Substance Abuse Trends/18/19: Pick Your Poison!

1. Substance Abuse Trends/18/19 Oswaldo Escalante Substance Abuse Counselor: B.S. RASIII,CATCII

2. Pick your poison!!!!

3. Alcohol • Cannabis • Stimulants • Prescription Drugs • Synthetic Drugs • Digital Drugs • Questions Introduction

4. Alcohol

5. Trend began 2004. • Emerged with teens 2013 to present. • Bypasses lungs and liver straight to the brain leading to rapid intoxication. • Higher risk of overdose or alcohol poisoning. • Not enough scientific studies to determine negative effects to the body. Smoking alcohol

6. Approved 2014 for sales. • Snorting palcohol. • Adding prescription drugs for extra kick. • Higher risk or overdose or alcohol intoxication. Powdered Alcohol

7. Rummy Bears • Jell-O shots • Booz soaked fruits • Pop tails • Alcohol cupcakes • Alcohol pizza Edible Alcohol

8. Alcohol Tamponing • Vodka Eyeballing • Drinking hand sanitizer • Mouthwash Other Alcohol Consumptions

9. Short-term effects Long-term effects Alcohol poisoning  High blood pressure, stroke, and other heart-related diseases  Liver disease  Nerve damage  Sexual problems  Permanent damage to the brain  Vitamin B1 deficiency, which can lead to a disorder characterized by amnesia, apathy and disorientation  Ulcers  Gastritis (inflammation of stomach walls)  Malnutrition  Cancer of the mouth and throat • Slurred speech • Drowsiness • Vomiting  • Upset stomach • Headaches • Breathing difficulties  • Distorted vision and hearing  • Impaired judgment  • Decreased perception and coordination  • Unconsciousness   • Coma • Blackouts Harmful Effects

10. SCHEDULE 1 (CLASS I) DRUGS are illegal because they have high abuse potential, no medical use, and severe safety concerns; for example, narcotics such as Heroin, LSD, and cocaine. Marijuana is also included as a Class 1 drug despite it being legal in some states and it being used as a medicinal drug in some states. Cannabis/ Marijuana

11. Traditional joint • Hash crumbs • Wax • Bong • Wax pens • Liquid wax • Cannabis oils • Vape pens/ Gpens • Kief Cannabis Consumption Smoked

12. Candy • Ice cream • Sodas • Baked Goods • Flavored liquid sprays • Pills Cannabis Edibles

13. Sneakatokes

14. Sneakatokescont

15. 25 to 99 percent pure THC. • Hydroponics dirty water • Easy to get • Trending on social media • No consistency • Mixed with other drugs • Youth drug of choice • Triggers mental health symptoms • Highly addictive Its legal what’s the problem

16. Short-term effects Long-term effects Decline in IQ (up to 8 points if prolonged use started in adolescent age) Poor school performance and higher chance of dropping out Impaired thinking and ability to learn and perform complex tasks Lower life satisfaction Addiction (about 9% of adults and 17% of people who started smoking as teens) Potential development of opiate abuse Relationship problems, intimate partner violence Antisocial behavior including stealing money or lying Financial difficulties Increased welfare dependence Greater chances of being unemployed or not getting good jobs • short-term memory problems • Severe anxiety, including fear that one is being watched or followed (paranoia) • Very strange behavior, seeing, hearing or smelling things that aren’t there, not being able to tell imagination from reality (psychosis) • Panic • Hallucinations • Loss of sense of personal identity • Lowered reaction time • Increased heart rate (risk of heart attack) • Increased risk of stroke • Problems with coordination (impairing safe driving or playing sports) • Up to seven times more likely to contract sexually transmitted infectionsthan non-users (for females) Harmful Effects

17. Cocaine Crack-Cocaine Crystal-Meth Amphetamines Ecstasy Stimulants

18. Powder Cocaine Crack Cocaine Primos Free base Crystal form Powder meth Four routes of administration Cocaine/ Methamphetamine

19. Short-term effects Long Term Effects Permanent damage to blood vessels of heart and brain  High blood pressure, leading to heart attacks, strokes, and death Liver, kidney and lung damage Destruction of tissues in nose if sniffed Respiratory failure if smoked Infectious diseases and abscesses if injected Malnutrition, weight loss Severe tooth decay Auditory and tactile hallucinations Sexual problems, reproductive damage and infertility (for both men and women) Disorientation, apathy, confused exhaustion Irritability and mood disturbances Increased frequency of risky behavior Delirium or psychosis Severe depression Tolerance and addiction (even after just one use) • Loss of appetite • Increased heart rate, blood pressure, body temperature • Contracted blood vessels • Increased rate of breathing • Dilated pupils • Disturbed sleep patterns • Nausea • Hyper stimulation • Bizarre, erratic, sometimes violent behavior • Hallucinations, hyper excitability, irritability • Tactile hallucination that creates the illusion of bugs burrowing under the skin • Intense euphoria • Anxiety and paranoia • Depression • Intense drug craving • Panic and psychosis • Convulsions, seizures and sudden death from high doses (even one time) Harmful Effects

20. Adderall • Ritalin • Dextroamphetamine • Levoamphetamine • Lisdexamfetamine • Dexadrine • Focalin • Stratta • Concentra • Dextrostat Amphetamines

21. Short-term effects Long-term effects Paranoia. Hallucinations. Violent behavior. Cravings for the drug. Compulsive drug-seeking behavior. Convulsions. Respiratory problems. Loss of coordination. Obsessive behavior. • Quicker reaction times. • Feelings of energy/wakefulness. • Excitement. • Increased attentiveness and concentration. • Feelings of euphoria. Harmful effects

22. XTC • MDMA • Molly • Pill form • Liquid Form • Powder Form • Master Blasters Ecstasy

23. Short-term effects Long-term effects Long-lasting brain damage affecting thought and memory Damage to portions of the brain that regulate critical functions such as learning, sleep and emotion It is as if the brain switchboard was torn apart, then rewired backwards Degenerated nerve branches and nerve endings Depression, anxiety, memory loss Kidney failure Hemorrhaging Psychosis Cardiovascular collapse Convulsions Death • Impaired judgment • False sense of affection • Confusion • Depression • Sleep problems • Severe anxiety • Paranoia • Drug cravings • Muscle tension • Faintness and chills or swelling • Involuntary teeth clenching • Blurred vision • Nausea Harmful effects

24. Benzodiazepines Opiates Promethazine Psyche medication. Cocktail Parties Prescription Drugs

25. Xanax • Klonopin • Ativan • Librium • Valium • Temazepam Benzos

26. Short-term effects Long-term effects Memory Loss Dependence Cardiovascular Tremors Mood swings Depression Anxiety Paranoia Increase of blood pressure • Fatigue • Drowsiness • Lethargy • Mental confusion • Headaches • Motor coordination impairment • Vertigo • Depression • Blurred vision • Memory issues • Nausea and/or vomiting • Slurred speech • Constipation or diarrhea • Dry mouth • Loss of appetite • Shallow breathing • Slowed reflexes Harmful effects

27. *Fentanyl* • Hydrocodone • Oxycodone • Methadone • Morphine • Dilaudid • Pain Medication Opioids

28. Short-term effects Long-term effects Continued use or abuse of opioids can result in physical dependence and addiction. The body adapts to the presence of the drug and withdrawal symptoms occur if use is reduced or stopped. These include restlessness, muscle and bone pain, insomnia, diarrhea, vomiting, and cold flashes with goose bumps (“cold turkey”). Tolerance can also occur, meaning that long-term users must increase their doses to achieve the same high. • Short-term effects of opioids and morphine derivatives include: • Drowsiness • Slowed breathing • Constipation • Unconsciousness • Nausea • Coma Harmful Effects

29. Promethazine • Promethazine • Sudafed • Coricidin HBP/CCC • Any DXM coungh medication • Mixed in sports drinks Cough Medication

30. BathSalts/ Flakka Spice/K2 Salvia N-Bomb GHB Ketamine Roche-2 Synthetic Drugs

31. Short-term effect Long Term Effect Unknown Possible Death • Euphoric feelings. • Altered perception. • Increased heart rate. • Hypertension. • Myocardial ischemia. • Vomiting. • Hallucinations. • Paranoia. • Severe anxiety. • Panic attacks. • Aggression. Harmful Effects

32. Digital Drugs

33. Short-term effects Long-term effects Gateway to other drugs Loss of hearing Loss of concentration Head aches Possible addictive behavior • Relaxation • Relieve stress • Enhance sexual performance • Feel confident • Improve mood • Acquire extrasensory powers • Simulate the effects of ecstasy, LSD or cocaine Harmful effects

34. https://www.samhsa.gov/find-help/national-helpline • https://www.drugabuse.gov/.../methamphetamine/what-are-immediate-short-term-effe.. • https://www.drugabuse.gov/publications/principles-drug-addiction.../resources • https://drugabuse.com/library/the-effects-of-xanax-use/ • www.drugfreeworld.org › THE TRUTH ABOUT ALCOHOL • www.addictionhelpcenter.com/how-can-digital-drug-use-lead-to-addiction • Substance Abuse Service Helpline 1-844-804-7500 Provider Map http://sapccis.ph.lacounty.gov/sbat/ Substance Abuse Prevention and Control Patient Information http://publichealth.lacounty.gov/sapc/PatientPublic.htm Resources

35. Questions?????