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2. Dr. Dawn-Elise Snipes PhD, LPC-MHSP, NCC

3.  Identify the biological/health consequences
of addiction on the family and community
 Identify the psychological consequences of
addiction on the family and community
 Identify the social consequences of addiction
on the family and community

4.  Children have poor relationships with adults (LEO,
clergy, teachers etc)
 Lack of social competence
 Children lack a sense of wellbeing and safety
 Distant, chaotic, unsupportive family relationships
 Inconsistent parenting
 Inappropriate coping models

5.  Stress and stress related illnesses
 Failure to attend to children’s physical needs
 Approximately half of pediatric AIDS cases result
from injection drug use or sex with injection drug
users by the child's mother
 The full range of FASDs in the United States might
number as high as 2%
 Cocaine exposed children often require special
education estimated at $23million annually

6.  Physical or verbal abuse
 Behavior is erratic leading to “walking on
eggshells”
 Child neglect which can have a traumatic impact
 Modeling poor coping behaviors
 Don’t Talk– Don’t Trust – Don’t Feel
 Shame and guilt

7.  Social Isolation
 Perfect façade
 Shame
 Financial problems
 Homelessness
 Placing family in high-risk situations
 Childhood trauma, depression, anxiety

8.  America's top medical problems can be directly
linked to drug abuse
 Tobacco contributes to 11-30% of cancer deaths.
 Heart Disease is correlated with abuse of tobacco,
cocaine, MDMA (ecstasy), amphetamines, steroids
 Bloodborne Illnesses: 1/3 of AIDS cases & most
cases of hepatitis C in the United States are
associated with injection drug use.

9.  National Bureau of Economic Research (NBER)
reports that there is a definite connection between
mental illness and addiction
 People who have been diagnosed with a mental
health disorder at some point in their lives are
responsible for the consumption of:
◦ 69 percent of alcohol
◦ 84 percent of cocaine
◦ 68 percent of cigarettes

10.  Substance Abuse Costs the US over $484
Billion annually
◦ Health care
◦ Lost earnings
◦ Crime (including domestic violence)
◦ Child welfare
◦ Accidents (work related, vehicular)
◦ Homelessness (31% homeless have an addiction)

11.  Many of the US’s social problems relate to addiction:
◦ Drugged Driving: 10-22% of crashes involved alcohol
◦ Fetal Alcohol Spectrum Disorders cost the US over $4
billion annually
◦ Violence: At least half of major crimes were related to
illicit drugs
◦ Child Abuse: At least 2/3 of patients in drug abuse
treatment centers say they were physically or sexually
abused as children.

12.  Residents feel little sense of "connection" to
community
 Neighborhood disorganization
 Rapid changes in neighborhood populations
 High unemployment
 Residents at or below the poverty level
 Extreme economic deprivation

13.  Addiction can have direct and indirect effects
on the family and community
◦ Financial
 Homelessness
 Income losses
◦ Physical
 Stress related illnesses
 Blood-borne illnesses
 Increased illness in the family

14.  Addiction can have direct and indirect effects
on the family and community
◦ Social
 Isolation
 Don’t Talk—Don’t Trust -- Don’t Feel
 Creates children with
 Poor coping skills
 Trauma, stress and depressive related issues
 Increased family and social costs due to child neglect

15.  Many addicts see their addiction as not
hurting anyone but themselves
 When provided with objective evidence to the
contrary using the FRAMES approach can
assist with increasing motivation for
treatment
 Elicit, don’t lecture

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17.  This presentation was recorded as part of a
live, interactive webinar. If you are watching
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18.  http://archives.drugabuse.gov/about/welcome/aboutdr
ugabuse/magnitude/
 http://www.healthypeople.gov/2020/topics-
objectives/topic/substance-abuse
 http://www.justice.gov/archive/ndic/pubs11/18862/im
pact.htm
 http://www.cdc.gov/ncbddd/fasd/data.html
 http://www.mass.gov/eohhs/gov/departments/dph/pr
ograms/substance-abuse/providers/prevention/risk-
and-protective-factors.html