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The Teenage Brain, Drinking & Risky Behavior Cysa

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Slides from presentation delivered 10/2/09 at the CT Youth Services Association Annual Conference in Southington, CT. Contact the presenter, Christopher Brown, at 203-685-7691 or brown.christopher@ymail.com You can make arrangements to have this presentation delivered in your community.

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The Teenage Brain, Drinking & Risky Behavior Cysa

  1. 1. CT Youth Services Association Annual Conference The Teenage Brain, Alcohol, and Risky Behavior Presented by Christopher Brown School Psychologist & Licensed Professional Counselor Coordinator – Special Education Support Services, Hamden Public Schools Adjunct Instructor – Counseling & School Psychology Graduate Program, Southern Connecticut State University
  2. 2. The Brain
  3. 3. Adolescent Brain Development <ul><li>Develops from back to front </li></ul><ul><ul><li>Physical coordination (Cerebellum) </li></ul></ul><ul><ul><li>Emotion (Amygdala – midbrain) </li></ul></ul><ul><ul><ul><li>Passionate, committed, but overreactive </li></ul></ul></ul><ul><ul><li>Motivation (Nucleus Acumbens – mid) </li></ul></ul><ul><ul><ul><li>Not always directed at best priorities </li></ul></ul></ul><ul><ul><li>Judgment/Reasoning (Prefrontal Cortex) </li></ul></ul><ul><ul><ul><li>Decisions, impulse control, forethought, planning </li></ul></ul></ul>
  4. 4. Adolescent Brain Development <ul><li>What Is The Impact </li></ul><ul><ul><li>difficulty holding back or controlling emotions, </li></ul></ul><ul><ul><li>a preference for physical activity, </li></ul></ul><ul><ul><li>a preference for high excitement and low effort activities (video games, dating, drugs, rock 'n' roll), </li></ul></ul><ul><ul><li>poor planning and judgment (rarely thinking of negative consequences), </li></ul></ul><ul><ul><li>more risky, impulsive behaviors, including experimenting with drugs and alcohol. </li></ul></ul>
  5. 5. The Brain
  6. 6. The Teenage Brain
  7. 7. Protecting The Brain
  8. 8. Alcohol & The Adolescent Brain <ul><li>Brain development guides behavior & behavior impacts brain development </li></ul><ul><li>Alcohol disrupts normal/typical brain development </li></ul><ul><ul><li>Negative impact on memory centers </li></ul></ul><ul><ul><li>Negative impact on coping with normal pressure and managing social stressors </li></ul></ul>
  9. 9. Protecting The Teenage Brain <ul><li>Drinking alcohol is like… </li></ul><ul><ul><li>Riding in a car without a seatbelt </li></ul></ul><ul><ul><li>Riding a bike without a helmet </li></ul></ul><ul><li>You must know the risks in order to protect yourself and your brain </li></ul>
  10. 10. Brain Chemistry
  11. 11. Alcohol & The Adolescent Brain <ul><li>Brain Chemistry </li></ul><ul><ul><li>Dopamine is key neurotransmitter for experiencing pleasure </li></ul></ul><ul><ul><ul><li>Freud taught “pleasure principle” guides behavior </li></ul></ul></ul><ul><ul><li>Alcohol disrupts the development of reward centers and how brain uses dopamine </li></ul></ul><ul><ul><ul><li>Teen does not feel “good” without alcohol </li></ul></ul></ul><ul><ul><ul><li>Leads to more use of alcohol </li></ul></ul></ul>
  12. 12. Brain Reward Centers
  13. 13. Why Parents Are More Important Than Ever <ul><li>We know they have the most influence </li></ul><ul><li>Parents Do Matter </li></ul><ul><li>Peer network is not strong </li></ul><ul><ul><li>Unreliable </li></ul></ul><ul><ul><li>Can change in a moment </li></ul></ul><ul><li>Media bombards and influences teens </li></ul><ul><ul><li>Movies, commercials, videos, etc. </li></ul></ul>
  14. 14. U.S. Surgeon General Call To Action - 2007
  15. 15. U.S. Surgeon General Call To Action - 2007 <ul><li>Alcohol is the most widely used substance of abuse among America’s youth. A higher percentage of young people between the ages of 12 and 20 use alcohol than use tobacco or illicit drugs. The physical consequences of underage alcohol use range from medical problems to death by alcohol poisoning, and alcohol plays a significant role in risky sexual behavior, physical and sexual assaults, various types of injuries, and suicide. Underage drinking also creates secondhand effects for others, drinkers and nondrinkers alike, including car crashes from drunk driving, that put every child at risk. </li></ul>
  16. 16. U.S. Surgeon General Call To Action - 2007 <ul><li>I have issued this … to focus national attention on this enduring problem and on new, disturbing research which indicates that the developing adolescent brain may be particularly susceptible to long-term negative consequences from alcohol use. Recent studies show that alcohol consumption has the potential to trigger long-term biological changes that may have detrimental effects on the developing adolescent brain, including neuro-cognitive impairment. </li></ul>
  17. 17. CT Suburban Youth Survey Data Funding from CT DMHAS
  18. 18. Cheshire PS & CT Data I had at least one drink in past 30 days
  19. 19. Trumbull PS & CT Data I had at least one drink in past 30 days
  20. 20. CONSEQUENCES OF UNDERAGE DRINKING Reducing Risk & Increasing Protection
  21. 21. Recent News Stories Andover, MA – Feb. 2009
  22. 22. Remaining Safe <ul><li>Changing times require that we change </li></ul><ul><li>Knowledge </li></ul><ul><ul><li>Know the current risks </li></ul></ul><ul><li>Support </li></ul><ul><ul><li>Working together to manage risks </li></ul></ul><ul><ul><li>Reduces stress & increases strength </li></ul></ul><ul><li>Mastery </li></ul><ul><ul><li>Personal skills to manage risk </li></ul></ul>
  23. 23. Current Risks of Underage Drinking <ul><li>Most visible </li></ul><ul><ul><li>Auto accidents </li></ul></ul><ul><li>Less Visible Risks </li></ul><ul><ul><li>Unintentional injury </li></ul></ul><ul><ul><li>Fighting and violence </li></ul></ul><ul><ul><li>Unplanned/Unprotected sex </li></ul></ul><ul><ul><li>Increased chance of addiction </li></ul></ul><ul><ul><li>Alcohol poisoning </li></ul></ul>
  24. 24. Video – Unintentional Injury – Warren 17y.o.
  25. 25. Unintentional Injury Hingson, R., et al. JAMA. 2000;284:1527-1533
  26. 26. Unintentional Injury Hingson, R., et al. JAMA. 2000;284:1527-1533
  27. 27. Violence Hingson, R., et al. Pediatrics. 2001;108;872-877
  28. 28. Sexual Activity Hingson, R., et al. Pediatrics. 2003;111;34-41
  29. 29. Sexual Activity Hingson, R., et al. Pediatrics. 2003;111;34-41
  30. 30. Risk of Addiction DeWit, D., et al. Am J Psychiatry 157:745-750, May 2000
  31. 31. Risk of Addiction <ul><li>Chances of lifetime dependence decreased by 14% with each increasing year of age at onset of first use. </li></ul><ul><li>Chances of lifetime abuse decreased by 8% with each increasing year of age of onset of first use. </li></ul>Grant, BF & Dawson, DA. J. Substance Abuse 1997;9:103-10.
  32. 32. Risk of Addiction <ul><li>Half of binge-drinking male adolescents (17 to 20 y.o.) continue to engage in binge-drinking as adults (30 to 31 y.o.). </li></ul><ul><li>One third of binge-drinking female adolescents continue to engage in binge-drinking as adults. </li></ul>McCarthy, et al. Pediatrics , 2004. Vol. 14, No. 3: 714-719.
  33. 33. What Happens In College? <ul><li>Myth: If a person waits until college to start drinking he'll (she'll) go over the top and have a major problem </li></ul><ul><li>Fact*: Binge drinking can either be acquired or avoided in college among students who report they did not binge drink in high school. </li></ul><ul><li>Fact**: Prior binge drinking in HS is a crucial factor in predicting binge drinking in college. </li></ul>*Weitzman, E., et al. Journal of Adolescent Health, 2003; 32;26-35. ** Wechsler, H., et al. American Journal or Public Health, 1995; 85; 921-926.
  34. 34. Associated Risks of Early Alcohol Use <ul><li>75% of teenage users of alcohol or tobacco had an opportunity to try marijuana by age 18 . </li></ul><ul><li>25% of teenage nonusers of alcohol and tobacco had an opportunity to try marijuana by age 18. </li></ul><ul><li>Teenage users of alcohol or tobacco were approximately seven times more likely than nonusers to actually use marijuana once a marijuana exposure opportunity had occurred. </li></ul>Wagner, F. & Anthony, J. American Journal of Epidemiology. 2002; Vol. 155, No. 10 : 918-925
  35. 35. Start Talking Before They Start Drinking
  36. 36. Priorities For Parents <ul><li>Remember – Can't choose for your child </li></ul><ul><li>Can set limits </li></ul><ul><ul><li>Make it hard to make a poor choice </li></ul></ul><ul><ul><li>Let your child blame you </li></ul></ul><ul><li>Be supportive of your child </li></ul><ul><li>Be proud of your child </li></ul>
  37. 37. Priorities For Students <ul><li>Decide what is best for you </li></ul><ul><li>Be aware of the risks </li></ul><ul><li>Recognize that you are not indestructible </li></ul><ul><li>Look out for your friends </li></ul><ul><li>Respect yourself to protect yourself </li></ul>
  38. 38. Strategies To Use <ul><li>Cell phone is your friend </li></ul><ul><ul><li>Discreet signal system with parents or friends </li></ul></ul><ul><li>Discreet excuses </li></ul><ul><ul><li>Doctor's orders </li></ul></ul><ul><ul><li>Getting up early </li></ul></ul><ul><ul><li>Parent's are too suspicious </li></ul></ul><ul><ul><li>Parent's have insomnia </li></ul></ul><ul><li>Drink look-a-likes </li></ul>
  39. 39. Resources www.stopalcoholabuse.gov http://pubs.niaaa.nih.gov/publications/MakeADiff_HTML/MakeAdiff.pdf
  40. 40. Resources <ul><li>http://www.squidoo.com/stopteendrinking </li></ul><ul><li>http://www.thegordiefoundation.org/home/default.asp </li></ul><ul><li>http://www.samspadyfoundation.org/links.html </li></ul><ul><li>http://www.collegedrinkingprevention.gov/OtherAlcoholInformation/makeDifference.aspx </li></ul>
  41. 41. QUESTIONS
  42. 42. Parents Do Matter <ul><li>Middle school students who believe underage drinking is acceptable to their parents were… </li></ul>FIVE times more likely to have drunk alcohol in the previous 30 days
  43. 43. Parents Do Matter <ul><li>Ninth grade students who believe underage drinking is acceptable to their parents were… </li></ul>nearly THREE times more likely to have drunk alcohol in the previous 30 days

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