Substance Abuse. Prevention Program

Transcription

1 Substance Abuse Prevention Program

2 The purpose of this program is to formulate and implement standards, policies and procedures that will promote and maintain a healthy environment for all students and employees at the College. The program is further designed to protect the College property and operations, and to protect the safety of the general public. Its intent is to provide guidelines consistent with Federal Regulations 34CFR part 84, subpart F and part 86, subpart B, and it is set forth for students and employees alike. Inasmuch as the abuse of legal or Illegal drugs and alcohol is inconsistent with the College s mission on all levels, the prevention of substance abuse is of utmost importance to the College. The College s academic, citizenship, and social goals for our students depend upon an environment that is as free as possible from the influence of substance abuse, and this program is intended to be an integral part of the College s educational and co-curricular activities. Goals It is the intent of the College to establish and maintain a learning environment and workplace that is free from the effects of substance abuse. This environment will be maintained to ensure our continued reputation and quality of service to the community and the system of higher education. It is also our goal to preserve the physical and psychological health of our students, faculty, and staff. To this end, the College believes that the elimination of substance abuse will improve the well-being of our students and staff as it relates to absenteeism, tardiness, and accidental injury. Health Risks of Substance Abuse The College is keenly aware of the health risks, both physical and psychological, of substance abuse. We are committed to increasing employee and student awareness of the dangers of substance abuse. For example, marijuana can impair thinking, reading, comprehension and verbal skills; hallucinogens result in loss of control of normal thought processes; phencyclidine can produce violent and bizarre behavior; stimulants (amphetamines) may produce mood swings, panic and cardiac disturbances; cocaine is toxic, and overdoses result in death; narcotics cause dependency and severe symptoms upon withdrawal; inhalants have a high risk of sudden death; and alcohol can dull sensation and impair coordination, memory, and judgment. Students or employees who are experiencing problems with substance abuse should seek assistance through an appropriate agency. The Student Services department can assist you with a listing of these agencies. Students and employees who go through rehabilitation and who seek readmission or reemployment will be given equal consideration based upon their qualifications for enrollment or employment. To the extent that they may be applicable depending on the circumstances, students and employees will be afforded the benefits and protections of the Americans With Disabilities Act and the Family Medical Leave Act. Students Convicted of Possession or Sale of Drugs A federal or state drug conviction for an offense that occurred during a period of enrollment for which a student was receiving Title IV aid can disqualify the student for FSA funds. The chart below illustrates the period of ineligibility for federal financial aid funds, depending on whether the conviction was for sale or possession and whether the student had previous offenses. (A conviction for sale of drugs includes convictions for conspiring to sell drugs.) If the student was convicted of both possessing and selling illegal drugs, and the periods of ineligibility are different, the student will be ineligible for the longer period. A student regains eligibility the day after the period of ineligibility ends or when he successfully completes a qualified drug rehabilitation program. Further drug convictions will make him ineligible again. 1st offense 2nd offense Possession of illegal drugs 1 year from date of conviction 2 years from date of conviction 3+ offense Indefinite period Sale of illegal drugs 2 years from date of conviction Indefinite period Policy Statement The following rules will apply to all students and employees of the College. 1. The College requires all students and staff to report to classes or work areas and remain in condition to perform their duties free from any chemical abuse effects. They shall not be under the influence of any alcohol or any drug, legal or illegal, which will adversely affect their ability to perform their duties in any way. A student or employee with a medical condition which requires accommodation, including accommodation due to the effects of prescription drug treatment, should request accommodation pursuant to the College s ADA Accommodation Policy. The possession, transfer, sale or use of illegal drugs while on College property or during work hours, including meal periods and breaks, is absolutely prohibited. Violation of these rules by a student or an employee will be reason for disciplinary action up to and including mandatory substance abuse counseling, suspension or dismissal for students and termination of employment for employees. Depending on the circumstances, it could also result in referral to law enforcement agencies Drug and Substance Abuse Handbook 2

3 2. The College reserves the right to carry out reasonable searches of individuals, their personal effects, their desks, and vehicles when entering college premises, while on the premises and when leaving the premises. The only objective of all searches is to deter the use, possession, transportation, or sale of illegal drugs and alcoholic beverages in order to provide a safe work and school environment. Such searches may be initiated without prior announcement and conducted at such times and locations as deemed appropriate. 3. A student or employee s consent to such searches is required as a condition of becoming and remaining enrolled in the institution or an employee of the company. An incumbent student or employee s refusal to consent to any such search will result in disciplinary action up to and including dismissal or termination, even for a first refusal. 4. Searches may be conducted using upper administrative personnel or law enforcement officers. Following any incident involving a search of a student or an employee, involved personnel are to contact the personnel office in order to prepare a written report of the incident. 5. The possession, use, or sale of illegal drugs off College premises which impairs the individual s performance or presents a danger to the well-being and welfare of other students or employees, or which compromises the reputation of the College within the community, is absolutely prohibited. Should s a violation of this policy result in a criminal drug conviction related to any conduct which occurred in the college/workplace, the affected student or employee must notify the campus director or department head in writing within five calendar days of such conviction. 6. It is the responsibility of the student or the employee to notify administration when he/she is under the influence of a legally prescribed drug. A student or an employee may continue to attend class or come to work, as long as he/she does not pose a threat to his/her own safety or the safety of others, and his/her performance is not adversely affected. However, a student or employee under the influence of a legally prescribed drug may be required to take a leave of absence or comply with appropriate action as determined by administration. 7. The abuse of legal or prescription drugs that adversely affects an individual s ability to perform his/her duties in any way will result in the immediate removal of such individual, whether student or employee, from College premises, and that individual will be subject to discipline up to and including dismissal or termination of employment. 8. Possession and consumption of alcoholic beverages while on College premises may be authorized by administration for certain employee or student events. It is the policy of the College that employees and students participating in such events and consuming alcoholic beverages will be expected to demonstrate consideration and sole responsibility for the safety and well-being of themselves and others at all times before, during, and after such events. The College will implement the Substance Abuse Prevention Program in the following ways: 1. All employees will be provided a copy of the Substance Abuse Prevention Program when hired, and acknowledge their understanding of the program when hired. The goals and provisions of the program will be covered during the employment interview. 2. All students will be provided a copy of the Substance Abuse Prevention Program when they enroll. 3. New student orientation will include an interactive discussion of the Substance Abuse Program with an opportunity for students to ask questions. 4. All employees and student will be provided with an updated copy of the Substance Abuse Prevention Program annually. State and Federal Legal Sanctions The following sections provide a summary of state and federal sanctions for the unlawful use of controlled substances and alcohol. Portions of the summary were provided by the federal government, and while the summary is a good faith effort to provide information, the following summary does not constitute legal advice and National College does not guarantee its accuracy Drug and Substance Abuse Handbook 3

4 State of Indiana Offense IC Minimum Charge Fine Imprisonment False statement of age Class C misdemeanor Max: $500 Max: 60 days False ID used to purchase alcohol FOR person under age 21 False ID used to purchase alcohol BY person under age 21 Possible suspension of driving privileges for up to 1 year Class C misdemeanor Max: $500 Max: 60 days Class C infraction Max: $500 n/a Sale of alcohol to minor Class B misdemeanor Max: $1000 Max: 180 days Aiding unlawful possession of alcohol by a minor Driving while intoxicated Minimum: Class C misdemeanor Max: Class C Felony Class C infraction Max: $500 n/a Min: $500 Min: 60 days Max: 8 years Penalty increases depending on type, alcohol concentration, or if a person is endangered. Driving while intoxicated, under age Class C infraction Max: $500 n/a Driving privileges suspended for up to 1 year. Open container in motor vehicle Class C infraction Max: $500 n/a Consumption of alcohol while driving Class B infraction Max: $1000 n/a Dealing: Controlled substances manufacture, possession with intent to sell Class D felony After 7/1/2014 Class A misdemeanor Penalty increases depending on drug type & quantity, repeated offenses, and if the crime was committed in the vicinity of a school or minor. Max: $5000 Min: 6 months Max: 3 years Max: 1 year Dealing: marijuana, hash oil, hashish, salvia manufacture, possession with intent to sell Class A misdemeanor Penalty increases depending on drug type & quantity, repeated offenses, and if the crime was committed in the vicinity of a school or minor. Possession of a controlled substance Class D felony After 7/1/2014 Class A misdemeanor Penalty increases depending on drug type & quantity, repeated offenses, and if the crime was committed in the vicinity of a school or minor. Max: $5000 Max: $5000 Max: 1 year Min: 6 months Max: 3 years Max: 1 year Drug and Substance Abuse Handbook 4

5 Possession of marijuana, hash oil, hashish, salvia Class A misdemeanor After 7/1/2014 Class B misdemeanor Max: $5000 Max: $1000 Min: 1 year Max: 180 days Penalty increases depending on drug type & quantity, repeated offenses, and if the crime was committed in the vicinity of a school or minor. State of Kentucky Offense KRS Charge Fine Imprisonment Underage purchase, possession, consumption of alcohol (under age 21) False ID used to purchase alcohol FOR person under age 21 False ID used to purchase alcohol BY person under age 21 Furnishing/selling alcohol to person under age 21 Public intoxication (excludes alcohol unless in combination with controlled substance) Driving under the influence of alcohol, a controlled substance, or other substance that impairs driving ability Status Offense n/a n/a Class B Misdemeanor $250 < 90 days Status Offense n/a n/a Class B Misdemeanor $250 < 90 days Class B Misdemeanor $250 < 90 days Min: First Offense Driving privileges suspended for 30 days 6 months. Min: $200 Min: 48 hours Max: 5 years Selling/distributing controlled substances 218A A A.1412 Selling/distributing controlled substances to a minor (under age 18) Possessing/using controlled substances 218A A.1415 Max: 4th offense Driving privileges suspended for 5 years. repeat offenses, aggravating circumstances, and/or passenger under age 12. Class D Felony drug quantity, repeat offenses, and/or if a child is endangered 218A.1401 Class C Felony repeat offenses Class D Felony drug quantity, repeat offenses, and/or if a child is endangered Min: $1000 Min: $1000 Min: $1000 Min: 1 year Max: 5 years Min: 5 years Max: 10 years Min: 1 year Max: 5 years Drug and Substance Abuse Handbook 5

6 Selling/distributing marijuana 218A.1421 Class A Misdemeanor $ months drug quantity, repeat offenses, and/or if a child is endangered Manufacturing methamphetamines 218A A.1441 Possession/unlawful distribution of methamphetamines 218A A.1438 Class B Felony repeat offenses or if a child is endangered Class D Felony repeat offenses Min: $1000 Min: $1000 Min: 10 years Max: 20 years Min: 1 year Max: 5 years Federal Penalties and Sanctions for Illegal Possession of a Controlled Substance 21 U.S.C. 844 (a) First conviction: Up to one (1) year imprisonment and fine of at least $1,000 but not more than $100,000, or both. After one (1) prior drug conviction: At least fifteen (15) days in prison, not to exceed two (2) years, and fine of at least $2,500 but not more than $250,000, or both. After two (2) or more prior drug convictions: At least ninety (90) days in prison, not to exceed three (3) years, and fine of at least $5,000 but not more than $250,000, or both. Special sentencing provisions for possession of crack cocaine: Mandatory sentence of at least five (5) years in prison, not to exceed twenty (20) years, and fine of up to $250,000, or both, if: a. first conviction and the amount of crack possessed exceeds five (5) grams. b. second crack conviction and the amount of crack possessed exceeds three (3) grams. c. third or subsequent crack conviction and the amount of crack possessed exceeds one (1) gram. 21 U.S.C. 853 (a) (2) and 881 (a) (7) Forfeiture of personal and real property used to possess or to facilitate possession of a controlled substance if that offense is punishable by more than one (1) year imprisonment. (See special sentencing provision re: crack.) 21 U.S.C. 881 (a) (4) Forfeiture of vehicles, boats, aircraft, or any other conveyance used to transport or conceal a controlled substance. 21 U.S.C. 844a Civil fine of up to $10,000 (pending adoption of final regulations). 21 U.S.C. 853a Denial of federal benefits, such as student loans, grants, contracts, and professional and commercial licenses, up to one (1) year for first offense, up to five (5) years for second and subsequent offenses. 18 U.S.C. 922 (g) Ineligible to receive or purchase a firearm. Miscellaneous Powers of revocation of certain licenses and benefits (e.g. pilot licenses, public-housing tenancy) are vested within the authorities of individual federal agencies. Drug and Alcohol Abuse Prevention Programs General Resources National Institute on Drug Abuse: Federal Drug Enforcement Administration (DEA): Drug Strategies: Alcoholics Anonymous: Narcotics Anonymous: Local Resources: Indianapolis, Indiana Drug Rehab of Indianapolis, 201 North Illinois St, 16th Floor, Indianapolis, IN 46250, (317) , Fairbanks Alcohol-Drug Rehab, 8102 Clearvista Pkwy, Indianapolis, IN 46250, (317) , Local Resources: Fort Wayne, Indiana Otis R. Bowen Center, 2100 Goshen Rd, Fort Wayne, IN 46808, (260) , Park Center, 909 East State Blvd, Fort Wayne, IN 46805, (260) , St. Joseph Behavorial Health, 700 Broadway, Fort Wayne, IN 46802, (260) , Local Resources: South Bend, Indiana AARC (Alcohol & Addictions Resource Center), 818 East Jefferson Blvd, South Bend, IN 46617, (574) , Drug and Substance Abuse Handbook 6

7 Addiction Recovery Centers, 2012 Ironwood Cir, South Bend, IN 46635, (574) Life Treatment Centers, 1402 South Michigan St, South Bend, IN 46613, (574) , Local Resources: Danville, Kentucky Isaiah House, 2084 Main St, Willisburg, KY (859) , Local Resources: Florence, Kentucky Commonwealth Substance Abuse Specialists, 7000 Houston Rd #43, Florence, KY (859) Catholic Charities Substance Abuse Program, www. covingtoncharitries.org/services/substanceabuseservices/ tabid/1332/default.aspx Local Resources: Lexington, Kentucky 2nd Chance, PLLC, 3439 Buckhorn Dr. #160, Akron, OH (859) , Local Resources: Louisville, Kentucky Jefferson Alcohol and Drug Abuse Center (JADAC), 600 S. Preston St, Louisville, KY 40202, (502) , Healing Place, 1503 South 15th St, Louisville, KY 40202, (502) , Local Resources: Pikeville, Kentucky Westcare, 173 Redale Rd, Akron, OH (606) ext. 22, Mountain Comprehensive Care Center, 173 Redale Rd, Akron, OH (606) or (800) , Local Resources: Richmond, Kentucky Alcohol & Drug Rehabilitation Helpline, 330 Eastern Byp, Ste 1-28, Richmond, KY 40475, (859) , richmondky. alcoholdrugtreatmenthelp.com Bluegrass Prevention Center, 411 Gibson Ln, Richmond, KY 40475, (859) , Health Risks Associated with Drug and Alcohol Abuse Source: Drugs of Abuse DEA Resource Guide (2011 Edition) gov/dea/pr/multimedia-library/publications/drug_of_abuse.pdf a. Overview: All controlled substances have abuse potential or are immediate precursors to substances with abuse potential. With the exception of anabolic steroids, controlled substances are abused to alter mood, thought, and feeling through their actions on the central nervous system (brain and spinal cord). Some of these drugs alleviate pain, anxiety, or depression. Some induce sleep and others energize. Though some controlled substances are therapeutically useful, the feel good effects of these drugs contribute to their abuse. The extent to which a substance is reliably capable of producing intensely pleasurable feelings (euphoria) increases the likelihood of that substance being abused. b. Drug Abuse: When drugs are used in a manner or amount inconsistent with the medical or social patterns of a culture, it is called drug abuse. c. Physical Dependence: Physical dependence refers to the changes that have occurred in the body after repeated use of a drug that necessitates the continued administration of the drug to prevent a withdrawal syndrome. This withdrawal syndrome can range from mildly unpleasant to life-threatening and is dependent on a number of factors, such as i. Drug being used; ii. Dose and route of administration; iii. Concurrent use of other drugs; iv. Frequency and duration of drug use; and v. Age, sex, health, and genetic makeup of the user. d. Psychological Dependence: Psychological dependence refers to the perceived need or craving for a drug. Individuals who are psychologically dependent on a particular substance often feel that they cannot function without continued use of that substance. While physical dependence disappears within days or weeks after drug use stops, psychological dependence can last much longer and is one of the primary reasons for relapse (initiation of drug use after a period of abstinence). e. Addiction: Addiction is defined as compulsive drug-seeking behavior where acquiring and using a drug becomes the most important activity in the user s life. This definition implies a loss of control regarding drug use, and the addict will continue to use a drug despite serious medical and/or social consequences Drug and Substance Abuse Handbook 7

8 Federal Classification of Controlled Substances Source: U.S. Department of Justice Drug Enforcement Administration Drugs of Abuse 2011 Edition, A DEA Resource Guide. Schedule Classification Examples I II III IV V High abuse potential. No currently accepted medical use. Unsafe. High abuse potential. Current accepted medical use with severe restrictions. Severe dependence risk. Lower abuse potential. Current accepted medical use. Moderateor low dependence risk. Relatively low abuse potential. Current accepted medical use. Limited dependence risk. Low abuse potential. Current accepted medical use. Limited dependence risk. Heroin LSD Marijuana GHB Methaqualone Crack cocaine Ecstasy Morphine Phencylidine (PCP) Cocaine Methadone Hydrocodone Fentanyl Methamphetamine Anabolic steroids Codeine and hydrocodone products with aspirin or Tylenol Barbiturates Aprazolam Clonazepam Diazepam Cough medicines with codeine Health Impacts of Drug and Alcohol Abuse Source: U.S. Department of Justice Drug Enforcement Administration Drugs of Abuse 2011 Edition, A DEA Resource Guide. Substance Effect on Mind Effect on Body Overdose Effects Alcohol Heroin (I) Methadone (I) Impaired judgment, marked impairments in higher mental functions, severely altering a person s ability to problem solve, to process information and to remember information Surge of euphoria or rush, followed by a twilight state of sleep and wakefulness Abuse of methadone can lead to psychological dependence Impaired coordination, aggressive behavior Drowsiness, respiratory depression, constricted pupils, nausea, a warm flushing of the skin, dry mouth, and heavy extremities Sweating, itchy skin, or sleepiness Withdrawal symptoms: Anxiety, muscle tremors, nausea, diarrhea, vomiting, and abdominal cramps Morphine (II) Euphoria and relief of pain Relief from physical pain, decrease in hunger, and inhibition of the cough reflex Opium (II) Opioids (II, III, IV, V) Euphoric rush, followed by relaxation and the relief of physical pain Opium inhibits muscle movement in the bowels leading to constipation. It also can dry out the mouth and mucous membranes in the nose Respiratory depression and death Slow and shallow breathing, blue lips and fingernails, clammy skin, convulsions, coma, and possible death Slow and shallow breathing, blue fingernails and lips, stomach spasms, clammy skin, convulsions, weak pulse, coma, and possible death Cold, clammy skin, lowered blood pressure, sleepiness, slowed breathing, slow pulse rate, coma, and possible death Slow breathing, seizures, dizziness, weakness, loss of consciousness, coma, and possible death Drug and Substance Abuse Handbook 8

9 Substance Effect on Mind Effect on Body Overdose Effects Oxycodone (II) Euphoria and feelings of relaxation Pain relief, sedation, respiratory depression, constipation, papillary constriction, and cough suppression. Extended or chronic use of oxycodone containing acetaminophen may cause severe liver damage Amphetamines (II) Sample brand names: Adderall and Dexedrine ) Sense of exhilaration, enhance self esteem, improve mental and physical performance, increase activity, reduce appetite, extend wakefulness for prolonged period Increased blood pressure and pulse rates, insomnia, loss of appetite, and physical exhaustion. Extreme drowsiness, muscle weakness, confusion, cold and clammy skin, pinpoint pupils, shallow breathing, slow heart rate, fainting, coma, and possible death Agitation, increased body temperature, hallucinations, convulsions, and possible death Chronic abuse produces a psychosis that resembles schizophrenia and is characterized by: Paranoia, picking at the skin, preoccupation with one s own thoughts, and auditory and visual hallucinations Cocaine (II) Methamphetamine (II) Barbiturates (II, III, IV) Benzodiazepines Sample prescription drugs: Valium, Xanax, Halcion, Ativan Gamma- Hydroxybutyric acid (GHB) (I) Flunitrazepam Rohypnol Sense of exhilaration, increased alertness and excitation, as well as restlessness, irritability, and anxiety Those who smoke or inject it report a brief, intense sensation, or rush. Oral ingestion or snorting produces a longlasting high instead of a rush, which reportedly can continue for as long as half a day. Violent behavior, anxiety, confusion, insomnia, and psychotic features including paranoia, aggression, visual and auditory hallucinations, mood disturbances, and delusions such as the sensation of insects creeping on or under the skin Mild euphoria, lack of inhibition, relief of anxiety, and sleepiness Large doses: Impairment of memory, judgment, and coordination; irritability; and paranoid and suicidal ideation Amnesia, hostility, irritability, and vivid or disturbing dreams Euphoria, drowsiness, decreased anxiety, confusion, andmemory impairment Also produce both visual hallucinations and paradoxically excited and aggressive behavior Drowsiness (sedation), sleep (pharmacological hypnosis), decreased anxiety, and amnesia (no memory of events while under the influence of the substance) increased blood pressure and heart rate, dilated pupils, insomnia, and loss of appetite Increased wakefulness, increased physical activity, decreased appetite, rapid breathing and heart rate, irregular heartbeat, increased blood pressure, and hyperthermia (overheating) Slow down the central nervous system and cause sleepiness Slow down the central nervous system and, may cause sleepiness Low doses: nausea High doses: Unconsciousness, seizures, slowed heart rate, greatly slowed breathing, lower body temperature, vomiting, nausea, coma, and death Slurred speech, loss of motor coordination, weakness, headache, and respiratory depression Cardiac arrhythmias, ischemic heart conditions, sudden cardiac arrest, convulsions, strokes, and death Stroke, heart attack, or multiple organ problems caused by overheating Shallow respiration, clammy skin, dilated pupils, weak and rapid pulse, coma, and possible death Shallow respiration, clammy skin, dilated pupils, weak and rapid pulse, coma, and possible death Topical irritation to the skin and eyes, nausea, vomiting, incontinence, loss of consciousness, seizures, liver damage, kidney failure, respiratory depression, and death Severe sedation, unconsciousness, slow heart rate, and suppression of respiration that may be sufficient to result in death Drug and Substance Abuse Handbook 9

10 Substance Effect on Mind Effect on Body Overdose Effects Ecstacy/MDMA (I) Changes in perception, including euphoria and increased sensitivity to touch, energy, sensual and sexual arousal, need to be touched, and need for stimulation Confusion, anxiety, depression, paranoia, sleep problems, and drug craving Increased motor activity, alertness, heart rate, and blood pressure Muscle tension, tremors, involuntary teeth clenching, muscle cramps, nausea, faintness, chills, sweating, and blurred vision K2/Spice (I) Paranoia, panic attacks, and giddiness Increased heart rate and increase of blood pressure Sharp increase in body temperature (hyperthermia), resulting in liver, kidney, and cardiovascular system failure, and death No reported deaths by overdose Ketamine (III) LSD (I) Peyote & Mescaline (I) Psilocybin Mushrooms Marijuana/ Cannabis (I) Hallucinations, distorts perceptions of sight and sound and makes the user feel disconnected and not in control Hallucinations, visual changes with extreme changes in mood, impaired depth and time perception accompanied by distorted perception of the shape and size of objects, movements, colors, sound, touch and the user s own body image Illusions, hallucinations, altered perception of space and time, and altered body image Hallucinations and an inability to discern fantasy from reality. Panic reactions and psychosis Pleasure, memory, thought, concentration, sensory and time perception, and coordinated movement Appears to be stored in the body for long periods of time, and therefore the long-term effects on humans are not fully known Involuntarily rapid eye movement, dilated pupils, salivation, tear secretions, and stiffening of the muscles Dilated pupils, higher body temperature, increased heart rate and blood pressure, sweating, loss of appetite, sleeplessness, dry mouth, and tremors Intense nausea, vomiting, dilation of the pupils, increased heart rate, Increased blood pressure, a rise in body temperature that causes heavy perspiration, headaches, muscle weakness, and impaired motor coordination Nausea, vomiting, muscle weakness, and lack of coordination Problems with memory and learning, distorted perception, difficulty in thinking and problem-solving, and loss of coordination Sedation, blood shot eyes, increased heart rate, coughing from lung irritation, increased appetite, and decreased blood pressure Unconsciousness and dangerously slowed breathing Longer, more intense trip episodes, psychosis, and possible death Longer, more intense trip episodes, psychosis, and possible death Longer, more intense trip episodes, psychosis, and possible death No death from overdose of marijuana has been reported Drug and Substance Abuse Handbook 10

11 Substance Effect on Mind Effect on Body Overdose Effects Anabolic steroids Dramatic mood swings, increased feelings of hostility, impaired judgment, and increased levels of aggression When users stop taking steroids, they may experience depression that may be severe enough to lead one to commit suicide High cholesterol levels, which may increase the risk of coronary artery disease, strokes, and heart attacks, acne, and fluid retention. Damage the liver endocarditis adverse effects depend on age, sex, the anabolic steroid used, amount used, and duration of use Boys: early sexual development, acne, and stunted growth Adolescent girls/women: permanent physical changes, such as deepening of the voice, increased facial and body hair growth, menstrual irregularities, male pattern baldness, and lengthening of the clitoris Men: shrinkage of the testicles, reduced sperm count, enlargement of the male breast tissue, sterility, and an increased risk of prostate cancer Anabolic steroids are not associated with overdoses In support of this program, the College will conduct a biennial review to determine its effectiveness and to provide information to inform changes we may wish to make in the future. This review will utilize several data points which shall include, at a minimum, the number of drug and alcohol violations and fatalities that have occurred on campus or as part of a campus activity, the number and type of sanctions imposed by the College as a result of these violations an fatalities, and campus safety reports where crimes were attributed to drug and alcohol policy violations. This evaluation will allow for regular refinement and enhancements to the program to ensure a healthy environment for all students and employees is maintained Drug and Substance Abuse Handbook 11