PAD/ODAP March 2010 Substance Use and its Relationship to Physical Activity, Healthy Eating and Injury Prevention and the impact on Mental Health and Emotional Well- Being

PAD/ODAP March 2010 Today’s workshop will: Introduce a framework which pulls together substance use and related issues under the umbrella of Physical Activity, Mental Health and Emotional Well-Being Allow us to consider how Substance use relates to components of Physical Activity, Healthy Eating and Injury Prevention Consider how this impacts on Mental Health and Healthy Living

PAD/ODAP March 2010 Living Skills: Personal Skills Interpersonal Skills Critical and Creative Thinking Health and Physical Activity Framework* Active LivingMovementHealthy Living Physical and Mental Health and Emotional Well-being *adapted from The Ontario Health and Physical Education Curriculum Resiliency Building FamilySchoolCommunity Personal Safety and Injury Prevention Healthy Eating Substance Use, Addictions and Related Behaviours Human Development and Sexual Health Peers

PAD/ODAP March 2010 Active Living Active Participation Regular participation, life long activity Enjoyment, motivation Physical Fitness Fitness development through regular physical activity, personal fitness plans Safety Personal safety and safety of others during physical activity

PAD/ODAP March 2010 Movement Competence Movement Skills and Concepts Stability, locomotion, manipulation Body awareness, effort, spatial awareness Movement principles Movement Strategies Components of physical activity Strategies and tactics in physical activities

PAD/ODAP March 2010 Healthy Living Understanding Health Concepts Understanding the factors that contribute to healthy growth and development Making Healthy Choices Applying health knowledge, making decisions about personal health and well-being Making Connections for Healthy Living Linking personal health and well being to others and the world around them

PAD/ODAP March 2010 Healthy Living This strand focuses on the following four health topics: Healthy Eating Personal Safety and Injury Prevention Substance Use, Addictions and Related Behaviours Human Development and Sexual Health and the impact on overall Mental Health and well being

PAD/ODAP March 2010 Living Skills Personal Skills -self awareness and self monitoring skills -adaptive, management and coping skills Interpersonal Skills -communication skills -relationship and social skills

PAD/ODAP March 2010 Living Skills Critical and Creative Thinking -processing -planning -drawing conclusions/presenting results -reflecting/evaluating

PAD/ODAP March 2010 A “drug” is defined as anything other than food that changes how the body or the mind works. Drugs are a broad category which can include substances such as: –prescribed medicines –over the counter medications such as cough syrups, painkillers –caffeine, colas, tobacco and alcohol –marijuana, cocaine and party drugs. Substance Use

PAD/ODAP March 2010 Current Statistics (from the 2009 OSDUHS) Alcohol is the most commonly used drug by youth. 58.2% of students (grades 7-12) had used alcohol during the past year 22.5% of students drank more than once a month 24.7% of students reported having had 5 or more drinks at one sitting at least once in the month before the survey

PAD/ODAP March 2010 Current Statistics Cannabis (Marijuana or Hash) is the second most popular drug. 25.6% of the students surveyed reported using cannabis in the previous 12 months 14.5% used cannabis six times or more during the past year

PAD/ODAP March 2010 Current Statistics Non-medical use of Opioid Pain Relievers is the 3 rd most popular. About 18% of students report using a prescription opioid pain reliever non-medically in the previous year Females (20%) are more likely than males (16%) to use an opioid pain reliever non- medically.

PAD/ODAP March 2010 Current Statistics Tobacco is the fourth most popular drug. 11.7% of students (grade 7-12) smoked in the previous year 5% of students smoked one or more cigarettes daily

PAD/ODAP March 2010 Factors that influence Substance Use The drug itself: Which drug is being taken? How much and over what period of time? Is the drug being taken alone or in combination with other drugs? How is being taken?

PAD/ODAP March 2010 Factors that Influence Substance Use The Individual taking the drug: What is their age, gender, body weight and overall health? Mood or state of mind? Individuals expectations of the drug? Knowledge and experience with the drug?

PAD/ODAP March 2010 Factors that Influence Substance Use The circumstance under which the substance is available and consumed: What is the setting? Availability of the drug? How drug is produced? How drug is promoted or advertised?

PAD/ODAP March 2010 Prevention A range of practices, strategies and interventions which aim to: Avoid the use of substance(s) –e.g. abstinence Delay the use of substance(s) –e.g. age of first time use Avoid or reduce the problems associated with the use of substance(s) –e.g. harm reduction Decrease the use of substance(s) –e.g. moderation Stop the use of substance (s) –e.g. cessation

PAD/ODAP March 2010 Resiliency Lifton (1994) : identified resiliency as the human capacity of all individuals to transform and change, no matter what their risks; it is an innate “self-righting mechanism” 15 year old student (Resiliency in Action) “Bouncing back from problems and stuff with more power and more smarts”

PAD/ODAP March 2010 Resiliency Building Resiliency : Individual Family School Community

PAD/ODAP March 2010 Individual Self esteem Trust, optimism, sense of hope Sense of self reliance Ability to handle stress Sociability Positive coping skills Appropriate development for one’s age Childhood competency – regular chores, having a part-time job, etc

PAD/ODAP March 2010 Family Caring family One responsible adult throughout childhood Family Communication High parental expectations, support and supervision Strong extended family network

PAD/ODAP March 2010 School Provides stable and safe environment to learn Bond and engage positively with teachers and other students Nurtures commitment to learning and sharing with others Nurture social abilities and development of relationships

PAD/ODAP March 2010 Community Provide social support in the form of belonging, stability and continuity Meeting adults in the community who help them develop trust, autonomy and initiative

PAD/ODAP March 2010 Community Provide support to parents in their nurturing roles Provide an open, supportive and educational climate for the basic infrastructure where family life is lived (daycare, employment, recreation, etc) and a context where shared values and expectations are developed

PAD/ODAP March 2010 How does Substance Use Relate to : Physical Activity Healthy Eating Personal Safety and Injury Prevention Sexual Health And what is the impact on Mental Health and overall Wellbeing

PAD/ODAP March 2010 Physical Activity Team sports Individual sport School performance Personal fitness Chronic disease

PAD/ODAP March 2010 Healthy Eating Body Image Food choices Family engagement* Chronic disease

PAD/ODAP March 2010 Personal Safety and Injury Prevention Drinking and driving / boating / snowmobiling Marijuana use and driving Binge drinking Fights and aggression Sports

PAD/ODAP March 2010 Sexual Health Decision making Dating and relationships Unintended pregnancy Pregnancy Sexual harassment

PAD/ODAP March 2010 Mental Health and Emotional Well Being Social anxiety Coping with stress Self medicating Depression ADHD Learning disabilities Anxiety disorder

PAD/ODAP March 2010 Relationship between Substance Use and Mental Health Disorders Create Trigger Exacerbate Mimic Mask Independence Reference-(Trupin &Boesky, 2001)

PAD/ODAP March 2010 Resources/Projects For the Record Taking Charge Check it out- Hook up What’s with Weed Strengthening Families for Parents and Youth

PAD/ODAP March 2010 References The Ontario Curriculum- Health and Physical Activity Ontario Student Drug Use and Health Survey (OSDUHS) – CAMH 2010 Overview of Youth Substance Use and Mental Health Problems - CAMH Resiliency Canada

PAD/ODAP March 2010 ODAP and PAD Joanne Brown /