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Understanding High-Risk Alcohol Use in College Students

Explore the definitions of substance abuse and dependence, stages of change, implications in the medical world, and common misconceptions related to alcohol consumption among college students. Learn about post-acute withdrawal symptoms and reasons behind student alcohol use.

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Understanding High-Risk Alcohol Use in College Students

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  1. High-Risk Alcohol use and the College Student Tom Szigethy, MA Associate Dean/Director of the Duke Student Wellness Center

  2. OUTLINE • Defining the Terms • Talking with Students • Drugs of Abuse

  3. Defining the Terms

  4. DSM IV – Substance AbuseA. Maladaptive pattern of substance use (1 or more) within a 12 month period • Failure to fulfill major role obligations • Use when physically hazardous • Substance related legal problems • Continued use despite persistent or recurrent social or interpersonal problems

  5. DSM IV- Substance Dependencemaladaptive pattern of SA within the same 12 month period, with 3 or more of: • Tolerance-(increases) • Withdrawal (withdrawal syndrome or take similar drug) • Substance taken in larger amounts or longer duration than intended • Persistent or unsuccessful effort to decrease or control use

  6. Substance dependence -continued… • Much time spent to obtain, use, or recover from effects of substance • Important activities given up or reduced because of use • Use continues despite physical or psychological problems

  7. Talking with the student

  8. Screening Stages of Change Pre-contemplation Relapse Contemplation Maintenance Determination Action

  9. Screening Stages of Change Admissions, Orientation, FAC, parents Pre-contemplation Alcohol.edu, Presidential Statement re position on alcohol AOD Rehab, off-campus Relapse Contemplation Ed. Classes, CAPS, CDBH Maintenance Student Conduct, Policy, BASICS, Academic Affairs, ER Internships, AA, Alanon, Brief Counseling, CDBH Determination Action

  10. Motivational Interviewing • Empathy • Develop Discrepancy • Avoid Argumentation • Roll with Resistance • Build Self-Efficacy

  11. Implications to the Medical World How do I do this in 2 minutes or less? The teachable moment

  12. Why screen in the Medical Office?

  13. Prescriptions Are the symptoms described through a medical malady…or maybe withdrawal from experimenting?

  14. Post Acute Withdrawal Symptoms These symptoms are a naturalpart of the recovery process. They are usually present from 6 to 18 months after addict stops drinking or drugging. Symptoms include: • difficultly in thinking • problems numbering things • difficulty in focusing attention • problems following logical sequences • memory problems • over or under-emotional, such as over-reacting or being numb • over-reacts to stress • sleep disturbances • accident prone

  15. Why Students Use • Anxiety • Depression • Social Acceptance • Quell FEAR • Cope with problems • Aide a Sexual encounter

  16. What students do not understand about alcohol • Measurement • Blood Alcohol Content • Tolerance • Gender differences • Pacing themselves • Proof • BiPhasic Curve

  17. What do students use?

  18. What are you aware of? • Mephadrone (“Coke on speed”) • Ritalin et al • Cocaine • GHB – soap, liquid E, G, GBH, • Pot, weed, grass, buddha, scwag, 420, L, MaryJane, Chronic,Tree, reefer • Bath Salts • ALCOHOL

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