin, may produce excessive feelings of relaxation and calm. What most drugs have in common, though, is overstimulation of the pleasure center of the brain. With time, the brain’s chemistry is actually altered to the point where not having the drug becomes extremely uncomfortable and even painful.  This compelling urge to use, addiction, becomes more and more powerful, disrupting work, relationships, and health.  

Although, the focus of this article is children and teens who abuse various substances, there is a widespread problem with their parents and caretakers. A recent report found that many children live with parents who are substance abusers

Almost 12 percent of children in the United States live with a parent who has a substance abuse problem, says a federal government study released this week.

Living in this type of home environment can cause long-lasting mental and physical health problems, according to the U.S. Substance Abuse and Mental Health Services Administration, which did the study.

The analysis of national data from 2002 to 2007 also showed that:

·         Almost 7.3 million youths lived with a parent who was dependent on or abused alcohol

·         About 2.1 million children lived with a parent who was dependent on or abused illicit drugs

·         About 5.4 million children lived with a father who met the criteria for past-year substance dependence or abuse

·         About 3.4 million children lived with a mother who met these criteria 

Often children who evidence signs of a substance abuse problem come from homes where there is a substance abuse problem. That problem may be generational.

eMedicineHealth lists some of the causes of substance abuse 

Substance Abuse Causes

Use and abuse of substances such as cigarettes, alcohol, and illegal drugs may begin in childhood or the teen years. Certain risk factors may increase someone’s likelihood to abuse substances.

·         Factors within a family that influence a child’s early development have been shown to be related to increased risk of drug abuse.

o                       Chaotic home environment

o                       Ineffective parenting

o                       Lack of nurturing and parental attachment

·         Factors related to a child’s socialization outside the family may also increase risk of drug abuse.

o                       Inappropriately aggressive or shy behavior in the classroom

o                       Poor social coping skills

o                       Poor school performance

o                       Association with a deviant peer group

o                       Perception of approval of drug use behavior

Substance abuse is often a manifestation of other problems that child has either at home or poor social relations including low self esteem. Dr. Alan Leshner summarizes the reasons children use drugs in why do Sally and Johnny use drugs?

How Can You Recognize the Signs of Substance Abuse?

Parents provides general signs of substance abuse and also gives specific signs of alcohol abuse, and several different drugs, narcotics, and inhalants. The general warning signs are:

·         Changes in friends

·         Negative changes in schoolwork, missing school, or declining grades

·         Increased secrecy about possessions or activities

·         Use of incense, room deodorant, or perfume to hide smoke or chemical odors

·         Subtle changes in conversations with friends, e.g. more secretive, using “coded” language

·         Change in clothing choices: new fascination with clothes that highlight drug use

·         Increase in borrowing money

·         Evidence of drug paraphernalia such as pipes, rolling papers, etc.

·         Evidence of use of inhalant products (such as hairspray, nail polish, correction fluid, common household products); Rags and paper bags are sometimes used as accessories

·         Bottles of eye drops, which may be used to mask bloodshot eyes or dilated pupils

·         New use of mouthwash or breath mints to cover up the smell of alcohol

·         Missing prescription drugs—especially narcotics and mood stabilizers

Remember, these are very general signs, specific drugs, narcotics, and other substances may have different signs, it is important to read the specific signs.

What Steps Should a Parent Take?

The Drug Enforcement Agency (DEA) has a series of questions parents should ask If you suspect that your child has a substance abuse problem, you will have to seek help of some type. You will need a plan of action. The Partnership for a Drug Free America lists 7 Steps to Takeand each step is explained at the site. If your child has a substance abuse problem, both you and your child will need help. “One day at a time” is a famous recovery affirmation which you and your child will live the meaning. The road to recovery may be long or short, it will have twists and turns with one step forward and two steps back. In order to reach the goal of recovery, both parent and child must persevere.

Questions to Ask a Treatment Facility

The U.S. Department of Health and Human Services, Center for Substance Abuse Treatment (Center), lists the following questions that should be asked of a treatment center. The Center also has a facility locator and links. Assuming you are not one of those ill-advised parents who supply their child with alcohol or drugs like marijuana in an attempt to be hip or cool, suspicions that your child may have a substance abuse problem are a concern. Confirmation that your child has a substance abuse problem can be heartbreaking. Even children whose parents have seemingly done everything right can become involved with drugs. The best defense is knowledge about your child, your child’s friends, and your child’s activities. You need to be aware of what is influencing your child. Back in the day, my mother would have put a CIA intelligence officer to shame. I thought she and my dad were two crazy old coots. I thank them for being my parents and not wanting to be my friends.

The fact that a parent has to assume the role of their child’s friend says a lot  about their lack of maturity and judgment. Unfortunately, for some children, mom and dad are growing up right along side them.

Resources

1.      Adolescent Substance Abuse Knowledge Base

2.      Warning Signs of Teen Drug Abuse

3.      Is Your Teen Using?

4.      Al-Anon and Alateen

5.      Center for Substance Abuse Publications

6.      National Clearinghouse for Drug and Alcohol Information

7.      WEBMD: Parenting and Teen Substance Abuse

8.      The U.S. Department of Health and Human Services has a very good booklet for families What is Substance Abuse Treatment?

9.      The National Institute on Drug Abuse (NIDA) has a web site for teens and parents that teaches about drug abuse NIDA for Teens: The Science Behind Drug Abuse

Dr. Wilda says this about that ©

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