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Outline

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Use and misuse ~

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—youth and

° The good a

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Past-Year Use in Canada

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7.1 Page 9 of 90

Plevalenceofcannabisuseinthe past yearamong Canadiansaged 15+.2011-2013. 2015

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Substance use

in the general

population

Prevalence

• f past yearsubstanoe

use in BC.age 15+ 2011-2013. 2015

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The Good

• May have value in pain

management,

nausea,

muscle relaxation in tremor and spasticity,

PTSD,

Adjunct to therapies for

anxiety, insomnia

.

Possible adjunct to substance

use disorders

• ?more with research

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Page 7

The Bad

Increase

risk of psychosis,

depression

and anxiety, Breathing problems and

respiratory

conditions Chronic illness concerns

increasing Attention

reduction, coordination reduced, memory deficits

Pregnancy

—can

affect children's

cognitive

functioning, behaviour, future substance

use behaviour

and mental health.

?more with research

‘P

Q

islandhealth

7.1 Page 12 of 90

Medical recommendations

• BCCollege of Physicians and Surgeons

recommendation- not for use under age 25

Canadian Pediatric Society

No sales to youth

LimitTHCconcentration

for purchase for <25

Responsible sales:

Not near schools, no self service, strict labelling, warnings, strict limitations on marketing, no marketing to youth, restrict

• n-line purchasing

Extend clean air bylaws to include cannabis

Publiccampaign on dangers of cannabis

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Page 3 islandhealth

7.1 Page 13 of 90

Safer use guidelines

http://www.camh.ca/en/research/news_reports_and_books/Dpcuments/LRCUG.KT.Professional.1

5June201 7.PDF

Abstain

Age of initial use

not earlierthan mid—20s

Choice

Avoid current

synthetic cannabinoids

Avoid smoking combusted materials

Avoid ”deep” inhalation

Frequency

No driving for at least 6 hours

Not to be used by certain groups (including during pregnancy, family risk for certain mental illnesses)

Avoid combining risky behaviours

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Page 9 islandhealth

7.1 Page 14 of 90

Legalization

and youth

Purchase minimum age 19

2 new criminal offences:

giving or selling cannabis to youth, and

using a youth to commit a cannabis-related offence

Provincially much not allow a minor to consume or posses

Prohibit:

products that are appealing to youth

packaging or labelling cannabis in a way that makes it appealing to youth

selling cannabis through self-service displays or vending machines

promoting cannabis, except in narrow circumstances where the promotion could not be seen by a young person

Federal possession by youth is restricted to 5 gm. Provincially S (73) minor must not possess, consume ......

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7.1 Page 15 of 90

Student

supports

• iMinds

Guidance and supports

• Conversation

and dialogue

How to augment

in the classroom and school community?

"w

Can we learn from past tobacco campaigns with

peer led activities?

Encourage open discussion on all substances/drugs

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islandhealth

7.1 Page 16 of 90

Schoolpohcy

°

Mirror alcohol policies

No on site consumption

No intoxication

°

Is there a need to distinguish "medical use”

from ”non—medica| use”

°

Handling of distribution or unregulated

sale

• n school grounds

°

Employee policies on both medicinal and non-

Page 12 islandhealth

7.1 Page 17 of 90

Managing

use

Smoking

• easiest to control

Edible cannabis is not currently legal to sell

as food.

Self prepared edibles are not illegal.

Non-smoke product delivery

systems:

JUULs,juice

islandhealth

7.1 Page 18 of 90

Excessive use

°

Inexperienced users may overconsume

particularly associated with edibles.

Excessive consumption can result in reduced responsiveness

and may not be readily distinguished from opioid or benzodiazepine

• verconsumption

Serious overdoses are uncommon, requires time

to metabolize cannabinoids from system

• Chronic use and dependency

contact

Childyouth substance programing (Discovery/ADAPS)

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Page 14 islandhealth

7.1 Page 19 of 90

Island Health

current supports

• Local network of youth substance use counselling and residential

treatment

resources with minimal wait times for service

• Programming

is family centered program and strives to engage with

parents

and caregivers

in the treatment plan

(leveraging the attachments

to support

the youth and striving to maintain the integrity of the family unit over the long term)

• Workshop available for school parents

and caregivers "The Drug Talk” which supports and guides parents

• n supporting

their youth around the issue.

• Recently piloted a workshop

for school support staff and teachers around how to address substance use issues in the school

• Expect more as provincial supports

roll out AA

Page 15 islandhealth

7.1 Page 20 of 90

Discovery/ADAPSoffer:

• Education & Information

Youth, Parent, & Family Counseling

Outreach

• IndividualizedService Planning and Coordination

Referral

Community Collaboration

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Page 15 islandhealth

7.1 Page 21 of 90

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