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IPV and meth conference

IPV and meth conference. April 27th. Level I (Lab) Chemicals Process Product (meth) Caretaker Behavior. Neglect Hyper sexuality Violence and aggression. Level II (Heavy use; distributing).

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IPV and meth conference

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  1. IPV and meth conference April 27th

  2. Level I (Lab) • Chemicals • Process • Product (meth) • Caretaker Behavior • Neglect • Hyper sexuality • Violence • and aggression Level II (Heavy use; distributing)

  3. “Parents who are addicted to drugs have a primary commitment to chemicals, not to their children.” Beckwith, 1989

  4. Psychoactive Substances and Sexual Behaviors • My sexual drive is increased by the use of the following substance(s) Rawson R; Matrix Instit., CA

  5. Psychoactive Substances and Sexual Behaviors • My use of the following substance(s) has made me become obsessed with sex and/or made my sex drive abnormally high. Rawson R; Matrix Instit., CA

  6. Psychoactive Substances and Sexual Behaviors • My sexual behavior under the influence of the following substance(s) caused me to feel sexually perverted or abnormal Rawson R; Matrix Instit., CA

  7. Sexual Abuse • Meth increases sexual arousal in adults • Pornography copious and accessible • Children unsupervised around multiple strangers (drug buyers and associates) • Children may be sexually abused by their own parents, prostituted for drugs, or forced to view sexual acts, pornography

  8. Methamphetamine, Violence and Aggression (27 – 80%) • Methamphetamine Abuse and Emergency Department Utilization. Richards J; WJM, April 1999, Vol 170, No. 4. • The Toll of Methamphetamine on the Trauma System. Tominaga G, et al.; Arch Surg 2004;139:844-847. • Abuse and Violence History of Men and Women in Treatment for Methamphetamine Dependence; Cohen J, et al.; Am J Addict, 12:377-385, 2003. • Psychiatric Symptoms in Methamphetamine Users; Zweben J, et al. Am J Addict, 13:181-190, 2004. • Methamphetamine in Psychiatric Emergencies; Szuster R. Hawaii Medical Journal, 49(10); Oct.1990.

  9. Methamphetamine Use and Violence; Sommers I, Baskin D. J Drug Issues; Winter 2006; pp.77-96. • Meth based violence may be more likely to occur within private domestic contexts (51% in this study) due to longer lasting high. • “Pharmacology is not destiny….” • “…violent behavior resulted from a complex interaction among a variety of social, personality, environmental and clinical factors whose relative importance varied across situations and time.”

  10. CONTROL Subjects Brain Serotonin Transporter Density and Aggressionin Abstinent Methamphetamine Abusers Sekine, et al. Arch Gen Psychiatry. 2006;63:90-100 • 12 abstinent meth users • Use: 6 years (1.5 to 11) • Abstinent: 1.6 yrs (0.5 – 5) • Matched controls (education, alcohol) • Abused only methamphetamine • No history of psychiatric, antisocial or intermittent explosive disorders • No history of increased aggression before the use of methamphetamine. METHAMPHETAMINE Abuser

  11. CONTROL Subjects Brain Serotonin Transporter Density and Aggressionin Abstinent Methamphetamine Abusers Sekine, et al. Arch Gen Psychiatry. 2006;63:90-100 • Global, severe reduction in serotonin transporters • All had psychosis during methamphetamine use METHAMPHETAMINE Abuser

  12. Serotonin Transporter Density Serotonin Transporter Density • Serotonin transporter density was closely associated with the magnitude of aggression in methamphetamine abusers • Methamphetamine abusers showed increased levels of aggression compared with controls. Meth Use, years Aggression Score Sekine, et al. Arch Gen Psychiatry. 2006;63:90-100

  13. Children’s experiences of methamphetamine use in the home Case Series: Mental Health Needs and Perspectives of Rural Children Reared by Parents Who Abuse Methamphetamine* *Ostler T, et al. J Am Acad Child Psych. 46:4, April 2007.

  14. Case Series: Mental Health Needs and Perspectives of Rural Children Reared by Parents Who Abuse Methamphetamine* • Children reported: • clear emotional pain (74%) • negative relationships with parents(78%) • absence of social support, isolation (52%) • some joined in the violence to protect their mothers or siblings • Most children displayed: • significant emotional or behavior problems (57%) • posttraumatic or dissociative symptoms (61%) *Ostler T, et al. J Am Acad Child Psych. 46:4, April 2007.

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