Sue Scheff: Accessibility of RX Drugs and Teens

As kids will have more time at home with summer just about here, what prescription drugs are available in your home?

Source: Connect with Kids

“There is a tremendous amount of medicines out there that are readily available in the bathrooms, in the cabinets at home as well as on the black market.”
– Steven Jaffe, M.D., adolescent psychiatrist

Many kids say they can get any prescription drug they might want. Joseph Caspar, 17, says he could get “vicodin, morphine, anything like that.” Patti Strickland says she could even get methadone.

According to the Partnership for a Drug-Free America, 61 percent of teens say prescription drugs are easier to get than any other drug.

One reason … easy accessibility.

“This is the age of medication,” explains Dr. Steven Jaffe, adolescent psychiatrist. “I think there is a tremendous amount of all sorts of medicines out there that are readily available in the bathrooms, in the cabinets at home as well as on the black market.”

In fact, kids say the medicine cabinet is the first place they look. “That’s mostly how it starts,” says 16-year-old T.J. Crutain.

That’s why, experts say, prescription medicine needs to be locked up.

“We have gun cabinets that are locked up to keep guns away from our teenagers,” says Dr. Herb Kleber, professor of psychiatry at Columbia University. “We should also develop locked medicine cabinets in order to help secure these agents so that it isn’t easy for teenagers to get to them.”

Carol Thomas recently lost her son, Ross, when he overdosed on prescription drugs. Ross was 16-years-old.

“Ross didn’t get anything from [our] medicine cabinet, but I know parents have it and there’s nothing wrong with that,” says Thomas. “If you need medication, you need medication. But I think that we’re silly to walk around and dangle a carrot in front of a kid’s face.”

Tips for Parents

OxyContin is a controlled-release pain reliever that can drive away pain for up to 12 hours when used properly. When used improperly, however, OxyContin is a highly addictive opioid closely related to morphine. As individuals abuse the drug, the effects lessen over time, leading to higher dosage use.

Consider the following:

The supply of OxyContin is soaring. Sales of OxyContin, first marketed in 1996, hit $1.2 billion in 2003.

The FDA reports that OxyContin may have played a role in 464 deaths across the country in 2000 to 2001.

In 2000, 43 percent of those who ended up in hospital emergency rooms from drug overdoses – nearly 500,000 people – were there because of misusing or abusing prescription drugs.
In seven cities in 2000 (Atlanta, Chicago, Los Angeles, Miami, New York, Seattle, and Washington, D.C.) 626 people died from overdose of painkillers and tranquilizers. By 2001, such deaths had increased in Miami and Chicago by 20 percent.

From 1998 to 2000, the number of people entering an emergency room because of misusing or abusing oxycodone (OxyContin) rose 108 percent. The rates are intensifying … from mid-2000 to mid-2001, oxycodone went up in emergency room visits 44 percent.

OxyContin is typically abused in one of three ways …

By removing the outer coating and chewing the tablet.

By dissolving the tablet in water and injecting the fluid intravenously.

By crushing the tablet and snorting the powder.

Because the U.S. Food and Drug Administration puts its seal of approval on prescription drugs, many teens mistakenly believe that using these drugs – even if they are not prescribed to them – is safe. However, this practice can, in fact, lead to addiction and severe side effects. How can you determine if your teen is abusing drugs?

The American Academy of Child & Adolescent Psychiatry suggests looking for the following warning signs and symptoms in your teen:

Physical: Fatigue, repeated health complaints, red and glazed eyes and a lasting cough

Emotional: Personality change, sudden mood changes, irritability, irresponsible behavior, low self-esteem, poor judgment, depression and a general lack of interest

Familial: Starting arguments, breaking rules or withdrawing from the family
School-related: Decreased interest, negative attitude, drop in grades, many absences, truancy and discipline problems

Social: having new friends who are less interested in standard home and school activities, problems with the law, and changes to less conventional styles in dress and music
If you believe your teen has a problem with drug abuse, you can take several steps to get the help he or she needs.

The American Academy of Family Physicians suggests contacting your health-care provider so that he or she can perform an adequate medical evaluation in order to match the right treatment or intervention program with your teen. You can also contact a support group in your community dedicated to helping families coping with addiction.

Substance abuse can be an overwhelming issue with which to deal, but it doesn’t have to be. The Partnership for a Drug-Free America offers the following strategies to put into practice so that your teen can reap the rewards of a healthy, drug-free life:

Be your teen’s greatest fan. Compliment him or her on all of his or her efforts, strength of character and individuality.

Encourage your teen to get involved in adult-supervised after-school activities. Ask him or her what types of activities he or she is interested in and contact the school principal or guidance counselor to find out what activities are available.

Sometimes it takes a bit of experimenting to find out which activities your teen is best suited for, but it’s worth the effort – feeling competent makes children much less likely to use drugs.

Help your teen develop tools he can use to get out of drug-related situations. Let him or her know he or she can use you as an excuse: “My mom would kill me if I smoked marijuana!”

Get to know your teen’s friends and their parents. Set appointments for yourself to call them and check-in to make sure they share your views on alcohol, tobacco and other drugs. Steer your teen away from any friends who use drugs.

Call teens’ parents if their home is to be used for a party. Make sure that the party will be drug-free and supervised by adults.

Set curfews and enforce them. Let your teen know the consequences of breaking curfew.
Set a no-use rule for alcohol, tobacco and other drugs.

Sit down for dinner with your teen at least once a week. Use the time to talk – don’t eat in front of the television.

Get – and stay – involved in your teen’s life.

Sue Scheff: Teens and Substance Abuse

The Road to Recovery Update keeps you informed about activities leading up to National Alcohol and Drug Addiction Recovery Month (Recovery Month) in September. Feel free to forward this information to friends and colleagues, include it in newsletters or listservs, or link to it from your Web site.

Last Call for Questions for May’s Ask the Expert: Thomas A. Kirk, Jr., Ph.D., Commissioner, Connecticut Department of Mental Health and Addiction Services

Questions for the May Road to Recovery Webcast, Providing a Continuum of Care: Improving Collaboration Among Services, are due by Friday, May 22, 2009.

Submit your questions to Dr. Kirk by contacting us. Answers from Dr. Kirk will be posted on the Recovery Month Web site in early June. Contact information for questions will be kept confidential.

Mark Your Calendars for the June 3, 2009, Road to Recovery Webcast: Recovery and the Health Care/Insurance Systems: Improving Treatment and Increasing Access

On June 3, join host, Ivette Torres, Associate Director for Consumer Affairs, Center for Substance Abuse Treatment (CSAT), Substance Abuse and Mental Health Services

Administration (SAMHSA), U.S. Department of Health and Human Services (HHS), for the June 2009 Road to Recovery Webcast.

When the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Act of 2008 becomes effective in 2010, additional options will become available to those seeking addiction and mental health services. The Act will require group health plans to offer coverage for addiction and mental illness and provide benefits on par with those for all other medical and surgical conditions.

This program will examine what impact the Act will have on health care and insurance systems and what it means for individuals and families battling addiction. The show will also explore other issues related to health care’s role in recovery, such as proper screening and intervention, prescription drug abuse prevention, and treating co-occurring disorders.

Sue Scheff: Inhalant Abuse

About a year ago, a mother emailed me about her son’s tragic death - it wasn’t your typical drug overdose, it was normal household items that teens/kids are now using as a high. Inhalant Abuse is not discussed enough, and needs to be. These items are much easier for teens to find and a lot less expensive. A cheap high? It is awful to even have to think like this, but parents needs to be aware and take pre-cautions. As always, communication with our teens is number #1 - and I recommend you visit http://www.inhalant.org/ for more valuable information about this potentially deadly habit.

Source: Connect with Kids

“They didn’t want to believe that I had a problem … their little girl, you know?”
– Kelli Crockett, 18 years old

Five years ago, 18-year-old Kelli Crockett was already drinking and smoking pot, but she wanted a different “high.”

“And I remember in middle school, actually a drug awareness program hearing about the inhalants, like the household products, you know, and I was like, ‘I know we’ve got something around the house,’ and I really wanted to get messed up,” Kelli says.

Air freshener, glue, paint thinner, furniture polish, hair spray: The government estimates over 17 percent of adolescents have tried inhalants at least once.

Certified Addiction Counselor Ashley Kilpatrick explains: “It’s accessible, I mean, that’s what the problem with inhalants is that they’re just so easy, they’re under the kitchen sink.”
Inhalants cut off oxygen to the brain, and that makes them extremely dangerous. Huffing just once can kill.

“It just feels toxic … you’re high for five minutes and then you feel sick,” Kilpatrick says.
Kelli adds, “I hated the way it made me feel, but … when I didn’t have anything else to use or drink or smoke, I did it cause it was around.”

Experts say a child who’s high on inhalants may seem drunk or disoriented. Parents should also look for signs around the house, like aerosol cans that are out of pressure or punctured on the bottom. There’s also a hangover effect.

“Headaches afterwards, dehydration, you know, bad moods, all that can last up to 24 hours after a use,” Kilpatrick says.

But experts say parents won’t see the signs if they’re in denial.
Kelli says it took an overdose that nearly killed her for her parents to notice. “They didn’t want to believe that I had a problem … their little girl, you know?” she says.

Tips for Parents
Nail polish remover, paint thinner, canned whipping cream, marking pens: Each of these common household items – and literally hundreds more – can be abused by inhaling. Inhalants are volatile substances that produce chemical vapors that induce a psychoactive, or mind-altering, effect when inhaled. Kids sniff, or “huff,” to get high.

According to the National Clearinghouse for Alcohol and Drug information (NCADI), sniffing can cause sickness and death. Victims may become nauseated, forgetful and unable to see things clearly. They may lose control of their bodies, including the use of arms and legs. The effects can last 15 to 45 minutes after inhaling. In addition, sniffing can severely damage the brain, heart, liver and kidneys. Even worse, victims can die suddenly – without any warning. It’s called “Sudden Sniffing Death,” which can occur during or right after sniffing. Even first-time abusers have been known to die from breathing inhalants.

More than 1,000 products are potential inhalants that can kill, including:

Cleaning agents
Computer agents
Correction fluid
Deodorizers
Freon
Gases (whippets, butane, propane)
Gasoline
Glue
Hair spray
Lighter fluid
Markers
Paint products
How can you tell if your child may be abusing inhalants? The NCADI lists the following symptoms to look for in your child:
Unusual breath odor or chemical odor on clothing
Slurred or disoriented speech
Drunk, dazed or dizzy appearance
Signs of paint or other products where they wouldn’t normally be, such as on the face or fingers
Red or runny eyes or nose.
Spots and/or sores around the mouth
Nausea and/or loss of appetite
Appears anxious, excitable, irritable or restlessness (chronic inhalers)
Inhalant abusers also may show the following behaviors:
Sits with a pen or marker near nose
Constantly smells clothing sleeves
Shows paint or stain marks on the face, fingers or clothing
Hides rags, clothes or empty containers of the potentially abused products in closets and other places

If you suspect your child or someone you know is an inhalant abuser, you should consider seeking professional help. Contact a local drug rehabilitation center or other service available in your community.

References
National Clearinghouse for Alcohol and Drug Information
National Institute on Drug Abuse

Sue Scheff: Driving While High

Source: Connect with Kids

“Pot is the sneakiest of drugs because it takes out your functioning. It decreases reaction time. It messes up judgment. It messes up driving,”
– Steven Jaffe, MD, psychiatrist

For a young driver, there are so many dangers: speed, ego, inexperience and another often ignored danger: drugs.

“I think it’s very irresponsible and it could lead to a lot of dangerous accidents. It’s just as bad as driving drunk – quite possible even worse,” says 17-year-old Allison Meisburg.

Researchers from the University of Montreal studied the habits of 83 male drivers. They found that nearly 20 percent have been high behind the wheel.

“…and I would estimate at least two or three times that number have been in the car in which the driver was stoned,” says Dr. Steven Jaffe, a psychiatrist, who specializes in substance abuse issues.

“[Driving while high] is not as bad as drinking and driving, but it is still bad of course, because you know your reflexes are delayed and all that jazz,” says 16-year old Justin.
Experts say teens simply don’t realize the dangers.

It’s hard to believe, but some kids believe pot helps them driver better.

“They really think they do,” says Dr. Jaffe. “But they don’t. They really don’t. They don’t realize they are impaired. Pot is the sneakiest of drugs because it takes out your functioning. It decreases reaction time. It messes up their judgment. It messes up driving.”

Dr. Jaffe says parents should adopt a zero-tolerance attitude. Remind your kids that pot is a mind-altering drug and not to ride with drivers who are high on any drug. Then, remind them of the consequences.

“The biggest consequence would be you run into another on-coming car during traffic and you kill them and yourself. That’d be the biggest consequence,” says Reggie, 17.
Dr. Jaffe concurs. “It only takes one time to kill yourself and kill somebody else.”

Tips for Parents

According to government studies, nearly 11 million Americans, including one in five 21-year-olds, have driven while under the influence of illegal drugs. Young adults don’t consider driving while high to be as dangerous as driving while under the influence of alcohol, according to John Walters, director of the White House Office of National Drug Control Policy. Therefore, his office is starting a campaign warning teens about driving while smoking marijuana. Concentration, perception, coordination and reaction time can all be affected for up to 24 hours after smoking marijuana, Walters said.

So how can you determine if your teen has been using drugs, namely marijuana? The experts at the National Institute on Drug Abuse suggest looking for these trouble signs in your teen. He/she may:

Seem dizzy and have trouble walking
Seem silly and giggly for no reason
Have very red, bloodshot eyes
Have a hard time remembering things that just happened
Seem very sleepy or groggy (after the early effects fade, sleepiness may occur)
In addition to these signs, parents should also be alert to changes in any of the following:
Behavior, such as withdrawal, depression, fatigue, carelessness with grooming, hostility and deteriorating relationships with friends and family
Academic performance, including absenteeism and truancy
Loss of interest in sports or other favorite hobbies
Eating or sleeping patterns

Also be on the lookout for:
Signs of drugs and drug paraphernalia
Odor on clothes and in bedroom
Use of incense and other deodorizers
Use of eye drops
Clothing, posters, jewelry, etc., promoting drug use

References
National Institute on Drug Abuse
Parents. The Anti-Drug.
Office of National Drug Control Policy
University of Montreal

Sue Scheff: Parent Teen Drug Use

Source: Connect With Kids

“I thought I was better off knowing what he was doing rather than have him be doing it behind my back, which he did anyway.”

–

Andrew’s mom Pam Wolpa experimented when she was young. She says, “Keep in mind when I was Andrew’s age, I was smoking pot, and wasn’t thinking a whole lot about it.”

So, when Andrew started on marijuana, she never told him no. Pam says, “I thought I was better off knowing what he was doing rather than have him be doing it behind my back, which he did anyway.”

If parents tried drugs in their youth…what should they say to their kids? Experts say one choice is to tell the truth. Dr. Michael Fishman, a director at Ridgeview Institute, a drug rehabilitation center in metro Atlanta says, “I think a child will really perk up and listen when they hear, ‘Oh, really? You experimented? What was that like? Was there peer pressure?’”

He says if parents do admit to using drugs, they should stress their regrets, and make it clear to their kids that drug use is simply unacceptable. Dr. Fishman says, “I think you can use that as an opportunity to say, ‘Yes, I made some mistakes. If I had it to do over, I wouldn’t do it, and it’s very clear that I’m not going to allow that today.”

He also says parents should explain drugs are far more potent today than they used to be. Dr. Fishman says, “When we were growing up the potency of marijuana for THC was maybe 6 to 8 percent. With the hydroponically grown marijuana, we’re seeing anywhere from forty, fifty, sixty or higher percent THC.”

Today, would Pam Wolpa overlook her son’s drug use? She says, “No. Looking back, I would never tell any parent to condone it. Give a clear message from the beginning—it’s not okay.”

Andrew Wolpa says, “The really bad thing is that I’m an 18-year-old in rehab and I still want to try more drugs.”

Tips for Parents
The American Academy of Child and Adolescent Psychiatry (AACAP) describes adolescence as a “time for trying new things.” Teens use alcohol and drugs for many reasons, including curiosity, because it feels good, to reduce stress, to feel grown up or to fit in. Teens at risk of developing serious drug and alcohol problems include those …

With a family history of substance abuse.
Who are depressed.
Who have low self-esteem.
Who feel like they don’t fit in or are out of the mainstream.
In addition, warning signs of teen drug abuse may include …

Fatigue, repeated health complaints, red and glazed eyes, and a lasting cough.
Personality change, sudden mood changes, irritability, irresponsible behavior, low self-esteem, poor judgment, depression and a general lack of interest.
Starting arguments, breaking rules or withdrawing from the family.
Decreased interest, negative attitudes, drop in grades, many absences, truancy and discipline problems.
New friends who are less interested in standard home and school activities, problems with the law, and changes to less conventional styles in dress and music.
Peer pressure is one of the most difficult inducements faced by teens to use illegal substances. Experts at the Hazelden Foundation have created the following model that a teen might follow in dealing with pressure to use drugs or alcohol:

Ask questions – Size up the situation before "going along." For example, a classmate might say, "Hey, lets go hang out at the mall" – and have shoplifting in mind. To be responsible, ask, "What are we going to do? How long will we be there?" These questions will help you make informed decisions before getting into a problem situation.
Name the trouble – After you identify the situation, you need to state the possible problem: "That sounds like trouble to me."
State the consequences – Use the threat of punishment as an excuse not to drink. Say something such as, "My parents would ground me for months," or "I could get kicked off the soccer team."
Offer an alternative – If a friend invites you to drink or use drugs, suggest an alternative. "Lets go get pizza." If the friend pressures you more, walk away, but leave the door open. You could say, "Hey, that’s fine. Go do your thing. You’re welcome to join me later."
Get out of trouble – Should you find yourself in a problem situation, get out immediately and call a responsible adult for help.
Drugs are a threat to almost every child, and one of the best ways to help ensure your child will make the right decisions when faced with choices regarding substance abuse is to confront the issue with your child as early as possible. Experts at the American Academy of Pediatrics list the following as ways to address the subject of substance abuse with your child:

Talk with your child honestly. Don't wait to have "the drug talk" with your child. Make discussions about tobacco, alcohol and other drugs part of your daily conversation. Know the facts about how drugs can harm your child. Clear up any wrong information, such as "everybody drinks" or "marijuana won't hurt you."
Really listen to your child. Encourage your child to share questions and concerns about tobacco, alcohol and other drugs. Do not do all the talking or give long lectures.
Help your child develop self-confidence. Look for all the good things in your child – and then tell your child how proud you are. If you need to correct your child, criticize the action, not your child. Praise your child's efforts as well as successes.
Help your child develop strong values. Talk about your family values. Teach your child how to make decisions based on these standards of right and wrong. Explain that these are the standards for your family, no matter what other families might decide.
Be a good example. Look at your own habits and thoughts about tobacco, alcohol and other drugs. Your actions speak louder than words.
Help your child deal with peer pressure and acceptance. Discuss the importance of being an individual and the meaning of real friendships. Help your child understand that he/she does not have to do something wrong just to feel accepted. Remind your child that a real friend won't care if he/she does not use tobacco, alcohol or other drugs.
Make family rules that help your child say "no." Talk with your child about your expectation that he/she will say "no" to drugs. Spell out what will happen if he/she breaks these rules. Be prepared to follow through, if necessary.
Encourage healthy, creative activities. Look for ways to get your child involved in athletics, hobbies, school clubs and other activities that reduce boredom and excess free time. Encourage positive friendships and interests. Look for activities that you and your child can do together.
Team up with other parents. Work with other parents to build a drug-free environment for children. When parents join together against drug use, they are much more effective than when they act alone. One way is to form a parent group with the parents of your child's friends. The best way to stop a child from using drugs is to stop friends from using them.
Know what to do if your child has a drug problem. Realize that no child is immune to drugs. Learn the signs of drug use. Take seriously any concerns you hear from friends, teachers and/or other kids about your child's possible drug use. Trust your instincts. If you truly feel that something is wrong with your child, it probably is. If there's a problem, seek professional help.
According to the National Center on Addiction and Substance Abuse at Columbia University (CASA), parents are the key to keeping kids drug-free. CASA research shows that the extent to which parents take a “hands-on” approach in raising their kids, the more they establish appropriate rules and standards of behavior, and the more they monitor their teens, the lower the teen’s risk of substance abuse. “Hands-on,” according to CASA, includes parents who consistently take 10 or more of the following 12 actions:

Monitor what their teens watch on television
Monitor what they do on the Internet
Put restrictions on the music (CDs) they buy
Know where their teens are after school and on weekends
Expect to be and are told the truth by their teens about where they are going
Are “very aware” of their teen’s academic performance
Impose a curfew
Make clear they would be “extremely upset” if their teen used pot
Eat dinner with their teens six or seven times a week
Turn off the television during dinner
Assign their teens regular chores
Have an adult present when the teens return from school
References
American Academy of Pediatrics
The Hazelden Foundation
The National Center on Addiction and Substance Abuse
Partnership for a Drug-Free America

Sue Scheff: Tools to Stop Medicine Abuse

As a parent advocate, I continually receive information from a wide range of resources. Educating parents today about what our teens and pre-teens are facing is critical to raising our children. Today, as in many generations before, there are new concerns and challenges that parents face. Whether it is social networking, peer pressure, or substance abuse - parents need to stay in touch.

Communication should be a parent number 1 priority with today’s teens and pre-teens.
The Consumer Healthcare Products Association (CHPA), founded in 1881, is a member-based association representing the leading manufacturers and distributors of nonprescription, over-the-counter (OTC) medicines and nutritional supplements. Many CHPA member products provide millions of Americans with safe, effective, and convenient therapies for the treatment and prevention of many common ailments and diseases.

Studies and common sense tell us that parents play a critical role in preventing substance abuse among teens by simply talking to them about it. CHPA’s Stop Medicine Abuse initiative empowers parents, as well as other community members, to get educated and take action in a variety of ways. Ultimately, the goal is to make sure parents talk to their kids before someone else does.

Parents Universal Resource Experts - Sue Scheff - Dangers of Teenage Drinking

Are you concerned about your teen or tween drinking? Do you smell alcohol on their breathe? Maybe they experimented for the first time - maybe they will get really sick and promise never again. Or maybe they really enjoyed it! Parents need to step up and educate their pre-teens and teens of the dangers of alcoholism, especially if there is a family member that suffers from this. Many believe this is a genetic disease, but I encourage all parents to whether this runs in the family or not, to be aware of this peer pressure. Much of this substance abuse can be started by peer pressure - a desire to fit in. To be cool. Well, be a cool parent and learn about this and talk to your kids about it before it becomes a problem.

Source: We Don’t Serve Teens

Teens Don’t Just Drink. They Drink to Excess.

More than 10 percent of eighth graders, 22 percent of sophomores, and 26 percent of seniors report recent binge drinking (5+ drinks on the same occasion).

Statistics show that the majority of current teen drinkers got drunk in the previous month. That includes 54 percent of the high school sophomores who drink and 65 percent of the high school seniors who drink.

Reducing underage drinking can reduce drinking-related harm.

Brain Development and Alcohol Abuse

Research indicates that the human brain continues to develop into a person’s early 20’s, and that exposure of the developing brain to alcohol may have long-lasting effects on intellectual capabilities and may increase the likelihood of alcohol addiction.

The age when drinking starts affects future drinking problems. For each year that the start of drinking is delayed, the risk of later alcohol dependence is reduced by 14 percent.

Drinking and Driving

Car crashes are the leading cause of death among people ages 15 to 20. About 1,900 people under 21 die every year from car crashes involving underage drinking.

Young people are more susceptible to alcohol-induced impairment of their driving skills. Drinking drivers aged 16 to 20 are twice as likely to be involved in a fatal crash as drinking drivers who are 21 or older.

Suicide

Alcohol use interacts with conditions like depression and stress, and contributes to an estimated 300 teen suicides a year.

High school students who drink are twice as likely to have seriously considered attempting suicide, as compared to nondrinkers. High school students who binge drink are four times as likely to have attempted suicide, as compared to nondrinkers.

Sexual Behavior

Current teen drinkers are more than twice as likely to have had sexual intercourse within the past three months than teens who don’t drink.

Higher drinking levels increase the likelihood of sexual activity.

Adolescents who drink are more likely to engage in risky sexual activities, like having sex with someone they don’t know or failing to use birth control.

Other Risks

Teens who drink alcohol are more likely than nondrinkers to smoke marijuana, use inhalants, or carry a weapon.

Binge drinking substantially increases the likelihood of these activities.
Academic Performance

A government study published in 2007 shows a relationship between binge drinking and grades. Approximately two-thirds of students with “mostly A’s” are non-drinkers, while nearly half of the students with “mostly D’s and F’s” report binge drinking. It is not clear, however, whether academic failure leads to drinking, or vice versa.

For further information on the risks of adolescent alcohol use, visit the National Institute on Alcohol Abuse and Alcoholism.

Don’t serve alcohol to teens.

It’s unsafe. It’s illegal. It’s irresponsible.

Sue Scheff: ADHD Drug Abuse

Source: Connect with Kids

“In a way that athletes have used steroids and other medications in the past to enhance their athletic performance, Adderall is actually being used to kind of pseudo-enhance their academic performance.”

– Heather Hayes, M.Ed., Counselor.

Nineteen-year-old Marisa McCorkle has been using Adderall for two years.

“I use it for various reasons,” she says, “like tests, it helps me on tests. [And it] helps me stay awake, and [with] studying.”

It sounds like a wonder drug. Adderall – an amphetamine commonly used to treat ADHD. But, studies show it’s being abused more and more.

“In a way that athletes have used steroids and other medications in the past to enhance their athletic performance, Adderall is actually being used to kind of pseudo-enhance their academic performance,” states Heather Hayes, a licensed professional counselor.

One of the biggest problems with using the drug recreationally is that most teens are unaware of its dangers.

Twenty-year-old “Dave,” a college student, says, “I think it’s pretty safe unless you’re taking five at a time.”

But experts say even in small doses, the dangers of taking Adderall can range from headaches, increased heart rate and insomnia to things far worse.

“Any amphetamine has the potential to give someone an amphetamine psychosis,” warns Hayes. “So when you take a lot of amphetamines and you’re not sleeping, then you will literally hallucinate. … [You] will absolutely leave reality and become delusional and paranoid.”

Hayes says parents need to make the dangers of taking Adderall clear to teens. Otherwise, they may continue to believe it’s a cheap and easily available drug that helps them study. Marisa and Dave are examples of students with this belief.

“I get it for free, but I know people who will give … maybe two to five dollars [per pill],” says Marisa.

“Actually, I’m gonna go to my doctor and, uh, try to get a prescription next semester,” says Dave, “’cause I think it’s a really effective way to get good grades. I wouldn’t think it was that hard to, uh, fake having ADD.”

But others say Adderall fools you – that it only seems like it’s helping kids study. Amanda Mattison, 17, has seen first-hand what can happen.

“[Students taking Adderall] can focus when they’re taking it, and they study and they cram for five or six hours and they’re good-to-go for the exam,” she says, “but by the time the exam rolls around, they’re either too worn out or … it’s lost it’s effect.”

“Bottom line,” says Hayes, “Adderall is as dangerous of a drug when unsupervised as any other medication. It’s addictive and it is dangerous.”



Tips for Parents

Adderall, manufactured by Shire Pharmaceuticals Group of the United Kingdom, is a stimulant prescribed for attention-deficit hyperactivity disorder, or ADHD. Shire states, “Adderall isn't intended to enhance test scores and should only be used under medical supervision.”

Adderall is a fast-acting mixture of amphetamines. Amphetamines act on the brain by mimicking the neurotransmitter dopamine, which increases alertness and concentration. Studies conducted by the National Institutes of Health in the late 1970s found that low-dose stimulants increase concentration and alertness in everyone, not just people with attention disorders. Here are some things to know about ADHD:

ADHD is a medical condition linked to a chemical imbalance in the brain. Doctors believe it stems from biological, not environmental, conditions.

Generally, people with ADHD have trouble focusing on tasks or subjects, and they may act impulsively and often get in trouble.

Approximately 3 to 7 percent of school-age children and 4 percent of adults suffer from ADHD.
Adderall is one of a handful of stimulants prescribed for ADHD.

Side effects of Adderall can include loss of appetite, insomnia and weight loss.

During late-night study marathons, students from grade school to med school have long relied on stimulants– which include everything from caffeine to cocaine. But with Adderall, and other similar prescription drugs, some high school and college students are hoping to improve scores on standardized (and even classroom) tests. Other students are turning to alternative medicine, such as hypnosis or herbal supplements, for an extra edge.

The concern with Adderall is not from a single use. One pill won’t kill you. But one pill is likely to lead to a second pill, then a third and a subsequent snowball effect where physical damage can occur. Also, Adderall is relatively easy to obtain. Overall, prescriptions for stimulants have risen from 1.6 million in 2000 to 2.6 million a month in 2004. Adderall XR, a once-a-day, extended-release form of the drug, is the leader in its class, capturing about a third of the market. Consider the following:

Prescription drug use was once rare, but it has now crossed into the mainstream.

Prescriptive amphetamines have figured prominently in calls to emergency departments and poison control centers.

Kids, and even their parents, are desperate for any available academic edge and willing to go to the extreme to obtain it.

Some students feel extra pressure because they feel they are not just failing themselves, but also failing their parents and other family members.

The College Board, the nonprofit administrator of the SAT, has no rules explicitly prohibiting drug use. Spokeswoman Chiara Coletti says, "We certainly do not recommend that students take any drugs or stimulants in hopes of affecting their scores."

Some kids taking Adderall have valid prescriptions, but not all. Under federal law, it's illegal to knowingly possess a "schedule II" drug (like Adderall) without a prescription. But prosecutions for possession are rare.

Many schools would suspend or expel a student caught using marijuana or other street drugs but might not punish students taking prescription drugs to help with test taking.

References
ADHD Support and Resources from Eli Lily
National Institutes of Health
Nature Magazine
Shire Pharmaceuticals Group
TeensHealth
The Wall Street Journal

Sue Scheff - Where do Teen Turn for Medical Advice

Source: Connect with Kids

“I had irritation in my special ‘no-no’ place. And that was a question that I wasn’t going to ask my mom.”

– Sheaele, Age 17

So where do teenagers like Sheaele turn when they want a health question answered? Sometimes friends, sometimes teachers… and according to a new survey, nearly half of teens are now going to the Internet to look for medical information.

“If it was a personal problem that I didn’t feel comfortable talking to anybody about, I would probably just look it up online,” says 18-year-old Joe.

But the information teens find on web sites may not always be accurate. Experts say to help a child avoid bad information, parents should do their own search of teen-friendly medical web sites.

Check them out. Then suggest the ones you like to your teen.

“Internet sites that do that, just give clear health information … I think that would be probably a good idea,” says Dr. Dawn Swaby-Ellis, a pediatrician.

But experts have an even better idea for parents: Find a real-life doctor their teen can trust.

“The best guarantee for growing up a healthy, secure, communicative adolescent is for that adolescent to have a constant relationship with a health practitioner over time,” says Dr. Swaby-Ellis.

Because while a doctor can promise teens the privacy they want, unlike the Internet, a doctor can also alert parents in the case of a serious health issue.

“If there’s anything at all that we hear, during an interview with a child alone that sounds like they’re in trouble,” says Swaby-Ellis, then we’ll certainly let (the parent) know.”

Tips for Parents
Previous studies have found that over 60 million Americans use the Internet for health and medical information. Teens make up a sizeable portion of this number; the Project estimates 45% of all children under the age of 18 have Internet access.

Health-related web sites that targeted teens are appearing on the Internet. Sites such as:


iEmily.com
Zaphealth
THINK (Teenage Health Interactive Network)
Teen Growth
These sites are like interactive magazines written specifically for teens. Headlines from a recent ZapHealth page include: “My Friend's Acne” and “Guilt about Drinking.” Other topics on the site include “getting the dirt on important issues like kissing, piercing and buying condoms.”

In addition to articles, these web sites offer:


Information and advice on general, sexual and emotional health
Information on fitness and sports
Family issues
Chat rooms where teens can talk with others with similar concerns
Bulletin boards where teens can post questions and receive answers from health care professionals
Links to other resources

It’s easy, quick and convenient. An added appeal of these sites is that teens can get information anonymously, without having to talk to anyone. The Pew Project says that 16% of web health seekers do so to get information about a sensitive health topic that is difficult to talk about.

Although a teen can get answers to some questions on these sites, the sites caution teens that they are not a substitute for regular healthcare; teens should see their healthcare providers as needed.

ZapHealth also urges children under 18 to talk with their parents or guardians about any health or emotional issues.


References
The Pew Internet and American Life Project
ZapHealth

A Snapshot of Annual High-Risk College Drinking Consequences

Source: National Institute on Alcohol Abuse and Alcoholism
Communication With Your Teen About Substances, more...
College Information Resources, Alcohol Use, Communicating With Teens

The consequences of excessive and underage drinking affect virtually all college campuses, college communities, and college students, whether they choose to drink or not.

Death: 1,400 college students between the ages of 18 and 24 die each year from alcohol-related unintentional injuries, including motor vehicle crashes (Hingson et al., 2002).

Injury: 500,000 students between the ages of 18 and 24 are unintentionally injured under the influence of alcohol (Hingson et al., 2002).

Assault: More than 600,000 students between the ages of 18 and 24 are assaulted by another student who has been drinking (Hingson et al., 2002).

Sexual Abuse: More than 70,000 students between the ages of 18 and 24 are victims of alcohol-related sexual assault or date rape (Hingson et al., 2002).

Unsafe Sex: 400,000 students between the ages of 18 and 24 had unprotected sex and more than 100,000 students between the ages of 18 and 24 report having been too intoxicated to know if they consented to having sex (Hingson et al., 2002).

Academic Problems: About 25 percent of college students report academic consequences of their drinking including missing class, falling behind, doing poorly on exams or papers, and receiving lower grades overall (Engs et al., 1996; Presley et al., 1996a, 1996b; Wechsler et al., 2002).
Health Problems/Suicide Attempts: More than 150,000 students develop an alcohol-related health problem (Hingson et al., 2002) and between 1.2 and 1.5 percent of students indicate that they tried to commit suicide within the past year due to drinking or drug use (Presley et al., 1998).

Drunk Driving: 2.1 million students between the ages of 18 and 24 drove under the influence of alcohol last year (Hingson et al., 2002).

Vandalism: About 11 percent of college student drinkers report that they have damaged property while under the influence of alcohol (Wechsler et al., 2002).

Property Damage: More than 25 percent of administrators from schools with relatively low drinking levels and over 50 percent from schools with high drinking levels say their campuses have a "moderate"or "major" problem with alcohol-related property damage (Wechsler et al., 1995).

Police Involvement: About 5 percent of 4-year college students are involved with the police or campus security as a result of their drinking (Wechsler et al., 2002) and an estimated 110,000 students between the ages of 18 and 24 are arrested for an alcohol-related violation such as public drunkenness or driving under the influence (Hingson et al., 2002).

Alcohol Abuse and Dependence: 31 percent of college students met criteria for a diagnosis of alcohol abuse and 6 percent for a diagnosis of alcohol dependence in the past 12 months, according to questionnaire-based self-reports about their drinking (Knight et al., 2002).

Sue Scheff: Connect with Kids - Parenting DVD's

At Connect with Kids, our single aim is to help parents and educators help children. Each week we gather the freshest information from experts at universities, research organizations, hospitals, child advocacy groups and parents and kids themselves. We present that information in video news and feature stories that are understandable, compelling and useful.

Sue Scheff: Preventing Substance Abuse Addiction

Defining "Gateway Drugs"

Kids today have much more societal pressure put upon them than their parents generation did, and the widespread availability of drugs like methamphetamines and the "huffing" trend (which uses common household chemicals as drugs) can turn recreational use of a relatively harmless gateway drug into a severe or fatal addiction without warning.

The danger of gateway drugs increases in combination with many prescription medications taken by teens today. These dangerous side effects may not be addressed by your child's pediatrician if your child is legally too young to smoke cigarettes or drink alcohol. Drugs like Ritalin, Prozac, Adderrall, Strattera, Zoloft and Concerta can be very dangerous when mixed with recreational drugs and alcohol. Combining some prescription medications with other drugs can often negate the prescription drug's effectiveness, or severely increase the side effects of the drug being abused. For example, a 2004 study by Stanford University found that the active chemical in marijuana, THC, frequently acted as a mental depressant as well as a physical depressant. If your child is currently on an anti-depressant medication like Prozac or Zoloft, marijuana use can counterbalance their antidepressant effects.

Other prescription anti depressants and anti psychotics can also become severely dangerous when mixed with alcohol. This is why is imperative that you as a parent must familiarize yourself with any prescription medications your child is taking and educate your child of the dangers of mixing their prescription drugs with other harmful drugs- even if you don't believe your child abuses drugs or alcohol.

Marijuana - Why It is More Dangerous Than You Think

Parents who smoked marijuana as teenagers may see their child's drug use as a harmless rite of passage, but with so many new and dangerous designer drugs making their way into communities across the country, the potential for marijuana to become a gateway to more dangerous drugs for your child should not be taken lightly.

Marijuana is the most commonly abused drug by both teens and adults. The drug is more commonly smoked, but can also be added to baked goods like cookies or brownies. Marijuana which is ingested orally can be far more potent than marijuana that is smoked, but like smoking tobacco, smoking marijuana can cause lung cancer, emphysema, asthma and other chronic conditions of the lungs. Just because it is "all natural" does not make it any safer for your lungs.

Marijuana is also a depressant. This means the drug slows down the body's functions and the messages the body sends to the brain. This is why many people who are under the influence of marijuana (or "stoned") they are often sluggish or unmotivated.

Marijuana can also have psychological side effects, both temporary and permanent. Some common psychological side effects of marijuana are paranoia, confusion, restlessness, hallucinations, panic, anxiety, detachment from reality, and nausea. While these symptoms alone do not sound all that harmful, put in the wrong situation, a teen experiencing any of these feelings may act irrationally or dangerously and can potentially harm themselves or others. In more severe cases, patients who abuse marijuana can develop severe long-term mental illnesses such as schizophrenia.

Tobacco - Just Because It Is Legal Doesn't Mean It Is Safe

While cigarettes and tobacco are considered "legal", they are not legal for teens to posses or smoke until they are 18. Still, no matter the age of your child, smoking is a habit you should encourage them to avoid, whether they can smoke legally or not.

One of the main problems with cigarettes is their addictive properties. Chemicals like nicotine are added to tobacco to keep the smoker's body craving more, thus insuring customer loyalty. This is extremely dangerous to the smoker, however, as smoking has repeatedly proven to cause a host of ailments, including lung cancer, emphysema, chronic bronchitis or bronchial infection, asthma and mouth cancer- just to name a few.
In addition to nicotine, cigarettes contain over 4000 other chemicals, including formaldehyde (a poisonous compound used in some nail polishes and to preserve corpses), acetone (used in nail polish remover to dissolve paint) carbon monoxide (responsible for between 5000 to 6000 deaths annually in its "pure" form), arsenic (found in rat poison), tar (found on paved highways and roads), and hydrogen cyanide (used to kill prisoners sentenced to death in "gas chambers").

Cigarettes can also prematurely age you, causing wrinkles and dull skin, and can severely decay and stain teeth.

A new trend in cigarette smoke among young people are "bidi's", Indian cigarettes that are flavored to taste like chocolate, strawberry, mango and other sweets. Bidi's are extremely popular with teens as young as 12 and 13. Their sweet flavors and packaging may lead parents to believe that they aren't "real" cigarettes or as dangerous as brand-name cigarettes, but in many cases bidi's can be worse than brand name cigarettes, because teens become so enamored with the flavor they ingest more smoke than they might with a name brand cigarette.

Another tobacco trend is "hookah's" or hookah bars. A hookah is an ornate silver or glass water pipe with a fabric hoses or hoses used to ingest smoke. Hookahs are popular because many smokers can share one hookah at the same time. However, despite this indirect method of ingesting tobacco smoke through a hose, hookah smoking is just as dangerous as cigarette smoke.

The Sobering Effects of Alcohol on Your Teen

Alcohol is another substance many parents don't think they need to worry about. Many believe that because they don't have alcohol at home or kept their alcohol locked up, their teens have no access to it, and stores or bars will not sell to minors. Unfortunately, this is not true. A recent study showed that approximately two-thirds of all teens who admitted to drinking alcohol said they were able to purchase alcohol themselves. Teens can also get alcohol from friends with parents who do not keep alcohol locked up or who may even provide alcohol to their children.

Alcohol is a substance that many parents also may feel conflicted about. Because purchasing and consuming alcohol is legal for most parents, some parents may not deem it harmful. Some parents believe that allowing their teen to drink while supervised by an adult is a safer alternative than "forcing" their teen to obtain alcohol illegally and drinking it unsupervised. In theory, this does sound logical, but even under adult supervision alcohol consumption is extremely dangerous for growing teens. Dr. John Nelson of the American Medical Association recently testified that even light alcohol consumption in late childhood and adolescence can cause permanent brain damage in teens. Alcohol use in teens is also linked with increased depression, ADD, reduced memory and poor academic performance.

In combination with some common anti-psychotics and anti-depressants, the effects of just one 4 oz glass of wine can be akin to that of multiple glasses, causing the user to become intoxicated much faster than someone not on anti depressants. Furthermore, because of the depressant nature of alcohol, alcohol consumption by patients treated with anti-depressants can actually counteract the anti-depressant effect and cause the patient sudden overwhelming depression while the alcohol is in their bloodstream. This low can continue to plague the patient long after the alcohol has left their system.

Because there are so many different types of alcoholic beverage with varying alcohol concentration, it is often difficult for even of-age drinkers to gauge how much is "too much". For an inexperienced teen, the consequences can be deadly. Binge drinking has made headlines recently due to cases of alcohol poisoning leading to the death of several college students across the nation. But binge drinking isn't restricted to college students. Recent studies have shown teens as young as 13 have begun binge drinking, which can cause both irreparable brain and liver damage.

It is a fact that most teenage deaths are associated with alcohol, and approximately 6000 teens die each year in alcohol related automobile accidents. Indirectly, alcohol consumption can severely alter teens' judgment, leaving them vulnerable to try riskier behaviors like reckless stunts, drugs, or violent behavior. Alcohol and other drugs also slow response time, leaving teenage girls especially in danger of sexual assault. The temporary feeling of being uninhibited can also have damaging future consequences. With the popularity of internet sites like MySpace and Facebook, teens around the country are finding embarrassing and indecent photos of themselves surfacing online. Many of these pictures were taken while the subjects were just joking around, but some were taken while the subjects were drunk or under the influence of drugs. These photos are often incredibly difficult to remove, and can have life altering consequences. Many employers and colleges are now checking networking sites for any reference to potential employees and students, and using them as a basis to accept or decline applicants!

Sue Scheff; Parenting Teens Today - May leave you at Wit's End!

With peer pressure and social influences at all-time highs, many good teens are making bad choices, placing intense emotional and financial strain on parents and families. Lack of motivation, substance abuse, negative peers and gang affiliation are just some of the common challenges facing kids today.

To help address these and other issues, parent advocate Sue Scheff has announced the release of her new book, “Wit’s End: Advice and Resources for Saving Your Out-of-Control Teen.”

Scheff’s book chronicles her painful journey with a struggling teenage daughter and also offers advice, resources and help to mothers and fathers forced to make tough choices regarding their children.

“In the MySpace generation, kids are under more pressure than ever before,” says Scheff, author and founder of Parents’ Universal Resource Experts (P.U.R.E.), an organization that assists families with at-risk children.

“This book will be an invaluable resource and allow parents to learn from my past mistakes,” she adds.

As a single mother in the ‘90s, Scheff struggled to raise her teen daughter, who embraced disturbing friends, beliefs and behaviors. Ultimately, Scheff was forced to utilize a residential treatment facility as a way to instill discipline and structure.

What happened next was chilling -- stories of beatings, sexual abuse, forced starvation and neglect all surfaced from the very facility that was supposed to be protecting and rehabilitating Scheff’s daughter.

In the years following her ordeal, Scheff championed for safe alternatives for at-risk teens and began helping other parents who were facing similar challenges as she once did.

Published by Health Communications, Inc., “Wit’s End” is an extension of the assistance Scheff has been able to provide to families over the years.

“Parents need to know that they’re not alone,” says Scheff. “This book is a much-needed guide to avoid the pitfalls and will ultimately help expedite the healing process.”

For more information, visit http://www.witsendbook.com/.

About the Author
Sue Scheff is the founder of Parents’ Universal Resource Experts (http://www.helpyourteens.com/) and is a sought-after interviewee and speaker on topics such as Internet abuse, struggling teens, cyberbullying and defamation. She has been featured on 20/20, CNN Headline News, ABC News, Fox News, The Rachael Ray Show, Lifetime Television, NPR, BBC Talk Radio and has appeared in the USA Today, Wall Street Journal, Washington Post, Miami Herald and San Francisco Chronicle.

'Pharm' Drugs and Teens

Street drugs, such as pot, crack, heroin, etc…. is being replaced with pharmacy drugs kids are finding at home. Parents need to take the time to see what their medicine cabinets are holding and what prescription drugs they have at home such as pain pills from ordinary root canals - as well as medications for ADD/ADHD. Here is a great article with helpful tips for parents.

Source: Connect with Kids

“Just take whatever we had you know, not really thinking about how high I was going to get or you know, how messed up.”

– ‘James’, age 21, explaining how he and friends shared drugs during his teenage years.

“We all had different prescriptions,” says 18-year-old Laura.

“You know, percocets, valium, zanex, oxycontin,” says James, 21.

“I wanted to get as loaded as I could. Didn’t care what I was taking, how much of it,” adds Laura.

James and Laura met in rehab. Both are drug addicts who used to get high at parties. Parties where everyone brought some kind of prescription drug and passed them around, often combining them with pot or alcohol.

“When I first started using and mixing drugs, I felt like a superhero, like nothing, you know, I was invincible,” says Laura.

Some kids call them ‘pharm’ parties… for ‘pharmaceutical’.

Experts say the allure is… the unknown. “What kind of new experience can I get? And very often it’s kids who are just bored of smoking pot day in and day out… cause they’ve reached a saturation point,” says Addiction Counselor Robert Margolis, Ph.D.

But experts say taking someone else’s prescription is dangerous… especially when combined with other drugs.

“There are combinations out there that if you start to mix together will create reaction in your body that by the time you know what’s happening, it’s too late,” Dr. Margolis.

“What I did notice is that I would black out a lot of nights,” says James.

Laura survived her years of drug years… but her addiction led to mood swings and depression that made her suicidal.

“Once I started getting heavily addicted, I tried overdosing several times, so I wanted to die, I didn’t want to live anymore,” she says.

“The risks are immense and the kids don’t realize that,” says Dr. Margolis, “And they’re everything from having a tremendous hangover to fatal.”


Tips for Parents

As a parent, it is important to understand that teens may be involved with legal and illegal drugs in various ways. The American Academy of Child & Adolescent Psychiatry (AACAP) reports that many teens begin using drugs to satisfy their curiosity, to make themselves feel good, to reduce stress, to feel grown up or to “fit in.” While it is difficult to know which teens will experiment and stop and which will develop serious problems, the National Institute of Drug Abuse says the following types of teens are at greatest risk of becoming addicted:

Those who have a family history of substance abuse
Those who are depressed
Those who have low self-esteem
Those who feel like they don’t “fit in” or are out of the mainstream
Because the U.S. Food and Drug Administration puts its seal of approval on prescription drugs, many teens mistakenly believe that using these drugs – even if they are not prescribed to them – is safe. However, this practice can, in fact, lead to addiction and severe side effects. The Center for Drug Evaluation and Research cites the following most commonly abused prescription drugs:

Opioids – Also known as narcotic analgesics, opioids are used to treat pain. Examples of this type of drug include morphine, codeine, OxyContin (oxycodone), Vicodin (hydrocodone) and Demerol (meperidine). In the short term, these drugs block pain messages and cause drowsiness. A large, single dose can cause severe respiratory depression and death. Long-term use leads to physical dependence and, in some cases, addiction.

Central nervous system (CNS) depressants – These drugs are commonly used to treat anxiety, panic attacks and sleep disorders. Examples include Nembutal (pentobarbital sodium), Valium (diazepam) and Xanax (alprazolam). CNS depressants slow down normal brain function and can cause a sleepy, uncoordinated feeling in the beginning of treatment. Long-term use can lead to physical dependence and addiction.

Stimulants – These drugs are commonly used to treat the sleeping disorder narcolepsy and attention-deficit hyperactivity disorder. Examples include Ritalin (methylphenidate) and Dexedrine (dextroamphetamine). Stimulants, which can be addictive, enhance brain activity and increase alertness and energy. They elevate blood pressure, heart rate and respiration. Very high doses can lead to irregular heartbeat and high body temperature
How can you determine if your teen is abusing drugs? The AACAP suggests looking for the following warning signs and symptoms in your teen:

Physical – Fatigue, repeated health complaints, red and glazed eyes and a lasting cough
Emotional – Personality change, sudden mood changes, irritability, irresponsible behavior, low self-esteem, poor judgment, depression and a general lack of interest
Familial – Starting arguments, breaking rules or withdrawing from the family
School-related – Decreased interest, negative attitude, drop in grades, many absences, truancy and discipline problems

Social – having new friends who are less interested in standard home and school activities, problems with the law and changes to less conventional styles in dress and music
If you believe your teen has a problem with drug abuse, you can take several steps to get the help he or she needs. The American Academy of Family Physicians suggests contacting your health-care provider so that he or she can perform an adequate medical evaluation in order to match the right treatment or intervention program with your teen. You can also contact a support group in your community dedicated to helping families coping with addiction.

Substance abuse can be an overwhelming issue with which to deal, but it doesn’t have to be. The Partnership for a Drug-Free America offers the following strategies to put into practice so that your teen can reap the rewards of a healthy, drug-free life:

Be your teen’s greatest fan. Compliment him or her on all of his or her efforts, strength of character and individuality.

Encourage your teen to get involved in adult-supervised after-school activities. Ask him or her what types of activities he or she is interested in and contact the school principal or guidance counselor to find out what activities are available. Sometimes it takes a bit of experimenting to find out which activities your teen is best suited for, but it’s worth the effort – feeling competent makes children much less likely to use drugs.

Help your teen develop tools he can use to get out of drug-related situations. Let him or her know he or she can use you as an excuse: “My mom would kill me if I smoked marijuana!”
Get to know your teen’s friends and their parents. Set appointments for yourself to call them and check-in to make sure they share your views on alcohol, tobacco and other drugs. Steer your teen away from any friends who use drugs.

Call teens’ parents if their home is to be used for a party. Make sure that the party will be drug-free and supervised by adults.

Set curfews and enforce them. Let your teen know the consequences of breaking curfew.
Set a no-use rule for alcohol, tobacco and other drugs.

Sit down for dinner with your teen at least once a week. Use the time to talk – don’t eat in front of the television.

Get – and stay – involved in your teen’s life.

References
Substance Abuse & Mental Human Services Administration
Drug Abuse Warning Network
American Academy of Child & Adolescent Psychiatry
National Institute on Drug Abuse
U.S. Food and Drug Administration
Center for Drug Evaluation and Research
American Academy of Family Physicians
Partnership for a Drug-Free America

New Inhalant Abuse Report from SAMHSA - (The Substance Abuse & Mental Health Services Administration)

I have been very vocal in bringing awareness to Inhalant Use among teens and tweens since a wonderful parent shared her story of losing her son to this. Parents need to understand this is a growing and major concern - like drug use, kids are turning to huffing as a form of getting high. Unlike many street drugs, inhalants can be found in many homes today. Learn more at http://www.inhalant.org/.

The Substance Abuse & Mental Health Services Administration (SAMHSA) just released a new National Survey on Drug Use & Health (NSDUH) Report.

The report is entitled,” Inhalant Abuse and Major Depressive Episode Among Youth Aged 12 to 17: 2004-2006. “The 2006 NSDUH Report surveys youth 12-17 years old to assess “co-occurrence of inhalant use and Major Depressive Episode (MDE) in the past year.”

Some of the findings include:

Inhalant Use:

Past year inhalant use was almost 4 times higher among persons aged 12 to 17 than among young adults aged 18 to 25 (1.3 vs. 0.4 percent).

In 2004 to 2006, 1.1 million youths aged 12 to 17 (4.5 percent) used inhalants in the past year
Females in this age range were more likely than males to use inhalants in the past year (4.8 vs. 4.2 percent)

Youth aged 14 or 15 (5.3 percent) were more likely than youths aged 12 or 13 (4.3 percent) & those aged 16 or 17 (3.9 percent) to have used inhalants in the past year.
Inhalant Abuse & Major Depressive Episode (MDE)

The rate of past year inhalant use was higher among youths aged 12 to 17 who had MDE in the past year than among those who did not (10.2 vs. 4.0 percent)

Males with past year MDE were about twice as likely as those without past year MDE to have used inhalants (9.6 vs. 4.0 percent)

Females with past year MDE were about 3 times as likely as those without past year MDE to have used inhalants (10.5 vs. 3.9 percent)

In each age group, youths with past year MDE were more likely than youths without past year MDE to have used an inhalant in the past year.

Which comes first: MDE or Inhalant Abuse:

An estimated 218,000 (.9 percent) youths aged 12 to 17 used inhalants and experienced MDE in the past year.

43.1 percent experienced their first episode of MDE before initiating inhalant use.
28.3 percent used inhalants before they experienced their first episode of MDE
28.5 percent started using inhalants and experienced their first episode of MDE at about the same time.

11 Strategies: If You Think Your Kid Is Smoking Pot

Source: OnTeensToday.com by Vanessa Van Petten Author of "You're Grounded!"


This is a tricky subject and different for every family, but I truly believe that every kid who wants to get pot, can.

Therefore, I always tell parents, it is extremely difficult to try to shield a kid today from being exposed to pot because it is so prominent. I believe parents, and what I do with many of my clients, need to spend their efforts trying to equip kids to make the right choices, so when they are exposed to it, they will choose not to smoke.

To be very honest, no matter how strict a curfew you have, how often you drug test your kids, or whether they are an athlete, a scholar or a jock (see Teens Dealing Urine Post), your kid will always find a way to smoke marijuana if they want to. They key is making sure they do not want to.

1) Ask Questions
Before you dive into trying to equip them with the power to ‘say no,’ try to gauge their level of involvement. Ask the tough questions. I am not saying to grill them before they go out, but showing them you are paying attention and are very involved is important and you can get an idea of how much or how little you know about their social life.

2) Listen to the Answers
Most times, when I hear parents talk to their kids, parents do ask questions, but then answer the questions themselves. A question, and then silence will get you a long way. For some reason, even after we have already given a one-word answer, if we feel you are still waiting for more, we either get nervous (a sign we are hiding something) or splurge and let our mouths go. Also look at your kid’s immediate facial response as soon as you ask a question. We are not as good at hiding our emotions and you might be able to gauge a lot by watching our reaction.

3) Look at Their Friends
I constantly hear the “well, it’s not my kid because…” response when I do speaking engagements on this topic. If you feel your child is either an angel or unreadable, look at their friends behavior. Have they gotten in trouble? Are they the ones who make the decisions where to go on the weekends? Friend’s behavior means everything in the world of pot.

4) Talk to Your Friends and Other Parents
Get informed about the pot culture in general and in your specific community. I post frequently on this topic and what kids are doing right now, so you can stay a step ahead. I highly recommend getting together with parent friends and talking about what your kids are doing and sharing notes about what they think is going on.

5) Don’t Lecture!
If you think we are doing pot, dabbling in pot, seeing it at parties or just want to talk to us about it, please talk, don’t lecture. I promise, we have heard all of the negative sides to smoking weed in health class. As soon as you start lecturing us, we stop listening. So, instead of approaching it like a health teacher, ask questions and let us come to our own conclusion, usually we know what is right or wrong, and if we feel like you are talking to us about it, not at us, at least we will come to you if we have questions or problems down the road.

6) Find Out Why:
This is tricky, it is important to understand that, today, pot is not only for ‘the stoner’ kids. All different kinds of kids are doing it and it has become a sort of social unifier. A drama kid and a jock might not hang out at a party, but if they get to the party and share a joint, they are friends. It is really important to understand this new social aspect and that it permeates all kinds of peer groups.

7) Build their Esteem:
If you cannot prevent them from encountering pot, you can empower them to make the right choices. I do believe there is peer pressure to smoke (see video). It is hard to say no when it feels like everyone is doing it and you know that if you smoke, you have the chance to be friends with that jock, who would never talk to you other wise. So encourage them to do esteem building activities, like running for student council, working out, or doing a hobby and help them be proud of who they are by engaging in their unique qualities.

8) Offer Other Activities:
When you talk to your parent friends, make sure everyone is on the same page with curfews and activities. If there is a semi-formal or prom coming up, offer to host a substance-free after party, host bbqs and movie nights. I think many kids smoke simply because there is nothing better to do.

9) Offer Other Options:
As horrible as it sounds, if your kid wants to smoke, they will find a way. Make sure that they know never to drive high. If you think they are smoking and you cannot do anything about it (sometimes it happens), then at least tell them to call you if they are ever in a situation and they will not get in trouble. Many, many, kids drive high or drunk and this worries me more than anything. If you do not think they would call you, then encourage an aunt, uncle, priest, rabbi, teacher, friend to be their secondary support system if they ever need to be bailed out or get a ride home.

10) Give Other Reasons Not to Smoke:
I constantly talk to teens about smoking and always give them non-health class reasons not to smoke which, I believe, appeal more to their interests. I always stress to girls the aging effects of smoking. I spoke to a group of 16 year-olds about ‘anti-partying’ and gave them my reasons not to smoke (they were shocked, because they were so a-typical)

-At a prestigious internship interview, a friend got offered the job and when they asked for a drug test, he knew couldn’t pass it and they took back the offer.
-Gives you lip wrinkles.
-The smoke makes your teeth yellow
-Lowers your sperm count
-Makes you taste bad when you kiss
-(I know a little crude) makes oral sex for your partner taste bad.
-Make allergies worse
-You never know who is going to take an incriminating picture and post it somewhere, or use it against you later.

11) Give Them Excuses
Ok, so maybe they have the self-esteem to say no, and maybe they agree with the reasons above to say no, but sometimes people will not let up with the “just take one hit!, Just try it!” So, think of excuses for them to use. Here are some that I have given and tell teens to use:

-It makes me really sleepy, and I am no fun when all I want to do is sleep.
-I am on a diet, it gives me uncontrollable munchies and I am not giving up my summer goal for one hit.
-It makes me sneeze.
-My parents/job/school/coach drug test me.
-My parents are waiting for me when I get home, and they will smell it/notice it.
-I have dance class/practice/a run tomorrow and I can never perform as well.
-I hate the taste.

**Offer to be the reason! My parents told me to clearly tell people that they were watching me like hawks and that I would get in big trouble if I smoked. This almost always works, because everyone understands strict parents. So tell them to use you as the reason…after all there is some truth to it!

Stay Informed and don’t give up!

Inhalant Abuse

WHAT IS INHALANT ABUSE ?

Inhalant abuse refers to the deliberate inhalation or sniffing of common products found in homes and communities with the purpose of "getting high." Inhalants are easily accessible, legal, everyday products. When used as intended, these products have a useful purpose in our lives and enhance the quality of life, but when intentionally misused, they can be deadly. Inhalant Abuse is a lesser recognized form of substance abuse, but it is no less dangerous. Inhalants are addictive and are considered to be "gateway" drugs because children often progress from inhalants to illegal drug and alcohol abuse. The National Institute on Drug Abuse reports that one in five American teens have used Inhalants to get high.

Inhalation is referred to as huffing, sniffing, dusting or bagging and generally occurs through the nose or mouth. Huffing is when a chemically soaked rag is held to the face or stuffed in the mouth and the substance is inhaled. Sniffing can be done directly from containers, plastic bags, clothing or rags saturated with a substance or from the product directly. With Bagging, substances are sprayed or deposited into a plastic or paper bag and the vapors are inhaled. This method can result in suffocation because a bag is placed over the individual's head, cutting off the supply of oxygen.

Other methods used include placing inhalants on sleeves, collars, or other items of clothing that are sniffed over a period of time. Fumes are discharged into soda cans and inhaled from the can or balloons are filled with nitrous oxide and the vapors are inhaled. Heating volatile substances and inhaling the vapors emitted is another form of inhalation. All of these methods are potentially harmful or deadly. Experts estimate that there are several hundred deaths each year from Inhalant Abuse, although under-reporting is still a problem.

What Products Can be Abused?

There are more than a 1,400 products which are potentially dangerous when inhaled, such as typewriter correction fluid, air conditioning coolant, gasoline, propane, felt tip markers, spray paint, air freshener, butane, cooking spray, paint, and glue. Most are common products that can be found in the home, garage, office, school or as close as the local convenience store. The best advice for consumers is to read the labels before using a product to ensure the proper method is observed. It is also recommended that parents discuss the product labels with their children at age-appropriate times. The following list represents categories of products that are commonly abused.

Click here for a list of abusable products.

Parents Universal Resource Experts (Sue Scheff) Inhalant Abuse - Learn More

I know I have Blogged a lot about Inhalant Abuse and I will continue to do so - especially after reading about the recent senseless deaths. Take a moment to read their Blog at http://inhalant-info.blogspot.com/ - Take the time to learn more and you never know when this knowledge will be necessary. http://www.inhalant.org/

(Sue Scheff) Teen Suicide - An Introduction

Suicide is the third most common cause of death amongst adolescents between 15-24 years of age, and the sixth most common cause of death amongst 5-14 year olds. It is estimated that over half of all teens suffering from depression will attempt suicide at least once, and of those teens, roughly seven percent will succeed on the first try. Teenagers are especially vulnerable to the threat of suicide, because in addition to increased stress from school, work and peers, teens are also dealing with hormonal fluctuations that can complicate even the most normal situations.

Because of these social and personal changes, teens are also at higher risk for depression, which can also increase feelings of despair and the desire to commit suicide. In fact, according to a study by the National Institute of Mental Health (NIMH) almost all people who commit suicide suffer from a diagnosable mental disorder or substance abuse disorder. Often, teens feel as though they have no other way out of their problems, and may not realize that suicidal thoughts and feelings can be treated. Unfortunately, due to the often volatile relationship between teens and their parents, teens may not be as forthcoming about suicidal feelings as parents would hope. The good news is there are many signs parents can watch for in their teen without necessarily needing their teen to open up to them.

At some point in most teens’ lives, they will experience periods of sadness, worry and/or despair. While it is completely normal for a healthy person to have these types of responses to pain resulting from loss, dismissal, or disillusionment, those with serious (often undiagnosed) mental illnesses often experience much more drastic reactions. Many times these severe reactions will leave the teen in despair, and they may feel that there is no end in sight to their suffering. It is at this point that the teen may lose hope, and with the absence of hope comes more depression and the feeling that suicide is the only solution. It isn’t.

Teen girls are statistically twice as likely as their male counterparts to attempt suicide. They tend to turn to drugs (overdosing) or to cut themselves, while boys are traditionally more successful in their suicide attempts because they utilize more lethal methods such as guns and hanging. This method preference makes boys almost four times more successful in committing suicide.

Studies have borne out that suicide rates rise considerably when teens can access firearms in their home. In fact, nearly 60% of suicides committed in the United States that result in immediate death are accomplished with a gun. This is one crucial reason that any gun kept in a home with teens, even if that teen does not display any outward signs of depression, be stored in a locked compartment away from any ammunition. In fact, the ammunition should be stored in a locked compartment as well, and the keys to both the gun and ammunition compartments should be kept in a different area from where normal, everyday keys are kept. Remember to always keep firearms, ammunition, and the keys to the locks containing them, away from kids.

Unfortunately, teen suicide is not a rare event. In the United States, the Centers for Disease Control and Prevention (CDC) estimates that suicide is the third leading cause of death for people between the ages of 15 and 24. This disturbing trend is affecting younger children as well, with suicide rates experiencing dramatic increases in the under-15 age group from 1980 to 1996. Suicide attempts are even more prevalent, though it is difficult to track the exact rates.

Learn more click here.

http://www.helpyourteens.com/

Teen Smoking Decline Stops

By Connect with Kids

“I don’t know if it’s peer pressure or what, but I do think people are smoking a lot more than they used to.”

– Travis, age 16

After years of dramatic declines in the number of teen smokers, experts say that decline might be reaching a plateau.

“[This change] obviously raises a lot of concern for us,” says Corinne Husten, M.D., the Acting Director with the Office on Smoking and Health at the Centers for Disease Control and Prevention.

A casual survey of teenagers seems to confirm the news.

“Most of my friends smoke,” says 18-year-old Arien.

“More people doing it,” adds Travis, “more people asking you for a cigarette.”

“Everyone I know smokes or whatever,” explains 17-year-old Teri.

In fact, the study finds that 20 percent of teens have smoked a cigarette in the last 30 days. And more than 50 percent have tried smoking.

Experts say a big reason for the change in smoking rates among teenagers is that less money has been spent on anti-smoking campaigns than in recent years – and that many kids aren’t getting that message.

“Right now only four states are funding their tobacco control programs at the minimum level recommended by the CDC,” explains Dr. Husten.

It’s all the more important, she says, that kids hear an anti-smoking message at home.

But often, that’s not the case.

“A lot of time parents I think have a laissez-faire attitude toward tobacco,” says Dr. Husten, “They say ‘well it’s not hard drugs, they’re not drinking and driving’. But actually tobacco is highly addictive; the kids experiment, they’re hooked on it before they even realize that, and then they spend their lives trying to stop.”

She says parents should talk regularly about the dangers of cigarettes, and “reinforcing that by saying we aren’t going to allow smoking in our home, we are going to go to smoke-free restaurants. So it’s not like the parent’s saying, well, this is bad for you but it’s okay for me. It’s saying this is something none of us should be doing.”


Tips for Parents

Research shows that a vast majority of smokers began when they were children or teenagers. While recent legislation has helped reduce smoking, it still remains an important health concern. Consider the following statistics from the U.S. Surgeon General:

Approximately 80 percent of adult smokers started smoking before the age of 18.

More than 5 million children living today will die prematurely because of a decision they make as adolescents – the decision to smoke cigarettes.

An estimated 2.1 million people began smoking on a daily basis in 1997. More than half of these new smokers were younger than 18. This boils down to every day, 3,000 young people under the age of 18 becoming regular smokers.

Nearly all first uses of tobacco occur before high school graduation.

Most young people who smoke are addicted to nicotine and report that they want to quit but are unable to do so.

Tobacco is often the first drug used by young people who use alcohol and illegal drugs.

Among young people, those with poorer grades and lower self-image are most likely to begin using tobacco.

Over the past decade, there has been virtually no decline in smoking rates among the general teen population. Among black adolescents, however, smoking has declined dramatically.

Young people who come from low-income families and have fewer than two adults living in their household are especially at risk for becoming smokers.

Encourage your child to join an anti-smoking group and support him/her in kicking the habit. If you are currently a smoker, you should also try to stop. Children look to their parents for support and strength; taking the anti-smoking journey alongside your child can be a huge benefit. In addition to attending the meetings, The Foundation for a Smoke-Free America offers these suggestions:

Develop deep-breathing techniques. Every time you want a cigarette, do the following three times: Inhale the deepest breath of air you can and then, very slowly, exhale. Purse your lips so that the air must come out slowly. As you exhale, close your eyes, and let your chin gradually drop to your chest. Visualize all the tension leaving your body, slowly draining out of your fingers and toes — just flowing on out. This technique will be your greatest weapon during the strong cravings smokers feel during the first few days of quitting.

During the first week, drink lots of water and healthy fluids to flush out the nicotine and other toxins from your body.

Remember that the urge to smoke only lasts a few minutes, and then it will pass. The urges gradually become further and further apart as the days go by.

Do your very best to stay away from alcohol, sugar and coffee the first week (or longer) as these tend to stimulate the desire for a cigarette. Also, avoid fatty foods, as your metabolism may slow down a bit without the nicotine, and you may gain weight even if you eat the same amount as before quitting. Discipline regarding your diet is extra important now.

Nibble on low calorie foods like celery, apples and carrots. Chew gum or suck on cinnamon sticks.
Stretch out your meals. Eat slowly and pause between bites.

After dinner, instead of a cigarette, treat yourself to a cup of mint tea or a peppermint candy. Keep in mind, however, that in one study, while 25 percent of quitters found that an oral substitute was helpful, another 25 percent didn’t like the idea at all – they wanted a clean break with cigarettes. Find what works for you.

Go to a gym, exercise, and/or sit in the steam of a hot shower. Change your normal routine – take a walk or even jog around the block or in a local park. Get a massage. Pamper yourself.
Ask for support from coworkers, friends and family members. Ask for their tolerance. Let them know you’re quitting, and that you might be edgy or grumpy for a few days. If you don’t ask for support, you certainly won’t get any. If you do, you’ll be surprised how much it can help.
Ask friends and family members not to smoke in your presence. Don’t be afraid to ask. This is more important than you may realize.

On your “quit day,” remove all ashtrays and destroy all your cigarettes, so you have nothing to smoke.

If you need someone to talk to, call the National Cancer Institute’s Smoking Quitline at 1-877-44U-Quit. Proactive counseling services by trained personnel are provided in sessions both before and after quitting smoking.

Find a chat room online, with people trying to quit smoking. It can be a great source of support, much like a Nicotine Anonymous meeting, but online.

Attend your anti-smoking meetings. If there are no meetings in your city, try calling (800) 642-0666, or check the Nicotine Anonymous website link below. There you can also find out how to start your own meeting. It’s truly therapeutic to see how other quitters are doing as they strive to stop smoking.

Write down ten good things about being a nonsmoker and ten bad things about smoking.
Don’t pretend smoking wasn’t enjoyable. Quitting smoking can be like losing a good friend – and it’s okay to grieve the loss. Feel that grief.

Several times a day, quietly repeat to yourself the affirmation, “I am a nonsmoker.” Many quitters see themselves as smokers who are just not smoking for the moment. They have a self-image as smokers who still want a cigarette. Silently repeating the affirmation “I am a nonsmoker” will help you change your view of yourself. Even if it seems silly to you, this is actually useful.

Here is perhaps the most valuable information among these points: During the period that begins a few weeks after quitting, the urge to smoke will subside considerably. However, it’s vital to understand that from time to time, you will still be suddenly overwhelmed with a desire for “just one cigarette.” This will happen unexpectedly, during moments of stress, whether negative stress or positive (at a party, or on vacation). Be prepared to resist this unexpected urge, because succumbing to that “one cigarette” will lead you directly back to smoking. Remember the following secret: during these surprise attacks, do your deep breathing and hold on for five minutes; the urge will pass.

Do not try to go it alone. Get help, and plenty of it.

References

American Cancer Society
Centers for Disease Control and Prevention
Foundation for a Smoke-Free America
Nicotine Anonymous