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The Teenage Brain, Drinking & Risky Behavior Cysa
- 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. The Brain
- 5. The Brain
- 10. Brain Chemistry
- 14. U.S. Surgeon General Call To Action - 2007
- 17. CT Suburban Youth Survey Data Funding from CT DMHAS
- 18. Cheshire PS & CT Data I had at least one drink in past 30 days
- 19. Trumbull PS & CT Data I had at least one drink in past 30 days
- 20. CONSEQUENCES OF UNDERAGE DRINKING Reducing Risk & Increasing Protection
- 21. Recent News Stories Andover, MA – Feb. 2009
- 24. Video – Unintentional Injury – Warren 17y.o.
- 25. Unintentional Injury Hingson, R., et al. JAMA. 2000;284:1527-1533
- 26. Unintentional Injury Hingson, R., et al. JAMA. 2000;284:1527-1533
- 27. Violence Hingson, R., et al. Pediatrics. 2001;108;872-877
- 28. Sexual Activity Hingson, R., et al. Pediatrics. 2003;111;34-41
- 29. Sexual Activity Hingson, R., et al. Pediatrics. 2003;111;34-41
- 30. Risk of Addiction DeWit, D., et al. Am J Psychiatry 157:745-750, May 2000
- 35. Start Talking Before They Start Drinking
- 41. QUESTIONS
Editor's Notes
- Brain stem : Medulla Oblongata & Pons - - oldest part of the brain; respiration, body temp., blood pressure, digestion, etc., reflexes, automatic functions Cerbellum: “little brain” – coordinates muscle movement & integrates vestibular feedback; rote muscle memory/coordination Temporal Lobe: - language centers (left side) Occipital Lobe: - visual processing Parietal Lobe: - orientation, calculation, recognition, somatosensory information; goal-directed voluntary movement Frontal Lobe: - judgments we make about what occurs in our daily activities. Controls our emotional response. Controls our expressive language. Assigns meaning to the words we choose. Involves word associations. Memory for habits and motor activities.
- Physical – excelling in athletics, dance, theater Emotion – will commit to a cause OR a boyfriend/girlfriend Motivation – earning driver’s license, beating next level on Doom, keeping up with Facebook or Twitter Judgement – Prefrontal cortex not fully developed until the age of 25
- These are behaviors/attitudes we typically see in most teenagers at some time
- Brain stem : Medulla Oblongata & Pons - - oldest part of the brain; respiration, body temp., blood pressure, digestion, etc., reflexes, automatic functions Cerbellum: “little brain” – coordinates muscle movement & integrates vestibular feedback; rote muscle memory/coordination Temporal Lobe: - language centers (left side) Occipital Lobe: - visual processing Parietal Lobe: - orientation, calculation, recognition, somatosensory information; goal-directed voluntary movement Frontal Lobe: - judgments we make about what occurs in our daily activities. Controls our emotional response. Controls our expressive language. Assigns meaning to the words we choose. Involves word associations. Memory for habits and motor activities.
- Some days it is hard to want to protect this kind of brain! Draw on the Tiny parts
- We spend all this effort and worry working to protect the brain when our children are young They seem to appreciate it All our effort rewards us with a TEENAGER! NEXT SLIDE IS VERY TECHNICAL, SO BEAR WITH ME PLEASE
- -the brain stops processing information efficiently -stop “thinking clearly” -more poor decisions that are not typical as described earlier
- The Surgeon General’s Call to Action To Prevent and Reduce Underage Drinking 2007 - - Kenneth P. Moritsugu, M.D., M.P.H. Citation - Department of Health and Human Services. The Surgeon General's Call to Action To Prevent and Reduce Underage Drinking. Department of Health and Human Services, Office of the Surgeon General, 2007. This publication is available on the World Wide Web at http://www.surgeongeneral.gov and at http://www.hhs.gov/od
- Safety so that our children can master developmental tasks and grow up to reach their dreams and accomplish goals -must do this without being overprotective -youth today face different risks than we faced >more media & advertising; smaller extended families; more controlled settings and situations when younger >less independence when younger because of structure & more influence from ever present media can lead to difficulty making independent decisions when older -good decisions come from having knowledge -Support >parents work together >students work together
- THERE IS NO SUCH THING AS SAFE TEENAGE DRINKING TAKING THE CAR KEYS DOES NOT CREATE SAFETY
- -data adjusted for age, sex, race/ethnicity, education level, drug use (current, former, never), smoking status (C, F, N), marital status, family history of alcoholism, & history of alcohol dependence -”Did you ever accidentally injure yourself badly, get hurt in a traffic accident, or anything like that?” -”Did you ever get into a situation while drinking or after drinking that increased your chances of getting hurt-like swimming, using machinery, or walking in a dangerous area or around heavy traffic?”
- -data adjusted for age, sex, race/ethnicity, education level, drug use (current, former, never), smoking status (C, F, N), marital status, family history of alcoholism, & history of alcohol dependence -”Did you ever get into a situation while drinking or after drinking that increased your chances of getting hurt-like swimming, using machinery, or walking in a dangerous area or around heavy traffic?”
- -data adjusted for age, sex, race/ethnicity, education level, drug use (current, former, never), smoking status (C, F, N), marital status, family history of alcoholism, & history of alcohol dependence
- -data gathered from College students age 19+ who have ever been drunk -data adjusted for age, gender, race/ethnicity, marital status, parental drinking history, age first smoked cigarettes, age first used marijuana -”Since the beginning of the school year, how often has your drinking caused you to engage in unplanned sexual intercourse?”
- -data gathered from College students age 19+ who have ever been drunk -data adjusted for age, gender, race/ethnicity, marital status, parental drinking history, age first smoked cigarettes, age first used marijuana -”Since the beginning of the school year, how often has your drinking caused you to not use protection when you had sex?”
- 685% increase in the chance of alcohol abuse 450% increase in the chance of alcohol dependence Abuse = repeated use resulting in failure to fulfill obligations at work, home, school; or driving a car while impaired; or legal problems (disorderly conduct while drunk); or personal & relationship problems related to intoxication Dependence = 3 or more of the following, tolerance; withdrawal; use more than expected; desire to use; too much time spent obtaining, using, and recovering from use; giving up social/recreational activities; continued use after recognize physical or psychological problem
- Binge drinking 5 or more drinks in a row for men 4 or more drinks in a row for women
- Drawing upon an “exposure opportunity” concept described by Wade Hampton Frost, the authors studied two mechanisms to help account for prior observations about the “stepping-stone” or “gateway” sequences that link the use of alcohol, tobacco, marijuana, and cocaine. Data were obtained from four nationally representative and independent cross-sectional samples of US household residents ( n = 44,624 persons aged 12–25 years). Data were gathered using standardized self-report methods and were analyzed via survival methods. Results indicated that users of tobacco and alcohol were more likely than nonusers to have an opportunity to try marijuana and were more likely to actually use marijuana once a marijuana opportunity had occurred. Opportunity to use cocaine was associated with prior marijuana smoking. Among young people with a cocaine opportunity, those who had used marijuana were more likely to use cocaine than were those with no history of marijuana use. The observed associations did not seem to arise solely as a result of young drug users’ seeking out opportunities to use drugs. Applying Frost’s epidemiologic concept of exposure opportunity, the authors offer new epidemiologic evidence on the sequences that link earlier use of alcohol and tobacco to later illegal drug involvement. Am J Epidemiol 2002;155:918–25.
- Supportive – because your child has hard choices and many conflicts -pleasing you, pleasing self, fitting in, managing HS, etc Proud – because everyday they make more good choices than poor choices
- 2.7 TIMES MORE LIKELY