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Mental health and substance use disorder sept 15
- 1. Important ConversationsSupporting Students With Mental Health and Substance Use Issues NACAC Boston September 2017
- 2. Rebecca Kenney Educational Advocates College Consulting Michael Ferullo LICSW, MA & President and Founder, Bulldogs Running Club Today’s Presenters Joan Casey Educational Advocates College Consulting
- 3. Anxiety Depression (Including Bipolar Disorder) ADHD/LD/Autism Spectrum Eating Disorders Substance Use Disorder. Video Game Addiction What We See In Our Practices
- 6. What Worries College Students ?
- 7. College students now smoke marijuana daily more often than they drink alcohol daily.
- 10. Non-Medical Use of Opioids Prescriptions One in four colleges report use at 10% or higher More common among students who are: • White • Members of fraternities/sororities • Attend competitive colleges • Have lower GPAs • Report other substance use and risky behaviors
- 11. The Impact 696,000 students between the ages of 18 and 24 are assaulted by another student who has been drinking. 97,000 students between the ages of 18 and 24 report experiencing alcohol-related sexual assault or date rape. Dramatic increases in deaths, injuries, arrests related to substance use
- 12. Public perception that substance use is a normal rite of passage (38% of college presidents cite this) Fear of Social Stigma: 37% of college students say stigma is the reason they don’t seek help. Only 6% of students who meet medical criteria seek help The Obstacles
- 13. With parents Do you have any concerns about your child leaving for college? Although college students use alcohol and drugs to some extent, is there anything related to use of drugs or alcohol by your child of which we should be aware? For transfer students What role, if any, has alcohol or drug use played in your reasons for wanting to transfer? Opening the topic
- 14. How We Identify Issues Parents Report Students Report We observe and initiate discussion
- 15. Therapists (including those who understand addiction) Therapeutic Consultants Psychiatrists Psychologists (neuropsychological evaluations) Speech/Language Therapists Executive Function Coaches Build Sources for All Needs! Resources and Collaborators Every IEC Needs
- 16. 1 2 3 4 Recovery Community College Culture Housing Counseling/ Support Developing college lists for students in recovery Work with the student’s recovery “team”
- 17. + Collegiate Recovery Programs Association for Recovery In Higher Education http://collegiaterecovery.org Partial List of Campus Recovery Programs http://recoverycampus.com/services/collegiate-recovery- communitiesprograms/ Transforming Youth Recovery http://www.transformingyouthrecovery.org The National Center On Addiction and Substance Abuse www.centeronaddiction.org Search site for college-related reports and information.
- 18. Most of the kids I see for substance abuse have psychiatric and neurobiological disorders, history of academic, and, in some cases, behavioral issues If anxiety, depression and/or ADHD are treated early, there is lower risk for substance abuse in later life Family history, including adopted children, parental mental illness and parental substance abuse increase risk Poor parental supervision and perceived parental approval of drug use increase risk Clinical Observations
- 19. Impulsiveness (ADHD Increases risk by factor of 3) Anxiety Sensitivity (Panic Disorder) Sensation Seeking Hopelessness (depression) Risk Factors For Substance Use
- 20. FACT: Substance use disorders are among the most prevalent psychiatric disorders in young people FACT: Adolescents who begin using before age 15 are at greater risk for later issues FACT--Top reasons for Marijuana use: - Anxiety - Enhancing Social Activity - Sleep difficulties FACT: Marijuana IS physically & psychologically addictive Vulnerabilities Profile: Substance Use 17% of adolescents who use marijuana become addicted
- 21. Shyness/ Sensitivity Biologic al Factors/ Family History Stress Life Events in Childhood Risk Factors for Anxiety Disorder
- 22. Key Questions Substance Use To the student: Do you think you have a problem? To the parents: Do you think your student might have or could have a problem with drugs or alcohol? If parents answer yes to 2 or more of the screening questions, the student could be at risk. Consult with an experienced (with adolescent substance abuse) addiction specialist to determine if a comprehensive adolescent substance disorder evaluation is indicated.
- 23. C Have you ever ridden in a CAR driven by someone (including yourself) who was “high” or had been using alcohol or drugs? R Do you ever use alcohol or drugs to RELAX, feel better about yourself, or fit in? A Do you ever use alcohol or drugs while you are by yourself, ALONE? F Do your ever FORGET things you did while using alcohol or drugs? F Do your family or FRIENDS ever tell you that you should cut down on your drinking or drug use? T Have you ever gotten into TROUBLE while you were using alcohol or drugs? CRAFFT Questions for adolescent substance abuse screening
- 24. Has your use of alcohol or drugs resulted in failure to fulfill major responsibilities at work, school or home? Do you ever use alcohol or drugs to cope with and/or to avoid uncomfortable emotions or situations? Do you use cannabis or other drugs to help you fall asleep? Have you ever felt concerned, or guilty, about your use? Additional Screening Questions
- 26. + Wellness Recovery Resources Boston Bulldogs Running Club www.bostonbulldogsrunning.org DreamFar High School Marathon http://www.dreamfarhsm.org/ Phoenix Multisports (Boston, MA; Boulder, Colorado Springs, Denver, CO; Orange County, CA ) http://www.phoenixmultisport.org/ Research similar programs in your geographic area
- 27. + Mental Health Resources National Alliance On Mental Illness (NAMI) https://www.nami.org The JED Foundation https://www.jedfoundation.org/ Active Minds http://www.activeminds.org/
- 28. + Recovery/Self-Help Resources AA http://www.aa.org/ Al Anon http://www.al-anon.org Smart Recovery http://www.smartrecovery.org Buddhist Recovery http://www.buddhistrecovery.org Wicked Sober http://wickedsober.com/
- 29. + Questions? Thank you for your time.
Editor's Notes
- Thank you Joan. Our topic today is…We sometimes hear IECs say, “I don’t work with students with LD, or mental health or substance use issues,” but sooner or later we all do!. So our goal today is to share information to help you know how to broach these difficult topics and where to turn for help.
- First, my colleague, Rebecca Kenney, at Ed Advoc will discuss some of the alarming realities related to mental health and substance use among youth and particularly in college. Next, I will discuss questions to ask and how to work with such students and discuss some case studies. We are so appreciative to have Michael Ferullo join us to talk about risk factors related to anxiety and substance abuse and how they are connected. Michael is a clinical social worker and addiction specialist who worked for many years with students and staff in a MA public school system and has a private practice. He is the founder of the Boston Bulldogs Running Club, a wellness-focused organization that helps those in recovery, family and friends affected by addiction and the community at large. He has helped hundreds of people and he has been recognized by organizations such as the NE Patriots and The Boston Celtics as a Hero Among Us. Rebecca…
- Like many of you we have an intake where we ask about LD and medical history, plus specific questions for parents. Our first official college meeting is with parents only by design so we can delve deeper to learn about any issues of concern. We might also use this time to educate parents about mental health/ drug alcohol realities and what to watch for—keeping in mind Rebecca’s point about the dangers of viewing college binge drinking as a normal rite of passage We do ask transfers about drug/alcohol us in our intake, however, we would discuss mental health in a meeting if it becomes evident that anxiety or depression played a role in the reason for wanting to transfer.
- Typically learn about concerns from parents. Occasionally parents do not report LD, mental heatlh or substance use issues mainly because they fear it will cloud the college process—despite us having a clause for full disclosure in our contracts. We understand that this comes from wanting to protect their child and so our role is educate and work on building trust. Sometimes the student reports an issue, often anxiety. We keep any issues in mind throughout the relationship, taking time at the start of meetings just to check in and talk about how life is going. Other times, we observe increasing stress or anxiety and bring to the student and parents attention, helping find support. Ask then: What’ In Your Toolbox – what kinds of things are they doing to manage stress? Help them think this through. Reducing activities if they are over extended, connecting with a therapist, taking up yoga? Mindfulness—taking those open to the idea through breathing and a mindfulness moment at the beginning of a meeting (not al will be interested) In addition to thinking about the criteria for college and necessary supports, we also revisit this in a Transition To College meeting—conecting them with appropriate resources on campus, reminding them about best practices—joining an activity, etc..
- Steps in working with students/families: Talk to their caregivers, school contacts about progress, impressions of college readiness, appropriate colleges—gather information. Check in throughout relationship. Don’t be afraid to say that you don’t think the student is ready for college or that colleges under consideration are not a good fit—work with team to come to conclusions. Example—student who had been hospitalized for attempted suicide. One parent wanted a therapeutic program and the other didn’t but both wanted to immediately restart the college process. After conferring with the student’s therapeutic consultant and psychiatrist, I declined because the focus at that point needed to be one getting healthy. The student did apply a year later and has been successful. Build resources
- Explain CRC. Rec Community—activities, meetings, sober tailgate, Clean spring break. Campus culture—are students in recovery supported? Are there restrictions on where and how alcohol is used—safe places and options for those in recovery? Perhaps bans on hard liquor? What is the attitude toward drug and alcohol use on campus? Are the consequence punitive or geared to helping? Housing—substance free vs. recovery housing. New Sober Frat near UT Austin. Counseling— is it to get an appointment in the counseling center. Is there a wait? Are they therapists and psychiatrists in the community that can meet students needs whether that be addiction, eating disorder or depression. Tell LAC applicant story. Opioid and cocaine use freshman year in h.s. Referred to us by ther. Consultant following a treatment and a therapeutic school.Very bright and Intellectual with ADHD/EF issues. Drawn to smaller LACs that tend to have no recovery community. Direct conversations about concerns with parents who I have connected with Michael. Also communicating with student’s therapist. Not being afraid to say this is not a good choice.
- ARHE is not inclusive of all with strong CRC. Example: Boston College which wants to support its own students but not necessarily be viewed as a destination. Thank you and now Michael Ferullo will speak.
- 1.8 million FT college students or 23% meet medical criteria for substance use disorder compared to 8.5% of general public.
- Are there any other college specific links to add to this page?
- Are there any other resources to list keeping in mind this is a national/international audience?