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Substance Abuse Issues

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Title: Substance Abuse Issues

1
Substance Abuse Issues

A training for Human Service Providers
Enter Date Here

2
Ground Rules for the Day

Start and Stop on Time
Maintain Confidentiality
Participate fully and encourage participation of
others
Respect others viewpoints, opinions and needs
OK to voice concerns and questions
Make comments in a constructive manner
Silence cell phones

3
Welcome

Substance use impacts many families
Consider mental health, trauma, basic needs
Safety among home-visitors
Safety among families
Actions that can and should be taken
Building relationships
Identifying help and helping

4
Presentation Goals

Review local data on substance use prevalence
Introduce issues related to substance use
Reduce stigma associated with substance use
Identify signs and symptoms of substance use
Screen and referral/intervention tools
Increase participant ability to match client
needs with eligible services
Identify Substance Use Disorder Treatment
Services in our community

5
Substance use in Greater Lansing

Data from Tri-County Metro
Data from ISAP Coalition
Alcohol is the most commonly used and abused
drugs
Getting more common marihuana (medical), heroin
Equally bad in all of our community

6
Alcohol is the Most Common Drug of Abuse

Binge Drinking Defined
Women more than 3 drinks on any single day AND
more than 7 drinks per week.
Men more than 4 drinks on any single day AND
more than 14 drinks per week

7
Percentage of Adults Who Report Binge Drinking in
the Past 30 Days
8
Students Who Report Binge Drinking in the Past
Two Weeks
9
Percentage of Students Who Have Had At Least One
Drink of Alcohol
10
Students Who Report Ever Smoking Cigarettes
11
Marijuana use continues to rise among U.S. teens,
while alcohol use hit historic lows

Marijuana use among teens rose in 2011 for the
fourth straight yeara sharp contrast to the
considerable decline that had occurred in the
preceding decade. Daily marijuana use is now at a
30-year peak level among high school seniors.
Synthetic marijuana, which until earlier this
year was legally sold and goes by such names as
K2 and spice, was added to the studys
coverage in 2011 one in every nine high school
seniors (11.4) reported using that drug in the
prior 12 months.
Alcohol useand, importantly, Binge
drinkingcontinued a long-term gradual decline
among teens, reaching historically low levels in
2011.
Energy drinks are being consumed by about one
third of teens, with use highest among younger
teens.

12
Regional Illicit Drug Forfeitures

2011 Narcotic Seizure Value 4,046,431
Tri-County Metro Narcotics (MSP)
? Heroin Pills (opiates)
? Marihuana (Marijuana)
? Methamphetamine
? Alcohol
? Tobacco

13
Prescription Drug Abuse

Taking medicine that was not prescribed to you,
or us being take for non-medical use
60 from a friend or relative
8 purchased from a friend or relative
4 taken from a friend or relative
17 physician prescribed

14
Addiction

The use of substances as a means to cope with
difficult experiences is common
Use of substances can lead to addiction, in which
the need for the alcohol or drugs is physical
becomes the most important thing in someones
life
People who are using have a harder time keeping
themselves and their families safe

15
How is having an Addiction like having Cancer?

Biologically pre-disposed
Most likely addicted before adulthood
Family history and normalization of use
Trying to find a normal brain function
(self-medication)
Some brain responds stronger to drug use
Power/Control Dynamics
Victims are by-products of wealthy suppliers

16
Drug Use Why?

Mental Health Diagnosis (50 use drugs)
Trauma (Seeking Safety)
Family inter-generational use
Genetic and Biological Factors
Escape from the pain of reality
Medical or Disease Model is Most Effective
Use / Abuse /Dependence

17
Substance using behaviors

Sexual assault
Childhood or current
Physical assault
Domestic violence

18
Addiction Pathology
Child of a substance abuser
Child of an alcoholic becomes an alcoholic
Substance abuses -Phases
Recovery
Relapse
19
Addiction in the Brain
20
Addiction in the Brain

Neurotransmitters are chemicals in the brain that
relay, intensify and alter signals between
neurons and other cells. When someone takes an
addictive drug, whether it be alcohol, cocaine,
nicotine, heroin, or Valium, just to name a few,
the brain gets flooded with a neurotransmitter
called dopamine.
This neurotransmitter is related to feelings of
pleasure and excitement, and is associated with
the reward center of the brain. In a normal
brain, dopamine is released when the person
experiences pleasure.
However, chronic use of addictive substances
means that the brain begins producing less
dopamine on its own since its so used to getting
flooded with dopamine as a result of the
addiction. This leads to the abuser being unable
to experience pleasure from his normal life, thus
creating a dependency on the drug to feel
pleasure.

21
Human Needs Brain Tricks
22
The Illness Brings with it Frustrating Behavior

Deceptive, lying, secretive
Passive-Aggressive Characteristics, failure to
follow-through with responsibilities
Failure of priorities, chronic tardiness, money
problems, lack of judgment, anxiety, depression
Disregard for themselves or values of those they
love, poor boundaries
Legal implications

23
Blanket Activity

Strengths/Assets
Social Justice
Balance/Independence
Intimacy closest
Friendship community
Participation clubs/groups
Exchange paid help

24
(No Transcript)
25
Marihuanamost common illegal drug

Signs Symptoms
Animated behavior, sleepy, dilated pupils,
bloodshot eyes, loss of coordination, odor,
paranoia, fragmented thought.
Usage
Smoked in joints, pipes, bongs, or blunts. Can
be mixed in food or brewed in tea. Change lasts
3-5 hours or until the next day.
Slang
Mary Jane, pot, reefer, skunk, weed, yerba,
bluns, dope, ganja, grass, herb, hydro, kif, bud,
boom, and 420.

26
MarihuanaMichigan Medical Marihuana

Federal Law trumps State Law
Caregiver and Patient Cards Issued by State of
Michigan, Licensing And Regulatory Affairs
Caregivers may grow up to 72 plants in an
enclosed, locked facility
Patient limit is 12 plants per Patient
Safety in homes is primary concern
Marihuana is active in the body for 7 hours
Impaired Driving is increasing

27
Marihuana
28
K2/Spicealternative to marihuana

Signs Symptoms
Rapid heart rate, high blood pressure,
hallucinations, delusions, paranoia, changes in
perceptions and behavior, seizure and death.
Usage
Leafy herbs with psychoactive chemicals sprayed
on and then smoked. Chemical changes make some
forms illegal, some legal.
Slang
Incense, potpourri, Spice, K2, K3, fake pot,
Chemical Compound is JWH-018 and not THC.

29
MethamphetamineOne Pot Meth Labs urban/rural

Signs Symptoms
Dilated pupils, euphoria, rapid speech,
depression, violent, nasal congestion, insomnia,
weight loss, dry mouth, lack of interest in food
and sleep. Skin abscess, paranoia, volatile mood,
movement disorders, lead poisoning, and
meth-mouth.
Usage
Smoked, snorted, taken orally or injected.
Ingestion produces euphoria for 12 or more hours.
The One-Pot Meth Lab has increased use, and
brought meth into cities. Pacifiers and glow
lights supplement use at Raves.
Slang
Speed, chalk, crank, ice, glass, meth, shards,
speed, stove top, tweak, yaba, yellow bam, glass,
crystal, go-fast, ecstasy, rollin, E, X.

30
MethamphetamineManufacturing Products

Signs Symptoms
Chemical smell in home and on person. Multiple
chemicals - together in kitchen or garage used
for cooking meth.
Combination of several household products may
indicate Cooking Meth
Batteries, camp fuel/gasoline, lye, drain
cleaner, allergy medicine containing
pseudoephedrine or ephedrine, plastic bottles,
tubing, match heads

31
Prescription Drug AbusePills not prescribed to
you

Signs Symptoms
Pinpoint pupils, nausea, drowsy, confused,
relaxed, blood pressures high or low, heart rate
and respiration high or low. Anxiety, euphoria,
depression, irritable, shaky, trouble sleeping,
coma. Tolerance
Usage
Pills can be swallowed, crushed, snorted
injected. Pain patches. Pharm Parties/Skittle
Parties mix stimulants, narcotics and
depressants. Pain pills should not be combined
with alcohol, antihistamines or benzodiazepines.
Medication Suppliers
Most Prescription Drugs come from your medicine
cabinet. Properly dispose of all expired, un-used
and un-wanted medications. Visit
www.michigan.gov/deqreswastecontacts for local
collection programs.
ADD medications, pain pills and OTC pills are
often combined with unknown outcomes.

32
Inhalants

Signs Symptoms
Drunk or disoriented appearance, paint or other
stains on face, hands, or clothing, hidden empty
spray paint or solvent containers, chemical
soaked rags or clothing, slurred speech, strong
chemical odors on breath or clothing, nausea or
loss of appetite, red or runny nose, sores or
rash around nose or mouth. Hidden empty
containers. Nail polish, nail polish remover,
perfume samples
Usage
Sniffed or Inhaled. Local deaths have occurred
with first time use.
Slang
Huffing, bagging, buzz-bomb, laughing gas, poor
mans pot, poppers, rush, snappers, and whippets.

33
Mandatory Reporters

Physicial Neglect
E. If the allegations involve parental drug use
How do you know the parents are using drugs?
What kind of drugs are they using?
Do the parents use drugs in front of the child?
Are the parents selling drugs out of the home?
Are the parents allowing other people to use
drugs in the home or to sell drugs out of the
home?
Mandated Reporters Resource Guide
(http//www.michigan.gov/documents/dhs/Pub-112_17
9456_7.pdf)
Medical Neglect
Improper Supervision
Abandonment
Failure to Protect
Abuse Physical/Sexual

34
Continuum of Services Continuum of Need
35
Case Study 1

Father of baby (FoB) lives with Mother of Baby
(MoB) in a rural community. FoB was previously
shot in the leg, is disabled, and uses a wheel
chair. He reports that he suffers from chronic
pain, but refuses opiate painkillers. FoB has a
medical marihuana card for his pain and grows his
own marihuana. He does not provide caregiver
services for others. The plants are kept in a
locked closet and there is a water bong on top of
the refrigerator. The home visitor has reported
no smell of marihuana in the home at any time.
MoB has recently delivered her baby. She
entered prenatal care at six months, and had
received home visiting services to assist with
medical coverage, transportation to medical
appointments, and tangible needs. MoB has a
history of substance use (heroin), but is in
recovery and reports that she does not use drugs.

36
Case Study 2

Mother of Baby (MoB) is four-months pregnant and
has three other children in the home (ages 12, 8,
and 6). She receives food assistance, and lives
with her boyfriend. He is on SSI and pays the
rest of the bills.
MoB has participated in two previous home
visits. Today, she enters the home visitors car
with red glassy eyes and a light smell of
marihuana. The home visitor asks if MoB is doing
ok, since her eyes are red. MoB states that she
was at Michigan Works all day looking at the
computer screen.

37
Case Study 3

This same MoB is now requesting assistance in
obtaining a birth certificate for one of her
children. At the next visit, MoB gets in the
car and says that she cant live with her
boyfriend because he drinks alcohol and takes
Vicodin daily. MoB reports that the boyfriend is
a mean drunk and is verbally abusive towards her.
She reports that he steals her money to buy
alcohol, even when it means that she cant take
the bus to go to Michigan Works.
MoB states that she probably should not judge
him since she has a medical marihuana card for
carpal tunnel syndrome. MoB braids hair to make
pocket money and uses marihuana to ease the pain
that it causes. MoB reports that she only uses
marihuana if she is going to braid hair, and does
not use it when the kids are around.
MoB states that she has not used marijuana
during the four months of this pregnancy. She
asks you for help finding other housing so she
can leave her boyfriend.

38
Authentic Messages get Results non-violent
communication (NVC)

Empathetically listening
Observations
Feelings
Needs
Requests
Honestly Expressing
Observations
Feelings
Needs
Requests
Both sides of the NVC Model Empathetically
listening and honestly expressing use of the
four steps of the model
Observations, Feelings, Needs, Requests