Abuse of prescription drugs and household substancesF

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Abuse of Prescription Drugs and Household Substances:

Abuse of Prescription D rugs and Household S ubstances

What is going to be covered???:

What is going to be covered??? What is drug abuse? Prescription drug abuse Household substance abuse A few “different” drugs being abuse How does this apply to our population here at the Board of Child Care? What can we do to prevent abuse? How do we best educate our youth?

What is prescription drug abuse?:

What is prescription drug abuse? Use of a prescription medication in a way not intended by the prescribing physician. This includes everything from taking your grandmother’s pain medication for you migraine to crushing and snorting Vicodin to achieve a high.

Statistics on prescription drug abuse:

Statistics on prescription drug abuse In 2009, 16 million Americans 12 years of age or older had taken prescription pain reliever, tranquilizer/ sedative or stimulant for no medical purposes. Prescription drug overdoses cause more deaths at 45% then “street drugs” cause at 39%.

Stats on adolescent abuse.. :

Stats on adolescent abuse.. Have used Vicodin 2.7% of 8 th graders 7.7% of 10 th graders 8% of 12 th graders Have used oxycodone 2.1% of 8 th graders 4.6% of 10 th graders 5% of 12 th graders mayo clinic 2010

Categories of prescription drugs abused:

Categories of prescription drugs abused Pain relievers: Oxycodone, Percocet and Vicodin Sedatives: Xanax, Ativan and Valium Stimulants: Ritalin, Adderall and Focalin

Possible reasons for abuse…:

Possible reasons for abuse… “feel good” or “get high” Relax and relieve tension Reduce appetite Experimentation Peer pressure, social acceptance The belief that prescription drugs are safer then “street drugs.”

Those at risk for abusing prescription drugs are…:

Those at risk for abusing prescription drugs are… People with a substance abuse history People in their teens and early 20’s Easily influenced by peers Have easy access to drugs (sick family member or health care workers).

Symptoms seen with abuse of prescription pain relievers…:

Symptoms seen with abuse of prescription pain relievers… Constipation Depression Hypotension Bradycardia Confusion

Symptoms of sedative abuse…:

Symptoms of sedative abuse… Drowsiness Confusion Unsteady gate Poor judgment Involuntary rapid eye movement

Symptoms of stimulant abuse :

Symptoms of stimulant abuse Weight lose Agitation Irritability Insomnia Hypertension Irregular heartbeat

Other symptoms that may be exhibited with prescription drug abuse…:

Other symptoms that may be exhibited with prescription drug abuse… Stealing or selling prescription drugs Forging signatures to obtain other peoples prescriptions Taking higher doses then prescribed Appearing “high”, unusually energetic or overly sedated Mood swings Increased or decreased sleep Poor decision making Always losing prescriptions, needing them written more frequently Drug seeking from different doctors and facilities

Health problems caused by prescription drug abuse…:

Health problems caused by prescription drug abuse… Pain Relievers : ↓fertility in women, with higher doses there will be respiratory depression Sedatives: memory problems and trouble maintaining stable body temperature Stimulants: seizures, ↑blood pressure (which increases risk for stroke), hallucinations and extreme rage

Prescription drug withdraw:

Prescription drug withdraw Opiates: Must be closely monitored for medical problems. Methadone may be used. Other medications such as clonidine may be used to control blood pressure. Sedatives: must be weaned off of the drug slowly. Should be monitored by a MD. Stimulants : no medications to help with withdraw symptoms. There will be sleep, appetite and mood disturbance.

Treatment options :

Treatment options Rehabilitation (in patient or out patient). Counseling: working on underlying issues that may be leading to addictive behaviors. Addiction is a life long process, it is a struggle that is dealt with daily.

Abuse of household substances :

Abuse of household substances This refers to the abuse of any chemical substance found in the home that is not intended for human consumption. “Huffing” is the most common method of abuse. They may also put the cleaner on rags to inhale it or put the rag in a bag and inhale (bagging). This is noticed in young adolescents and is often a gateway drug to more serious substances.

Commonly abused household substances :

Commonly abused household substances Paint thinner Furniture polish Comet Room deodorizers Nail polish remover Butane lighter fluid Marking pens Glue/ adhesives Fabric protectors Propane gas Any aerosol products: Hair spray Whipped cream Dusting solutions Spray deodorants Cooking sprays Spray paint

Immediate physical affects of the inhalant:

Immediate physical affects of the inhalant Drowsiness Light headedness Loss of inhibition/ impaired judgment Dizziness Hallucinations/ delusions Belligerence Apathy

Long term effects of inhalant abuse:

Long term effects of inhalant abuse Depression Mood changes Weight loss Inattentiveness Lack of coordination Irritability Huffing can lead to serious and deadly health problems. Long term huffing can lead to irreversible brain damage, heart damage, arrhythmias, and organ damage.

Long term effects of inhalant abuse:

Long term effects of inhalant abuse

Signs someone is abusing household substances:

Signs someone is abusing household substances Unusual breath odor or chemical odor on clothes Slurred and disoriented speech “drunk”, “dazed” or “dizzy” appearance Spots or sores around mouth and on face Red runny eyes/ nose Lack of appetite Chronic users will exhibit anxiety, excitability, irritability and restlessness.

How we can prevent household substance abuse at BCC…:

How we can prevent household substance abuse at BCC… Keep all cleaning supplies locked in supply closet. Monitor youth while they are completing their chores and using these substances. Be mindful of youth who are using spray deodorants.

Types of treatment for abuse of household substances:

Types of treatment for abuse of household substances Medical : a complete medical work up should be done to make sure no damage has occurred to major organs. Behavioral therapy: teaches how to avoid cravings, how to function in society surrounded by these substance, and how to safely use these substance for intended purposes. Medication: There are no medications to treat this disorder. However, if there is an underlying mental health issue such as depression that may be treated with antidepressants,


Nutmeg??? First used to obtain a high in 1576 Myristicin is the active ingredient believed to cause a high 5 grams or more will cause intoxication 90% of people who try to obtain a “nutmeg high” will have flu like symptoms Less then 30% will actually obtain a “high” Desired affect is like that of amphetamines : hallucinations, euphoria and visual disturbances

Nutmeg psychosis :

Nutmeg psychosis Psychotic episodes Hallucinations and delusions Feeling of impending doom Fever Shock There is no treatment. It will take 24-48 hours to ware off

Bath salts:

Bath salts They are not what you get from Bath and Body works. They are mainly made of MDPV, methylenedloxprovalerone . The are called bath salts and labeled “not for human consumption” so that they can be sold with out much question .

Bath salts continued…:

Bath salts continued… Drug testing is useless to detect the abuse of these drugs. Most states are starting to ban them from being sold. Sold in mini marts as “ Ivory Wave” and “ Bolivian Bath”

Effects from using bath salts…:

Effects from using bath salts… Agitation Paranoia Psychosis Hallucinations Chest pain Suicidal tendencies ↑Blood pressure ↑pulse Panic attacks ↑body temp

Bath salt overdose is a medical emergency!! :

Bath salt overdose is a medical emergency!! Patients being seen for a bath salts overdose must be monitored in an emergency room. There blood pressure, body temperature and pulse must be kept stable. Ativan is given in large doses every 10-15 minutes to keep a patient stable. If that does not work Haldol is given.

Shake and Bake??:

Shake and Bake?? Is a new way to make methamphetamine. Also known as “one pot” meth. All that is required is a 2liter soda bottle, over the counter cold medications and house hold cleaning chemicals.

Shake and boom!! :

Shake and boom!! This is extremely dangerous and has caused several deaths due to the combustibility of this concoction. If the cap is too lose, oxygen gets in the bottle or the bottle is opened too soon, a large explosion will occur. This has blown up houses as well as caused hundreds of people severe life threatening burns. James Johnson (a pseudonym) has firsthand experience with the shake-and-bake method — and the scars to prove it

What to do if you suspect a youth is using!! :

What to do if you suspect a youth is using!! Notify a member of the health suite team and BCC social worker immediately. This will allow the team to develop a plan on how to approach the youth.


EDUCATE Watch for Physical Warning Signs Excessive sweating, urination or thirst Nausea and vomiting Uncontrollable diarrhea Spastic shaking Drowsiness, dizziness and insomnia Loss of consciousness Physical dependence Addiction

Talking to Youth:

Talking to Youth “DENORMALIZE” THE BEHAVIOR While 1 in 5 teens are abusing prescription drugs, 4 in 5 are not. DEBUNK COMMON MYTHS: Prescription drug abuse is just as dangerous as abusing other substances; it can be addictive; and it’s not OK to misuse these drugs even “once in a while.” Educate them.

Talking to Youth:

Talking to Youth PROVIDE CLEAR GUIDELINES If you’re a caregiver, youth know you care if they abuse medications because you care about them. GIVE YOUTH ESCAPE ROUTES Teach them how to get out of bad situations; and suggest responses they can use so they don’t feel “uncool.” “No, thanks – not into it.” “Not today.” “I’m not interested.”

Keep track of your meds:

Keep track of your meds Caregivers (and family members) are in the best position to reduce access to prescription drugs by locking up medicines and properly disposing of expired or unused medicines per agency state protocol. Monitor all medications in the home—prescription and OTC medicines. Safely store medicines out of youth’s reach and sight. Lock them up. Get rid of old or unused medicines, per agency state protocol.

What BCC can do for the youth… :

What BCC can do for the youth… We can perform a medical assessment of the youth to asses their overall health. We also collect a urine toxicology specimen to test for drug. The BCC clinical team will coordinate with the placing agency and involved family members to get the youth into drug treatment if necessary.

Guidelines for Prescription Drug Disposal:

Guidelines for Prescription Drug Disposal FEDERAL GUIDELINES Refer to October 15, 2009 FDA Guidelines for Disposal by Flushing. Do not flush down toilet or drain unless label or accompanying patient information specifically instructs you to do so. Dispose of prescription drugs not labeled to be flushed through community drug take-back programs. If a program is not available, dispose of medications appropriately. Office of National Drug Control Policy. Proper Disposal of Prescription Drugs. 2009. Available at: www.whitehousedrugpolicy.gov/publications/pdf/prescrip_disposal.pdf

Guidelines for Prescription Drug Disposal:

Guidelines for Prescription Drug Disposal Take medication out of its original packaging and place it into a disposable container with a lid or into a sealable bag. Mix drugs with an undesirable substance (e.g., cat litter or used coffee grounds). Place sealed container with the mixture and original packaging (be sure to remove all personal information from the packaging) in the trash. Office of National Drug Control Policy. Proper Disposal of Prescription Drugs. 2009. Available at: www.whitehousedrugpolicy.gov/publications/pdf/prescrip_disposal.pdf

Want to learn more?:

Want to learn more? ABOVE THE INFLUENCE http://www.abovetheinfluence.com/facts/drugs-prescription-otc.aspx# COMMUNITY ANTI-DRUG COALITIONS OF AMERICA www.cadca.org THE DRUG TAKE-BACK NETWORK http://www.takebacknetwork.com/ NATIONAL CONCIL ON PATIENT INFORMATION AND EDUCATION www.talkaboutrx.org NATIONAL ASSOCIATION OF DRUG DIVERSION INVESTIGATORS www.naddi.org NATIONAL INSTITUTE ON DRUG ABUSE, PRESCRIPTION DRUGS http://www.nida.nih.gov/drugpages/prescription.html PARTNERSHIP FOR A DRUG-FREE AMERICA www.drugfree.org WHITE HOUSE OFFICE OF NATIONAL DRUG CONTROL POLICY, EFFORTS TO REDUCE PRESCRITION DRUG ABUSE http://ofsubstance.gov/blogs/pushing_back/archive/2010/07/06/51426.aspx

Thank you!:

Thank you! Any further questions directly relate to the content of this training please contact the Health Suite. ADMIN HEALTH SUITE 5247 Proceed to the test. Please print or email your grade 80% is passing and place in the mail box for Professional Development and Training.