Further Discussion of Comprehensive Theory of Substance Abuse Prevention March, 2011

Size: px
Start display at page:

Download "Further Discussion of Comprehensive Theory of Substance Abuse Prevention March, 2011"

Transcription

1 Further Discussion of Comprehensive Theory of Substance Abuse Prevention March, 2011 The prime dichotomy between profoundly challenged children and socially influenced teens may be similar to some other dichotomies common in discussions about substance abuse, but isn t identical with them. Here is how three of those dichotomies can be compared to the prime dichotomy and, to some extent, made clearer through application of the prime dichotomy. I. Environmental risk versus individual risk The public health disease prevention model of agent, host, and environment can be a useful tool for considering the prevention of youth substance use. In this model, the particular substance (alcohol, tobacco, marijuana, etc.) and formulation (beer, wine, liquor, cigarettes, cigars, chewing tobacco, etc.) can be considered the disease agent, the person who uses (or avoids using) the substance is the host, and the circumstances in which a substance is discussed, promoted, produced, and distributed are all part of the environment in which use can develop. As an outgrowth of that model and of the scientific approach of identifying risk factors, much conceptual progress has been made during the past two decades in broadening the meaning of substance abuse prevention, beyond only that which can be done to potential hosts to decrease their likelihood of starting to use a substance. The simplest version of a risk-reduction approach seeks to identify at-risk persons, restricting attention to just the host, but a more sophisticated approach recognizes multiple factors that combine to affect people, with some of the factors being traits of the person but others being traits of various social environments. The prime dichotomy ( profoundly challenged children and socially influenced teens ) grows out of that tradition, but is among those concepts that are anchored in the science of human psychosocial development rather than a behavioral taxonomy. According to developmental psychology, babies must accomplish particular developmental tasks in order to be whole to address childhood tasks; accomplish childhood tasks to be most prepared for adolescence; and so on forward into adulthood. A person who is only partly successful with the developmental tasks of one age can move forward but will have skill deficits when facing later challenges, unless later efforts are able to remediate or work around the earlier deficits. Such correction may be difficult if the skills in question depend on the brain being in a particular critical period of readiness (i.e. neither too soon nor too late) for learning that kind of skill. Applying this to substance abuse prevention: 1. The most important goal in regard to young children is to prevent neurological damage or psychological damage that impairs foundational social-emotional development. This kind of damage is most usually due to some combination of physical trauma, psychological trauma (such as may arise from witnessing ongoing domestic violence), severe neglect, or toxic fetal conditions (particularly those caused by maternal 1

2 substance use during pregnancy). Experiencing any of these can constitute a profoundly challenged childhood. 2. When a cohort of young people reaches adolescence, the most devastating and enduring forms of individual risk are those rooted in a profoundly challenged childhood. Some young people can rise above the challenges due to some combination of personal resilience and the caring efforts of their family and/or community, but many others retain social-emotional skill deficits that can make positive development in adolescence difficult. 3. Although these are individual risk factors that can be said to be personal attributes of the host adolescents, the original cause can be more individual or more environmental. 4. The further back one goes in the chain of causation, the harder it is to classify a particular risk factor s origin as being only individual or only environmental. For example, a baby born with neurological impairment that puts him or her at increased risk for substance abuse (and other problems) later in life would seem to have a very individual risk factor, but how did the impairment come to be? Was it random, or was it due to maternal alcohol or other drug use during pregnancy, in the context of a society in which such damage is a widespread occurrence that is insufficiently addressed by community preventive efforts? A profoundly challenged childhood often produces individual risk when the young person in question reaches adolescence, but the classification of the original cause as individual or environmental may depend on how far back one goes in the causative chain, or may mainly depend on who is asking the question. A young parent may want to know what he or she can do to keep each individual child healthy, while a community member (or a parent in the role of community member) may want to know what can be done by a community and society to decrease the number of youth who enter adolescence with existing risk for health-compromising behaviors. All the more so with substance abuse: as a social problem, one person s child is much more at risk if many of the child s peers use substances. Social influence and substance availability (which together are the most prevalent force in substance initiation) are environmental risks, but in some instances may narrow to specific events or people in the social environment. To a particular parent with a particular child who has a particular substance-using friend, the challenge at a point in time may be what to do about the child s contacts with that friend. When the social environment features one profound influence that outweighs, in the short run, the dangers posed by other pro-substance use influences, an environmental strategy may focus on what to do in regard to one individual. While it is accurate to think of some adolescents bringing individual risk factors from a profoundly challenged childhood, and all adolescents facing social influence and substance availability as environmental risks, the above discussion points out some of the limits of considering the prime dichotomy to be the same as the individual versus environmental dichotomy. 2

3 II. Compulsion versus responsibility One common version of the compulsion versus responsibility dichotomy is debate about whether substance abuse is more of a disease (something that happens to a person) or a personal choice. To some extent the categories of substance dependency (or addiction ) on the one hand and substance abuse on the other can be seen as an attempt to separate that which is relatively uncontrollable from that which is chosen. While the concept of alcoholism as a disease was originally based on the observations of people who experienced alcoholism in themselves and/or as a close observer, research has since confirmed that addiction (including alcoholism) is a chronic relapsing brain disease, and corresponds to specific biochemical changes in human brains. Addiction, however, is not the only issue with substance abuse. On many dimensions the collective damage done by non-dependent persons who abuse alcohol or other drugs (AOD) is much greater than the damage done by those dependent on AOD, because there are so many more substance users than people who have developed dependence, and many of the damages that can be done by AOD both directly to a body and indirectly through affecting behavior are very serious. Because of the societal costs of substance abuse, a focus on just preventing addiction or dependence isn t sufficient. So, the question about the respective roles of choice and internal compulsion in the development of substance abuse are very relevant to the study and practice of prevention. As part of a theory based in psychosocial development, the prime dichotomy of profoundly challenged children and socially influenced teens recognizes and helps preserve awareness of differences in how to understand personal choice depending on whether the persons involved are children, adolescents, or adults. The kind of brain changes characteristic of addiction may not be relevant to children who are years away from initiating substance use, but a different kind of compulsion may be involved. Babies and very young children essentially have neither the ability nor the opportunity to exercise individual choice as to whether they experience profound challenges. Among those who experience such challenges, the result for many can be ongoing impairment in decision-making. Through no choice of their own, their ability to avoid substance use (and many other problems) has been reduced. Some of this may be reversible during teen or adult years, while some impairments are not. Among a cohort of teens there will be some percentage with social-emotional skill impairment from childhood, and others who are not impaired. When they all face the influence of messages that encourage drinking or other drug use in the media and among some peers, what happens? On one hand, adolescents are becoming capable of exercising choice, but their brains (particularly parts relating to using good judgment) are not fully mature, and they (as well as many adults) are susceptible to images and messages that make substance use seem interesting, popular, and low-risk. This is all the more so with those who have impaired social-emotional thinking from events in childhood. So, if they begin to use a substance, has their initiation been a matter of choice? For the purposes of personal accountability, law must hold adults responsible for 3

4 actions that hurt others, and the same principle applies to some extent in regard to adolescents. For the purposes of prevention, prevention researchers and practitioners need to find out what elements of choice and compulsion are involved in the development of substance abuse. Prevention may be possible in cases of compulsion (by changing the environmental factors that led to the point of compulsion) and in cases of choice (by appealing to the decision-making of youth and/or adults who influence them), but the preventive actions needed may be very different. The prime dichotomy may help to understand this, since some teens may have the capacity to truly make a choice about social influences toward substance use, while others clearly have the cards stacked against them early in life, due to profoundly challenged childhoods. In the reality that results from the confluence of these factors, any absolute conclusion about substance abuse (short of addiction) being either beyond a teen s control or all a matter of individual choice is too simple, if not plainly wrong. III. Substance abuse as a health problem versus a social justice problem The preceding discussion sets the stage for consideration of whether substance abuse is (and should be treated as) a health problem or a social justice problem. Because substance abuse has elements of both compulsion and individual choice, and because laws against drug use and some forms of alcohol abuse (such as driving under the influence or underage drinking) exist due to known connections between substance use and societal damage, neither a public health approach alone nor a criminal justice approach alone are sufficient. For some individuals, substance abuse is purely a health problem, and needs a health solution. An example would be an adult drinker who doesn t use illicit substances but who develops alcoholism. Behavioral health intervention is needed. For some individuals, substance abuse is purely a social justice problem, and needs a criminal justice solution. An example would be a drug dealer who never uses substances but who sells thousands of doses of one or more illicit substances, including sales to children. Law enforcement is needed. In many cases, especially regarding the use of illicit drugs, both health and justice need to be involved. Drug courts may be among the best examples of how the health and justice elements of a situation can be addressed at the same time and in a mutually reinforcing manner. Law enforcements halts (at least temporarily) the illegal behavior and brings a substance abuser into the criminal justice system, where drug treatment is not only available, but required. In a well functioning drug court, the symbiosis of health services and legal justice services is carried to a day-to-day or week-to-week level, as a client is obliged to work toward sustained AOD abstinence in order to avoid a purely justicebased approach (typically jail). Prevention of AOD abuse is an approach that can and should function from both a health and social justice perspective. As was stated in regard to the compulsion versus responsibility dichotomy: for the purposes of prevention, prevention researchers and 4

5 practitioners need to find out what elements of choice and compulsion are involved in the development of substance abuse. Prevention may be possible in cases of compulsion (by changing the environmental factors that led to the point of compulsion) and in cases of choice (by appealing to the decision-making of youth and/or adults who influence them), but the preventive actions needed may be very different. Because the timeframe for prevention can include anything from preventing next week s substance use initiation by current teens to the prevention of deep-seated risk conditions among youth who won t be born for another twenty-five years, prevention ultimately has the potential to attain a combined health/justice solution without the price society pays by waiting for teen substance use to turn to substance abuse. Based on the etiology of substance use as described in the Comprehensive Theory of Substance Abuse Prevention, societies could make substantial progress if attention and resources are focused on stopping the circumstances that lead to profound challenges in childhood, and on countering pro-aod influences on teens. This doesn t mean such actions will prevent all instances of youth substance use, but current use levels could be substantially decreased. For teens who didn t experience profound challenges in childhood, it is reasonable to estimate that with sufficient national, state, and local work on reinforcing adult and teen norms (and policies) of no use of AOD by youth, use rates among that proportion of the teen population could be cut by 50-75% within 5-10 years. Preventing future profound childhood challenges would be a more difficult and lengthy process, but could attain decreases of 50% or more in the percent of youth who enter adolescence with risks from childhood. As the relative proportion of youth whose main causal factors for substance use are all social influence (and associated substance availability) rises, the number of teens successfully addressed by countering social influence aspects of prevention would rise. Of course, there would be many other benefits to success in decreasing profound childhood challenges, such as improved childhood mental health, decreased delinquency, and improved school achievement. However, because of the need to work back in the chain of causation and (ideally) start efforts before the parents of future teens start parenting, 15 or more years may be needed to start to see significant decreases in teen substance use and other problems of youth after new initiatives to prevent profound childhood challenges are in place. In regard to present day AOD problems, a combination of substance abuse treatment and laws about substance use, such as is actualized in drug courts, may be the best possible answer to the health versus justice dichotomy. In the longer term, successful prevention efforts that decrease teen AOD use decrease inherent tension between health and justice aspects of society s AOD problems. Currently most people recognize that criminal justice approaches to substance abuse are very costly and less likely to have success than a combined health and justice approach, but a health approach alone also won t work. There is no way to quickly eliminate some criminal justice elements of anti-drug policy without incurring substantial decreases in social justice, due to the impact of substance use on whole families and communities beyond the individual substance user(s). In other words, if there were no laws about the sale or use of AOD, damage done to public health and the public s economic well-being would be experienced as devastating and unfair. In that situation, a backlash that entails over-reliance on a criminal justice approach would 5

6 be likely. The prime dichotomy helps understand why the health and justice dichotomy is so important and what options are available for public policy that takes into account health and justice elements of AOD problems. IV. In closing Although the breadth of the discussion above draws from a wider range of theory than just that which is contained in the Comprehensive Theory of Substance Abuse Prevention, the prime dichotomy and other facets of the Comprehensive Theory make more possible the understanding of the multi-systemic dynamics that would be involved in better focusing prevention efforts for success, and avoiding the problems that arise from focusing on just one half of some of the crucial dichotomies of substance abuse. 6

Comprehensive Theory of Substance Abuse Prevention. Alan Markwood January 27, 2011

Comprehensive Theory of Substance Abuse Prevention. Alan Markwood January 27, 2011 Comprehensive Theory of Substance Abuse Prevention Alan Markwood January 27, 2011 Introduction There are so many ways of looking at substance abuse and substance abuse prevention that a clear view of the

More information

Drug Abuse Prevention Training FTS 2011

Drug Abuse Prevention Training FTS 2011 Drug Abuse Prevention Training FTS 2011 Principles of Prevention Prevention programs should enhance protective factors and reverse or reduce risk factors (Hawkins et al. 2002). The risk of becoming a drug

More information

Adolescent Substance Use: America s #1 Public Health Problem June 29, 2011

Adolescent Substance Use: America s #1 Public Health Problem June 29, 2011 Adolescent Substance Use: America s #1 Public Health Problem June 29, 2011 A Report by The National Center on Addiction and Substance Abuse at Columbia University 9 in 10 People Who Are Addicted* Begin

More information

Underage Drinking. Underage Drinking Statistics

Underage Drinking. Underage Drinking Statistics Underage Drinking Underage drinking is a serious public health problem in the United States. Alcohol is the most widely used substance of abuse among America s youth, and drinking by young people poses

More information

Workforce Development Online Workshop Descriptions

Workforce Development Online Workshop Descriptions Workforce Development Online Workshop Descriptions Behavioral Health Service Delivery Workshops: The Effects of Violence Exposure on Children (1.5 hours) Regretfully, violence against children and youth

More information

Maternal and Child Health Issue Brief

Maternal and Child Health Issue Brief Maternal and Child Health Issue Brief Why is substance abuse an issue among youth? December 14 8 Substance Abuse among Youth in Colorado Substance abuse among youth is defined as using alcohol, tobacco,

More information

OAHP Key Adolescent Health Issue. Behavioral Health. (Mental Health & Substance Abuse)

OAHP Key Adolescent Health Issue. Behavioral Health. (Mental Health & Substance Abuse) OAHP Key Adolescent Health Issue Area 1 Behavioral Health (Mental Health & Substance Abuse) Introduction In Ohio, the promotion of positive mental health and the prevention of substance abuse and mental

More information

REVISED SUBSTANCE ABUSE GRANTMAKING STRATEGY. The New York Community Trust April 2003

REVISED SUBSTANCE ABUSE GRANTMAKING STRATEGY. The New York Community Trust April 2003 REVISED SUBSTANCE ABUSE GRANTMAKING STRATEGY The New York Community Trust April 2003 1 I. INTRODUCTION Substance Abuse is defined as the excessive use of addictive substances, especially narcotic drugs,

More information

Policy Perspective Treatment and Recovery for Individuals and Families Experiencing Addiction January 11, 2016

Policy Perspective Treatment and Recovery for Individuals and Families Experiencing Addiction January 11, 2016 Policy Perspective Treatment and Recovery for Individuals and Families Experiencing Addiction January 11, 2016 Addiction and Recovery in the 2016 political arena The issue of addiction has been addressed

More information

Case: 3:14-cv-00870-jdp Document #: 14-9 Filed: 01/07/15 Page 1 of 6 APPENDIX 8

Case: 3:14-cv-00870-jdp Document #: 14-9 Filed: 01/07/15 Page 1 of 6 APPENDIX 8 Case: 3:14-cv-00870-jdp Document #: 14-9 Filed: 01/07/15 Page 1 of 6 APPENDIX 8 Case: 3:14-cv-00870-jdp Document #: 14-9 Filed: 01/07/15 Page 2 of 6 AMERICAN MEDICAL ASSOCIATION Pregnant women will be

More information

Free Additional Resources

Free Additional Resources Free Additional Resources Substance Abuse and Mental Health Services Administration Treatment Improvement Protocols The Substance Abuse and Mental Health Services Administration (SAMHSA) offers free Treatment

More information

Chapter 4 STRATEGIC GOALS AND OBJECTIVES

Chapter 4 STRATEGIC GOALS AND OBJECTIVES Chapter 4 STRATEGIC GOALS AND OBJECTIVES PRINCIPLES OF A COMPREHENSIVE, BALANCED STRATEGY This urban-based Substance Abuse Strategy (the Strategy) is built on the premise that no single approach can end

More information

DrugFacts: Treatment Approaches for Drug Addiction

DrugFacts: Treatment Approaches for Drug Addiction DrugFacts: Treatment Approaches for Drug Addiction NOTE: This is a fact sheet covering research findings on effective treatment approaches for drug abuse and addiction. If you are seeking treatment, please

More information

Treatment Approaches for Drug Addiction

Treatment Approaches for Drug Addiction Treatment Approaches for Drug Addiction NOTE: This is a fact sheet covering research findings on effective treatment approaches for drug abuse and addiction. If you are seeking treatment, please call the

More information

Youth and Drug Abuse

Youth and Drug Abuse Youth and Drug Abuse Eric F. Wagner, Ph.D. Florida International University United Nations Expert Group Meeting World Programme of Action for Youth 19-21 May 2008 Frequency of Alcohol Use and Drinking

More information

Maternal and Child Health Issue Brief

Maternal and Child Health Issue Brief Maternal and Child Health Issue Brief Substance Abuse among Women of Reproductive Age in Colorado September 14 9 Why is substance abuse an issue among women of reproductive age? Substance abuse poses significant

More information

Introduction. Communities That Care

Introduction. Communities That Care Introduction Communities That Care Research-based prevention planning 4Research-Based Planning The programs, policies and practices in this guide will have the greatest impact in your community when implemented

More information

United Way of the Dutchess-Orange Region Health Strategy FY2015-2016 Request for Proposal

United Way of the Dutchess-Orange Region Health Strategy FY2015-2016 Request for Proposal United Way of the Dutchess-Orange Region Health Strategy FY2015-2016 Request for Proposal Through the enclosed Request for Proposal (RFP), United Way of the Dutchess-Orange Region (UWDOR) will provide

More information

Pregnancy. U.S. Department of Health and Human Services. National Institutes of Health. In cooperation with

Pregnancy. U.S. Department of Health and Human Services. National Institutes of Health. In cooperation with Drinking and Your Pregnancy U.S. Department of Health and Human Services National Institutes of Health National Institute on Alcohol Abuse and Alcoholism In cooperation with The National Organization on

More information

Overview of the Adverse Childhood Experiences (ACE) Study. Robert F. Anda, MD, MS Co-Principal Investigator. www.robertandamd.com

Overview of the Adverse Childhood Experiences (ACE) Study. Robert F. Anda, MD, MS Co-Principal Investigator. www.robertandamd.com Overview of the Adverse Childhood Experiences (ACE) Study Robert F. Anda, MD, MS Co-Principal Investigator www.robertandamd.com Death Early Death Disease, Disability and Social Problems Adoption of Health-risk

More information

JUVENILE JUNCTION ALCOHOL AND DRUG PREVENTION AND TREATMENT PROGRAMS IN SAN LUIS OBISPO COUNTY SUMMARY

JUVENILE JUNCTION ALCOHOL AND DRUG PREVENTION AND TREATMENT PROGRAMS IN SAN LUIS OBISPO COUNTY SUMMARY JUVENILE JUNCTION ALCOHOL AND DRUG PREVENTION AND TREATMENT PROGRAMS IN SAN LUIS OBISPO COUNTY SUMMARY According to the San Luis Obispo County Drug and Alcohol Services Division of the Behavioral Health

More information

Alcohol Awareness: An Orientation. Serving Durham, Wake, Cumberland and Johnston Counties

Alcohol Awareness: An Orientation. Serving Durham, Wake, Cumberland and Johnston Counties Alcohol Awareness: An Orientation Alcohol Facts The most commonly used addictive substance in the United States o 17.6 million people (1 in 12 adults) suffer from alcohol abuse or dependence o Millions

More information

Dual Diagnosis and Integrated Treatment of Mental Illness and Substance Abuse Disorder

Dual Diagnosis and Integrated Treatment of Mental Illness and Substance Abuse Disorder Dual Diagnosis and Integrated Treatment of Mental Illness and Substance Abuse Disorder What are dual diagnosis services? Dual diagnosis services are treatments for people who suffer from co-occurring disorders

More information

Marijuana: It s Legal, Now What? A Dialogue About America's Changing Attitudes, Laws and What This Means for Families

Marijuana: It s Legal, Now What? A Dialogue About America's Changing Attitudes, Laws and What This Means for Families Marijuana: It s Legal, Now What? A Dialogue About America's Changing Attitudes, Laws and What This Means for Families A Marijuana Attitudes Survey Report Summary Released: July 16, 2013 Background: With

More information

Family Ties: How Parents Influence Adolescent Substance Use

Family Ties: How Parents Influence Adolescent Substance Use ][ Strength ening our community through education and awaren ess ][ Report from the Mercyhurst College Civic Institute Vol.1 Issue 1 Summer 2009 Additional Reports Erie County Truancy Assessment Erie County

More information

Criminal Justice (CRJU) Course Descriptions

Criminal Justice (CRJU) Course Descriptions Criminal Justice (CRJU) Course Descriptions REQUIRED COURSES CRJU 1000 CRIMINAL JUSTICE: AN OVERVIEW This course is designed to provide an overview of the criminal justice process and the criminal justice

More information

Terri White. Commissioner

Terri White. Commissioner Terri White. Commissioner As an agency, ODMHSAS is committed to delivery of evidence-based practices, and the use of technology to help us reach Oklahomans in need. Our use of telemedicine is part of that

More information

Acquired Brain Injury & Substance Misuse

Acquired Brain Injury & Substance Misuse Acquired Brain Injury & Substance Misuse A Need for a Paradigm Shift? Dr Oliver Aldridge MBBCh, DRCOG, MRCGP Certificant of the International Society of Addiction Medicine Challenges Integration of services

More information

Children living in families with drug and alcohol problems: the extent of the problem and what we can do

Children living in families with drug and alcohol problems: the extent of the problem and what we can do Children living in families with drug and alcohol problems: the extent of the problem and what we can do Sally Haw Professor of Public Health & Population Health University of Stirling Presentation Drug

More information

Chapter III. 3.1 Drug abuse is a complex social problem. It can be analysed from many perspectives.

Chapter III. 3.1 Drug abuse is a complex social problem. It can be analysed from many perspectives. Chapter III WHY DO THE YOUTH TAKE DRUGS AND OUR RESPONSE (A) Analysis 3.1 Drug abuse is a complex social problem. It can be analysed from many perspectives. 3.2 When we focus on the youth and the personal

More information

Running head: TIME FOR A CHANGE 1. Time for a Change: Legalizing Marijuana in the State of Texas. Ronald Cummings.

Running head: TIME FOR A CHANGE 1. Time for a Change: Legalizing Marijuana in the State of Texas. Ronald Cummings. Running head: TIME FOR A CHANGE 1 Time for a Change: Legalizing Marijuana in the State of Texas Ronald Cummings Excelsior College TIME FOR A CHANGE 2 Time for a Change: Legalizing Marijuana in the State

More information

Iowa Governor s Office of Drug Control Policy

Iowa Governor s Office of Drug Control Policy Talking to kids about {prescription drug abuse Iowa Governor s Office of Drug Control Policy Talking to kids about {prescription drug abuse As a parent you re concerned about your children s health and

More information

Maternal Substance Use & Abuse

Maternal Substance Use & Abuse Maternal Substance Use & Abuse A Charged and Complex Problem that Requires a Reasoned and Coordinated Response Across Agencies, Fund Sources & Systems The Scope of the Problem In the US: 9% of all children

More information

Lawyers and Teen Substance Abuse

Lawyers and Teen Substance Abuse ONDCP_ABA.(3.30) 4/4/05 1:51 PM Page 1 Lawyers and Teen Substance Abuse HOW TO DEAL WITH DRUG USE AND DRINKING ISBN: 1-59031-509-X OFFICE OF NATIONAL DRUG CONTROL POLICY NATIONAL YOUTH ANTI-DRUG MEDIA

More information

Discrimination on grounds of ethnicity, race, gender, sexuality or disability

Discrimination on grounds of ethnicity, race, gender, sexuality or disability Emotional health and wellbeing Why is it important? Emotional ill health is the result of who we are and what happens to us in our lives. For children, this may include poor attachment, poor parenting,

More information

Conduct Disorder: Treatment Recommendations. For Vermont Youth. From the. State Interagency Team

Conduct Disorder: Treatment Recommendations. For Vermont Youth. From the. State Interagency Team Conduct Disorder: Treatment Recommendations For Vermont Youth From the State Interagency Team By Bill McMains, Medical Director, Vermont DDMHS Alice Maynard, Mental Health Quality Management Chief, Vermont

More information

Essentials about Substance Use, Abuse, Addictions, Divorce, and Divorce Attorneys

Essentials about Substance Use, Abuse, Addictions, Divorce, and Divorce Attorneys Essentials about Substance Use, Abuse, Addictions, Divorce, and Divorce Attorneys Use, Abuse and Addiction Social use once in a while, take it or leave it, truly no big deal Abuse: Beginning to become

More information

Alcohol Use. Alcohol Use

Alcohol Use. Alcohol Use Lesson 5.2 By Carone Fitness Alcohol is a drug found in many different types of beverages, including beer, wine, and liquor. At first the drinker may experience a buzz, but then the true nature of the

More information

Health Education Core ESSENTIAL QUESTIONS. It is health that is real wealth, and not pieces of gold and silver. Gandhi.

Health Education Core ESSENTIAL QUESTIONS. It is health that is real wealth, and not pieces of gold and silver. Gandhi. Health Education Core ESSENTIAL QUESTIONS It is health that is real wealth, and not pieces of gold and silver. Gandhi Increased Focus Classroom Real Life Connection Student Reflection Student Assessment

More information

Enforcement - Aggressively Attacking Unlawful Drug Activity. Treatment/Recovery - Getting Treatment Resources Where They Are Needed

Enforcement - Aggressively Attacking Unlawful Drug Activity. Treatment/Recovery - Getting Treatment Resources Where They Are Needed Orange County Drug Free Coalition Strategic Plan Mission Statement: To engage, advocate, inform and bring awareness of alcohol and other substance abuse issues through education, prevention, enforcement,

More information

Source: Minnesota Student Survey, Key Trends Through 2007, Minnesota Departments of Corrections, Education, Health, Human Services and Public Safety.

Source: Minnesota Student Survey, Key Trends Through 2007, Minnesota Departments of Corrections, Education, Health, Human Services and Public Safety. Underage Drinking in Minnesota The Consequences of Drinking Outweigh the Experience. What s the Big Deal? Underage alcohol use is a big deal and directly related to criminal behavior and serious social

More information

Section 5: Methamphetamine Prevention, Intervention and Treatment

Section 5: Methamphetamine Prevention, Intervention and Treatment In This Section: Section 5: Methamphetamine Prevention, Intervention and Treatment Early Intervention, Source: This information was accessed in 2011 at www.methresources.gov which now redirects to the

More information

Cincinnati Christian University Drug Abuse Prevention Program

Cincinnati Christian University Drug Abuse Prevention Program Cincinnati Christian University Drug Abuse Prevention Program Cincinnati Christian University maintains that our bodies are created by God and should be used to glorify Him. The misuse or abuse of alcohol

More information

Children, youth and families with co-occurring mental health and substance abuse issues are welcomed in every contact, and in every setting.

Children, youth and families with co-occurring mental health and substance abuse issues are welcomed in every contact, and in every setting. Practice Guidelines for the Identification and Treatment of Co-occurring Mental Health and Substance Abuse Issues In Children, Youth and Families June, 2008 This document is adapted from The Vermont Practice

More information

Agency of Human Services

Agency of Human Services Agency of Human Services Practice Guidelines for the Identification and Treatment of Co-occurring Mental Health and Substance Abuse Issues In Children, Youth and Families The Vermont Practice Guidelines

More information

Treatment Approaches for Drug Addiction

Treatment Approaches for Drug Addiction Treatment Approaches for Drug Addiction [NOTE: This is a fact sheet covering research findings on effective treatment approaches for drug abuse and addiction. If you are seeking treatment, please call

More information

Warrington Safeguarding Children Board Neglect Strategy

Warrington Safeguarding Children Board Neglect Strategy Warrington Safeguarding Children Board Neglect Strategy Every child and young person in Warrington should be able to grow up safe from maltreatment, neglect, bullying, discrimination and crime -receiving

More information

Addiction and Drug Policy. disadvantages. Through legalization controlling illicit drugs will create jobs through

Addiction and Drug Policy. disadvantages. Through legalization controlling illicit drugs will create jobs through Addiction and Drug Policy Our group believes that drugs becoming legalized have ethical advantages and disadvantages. Through legalization controlling illicit drugs will create jobs through manufacturing

More information

Arkansas Strategic Plan for Early Childhood Mental Health

Arkansas Strategic Plan for Early Childhood Mental Health Summary of Arkansas Strategic Plan for Early Childhood Mental Health Arkansas Early Childhood Comprehensive Systems Social-Emotional Workgroup 2014-2015 Early Childhood Mental Health Early childhood professionals

More information

SOLVENT AND DRUG ABUSE

SOLVENT AND DRUG ABUSE SOLVENT AND DRUG ABUSE The Cumberland School does not support the misuse of drugs, cigarettes or alcohol by its members, nor the illegal supply of these substances. The school is committed to the health

More information

Assessing families and treating trauma in substance abusing families

Assessing families and treating trauma in substance abusing families Children, Trauma and the impact of Substance abuse Day One Outpatient (874-1045) Amy Stevenson LCPC CCS (amys@day-one.org) Don Burke LCPC CCS (donb@day-one.org) Assessing families and treating trauma in

More information

If you re with child, be without alcohol. No amount of alcohol is safe to drink during pregnancy.

If you re with child, be without alcohol. No amount of alcohol is safe to drink during pregnancy. Alcohol & Pregnancy If you re with child, be without alcohol. No amount of alcohol is safe to drink during pregnancy. www.withchildwithoutalcohol.com 3 Introduction Many things we hear about pregnancy

More information

Adolescent Substance Abuse: Evidence-Based Programs

Adolescent Substance Abuse: Evidence-Based Programs Adolescent Substance Abuse: Evidence-Based Programs Sara McEwen, MD, MPH Governor s Institute on Substance Abuse Janice Petersen, Ph.D., Director Office of Prevention/DMHDDSAS DHHS December 7, 2010 Objectives

More information

Policy on Drug-Free Campus & Workplace

Policy on Drug-Free Campus & Workplace President Page 1 of 5 PURPOSE: CI recognizes that substance abuse has become an increasingly serious problem affecting all aspects of society, including the workplace and academia. Substance abuse can

More information

Juvenile Justice. CJ 3650 Professor James J. Drylie Week 15

Juvenile Justice. CJ 3650 Professor James J. Drylie Week 15 Juvenile Justice CJ 3650 Professor James J. Drylie Week 15 Special Populations Kids will be kids. When does problem behavior separate kids from just being kids? The uniqueness of juveniles within the general

More information

Alcohol Awareness. When Does Alcohol Abuse Become Alcoholism?

Alcohol Awareness. When Does Alcohol Abuse Become Alcoholism? Alcohol Awareness When Does Alcohol Abuse Become Alcoholism? Heavy drinkers may appear to function day to day yet still be putting themselves and others at risk. Learn how to recognize problem drinking.

More information

FREQUENTLY ASKED QUESTIONS

FREQUENTLY ASKED QUESTIONS W O R KING TO BUILD A HE A LTHY AUSTRALIA FREQUENTLY ASKED QUESTIONS www.nhmrc.gov.au National Health and Medical Research Council AUSTRALIAN GUIDELINES TO REDUCE HEALTH RISKS FROM DRINKING ALCOHOL Australian

More information

Five-Year Prevention Statewide Strategic Plan

Five-Year Prevention Statewide Strategic Plan Five-Year Prevention Statewide Strategic Plan State of Nebraska Department of Health and Human Services Division of Behavioral Health FY13-FY17 Five-Year Substance Abuse Prevention Statewide Strategic

More information

Juvenile-on-juvenile sex crimes and sexual abuse Practice and public policy considerations MARK CHAFFIN UNIVERSITY OF OKLAHOMA HEALTH SCIENCES CENTER

Juvenile-on-juvenile sex crimes and sexual abuse Practice and public policy considerations MARK CHAFFIN UNIVERSITY OF OKLAHOMA HEALTH SCIENCES CENTER Juvenile-on-juvenile sex crimes and sexual abuse Practice and public policy considerations MARK CHAFFIN UNIVERSITY OF OKLAHOMA HEALTH SCIENCES CENTER What About The Kids These Days? Are They Really Worse

More information

Physical Symptoms Mood Symptoms Behavioral Symptoms

Physical Symptoms Mood Symptoms Behavioral Symptoms Prescription drugs are the 3 rd most commonly abused drugs amongst teens in Nebraska, and the same statistic holds true on a national level. The rise in prescription drug abuse is becoming increasingly

More information

Protection of the Rights of Children and Women Suffering from Drug Addiction in the Family and Society - Shelter Don Bosco, Mumbai, India -

Protection of the Rights of Children and Women Suffering from Drug Addiction in the Family and Society - Shelter Don Bosco, Mumbai, India - Protection of the Rights of Children and Women Suffering from Drug Addiction in the Family and Society - Shelter Don Bosco, Mumbai, India - Article 24 of the Convention on the Rights of the Child recognizes

More information

Be in the Know About Teens and Drugs A PRIL 9, 2013.

Be in the Know About Teens and Drugs A PRIL 9, 2013. Be in the Know About Teens and Drugs A PRIL 9, 2013. A Parent s Influence You are more powerful than you think! Research shows that parents are the leading source of information for their teens, and influence

More information

Definitions of Child Abuse in the State of Oregon

Definitions of Child Abuse in the State of Oregon Definitions of Child Abuse in the State of Oregon Oregon law defines physical abuse as an injury to a child that is not accidental. Most parents do not intend to hurt their children, but abuse is defined

More information

Treatment Approaches for Drug Addiction

Treatment Approaches for Drug Addiction Treatment Approaches for Drug Addiction NOTE: This is a fact sheet covering research findings on effective treatment approaches for drug abuse and addiction. If you are seeking treatment, please call 1-800-662-HELP(4357)

More information

3 DRUG REHAB FOR TEENAGERS

3 DRUG REHAB FOR TEENAGERS 4 4 5 5 6 7 8 10 11 12 3 DRUG REHAB FOR TEENAGERS Discovering that a teen is taking drugs or alcohol is worrisome. Parents not only worry about the impact on a child s health, but also the possible impact

More information

About drugs. Psychoactive drugs. Drugs are substances that change a person s physical or mental state.

About drugs. Psychoactive drugs. Drugs are substances that change a person s physical or mental state. 1 About drugs Drugs are substances that change a person s physical or mental state. The vast majority of drugs are used to treat medical conditions, both physical and mental. Some, however, are used outside

More information

A More Perfect Union: Joining Tobacco Use and Substance Abuse Prevention Programs

A More Perfect Union: Joining Tobacco Use and Substance Abuse Prevention Programs A More Perfect Union: Joining Tobacco Use and Substance Abuse Prevention Programs Tonia Gray, MPH SAMHSA/Center for Substance Abuse Prevention On behalf of Susan Marsiglia Gray, MPH SAMHSA/Center for Substance

More information

Running Head: COUNCIL ON ACCREDITATION, INNOVATIVE PRACTICES AWARD 1. Council on Accreditation Innovative Practices Award

Running Head: COUNCIL ON ACCREDITATION, INNOVATIVE PRACTICES AWARD 1. Council on Accreditation Innovative Practices Award Running Head: COUNCIL ON ACCREDITATION, INNOVATIVE PRACTICES AWARD 1 Council on Accreditation Innovative Practices Award ICAN Peer Leadership Innovative Recruitment & Retention Practices Christy McClendon

More information

2) Recurrent emotional abuse. 3) Contact sexual abuse. 4) An alcohol and/or drug abuser in the household. 5) An incarcerated household member

2) Recurrent emotional abuse. 3) Contact sexual abuse. 4) An alcohol and/or drug abuser in the household. 5) An incarcerated household member Co Occurring Disorders and the on Children: Effectively Working with Families Affected by Substance Abuse and Mental Illness Definition (Co-Occurring also called Dual Dx) A professional diagnosis of addictive/substance

More information

Risk and Resilience 101

Risk and Resilience 101 Risk and Resilience 101 July 2004 Thirty years ago, most prevention efforts relied on fear. They tried to convince young people that smoking or using drugs would damage their health and ruin their futures.

More information

The Effects of Domestic Violence on Children: Picking Up The Pieces. Kristy Nelson & Andrea Link Legacy House

The Effects of Domestic Violence on Children: Picking Up The Pieces. Kristy Nelson & Andrea Link Legacy House The Effects of Domestic Violence on Children: Picking Up The Pieces Kristy Nelson & Andrea Link Legacy House Overview of the Adverse Childhood Experiences (ACE) Study PowerPoint & Research Adapted from

More information

WHAT WE KNOW. Collective Action Issue Brief #2 Updated June 2014 PRESCRIPTION PAIN MEDICATION MISUSE

WHAT WE KNOW. Collective Action Issue Brief #2 Updated June 2014 PRESCRIPTION PAIN MEDICATION MISUSE Collective Action Issue Brief #2 Updated June 2014 PRESCRIPTION PAIN MEDICATION MISUSE WHAT WE KNOW The misuse and abuse of prescription drugs has become a leading cause of harm among New Hampshire adults,

More information

Important facts to remember

Important facts to remember Important facts to remember If you re pregnant or trying to get pregnant, or if you know someone who is, there are several important points to remember: See a healthcare professional regularly. Get plenty

More information

Hidden Harm: the impact of addiction on children & families

Hidden Harm: the impact of addiction on children & families Hidden Harm: the impact of addiction on children & families Dr. Ann Hope, Department of Public Health & Primary Care, Trinity College Dublin, Ireland Presentation Outline Conceptual framework for studying

More information

United Nations Office on Drugs and Crime (UNODC)

United Nations Office on Drugs and Crime (UNODC) United Nations Office on Drugs and Crime (UNODC) Moderator: Juan Pablo Yga Director: Patricio Williams Secretary: Andrea Cisneros Topic B: Decreasing drug abuse among minors Description of Committee: The

More information

Do you drink or use other drugs? You could be harming more than just your health.

Do you drink or use other drugs? You could be harming more than just your health. Do you drink or use other drugs? You could be harming more than just your health. Simple questions. Straight answers about the risks of alcohol and drugs for women. 1 Why is my health care provider asking

More information

NC Perinatal & Maternal Substance Abuse Initiative

NC Perinatal & Maternal Substance Abuse Initiative NC Perinatal & Maternal Substance Abuse Initiative NC Division of MH/DD/SAS Community Policy Management Best Practice Team Starleen Scott Robbins, LCSW Illicit drug use among pregnant women in the U.S.

More information

The Nation s Number One Health Problem The Robert Wood Johnson Foundation

The Nation s Number One Health Problem The Robert Wood Johnson Foundation Substance Abuse The Nation s Number One Health Problem The Robert Wood Johnson Foundation A Health & Social Problem More Deaths Illnesses, and Disabilities than any other preventable health condition 1

More information

Colorado Substance Use and Recommendations Regarding Marijuana Tax Revenue

Colorado Substance Use and Recommendations Regarding Marijuana Tax Revenue Colorado Substance Use and Recommendations Regarding Marijuana Tax Revenue Substance addiction and abuse is Colorado s most prevalent, complex, costly and untreated public health challenge. It is an issue

More information

Substance Abuse. Health Equity Highlight: Adolescents

Substance Abuse. Health Equity Highlight: Adolescents Substance Abuse 108 Background The deliberate use and overuse of harmful substances has a serious impact on the quality of life of Maine people. As a result of substance abuse, the lives of Maine residents

More information

Structure and Function

Structure and Function Structure and Function OKLAHOMA State SSA Director Mr. Ben Brown, Deputy Commissioner Oklahoma Department of Mental Health and Substance Abuse Services P.O. Box 53277 Oklahoma City, OK 73152-3277 Phone:

More information

Substance Abuse, Violence, Mental Health, and Academic Success

Substance Abuse, Violence, Mental Health, and Academic Success Substance Abuse, Violence, Mental Health, and Academic Success July 2009 The mission of the American school has expanded considerably over the last thirty years. We expect our schools to teach the traditional

More information

DMRI Drug Misuse Research Initiative

DMRI Drug Misuse Research Initiative DMRI Drug Misuse Research Initiative Executive Summary The psychosocial consequences of drug misuse: a systematic review of longitudinal studies Research Report submitted to the Department of Health in

More information

The Need for Adolescent SBIRT in School-based Health Centers

The Need for Adolescent SBIRT in School-based Health Centers The Need for Adolescent SBIRT in School-based Health Centers August 7, 2015 Marla Oros, RN, MS Substance Abuse: A National Public Health Problem There are over 22 million Americans who meet the medical

More information

Karla Ramirez, LCSW Director, Outpatient Services Laurel Ridge Treatment Center

Karla Ramirez, LCSW Director, Outpatient Services Laurel Ridge Treatment Center Karla Ramirez, LCSW Director, Outpatient Services Laurel Ridge Treatment Center 1 in 4 Americans will have an alcohol or drug problems at some point in their lives. The number of alcohol abusers and addicts

More information

Give Your Baby a Healthy Start

Give Your Baby a Healthy Start The dangers of smoking, drinking, and taking drugs Give Your Baby a Healthy Start Tips for Pregnant Women and New Mothers What you do today can stay with your baby forever Your baby needs your love and

More information

Institute for Health and Recovery Integrated Screening Tool

Institute for Health and Recovery Integrated Screening Tool Institute for Health and Recovery Integrated Screening Tool Women s health can be affected by emotional problems, alcohol, tobacco, other drug use, and domestic violence. Women s health is also affected

More information

In Brief UTAH. Adolescent Behavioral Health. A Short Report from the Office of Applied Studies

In Brief UTAH. Adolescent Behavioral Health. A Short Report from the Office of Applied Studies UTAH Adolescent Behavioral Health In Brief A Short Report from the Office of Applied Studies Adolescence (12 to 17 years) is a critical and vulnerable stage of human development, during which males and

More information

Alcohol related problems, and family violence in Poland

Alcohol related problems, and family violence in Poland 2 nd ENCARE SYMPOSIUM Alcohol related problems, and family violence in Poland MARIA ZAŁUSKA The Institute of Psychiatry and Neurology in Warsaw. Poland 1. Consumption of alcohol as = risk factor for family

More information

California Society of Addiction Medicine (CSAM) Consumer Q&As

California Society of Addiction Medicine (CSAM) Consumer Q&As C o n s u m e r Q & A 1 California Society of Addiction Medicine (CSAM) Consumer Q&As Q: Is addiction a disease? A: Addiction is a chronic disorder, like heart disease or diabetes. A chronic disorder is

More information

DRUG AND ALCOHOL ADDICTION. BY: Kristen Mehl AGE: 17 GRADE: 12. SCHOOL NAME: St. Clair High School

DRUG AND ALCOHOL ADDICTION. BY: Kristen Mehl AGE: 17 GRADE: 12. SCHOOL NAME: St. Clair High School DRUG AND ALCOHOL ADDICTION BY: Kristen Mehl AGE: 17 GRADE: 12 SCHOOL NAME: St. Clair High School DRUG AND ALCOHOL ADDICTION Drug and alcohol addiction is a rising problem among all ages, including our

More information

From Neurons to Neighborhoods: The Science of Early Childhood Development

From Neurons to Neighborhoods: The Science of Early Childhood Development From Neurons to Neighborhoods: The Science of Early Childhood Development By Jack P. Shonkoff, MD This chapter explains the work of the Committee on Integrating the Science of Early Childhood Development

More information

Youth Violence. 4th leading. 200,000 die. The Health Sector Role in Prevention and Response. cause of death. each year. Youth Violence is the

Youth Violence. 4th leading. 200,000 die. The Health Sector Role in Prevention and Response. cause of death. each year. Youth Violence is the Youth Violence Youth Violence is the 4th leading cause of death in young people worldwide. 200,000 die each year. The Health Sector Role in Prevention and Response What is youth violence? Youth violence:

More information

In Brief MICHIGAN. Adolescent Behavioral Health. A Short Report from the Office of Applied Studies

In Brief MICHIGAN. Adolescent Behavioral Health. A Short Report from the Office of Applied Studies MICHIGAN Adolescent Behavioral Health In Brief A Short Report from the Office of Applied Studies Adolescence (12 to 17 years) is a critical and vulnerable stage of human development, during which males

More information

Alcohol Addiction. Introduction. Overview and Facts. Symptoms

Alcohol Addiction. Introduction. Overview and Facts. Symptoms Alcohol Addiction Alcohol Addiction Introduction Alcohol is a drug. It is classed as a depressant, meaning that it slows down vital functions -resulting in slurred speech, unsteady movement, disturbed

More information

Essential Trauma Informed Practices in Schools. Shannon Cronn, N.C.S.P. Barb Iversen, M.C.

Essential Trauma Informed Practices in Schools. Shannon Cronn, N.C.S.P. Barb Iversen, M.C. Essential Trauma Informed Practices in Schools Shannon Cronn, N.C.S.P. Barb Iversen, M.C. Objectives: Participants attending this session will be able to: Define trauma Explain how trauma may impact child/teen

More information

The National Center on Addiction and Substance Abuse at Columbia University 2009

The National Center on Addiction and Substance Abuse at Columbia University 2009 The National Center on Addiction and Substance Abuse at Columbia University 2009 1 The National Center on Addiction and Substance Abuse (CASA) at Columbia University is the only organization that brings

More information

1 GUIDE TO ALCOHOLISM

1 GUIDE TO ALCOHOLISM 1 GUIDE TO ALCOHOLISM Understanding Alcoholism While a glass of wine with dinner or a couple of beers while watching the big game may seem like a harmless way to unwind, for 14 million Americans, it is

More information

Substance Abuse During Pregnancy

Substance Abuse During Pregnancy Substance Abuse During Pregnancy Time for Policy to Catch up with Research Barry M. Lester, Ph.D. Infant Development Center, Brown Medical School National Conference of State Legislators Audio Conference

More information

The Effect of Family Background on the Risk of Homelessness in a Cohort of Danish Adolescents

The Effect of Family Background on the Risk of Homelessness in a Cohort of Danish Adolescents The Effect of Family Background on the Risk of Homelessness in a Cohort of Danish Adolescents Lars Benjaminsen The Danish National Center for Social Research Problem What is the family background of young

More information