Substance abuse and dependency issues pp


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What is Substance Abuse? History of substance abuse. Symptoms of alcohol withdrawal. Review of treatment for substance abuse.

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  • The definition of substance abuse can be defined as a pattern of harmful use of any substance for mood-altering purposes.
  • Although there are several areas of substance use within the different generations, we will focus primarily on adolescent age.
  • Alcohol is one of the easiest and most popular substances for adolescent youth to obtain
  • The history of alcohol use starting with the Greeks and Egyptians and early European Settlers. The temperance movement was an effort to reduce the consumption of alcohol. People believed alcohol abuse was a source of social problems that included violence, crime and poverty.
  • Alcohol is the most widely used drug and many different ages use starting with the adolescense.
  • Examples of alcohol
  • The effects of alcohol can be displayed in many ways with adolescents and on into adulthood. Irritability, Depression and unsteady gait may be the effects to look at with Adolescents.
  • Physical symptoms of alcohol withdrawal and psychological effects from prolonged use include (Refer to the slide).
  • Additional symptoms of alcohol withdrawl
  • The dangers of alcohol abuse with adolescents over an extended period of time. (refer to the slide). Effects on the fetus include fetal alcohol syndrome, which then appears on a child in the form of facial deformities, slow and retarded development, brain and neurological problems.
  • The earlier an adolescent begins to drink alcohol the more likely problems with dependency occur in the future. Here are some interesting facts about age of use and age of dependency.
  • Adolescents increase risky behaviors with continue alcohol abuse. These are some effects that are often found with teenage substance use. Easy to obtain. Most are binge drinkers.( Refer to slide for the rest of the information. )
  • The consequence of allowing a child alcohol is defined by(slide statement).
  • Marijuana has some slang names that are often used to cover up the real name of the substance.
  • Here are some facts about marijuana use with adolescents. Refer to the slide.
  • This is a detection guideline for adolescents who are causal to chronic, heavy users.(Refer to the slide for time duration of each category.)
  • Here a list of immediate responses to smoking marijuana. Refer to slide
  • More short term effects with marijuana use. Refer to the slide.
  • Physical health concerns for marijuana use that may occur if a teenager continues use into adulthood.
  • Three areas of prolonged marijuana use in adolescents that can be affected. Refer to the slide.
  • The symptoms occur within 2-3 weeks of last smoking incident. Refer to slide
  • Marijuana abuse has social effects on adolescents. Refer to the slide.
  • In some people marijuana use can affect family by causing contention within the family dynamic when the use is discovered. Others are also affected in school and peer interactions as well as time missed at work due to focus on use. Recreational activities can also be affected because of slow motor skills and decreased reaction time that would impair participation.
  • Another reason for not using marijuana is (Refer to the slide)
  • Here are other substances that are used by adolescents by not as common due to cost or availability. There are side effects and health concerns but our today is on the two most common substances with adolescents which are alcohol and marijuana.
  • Social skills training to replace some old negative peer interactions can be helpful with adolescents in our treatment homes or group homes. Continue to treat the individual with dignity as they are starting the road to recovery and a lapse may be just a bump in that road.
  • Explore ways to reduce access to drugs through teaching strategies to resistance to peer pressure, high risk situations and consulting with the adolescents therapist. Positive reinforcement helps a teen experience the good feelings in a more appropriate way. The can be a continued pattern when reinforced this way. Be redundant means to continue to teach and support the teen with behaviors that will lead them away from substance use.
  • Read the statement on the slide. Anytime an alternate solution is attempted to be reached can help assist the youth to create change in their thinking and lifestyle.
  • Here are some of the resources used for the presentation today
  • Substance abuse and dependency issues pp

    1. 1. Substance Abuse and Dependency Issues An overview of adolescent substance abuse and dependency issues
    2. 2. What is Substance Abuse? <ul><li>Definition </li></ul><ul><ul><li>a pattern of harmful use of any substance for mood-altering purposes. </li></ul></ul>
    3. 3. History of Substance Abuse <ul><li>Controlled Substance Act of 1970 </li></ul><ul><li>Resurfaces in the 1980 ’s </li></ul><ul><li>Amphetamines developed in the late 1800 ’s </li></ul><ul><li>Over the counter medication in the 1930 ’s </li></ul>
    4. 4. History of Substance Abuse <ul><li>The use of substances continued to growth with substance abuse. </li></ul><ul><ul><ul><li>WWII </li></ul></ul></ul><ul><ul><ul><li>Korean War </li></ul></ul></ul><ul><ul><ul><li>Truckers </li></ul></ul></ul><ul><ul><ul><li>Homemakers </li></ul></ul></ul><ul><ul><ul><li>College Students </li></ul></ul></ul><ul><ul><ul><li>bikers </li></ul></ul></ul>
    5. 5. Alcohol <ul><li>One of the easiest and most popular substances for adolescent youth to obtain </li></ul>
    6. 6. History of Alcohol <ul><li>Ancient Greeks and Egyptians </li></ul><ul><li>Brought to America by early European Settlers </li></ul><ul><li>Temperance movement-1919 to 1933 </li></ul>
    7. 7. History of Alcohol CONT’D <ul><li>Most widely used drug in the world </li></ul><ul><li>Nearly half of all Americans over the age of 12 are consumers of alcohol. </li></ul>
    8. 8. What is Alcohol? <ul><li>Ethanol or ethyl alcohol </li></ul><ul><li>CNS depressant </li></ul><ul><li>Anesthetic </li></ul>
    9. 9. Effects of Alcohol <ul><li>Euphoria </li></ul><ul><li>Irritability </li></ul><ul><li>Loss of physical coordination </li></ul><ul><li>Unsteady gait and balance </li></ul><ul><li>Impaired judgment </li></ul><ul><li>Slurred or incoherent speech </li></ul><ul><li>Loss of consciousness </li></ul><ul><li>Slowed thinking </li></ul><ul><li>Depression </li></ul><ul><li>Impaired short term memory </li></ul><ul><li>Blackouts </li></ul>
    10. 10. Symptoms of Alcohol Withdrawal <ul><li>Tremors </li></ul><ul><li>Agitation </li></ul><ul><li>Anxiety and Panic </li></ul><ul><li>Paranoia and delusions </li></ul><ul><li>Hallucinations </li></ul><ul><li>Confusion </li></ul><ul><li>Nausea and vomiting </li></ul><ul><li>Increased body temperature </li></ul>
    11. 11. Additional Symptoms of Alcohol Withdrawal <ul><li>Elevated blood pressure and heart rate </li></ul><ul><li>Seizures </li></ul>
    12. 12. Dangers of Alcohol Abuse <ul><li>Neurological </li></ul><ul><li>Cardiological </li></ul><ul><li>Respiratory </li></ul><ul><li>Liver </li></ul><ul><li>Effects on the fetus </li></ul>
    13. 13. Alcohol and Adolescents <ul><li>Adolescents who begin drinking before the age of 15 are four times more likely to develop alcohol dependence the than those who began at the age of 21. </li></ul><ul><li>First drink of alcohol </li></ul><ul><ul><li>11 years old (boys) </li></ul></ul><ul><ul><li>13 years old (girls) </li></ul></ul>
    14. 14. Alcohol and Adolescents <ul><li>Easy to obtain </li></ul><ul><li>Most are binge drinkers </li></ul><ul><li>Alcohol affects the development of the hippocampus and limbic system </li></ul><ul><li>Increase risk of sexual behavior </li></ul><ul><li>Increase risk of impulsive behavior </li></ul><ul><li>Alcohol related automobile accidents(leading cause of death among 15-24year olds) </li></ul>
    15. 15. Alcohol and Adolescents <ul><li>As of May 6, 2002, it is a Third Degree Felony for any person to knowingly or intentionally cause or permit a child or elderly adult to be exposed to, to ingest or inhale, or have contact with a controlled substance or drug paraphernalia. </li></ul>
    16. 16. Marijuana <ul><li>Pot </li></ul><ul><li>Grass </li></ul><ul><li>Reefer </li></ul><ul><li>Weed </li></ul><ul><li>Herb </li></ul><ul><li>Mary Jane </li></ul><ul><li>Bud </li></ul>
    17. 17. Some facts about Marijuana <ul><li>50% of 12 th graders have tried marijuana </li></ul><ul><li>Most common illicit drug </li></ul><ul><li>Number one choice of adolescents in treatment in Utah </li></ul><ul><li>Five more times potent than in the 70 ’s </li></ul>
    18. 18. Detection Period <ul><li>Causal use (four “joints” per week): </li></ul><ul><ul><li>5-7days </li></ul></ul><ul><li>Daily Use: </li></ul><ul><ul><li>10-15 days </li></ul></ul><ul><li>Chronic, heavy use: </li></ul><ul><ul><li>1-2 months </li></ul></ul>
    19. 19. Acute Effects <ul><li>Effects begin immediately if smoked </li></ul><ul><li>Last 1-3 hours </li></ul><ul><li>If consumed in food or drink, effects begin in ½ to one hour </li></ul><ul><li>Lasts as long as 4 hours </li></ul><ul><li>Heart rate increases (20 to 50 beats more) </li></ul><ul><li>Blood Vessels in eyes expand(making eyes look red) </li></ul><ul><li>Feelings of euphoria </li></ul>
    20. 20. Acute Effects <ul><li>Hallucinogen </li></ul><ul><li>Sounds or colors may seem more intense </li></ul><ul><li>Time appears to pass slowly </li></ul><ul><li>Mouth feels dry </li></ul><ul><li>Hunger and thirst </li></ul><ul><li>Hands may tremble </li></ul><ul><li>Disrupts coordination </li></ul><ul><li>Impairs ability to form memories </li></ul><ul><li>Impairs ability to shift attention </li></ul><ul><li>Impairs reaction time </li></ul>
    21. 21. Physical Health <ul><li>Impairs memory and learning skills (even after intoxication) </li></ul><ul><li>Respiratory and lung problems: </li></ul><ul><ul><li>Chronic cough </li></ul></ul><ul><ul><li>Bronchitis </li></ul></ul><ul><ul><li>Emphysema </li></ul></ul>
    22. 22. Physical Health <ul><li>Cancer </li></ul><ul><ul><li>Head </li></ul></ul><ul><ul><li>Neck </li></ul></ul><ul><ul><li>Lungs </li></ul></ul>
    23. 23. Withdrawal <ul><li>Sleep difficulty </li></ul><ul><li>Craving </li></ul><ul><li>Aggression </li></ul><ul><li>Irritability </li></ul><ul><li>Headaches </li></ul><ul><li>Depression </li></ul><ul><li>Restlessness </li></ul>
    24. 24. Social Effects <ul><li>Lower grades </li></ul><ul><li>Less likely to graduate </li></ul><ul><li>Lower test scores </li></ul><ul><li>Lower problem solving ability </li></ul><ul><li>Lower emotional skills </li></ul>
    25. 25. Is Marijuana Addictive? <ul><li>In some people </li></ul><ul><li>Can interfere with: </li></ul><ul><ul><li>Family </li></ul></ul><ul><ul><li>School </li></ul></ul><ul><ul><li>Work </li></ul></ul><ul><ul><li>Recreational activities </li></ul></ul>
    26. 26. AND BY THE WAY……… IT ’S ILLEGAL!
    27. 27. Other Substances less used by Adolescents <ul><li>Narcotics </li></ul><ul><li>Opiods </li></ul><ul><li>Cocaine </li></ul><ul><li>Amphetamines </li></ul>
    28. 28. Treatment <ul><li>Provide evidenced based treatment (e.g. motivational interviewing, coping and social skills training, etc.) </li></ul><ul><li>Expect a lapse or relapse as a part of recovery </li></ul>
    29. 29. Treatment <ul><li>Explore ways to reduce access to drugs </li></ul><ul><li>Ask your therapist for additional help on educating teens on craving and urges. </li></ul><ul><li>Positive reinforcement for abstinence or partial abstinence </li></ul><ul><li>Be redundant </li></ul>
    30. 30. Never underestimate the power of simply engaging someone who is in treatment
    31. 31. RESOURCES <ul><li>Utah Division of Substance Abuse </li></ul><ul><li>Salt Lake County Division of Substance Abuse </li></ul><ul><li>Edward G. Callister Foundation </li></ul><ul><li>National Institute of Drug Abuse </li></ul><ul><li>National Clearinghouse for Alcohol and Drug information </li></ul>
    32. 32. Resources <ul><li>American academy of child and adolescent psychiatry </li></ul><ul><li>Kelly J. Lundberg, Ph.D Utah Addiction Center, University of Utah </li></ul>