Friday, December 3, 2010

Have you become your teen's drug dealer? What's in your medicine cabinet?

This presentation was created by Ronni Katz and Amanda Edgar for the 11/29/10 CADCA town hall.
Have you become your teen's drug dealer? What's in your medicine cabinet?
View more presentations from Amanda Edgar.
Please visit us on Slideshare to view 2 other presentations from 11/29/10: www.slideshare.net/portlandprevention 

Monday, November 29, 2010

Community Forum on Rx Drug Abuse: 11/29/10

On Monday November 29, 2010 from 6:30-8:00 at King Middle School, we will gather with members of the Portland community to discuss the risks of prescription drug abuse among teens.  This event is sponsored by Community Anti-Drug Coalitions of America (CADCA) and King Pharmaceuticals as well as the City of Portland's Public Health Division (HHSD) and the Portland Public Schools (PPS).

With support from panelists Ronni Katz (City of Portland's Substance Abuse Prevention Program Coordinator), Kevin Cashman (Maine DEA) and Karen Simone (Director, Northern New England Poison Center), parents and concerned adults will be able to learn about current trends, tips for talking with teens, Rx abuse warning signs and proper disposal methods.

Here are some highlights regarding the importance of this community discussion:
*Nationally, as many as one in five teens say they have taken a prescription drug without having a prescription for it. Every day, almost 2, 500 teens abuse an Rx medication for the 1st time.
 
*Last year in Cumberland County, nearly 11% of high-schoolers reporting using an Rx drug without a doctor's prescription.
(Maine Integrated Youth Health Survey, MIYHS)
 
*More than 70% of teens who abuse Rx drugs report they got them from a friend or family member (SAMHSA).
 
*40% of teens report that, even if not prescribed by a doctor., Rx drugs are safer to use than illegal drugs (CADCA).
 
*Parents/adults CAN reduce risk by keeping track of their meds/safely disposing of unused meds, talking to their teens and knowing the warning signs of Rx drug abuse  - all of which will be addressed @ the forum.

We thank CADCA & King Pharmaceuticals for being a part of this national initiative to reduce prescription drug abuse among teens.  To learn more about CADCA's efforts, visit: http://www.cadca.org/resources/detail/rx-abuse-prevention-toolkit

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Tuesday, October 12, 2010

Wednesday, June 23, 2010

Release from Prison & the Risk of Overdose: New Research

When we do our educational groups at the Cumberland County Jail and the Maine Correctional Center in Windham, we stress the importance of learning about tolerance and the risks associated with lowered tolerance upon release.

Drug and alcohol tolerance is typically lowered upon release from facilities such as prison or detox (see "Loss of tolerance and overdose mortality after inpatient opiate detoxification: follow up study") but there is research citing that release from prison/jail puts a person at highest risk for overdose. Below is the most recent published research, followed by prior publications/articles.

"Meta-analysis of drug-related deaths soon after release from prison" 
(ABSTRACT, Addiction, June 23, 2010)
"Release from Prison - A High Risk of Death for Former Inmates"
(NE J of Medicine, 2007)
"Heroin users released from methadone detox or jail may be at higher risk for overdose, according to UCSF researchers"
(UCSF, 2001)
"Preventing Fatal Overdose"- Powerpoint slideshow
(NY State Office of Alcoholism and Substance Abuse Services)
"Mortality from overdose among injecting drug users recently released from prison: database linkage study"
 (British Medical Journal, 1998)


While the information is alarming, it is important to note that there are things people can do to reduce their risk of overdose upon release.  Here are a few things we share with incarcerated individuals during our groups:
  • Do a little less if you haven’t used lately. Even if it’s only been a few days, your body may react to the drug like it did when you first began to use. If your health has worsened or you’ve lost weight since your last use, consider that too when measuring your dose
  • Take the drug in a way that gets you high more slowly—snorting heroin or cocaine rather than injecting it, for example
  • Try to use with someone who knows what to do in case you go out. If you must use alone, let a friend know so they can check in on you
  • Try to find out as much as you can about the stuff you plan to use: it may have gotten stronger since the last time you tried it
  • Be careful if you’re using a new drug, as it will be hard to know how much to do. Try to use with someone who has some experience with the drug you’re doing, and with new users.
  • Taken from: http://www.harmreduction.org/downloads/od2000.pdf
For more detailed information about our project, visit our website http://substanceabuse.portlandmaine.gov/phopp.asp; if you'd like to learn more about the Harm Reduction Coalition (a leader in overdose prevention education), visit http://www.harmreduction.org.

Friday, February 5, 2010

The Intersection Between Partner Violence & Substance Abuse: Reports & Awareness

There has been a lot of chatter among our "friends" and "followers" about the connection between alcohol/substance use and domestic/intimate partner violence over the past couple of weeks.  Since February has been declared National Teen Dating Violence Awareness Month, I thought it important to highlight some of the research as well as some of the resources.

It seems, surprising or not, that there is a direct link between DV and substance use.  Does this mean substance abuse CAUSES domestic violence?  Is it the other way around?  Does this give abusers an "excuse" to abuse?  Please feel free to discuss (AND SHARE OTHER RESOURCES) here.

Teen Dating Violence Awareness Month - http://www.teendvmonth.org/index.html

National Sexual Violence Resource Center -  http://www.nsvrc.org/

"Effect of co-occurring disorders and intimate partner violence on substance abuse treatment outcomes" J of Substance Abuse Treatment Volume 38, Issue 2, Pages 97-202 (March 2010)

"Does Alcohol Involvement Increase the Severity of Intimate Partner Violence?" (Alcoholism: Clinical and Experimental Research, Volume 34, Issue 2, February 2010)

National Coalition Against Domestic Violence: DV and Substance Abuse - http://www.ncadv.org/files/SubstanceAbuse.pdf

Thursday, January 21, 2010

Socioeconomic status & health risks

This blog post stems from an article that was posted this morning by @LaDonna Coy from a ScienceDaily article entitled "Low Socioeconomic Status Affects Cortisol Levels in Children Over Time" (January 21, 2010).  When we think of the challenges children face, it's important to keep in mind the influence of environmental factors but to still explore how we can build assets and have meaningful relationships with children despite - or maybe because - of their situations. 

While reading this particular article, I was reminded of the PBS Series "Unnatural Causes" which addressed themes of racism, infant mortality, poverty, diabetes and the impact of chronic stress on the health of our nation.  If you have some time, I encourage you to read the article and view the trailer of this film.  In addition, I encourage you to think of ways YOU can (and/or continue to) build assets in your community so that youth - and communities -  can thrive!

Learn more about the 40 Development Assets  and Thriving & Sparks from Search Institute

Tuesday, January 19, 2010

Chronic Pain: Risk Management


Over the course of the last hour I came across three separate yet related articles that address the issues regarding the treatment and management of chronic pain.  Below you'll find links to each article so please feel free to offer your perspective about what patients chronic pain patients might need to function, what doctors are up against and the addiction & overdose risks attached to these particular drugs (Oxycontin, methadone, Vicodin, etc).

Pain Management Fails Due to Rx Drug Abuse Fears 
(Pain-Topics.org, January 8, 2010)
"Millions of Americans with significant acute or chronic pain are being undertreated as physicians fail to provide comprehensive pain treatment, according to recent reviews. The failure is due to inadequate training of physicians, personal biases and, increasingly, fears of prescription analgesic drug abuse." Read On...

Managing the Emotional Aspects of Pain 
(Crossroads for Women blog, January 15, 2010)
"A recent article found on CNN.com talked about how living with chronic pain can hurt personal relationships. Michael E. Geisser, a professor of physical medicine and rehabilitation at the University of Michigan, states in the article, “It has been shown that relationships in which one partner has chronic pain tend to be more strained, have more marital distress, more conflict, and a greater likelihood for divorce.” Read On...

Even Legitimate Opioid Use May Cause Overdose 
(Reuters Health, January 19, 2010)
"Perhaps it's not surprising, but people who take high doses of opioid painkillers even for legitimate medical reasons are at risk of overdosing, new research shows." Read On...


For local and national treatment options, please visit SAMHSA's Treatment Locator at: www.findtreatment.samhsa.gov .  In Maine you can also dial 211 or visit www.211maine.org 

Tuesday, January 12, 2010

For parents, a child’s addiction also brings social stigma (Patriot Ledger)

(Hat Tip: NOPE TaskForce)

Posted Jan 09, 2010

Read the full story HERE

If you would like more information on treatment options and support for anyone suffering from opiate addiction visit any of these sites:
SAMHSA's Treatment Locator -
Narcotics Anonymous (Maine) -
Maine Office of Substance Abuse -
Portland Public Health Division -
http://substanceabuse.portlandmaine.gov/resourcesforsouthernme.pdf

Monday, January 4, 2010

Peer Pressure is What Made Me Use Drugs and Alcohol (INTERVENE @ DrugFree.org)

"As a young girl, two of the more traumatic things I went through were growing up with an alcoholic parent and my parents’ divorce. I tried to stuff the void I experienced with drugs and alcohol.  I never even considered the idea that I might become an alcoholic or drug addict, and I swore to myself that I would never end up like my father.  However, as I would later find out, the cards were stacked against me.  My family’s long history of drug and alcohol addictions played a huge role in where I ultimately ended up. The lifestyle itself was so familiar to me that it didn’t even register that I wouldn’t be able to stand up to the pressure to succumb to it."

Wednesday, December 16, 2009

Parent reports underage drinking party (21 Reasons)

From 21 Reasons Talk Blog:

"Over the weekend, Portland police broke up an underage drinking party, thanks to the report of a parent whose teen was involved:


PORTLAND – Police broke up a party during the weekend involving 35 to 40 teenagers, mostly from Deering and Portland high schools. Police were called to 16 Hope Ave. at 11:50 p.m. Saturday, after the parent of a teenager who had been drinking at the party reported it, police said …Police issued a court summons to a 16-year-old for furnishing the alcohol. [A father and son] were ordered to appear in court on charges of furnishing a place for minors to drink.

Reporting a party can be difficult choice for a parent, and we appreciate this parent’s decision to prioritize the health and safety of the young people involved. It’s up to each one of us to help make sure youth are safe, and we all are responsible for reporting dangerous situations—like underage drinking parties.


To those who are wondering, “What’s the big deal as long as they’re not driving?...
READ THE FULL POST HERE

Learn more about preventing underage drinking by visiting www.maineparents.net or www.21reasons.org

Tuesday, December 8, 2009

Many Parents Encourage Underage Drinking, Australian Study Finds (ScienceDaily)

ScienceDaily (Dec. 7, 2009) — Half of Australian adults and 63 per cent of Australians on a higher income believe 15- to 17-year-olds should be allowed to consume alcohol under parental supervision at home, according to the latest MBF Healthwatch survey.

Read the full article HERE...

What these Australian parents are missing is that there are other significant risks to underage drinkers such as: poor school performance, addiction, violence, suicides, sexual assault, falls, drowning...
 
To learn more about how you can prevent underage drinking here in Maine, visit www.maineparents.net

To learn more about the risks and consequences of underage drinking, visit www.niaaa.nih.nida.gov

Friday, December 4, 2009

A Stocked Bar For Holidays Can Be Introduction To Addiction


Most people would not believe that a fully stocked refrigerator and bar could precede an alcohol or drug addiction later in life.

A survey by SAMSHA (Substance Abuse and Mental Health Services Administration) in June 2008 revealed that 650,000 underage drinkers in May 2008 were given alcohol by their parents or guardians.  “In far too many instances parents directly enable their children’s underage drinking,” said Acting Surgeon General Steven K. Galson, M.D., M.P.H., a rear admiral in the U.S. Public Health Service in June 2008. “Proper parental guidance alone may not be the complete solution to this devastating public health problem but it is a critical part,” Dr. Galson stated.

Read the rest of the article HERE

To learn more about preventing underage drinking in Maine, visit www.maineparents.net
 

If you are a local business and would like FREE educational workshops about preventing underage drinking and substance abuse held for your staff during work/lunch hours (food provided), please contact portlandprevention@yahoo.com or call (207) 874-8965.

Wednesday, November 25, 2009

Tips for Preventing the Holiday Blues, Staying Sober (Hazelden)

"Most people know the holidays can be a period of emotional highs and lows. Loneliness, anxiety, happiness and sadness are common feelings, sometimes experienced in startling succession. The bad news is the holiday blues can trigger relapse for people recovering from alcoholism and other drug addiction. The good news is the blues can be remedied by planning ahead.

"Why do the blues hit during this otherwise festive season? Doing too much or too little and being separated from loved ones at this special time can lead to sadness during the holiday season. Many recovering people associate the holidays with memories of overindulgence, perhaps of big benders that resulted in relationship problems or great personal losses.

"Whether you're in recovery or not, developing a holiday plan to help prevent the blues, one that will confront unpleasant memories before they threaten your holiday experience. Your plan should include improved self-care, enhanced support from others, and healthy ways to celebrate. Here are a few suggestions to achieve a happy, sober holiday season..."  

Here are some additional links to learn more about living in recovery during the Holidays:
"Enjoying Holidays in Sobriety" (A Personal Recovery Story)

Area resources for addiction treatment & recovery support:
SAMHSA's Treatment Locator

Friday, November 20, 2009

The Straight Dope: Studies link parental monitoring w/decreased marijuana usage (ScienceDaily)


ScienceDaily (Nov. 17, 2009) — "Marijuana is the most widely used illicit drug by adolescents, with almost 42% of high school seniors admitting to having experimented with it. Continued marijuana use may result in a number of serious consequences including depression, cognitive impairment, cardiovascular disease, and certain forms of cancer. As such, it is critical to prevent marijuana use by adolescents and numerous behavioral and medical scientists have been trying to establish the best means of prevention."

To find out more about prevention tips for parents, visit http://www.maineparents.net!

Thursday, November 19, 2009

Texts 2 U?

The Portland Public Health Division's (HHSD) Substance Abuse Prevention Program is trying to gather information from parents/parenting adults to see if they'd like to receive a substance abuse prevention-focused message sent to their phone via text on a monthly basis. (Messages would be conversation starters, tips for getting involved, informational statistics about teen substance use, and more.)

We appreciate your feedback as it will guide us in our decision-making process about whether or not this would be a valuable tool to parents working to address teen substance use.

Click Here for the Anonymous 3-Question Survey:

Thursday, November 12, 2009

The messages just keep coming...



The more and more we search the 'net and blogs, we keep coming across a very universal message when it comes to teens: parental involvement matters.  Whether it's about teen pregnancy prevention, substance abuse prevention or a variety of other topics, parents - your voice matters!  Below are links to a few articles about the influence parents have.  Want to know more about what you can do as a Maine parent or caregiver?  Find Out More, Do More at MaineParents.net
 
From Child Trends
Parents Matter: The Role of Parents in Teens' Decisions about Sex
"Positive parent-teen relationships, high parental awareness and monitoring of whom their children are with, and family dinner routines are all linked to delayed sex among teens, according to a new Child Trends research brief.  The brief, Parents Matter: The Role of Parents in Teens' Decisions about Sex, explores how parenting practices that occur before adolescents have had sexual intercourse are associated with the probability of first sex by age 16."

From CESAR FAX
Students With Parents Who Set and Enforce Clear Rules
Less Likely to Report Illicit Drug Use
"Youths whose parents set clear rules for them are less likely to report using illicit drugs, according to data from the 2008-09 PRIDE Survey. Middle and high school students* whose parents set clear rules for them “a lot” or “often” were less likely to report using illicit drugs in the past year (12% and 21%, respectively) than students whose parents never set clear rules (49%)."

From CASA's Family Day
The Power of Parenting

"Whether you’re cooking a gourmet meal, ordering food from your favorite take-out place or eating on the go, rest assured that what your kids really want during dinnertime is YOU! Family meals are the perfect time to talk to your kids and to listen to what’s on their mind.  The more often kids eat dinner with their families, the less likely they are to smoke, drink or use drugs."

From The Int'l Journal of Behavioral Nutrition & Physical Activity
Parental influences on adolescent physical activity: a longitudinal study

"Strategies to promote physical activity among adolescents should focus on increasing levels of family cohesion, parental engagement, parent-child communication and adolescent self-esteem."

Friday, November 6, 2009

Live from the 2009 MAPSA Convention!

The Maine Alliance for Substance Abuse Prevention (MAPSA) is holding its annual prevention convention in Bangor, Maine and Portland Prevention was there! This year's convention is entitled "Powerful Prevention For ME" and is the state’s premier convention focused on issues that address substance abuse prevention in our communities.

The morning's keynote speaker, Kim Laraby from ETHOS Marketing, was fantastic and talked a lot about the how and the why of coalition "storytelling."

Frank Lyons of BC Consulting updated the audience on upcoming changes to Maine's Liquor Law & Enforcement and how coalitions can continue to support the efforts of law enforcement officials in their efforts to prevent underage drinking.

Workshop & breakout sessions topics:
*Using Program Evaluation to Improve and Help Sustain Prevention Programs (Day One)
*Mixing Substances and Inhalant Abuse (NNE Poison Control)
*Prescription Monitoring Program and One County’s Success (PMP/ MaineGeneral)
*Drug Endangered Children: Critical Collaborations (DHHS / MDEA)
*and MORE!

Download any of the presentations or learn more about the sessions here: http://www.masap.org/site/prevention.asp

Here is our Slideshare.net link to our presentation and our supplemental resource list for social media marketing for coalitions.

Thursday, October 29, 2009

Building Assets into Halloween

From the blog, Giving Youth the Asset Edge

"Halloween offers an opportunity to move beyond candy to old fashion porch sitting and friendship building. The list of 40 Developmental Assets provide guidelines for how this year’s Halloween experience can be enjoyable for the kid in all of us and help build a caring neighborhood (asset #4). Halloween is a great opportunity for getting to know neighbors, have fun and make the holiday last a little bit longer."

Click HERE to read more...

Wednesday, October 14, 2009

NIDA Reaches Out to Teens During "Talk About Prescriptions Month"

October is "Talk About Prescriptions Month," and the National Institute on Drug Abuse (NIDA) is launching a prescription drug abuse education video to promote the observance.

In the new video, NIDA scientists Cindy Miner, Ph.D., and Joni Rutter, Ph.D., explain the risks and dangers of abusing painkillers. By watching the video featured on the NIDA for Teens Web site, teens can learn about these dangers and some safety tips to keep in mind when they get a prescription from their doctors.

Every day in the United States, 2,500 American teens age 12 to 17 illegally take a prescription pain reliever for the first time. Prescription drug abuse is a growing problem across the United States. According to a NIDA survey, more than 16 million Americans age 12 and older took a prescription pain reliever, tranquilizer, stimulant, or sedative-just for the effect-at least once in the previous year.

In addition to the new painkillers video, NIDA offers teens other resources about the dangers of prescription drug abuse, such as the Sara Bellum Blog. For more information on prescription drug abuse, visit the NIDA Web site.

Wednesday, October 7, 2009

Portland collecting old meds on Thursday


Old and unwanted medications will be collected for safe disposal at the Portland Expo on Thursday.

Portland officials are encouraging residents to sort through their medicine cabinets and bring in any over-the-counter or prescription drugs that are expired or no longer used by the household. Veterinary medicines also will be collected.

The event is intended to raise awareness about the risks associated with leaving expired medications in the home and the consequences of disposing of medications improperly by flushing them or throwing them in the trash.

If not properly disposed of, the medications can be used illegally or cause accidental poisoning. And, if flushed down a toilet or put in a landfill, they can eventually contaminate water supplies.

Medications should be brought in their original containers if possible. Individual privacy will be protected by removing any personal information. Labels should not be removed before drop-off, because they identify substances and drug classes.

The event will be held from 10 a.m. to 2 p.m. Thursday at the Portland Exposition Building on Park Avenue.