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1/16/18
1
THE JUVENILE JOURNEY:
FROM MARIJUANA TO HEROIN
Alicen-J. McGowan LCPC PhD RPT-S CAS CMI-I CAGS CRADCCERTIFIED ADDICTION SPECIALIST
GLENVIEW, ILJanuary 2018
GOALS• TO EXPLAIN ADDICTION• TO IDENTIFY SIGNS OF ADDICTION• TO DEMONSTRATE THE WORKINGS OF
THE BRAIN• TO OUTLINE THE TRAJECTORY• TO EXPLAIN THE EFFECTS OF DRUG
ABUSE• TO IDENTIFY THE IMPACT ON CASA
WORK
IMPACT ON SOCIETY
• NIH AND CDC COMBINED DATA FOR 2015
• OVERDOSES 52,404• FEMALES 19,447• MALES 32,957\HEROIN 12,989• WHAT ABOUT CHILDREN AND
ADOLESCENT USE?
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SAMHSA• 22.2 MILLION CURRENT
MARIJUANA USERS AGES 12 AND OLDER
• ILLICIT DRUG USE IS PRIMARILY DRIVEN BY INCREASED MARIJUANA USE AND LOWER AGE OF USE
• 139.7 MILLION USED ALCOHOL IN PAST 30 DAYS
• ALCOHOL HAS STAYED FLAT SINCE 2002
THE FACTS• Nat’l Study of Drug Use 2014 – 27 MILLION
USED ILLICIT DRUGS IN PAST 30 DAYS –AGE 12 - use of HEROIN 1.6%
• 12-17 .3%• 18-25 1.7%• AGE 25+ 1.8%• MTF 2012• 8th grade .5%• 10th grade 1.1%
DATA• Alcohol 12th grade 69.4%• Cigarettes 39.4%• Illicit drugs 49.9%• Cocaine 4.9%• Hallucinogens 7.5%• LSD 3.8%• MDMA 7.2%• Marijuana 45.2% • RX 21.2%
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WHAT IS THE SHIFT?• Alcohol harder to get - flatlined• Risky behaviors have increased• Peer pressure replaced by stress• Fewer role models/boundaries• No coping strategies- everyone gets trophy• Economic situations/ 2 parents work• Less family time/values• Heads in the sand
ADOLESCENCE• Extended 10-29 WHY?• Early Puberty• Lack of employment• Moving back in after
college• No time for guidance• Social Media/
international connections
• Game playing from boredom
CURIOSITY• BOREDOM• STRESS• SOCIAL PRESSURE• AIM TO PLEASE• RISK IS FUN• ABOVE IT ALL• I CAN STOP• NOT ME - DENIAL
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MARIJUANA• First drug of choice• Not your parent’s MJ• 10x• Nicotine/7 cigs• Enhancers• Before school• Before bed• Often free
MARIJUANA + ALCOHOL
• DEPRESSANTS• CROSSES THE FRONTAL LOBE• POOR DECISION-MAKING• INABILITY TO REACT, DRIVING• LACK OF REMORSE• DELAYED PROCESSING• BLOCKS MOTIVATION
THE BRAIN• WE ARE BORN
NEEDING TWO THINGS
• HOMEOSTASIS• AND PLEASURE• WE ARE
PLEASURE-SEEKERS BUT WE WANT BALANCE!
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THE BRAIN• HOW IT WORKS• THE PLEASURE
CENTER• REWARDS• PAIN CENTER• CHANGING
FEELING• ADDICTION OR
SUD
REWARD CENTER• REWARD IS
ALSO LACK OF PAIN
• RELIEF OF PAIN CAN FEEL STIMULATING
• NEED MORE AND MORE AROUSAL
• HIGHER RISKS
SUBSTANCE USE DISORDER
• TOLERANCE
• WITHDRAWAL
• SUBSTITUTION
• BEHAVIOR CHANGE
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AM ACADEMY OF PEDS
• 2017 RESEARCH• PREVENT TEEN USE• CHANGES IN BRAIN STRUCTURE
AND CONNECTIVITY• RELATED TO ATTENTION AND
MOTIVATION CHALLENGES• FORMERLY A-MOTIV. SYNDROME• NO PRE-TEEN USE – EVER!
OUI, DUI, SO WHAT?
• Geared towards alcohol• Who does the test?• What are the consequences?• Diminish the use of marijuana• Lesser consequences• The Law is changing – Why?• What are the repercussions?• COLORADO
PRESCRIPTIONS• Pharm parties• Easy access• Curiosity• Exchange currency• Bring money• Risk is exciting• TRAJECTORY• More at home than
ever!
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OPIOIDS• P, M, V, O, M, D, O, H• ANALGESICS• ABUSE IF NOT TAKEN AS
PRESCRIBED• SPRINKLED ON MARIJUANA• CRUSHED/SNORTED• IV – SHOOTING - DABBING• PAIN – SHOULD I AVOID?
WHY HEROIN?• NEED TO CHILL• NEED TO AVOID• EASY ACCESS• INEXPENSIVE• CHEAPER THAN
OXYCONTIN• QUICKER RELIEF• COOL TO DO• RISKY BUSINESS
NIDA SEPT. 2017
• 43,000 USING MJ FOR RESEARCH• 20% STATES IN FAVOR OF
RECREATIONAL USE• 9% ADULTS ARE ADDICTED• TEENS WHO USED = 17% ADDICTED• 2X MORE LIKELY TO BECOME
OPIOID USE DISORDER ADULTS!• YES, POTENTIAL FOR ADDICTION!
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JULY 2017 U PITT• HIGHER RATES
OF DEPRESSION• LOWER
EDUCATIONAL OUTCOMES
• START AT 15 –ADDICTED BY 19
• REWARD CTR DYSFUNCTION
U WARWICK UK
• TEEN USE OF 2-3X A WEEK SUFFERED FROM HYPOMANIA
• SIMILAR TO BIPOLAR IN LATER LIFE
SIGNS OF ADDICTION
• IT’S IN THE EYES!• IT’S IN THE SPEECH!• IT’S IN THE WALK, RIDE, DRIVE!• FRIENDS CHANGE• GRADES DROP• ATTITUDE/MOTIVATION CHANGES• APPETITE CHANGES
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YOUR ROLE AS A CASA• KNOW THE SIGNS• CONFRONT THE CHILD IN A NON-
THREATENING MANNER• BE READY WITH ALTERNATIVES• LOOK FOR NEGLECT IN FAMILIES
SUCH AS DISHES, LAUNDRY, UNCLEAN CHILDREN, MALNUTRITION
• OFFER ASSISTANCE FIRST
WHAT TO KNOW
• MARIJUANA IS STRONGER!
• 500 CHEMICALS• HYDROCANNAB
INOL IS MIND-ALTERING
• DABBING/VAPE DELIVERS HIGH LEVELS OF THC
HOW CASA CAN ASSIST• KEEP CHILDREN SAFE AT ALL COSTS• CALL YOUR SUPERVISOR IMMEDIATELY• KNOW THE DRUG TREATMENT
FACILITIES IN YOUR AREA AND HAVE THEIR PHONE NUMBERS HANDY
• WATCH FOR HOUSEHOLD DISRUPTIION• REFER OR REMOVE IF BEHAVIOR
CONTINUES!
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WHAT SHOULD WE DO?• EDUCATION IS KEY• RELIGIOUS EDUCATION• TEACHERS/COACHES• PHYSICIANS• SCHOOLS • PARENTS• YOUTH GROUPS• STEPPING UP TO WHAT IS GOING ON
WHERE DO WE GO FROM HERE?
• LENS = YOURS, MINE, OURS
• STOP, LOOK, LISTEN, REFER
• TAKE ACTION
SOCIETY IS BUILT ON FAMILIES THAT WORK
• SLOW DOWN• DE-STRESS YOUR OWN LIFE• TEACH PEACE - ALTERNATIVES• USE POSITIVE STATEMENTS• BE THE ONE FOR THE CHILD• BE OPEN AND TALK ABOUT DRUG
DANGER• BE THE BEST ROLE MODEL YOU CAN BE!
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CASA• REMEMBER, YOU CAN MAKE A
DIFFERENCE• CHANGE BEGINS WITH YOU• CASA WORK IS TOUGH BUT IN
MANY CASES YOU ARE THE ONLY STABLE PERSON IN A CHILD’S LIFE
• A STABLE PERSON CAN MODEL APPROPRIATE BEHAVIOUR AND INSPIRE SUCCESS!
THANK YOU!
ALICEN-J. MCGOWAN PhD
[email protected] Waukegan RdGlenview, IL 60035