FACT: The adolescent brain is far from mature. The neutral circuitry isn’t complete in young people until the 20’s. - Sandra Witelson, McMaster University 13
Before age 15: Interference with Brain Development Faster development of drug dependency Greater problem severity Greater problem complexity Lifetime risk of associated problems Poor intervention outcomes School failure and dropout 14
0 10 20 30 40 50 60 0 10 20 30 40 50 60 0 10 20 30 40 50 60 131415161718192021131415161718192021131415161718192021 FH Present Total FH None Grant and Dawson. J Subst Abuse. 1998;10(2):163-73. Family History Age of 1 st Use
Becoming secretive Changing friends Changing dress or appearance Becoming Isolated Declining Grades Dropping out of sports/activities Being fired from work Staying out past curfew Excessive amounts of eye- drops, breathe mints, etc. Behaviors that leave you suspicious yet no evidence that anything is wrong Refusing to participate in family activities More difficult when asked to do household chores More argumentative & uncooperative 19
Being depressed Needing extra sleep Rebellious and defiant Out of/In-school suspension Withdrawn from family Starting to smoke Excessive time in the bathroom Becoming physically or verbally abusive Mysterious phone calls at all hours Coming home drunk Caught stealing Avoiding parental contact upon arrival at home Laughing excessively for no reason 20
Suspicious items (drug paraphernalia) Valuables Missing Medication Disappearing Alcohol diluted or disappearing Arrest or citation due to AOD events Arrest for vandalism, shoplifting, breaking and entering, or burglary Open admission of use Bloodshot Eyes; Pupils Dilated Threats or attempted suicide Expulsion from or quitting school 21
You’re in disbelief. It’s not my child it’s their friends. Frustrated because nothing has changed, you hoped it would. Afraid; feel like a failure. Don’t want to deal with the Stigma! 22
Giving the child: Money, Transportation, Extras Making excuses for behavior It’s just……. Bargaining with them to change their behavior. I’ll buy you a _________ if you stop doing drugs. Sponsoring parties I’d rather then do it here where I can keep an eye on them. This just lets them think that it is ok to do and can lead to “worse choices around substances in the future. 23
Culture Media Availability 1 in 3 songs say something about Drugs, Alcohol, or Tobacco use. 3 in 4 Rap songs say something about Drug, Alcohol or Tobacco use. 7 in 10 movies show people Smoking. 1 in 3 movies show people getting Drunk/already Drunk. * National Institute on Drug Abuse: Shatter the Myths
Internet BehaviorsMillenialGen XBoomerSilent Social Networking Profile7550306 Wireless internet away from home62483511 Posted video of themselves online20621 Use Twitter141061 28 Cell Phone/TextingMillenialGen XBoomerSilent Use cell to text8877519 Texted in past 24 hours8063354 Texted while driving6446211 Cell phone/no land-line4124135 Median text (24 Hrs.)20125---
“According to the Center on Addiction and Substance Abuse, there are 581 websites that advertise or sell controlled prescription drugs… The most disturbing things about this study is that 84% of these websites don’t require a prescription to buy these drugs.” Scan through all of your credit card statements monthly.
Decreased perception of risk Decreased perception of disapproval Decreased supervision of children Intergenerational transmission of early onset male drinking Targeting of youth by drug industry 33
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