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Wickd Gd Pcipi dg b: ddly pidmic

Pcipi dg: Wh h big dl? J giv m Th iig id Dg vd dh cd ly c ch f iil ijy dh. Dh lgly d mi d b f pcipi dg. I h mjiy f dh, m h dg i fd. Evy dy, 2,500 i h Uid S y pcipi dg g high f h fi im. Sixy pc f wh hv bd pcipi pikill did bf g 15. Yg ppl g 12 17 b pcipi dg m h hy b cy, cck/cci, hi d mhmphmi cmbid. Sc: Phip f Dg F Amic; C f Addici d Sbc Ab Clmbi Uiviy Jlig lf w Th pcipi dg idd b k d dc dici: If d impply, hy c b dg vy dg. I fc, dpi wh my d dl hik, big pcipi dg i f h big illici dg. A h fc will ll y, pcipi dg c hv dg h- d lg-m hlh cqc wh d iccly by m h h f whm hy w idd. Rblli l Kpig jl wiig blg i g wy l m b ylf. Wh y? Why d y d wh y d? D y hv g cvici? A y bl d p h wh y id qid? I ddii y gl hgh, icld y hgh b icl y d i h Tmp By Tim. T bgi y jl, wi b mhig h y hv d i h Tim h dicly ffc y lif. U pcific xmpl fm h icl bi f y jl y blg y. Wh k pply d d mdicl pvid pvii, pcipi dg c hv my bfi, b h i hlh ik cid wih h b f pcipi dg. Alhgh h dg my m f bc dc h pcibd hm, igl lg d f pcipi pikill dp c l i bhig pblm h c ld dh. Abig pcipi iml c l i fl iz. Ad, v i mll d, dp d pikill c ffc p biliy l. Th mpy id ffc. Pcipi dg hld lwy b k cily d d h c f licd mdicl dc. Abig h dg c ld pm d fl cqc. Cliy S, wh h big dl? Pcipi dg b mg i hg pblm i ciy. I 2012, h Miig h F dy pd h lm 15 pc f high chl i d pcipi dg pcibd f hm i h p y. Fidig l hwd h pcipi d v-h-c mdici cc f m f h p dg bd by high chl i, cd ly mij. Th w m-bd dg w Addll d Vicdi, which bh cm wih m i id ffc. Th pcipi dg idd b k d dc dici: If d impply, hy c b dg. Pid. Ed f y. Sc: Nil Ii Dg Ab 2 mpby.cm/i

Pcipi dg hld lwy b k cily d d h c f licd mdicl dc. I g lik hi S, h big qi i if pcipi dg dg, why hy pcibd by dc? Th w i h if mid d d pply, pcipi dg c hlp y. Dc cid h pil bfi d ik ch pi bf pcibig mdici. Bf dc pcib pcific mdici, h h will k b pi mdicl hiy, icldig wh h hlh pblm hy hv d wh h mdici hy k. Bd hi d h ifmi, phyici c pcib mdici whil miimizig h ik. A dg i y fd bc h wh p i h bdy chg h wy h bdy mid wk. Alig h wy y bdy d mid wk whil big mid by phyici c b vy iky bi. Bw Pcipi dg b kill 40 Amic vy dy, which i m h hfld ic i h l dcd, ccdig h U.S. C f Di Cl. Ad h ddli dg f ll i xycd, pi fd i pikill ch OxyCi d Pcc. Th dg i ffciv pikill bc i blck pi cp i h pil cd. Th pi d clly g wy, b ppl kig h dg will fl h pi y m. Th ffc h h m ig hi. Accdig h mdicl xmi ffic, i 2011, vg f v Flidi did fm pcipi dg vd vy dy. Thik b i Pcipi mdici, icldig h mdici d f pi, hv b d ci b m f h g mdicl dvc f h l cy. Thy hig h f micl. Pcipi pi mdici ch mphi d ld dg (piid) hv livd pi i milli f ppl f gy, b d bk b d i h ffig wih mil ill ch cc. B h i dk id h dg. Wh k by p f whm hy pcibd, i icc dg wih icc dig ivl, h pi mdici c hv fl cqc. All f h pi mdici c pii (bhig) p if vd cc. Thi i h l c f dh. Th i h pwfl pi mdici pcipi ly. Thy vy pwfl dg wih pilly lif-hig cqc. Nv k h mdici l hy hv b pcibd f y! P pi My p pid l h hy h m pwfl iflc hi child wh i cm dg. B, i. Hw d y mdl piiv bhvi f y child? Wh mg d y giv hm b cl dg? Thik b i. Sixy pc f wh hv bd pcipi pikill did bf g15, d 45 pc f h wh pi h g f 15 will l dvlp ddici. Kid d h hw iky dg b c b. Thy d kw hw dmgig i c b hi liv. Thy d y, hi p, b gd l mdl. Sc: Phip f Dg F Amic; Hlh Sbc Ab d Ml Hlh Svic Admiii mpby.cm/i 2 3

Wckig bll Did y kw h m ppl dg pcibd f dl c pi child? Si, ch Lipi d Zc, wll dib dg, ch mfmi, hv b cig i i piig mg child. Bld p mdici, ch ll, c b pcilly dg f mll child. Accdig dy cdcd by dc Child Hpil B, 30 pc f h g wh k i ffd i ijy, did 40 pc f h wh k piid. Accdig h p, lhgh yg child k h dg ccidly, pply k h dg. If y pc m h k dg h h b pcibd f h p, cll 9-1-1. Y c hlp pv dg piig by big ci. If m i y h i pcibd pcipi mdici, kp i lckd p d dip f y x pill wh y lg d hm. Th ff cld pv gdy i y w fmily. F m ifmi pcipi dg b pvi d hw y c hlp pv pcipi dg divi d b i y cmmiy, vii h wbi f h Offic f Nil Dg Cl Plicy whih.gv/dcp. Sc: NPR d Offic f Nil Dg Cl Plicy P pi Wh hld y d if y pc y child i kig pcibd pcipi dg? Tk ci! Rmmb, if y child i ig dg, h h d y hlp. D b fid b g p, d if h pblm bcm mch f y hdl l, d hi k pfil hlp, ch clig, pp gp m pgm. Th fi p i lk y child. Sh y cc. L y child kw y h f him h. B ddig d xpli y cc. Op h d cmmici d y b jdgml. Yg ppl vlbl ppli Ch my py Why d b pcipi dg? T b pcipi dg f mb f : g high, pi, liv i wih chl wk. Iigly, ml d fml d b m yp f pcipi dg f diff. F xmpl, gy m p b pcipi iml g high, whil gil d b hm y l. N m wh h f big pcipi dg, h l c b dvig. Abig pcipi dg c hv giv h- d lg-m hlh cqc. Abig iml c c pi, dgly high bdy mp d igl hb. Th b f piid c c dwi,, cipi d, dpdig h m k, lwd bhig. Abig dp c c ld pch, hllw bhig, fig, diii, lck f cdii d iz. Ad, b f y f h bc my l i ddici. Sc: Nil Ii Dg Ab Slw dw S, wh i pcipi dg b? Simply p, pcipi dg b i wh m k pcipi dg h w pcibd f m l, k h dg h w pcibd i m dg h h wh w pcibd. I h wd, b c icld kig fid liv pcipi g high, pi, bc y hik i will hlp wih dyig. I l icld kig xciv d f y w pcibd mdici. 4 mpby.cm/i

Alyzig dvim Thik b i: A dg i chmicl bc d, c, pv dig di. Dg l bdy chmiy i m wy. Whh h dg ld v h c pcibd by mdicl dc, dg c b dg d hld b d wih ci. Th mi v li Adlc vlbl ppli f bc- did bd mlipl gic d viml ik fc. Ufly, h li p dg bc ch bcc lchl, h m likly i i h p will ggl wih bc- did i dlhd. Th bc i h g y, which my bgi miiml xpiml wih miiml cqc, c pg i b f idividl m i bc- did, ch bc b dpdc. Sc: J B. Fild, MD, mdicl vic mg, DACCO d fllw i Addici Mdici wih h Uiviy f Sh Flid Bld li A bi i lik f c wih bd bk! I cpbl f lig d dig hig qickly, b h p h cl dcii-mkig d jdgm cmplly dvlpd. Th Amic Mdicl Acii p h h bi g hgh dymic chg dig dlcc, d dg c ily dmg lg- d h-m gwh pc. Fl lb dvlpm d h fim f phwy d cci ci il g 16, d high f gy i d h bi m il g 24! Thik b i: Limb A dg i y fd bc h wh p i h bdy chg h wy h bdy mid wk. Phyici my pcib lgl dg. Ov-h-c dg my b pchd dg h il. Nwpp, h I d lvii fqly ci dviig f dg. Mi h Tmp By Tim d y fvi lvii i f wk. I y jl, wi dw ch im y dvim f pcipi v-h-c dg. A cm, d y hik y big bmbdd wih h dvim? Wh i h mg h i big cvyd i h dvim? D y hik h d yig pd y h dg dvid? U pcific xmpl fm h dvim pp y id. Th dl d h dmg d Simply p, pcipi dg b i wh m k mdici i ipppi wy, ch : Wih pcipi I wy h h pcibd F h high licid Tkig fid liv pcipi pi bc y hik i will hlp wih dyig Opiid, cl v ym dp d iml h m cmmly bd pcipi dg. I ddii, mdici vilbl wih pcipi kw v-h-c dg l c b bd. Dxmhph, h civ cgh pp fd i my v-h-c cgh d cld mdici, i mim bd g high. Ab dgly high d f hi mdici. Sc: Nil Ii Dg Ab Evy dy i h Uid S, ppximly 2,000 g pcipi dg wih dc gidc f h fi im. A m f fc, 2.8 pc f 12-17-y-ld pd h mdicl f pcipi mdici i h p mh, ccdig h 2012 Miig h F vy. Th l f hi dy hwd h pcipi d v-h-c dg mg h m cmmly bd dg by high chl i, f lchl, mij, pic d bcc. Why d y hik h i? Why wld my ik hi hlh? Wh d hy g h dg? Sc: Nil Ii Dg Ab Nigh i mpby.cm/i 54

c q c g d Th b g d i ip c p f Th f dm Th h h bil m Accdig h Nil Ii Dg Ab, h mjiy f yg dl bi h pcipi dg hy b fm fid d liv. Ad ccdig h 2012 Miig h F vy, b 50 pc f high chl i id h piid dg, h h hi, wld b fily vy y g. Th Phip Dgf.g d h MLif Fdi ld h Phip Aid Tckig Sdy (PATS) i Apil 2013. Accdig h p: O i igh (13 pc b 2.7 milli) w p h hy hv k h iml Rili Addll wh i w pcibd f hm. O i f (26 pc) bliv h pcipi dg c b d dy id. N ly -hid f p y hy bliv pcipi iml ch Rili Addll c impv cdmic pfmc v if h d hv ADHD. Alm i f (23 pc) y hi p d c mch if hy cgh ig pcipi dg wih dc pcipi, cmpd gig cgh wih illgl dg. Sc: Th Phip Dgf.g d h MLif Fdi Tighp O f h bigg id ffc f pcipi dg b i ddici. Dg ddici i cmplx bi di. I i chcizd by cmpliv, cllbl, dg cvig, kig d h ci v i h fc f xmly giv cqc. I h wd, v if y filig y cl, gig i bl wih lw fcm d/ y p, h d f h dg will ci. Dg kig bcm cmpliv, i lg p l f h ffc f plgd dg bi fciig d bhvi. F my ppl, dg ddici bcm chic, wih lp pibl v f lg pid f bic. Wi p If d hw qickly y migh bcm ddicd dg dpd my fc, icldig y g d h bilgy f y bdy. All dg pilly hmfl d my hv lif-hig cqc cid wih hi. Th l v diffc mg idividl gdig iiviy vi dg. Whil p my dg my im d ff ill ffc, h p my b piclly vlbl d vd wih h fi. Th i wy f kwig i dvc hw m my c. Sc: Nil Ii Dg Ab Thi plc i pi Mhw S d Jmi Ly Gd pimiz ddiciv bhvi. A -kd fyl wimm, Mhw S gdd fm Smil High Schl i 1998 d fm h Vigii Miliy Ii i 2002. T h id wld, h hd i ll. S, wh fi d illgl dg wh h w 13, bcm ddicd pikill f bck ijy i high chl. H p h mid f hi h lif i d f hb blig il m h cld cl. S l hi difficl bl wih pcipi dg 6 mpby.cm/i ddici h g f 28, dyig fm vd cmbii f vl pcipi dg. Jmi Ly Gd w gd d Cyid High Schl. Sh w 17 wh h k h fi xycd pill f clii. Th dy f h gdd fm high chl, h mvd f h p h d bk ff cc wih hm. Wid b h dgh, Gd mh, Ly, ckd h dw i Wlg bhm, wh Gd w hig p xycd. Ov h y, hig md impv f Gd, b h cld v lly b h vwhlmig ddici f h dg. Sh did i 2011 f hi vd.

O dy im Opi h dvil, M. L*, fm dg ddic,. Oc hy g hld f y phyiclly, y d kw y h wy. Y whl lif vlv d yig g hm. A Tmp id, L xpimd wih dg wh h w i high chl. Wh h w i h ly 20, h d ig pi. Sh w qickly hkd d ggld wih ddici f f fiv y. Thik b i Pcipi mdici ly pcibd fm dc f p pi. A l f hgh d mdicl kwldg g i mkig dcii pcib pikill. Akig f ccpig mdici fm y wh kw vy lil b pikill i ly cip f dg. Blw i gph hwig h c f pcipi pikill. M pikill diibd by ppl y kw d wh hld kw b. L y h h wld d yhig g h dg i d vid h pi f wihdwl, icldig lyig, lig d hig ppl. Wh y ddicd, h i ligh h d f h l, h. Sc: Wm Rhm, M.D., mdicl dic, Divii f Emgcy Mdici, All Child Hpil Wh h dg cm fm Dg f ic Dcmb 2008, L lif i cmplly diff dy. Sh dfi hlf hppy d lf-li. L ggl bcm dg f w y. Af pdig h mh i jil, h w plcd i DACCO idil m pgm d, ipli f h pl, dd Ncic Aym (NA) mig. Sh y h fi p gig cl i kig f hlp. L h my bfi big cl. I hv i ll d m, h y. My fmily m I hv lif. Sh y h ky h cc i yig wy fm dg i h pp ym. Sh cdi h fmily, pcilly h fh, f ickig by h id d v givig p h. L kw h vy h pp ym hm, b h y h i hlp h. Evybdy h h ppiy qi dg. Y c d i. I hgh I w h l c. B h my ppl wh gglig. Rch d lk m. Th ly wy y will g hlp i lk mbdy. Sm i lwy willig hlp. Sc: C f f Di Cl d Pvi L dvi p, If y hv lv f y child, v giv p hp. Th c h f y,. * M. L i pdym Dyig yg Th Tmp By Tim pcil p If I Di Yg c b ccd mpby.cm/pcil/2011/p/ddici-cvy. Rd b Scy Nichl h ggld f biy i h pic f Flid pi pill cii. Mk li f h bcl Nichl c d li h ffc f h bcl. C c-d-ffc ch wih h ifmi y hv d. Al d h bckgd y Flid pill cii. I y jl, dic y hgh b wh y hv d d wh h implici f h ifmi gdig hi cii. Sh y hgh wih y cl. I mll gp, c mckp FcBk gp pg fcig hi pidmic. C m f h gp, gphic lg d pp. C fiv p h wih y w f. P pi Wh Ly Kwl, Jmi Ly Gd mh, hik bck h dgh g y, h cll h h kw h dgh w dikig d mkig mij, b h ibd h high chl ph. Sh hd id hw bd hig w. Kwl mid p h hy d b w f wh hi child dig d wh i i hi hm mdici cbi wll hi child fid hm mdici cbi. Kwl dvi p py i h mm d pd h pblm d xi. mpby.cm/i 6 7

Ddly cqc d m C Spc, dy y lil bh d bf 500 d, ch, picipl, ffic d h ll hm hw mch h mi y, hw mch h h vy dy by y big h. H w hibly v, b y him ig l igh d hi mig h i wld b ll igh. H wkig v h liv, h lil bh d hv mi hi big bh. W lv y, Spc. Mmm & Jmi Michl Phillip, Sp. 18, 2012, NOPE Mmil lhl cmbii f pcipi dg d lchl. Alhgh i i ci if h did l, h w fd l wih fid i igh. Hi yg bh w 10 y ld. Th fmily w dvd. Spc F w ypicl kid. Evy y h d hi bh, Jmi Phillip, wld g wih hi mh, Michl Phillip, ic fi d Bch Gd. Thy p hi mm i Kcky viiig fmily, kippig ck d wdig i ck. Wh Spc d 13 y ld, h bcm ypicl g. Hi mh y h d ph bdi d h mvd i wih hi fh i Wch. Spc d 14 y ld My 18, 2007. L h ix wk l h did f 8 mpby.cm/i I h hik h did l, h hi fid migh hv bdd him f f, id Jim, w Blmigdl High ji. I h h I cld hv b h kp him fm dig mhig pid. Michl Phillip d h p d b vigil b hi child kwig wh hi fid d fid p d wh hy dig. Li y kid, h id. If hy bhvig lik g, d l hm ph y wy. B ivlvd. M hi fid. Tlk hi ch. Nw, fiv y l, Jmi d Michl pd im dcig high chl d b h dg f pcipi dg. Thy hv fmd Hillbgh Cy NOPE (Ncic Ovd Pvi & Edci) k fc. Thy pk d picip i h l NOPE Cdlligh Vigil. Jim pl pkig my f h high chl h c. Spc dh h hd hg impc liv d will ci d lg w liv, h id. I lk my fid d my mm b wh hppd. I d hid fm i. y.cm/ mpb i i icl. W i b h m c p Ddly Ch vid d d md h bigg h i h d id iw w d Pi p By Tim mlimh/idx.hml.iv y jl. Whfmi h m h i Tm dg-d v d Viw h d. p/ b y h / 8 h 0 id 0 w /2 v y cl pcil hgh b g g wih C? y y h dw vid y? W h y i S. p y im impc bigg

w d h h i g i y l P Ld livd lif h fll. H lvd mic, h Flid G d xm p. Ld w lwy h fid mkig jk d m cmm; hi hm bdd. H i mid by hi fmily d my fid. NOPE Mmil x dy. A, h w i hi m chck him. Sh fd him iig hi f, piv. Ld w pd Hl Elli Mmil Hpil, wh h w pcd dd j bf 2 p.m. h dy. Ld Kbk jyd plyig h gi, kbdig d fig. Wh h w yg, h plyd fbll f h Plm Hb Ph Pp W Fbll Lg. Ld w ypicl g. Hi mh, S Kbk, dcib h hppy d hlhy. All f h chgd i ly My 2010. Ld, ji Plm Hb Uiviy High Schl, w bwlig h vig f My 6. H d hi Plm Hb hm b midigh. H did pp ixicd. Sic h did hv chl h x dy, hi mm l him lp i h H w 17 y ld. Accdig h Pill-Pc Mdicl Exmi Offic, Ld did fm ccidl vd f h pcipi pikill hydcd. I ddii, Alpzlm, l kw Xx, cibd hi dh. Ld w f w Plm Hb Uiviy High d di f ccidl vd i h-mh p. S Kbk y h did hv dg hbi. Sh bliv h hi icid w h fi im h k dg. Alhgh h h h dcii k h dg w Ld, h ll yg ppl h fid d p p d ch, if hy pc p i ig cmplig ig dg. Sh h pi h ig dg im c kill. Af Ld dh, Kbk d h hbd dcidd ji NOPE d pk yg ppl d p b h dg f pcipi dg b. My hbd d I cld i bck d d hig, h. Sh w pl h d i yg ppl mid mk h igh chic, v if I c j ch kid. Kbk h my p fcd mij d lchl h hy d lk hi child b pcipi dg. Sh dvi p lk y kid; b l y kid fid d g dcd. Sh mid p d child h hi c hpp ybdy fmily. Kbk y h big chllg wih h dg i h hy iig ppl c. Wh w ll p i h hy hld lck p hi mdici. M kid g dg fm y hm. Kid hik h bc i pcipi dg, h i ky. Kbk dvi p hid hi mdici dip f hm pcipi dp-ff i. Kbk mid ppl h i i ky k f hlp. Rch mbdy bf i bcm l. If p pc hi child big dg, hy c k hlp fm pfil. Wh kid i chig, g hlp. mpby.cm/i 8 9 mpby.cm/i 9

hyp D bliv h I kw y w bl Myh: If i pcipi, i m b f. Y c g ddicd mhig y dc pcib. FACT: Alhgh my mdici pfcly f if k i h pcibd dg f h pid f im, plgd c b dg d ddiciv. Myh: Nl dg f h yhic. FACT: Mij, mhm d h l dg ill l bi chmiy d pdc dg id ffc. Myh: Dg ddici i chic. FACT: Dg i chic. Plgd chg y bdy d bi chmiy. Wh h hpp, h lg pp hv chic hi i wh d mi bcm ddici. Myh: If y hv bl jb d fmily lif if y gig gd gd i chl, y ddicd. FACT: Y my hv jb c, lvig p d kid, d ill hv dg lchl pblm. Y c g gd gd i chl, picip i clb d hlic, hv l f fid d ill b dg ddic. Myh: Dx i c f ddici. FACT: Dx i difficl d i j h bgiig. Dx i h fi p wd cvy, b ddici i chic ill lik dib, hm hypi d i d b mgd f h f y lif. Th i c. Myh: Addic bd ppl. FACT: Addic bd ppl yig bcm gd ppl. Thy ick ppl yig g wll. Sc: Di Ci, Ph.D., chif cliicl ffic, Phix H Rpibiliy d pc i ci I i imp kw h wig ig d ympm f dg b. If y pc y fid iblig i big pcipi dg, g hlp. Tlk y fid iblig. Spk wih d dl. D b byd. Bcm l mdl. Bcmig l mdl f h p i g wy iflc gd bhvi. Lk i h Tmp By Tim d fid p wh i gd l mdl. Y migh v fid gd xmpl h cmic pg. Mk li f why hi idividl i gd l mdl. Nx, pd y gig iviw hi p f y chl wpp. Wi ix qi h y wld k hi p b big l mdl. Td qi wih fid d w hm y hik h l mdl wld. Sh y hgh b hi chc wih y cl. 10 mpby.cm/i

> Tl vii S w y kw h wh cmmdd f y by dc, pcipi dg c b bficil. B wh k wih pcipi dicd, hy c b dg d ddiciv. A high d, wh cmbid wih lchl h dg, my pcipi dg l c bcm ddly. H m pcific fc b h m cmm cgi f pcipi dg h big bd: pikill, dp d iml. Pikill f ci piid h ih lly divd fm pppy flw, lb-md, mi-yhic bi. Th dg ch picl i i h bi clld piid cp, which cy mg h bi. Wh y k pcipi pikill, h mg h bi civ i chgd, h pi i lg pcivd pifl. Th m cmmly bd bd-m pikill icld Vicdi, OxyCi d Pcc. Cdi, piid pikill f fd i pcipi cgh yp, i l cmmly bd. A igl lg d f pcipi pikill c c bhig difficly h c ld dh. Th h-m ffc f pikill b c icld lck f gy, ibiliy cc, d vmiig. Pcipi pikill c b highly ddiciv. Thik b i Th mb f mgcy dpm vii ld pcipi mdici h icd v h l dcd. Thi i flciv f h vilbiliy f h mdici hgh pcipi f pi d xiy. Th CDC p fm 2010 hw h fm 2004 2008 h w 111 pc ic i mgcy dpm vii ld mdicil f piid lgic. Thi mb ci climb wih fl l. If idividl dd h dig d dv ffc f ch pcibd cic bzdizpi ih k l, i cmbii wih ch h lchl, h wld b fw vii mgcy dpm. Thi i h c l y d h gidd c f h pcib. M idividl d id h hmlv. Thy d liz h cqc f hi ci. Blif h m i b d h pill c h myh h g ppl i bl. N hld h hi mdici (gdl f yp) wih y l. H, k f my pi mdici f y hdch i ccpbl. Sc: W m Rhm, M.D., mdicl dic, Divii f Emgcy Mdici, All Child Hpil Dp d viy f hlh cdii, ch xiy, pic ck d lp did. Dp c b dividd i h gp: bbi, bzdizpi, ch Vlim d Xx, d lp mdici, ch Ambi d L. I, dp c c dpi, cfi, xhi d iibiliy. Sic hy wk by lwig h bi civiy, hy c dimiih hb d pii dgly lw lvl. Cmbiig pcipi dp wih lchl v-h-c mdici c b fl. Dp highly ddiciv dg, d wh chic b p kig hm, hy c xpic v wihdwl ympm. Siml ffc h bi hgh lw d dy l f w mi dpmi d piphi. Wh pcibd d k ccly, d mdicl pvii, h dg c hlp fw hlh cdii, icldig idfici hypciviy did (ADHD), clpy d, ccilly, dpi. Cmm bd-m pcipi iml icld Addll, Rili, Dxdi d Bzdi. Exciv vmiig, m, wig d xiy j m f h ik f big iml. Wh k high d, wih lchl wih v-h-c mdici, iml c c igl hb, dgly high bdy mp d h pil f iz h fil. Siml c b ddiciv. Th m y k, h i i i g hkd. P pi Hw c y ll if y child i H big d m ip: g? Difficly fllig l p, im ppig i, ipp pi Sigific wigh l gi Chg i fid Lck f p l cl li, m Rd y y pp d fq c f Ry y dp, cg i, cgh Pl fc ig, cicl d y Abp c hg i md Hiliy, dfic f l Lck f pibiliy, blmig, xc lyig, mk ig L f m my, h d didd i p, hgh p Wihdw l fm fm ily, ili Chg, civ i chl jb pf mc Sc: Abv h iflc mpby.cm/i 10 mpby.cm/i 11 11

Thik b i Ev wh mdici pcibd by dc, i d m hy f v f h pi f whm hy hv b pcibd. All mdici hv giv ffc, m pilly dg. Wh mdici i pcibd f pi, h pcibig phyici fl h h bfi h dg c ff h pi wigh h ik f kig h mdici. Ad h phyici pcib pppi m f h picl pi d will mi f id ffc. P d k ck f pcipi mdici i h h. G id f y mdici h dd d lck p y miig mdici. A vy d by h Phip Dgf.g hwd h m h 40 pc f k pcipi dg fm hi p mdici cbi. A cmm myh b iml i h hy c impv cdmic pfmc i y d d d dy id. I fc, hy d impv pfmc fcig i idividl h d hv ADHD ADD. B hy c c hm. Sc: K i Dil, M.D., hpili, All Child Hpil I lif y gig mk my gh dcii. Fllig i h p p f yig d ig pcipi pill i ly gig ld y i lif f dpi d d. Pc Cy Shiff Chi Ncc P pi ipi Wh pc. m h y y hv? Thik b dg d -c h kw if d v? Wld y p k y h p y Wh m H? g i i m : m w dg f p y k k c hm. ll dg d g f S cc. d cl i i q Mi dg. b ll f l S cl f y pppi d f Mdl i. w mdic g f h d b -c Tlk y d v-h i p i c, wh big p l dg h f w p illgl dg. Th dg j mid,. dg i-dg.. Th A Sc: P Th pw f p p Ud p Tg f c p p i which hy fl pd d hig h my b hmfl hm, ch big pcipi dg. P p c b hd ig d yig i lwy y. I i imp fi i, b if y wid h y fid w lik y if y y, h myb y hld k p bck d xmi h fidhip. Rl fid pc y p d wld v p big fid bc y f fllw h cwd. Al, y my fid h m f y h fid fl h m wy y d! If fid clm y p y, kp i mid why hy my b dig i: Thy my b yig mk y fl mll, h hy c fl b b hmlv. Thy cld b fid f ciicim, hy ll d h ciicizig fi. Thy cld b mkig p l h hy fi i d y d. Sc: Pblic Bdcig Sym Sf d d P p i f h mi yg ppl mkig, ig dg dikig. B y d hv fll f h p h li. I i imp mmb h h m wh i cm p p: Y d hv d yhig h y d w d. I pfcly ky y. Y d w y xpli. Sc: Pblic Bdcig Sym Thy my b fid f y wh i diff fm hm. Evy h i h A d pg 4, m ppl pcipi dg h cl dib, gi d high chll c pi child d? Dib pill, ch mfmi, c c iz d dh i m wh i dibic. B blck, ch ll, d lw h d bld p c b pcilly dg f mll child. Af mll child, g w h gp m likly b hmd by h dg. Thiy pc f h g wh k i d w h ER ffd i ijy, did 40 pc f h wh k piid. Sc: Nil Pblic Rdi (NPR) 12 mpby.cm/i Thy my b ic.

Ud h bidg Pic hi: Y py fid h, d y fid i cig vy lpy. Y kw h h h h k m pill, b y d w g y i bl. Thi i im hi. If y hik m i i di, immdily cll 911! Sympm f vd my icld diii, dwi, clmmy dmp ki, pig difficly i wkig. Th my b icbl ig if m ddly p bhig. Cll 911. Sy h li wih h p d y wih h vicim il hlp iv. Ty mi clm d fllw h dici f h 911 p. Rmmb, cllig 911 v m lif cm fi d bf y cqc y migh fc. Y dcii c qickly c v m lif. Ay dly f y my l i lifim f g f mkig h wg chic. Sc: Pill Cy Shiff Offic, Ncic Divii Sv m Th gl f h Gd Smi Ac i v liv. Thi c llw wi f ccidl dg vd cll f hlp wih fig h hy will b d f dg pi. A p mkig gd fih ff bi pvid mdicl ic f idividl xpicig dg-ld vd my b chgd, pcd plizd f pi f clld bc if h vidc f pi w bid l f h p kig mdicl ic. A p wh xpic dgld vd d i i d f mdicl ic my b chgd, pcd plizd f pi f clld bc if h vidc f pi w bid l f h vd d h d f mdicl ic. Sc: Flid S M f ppp Hlpig fid xpim wih pcipi dg bk ddici i hd wk. Y my fl g dl f p g y fid dg, y my g dicgd if y ff cvic y fid d wk. B i i imp kw h y fid dg i y fl. Rmmb h i limly p y fid mk h chg, d y c d h f him h. P P Tg f c p p i which hy fl pd d hig h my b hmfl hm. Fid icl i h Tmp By Tim i which p p my hv plyd l. I y jl, wi b h p p y, d d h b y chl d i y cmmiy. Expl why i i imp f ppl b ppd f ii wh hy my fl pd d mhig h my hv giv ffc hi liv. Wi l h di fcig h icl fm h wpp d y jl pi. B pcific xmpl fm h icl pp y id. mpby.cm/i 12 13

I lly d k Bkig h hbi Tkig y pcipi mdici h i pcibd y by dc i dg b, d i i dg. Mdici pwfl dg h c b vy bficil wh k pply d dc pvii, b xpimig wih pcipi dg v c c ld vd dh. Oli phmci c b dg plc: F 95 pc f li phmci pig illglly. F 94 pc f wbi d hv md vifibl phmci. F M h 90 pc f wbi pply pcipi mdici wih pcipi. F Appximly 50 pc f mdici pchd li cfi, i h wd, fk. Sc: Pd Phm Wk m p Ncic Ovd Pvi & Edci (NOPE) dc d i middl chl, high chl d cllg b h cqc f dg cmpi. A wk f cmmiy ld g i Hillbgh, Pill d Pc ci middl d high chl dliv pl d bl pi, dig which plic ffic xpli h gim k f mkig dh ifici digh fmili, d p wh l child dg h hi ffig. NOPE ff imil pi p hy kw hi child f cfd b dg chl b p, i chl cfi, mvi h, fid hm d hi cmp. Cl d cmmiy ld xpli h ig f dg g d h b wy pk wih kid b dg. P c k qi d pk pivly wih h pfil. Th pi giv i chl, cmmiy c, ligi hll d livig m f ccd p. F m ifmi, g pkfc.g. villg Sv h dy Wh i N-A? N-A i 12-p pgm digd hlp liv d fid f ddic cv fm h ffc f cpig wih ddicd liv fid. I hi 12- p pgm, mmb ff hlp by hig hi xpic, gh d hp. Th ly qim f mmbhip i h h b pblm f ddici ivlvig liv fid. Jiig i y; j d mig. Th d f. F m ifmi i Flid, g NFL.g cll 1-888-947-8885. Nhig l Hlpfl c 2-1-1 Tmp By C Ic.: 211mpby.g B h Wll: bhwll.g Dg F Flid: dgfflid.g fc d Vic f Rcvy: fcdvicfcvy.g Flid Alchl d Dg Ab Acii: fd.g Flid Kp Kid Dg F Fdi: kkdf.g N-A d N: NFL.g Flid Pi Ifmi C: picmp.g c f Sbc Ab Pvi: pvi.mh.gv Nil Ii Dg Ab: id.ih.gv Nil Ii Dg Ab f :.dgb.gv/px ffic f Nil Dg Cl Plicy: whihdgplicy.gv bc Ab & Ml Hlh Svic Admiii: mh.gv 14 mpby.cm/i

I 2011, Flid cd wp m hlp p h pcipi dg pidmic h kill vg f m h ix ppl dy i hi. Tmp By Tim p Jh Cx wi, Sic h, y fillig pcipi f clld bc ch OxyCi Xx h b qid cd h dil i db kw h Pcipi Dg Miig Pgm. Ad h bg h cvy. I m h ic h icpi f h Pcipi Dg Miig Pgm (PDMP), h hv b vi b hw i will b implmd, if i i cy, wh h c will b, wh h lgl mifici d hw h PDMP migh vil ppl civil igh. Y jb i ch hi pic ig h I d Tmp By Tim icl, wi gm y ih f gi h PDMP d h p y gm i cl db mck civil igh il. N ly d y d ch hi pic, b y d lyz whh h c y cidd cdibl. H m lik g y d: mpby.cm/w/hlh/flid-dg-db-idd--v-liv-ibly-d-by-dc/1255062 mpby.cm/w/pliic/did-flid-pcipi-pill-db-llypig--lk/2130108 dh..fl./mq/pdmp Rch civiy: Pcipi Dg Miig Pgm w-jlli.cm/icl/20130612/news/306129977 icl.-il.cm/2013-05-02/w/fl-lqick-diil-pcipi-dgmiig-pgm-20130502_1_db--lwmk-flid-h Thik b i B h. Pcipi dg b, ccdig h C f Di Cl, h bcm il pidmic. Th Tmp By d Flid hv b piclly hd hi d hv b h pic f hi il cg. B h i hp. Th l iic vilbl i 2012 vl h 201 ppl did fm dg vd i Pill Cy. Of h dh, 135 w fm pcipi dg vd l. Th mb, lhgh gic d ccpbl, p 35 pc dc i flii i h l w y. Th i ill mch d i gd dci fh dc h mb. N ll ppl wh di ddic. A igl pill c mim kill! If y pc m y kw lv i h vicim f vd, dil 911 d g immdi hlp. Fm mdicl ppciv, piid vd c lly b ily vd wih mdici vilbl i vy mgcy m. Y cll 911 c lilly b lifvig. B h! Sc: Bb Mlli, M.D., gl pdiici, All Child Hpil P pi Dip f d dg I y mdici cbi filld wih xpid dg mdici y lg? Hw hld y dip f hm? Mdici k-bck pgm f dipl gd wy mv xpid, wd, d mdici fm h hm d dc h chc h h my ccidlly k h mdici. Cc y ciy cy gvm hhld h d cyclig vic if h i mdici k-bck pgm i y cmmiy d l b y pcil l gdig which mdici c b k bck. Y l c lk y phmci if h h kw f h mdici dipl pgm i y, vii h U.S. Dg Efcm Admiii wbi f ifmi Nil Pcipi Dg Tk-Bck Ev. flhiff.g/wm/y/m-fm-f-gdig-flidpcipi-dg-miig-pgm mpby.cm/i 14 15

All Child Hpil pvid xp pdiic c f child d fmili fm c h f Flid. M h 250 phyici d 3,000 mply pvid cmpi, -f-h- c f if, child d wih m f h m chllgig mdicl pblm. A mmb f Jh Hpki Mdici, All Child pvid cc iviv m d hpi. Tkig p i pdiic mdicl dci d cliicl ch hlp All Child pvid dig c i 50 pdiic pcili. All Child i h gil pdiic fl c f Flid w c d big my pi vic cl child d fmili hgh All Child Opi C c hgh h Tmp By gi. All Child ff l wk wih cmmii pvid dci d dvccy i h f childhd hm, childhd biy d ijy pvi.t l m, g llkid.g. AMA Fdi Fdd i 1950, h Amic Mdicl Acii (AMA) Fdi i h philhpic vic f h AMA. Th AMA Fdi dvc pblic hlh d mdicl chlhip hgh philhpic pp f phyici-dicd iiiiv. Thi vii i b h c f philhpic civiy h bl h mdicl cmmiy hlp ppl ld hlhi liv. Acivii I h kw. I h Tim. Th Tmp By Tim Nwpp i Edci (NIE) pgm i cpiv ff bw chl d h Tim pm h f wpp i pi d lcic fm dcil c. O dcil c fll i h cgy f ifmil x. Ifmil x i yp f fici x. Th pimy pp f ifmil x i cvy ifmi b h l cil wld. Ad ic h mid-1970, NIE h pvidd chl wih cl f ifmil x i h fm f h dily wpp d wd-wiig igil ciclm, c ch chl. I h Tmp By ch y, m h 5 milli wpp d lcic lic pvidd ch d d f f chg hk g idividl, cp d fdi p. Thi pgm w fdd by g fm h Amic Mdicl Acii Fdi i phip wih All Child Hpil. I ddii pvidig f pplml mil dc, NIE h f dc wkhp d wbi. O chig mil cv viy f bjc d ci wih Flid Nx Gi Shi S Sdd d Cmm C Sdd. F m ifmi b NIE, vii mpby.cm/i cll 800-333-7505, x. 8138. Fllw Twi Twi.cm/ TBTimNIE d chck h NIE Blggig Z mpby.cm/ blg/iz. NIE ff Jdi Phki, mg, jphki@mpby.cm S Bdy, dvlpm pcili, bdy@mpby.cm Tmp By Tim 2013 Mkig diffc Th Nil Ii Dg Ab h h m y kw b pcipi dg b d h cic bhid i, h m y ll w hlp y fid l h fc d mk m dcii. Th Nil Ii Dg Ab h dvlpd m l hlp y pd h wd d mk piiv diffc i h liv f y p. Chck h civiy gid.dgb.gv/px/g-ivlvd. O, y c dwld h PDF gid.dgb. gv/i/dfl/fil/nida_peerx_acgid_fm.pdf. Hv y cl bk p i mll gp d ch f h civii cmpl d h wih y cl d chl. Gig byd h x G bck hgh hi pblici d mk li f ll f h icl il (hdli). Did y ic h ll f h hdli g il? Ivig ch il. Fid h igil g. Cdi Wi & chd by Jdi Phki, NIE mg Digd by Scy Rc, Flid Gphic Dig Wh i h mi id f h g? Hw d h il dvlp h mig f h g? Wh i h mi id f h x? Hw d h il dvlp h mig f h x? W h il f h icl gd wd chic? Why why? If, wh wld y il h icl? Wih p mll gp, c p bd h ifmi y hv ld d y id. Sh y l d hgh wih y cl. Mdi lyi Exmi hi il qi: Hw d h mdi py pcipi dg? Giv xmpl f mvi, lvii hw, mic, wpp mgzi h hw h f pcipi dg. Bd wh y hv ld, wi diil pdig h il qi. B pcific xmpl pp y pi. Thi pblici icp h fllwig Nx Gi Shi S Sdd: Hlh: HE.6.B.3.1-3; HE.6.C.1.1-3; HE.6.C.1.7; HE.6.C.2.1-2; HE.6.C.2.7; HE.7.B.2.2-3; HE.7.C.1.1-3; HE.7.C.1.7; HE.7.C.2.1-3; HE.7.P.1.1; HE.8.B.2.1-3; HE.8.C.1.1-3; HE.8.C.1.7; HE.8.C.2.1-3; HE.912.B.2.1-3; HE.912.C.1.1-3; HE.912.C.1.7; HE.912.C.2.1-3 Lgg A: LA.6.1.5.1; LA.6.1.6.1-10; LA.6.1.7.1-8; LA.6.2.2.1-5; LA.6.3.1.1-3; LA.6.3.2.1-3; LA.6.3.3.1-4; LA.6.3.4.1-5; LA.6.3.5.1-3; LA.6.4.2.1; LA.6.4.3.1-2; LA.6.5.2.1-2; LA.6.6.1.1-3; LA.6.6.4.1-2; LA.7.1.5.1; LA.7.1.6.1-11; LA.7.1.7.1-8; LA.7.2.2.1-5; LA.7.3.1.1 3; LA.7.3.2.1-3; LA.7.3.3.1-4; LA.7.3.4.1-5; LA.7.4.2.1; LA.7.4.3.1-2; LA.7.5.2.1-3; LA.7.6.4.1-2; LA.8.1.5.1; LA.8.1.6.1-11; LA.8.1.7.1-8; LA.8.2.2.1-5; LA.8.3.1.1-3; LA.8.3.2.1-3; LA.8.3.3.1-4; LA.8.3.4.1-5; LA.8.4.2.1; LA.8.4.3.1-2; LA.8.5.2.1-5; LA.8.6.4.1-2; LA.910.1.5.1; LA.910.1.6.1-11; LA.910.1.7.1-8; LA.910.2.2.1-5; LA.910.3.1.1-3; LA.910.3.2.1 3; LA.910.3.3.1-4; LA.910.3.4.1-5; LA.910.4.2.1; LA.910.4.3.1-2; LA.910.5.2.1-5; LA.910.6.4.1-2; LA.1112.1.5.1; LA.1112.1.6.1-11; LA.1112.1.7.1-8; LA.1112.2.2.1-5; LA.1112.3.1.1-3; LA.1112.3.2.1-3; LA.1112.3.3.1-4; LA.1112.3.4.1-5; LA.1112.4.2.1; LA.1112.4.3.1-2; LA.1112.5.2.1-5; LA.1112.6.4.1-2 Thi pblici c b pplid h fllwig Cmm C Sdd: Rdig ifmil x: RI.6.1; RI.6.2; RI.6.3; RI.6.7; RI.6.9; RI.7.1; RI.7.2; RI.7.3; RI.7.7; RI.7.9; RI.8.1; RI.8.2; RI.8.3; RI.8.7; RI.8.9 Wiig: W.6.1; W.6.2; W.6.3; W.6.4; W.6.5; W.6.7; W.6.8; W.6.9; W.7.1; W.7.2; W.7.3; W.7.4; W.7.5; W.7.7; W.7.8; W.7.9; W.8.1; W.8.2; W.8.3; W.8.4; W.8.5; W.8.7; W.8.8; W.8.9; W.9-10.1; W.9-10.2; W.9-10.3; W.9-10.4; W.9-10.5; W.9-10.7; W.9-10.8; W.9-10.9; W.11-12.1; W.11-12.2; W.11-12.3; W.11-12.4; W.11-12.5; W.11-12.7; W.11-12.8; W.11-12.9 Spkig & liig: SL.6.1; SL.6.2; SL.6.4; SL.7.1; SL.7.2; SL.7.4; SL.8.1; SL.8.2; SL.8.4; SL.9-10.1; SL.9-10.2; SL.9-10.4; SL.11-12.1; SL.11-12.2; SL.11-12.4 Lgg: L.6.1; L.6.2; L.6.3; L.6.4; L.7.1; L.7.2; L.7.3; L.7.4; L.8.1; L.8.2; L.8.3; L.8.4; L.9-10.1; L.9-10.2; L.9-10.3; L.9-10.4; L.11-12.1; L.11-12.2; L.11-12.3; L.11-12.4 16 mpby.cm/i