This document provides information about recognizing drug use and abuse behaviors in teens. It includes statistics on drug use, descriptions of common drugs, and signs of drug abuse related to personal appearance, habits, health, behavior, and school performance. The document recommends talking openly with teens about drugs, setting clear rules and consequences, and seeking professional help if drug use is suspected. Resources for drug treatment options in the local area are also listed.

1. Recognizing drugs and drug use behaviorDiana Rumage, BS, CADCSummer Bell, LCSWJan 12, 2010

2. Agenda Statistics Types of drugs Information on specific drugs Signs & symptoms of drug use What to do if you suspect your child is using Resources for treatment

3. Statistics In 2002 illegal drug use cost Americans close to $181 billion ($129 billion in lost productivity, $16 billion in healthcare costs & $36 billion in other costs, such as efforts to stem the flow of drugs). In 2008, 2 million Americans age 12 and older abused inhalants. Teenagers whose parents talk to them regularly about dangers of drugs are 42% less likely to use drugs – 1 in 4 teens reports having these conversations. 8.9% of youth ages 12-17 have misused inhalants. 1 in 5 teens have used inhalants in their lifetime. 2 in 5 teens have used marijuana. 15.4% of 12th graders reported using a prescription drug nonmedically within the past year.

4. Types of Drugs Depressants – alcohol, valium, xanax, clonipin, GHB, rohypnol Stimulants - meth, adderall, ritalin, cocaine/crack, ecstasy, nicotine Hallucinogens – LSD, Mescaline, mushrooms Opiates – codeine, heroin, morphine, oxycodone, vicodin, lortab Others – steroids, DXM, inhalants, ketamine, PCP

6. Darvocet Vicodin

7. Oxycontin Lortab

10. Crystal meth

17. Dextromethorphan (DXM)

19. Cocaine

22. Signs of Substance Abuse Personal Appearance Personal Habits Behavioral Issues Health Issues School Issues

23. Personal Appearance Messy, shows lack of caring of appearance Poor hygiene Track marks Burns or soot on fingers or lips Chapped lips and area around the lips Dilated pupils

24. Personal Habits or Actions Clenching teeth Chewing gum or mints to cover-up breath Heavy use of otc meds to reduce eye reddening, nasal irritation or bad breath Frequently breaks curfew Avoiding eye contact Reckless driving, car accidents “munchies” or sudden appetite Having no appetite

25. Behavioral Issues Change in relationships with friends and family Loss of inhibitions Mood changes or emotional instability Loud, obnoxious behavior Sullen, withdrawn, depressed Unusually tired Deceitful or secretive Unable to speak intelligibly, slurred speech Makes endless excuses Decreased motivation

26. Health Issues Nosebleeds Runny nose Sores, spots around mouth Queasy, nauseous Seizures Vomiting Wetting lips or excessive thirst (cotton mouth) Sudden or dramatic weight loss or gain Sweatiness Depression Skin abrasions/injuries

27. School Issues Truancy Loss of interest in activities, hobbies or sports Having discipline problems(detention, suspension) Low grades Sleeping in class

28. Other signs Finding empty aerosol cans/alcohol bottles Money/valuables missing Finding rolling papers, bongs, eye drops, butane lighters, aluminum foil, razors, disassembled writing pens for straws, bent spoons, syringes Disappearance of prescription drugs or over-the-counter pills

29. What to do if you think someone is using? Ask them - don’t be confrontational show concern & love be direct try not to be defensive listen

32. Lay down rules

33. Set firm consequences

34. Be consistent

35. Monitor behavior Get professional help

36. Outpatient counseling services in Owensboro that provide adolescent drug/alcohol services: Back to Basics Counseling – 684-3500 – 227 St. Ann St. Rivervalley Behavioral health – 689-6800 – 1100 Walnut Lighthouse Counseling Services – 689-0073 – 920 Frederica St.

37. Adolescent inpatient drug/alcohol treatment facilities in Kentucky: Lighthouse Adolescent Recovery Center Rivendell Behavioral Health 1935 Bluegrass Avenue 1035 Porter Pike Road Louisville, KY 40215 Bowling Green, KY 42103 502-366-0705 1-800-548-2621 www.Rivendellbehavioral.com Lincoln Trail Behavioral Health 3909 S. Wilson Road Ten Breock Hospital Radcliff, KY 40160 8521 LaGrange Road 270-351-9444 Louisville, KY 40242 1-502-426-6380 The Ridge www.tenbroeck.com 3050 Rio Dosa Drive Lexington, KY 40509 1-800-548-2621 www.ridgebhs.com

38. Counseling for Adults Counseling Associates Counseling Center OMHS 1316 Frederica St. 1000 Breckinridge Sr. 686-7999 691-5900 Healthpark Counseling Services 1006 Ford Ave 688-4811 Lighthouse Counseling 920 Frederica St 689-0073

39. Drug/ Alcohol InpatientTreatment for Adults OASIS (women only) – 685-0260 Boulware – 683-8267 RiverValley – 1-800-769-4920 Addiction Helpline – 683-3221, 684-7084

40. References NIDA, P.O. Box 30642, Bethesda, MD 20824-0652 U. S. Drug Enforcement Administration Partnership for a Drug-free America Substance abuse: The Nation’s Number One Health Problem. NIDA, Monitoring the future survey Youtube.com

41. http://www.youtube.com/watch?v=_nukxci4aMI&feature=related http://www.youtube.com/watch?v=9WBUfolbdpc&feature=related#watch-main-area