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Teen Substance Use

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Teen Substance Use

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    1. Teen Substance Use How to recognize, treat, and incorporate best practice in to treatment when adolescents are using drugs.

    2. Substance Abuse Experimentation is common in adolescents: Teens use substances to fit in, try new things, relieve stress, and because it feels good Teens at higher risk for developing substance abuse problems include those with mental health conditions, a family history of substance use, or those experiencing other challenging behaviors. Substance use (including smoking) is associated with other high-risk behaviors such as unprotected sex. Teens at higher risk for developing substance abuse problems include those with mental health conditions, a family history of substance use, or those experiencing other challenging behaviors. Substance use (including smoking) is associated with other high-risk behaviors such as unprotected sex.

    3. What is the difference between substance use, abuse, and dependence? Substance use includes any illegal use of substances, including smoking, alcohol, or improper use of prescription or over-the-counter drugs. Abuse is categorized as a substance abuse problem that is causing serious problems such as not going to school or fights with friends Dependence signifies use that continues even though it is causing serious problems; often it characterized by increased tolerance and compulsive use Substance use includes any illegal use of substances, including smoking, alcohol, or improper use of prescription or over-the-counter drugs. Abuse is categorized as a substance abuse problem that is causing serious problems such as not going to school or fights with friends Dependence signifies use that continues even though it is causing serious problems; often it characterized by increased tolerance and compulsive use

    4. Warning Signs of Teen Substance Use and Abuse Physical fatigue repeated health complaints red and glazed eyes lasting cough Weight loss Emotional personality change sudden mood changes irritability irresponsible behavior low self-esteem poor judgment depression general lack of interest

    5. More warning signs of substance use and abuse Family starting arguments negative attitude breaking rules withdrawing from family secretiveness Social problems new friends who make poor decisions and are not interested in school or family activities problems with the law changes to less conventional styles in dress and music

    6. More warning signs of substance use and abuse School decreased interest negative attitude drop in grades many absences truancy discipline problems

    7. What should you know about a teen who is using substances? It is suspected that less than 10% of teens who appear to need treatment ever get it.

    8. What should you know about a teen who is using substances? Youth must be matched to treatment; underlying causes of drug use should be concurrently addressed.

    9. What should you know about a teen who is using substances? Treatment is more successful when family members are also engaged in the treatment plan.

    10. What should you know about a teen who is using substances? Youth need treatment that addresses their developmental needs, such as leadership or civic engagement. Programs designed for adults do not necessarily meet the unique needs of youth. Programs designed for adults do not necessarily meet the unique needs of youth.

    11. How should you approach an adolescent who uses substances? Talk to teens honestly about drugs and alcohol (do not sensationalize.) Talk to them about what they can do when their friends are using substances. Group activity option: Have participants brainstorm ideas in a group about how to get out of social situations where drugs are being used and how they would share these ideas with a teen. or- Brainstorm reasons that adolescents use drugs, and the corresponding services available in your community that address the particular need that drug use is fulfilling for them.Group activity option: Have participants brainstorm ideas in a group about how to get out of social situations where drugs are being used and how they would share these ideas with a teen. or- Brainstorm reasons that adolescents use drugs, and the corresponding services available in your community that address the particular need that drug use is fulfilling for them.

    12. How should you approach an adolescent who uses substances? Teens must be treated with healthy respect. Those with previous contact with systems are likely to be cynical or skeptical about services. These feelings should be acknowledged, not minimized. These feelings should be acknowledged, not minimized.

    13. How should you approach an adolescent who uses substances? The most innovative programs encourage youth to own the process of recovery, build on strengths, challenge negative behavior patterns, and encourage youth to share ideas about ways to improve their lives and the lives of those they are close to.

    14. How should you approach an adolescent who uses substances? Give teens opportunities to make good choices and model good decision making.

    15. Where do teens and their family members go for help? Contact the school to find out about school-based or local services. Seek out a treatment provider like a licensed clinical social worker. Look at the SAMSHA treatment locator tool: http://dasis3.samhsa.gov/ SAMSHA treatment locator lists facts for each program within a specified distance from your search city. It tells you the populations served, languages understood, payment and insurance options, and how to contact the program.SAMSHA treatment locator lists facts for each program within a specified distance from your search city. It tells you the populations served, languages understood, payment and insurance options, and how to contact the program.

    16. Oregon’s YouthLine Crisis Hotline Teen volunteers answer the line Mondays through Fridays from 4-10 pm, and adults who answer Oregon Partnership’s Alcohol and Drug HelpLine and the Suicide LifeLine answer YouthLine during all other hours, making it available 24/7. If a teen you know is in need of peer support, have him/her call YouthLine at 1-877-553-TEEN. See them on the web at http://www.oregonyouthline.com/ YouthLine is a free and confidential 24-hour teen-to-teen crisis, counseling, and referral line for Oregon youth. YouthLine offers referrals to youth-serving resources statewide, such as substance abuse treatment centers, counseling agencies, school-based resources, after school activities, support groups, educational alternatives, etc.  YouthLine is a free and confidential 24-hour teen-to-teen crisis, counseling, and referral line for Oregon youth. YouthLine offers referrals to youth-serving resources statewide, such as substance abuse treatment centers, counseling agencies, school-based resources, after school activities, support groups, educational alternatives, etc. 

    17. What can agencies do? Screen adolescents for alcohol and drug use when they are being served for other problem behaviors. Use screening tools designed for adolescents, not adults. (See http://www.drugstrategies.org/teens/research.html for a list.) See adolescent screening tool attachment.See adolescent screening tool attachment.

    18. What can agencies do? Ensure staff are trained on the latest techniques in working with youth, and encourage them to read research in their field. Old treatment models, such as “Scared Straight” and “disease models” do not incorporate the most recent knowledge about the field. Old treatment models, such as “Scared Straight” and “disease models” do not incorporate the most recent knowledge about the field.

    19. What can agencies do? Create programs that offer monitoring phases beyond the intervention phase to help sustain recovery and skill development.

    20. What can agencies do? Join with other agencies that serve this population to create systems of care for youth.

    21. Adolescent Alcohol and Drug Involvement Scale See handout, attached Administration: youth can self-score or be asked questions. A score above 37 suggests need for a full assessment. Note that self-score relies on honesty of respondent. Option: Have audience work in teams using the interview instrument and role play to work through a screening. Full instrument, interview manual, and scoring guide available at author’s website: http://www.pophealth.wisc.edu/uwphi/research/ADIS/index.htmNote that self-score relies on honesty of respondent. Option: Have audience work in teams using the interview instrument and role play to work through a screening. Full instrument, interview manual, and scoring guide available at author’s website: http://www.pophealth.wisc.edu/uwphi/research/ADIS/index.htm

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