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Corrections and Substance Abuse Training METHAMPHETAMINE Warning: This seminar and seminar manual and case studies, inevitably contain material with adult content due to the nature of the subject.  The speaker apologizes to anyone offended. Edited by  Rand L. Kannenberg, M.A., CCM, LAC, CCS
Part 1.  Social Implications ,[object Object],[object Object],Part 2.  Clinical Strategy The History of Methamphetamine Trends in Law Enforcement/Public Policy Page 3.
  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Page 4.
History of Amphetamines ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Page 4.
History of Methamphetamine ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Page 5.
In the 1960s manufactured illegally mostly by outlaw motorcycle gangs and used frequently by long distance truck drivers.  It was usually DL-methamphetamine (dextro-levo-methamphetamine, a.k.a., “levo-methamphetamine”) using the phenyl-2-propanone (P-2-P) (also known as Phenylacetone)   method.  Methamphetamine with P-2-P was more toxic and less potent than the D-methamphetamine (dextro-methamphetamine) more commonly made since the late 1980s using across the counter cold medications (P-2-P became a Schedule II controlled substance in 1980). National Drug Intelligence Center (NDIC), National Institute on Drug Abuse (NIDA) Also smuggled from Taiwan and South Korea into Hawaii since the 1980s. Distribution spread to the U.S. mainland by 1990. KCI: The Anti-Meth Site
Methamphetamine as a Stimulant ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Page 6.
Methamphetamine Hydrochloride Tablets United States Pharmacopeia (USP)   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Physicians’ Desk Reference®  (PDR) Page 6.
Desoxyn ® by Ovation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],(PDR) Page 7.
Off Label Uses ,[object Object],[object Object],[object Object],Page 7.
Methamphetamine ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],DEA Page 8.
Abbreviations MA Meth mAMPH Page 8.
Slang for MA ,[object Object],[object Object],[object Object],[object Object],KCI: The Anti-Meth Site,  Office of National Drug Control Policy (ONDCP) Page 9.
Bikerdope Biker’s Coffee Billy, Or Whiz (in Britain after a cartoon character in a kids comic called Billy Whiz) Bitch Biznack Blanco Blizzard Blue Acid Blue Belly Blue Meth Blue Funk (Southwest Area of San Diego) Bomb Booger Boorit-Cebuano (Filipino Street Name) Boo-Yah! (Southwest Area of San Diego) Brian Ed Buff Stick Bugger Sugar Buggs Bumps Buzzard Dust
Caca Candy Cankinstien CC Chach ChaChaCha Chalk Chalk Dust Chank Cheebah Cheese Chicken Flippin Chikin or Chicken Chicken Feed Chingadera Chittle Chizel Chiznad Choad Cinnamon Clavo
Coco Coffee Cookies CR (California Central Valley) Crack Whore Crank Crank Is "Walk" & Coke Is "Talk"   Crankster Gangsters Cri,Cri (Mexican Border in  Southwest Arizona) Criddle Cringe Crink Cristy (Smokable) Critty Crizzy Crothch Dope Crow Crunk Crypto Crystal Crystal Meth Crystalight Cube
Debbie, Tina, And Crissy Desocsins Devil Dust Devils Dandruff Devils Drug Dingles Dirt Dirty Dizzy D D-Monic Or D Do Da Doody Doo-My-Lau Dope Drano Dummy Dust Dyno Epimethrine Epod Eraser Dust
Ethyl-M Evil Yellow Fatch (Mexican Border In The  Southwest Arizona Area) Fedrin Fil-Layed Fizz Wizz Gackle-a Fackle-a Gak Gas Gear Or Get Geared Up Geep Gemini Glass (Smokable) Go Go Fast Go-ey Go-Go Go-Go Juice Gonzales (like the cartoon "Speedy")
Got Anything Granulated Orange Grit Gumption Gyp Hawaiian Salt Hank Hanyak (Smokable) High Speed Chicken Feed Highthen Hillbilly Crack Hippy Crack Homework (because homework  is generally done on paper which has  lines) Hoo Horse Mumpy (Tampa, Florida) Hot Ice Hydro Hypes Ice (Smokable) Ice Cream Icee
Ish Izice  Jab Jasmine Jenny Crank Program Jetfuel Jib Jib Nugget Jinga Juddha Juice Junk (San Diego) Kaksonjae Kibble Killer KooLAID Kryptonite L.A. (Smokable) L.A. Glass (Smokable) Lamer Laundry Detergent
Lemon Drop Life Lily Linda Lost Weekend (Bay Area/San Francisco) Love Low Lucille M Man Magic Meth Meth Monsters Methaine Methandfriend Methandfriendsofmine Methanfelony Methatrim Methlies Quick Methmood Method
Nazi Dope Ned Newday No Doze Nose Candy On A Good One OZs Patsie Peaking Peanut Butter Peel Dope  Pepsi (means crank) Pepsi One (means crystal)   Phazers Phets Philopon (East Asia) Pieta Pink Poison Poop Poop'd Out Poor Man's Cocaine
Pootananny Powder Powder Monkeys Powder Point Project Propellant Puddle Pump (Bay Area/San Francisco) Q'd Quartz (Smokable) Quick (Canada) Quill Rachet Jaw Rails Rank Redneck Heroin (Atlanta) Richie Rich Rip Rock
Rocket Fuel Rocky Mountain High Rosebud Rudy's Rumdumb Running Pizo Sack Sam's Sniff Sarahs Satan Dust Scante (Hispanic Population in Southern California) Scap Schlep Rock Scooby Snax Scud Scwadge Shab Sha-Bang Shabs (San Francisco)
Shabu Shamers Shards Shit Shiznack, Shiznac, Sciznac or Shiznastica Shiznit Shiznitty Shizzo Shnizzie Snort Shwack Sixty Four (64) Glass Skeech Sketch Ski Skitz Sky Rocks Sliggers Smiley Smile Smurf Dope
Smzl Snaps Sniff Snow, Motivation (Colorado Springs, CO) Space Food Spaceman Spagack Sparacked Sparked Sparkle Speed Speed Racer Spin, Spin, Spin Spinack Spindarella Spinney Boo Spinning Spishak Spook Spoosh Sprack
Sprizzlefracked Sprung (Mississippi) Spun Ducky Woo Squawk Stallar Sto-Pid Stove Top Styels Sugar Suger Super Ice Sweetness Swerve Syabu (pronounced "shabu"  in  Southeast Asia) Ta'doww (San Diego) Talkie Tasmanian Devil Tenner The New Prozac The White House Tical Tick Tick Tina Or Teena Tish (Shit backwards) (California)
Tobats Toots Torqued Trash Trippin Trip Tubbytoast Tutu (Hawaii) Twack Twacked Out Tweak Tweedle Doo Tweek (a Methamphetamine- like substance) Tweezwasabi Twiz Twizacked Ugly Dust Vanilla Pheromones Wake   Wash Way We We We Whacked White Bitch
White Cross White Crunch White Ink White Junk White Lady White Pony (Ridin' the White Pony) White Who-Ha Wigg Working Man’s Cocaine Xaing Yaba (Thailand) YAMA (Pattaya, Phuket, Ko  Samui And Bangkok) Yammer Bammer Yank Yankee Yay Yead Out Yellow Barn Yellow Powder Zingin Zip Zoiks Zoom
TERMS USED FOR THE FEELING OF MA INTOXICATION  ,[object Object],KCI: The Anti-Meth Site Ring Dang Doo  Rollin or Rollin Hard Scattered Schlep Heads Sketching Spin-Jo Speeding Sparked Spracked Spun Spun Monkey or Spun Turkey Stoked Talkie Twacked Tweeked Twisted Wide Open or Awake Wired Worked Wooop Chicken Zipper Zoomin   Page 17.
Nicknames for MA Users KCI: The Anti-Meth Site basehead battery bender cluckers, chicken-headed clucks crack heads crackies crankster or cranker doorknobers  (Nova Scotia) fienda fiends fiendz gacked geek(ers) geekin geeter go go loser jibby jibby bear jibbhead loker or lokers neck creature shadow people sketchpad or schetchers skitzers sketchpads sketch cookie sketch monster spin doctors spinsters tweakers tweekin/the go wiggers   Page 18.
Other MA Related Terminology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],KCI: The Anti-Meth Site Page 18.
Cost of MA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Page 19.
Effects of Route of Administration for Cocaine & MA Cook, 1991; Gold, 1997; Gold & Miller, 1997; Sowder & Beschner, 1993; NIDA;  KCI: The Anti-Meth Site; DEA; ONDCP; Substance Abuse and Mental Health Services Administration (SAMHSA), North Carolina Governor’s Crime Commission (NCGCC) Page 19. 45 to 90 minutes for cocaine/ 3 to 5 hours for MA   No “rush” or “flash.” 10 to 30 minutes POWDER/PILL Usually white, but can also be yellow, red, brown or other colors. Usually, “low intensity users.” ORAL Swallowing pills, or putting on food or paper and eating it.  Includes Yaba for MA (the Thai name for very small and brightly colored tablets with logos, mixed with caffeine, that look like MDMA or Ecstasy and are becoming popular within the rave scene). Duration of “High” Onset of Action for Cocaine and MA Form of Drug Route of Administration
10 to 20 minutes for cocaine/  2 to 4 hours for MA   No “rush” or “flash.” 3 to 5 minutes POWDER Usually, “low intensity users.” INTRANASAL Duration of “High” Onset of Action for Cocaine and MA Form of Drug Route of Administration
10 to 20 minutes for cocaine/  4 to 6 hours for MA   Following a 3 minute intense sensation called a “rush” or “flash.” 5 to 10 seconds SOLUTION Drug mixed with water and injected. Usually, “binge users” or “high intensity users.” INTRAVENOUS On a binge (aka, a “run”), user may inject  1 gram every 2 to 3 hours.  Cocaine binges usually last no more than 72 hours.  MA binges may last up to 1 week.  “Tweaking” (delusional thinking and sometimes violence) follows the binge.  “Crashing” (a phase that involves sleeping up to 3 days) follows the tweaking. Duration of “High” Onset of Action for Cocaine and MA Form of Drug Route of Administration
5 to 20 minutes for crack/  8 to 24 hours for ice   Following a 3 minute intense sensation called a “rush” or “flash.” 5 to 10 seconds CRACK COCAINE/ ICE (MA) Rock form or clear chunky crystals. Usually, “binge users” or “high intensity users.” INHALATION Smoked in glass pipe, drug is heated and fumes are inhaled, or drug is sprinkled on tobacco or marijuana and smoked. Duration of “High” Onset of Action for Cocaine and MA Form of Drug Route of Administration
Other Differences Between Cocaine & MA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],NIDA Page 21.
Symptoms of MA Use ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],SAMHSA, KCI: The Anti-Meth Site, NAADAC News,  CSAT, Texas Alcohol and Drug Testing Service, Inc., NIDA Page 22.
ABC Channel 7 News Denver Page 22.
Oregon Narcotics Enforcement Association Page 23.
The News & Observer/Associated Press Page 23.
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Helpful Hints if Interviewing a “Tweaker” ,[object Object],[object Object],[object Object],[object Object],NCGCC Page 24.
Other Ways to Reduce the Risk of Violence with MA Users ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Page 25.
Short & Long Term Effects of MA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],NIDA, CSAT Page 25.
[object Object],[object Object],[object Object]
MA, HIV & Hepatitis B & C ,[object Object],[object Object],[object Object],[object Object],[object Object],Page 26.
MA Use During Pregnancy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Greater Dallas Council on Alcohol and Drug Abuse (GDCADA), KCI: The Anti-Meth Site, PDR Page 27.
Substance Abuse Treatment Admissions for MA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Page 27.
Emergency Department  Mentions of MA 1994-2002 ,[object Object],[object Object],[object Object],[object Object],ONDCP Page 28.
MA Mortality Data ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Page 28.
MA Use Among Adolescents ,[object Object],[object Object],[object Object],Page 29.
Overall Use of MA ,[object Object],[object Object],[object Object],Page 29.
MA & Law Enforcement Trends ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Page 30.
“ Biggest Drug Problem”  Based on Drug Related Arrests in 2005 According to 500 Law Enforcement Agencies in 45 States  National Association of Counties (NACo) Page 30.
Specific Regions of the U.S. ,[object Object],[object Object],[object Object],[object Object],[object Object],Page 31.
Total Arrests in U.S. Counties MA Related ,[object Object],[object Object],[object Object],NACo Page 31.
Other Crimes Resulting from MA ,[object Object],[object Object],[object Object],[object Object],NACo Page 32.
Race & Gender ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],ONDCP Page 32.
Adult Female Arrestees  Testing Positive for MA by City ,[object Object],[object Object],[object Object],NIDA Page 33.
MA & Incarceration Rates ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Page 33.
Mandatory Minimum Sentences for MA under Federal Law ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],KCI: The Anti-Meth Site Page 34.
Increase in Children Out-of-Home Placements Associated with MA Use? NACo Page 34.
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
DEA Page 35.
Page 36. M0  2788; IA  1335; TN 1327; IN  1074; IL  1058
1996 Midwest High Intensity Drug Trafficking Area (HIDTA) ,[object Object],[object Object],ONDCP Page 36.
MA Labs On/Adjacent to  Federal Land ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],ONDCP Page 37.
“ Super Labs” in Mexico  (i.e., capable of producing in excess of 10 pounds of MA in 24 hours) and   Chemicals from Canada   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],DEA, ONDCP, NCGCC Page 37.
Possible Indications of a MA Lab ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],KCI: The Anti-Meth Site Page 38.
Chemicals Commonly Used to Manufacture MA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Stopmeth.com Page 38.
Equipment Commonly Used to Manufacture MA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Stopmeth.com Page 39.
Steps of Manufacturing MA ($100 in materials will produce approximately $1,000 in MA) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Stopmeth.com, DEA Page 39.
MA Labs:    Health & Environment Concerns ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Page 40.
Fumes in furniture, carpeting/other flooring, walls and window coverings, etc. of a house, office or hotel room where MA was cooked can make others ill. Every pound of MA produced creates five to six pounds of toxic waste. Seized labs often involve leftover chemicals and by-product being poured down drains and into the ground.  MA lab locations are considered hazardous waste sites by most governments. The average cost of cleanup of a MA lab is approximately $5,000, however, some labs cost as much as $150,000  to clean. KCI: The Anti-Meth Site, NCGCC
MA & Federal Legislation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],ONDCP Page 41.
2005 Federal Legislation  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Page 41.
Congressional Caucus to Fight and Control Methamphetamine ,[object Object],[object Object],[object Object],[object Object],Page 42.
State Laws and MA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Page 42. Colorado’s HB05-1110 signed by the Governor on 5/27/05 limits retail sales of precursor drugs to blister packs or unit dose packets/pouches and no more than 3 packages per purchase.  The focus is on the seller.  A violation is a Class 2 Misdemeanor.
Oklahoma and Oregon and MA ,[object Object],[object Object],[object Object],[object Object],Page 43.
Corporate Policies Effecting MA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Page 43.
What Medication Manufacturers  are Doing about MA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Page 44.
Adult Antisocial Behavior  APA ,[object Object],[object Object],Page 44.
Antisocial Personality Disorder  APA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Page 45.
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Amphetamine-Like  (MA) Dependence/Abuse APA Page 45.
Amphetamine-Like  (MA) Intoxication APA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Page 46.
Amphetamine-Like  (MA) Intoxication Delirium APA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Page 46.
Amphetamine-Like  (MA)-Induced Psychotic Disorder APA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Page 47.
Amphetamine-Like  (MA) Withdrawal APA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Page 47.
Amphetamine-Like  (MA) Withdrawal Delirium APA ,[object Object],[object Object],[object Object],[object Object],[object Object],Page 48.
Amphetamine-Like (MA)-Induced Anxiety Disorder APA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Page 48.
Amphetamine-Like (MA)-Induced Mood Disorder APA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Page 49.
Other Amphetamine-Like  (MA) Disorders ,[object Object],[object Object],[object Object],Page 49.
MA Resources ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Page 50.
MA and Recovery ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Page 50.
MA Users and Relapse ,[object Object],[object Object],[object Object],Page 51.
MA Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],SAMHSA and Center for Substance Abuse Treatment (CSAT) Page 51.
Cognitive  Behavioral  Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Page 52.
[object Object],[object Object],[object Object],[object Object],[object Object],Page 52.
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Appendix Evaluation and Treatment Forms Page 55.
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Page 56.
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[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Antisocial Personality Disorder/Substance Use Disorder Screening™ Referrals to APD, SUD or Resocial Group™/Other Co-occurring Cognitive Behavioral Treatment   © 1999-2002  Rand L. Kannenberg, M.A., LAC, CCS, CCM  All rights reserved.  Criminal Justice Addiction Services  Lakewood, CO  rtkannenberg@juno.com  (303) 232-0767   APD/SUD Screening ™ Page 59.
Part 1:  Antisocial Personality Disorder¹ (APD) Screening (All 4 blanks must be checked to meet APD screening criteria)   _____Before the age of 15 years, at least 3 of the following are indicated  (circle the 3 or more that apply):   aggression to people or animals destruction of property deceitfulness or theft serious violations of rules or laws _____Is at least 18 years-old currently. _____Since the age of 15 years, at least 3 of the following are indicated (circle the 3 or more that apply):   repeatedly performs acts that are grounds for arrest repeatedly lies, uses aliases or cons others for personal profit or pleasure repeatedly fails to plan ahead repeatedly involved in physical fights or assaults repeatedly unsafe or dangerous with self or others repeatedly fails to sustain consistent work behavior or honor financial obligations (and/or to maintain an enduring attachment to a spouse or romantic partner and/or to be a responsible parent) repeatedly indifferent to or rationalizing having hurt, mistreated, or stolen from another _____The 3 or more indicators seen above do not occur exclusively during the course of Schizophrenia or a Manic Episode.  
Part 2:  Substance Use Disorder¹ (SUD) Screening (At least 1 blank must be checked to meet SUD screening criteria)   _____Past or present, at least 3 of the following are indicated  (circle the 3 or more that apply):   increased tolerance  withdrawal increased quantity or duration persistent desire or inability to decrease or discontinue use increased time to obtain or recover social/occupational/recreational impairment continued use despite awareness of related physical or psychological problems   _____Past or present, at least 1 of the following are indicated (circle the 1 or more that apply):   recurrent use resulting in social/occupational/educational problems recurrent use in physically hazardous situations recurrent substance-related legal problems continued use despite awareness of related social or interpersonal problems  
Part 3:  Referral (Circle 1 appropriate disposition)   A.  Refer to cognitive behavioral treatment that deals with pervasive pattern of disregarding and violating the rights of others  if only APD  screening criteria are met.   OR   B.  Refer to cognitive behavioral treatment that deals with substance abuse or substance dependence  if only SUD screening criteria are met.   OR   C.  Refer to RESOCIAL GROUP™ or other cognitive behavioral treatment that deals with co-occurrence of pervasive pattern of disregarding and violating the rights of others and substance abuse or substance dependence if both APD and SUD screening criteria are met.
Alcohol and Drug Addiction Test ,[object Object],Page 63.
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Yes  No
21. Neglect food : I do not eat healthy foods or eat at regular times, especially when I'm using.  22. Resentment : I feel like other people are out to get me, and I feel angry a lot.  23. Withdrawal : I need a drink or a drug in the morning or else I get the shakes or sweats  because I feel terrible.  24. Can't make decisions : I can't make decisions about even small things. I just wait until  things happen.  19. Work and money troubles : I have problems on the job, owe money or can't work at all  because of my using.  20. Avoid friends and family : I avoid old friends and family that do not use—unless I need  something from them.   18. Make changes : I change jobs, move, or leave a relationship to try to make my life better,  but it doesn't make any difference.  17. Give up other things : I've stopped doing things that I used to do that didn't involve using  alcohol or drugs.  16. Control : I try to control my use, but it doesn't work.  15. Promises : I promise to get my life in order and do better. I mean it, but it doesn't work out  that way.  14. Show off : I show off or get pushy with other people to feel better and prove that I am  okay.  13. Feel bad : I feel bad about how my using hurts other people, but I don't know what to do  about it.
37. Confinement : I have been in jails and mental wards because of my using.  36. Desperation : I am willing to do anything to get better.  35. I'm lost : I don't try to pretend my life is normal. I know I am an addict or an alcoholic.  believe that things will never change.  34. Turn to God : I want God or religion to save me from my life.  33. Using is everything : Getting something to use, using, and getting over using are my whole  life.  32. Give up : I don't try to change anything. I just wait to see what happens.  31. Afraid : I feel like something terrible might happen to me, people are out to get me, and I  have to be on guard at all times.  30. Major damage : Even when I'm not using, I have a hard time thinking, remembering, and  doing things that used to be easy.  29. Find someone worse : I try to use with people who are worse off than I am so that I feel  better.  28. Use all the time : I use whenever I can, and I don't try to have a normal life.  27. Over the line : I do things I said I would never do or things that do not reflect the way I was  raised.  26. Decrease in amount to get high : It takes less for me to get high or doesn't matter how  much I use because I can't get the effect I want.  25. Health problems : I am sick, have lost a lot of weight, or feel physically bad most of the  time.
Scoring Sheet for Alcohol and Drug Addiction Test  Early Stage Addiction Count up the number of  yes  answers you checked in questions 1–12 and write the number below.  Number of checks for questions 1–12 _____  If you have one or more checks in this section, there is a possibility that you are addicted to alcohol or drugs. This means that you use alcohol or drugs to try to solve problems and to make yourself feel better. While using alcohol or drugs will not really make things better, it will feel like it does. If you have any checks in this section, you have a possibility of becoming addicted if you keep using. The closer your score is to 12, the higher your chance of addiction.  Middle Stage Addiction   Count up the number of  yes  answers you checked in questions 13–24 and write the number below.  Number of checks for questions 13–24 ____  Any number of checks in this section means that you are addicted and have started to have bad things happen to you because of your addiction. During this stage, you may try to do things to control your addiction. Some of these may work for a while, but not for long. For questions 13–24, the closer your score is to 12, the more addicted you are, and the worse things will get if you do not get help.  Late Stage Addiction   Count up the number of  yes  answers you checked in questions 25–37 and write the number below.  Number of checks for questions 25–37 ____  Any number of checks in this section means that you are in the late stage of addiction. During this stage, you may have given up and thought that you could not do anything to change. Serious life problems, such as being sick, or going to jail or a mental ward, have happened or will happen to you if you do not try to get help. For questions 25–37, the closer your score is to 13, the more addicted you are. Your chances of dying are high if you continue to use.
Offender Personality Self-Test ,[object Object],Page 68.
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Yes  No
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Scoring : Add up the check marks in the  yes  column for questions 1–12 and put the number in the space above. Do the same for the  no  column. If you have three or more  yes  answers, you act and think similarly to people who commit crimes. This behavior usually starts very early in life. This means you will have to work hard to change the way you think and act.  Scoring : Add up the check marks in the  yes  column for questions 13–22 and put the number in the space above. Do the same for the  no  column. If you have four or more  yes  answers, it means you act and think similarly to other people who commit crimes. If you did not have three or more  yes  answers on the section before age 15, it may mean that your offender behavior is completely connected to your alcohol and drug use. One way to make sure is to review your  yes  answers on questions 13–22 and ask yourself if these things always happened when you were trying to get alcohol or drugs, using alcohol or drugs, or because you had been using alcohol or drugs recently. If alcohol and drugs were not part of why you did these things, ask yourself what happened or changed in your life that made you start doing them.
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[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],SAMHSA Page 76.
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],SAMHSA Page 77.
Anger Management for Substance Abuse and Mental Health Clients ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],SAMHSA Page 78.
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[object Object],[object Object]
Methamphetamine by Rand L. Kannenberg
Methamphetamine by Rand L. Kannenberg
Methamphetamine by Rand L. Kannenberg
Methamphetamine by Rand L. Kannenberg
Methamphetamine by Rand L. Kannenberg
Methamphetamine by Rand L. Kannenberg
Methamphetamine by Rand L. Kannenberg
Methamphetamine by Rand L. Kannenberg
Methamphetamine by Rand L. Kannenberg
Methamphetamine by Rand L. Kannenberg
Methamphetamine by Rand L. Kannenberg
Methamphetamine by Rand L. Kannenberg
Methamphetamine by Rand L. Kannenberg
Methamphetamine by Rand L. Kannenberg
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Methamphetamine by Rand L. Kannenberg

  • 1. Corrections and Substance Abuse Training METHAMPHETAMINE Warning: This seminar and seminar manual and case studies, inevitably contain material with adult content due to the nature of the subject. The speaker apologizes to anyone offended. Edited by Rand L. Kannenberg, M.A., CCM, LAC, CCS
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  • 6. In the 1960s manufactured illegally mostly by outlaw motorcycle gangs and used frequently by long distance truck drivers. It was usually DL-methamphetamine (dextro-levo-methamphetamine, a.k.a., “levo-methamphetamine”) using the phenyl-2-propanone (P-2-P) (also known as Phenylacetone) method. Methamphetamine with P-2-P was more toxic and less potent than the D-methamphetamine (dextro-methamphetamine) more commonly made since the late 1980s using across the counter cold medications (P-2-P became a Schedule II controlled substance in 1980). National Drug Intelligence Center (NDIC), National Institute on Drug Abuse (NIDA) Also smuggled from Taiwan and South Korea into Hawaii since the 1980s. Distribution spread to the U.S. mainland by 1990. KCI: The Anti-Meth Site
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  • 12. Abbreviations MA Meth mAMPH Page 8.
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  • 14. Bikerdope Biker’s Coffee Billy, Or Whiz (in Britain after a cartoon character in a kids comic called Billy Whiz) Bitch Biznack Blanco Blizzard Blue Acid Blue Belly Blue Meth Blue Funk (Southwest Area of San Diego) Bomb Booger Boorit-Cebuano (Filipino Street Name) Boo-Yah! (Southwest Area of San Diego) Brian Ed Buff Stick Bugger Sugar Buggs Bumps Buzzard Dust
  • 15. Caca Candy Cankinstien CC Chach ChaChaCha Chalk Chalk Dust Chank Cheebah Cheese Chicken Flippin Chikin or Chicken Chicken Feed Chingadera Chittle Chizel Chiznad Choad Cinnamon Clavo
  • 16. Coco Coffee Cookies CR (California Central Valley) Crack Whore Crank Crank Is "Walk" & Coke Is "Talk" Crankster Gangsters Cri,Cri (Mexican Border in Southwest Arizona) Criddle Cringe Crink Cristy (Smokable) Critty Crizzy Crothch Dope Crow Crunk Crypto Crystal Crystal Meth Crystalight Cube
  • 17. Debbie, Tina, And Crissy Desocsins Devil Dust Devils Dandruff Devils Drug Dingles Dirt Dirty Dizzy D D-Monic Or D Do Da Doody Doo-My-Lau Dope Drano Dummy Dust Dyno Epimethrine Epod Eraser Dust
  • 18. Ethyl-M Evil Yellow Fatch (Mexican Border In The Southwest Arizona Area) Fedrin Fil-Layed Fizz Wizz Gackle-a Fackle-a Gak Gas Gear Or Get Geared Up Geep Gemini Glass (Smokable) Go Go Fast Go-ey Go-Go Go-Go Juice Gonzales (like the cartoon "Speedy")
  • 19. Got Anything Granulated Orange Grit Gumption Gyp Hawaiian Salt Hank Hanyak (Smokable) High Speed Chicken Feed Highthen Hillbilly Crack Hippy Crack Homework (because homework is generally done on paper which has lines) Hoo Horse Mumpy (Tampa, Florida) Hot Ice Hydro Hypes Ice (Smokable) Ice Cream Icee
  • 20. Ish Izice Jab Jasmine Jenny Crank Program Jetfuel Jib Jib Nugget Jinga Juddha Juice Junk (San Diego) Kaksonjae Kibble Killer KooLAID Kryptonite L.A. (Smokable) L.A. Glass (Smokable) Lamer Laundry Detergent
  • 21. Lemon Drop Life Lily Linda Lost Weekend (Bay Area/San Francisco) Love Low Lucille M Man Magic Meth Meth Monsters Methaine Methandfriend Methandfriendsofmine Methanfelony Methatrim Methlies Quick Methmood Method
  • 22. Nazi Dope Ned Newday No Doze Nose Candy On A Good One OZs Patsie Peaking Peanut Butter Peel Dope Pepsi (means crank) Pepsi One (means crystal) Phazers Phets Philopon (East Asia) Pieta Pink Poison Poop Poop'd Out Poor Man's Cocaine
  • 23. Pootananny Powder Powder Monkeys Powder Point Project Propellant Puddle Pump (Bay Area/San Francisco) Q'd Quartz (Smokable) Quick (Canada) Quill Rachet Jaw Rails Rank Redneck Heroin (Atlanta) Richie Rich Rip Rock
  • 24. Rocket Fuel Rocky Mountain High Rosebud Rudy's Rumdumb Running Pizo Sack Sam's Sniff Sarahs Satan Dust Scante (Hispanic Population in Southern California) Scap Schlep Rock Scooby Snax Scud Scwadge Shab Sha-Bang Shabs (San Francisco)
  • 25. Shabu Shamers Shards Shit Shiznack, Shiznac, Sciznac or Shiznastica Shiznit Shiznitty Shizzo Shnizzie Snort Shwack Sixty Four (64) Glass Skeech Sketch Ski Skitz Sky Rocks Sliggers Smiley Smile Smurf Dope
  • 26. Smzl Snaps Sniff Snow, Motivation (Colorado Springs, CO) Space Food Spaceman Spagack Sparacked Sparked Sparkle Speed Speed Racer Spin, Spin, Spin Spinack Spindarella Spinney Boo Spinning Spishak Spook Spoosh Sprack
  • 27. Sprizzlefracked Sprung (Mississippi) Spun Ducky Woo Squawk Stallar Sto-Pid Stove Top Styels Sugar Suger Super Ice Sweetness Swerve Syabu (pronounced "shabu" in Southeast Asia) Ta'doww (San Diego) Talkie Tasmanian Devil Tenner The New Prozac The White House Tical Tick Tick Tina Or Teena Tish (Shit backwards) (California)
  • 28. Tobats Toots Torqued Trash Trippin Trip Tubbytoast Tutu (Hawaii) Twack Twacked Out Tweak Tweedle Doo Tweek (a Methamphetamine- like substance) Tweezwasabi Twiz Twizacked Ugly Dust Vanilla Pheromones Wake Wash Way We We We Whacked White Bitch
  • 29. White Cross White Crunch White Ink White Junk White Lady White Pony (Ridin' the White Pony) White Who-Ha Wigg Working Man’s Cocaine Xaing Yaba (Thailand) YAMA (Pattaya, Phuket, Ko Samui And Bangkok) Yammer Bammer Yank Yankee Yay Yead Out Yellow Barn Yellow Powder Zingin Zip Zoiks Zoom
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  • 31. Nicknames for MA Users KCI: The Anti-Meth Site basehead battery bender cluckers, chicken-headed clucks crack heads crackies crankster or cranker doorknobers (Nova Scotia) fienda fiends fiendz gacked geek(ers) geekin geeter go go loser jibby jibby bear jibbhead loker or lokers neck creature shadow people sketchpad or schetchers skitzers sketchpads sketch cookie sketch monster spin doctors spinsters tweakers tweekin/the go wiggers Page 18.
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  • 34. Effects of Route of Administration for Cocaine & MA Cook, 1991; Gold, 1997; Gold & Miller, 1997; Sowder & Beschner, 1993; NIDA; KCI: The Anti-Meth Site; DEA; ONDCP; Substance Abuse and Mental Health Services Administration (SAMHSA), North Carolina Governor’s Crime Commission (NCGCC) Page 19. 45 to 90 minutes for cocaine/ 3 to 5 hours for MA No “rush” or “flash.” 10 to 30 minutes POWDER/PILL Usually white, but can also be yellow, red, brown or other colors. Usually, “low intensity users.” ORAL Swallowing pills, or putting on food or paper and eating it. Includes Yaba for MA (the Thai name for very small and brightly colored tablets with logos, mixed with caffeine, that look like MDMA or Ecstasy and are becoming popular within the rave scene). Duration of “High” Onset of Action for Cocaine and MA Form of Drug Route of Administration
  • 35. 10 to 20 minutes for cocaine/ 2 to 4 hours for MA No “rush” or “flash.” 3 to 5 minutes POWDER Usually, “low intensity users.” INTRANASAL Duration of “High” Onset of Action for Cocaine and MA Form of Drug Route of Administration
  • 36. 10 to 20 minutes for cocaine/ 4 to 6 hours for MA Following a 3 minute intense sensation called a “rush” or “flash.” 5 to 10 seconds SOLUTION Drug mixed with water and injected. Usually, “binge users” or “high intensity users.” INTRAVENOUS On a binge (aka, a “run”), user may inject 1 gram every 2 to 3 hours. Cocaine binges usually last no more than 72 hours. MA binges may last up to 1 week. “Tweaking” (delusional thinking and sometimes violence) follows the binge. “Crashing” (a phase that involves sleeping up to 3 days) follows the tweaking. Duration of “High” Onset of Action for Cocaine and MA Form of Drug Route of Administration
  • 37. 5 to 20 minutes for crack/ 8 to 24 hours for ice Following a 3 minute intense sensation called a “rush” or “flash.” 5 to 10 seconds CRACK COCAINE/ ICE (MA) Rock form or clear chunky crystals. Usually, “binge users” or “high intensity users.” INHALATION Smoked in glass pipe, drug is heated and fumes are inhaled, or drug is sprinkled on tobacco or marijuana and smoked. Duration of “High” Onset of Action for Cocaine and MA Form of Drug Route of Administration
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  • 40. ABC Channel 7 News Denver Page 22.
  • 41. Oregon Narcotics Enforcement Association Page 23.
  • 42. The News & Observer/Associated Press Page 23.
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  • 56. “ Biggest Drug Problem” Based on Drug Related Arrests in 2005 According to 500 Law Enforcement Agencies in 45 States National Association of Counties (NACo) Page 30.
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  • 64. Increase in Children Out-of-Home Placements Associated with MA Use? NACo Page 34.
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  • 67. Page 36. M0 2788; IA 1335; TN 1327; IN 1074; IL 1058
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  • 76. Fumes in furniture, carpeting/other flooring, walls and window coverings, etc. of a house, office or hotel room where MA was cooked can make others ill. Every pound of MA produced creates five to six pounds of toxic waste. Seized labs often involve leftover chemicals and by-product being poured down drains and into the ground. MA lab locations are considered hazardous waste sites by most governments. The average cost of cleanup of a MA lab is approximately $5,000, however, some labs cost as much as $150,000 to clean. KCI: The Anti-Meth Site, NCGCC
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  • 105. Appendix Evaluation and Treatment Forms Page 55.
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  • 109. Antisocial Personality Disorder/Substance Use Disorder Screening™ Referrals to APD, SUD or Resocial Group™/Other Co-occurring Cognitive Behavioral Treatment   © 1999-2002 Rand L. Kannenberg, M.A., LAC, CCS, CCM All rights reserved. Criminal Justice Addiction Services Lakewood, CO rtkannenberg@juno.com (303) 232-0767   APD/SUD Screening ™ Page 59.
  • 110. Part 1: Antisocial Personality Disorder¹ (APD) Screening (All 4 blanks must be checked to meet APD screening criteria)   _____Before the age of 15 years, at least 3 of the following are indicated (circle the 3 or more that apply):   aggression to people or animals destruction of property deceitfulness or theft serious violations of rules or laws _____Is at least 18 years-old currently. _____Since the age of 15 years, at least 3 of the following are indicated (circle the 3 or more that apply):   repeatedly performs acts that are grounds for arrest repeatedly lies, uses aliases or cons others for personal profit or pleasure repeatedly fails to plan ahead repeatedly involved in physical fights or assaults repeatedly unsafe or dangerous with self or others repeatedly fails to sustain consistent work behavior or honor financial obligations (and/or to maintain an enduring attachment to a spouse or romantic partner and/or to be a responsible parent) repeatedly indifferent to or rationalizing having hurt, mistreated, or stolen from another _____The 3 or more indicators seen above do not occur exclusively during the course of Schizophrenia or a Manic Episode.  
  • 111. Part 2: Substance Use Disorder¹ (SUD) Screening (At least 1 blank must be checked to meet SUD screening criteria)   _____Past or present, at least 3 of the following are indicated (circle the 3 or more that apply):   increased tolerance withdrawal increased quantity or duration persistent desire or inability to decrease or discontinue use increased time to obtain or recover social/occupational/recreational impairment continued use despite awareness of related physical or psychological problems   _____Past or present, at least 1 of the following are indicated (circle the 1 or more that apply):   recurrent use resulting in social/occupational/educational problems recurrent use in physically hazardous situations recurrent substance-related legal problems continued use despite awareness of related social or interpersonal problems  
  • 112. Part 3: Referral (Circle 1 appropriate disposition)   A. Refer to cognitive behavioral treatment that deals with pervasive pattern of disregarding and violating the rights of others if only APD screening criteria are met.   OR   B. Refer to cognitive behavioral treatment that deals with substance abuse or substance dependence if only SUD screening criteria are met.   OR   C. Refer to RESOCIAL GROUP™ or other cognitive behavioral treatment that deals with co-occurrence of pervasive pattern of disregarding and violating the rights of others and substance abuse or substance dependence if both APD and SUD screening criteria are met.
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  • 115. 21. Neglect food : I do not eat healthy foods or eat at regular times, especially when I'm using. 22. Resentment : I feel like other people are out to get me, and I feel angry a lot. 23. Withdrawal : I need a drink or a drug in the morning or else I get the shakes or sweats because I feel terrible. 24. Can't make decisions : I can't make decisions about even small things. I just wait until things happen. 19. Work and money troubles : I have problems on the job, owe money or can't work at all because of my using. 20. Avoid friends and family : I avoid old friends and family that do not use—unless I need something from them. 18. Make changes : I change jobs, move, or leave a relationship to try to make my life better, but it doesn't make any difference. 17. Give up other things : I've stopped doing things that I used to do that didn't involve using alcohol or drugs. 16. Control : I try to control my use, but it doesn't work. 15. Promises : I promise to get my life in order and do better. I mean it, but it doesn't work out that way. 14. Show off : I show off or get pushy with other people to feel better and prove that I am okay. 13. Feel bad : I feel bad about how my using hurts other people, but I don't know what to do about it.
  • 116. 37. Confinement : I have been in jails and mental wards because of my using. 36. Desperation : I am willing to do anything to get better. 35. I'm lost : I don't try to pretend my life is normal. I know I am an addict or an alcoholic. believe that things will never change. 34. Turn to God : I want God or religion to save me from my life. 33. Using is everything : Getting something to use, using, and getting over using are my whole life. 32. Give up : I don't try to change anything. I just wait to see what happens. 31. Afraid : I feel like something terrible might happen to me, people are out to get me, and I have to be on guard at all times. 30. Major damage : Even when I'm not using, I have a hard time thinking, remembering, and doing things that used to be easy. 29. Find someone worse : I try to use with people who are worse off than I am so that I feel better. 28. Use all the time : I use whenever I can, and I don't try to have a normal life. 27. Over the line : I do things I said I would never do or things that do not reflect the way I was raised. 26. Decrease in amount to get high : It takes less for me to get high or doesn't matter how much I use because I can't get the effect I want. 25. Health problems : I am sick, have lost a lot of weight, or feel physically bad most of the time.
  • 117. Scoring Sheet for Alcohol and Drug Addiction Test Early Stage Addiction Count up the number of yes answers you checked in questions 1–12 and write the number below. Number of checks for questions 1–12 _____ If you have one or more checks in this section, there is a possibility that you are addicted to alcohol or drugs. This means that you use alcohol or drugs to try to solve problems and to make yourself feel better. While using alcohol or drugs will not really make things better, it will feel like it does. If you have any checks in this section, you have a possibility of becoming addicted if you keep using. The closer your score is to 12, the higher your chance of addiction. Middle Stage Addiction Count up the number of yes answers you checked in questions 13–24 and write the number below. Number of checks for questions 13–24 ____ Any number of checks in this section means that you are addicted and have started to have bad things happen to you because of your addiction. During this stage, you may try to do things to control your addiction. Some of these may work for a while, but not for long. For questions 13–24, the closer your score is to 12, the more addicted you are, and the worse things will get if you do not get help. Late Stage Addiction Count up the number of yes answers you checked in questions 25–37 and write the number below. Number of checks for questions 25–37 ____ Any number of checks in this section means that you are in the late stage of addiction. During this stage, you may have given up and thought that you could not do anything to change. Serious life problems, such as being sick, or going to jail or a mental ward, have happened or will happen to you if you do not try to get help. For questions 25–37, the closer your score is to 13, the more addicted you are. Your chances of dying are high if you continue to use.
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  • 121. Scoring : Add up the check marks in the yes column for questions 1–12 and put the number in the space above. Do the same for the no column. If you have three or more yes answers, you act and think similarly to people who commit crimes. This behavior usually starts very early in life. This means you will have to work hard to change the way you think and act. Scoring : Add up the check marks in the yes column for questions 13–22 and put the number in the space above. Do the same for the no column. If you have four or more yes answers, it means you act and think similarly to other people who commit crimes. If you did not have three or more yes answers on the section before age 15, it may mean that your offender behavior is completely connected to your alcohol and drug use. One way to make sure is to review your yes answers on questions 13–22 and ask yourself if these things always happened when you were trying to get alcohol or drugs, using alcohol or drugs, or because you had been using alcohol or drugs recently. If alcohol and drugs were not part of why you did these things, ask yourself what happened or changed in your life that made you start doing them.
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