1. IPV and meth conference April 27th

2. Level I (Lab) Chemicals Process Product (meth) Caretaker Behavior Level II (Heavy use; distributing) Neglect Hyper sexuality Violence and aggression

3. “Parents who are addicted to drugs have a primary commitment to chemicals, not to their children.” Beckwith, 1989

4. Psychoactive Substances and Sexual Behaviors My sexual drive is increased by the use of the following substance(s)My sexual drive is increased by the use of the following substance(s) Rawson R; Matrix Instit., CA

5. Psychoactive Substances and Sexual Behaviors My use of the following substance(s) has made me become obsessed with sex and/or made my sex drive abnormally high.My use of the following substance(s) has made me become obsessed with sex and/or made my sex drive abnormally high. Rawson R; Matrix Instit., CA

6. Psychoactive Substances and Sexual Behaviors My sexual behavior under the influence of the following substance(s) caused me to feel sexually perverted or abnormalMy sexual behavior under the influence of the following substance(s) caused me to feel sexually perverted or abnormal Rawson R; Matrix Instit., CA

7. Sexual Abuse Meth increases sexual arousal in adults Pornography copious and accessible Children unsupervised around multiple strangers (drug buyers and associates) Children may be sexually abused by their own parents, prostituted for drugs, or forced to view sexual acts, pornography

8. Methamphetamine, Violence and Aggression Methamphetamine Abuse and Emergency Department Utilization. Richards J; WJM, April 1999, Vol 170, No. 4. The Toll of Methamphetamine on the Trauma System. Tominaga G, et al.; Arch Surg 2004;139:844-847. Abuse and Violence History of Men and Women in Treatment for Methamphetamine Dependence; Cohen J, et al.; Am J Addict, 12:377-385, 2003. Psychiatric Symptoms in Methamphetamine Users; Zweben J, et al. Am J Addict, 13:181-190, 2004. Methamphetamine in Psychiatric Emergencies; Szuster R. Hawaii Medical Journal, 49(10); Oct.1990. (27 – 80%)

9. Methamphetamine Use and Violence; Sommers I, Baskin D. J Drug Issues; Winter 2006; pp.77-96. Meth based violence may be more likely to occur within private domestic contexts (51% in this study) due to longer lasting high. “Pharmacology is not destiny….” “…violent behavior resulted from a complex interaction among a variety of social, personality, environmental and clinical factors whose relative importance varied across situations and time.”

10. Brain Serotonin Transporter Density and Aggression in Abstinent Methamphetamine Abusers Sekine, et al. Arch Gen Psychiatry. 2006;63:90-100 CONTROL Subjects METHAMPHETAMINE Abuser 12 abstinent meth users Use: 6 years (1.5 to 11) Abstinent: 1.6 yrs (0.5 – 5) Matched controls (education, alcohol) Abused only methamphetamine No history of psychiatric, antisocial or intermittent explosive disorders No history of increased aggression before the use of methamphetamine.

11. CONTROL Subjects METHAMPHETAMINE Abuser Global, severe reduction in serotonin transporters All had psychosis during methamphetamine use Brain Serotonin Transporter Density and Aggression in Abstinent Methamphetamine Abusers Sekine, et al. Arch Gen Psychiatry. 2006;63:90-100

12. Sekine, et al. Arch Gen Psychiatry. 2006;63:90-100 Meth Use, years Aggression Score Serotonin Transporter Density Serotonin transporter density was closely associated with the magnitude of aggression in methamphetamine abusers Methamphetamine abusers showed increased levels of aggression compared with controls. Serotonin Transporter Density

13. Children’s experiences of methamphetamine use in the home Case Series: Mental Health Needs and Perspectives of Rural Children Reared by Parents Who Abuse Methamphetamine* *Ostler T, et al. J Am Acad Child Psych. 46:4, April 2007.

14. Case Series: Mental Health Needs and Perspectives of Rural Children Reared by Parents Who Abuse Methamphetamine* Children reported: –clear emotional pain (74%) –negative relationships with parents(78%) –absence of social support, isolation (52%) –some joined in the violence to protect their mothers or siblings Most children displayed: –significant emotional or behavior problems (57%) –posttraumatic or dissociative symptoms (61%) *Ostler T, et al. J Am Acad Child Psych. 46:4, April 2007.