Accessibility of RX Medication and Teens

Source: Connect with Kids

“There is a tremendous amount of medicines out there that are readily available in the bathrooms, in the cabinets at home as well as on the black market.”

– Steven Jaffe, M.D., adolescent psychiatrist

Many kids say they can get any prescription drug they might want. Joseph Caspar, 17, says he could get “vicodin, morphine, anything like that.” Patti Strickland says she could even get methadone.

According to the Partnership for a Drug-Free America, 61 percent of teens say prescription drugs are easier to get than any other drug.

One reason … easy accessibility.

“This is the age of medication,” explains Dr. Steven Jaffe, adolescent psychiatrist. “I think there is a tremendous amount of all sorts of medicines out there that are readily available in the bathrooms, in the cabinets at home as well as on the black market.”

In fact, kids say the medicine cabinet is the first place they look. “That’s mostly how it starts,” says 16-year-old T.J. Crutain.

That’s why, experts say, prescription medicine needs to be locked up.

“We have gun cabinets that are locked up to keep guns away from our teenagers,” says Dr. Herb Kleber, professor of psychiatry at Columbia University. “We should also develop locked medicine cabinets in order to help secure these agents so that it isn’t easy for teenagers to get to them.”

Carol Thomas recently lost her son, Ross, when he overdosed on prescription drugs. Ross was 16-years-old.

“Ross didn’t get anything from [our] medicine cabinet, but I know parents have it and there’s nothing wrong with that,” says Thomas. “If you need medication, you need medication. But I think that we’re silly to walk around and dangle a carrot in front of a kid’s face.”


Tips for Parents

OxyContin is a controlled-release pain reliever that can drive away pain for up to 12 hours when used properly. When used improperly, however, OxyContin is a highly addictive opioid closely related to morphine. As individuals abuse the drug, the effects lessen over time, leading to higher dosage use.

Consider the following:

The supply of OxyContin is soaring. Sales of OxyContin, first marketed in 1996, hit $1.2 billion in 2003.

The FDA reports that OxyContin may have played a role in 464 deaths across the country in 2000 to 2001.

In 2000, 43 percent of those who ended up in hospital emergency rooms from drug overdoses – nearly 500,000 people – were there because of misusing or abusing prescription drugs.
In seven cities in 2000 (Atlanta, Chicago, Los Angeles, Miami, New York, Seattle, and Washington, D.C.) 626 people died from overdose of painkillers and tranquilizers. By 2001, such deaths had increased in Miami and Chicago by 20 percent.

From 1998 to 2000, the number of people entering an emergency room because of misusing or abusing oxycodone (OxyContin) rose 108 percent. The rates are intensifying … from mid-2000 to mid-2001, oxycodone went up in emergency room visits 44 percent.

OxyContin is typically abused in one of three ways …

By removing the outer coating and chewing the tablet.
By dissolving the tablet in water and injecting the fluid intravenously.
By crushing the tablet and snorting the powder.

Because the U.S. Food and Drug Administration puts its seal of approval on prescription drugs, many teens mistakenly believe that using these drugs – even if they are not prescribed to them – is safe. However, this practice can, in fact, lead to addiction and severe side effects. How can you determine if your teen is abusing drugs? The American Academy of Child & Adolescent Psychiatry suggests looking for the following warning signs and symptoms in your teen:

Physical: Fatigue, repeated health complaints, red and glazed eyes and a lasting cough
Emotional: Personality change, sudden mood changes, irritability, irresponsible behavior, low self-esteem, poor judgment, depression and a general lack of interest

Familial: Starting arguments, breaking rules or withdrawing from the family
School-related: Decreased interest, negative attitude, drop in grades, many absences, truancy and discipline problems

Social: having new friends who are less interested in standard home and school activities, problems with the law, and changes to less conventional styles in dress and music

If you believe your teen has a problem with drug abuse, you can take several steps to get the help he or she needs.

The American Academy of Family Physicians suggests contacting your health-care provider so that he or she can perform an adequate medical evaluation in order to match the right treatment or intervention program with your teen.

You can also contact a support group in your community dedicated to helping families coping with addiction.

Substance abuse can be an overwhelming issue with which to deal, but it doesn’t have to be.

The Partnership for a Drug-Free America offers the following strategies to put into practice so that your teen can reap the rewards of a healthy, drug-free life:

Be your teen’s greatest fan.

Compliment him or her on all of his or her efforts, strength of character and individuality.

Encourage your teen to get involved in adult-supervised after-school activities.

Ask him or her what types of activities he or she is interested in and contact the school principal or guidance counselor to find out what activities are available.

Sometimes it takes a bit of experimenting to find out which activities your teen is best suited for, but it’s worth the effort – feeling competent makes children much less likely to use drugs.

Help your teen develop tools he can use to get out of drug-related situations.

Let him or her know he or she can use you as an excuse: “My mom would kill me if I smoked marijuana!”

Get to know your teen’s friends and their parents. Set appointments for yourself to call them and check-in to make sure they share your views on alcohol, tobacco and other drugs.

Steer your teen away from any friends who use drugs.

Call teens’ parents if their home is to be used for a party.

Make sure that the party will be drug-free and supervised by adults.

Set curfews and enforce them. Let your teen know the consequences of breaking curfew.

Set a no-use rule for alcohol, tobacco and other drugs.

Sit down for dinner with your teen at least once a week. Use the time to talk – don’t eat in front of the television.

Get – and stay – involved in your teen’s life.

References
American Academy of Child & Adolescent Psychiatry
American Academy of Family Physicians
Partnership for a Drug-Free America
National Institute on Drug Abuse
U.S. Food & Drug Administration

Parent's Influence on Teen Drinking

Source: Connect with Kids

“My parents are pretty powerful in my life. I have their respect, and they have mine.”
– Deepak, 16 years old

Teenagers are bound to experiment with drugs, alcohol and sex – right?

Not necessarily, says 15-year-old Nick. “It’s not inevitable,” he says. “It’s just a personal decision.”

“There’s [sic] a lot of people who just don’t want to try any of that stuff, but there are some people who do,” says 15-year-old Chris Mullings.

The Journal of Studies on Alcohol and Drugs reports that when underage drinkers are disciplined by their parents they are less likely to become heavy drinkers compared to kids whose parents ignore their drinking.

“My parents have a pretty big influence on everything that I believe in – what I will and won’t do,” says Elizabeth, 15.

Nick echoes her sentiments. “For all my decisions, I’m always thinking about what they taught me, and even if I don’t do what they said, it’s still always in my head,” he says.

What’s more, teens themselves say parents help them make healthy choices by talking to them and knowing where they are, whom they’re with and what they’re doing. And when their expectations are clear.

“If they have heard what you think is appropriate behavior and you have modeled it, when they are in a position where they have to think critically, they have already had a chance to, in some ways, rehearse it,” says psychologist Dr. Peter Thomas.

And, experts say, if you find your teen has been experimenting- speak up!

“By not commenting directly, they’re, in essence, giving their child permission to continue to drink or get stoned or do whatever they’re doing because the child will interpret their silence as its okay, it doesn’t matter,” explains psychologist, Alexandra Phipps. “I would tell parents if you don’t talk about things with your child, it’s probably going to happen again and again and it’s probably going to get worse.”

Tips for Parents

Research defines binge drinking as having five or more drinks in a row. Reasons adolescents give for binge drinking include: to get drunk, the status associated with drinking, the culture of drinking on campus, peer pressure and academic stress. Binge drinkers are 21 times more likely to: miss class, fall behind in schoolwork, damage property, injure themselves, engage in unplanned and/or unprotected sex, get in trouble with the police, and drink and drive.
Young people who binge drink could be risking serious damage to their brains now and increasing memory loss later in adulthood. Adolescents may be even more vulnerable to brain damage from excessive drinking than older drinkers.

Consider the following:

The average girl takes her first sip of alcohol at age 13. The average boy takes his first sip of alcohol at age 11.

Underage drinking causes over $53 billion in criminal, social and health problems.

Seventy-seven percent of young drinkers get their liquor at home, with or without permission.

Students who are binge drinkers in high school are three times more likely to binge drink in college.

Nearly 25 percent of college students report frequent binge drinking, that is, they binged three or more times in a two-week period.

Autopsies show that patients with a history of chronic alcohol abuse have smaller, less massive and more shrunken brains.

Alcohol abstinence can lead to functional and structural recovery of alcohol-damaged brains.
Alcohol is America’s biggest drug problem. Make sure your child understands that alcohol is a drug and that it can kill him/her. Binge drinking is far more pervasive and dangerous than boutique pills and other illicit substances in the news. About 1,400 students will die of alcohol-related causes this year. An additional 500,000 will suffer injuries.

A study by the Harvard School of Public Health showed that 51 percent of male college students and 40 percent of female college students engaged in binge drinking in the previous two weeks. Half of these drinkers binged frequently (more than three times per week). College students who binge drink report:

Interruptions in sleep or study habits (71 percent).
Caring for an intoxicated student (57 percent).
Being insulted or humiliated (36 percent).
An unwanted sexual experience (23 percent).
A serious argument (23 percent).
Damaging property (16 percent).
Being pushed, hit or assaulted (11 percent).
Being the victim of a sexual advance assault or date rape (1 percent).

Students must arrive on college campuses with the ability to resist peer pressure and knowing how to say no to alcohol. For many youngsters away from home for the first time, it is difficult to find the courage to resist peer pressure and the strength to answer peer pressure with resounding no. Parents should foster such ability in their child’s early years and nurture it throughout adolescence. Today’s youth needs constant care from parents and community support to make the best decisions for their wellbeing.

References
Alcohol Policies Project
Focus Adolescent Services
Harvard School of Public Health
National Youth Violence Prevention Center
Psychological Assessment Research & Treatment Services

Driving While High

Source: Connect with Kids

“Pot is the sneakiest of drugs because it takes out your functioning. It decreases reaction time. It messes up judgment. It messes up driving,”

– Steven Jaffe, MD, psychiatrist

For a young driver, there are so many dangers: speed, ego, inexperience and another often ignored danger: drugs.

“I think it’s very irresponsible and it could lead to a lot of dangerous accidents. It’s just as bad as driving drunk – quite possible even worse,” says 17-year-old Allison Meisburg.

Researchers from the University of Montreal studied the habits of 83 male drivers. They found that nearly 20 percent have been high behind the wheel.

“…and I would estimate at least two or three times that number have been in the car in which the driver was stoned,” says Dr. Steven Jaffe, a psychiatrist, who specializes in substance abuse issues.

“[Driving while high] is not as bad as drinking and driving, but it is still bad of course, because you know your reflexes are delayed and all that jazz,” says 16-year old Justin.

Experts say teens simply don’t realize the dangers.

It’s hard to believe, but some kids believe pot helps them driver better.

“They really think they do,” says Dr. Jaffe. “But they don’t. They really don’t. They don’t realize they are impaired. Pot is the sneakiest of drugs because it takes out your functioning. It decreases reaction time. It messes up their judgment. It messes up driving.”

Dr. Jaffe says parents should adopt a zero-tolerance attitude. Remind your kids that pot is a mind-altering drug and not to ride with drivers who are high on any drug. Then, remind them of the consequences.

“The biggest consequence would be you run into another on-coming car during traffic and you kill them and yourself. That’d be the biggest consequence,” says Reggie, 17.

Dr. Jaffe concurs. “It only takes one time to kill yourself and kill somebody else.”


Tips for Parents

According to government studies, nearly 11 million Americans, including one in five 21-year-olds, have driven while under the influence of illegal drugs. Young adults don’t consider driving while high to be as dangerous as driving while under the influence of alcohol, according to John Walters, director of the White House Office of National Drug Control Policy. Therefore, his office is starting a campaign warning teens about driving while smoking marijuana. Concentration, perception, coordination and reaction time can all be affected for up to 24 hours after smoking marijuana, Walters said.

So how can you determine if your teen has been using drugs, namely marijuana? The experts at the National Institute on Drug Abuse suggest looking for these trouble signs in your teen. He/she may:

Seem dizzy and have trouble walking
Seem silly and giggly for no reason
Have very red, bloodshot eyes
Have a hard time remembering things that just happened
Seem very sleepy or groggy (after the early effects fade, sleepiness may occur)
In addition to these signs, parents should also be alert to changes in any of the following:

Behavior, such as withdrawal, depression, fatigue, carelessness with grooming, hostility and deteriorating relationships with friends and family
Academic performance, including absenteeism and truancy
Loss of interest in sports or other favorite hobbies
Eating or sleeping patterns
Also be on the lookout for:

Signs of drugs and drug paraphernalia
Odor on clothes and in bedroom
Use of incense and other deodorizers
Use of eye drops
Clothing, posters, jewelry, etc., promoting drug use

References
National Institute on Drug Abuse
Parents. The Anti-Drug.
Office of National Drug Control Policy
University of Montreal

Middle School Drinking

Source: Connect with Kids

“We’ve approached parenting as a life-long process and this is just part of it. We’re just starting him, training him, helping him get set for the rest of his life - to make his own decisions.”

– Jon Schlanger, Jake’s father

“I’ve heard in other schools that people have been sneaking drugs into their lockers,” Jake says. He’s only ten years old, and he already knows kids who use drugs.

Experts say that today, children younger than ever are exposed to themes once reserved for adults: sex, violence, profanity - as well as drugs and alcohol.

“I think they’re pushed,” explains educator Kay Scott. “You know, pushed by music, pushed by movies, and pushed in some ways by the media.”

Experts add that parents aren’t teaching their elementary school-age kids about the dangers of alcohol.

As Dr. Michael Fishman, an addiction medicine specialist, explains, “Many of the parents are not getting involved as much with kids around education, around negative experiences they’ve had with drugs and alcohol.”

And that’s why Jake’s parents began that conversation two years ago. His father is a recovering alcoholic.

“That was a part of our life and it is a part of our life, so it was appropriate for this family to have that conversation at the time,” says Jon Schlanger, Jake’s dad.

One specific worry for them is that Jake inherited his dad’s genes.

“If one of the parents has the disease of alcoholism, I think at a minimum it’s 25% more likely [that the child will inherit the disease],” explains Dr. Fishman.

Another concern is his age. “The younger they start drinking, the higher risk they’re going to have for alcohol abuse or alcohol dependence,” he continues.

Which is why, Dr. Fishman says every family needs to start the conversation early: “I think the young people are much more aware and ready than many parents may believe.”

Jake’s dad knows he was ready for it, too. “In one respect it forces me to be honest about it; in another aspect, and this was very important to me, is for him to see that when I had a problem that I would try to face it and work through it.”

Tips for Parents

Alcohol-related fatalities are a leading cause of death among young adults in the United States. In the United States, 70.8 percent of all deaths among persons aged 10 to 24 result from only four causes – motor-vehicle crashes, other unintentional injuries, homicide and suicide.

Should your family doctor take just a few moments to counsel your child about the risks of alcohol, there is great potential for positive outcome. Just a few minutes of a doctor's counseling helped young adults reduce their high-risk drinking and the number of traffic crashes, emergency room visits, and arrests for substance or liquor violations, says a study in the Annals of Family Medicine. Consider the following:

Underage drinking causes over $53 billion in criminal, social and health problems.
Alcohol is a leading factor in the three leading causes of death for 15 to 24-year-olds: automobile crashes, homicide and suicide.

Primary-care doctors should make it a priority to counsel young adults about high-risk drinking.

Young adults, ages 18 to 30, who received counseling about reducing their use of alcohol:

Experienced a 40 to 50 percent decrease in alcohol use.
Reported 42 percent fewer visits to the emergency room.
Were involved in 55 percent fewer motor vehicle crashes.
The ways a parent can influence his or her teen’s drinking habits is complex. A universal method regarding what works best in preventing underage drinking may not exist. A study published in the Journal of Adolescent Health found that a parent’s attitude toward drinking influences a child's behavior in various ways. Researchers found that teens who drank with their parents were less likely than others to have binged or used alcohol at all in recent weeks.

The study also found that strict parenting can curb kids' drinking. Teens who said they feared they would have their privileges taken away if they got caught drinking were half as likely to drink as those who thought their parents would not punish them. In addition, consider the following:

The average girl takes her first sip of alcohol at age 13. The average boy takes his first sip of alcohol at age 11.
Teenagers who said their parents or their friends' parents had provided alcohol for a party over the past year were twice as likely as their peers to have used alcohol or binged during the previous month.
Nearly 75 percent of teens surveyed said they had never used alcohol.
About 25 percent of teens in the study said they'd been at party in the past year where parents supplied alcohol.
Fourteen percent of teens surveyed said they were with their parents the last time they drank.

References
The Centers for Disease Control
Focus Adolescent Services
National Youth Violence Prevention Center
U.S. Department of Health and Human Services
U.S. Surgeon General

Pharm Drugs and Teens

Street drugs, such as pot, crack, heroin, etc…. is being replaced with pharmacy drugs kids are finding at home. Parents need to take the time to see what their medicine cabinets are holding and what prescription drugs they have at home such as pain pills from ordinary root canals - as well as medications for ADD/ADHD. Here is a great article with helpful tips for parents.

Source: Connect with Kids

“Just take whatever we had you know, not really thinking about how high I was going to get or you know, how messed up.”

– ‘James’, age 21, explaining how he and friends shared drugs during his teenage years.

“We all had different prescriptions,” says 18-year-old Laura.

“You know, percocets, valium, zanex, oxycontin,” says James, 21.

“I wanted to get as loaded as I could. Didn’t care what I was taking, how much of it,” adds Laura.

James and Laura met in rehab. Both are drug addicts who used to get high at parties. Parties where everyone brought some kind of prescription drug and passed them around, often combining them with pot or alcohol.

“When I first started using and mixing drugs, I felt like a superhero, like nothing, you know, I was invincible,” says Laura.

Some kids call them ‘pharm’ parties… for ‘pharmaceutical’.

Experts say the allure is… the unknown. “What kind of new experience can I get? And very often it’s kids who are just bored of smoking pot day in and day out… cause they’ve reached a saturation point,” says Addiction Counselor Robert Margolis, Ph.D.

But experts say taking someone else’s prescription is dangerous… especially when combined with other drugs.

“There are combinations out there that if you start to mix together will create reaction in your body that by the time you know what’s happening, it’s too late,” Dr. Margolis.

“What I did notice is that I would black out a lot of nights,” says James.

Laura survived her years of drug years… but her addiction led to mood swings and depression that made her suicidal.

“Once I started getting heavily addicted, I tried overdosing several times, so I wanted to die, I didn’t want to live anymore,” she says.

“The risks are immense and the kids don’t realize that,” says Dr. Margolis, “And they’re everything from having a tremendous hangover to fatal.”


Tips for Parents
As a parent, it is important to understand that teens may be involved with legal and illegal drugs in various ways. The American Academy of Child & Adolescent Psychiatry (AACAP) reports that many teens begin using drugs to satisfy their curiosity, to make themselves feel good, to reduce stress, to feel grown up or to “fit in.” While it is difficult to know which teens will experiment and stop and which will develop serious problems, the National Institute of Drug Abuse says the following types of teens are at greatest risk of becoming addicted:

Those who have a family history of substance abuse
Those who are depressed
Those who have low self-esteem
Those who feel like they don’t “fit in” or are out of the mainstream
Because the U.S. Food and Drug Administration puts its seal of approval on prescription drugs, many teens mistakenly believe that using these drugs – even if they are not prescribed to them – is safe. However, this practice can, in fact, lead to addiction and severe side effects. The Center for Drug Evaluation and Research cites the following most commonly abused prescription drugs:

Opioids – Also known as narcotic analgesics, opioids are used to treat pain. Examples of this type of drug include morphine, codeine, OxyContin (oxycodone), Vicodin (hydrocodone) and Demerol (meperidine). In the short term, these drugs block pain messages and cause drowsiness. A large, single dose can cause severe respiratory depression and death. Long-term use leads to physical dependence and, in some cases, addiction.
Central nervous system (CNS) depressants – These drugs are commonly used to treat anxiety, panic attacks and sleep disorders. Examples include Nembutal (pentobarbital sodium), Valium (diazepam) and Xanax (alprazolam). CNS depressants slow down normal brain function and can cause a sleepy, uncoordinated feeling in the beginning of treatment. Long-term use can lead to physical dependence and addiction.
Stimulants – These drugs are commonly used to treat the sleeping disorder narcolepsy and attention-deficit hyperactivity disorder. Examples include Ritalin (methylphenidate) and Dexedrine (dextroamphetamine). Stimulants, which can be addictive, enhance brain activity and increase alertness and energy. They elevate blood pressure, heart rate and respiration. Very high doses can lead to irregular heartbeat and high body temperature
How can you determine if your teen is abusing drugs? The AACAP suggests looking for the following warning signs and symptoms in your teen:

Physical – Fatigue, repeated health complaints, red and glazed eyes and a lasting cough
Emotional – Personality change, sudden mood changes, irritability, irresponsible behavior, low self-esteem, poor judgment, depression and a general lack of interest
Familial – Starting arguments, breaking rules or withdrawing from the family
School-related – Decreased interest, negative attitude, drop in grades, many absences, truancy and discipline problems
Social – having new friends who are less interested in standard home and school activities, problems with the law and changes to less conventional styles in dress and music
If you believe your teen has a problem with drug abuse, you can take several steps to get the help he or she needs. The American Academy of Family Physicians suggests contacting your health-care provider so that he or she can perform an adequate medical evaluation in order to match the right treatment or intervention program with your teen. You can also contact a support group in your community dedicated to helping families coping with addiction.

Substance abuse can be an overwhelming issue with which to deal, but it doesn’t have to be. The Partnership for a Drug-Free America offers the following strategies to put into practice so that your teen can reap the rewards of a healthy, drug-free life:

Be your teen’s greatest fan. Compliment him or her on all of his or her efforts, strength of character and individuality.
Encourage your teen to get involved in adult-supervised after-school activities. Ask him or her what types of activities he or she is interested in and contact the school principal or guidance counselor to find out what activities are available. Sometimes it takes a bit of experimenting to find out which activities your teen is best suited for, but it’s worth the effort – feeling competent makes children much less likely to use drugs.
Help your teen develop tools he can use to get out of drug-related situations. Let him or her know he or she can use you as an excuse: “My mom would kill me if I smoked marijuana!”
Get to know your teen’s friends and their parents. Set appointments for yourself to call them and check-in to make sure they share your views on alcohol, tobacco and other drugs. Steer your teen away from any friends who use drugs.
Call teens’ parents if their home is to be used for a party. Make sure that the party will be drug-free and supervised by adults.
Set curfews and enforce them. Let your teen know the consequences of breaking curfew.
Set a no-use rule for alcohol, tobacco and other drugs.
Sit down for dinner with your teen at least once a week. Use the time to talk – don’t eat in front of the television.
Get – and stay – involved in your teen’s life.

References
Substance Abuse & Mental Human Services Administration
Drug Abuse Warning Network
American Academy of Child & Adolescent Psychiatry
National Institute on Drug Abuse
U.S. Food and Drug Administration
Center for Drug Evaluation and Research
American Academy of Family Physicians
Partnership for a Drug-Free America

Exercise Reduces Drug Use

By Connect with Kids

“Studies show that children that are involved in activities and have less time on their hands tend to stay away from drugs easier than kids than kids that have nothing to do after school.”

– David Karol Gore, Phd., Psychologist

17-year old Mururi began using drugs at an early age.

“I mean it started off only on weekends when I was twelve but by thirteen, I was like, ‘I need to get high man. This is boring.’”

Boredom. Researchers at Davidson College studied the affects of cocaine and exercise on rats. They found that when rats get more exercise, they want less cocaine than those who don’t exercise at all.

Experts say, in humans, exercise has the same effect on the reward systems of the brain as do drugs.

Still, as family psychologist, David Karol Gore explains, the way exercise prevents some kids from using drugs may be as simple as this: “Studies show that children that are involved in activities and have less time on their hands tend to stay away from drugs easier than kids than kids that have nothing to do after school.”

His advice?

“Look real carefully at what their teenagers are doing. They need to see how involved they are in activities and if they are not what are they doing with their time.”

Tips for Parents
A study from Columbia University shows that youth who are bored and who have access to extra cash are more likely to abuse drugs. For their study, researchers with the National Center on Addiction and Substance Abuse surveyed 1,987 children aged 12 to 17 and 504 parents, 403 of whom were parents of the surveyed children. They found that kids who are frequently bored are 50% more likely to smoke, drink and use illegal drugs. And those who had $25 or more a week in spending money were nearly twice as likely to succumb to substance abuse. Consider these additional statistics about teens and drug abuse cited by the National Institute on Drug Abuse:

In 2007, the percentage of 8th graders reporting lifetime use of any illicit drug declined was 19%.
In 2007, 15.4% of 12th graders reported using a prescription drug non-medically within the past year. Vicodin continues to be abused at unacceptably high levels.
Between 2005 and 2007, past year abuse of MDMA (ecstasy) increased among 12th graders from 3.0% to 4.5%; and between 2004 and 2007, past year abuse of MDMA increased among 10th graders from 2.4% to 3.5%.
It is important that family members feel as though they can talk to each other about tough issues, such as drug use. Part of this early, open communication includes being a good listener. As a parent, consider adopting these listening techniques provided by the American Council for Drug Education (ACDE):

Give your child an opportunity to talk. Stop talking and give your child sufficient time to complete his or her thoughts and process what has been said.
Demonstrate interest by asking appropriate questions. Questions can help you clarify your child's thoughts and suggestions. Be sure that you are interpreting what has been said correctly.
Listen to the complete message. Listen to the total message before forming a response.
Encourage your child to talk. Use door-opening statements ("You seem distracted today" or "Tell me what is going on") that invite a response.

Focus on content, not delivery. Avoid being distracted by your child's poor grammar or manners. It is what is being said that is important.

Listen for main ideas. Try to pick out the central theme of the conversation.

Deal effectively with emotionally charged language. Be aware of words or phrases that produce anxiety and trigger emotions.

Identify areas of common experience and agreement. Note similar experiences of your own or offer a shared point of view to communicate acceptance and understanding.

Deal effectively with whatever blocks you from listening. Be aware of personal blocks that may prevent you from hearing what your child is saying.

Substance abuse can be an overwhelming issue with which to deal, but it doesn't have to be. The Partnership for a Drug-Free America offers the following strategies to put into practice so that your child can reap the rewards of a healthy, drug-free life:

Be your child's greatest fan. Compliment him or her on all of his or her efforts, strength of character and individuality.

Involve your child in adult-supervised after-school activities. Ask him or her what types of activities he or she is interested in and contact the school principal or guidance counselor to find out what activities are available. Sometimes it takes a bit of experimenting to find out which activities your child is best suited for, but it's worth the effort - feeling competent makes children much less likely to use drugs.

Help your child develop tools he can use to get out of alcohol- or drug-related situations. Let him or her know he or she can use you as an excuse: "My mom would kill me if I smoked marijuana!"
Get to know your child's friends and their parents. Set appointments for yourself to call them and check-in to make sure they share your views on alcohol, tobacco and other drugs. Steer your child away from any friends who use drugs.

Call teens' parents if their home is to be used for a party. Make sure that the party will be alcohol-free and supervised by adults.

Set curfews and enforce them. Let your child know the consequences of breaking curfew.
Set a no-use rule for alcohol, tobacco and other drugs.

Sit down for dinner with your child at least once a week. Use the time to talk - don't eat in front of the television.

Get – and stay – involved in your child's life.

References
American Council for Drug Education
Davidson College
National Center on Addiction and Substance Abuse
National Institute on Drug Abuse
Partnership for a Drug-Free America

Sue Scheff: Benefits of Abstinence Among Teens

By Connect with Kids

“If you don’t feel that they should be having sex at this age, tell them that. Explain your values. Listen to them as well, give them a chance to express their opinions as well, and you can have a discussion about it. It’s very important that adolescents have a chance to express their own opinions and to hear your reactions to those opinions.”

– Dr. Mark Schuster, M.D., Ph.D., pediatrician

Regret can be a great teacher and, according to a new survey of high school students, that’s especially true when it comes to teenagers and sex.

Trey was 14 when he first had sex.

“Just the pressure -- upper classmen -- they were just ragging me on to do it, and I just fell into that trap. I fell into that peer pressure,” says Trey, 17.

Afterwards, Trey says he regretted it.

“Just the feeling, the emotions that were going through my mind…and my thoughts were, ‘What am I doing? I feel like I’m soliciting myself, I don’t know even know this girl’s name by heart,’” recalls Trey.

In a survey of high school students by researchers at the University of California, San Francisco, sexually-experienced teens were twice as likely to value abstinence as teens who were virgins. It seems that it is after having sex that some kids learn the value of being abstinent.

“It’s unfortunate that they had to learn it the hard way, but one of the things that they’re realizing is that there is an alternative way: there’s a way for me to court [someone], or to get a guy that I like to court me and respect me and for me not to have sex,” says Alduan Tartt, psychologist.

Experts say another way kids can learn about the risks and complications of sex are from their parents -- not from “atalk” but with a conversation.

“If you don’t feel that they should be having sex at this age, tell them that. Explain your values. Listen to them as well, give them a chance to express their opinions as well, and you can have a discussion about it. It’s very important that adolescents have a chance to express their own opinions and to hear your reactions to those opinions,” says Dr. Mark Schuster, M.D., Ph.D., pediatrician.

Trey says he’s choosing abstinence now and it feels right.

“You don’t have anything to worry about. You don’t have to worry about if you have an STD. You’re just focused on your goals,” says Trey.

Tips for Parents

Abstinence is defined as not having sex. A person who decides to practice abstinence has decided not to have sex. (Nemours Foundation)

Abstinence is 100% effective in preventing pregnancy. Although many birth control methods can have high rates of success if used properly, they can fail occasionally. Practicing abstinence ensures that a girl will not become pregnant because there is no opportunity for sperm to fertilize an egg. (Nemours Foundation)

Only complete and consistent abstinence can totally protect against STDs. Because a person does not have any type of intimate sexual contact when he or she practices complete abstinence, there is no risk of passing on a sexually transmitted infection. (Nemours Foundation)

Don't let teasing or pressure from friends, a girlfriend, a boyfriend, or even the media push you into something that's not right for you. Research shows that the majority of teens are not having sex. (www.connectwithkids.com/everybodysnotdoingit)

A couple can still have a relationship without having sex. If you've made a decision not to have sex, it's an important personal choice and the people who care about you should respect that. (Nemours Foundation)

You may have questions about making this choice or about other methods of birth control. Your doctor or nurse — or an adult you trust, such as a parent, teacher or counselor — can help provide accurate answers. (Nemours Foundation)

References

Nemours Foundation
Children and Youth Coordinating Council (CYCC) www.connectwithkids.com/everybodysnotdoingit

Smoking Pot and Lung Damage by Connect with Kids

by Connect with Kids

“This latest study shows that you have destruction of lung tissue, reduction of lung vital capacity and a decreased ability to exhale if you smoke marijuana. What’s probably the most disturbing part of this latest article is that it shows that a cigarette is really much less potent than a joint of marijuana.”

– Fadlo Khuri, M.D., oncologist

According to the latest Monitoring the Future report, more than 40 percent of 12-graders have experimented with marijuana. In fact, it is the most commonly-abused illegal drug. While parents, teachers and physicians have been warning kids about pot for years, new information shows it’s even more dangerous than we thought.

Andrew was 14 years old when he first tried pot.

“I didn’t even inhale it all the way, I just took it into my mouth, but I loved the taste. I knew that I liked it,” says Andrew Wolpa, 18.

From there he experimented with alcohol, painkillers, mushrooms and almost every drug -- except one.

“I never smoked cigarettes because those things will kill ya, you know,” says Wolpa.

But according to a study by the Medical Research Institute of New Zealand, smoking one marijuana joint is equal to smoking five cigarettes at the same time.

“This latest study shows that you have destruction of lung tissue, reduction of lung vital capacity and a decreased ability to exhale if you smoke marijuana. What’s probably the most disturbing part of this latest article is that it shows that a cigarette is really much less potent than a joint of marijuana,” says Fadlo Khuri, M.D., oncologist.

And he says smoking pot can lead to emphysema and lung cancer.

“That’s a real problem because we only cure about 15 to 17 percent of all the people who present with lung cancer nowadays. So this is a disease in which you have a 1-in-6 chance of surviving it for five years or longer,” says Khuri.

Khuri says that talking about painful and serious diseases is one way to persuade kids not to use marijuana.

“Confronting them with the data, showing them what the outcomes are with lung cancer and emphysema, with what some individuals would consider even moderate marijuana or cigarette use,” says Khuri.

Andrew says even though he’s in rehab, he’s not ready to quit.

“I don’t want to be clean yet. I’m not there,” says Wolpa.

Tips for Parents

From the Nemours Foundation:

Marijuana is the most widely used illegal drug in the United States. It is a dry, shredded green/brown mix of flowers, stems, seeds, and leaves of the plant Cannabis Sativa. A stronger form of marijuana called hashish (hash) looks like brown or black cakes or balls. Street names for marijuana include pot, herb, weed, grass, Jane, reefer, dope, and ganja.

Marijuana is typically smoked in cigarettes (joints or spliffs), hollowed-out cigars (blunts), pipes (bowls), or water pipes (bongs). Some people mix it into food or brew it as a tea.

Marijuana is just as damaging to your lungs as cigarettes – and some reports show that it is even worse. Steady users suffer coughs, wheezing, frequent colds, and respiratory infections, such as bronchitis.

There are more than 400 known chemicals in marijuana. A single joint contains four times as much cancer-causing tar as a filtered cigarette. (U.S. Department of Health and Human Services)

References

Nemours Foundation
U.S. Department of Health and Human Services

Kids Still Using Drugs by Connect with Kids

“It was just the thing, and everybody’s smoking and parties and raves and all kinds of … drugs.”

– Ebony, high school student

The billions of dollars spent on the war against drugs may have increased awareness and saved lives in this country, but the totalnumber of kids who use tobacco, alcohol and drugs is still staggering. A new Federal report showing how many kids begin experimenting every day is startling.

Every single day in America, 8,000 teenagers have their first drink; 4,000 try their first cigarette. More than 3,600 smoke marijuana for the first time, and 4,000 are introduced to inhalants, cocaine, methamphetamine and other drugs.

That’s just today; at midnight the count begins all over again.

“For a lot of kids, it’s just the opening up of adolescence. Suddenly they have money; they have disposable income. They have new peer groups that they are trying to measure up to,” says Armando Corpus, drug treatment counselor.

Ebony Marie was one teen trying to measure up.

“It was just the thing, and everybody’s smoking and parties and raves and all kinds of drugs,” says White.

At 13, Ebony started smoking cigarettes and then moved on to marijuana, alcohol, cocaine, and finally, methamphetamines. Within a few months she was a drug addict.

“I am [a drug addict] and I know I am because I love drugs,” says Ebony.

Experts say that a teen’s first experience with drugs or alcohol makes the decision to use drugs again a lot easier.

“There is a line that you cross, at least psychologically, that this is something I do; at least, this is something I experiment with,” says Corpus.

He says too many parents surrender to the philosophy that teen experimentation is inevitable, and then they are surprised.

“I can’t tell you how many parents I’ve come across who say, ‘All I knew was that he was smoking marijuana once in a while. I didn’t know he was doing cocaine. I didn’t know he was doing methamphetamine,’” says Corpus.

Now in recovery, Ebony has been off drugs for several months. She hopes forever.

“Because it doesn’t get you anywhere but jails, institutions and death,” says Ebony.

Tips for Parents

To help prevent your child from using illegal substances or turning to prescription drugs to get high, it's a good idea to begin discussing substance abuse with your child at an early age, and continue openly communicating about the issues as your child grows. (Nemours Foundation)

Take advantage of "teachable moments." If you and your child see a character on TV or in a movie who is smoking or using an illegal substance, talk to your child about what smoking and substance abuse does to a person's body, mind, life. (Nemours Foundation)

When your child becomes a teenager, you can address the issue in a more direct way. Talk about both the more immediate and the long-term health effects of substance abuse and tell your child where you stand. (Nemours Foundation)

If you suspect that your child may be abusing prescription or over-the-counter (OTC) medicines or painkillers, it's a good idea to: (Nemours Foundation)

Lock your medicine cabinet, or keep medicines that could potentially be abused in a less accessible place.

Avoid stockpiling medicines.

Having too many at your teen's disposal could make abusing them more tempting.

Keep track of how much is in each container in your medicine cabinet.
Keep an eye out not only for traditional-looking cough and cold remedies in your teen's room, but also strange-looking tablets.

Monitor your child's Internet usage. Be on the lookout for suspicious websites and emails that seem to be promoting the abuse of drugs, both legal and illegal.

It's also important to provide a warm and open environment at home where your child is encouraged to talk about feelings, and knows that he or she can bring you tricky questions and concerns without fear of judgment and punishment. (Nemours Foundation)

References

Nemours Foundation

Suicide Rate Highest for Teens Girls by Connect with Kids

“One of the worst things [parents] can do is say it’s just a phase and they’ll grow out of it, because the depression will get deeper and deeper. The problems will become greater and greater as you let time go on.”

– Rudy Kalain, adolescent drug treatment counselor

The Centers for Disease Control (CDC) has reported an alarming new statistic about teen suicide. For the first time in decades, the suicide rate for teenagers is going up. There is one group of kids more vulnerable than any other.

Thirteen-year old Leanna knows how it feels to be depressed.

“I think it’s when a lot of stress and a lot of sadness and all this kind of stuff builds up, where it just affects your emotions and you don’t want to do anything,” says Leanna.

For a long time, Leanna suffered silently.

“I think once you have depression, it’s hard to kind of get rid of, but you can make it so unnoticeable,” says Leanna.

Depression is the leading cause of suicide, experts say, and, according to the CDC, the suicide rate is rising fastest among 10- to 14-year-old girls -- up 76 percent from 2003 to 2004.

“It’s interesting, because in childhood, depression is about equal between girls and boys. When you get to adolescence, girls are more at risk for developing depression than boys,” says Dr. Sharon Y. Jones, psychiatrist.

Experts say girls are especially vulnerable in the middle school years.

“You know sometimes the person you were best friends with all through elementary school just becomes more mature and they’re not your friend anymore and that can be traumatic. The hormones are changing and they’re growing up. They want to be thought of as teenagers and yet sometimes they’re really little kids at heart,” says Gay Madden, counselor.

Experts say if you sense your child is sad, tired, hopeless, and/or no longer interested in activities, it could be clinical depression.

“If the parent has a gut feeling that the person is depressed, I would say go with that feeling and get professional help,” says Rudy Kalain, adolescent drug treatment counselor.

“One of the worst things [parents] can do is say, it’s just a phase and they’ll grow out of it, because the depression will get deeper and deeper. The problems will become greater and greater as you let time go on,” says Kalain.

Leanna is in counseling now and says it’s making a difference.

“I mean there’s always hope; if you ever give up on that, it’s probably going to be a really sad life,” says Leanna.

Tips for Parents

A teenager who is contemplating suicide may complain of being a bad person or feeling “rotten inside.” (American Academy of Child and Adolescent Psychiatry)

Some teens will give verbal hints with statements such as “I won’t be a problem for you much longer,” “Nothing matters,” “It’s no use,” and “I won’t see you again.” (American Academy of Child and Adolescent Psychiatry)

A teen contemplating suicide may put his/her affairs in order by giving away favorite possessions, cleaning his/her room or throwing away important belongings. Others may become suddenly cheerful after a period of depression or show signs of psychosis. (American Academy of Child and Adolescent Psychiatry)

If you believe your child may be thinking about suicide, ask the child directly or seek professional help. People often feel uncomfortable talking about death, but asking a child if he/she is depressed or thinking about suicide can be helpful. Such questions may assure the child that someone cares and will give him/her the chance to talk about problems. Talking can lead to healing. (Dr. Paul Schenk, Psy.D., Clinical Psychologist)

If your child admits to suicidal feelings, don’t act shocked. This will put distance between you. Be willing to listen. Allow for the expression of your child’s thoughts and accept that the child may very well feel that way. (American Association of Suicidology)

Don’t be judgmental, or debate whether suicide is right or wrong, or lecture on the value of life. Offer hope that alternatives are available but do not offer glib reassurance. (American Association of Suicidology)

Don’t be sworn to secrecy. Seek support and seek help. Get help from persons or agencies specializing in crisis intervention and suicide prevention. (American Association of Suicidology)

References

American Academy of Child and Adolescent Psychiatry
The Centers For Disease Control and Prevention
American Association of Suicidology