S IPPIN , D IPPIN AND T RIPPIN : E MERGING T RENDS IN Y OUTH S - PowerPoint PPT Presentation

S IPPIN ’, D IPPIN ’ AND T RIPPIN ’: E MERGING T RENDS IN Y OUTH S UBSTANCE U SE Cecily M. Watkins, MPH, CHES,CPS LRADAC Prevention Specialist

LRADAC LRADAC cares for the needs of the citizens of Lexington and Richland Counties of South Carolina. We offer a wide array of prevention, intervention and treatment programs in locations convenient to residents of both counties.  Detox, Adult, Adolescent, Dual – Diagnosis Outpatient  Prevention, Community Resource Center

A BOUT U S  Provide prevention, intervention, and treatment services  Serve approx 4,500 clients each year

C OMMUNITY R ESOURCE C ENTER Lending Library • DVD's and Videos for loan • Displays and prevention materials • Brochures/Posters • Fact sheets • Research materials • Visit www.lradac.org/community- resource-center

Underage Drinking: Why Worry? Youth who drink before the age of 15 are four times more likely to develop alcohol dependence and 2½ times more likely to become alcohol abusers than those who wait until age 21. 5 Source: Grant, B.F., & Dawson, D.A. (1997). Age at onset of alcohol use and its association with DSM-IV alcohol abuse and dependence: Results from the National Longitudinal Alcohol Epidemiologic Survey. Journal of Substance Abuse 9: 103-110.

2013 MONITORING OUR FUTURE SURVEY Reported getting drunk in the past month: 8 TH GRADE 3.5% 10 TH GRADE 12.8% 12 TH GRADE 26% 6

Adolescents & Alcohol Use  Because of the changes occurring in the brain during the teen years, alcohol affects teenagers and adults differently . It appears to produce bigger impairments in learning and more widespread brain damage in adolescents than in adults.  Repeated alcohol use might alter the path of the developing adolescent brain. 7

ALCOHOL

W HAT HAS CHANGED …  What kids drink (potency)  How much kids drink 9  Frequency of drinking  Age of initiation  Availability  Definition of a “drink”  Parental/adult supervision

New Container Sizes Encourage Greater Consumption  Today, beer is sold in 12, 22, 32, 40 & 60 oz. containers  New sizing = confusion about what is really “a drink” 10

H EALTH T HREAT  Cheap  Sweet flavors (soda, fruity)  Confusing/deceptive packaging (high alcohol content, large can)  BINGE DRINKING IN A CAN 11

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FOUR LOKO ON FACEBOOK 13

B LAST BY C OLT 45 14

Y OUNG – H IP - C OOL 15

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SMIRNOFF 18

S MIRNOFF V ODKA FLAVORS  Iced Cake  Kissed Caramel  Root Beer Float  Raspberry  Watermelon  Pineapple  Mango  Peach  Cherry Lime  Vanilla 19

S TASH

R EEF D RAM 21

H IDDEN A GENDA

A C HEAP S TASH C ONTAINER

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MARIJUANA

N ATURAL ?  Withdrawal  Depression  Tired  Not caring about appearance  Hostile – Intense Anger  Loss Relationships  Alters the heart rate  Can lead to anxiety and panic attacks  Can cause paranoia and lethargy

O THER D RUGS Research shows those who use marijuana are more likely to try stronger drugs like crack, cocaine .

W HAT ’ S THE PROBLEM ?  Perceptions more intense  Time and space distortions  Diminished short-term memory  Inability to pay attention and concentrate  Diminished reflexes  Problems with coordination  Impaired ability to perform complex tasks  Difficulty operating machinery, including driving a car

M ARIJUANA U SE I NCREASING  According to the 2013 Monitoring Our Future Survey, Adolescent reported marijuana use in last 30 days: 8 th graders 7% 10 th graders 18% 12 th graders 22.7% 30

T HE E MERGENCE OF S YNTHETIC D RUGS 31

H ISTORY Clemson Laboratory – 1995 Clemson researcher discovered a way to synthesize THC to restore appetite to chemotherapy patients – Compound first disclosed in a research paper in 1998 – Other labs have created their own synthetic cannabinoids 32

I NCENSE  Individuals are spraying the compound into organic, ingestible substance and packaging it for sell as incense, plant food, glass cleaner  May be marketed as “herbal incense”  Most often marked “not for human consumption”  Comes in variety of flavors  Unregulated mix of dried herbs and flowers 33

K2 • The combination looks like crushed potpourri. • Blends are traditionally burned in incense pots; however, users roll the K2 incense in wrappers to make joints, or they smoke it in pipes. • When smoked, K2 delivers a high similar to that of marijuana. 34

W HAT DOES IT LOOK LIKE ? 35

C HALLENGES  “K2” does not show up on typical drug tests  No research on long- term effects of “K2”  As it becomes illegal in states, manufacturers are changing ingredients to make it legal.  Sold in head shops and convenience stores  Shown on “You Tube” as a how to guide  Easily ordered on internet  Can be purchased by any age 36

D RUG T EST  Many different chemicals to test for so test would have to be comprehensive. Ex. HU-210, JWH- 018, WH-173  New test has been developed, but not widely used yet.  Expensive and may not cover all the chemicals. 37

N ATIONAL P OISON C ONTROL : S YNTHETIC M ARIJUANA (K2) Year Number of Calls 2010 2,906 2011 6,959 2012 5,205 2013 2,639 38

S IDE E FFECTS  Reported side effects are hallucinations, agitation, elevated heart rate, elevated blood pressure, vomiting, and seizures. Evidence shows that K2 has the potential to damage the lungs, brain, heart, and other vital organs. Very negative psychotropic experiences. The developer says the effects are considerably more potent than marijuana. He discourages the use as 39 there is no research on the effects on humans.

B AN  Synthetic Drug Abuse Prevention Act of 2012 . The legislation bans synthetic compounds commonly found in synthetic marijuana ("K2"or "Spice"), synthetic stimulants ("bath salts“), and hallucinogens, by placing them under Schedule I of the Controlled Substances Act.  April 2, 2012 South Carolina Bill(H3137) signed by the Governor banning a comprehensive list of synthetic compounds. Also those mimicking these compounds . 40

M ANY BRANDS , MANY FLAVORS . B EWARE OF “H ERBAL I NCENSE ” 41

O PERATION L OG J AM J ULY 2012  DEA NEWS: Nationwide Synthetic Drug Takedown 19 million packets of synthetic drugs seized 42 and $36 million in cash  WASHINGTON – More than 90 individuals were arrested and more than five million packets of finished designer synthetic drugs were seized in the first-ever nationwide law enforcement action against the synthetic designer drug industry responsible for the production and sale of synthetic drugs that are often marketed as bath salts, Spice, incense, or plant food. More than $36 million in cash was also seized.

M OLLY  Powder or crystal form of MDMA, a chemical used in Ecstasy  Considered to be pure unlike Ecstasy which can be laced with caffeine or methamphetamine.  A whitish/yellowish powder, sold loose in packets, packed into clear capsules or pressed into tablet form.  Inhaled or eaten  Users 20’s - 40’s  Experience a sudden rush of energy and elation 43

M OLLY S IDE EFFECTS  Confusion  Anxiety  Paranoia  Insomnia  Drug cravings  Loss of Inhibitions  Fever/chills/sweating  Hypothermia  Seizures  Increase blood pressure or heart rate 44

M OLLY  Popular at music festivals and concerts  Included in songs by main stream artist like Miley Cyrus, Kanye West, Rick Ross, Rihanna, Katy Perry, and Kesha.  2013 Labor Day music festival 20 year old woman and 23 year old man died after taking Molly. Four others were critically ill.  A 19 year old died that same weekend in Wash, DC rave concert after taking Molly.  The number of emergency room visits continues to increase. 45

E C IGARETTES  E-cigs contain nicotine which is highly addictive  E-cigs are not regulated by FDA-include chemicals and additives  Because they are able to use it more places, use more often.  Flavors including bubble gum, mountain dew, cap’n crunch, etc.  In just one year, e-cigarette use doubled among high school and middle school students, and 1 in 10 high school students have used an e-cigarette. Altogether, 1.78 million middle and high school 46 students nationwide use e-cigarettes

HOOKAH  From Middle Eastern Culture  A vase or pipe partially filled with water.  A hose with a mouthpiece through which smoke is drawn.  Smoking sessions last 45-60 minutes can lasts several hours.  Made popular because of the availability of flavored tobacco. Hookah bars and cafes.  Not safer as perceived- high concentrations of carbon monoxide, nicotine, tar, and heavy metals.  The mouthpiece is often shared and not cleaned. 47

W E A RE H ERE F OR Y OU  Provide prevention, intervention, and treatment services  Serve approx 4,500 clients each year

T HANKS !! 49