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Marilyn Grechus , Ph.D. Professor of Health Education University of Central Missouri (660)543-8904 grechus@ucmo.edu. Teaching Substance Use & Abuse. What do you need to know? What do your students need to know?. Alcohol. The equal opportunity destroyer. Who Drinks?. 10 people 10 drinks
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Marilyn Grechus, Ph.D.Professor of Health EducationUniversity of Central Missouri(660)543-8904grechus@ucmo.edu
Teaching Substance Use & Abuse What do you need to know? What do your students need to know?
Alcohol The equal opportunity destroyer
Who Drinks? • 10 people • 10 drinks • How are they divided up?
Teenagers • 4.6 million teenagers have a drinking problem. • 4% of high school seniors drink alcohol every day.
Teenagers • Lower body weight • Higher blood alcohol concentration level than adults • Greater effects for longer periods of time
Up to 50% Spousal abuse 20-35% Suicides 50% Traffic fatalities 62% Assaults 49% Murders Alcohol & other drugs 68% Manslaughter Charges 52% Rapes 38% Child abuse 69% Drownings Health Concerns Associated with Alcohol Use
In Missouri • 8,600 kids under 18 • Daily new smokers • MO has 11th highest smoking rate • 39th lowest life expectancy • $400 million spent on tobacco ads
Cheaper Alternatives • ‘Pipe’ tobacco to roll own cigarettes • Small cigars formulated to look like cigarettes – Lower taxes
Video Packaging http://www.9news.com/rss/story.aspx?storyid=139561 http://www.9news.com/9slideshows/gallery.aspx?slideshowname=Tobacco%20or%20Candy%20Test
Don’t know yet where they will • be placed in the store • Easily transported • Easier to start
Smokeless pouches • Keep in mouth until dissolved • Smokeless, not dangerless
Alternative Cigarettes • Exotic • Made with ‘natural’, ‘healthier’ ingredients • Flavored • Contain less tobacco • Non-porous leaves • nicotine cannot be weakened by air • Receive 2–7 times the nicotine
Harder to keep lit Breathe deeper, more often Toxins go deeper into lungs More than 5 X amount of tar 2X risk of lung cancer 5X risk of heart disease More at risk for cancer
Kreteks Clove cigarettes Hookas Water Pipes 1 hour of Hooka is like Smoking 100 cigarettes! Herbal Blends
Problems of Quitting • Withdrawal Symptoms • Parents become agitated • Children think they aren’t loved
Inhalants • Dangers • Brain • Lung • Common among children
Teaching Inhalants • Not a ‘drug’ • Safety issues • Labels – “Use in well-ventilated area” • Reasons for labels • Discuss types of products
Caffeine: A Daily Drug ~80-90% of the world's population consumes daily 76% of children consume daily
Energy Strips Breath Mints & Spray Inhaler Candy Bars
Time-release capsules Cereals Add to coffee Beef Jerky
Patches & Gel to apply to the body Caffeinated Beer Mixing Energy Drinks with Alcohol
Effect on Children • Smaller bodies - Greater effect • During school • Late night (ball games, etc.)
Dextromethorphan • Semisynthetic narcotic • Related to opium • OTC cough suppressants • Robitussin, Vicks Formula 44, Drixoral, Delsym, Pertussin, etc. • “DM,” “Tuss,” or “Maximum Strength”
DXM • Legal • Less publicized than illegal drugs • Easily obtained • Not intimidating like heroin • OTC = Safe?
Other Dangers • Toxic side effects from other ingredients • Liver damage from acetaminophen
Prescription Drugs • Types of drugs • Pain Killers • Antidepressants • ADHD stimulants • Steal drugs & prescriptions • Buy from others • Take from parents • ‘Pharm Parties’
Marijuana Stronger now than in the ‘60’s
K-2 • Synthetic Marijuana • Sold as incense or potpourri • Herbs, spices • Synthetic THC
Playing Russian Roulette • Never tested on humans • Affects the central nervous system • Hallucinations, seizures • Fast heart beat, dangerously elevated blood pressure, pale skin and vomiting
Bath Salts • Names • Ivory Wave, Bliss, White Lightning and Hurricane Charlie • Chemicals cause • hallucinations, paranoia, rapid heart rate and suicidal thoughts
Bath Salts • Reacts in brain like combination of Meth & Cocaine • Creates aggressive tendencies like PCP
Meth Missouri – Meth capital of the country
Meth addicts • Don’t eat or sleep • Sometimes up to a month • No energy for normal tissue repair • Body starts to rot • Gums break down, teeth fall out • Major organs disintegrate • Induce strokes, psychosis, schizophrenia
Scare tactics don’t work • Teach drugs are not the answer to problems • Don’t play down child’s problems - may make drugs more appealing • Teach alternatives