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New Zealand Health Education Association (NZHEA) 2016. For member use only, not to be sold or shared. 1 RESOURCE BOOKLET AS 91235: Analyse an adolescent health issue You will select ONE of two health issues to respond to ALL questions in the exam. This resource booklet contains: Resources AD for stress management (pages 13 of this booklet) Resources EG for cannabis or other drug use (pages 46 of this booklet). Resources for stress management RESOURCE A: Risk factors increase the likelihood of difficulties in coping with stressful life events and protective factors enhance life opportunities, ability to cope with stress and can reduce the impact of unavoidable stressful events. Common risk factors include: Common protective factors include: having low selfesteem and poor social or coping skills lack of social support from family, friends, community truancy, academic failure, and dropping out of school experiencing parental conflict and divorce when growing up low family income and family disadvantage. having a large social support network having optimism, aspirations, hopes and plans for the future having at least one close friend having at least one supportive parent staying longer at school and achieving having personal interests and hobbies that are valued and recognised by others having meaningful employment living in a safe and supportive neighbourhood and feeling connected to one’s community having skills for problemsolving and decisionmaking, leadership, working independently, communicating with others having positive interactions with other people. Adapted from: http://www.myd.govt.nz/resourcesandreports/publications/youth developmentstrategyaotearoa.html

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Page 1: 91235 resource booklet 2016 - WordPress.com · New$Zealand$Health$Education$Association$(NZHEA)$2016.$Formemberuse$only,$not$to$be$sold$orshared.$ $! 1$ RESOURCE BOOKLET AS 91235:

New  Zealand  Health  Education  Association  (NZHEA)  2016.    For  member  use  only,  not  to  be  sold  or  shared.        

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RESOURCE BOOKLET

AS 91235:

Analyse an adolescent health issue

 You  will  select  ONE  of  two  health  issues  to  respond  to  ALL  questions  in  the  exam.    This  resource  booklet  contains:    • Resources  A-­‐D  for  stress  management  (pages  1-­‐3  of  this  booklet)  • Resources  E-­‐G  for  cannabis  or  other  drug  use  (pages  4-­‐6  of  this  booklet).        

 Resources  for  stress  management  

 RESOURCE  A:      Risk  factors  increase  the  likelihood  of  difficulties  in  coping  with  stressful  life  events  and    protective  factors  enhance  life  opportunities,  ability  to  cope  with  stress  and  can  reduce  the  impact  of  unavoidable  stressful  events.    Common  risk  factors  include:     Common  protective  factors  include:      • having  low  self-­‐esteem  and  poor  social  

or  coping  skills    • lack  of  social  support  from  family,  

friends,  community    • truancy,  academic  failure,  and  dropping  

out  of  school    • experiencing  parental  conflict  and  

divorce  when  growing  up    • low  family  income  and  family  

disadvantage.      

• having  a  large  social  support  network    • having  optimism,  aspirations,  hopes  and  

plans  for  the  future    • having  at  least  one  close  friend    • having  at  least  one  supportive  parent    • staying  longer  at  school  and  achieving    • having  personal  interests  and  hobbies  

that  are  valued  and  recognised  by  others    • having  meaningful  employment    • living  in  a  safe  and  supportive  

neighbourhood  and  feeling  connected  to  one’s  community    

• having  skills  for  problem-­‐solving  and  decision-­‐making,  leadership,  working  independently,  communicating  with  others  

• having  positive  interactions  with  other  people.    

 Adapted  from:    http://www.myd.govt.nz/resources-­‐and-­‐reports/publications/youth-­‐development-­‐strategy-­‐aotearoa.html                    

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New  Zealand  Health  Education  Association  (NZHEA)  2016.    For  member  use  only,  not  to  be  sold  or  shared.        

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RESOURCE  B:    

Teenagers,  like  adults,  may  experience  stress  every  day  and  can  benefit  from  learning  stress  management  skills.  Most  teens  experience  more  stress  when  they  perceive  a  situation  as  dangerous,  difficult,  or  painful  and  they  do  not  have  the  resources  to  cope.  Some  sources  of  stress  for  teens  might  include:    

• school  demands  and  frustrations    • negative  thoughts  and  feelings  about  themselves  • changes  in  their  bodies    • problems  with  friends  and/or  peers  at  school    • unsafe  living  environment/neighbourhood    • separation  or  divorce  of  parents    • chronic  illness  or  severe  problems  in  the  family    • death  of  a  loved  one    • moving  or  changing  schools    • taking  on  too  many  activities  or  having  too  high  expectations    • family  financial  problems.      

Some  teens  become  overloaded  with  stress.  When  it  happens,  inadequately  managed  stress  can  lead  to  anxiety,  withdrawal,  aggression,  physical  illness,  or  poor  coping  skills  such  as  drug  and/or  alcohol  use.    

When  we  perceive  a  situation  as  difficult  or  painful,  changes  occur  in  our  minds  and  bodies  to  prepare  us  to  respond  to  danger.  This  "fight,  flight,  or  freeze"  response  includes  faster  heart  and  breathing  rate,  increased  blood  to  muscles  of  arms  and  legs,  cold  or  clammy  hands  and  feet,  upset  stomach  and/or  a  sense  of  dread.  The  same  mechanism  that  turns  on  the  stress  response  can  turn  it  off.    

From:      http://www.edusearch.co.nz/articles/5-­‐322/Youth/Helping-­‐Teenagers-­‐with-­‐Stress.htm          RESOURCE  C:      Ginsburg  identifies  seven  ‘Cs’  of  resilience:    These  can  be  developed  in  individuals  that  help  them  to  deal  with  stress  and  risk.    • competence  • confidence  • connection  • character  • contribution  • coping  • control.    Adapted  from  Dr.  Sue  Bagshaw,  Chapter  5:  http://www.pmcsa.org.nz/wp-­‐content/uploads/Improving-­‐the-­‐Transition-­‐report.pdf                    

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New  Zealand  Health  Education  Association  (NZHEA)  2016.    For  member  use  only,  not  to  be  sold  or  shared.        

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RESOURCE  D:      Research  has  found  that  building  five  actions  into  day-­‐to-­‐day  lives  is  important  for  the  well-­‐being  of  individuals,  families,  communities  and  organisations.      

Adapted  from:  http://www.mentalhealth.org.nz/home/ways-­‐to-­‐wellbeing/                

 

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New  Zealand  Health  Education  Association  (NZHEA)  2016.    For  member  use  only,  not  to  be  sold  or  shared.        

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Resources  for  cannabis  and  other  drug  use      RESOURCE  E:  

Source:  Nora  D.  Volkow,  MD,  Ruben  D.  Baler,  PhD,  Wilson  M.  Compton,  MD,  and  Susan  R.B.  

Weiss,  PhD,  N  Engl  J  Med  2014;  370:2219-­‐2227  June  5,  2014  DOI:  10.1056/NEJMra1402309.                              

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New  Zealand  Health  Education  Association  (NZHEA)  2016.    For  member  use  only,  not  to  be  sold  or  shared.        

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RESOURCE  F:        

 By  the  time  they  are  21,  eight  out  of  10  young  New  Zealanders  have  used  cannabis.  Ten  per  cent  use  it  often  enough  to  be  dependent.  

What  is  emerging  from  groundbreaking  research  published  this  week  is  that  despite  a  growing  teenage  belief  that  dope  delivers  a  harmless  high,  young  regular  tokers  may  be  dulling  their  brains  permanently  -­‐  and  paying  a  price  in  adult  life  by  performing  poorly  at  school  and  limiting  their  options  in  the  job  market.  Moreover  teens  who  frequently  use  cannabis  have  increased  risks  of  mental  health  problems,  getting  injured  in  car  accidents  and  using  other  illicit  drugs.  

The  study  of  more  than  1000  New  Zealanders  found  that  those  who  took  up  cannabis  in  adolescence  and  kept  using  it  more  than  once  a  week  had  an  average  decline  in  IQ  of  eight  points  when  measured  at  age  13  and  again  at  38.  Those  who  began  using  cannabis  as  adults  and  stayed  the  course  did  not  suffer  the  same  decline.  

In  other  words,  the  brain  of  a  teenage  cannabis  user  appears  more  susceptible  to  the  effects  of  the  drug  than  the  adult  brain,  which  suggests  the  bulletproof  bravado  of  the  regular  teenager  smoker  is  misplaced  -­‐  and  raises,  say  researchers  with  interests  in  the  latest  study,  broader  questions  about  current  drug  policy.  

So  just  why  is  the  teenage  brain  vulnerable  to  a  chemical  assault  from  cannabis?  

"Taking  cannabis  during  this  time  can  disrupt  the  natural  processes,"  says  Professor  Glass.  "Once  you  are  an  adult  the  same  processes  are  no  longer  occurring,  so  you  are  particularly  vulnerable  in  puberty."  

 Adapted  from  http://www.nzherald.co.nz/nz/news/article.cfm?c_id=1&objectid=10830922  

           

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New  Zealand  Health  Education  Association  (NZHEA)  2016.    For  member  use  only,  not  to  be  sold  or  shared.        

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RESOURCE  G:    Based  on  research,  some  suggestions  for  future  policy  and  funding  to  reduce  Cannabis  and  other  drug  use  in  youth  include:  

• That  community  action  funding  should  provide  young  people,  their  families/whânau  and  community  with  needs-­‐based  services  and  support  to  initiate  their  own  prevention  and  harm  minimisation  projects  and  lead  change  within  their  communities.  

• The  Ministries  of  Health  and  Education  should  jointly  develop  a  model  of  support  for  school  guidance  counsellors  and  other  relevant  personnel  that  ensures  staff  have  appropriate  skills  to  identify  and  work  with  people  who  use  drugs.  

• That  the  Ministry  of  Health  develop  programmes  to  increase  young  people’s  capacity  to  be  agents  of  health  promotion  and  drug-­‐related  harm  reduction.    

• That  the  Ministry  of  Health  should  work  in  partnership  with  media  organisations  to  develop  a  resource  highlighting  good  practice  with  regard  to  the  media  coverage  of  poisoning.  

 

Adapted  from  Reshaping  New  Zealand’s  Alcohol  and  other  Drug  Policy,  Declaration  from  Wellington  national  drug  policy  summit,  27-­‐28  August  2013  https://www.drugfoundation.org.nz/wellington-­‐declaration/declaration