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What is Addiction?
 Substance use disorder defined by meeting
 clinical criteria for abuse or dependence as
 outlined in the DSM-IV (Diagnostic & Statistical
 Manual of Mental Disorders).
Our current crisis
 90 % of Americans meeting clinical criteria for
 addiction started using substances before age
 18.
The earlier substance use begins, the greater the
risk for use becoming abuse or dependence=
addiction.
The Adolescent Brain
(ages 12-18 years old)

  More inclined to engage in risk-taking behaviors
  such as trying drugs or alcohol.

  Increased vulnerability to brain damage and
  addiction.

  Adolescence is a critical period for developing
  an addiction.
Who is really at fault?
 Reframe this issue as A Public Health crisis; not
 solely the fault of teens.
 Youth development is largely influenced by the
 community:
   American Culture
   The Media
   Family
   School
American Culture & The
Media
 77% of popular teen TV
 shows contain or mention
 drinking.

 American culture
 normalizes self-regulating
 and medicating through
 substances.

 Media, tobacco, & alcohol
 industries glamorize
 substance use- increasing
 chances of teens using.
Family: Mixed Messages
              Significant developmental
              factors:

                Risk: Families often
                normalize & enable
                substance use for stress
                relief & coping.
                Parents have the most
                influence & control over
                teen substance use
                through messages taught
                and behaviors exhibited in
                homes.
School: Failure to support
 New cultural climate:

   Pervasive belief that teen
   substance use is a
   norm/expectation.
 Inappropriate
 interventions:

   Punitive measures place
   significantly more teens in
   the juvenile justice system
   than in substance-related
   treatment programs.
Community: Failure to
understand
             Some Treatment Barriers

               Misunderstanding the
               problem:

                  Government spends more
                  money on consequences of
                  substance use than
                  prevention/intervention
                  measures.
                    Ex: Crime, academic, & health
                    problems.

               No insurance coverage &
               limited health care education
What can we do?
       Prevention                   Intervention
 Involve youth in organizing   Fund training of more
 effective and relevant        specialized addiction
 preventive measures.          healthcare professionals

 Youth-Adult partnerships:     Create more adolescent-
 Promote open                  focused treatment facilities
 communication between
 youth and adults about        Earlier intervention with
 substances, health issues,    comprehensive, age-
 and media influence           appropriate services
As Parents
 Set a good example- Promote positive self-identity

 Restrict access to substances

 Monitor your child’s activities and mental health

 Give clear, consistent messages about substance use

 Communicate frequently and openly with your child

 Know the facts and share the dangers of adolescent
 addiction.
As Educators
 Raise awareness of this issue reframed as a
 public health problem

 Recognize warning signs of substance use

 Avoid punitive policies and adopt a health-based
 approach (access to healthcare services)

 Make appropriate treatment referrals
As Policymakers
 Reduce teen exposure to substance-related
 advertising
 Increase prevention & treatment options and
 funding (including research)
 Raise taxes on tobacco and alcohol products
 Fund and create public health campaigns to
 educate population on this issue
As the Advertising
Industry/Media
 Stop marketing addictive substances as
 attractive to adolescents audiences

 Create messages discouraging teens from using
 substances

 Use technology (social media, texting, apps, etc)
 to counteract problematic (pro-substance)
 adolescent marketing
An Alternate Approach
 Resolving this issue is a community effort!
   Promote systemic change
    Youth are not the problem! Educate others and
    increase awareness
    Re-evaluate American cultural norms and advertising
    Redistribute government funding to support
    prevention/intervention
Community Youth
Development
 Empower youth through valuing their voice and
 engaging them to organize relevant programs
  Comprehensive, age-appropriate interventions
  Foster youth-adult partnerships (parents, teachers,
  community organizers)
  Create more opportunities for youth to lead in
  combating this issue
References
 The National Center on Addiction and Substance Abuse at Columbia University.
      (2011). Adolescent substance use: America’s #1 public health problem. New
      York: The National Center on Addiction and Substance Abuse at Columbia
      University.
      http://www.casacolumbia.org/upload/2011/20110629adolescentsubstanceuse.
 pdf
 Images
  School image. http://t1.gstatic.com/images?q=tbn:ANd9GcQNrQENMPPR51kjJzEmyg8iiCGjkADnpgs28XbhYxpU__B17ImvVQ


  Media image: http://t3.gstatic.com/images?q=tbn:ANd9GcQSbfuNq_fXoV_jrcew4QYsgNumMubJnnM-gmeYHLSeSqmPN_Tg &
  http://t0.gstatic.com/images?q=tbn:ANd9GcSSTRJpYCz08G4T_1Wpmrms6wVkB0XtlEmRgQpA_ybXuc0VzHqAoA

  Pills image: http://t0.gstatic.com/images?q=tbn:ANd9GcShvk9Lntb0ugvxlNWOWHet5_2pFcx3fgZhXxdgu82BkHY9gMMn

  Crisis image: http://t3.gstatic.com/images?q=tbn:ANd9GcRSjvTzIf06Z3gN3ix1UhNFUcF5X5x0a-VmjdRgFSE-zc1-f3pz

  Family image: http://t2.gstatic.com/images?q=tbn:ANd9GcS9JvND2_swAM68KXsbYI9pgbA_VDVSYjfnd74R8m-ZeIOKGrduLQ

  Comm image: http://t0.gstatic.com/images?q=tbn:ANd9GcRZcaTblL1LN1N3N1gixc6V_bwquJj44xJ35EGT9JDgp4xPavKLow

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EPS 558 Individual exploration: Adolescent Addiction

  • 1.
  • 2. What is Addiction? Substance use disorder defined by meeting clinical criteria for abuse or dependence as outlined in the DSM-IV (Diagnostic & Statistical Manual of Mental Disorders).
  • 3. Our current crisis 90 % of Americans meeting clinical criteria for addiction started using substances before age 18.
  • 4. The earlier substance use begins, the greater the risk for use becoming abuse or dependence= addiction.
  • 5. The Adolescent Brain (ages 12-18 years old) More inclined to engage in risk-taking behaviors such as trying drugs or alcohol. Increased vulnerability to brain damage and addiction. Adolescence is a critical period for developing an addiction.
  • 6. Who is really at fault? Reframe this issue as A Public Health crisis; not solely the fault of teens. Youth development is largely influenced by the community: American Culture The Media Family School
  • 7. American Culture & The Media 77% of popular teen TV shows contain or mention drinking. American culture normalizes self-regulating and medicating through substances. Media, tobacco, & alcohol industries glamorize substance use- increasing chances of teens using.
  • 8. Family: Mixed Messages Significant developmental factors: Risk: Families often normalize & enable substance use for stress relief & coping. Parents have the most influence & control over teen substance use through messages taught and behaviors exhibited in homes.
  • 9. School: Failure to support New cultural climate: Pervasive belief that teen substance use is a norm/expectation. Inappropriate interventions: Punitive measures place significantly more teens in the juvenile justice system than in substance-related treatment programs.
  • 10. Community: Failure to understand Some Treatment Barriers Misunderstanding the problem: Government spends more money on consequences of substance use than prevention/intervention measures. Ex: Crime, academic, & health problems. No insurance coverage & limited health care education
  • 11. What can we do? Prevention Intervention Involve youth in organizing Fund training of more effective and relevant specialized addiction preventive measures. healthcare professionals Youth-Adult partnerships: Create more adolescent- Promote open focused treatment facilities communication between youth and adults about Earlier intervention with substances, health issues, comprehensive, age- and media influence appropriate services
  • 12. As Parents Set a good example- Promote positive self-identity Restrict access to substances Monitor your child’s activities and mental health Give clear, consistent messages about substance use Communicate frequently and openly with your child Know the facts and share the dangers of adolescent addiction.
  • 13. As Educators Raise awareness of this issue reframed as a public health problem Recognize warning signs of substance use Avoid punitive policies and adopt a health-based approach (access to healthcare services) Make appropriate treatment referrals
  • 14. As Policymakers Reduce teen exposure to substance-related advertising Increase prevention & treatment options and funding (including research) Raise taxes on tobacco and alcohol products Fund and create public health campaigns to educate population on this issue
  • 15. As the Advertising Industry/Media Stop marketing addictive substances as attractive to adolescents audiences Create messages discouraging teens from using substances Use technology (social media, texting, apps, etc) to counteract problematic (pro-substance) adolescent marketing
  • 16. An Alternate Approach Resolving this issue is a community effort! Promote systemic change Youth are not the problem! Educate others and increase awareness Re-evaluate American cultural norms and advertising Redistribute government funding to support prevention/intervention
  • 17. Community Youth Development Empower youth through valuing their voice and engaging them to organize relevant programs Comprehensive, age-appropriate interventions Foster youth-adult partnerships (parents, teachers, community organizers) Create more opportunities for youth to lead in combating this issue
  • 18. References The National Center on Addiction and Substance Abuse at Columbia University. (2011). Adolescent substance use: America’s #1 public health problem. New York: The National Center on Addiction and Substance Abuse at Columbia University. http://www.casacolumbia.org/upload/2011/20110629adolescentsubstanceuse. pdf Images School image. http://t1.gstatic.com/images?q=tbn:ANd9GcQNrQENMPPR51kjJzEmyg8iiCGjkADnpgs28XbhYxpU__B17ImvVQ Media image: http://t3.gstatic.com/images?q=tbn:ANd9GcQSbfuNq_fXoV_jrcew4QYsgNumMubJnnM-gmeYHLSeSqmPN_Tg & http://t0.gstatic.com/images?q=tbn:ANd9GcSSTRJpYCz08G4T_1Wpmrms6wVkB0XtlEmRgQpA_ybXuc0VzHqAoA Pills image: http://t0.gstatic.com/images?q=tbn:ANd9GcShvk9Lntb0ugvxlNWOWHet5_2pFcx3fgZhXxdgu82BkHY9gMMn Crisis image: http://t3.gstatic.com/images?q=tbn:ANd9GcRSjvTzIf06Z3gN3ix1UhNFUcF5X5x0a-VmjdRgFSE-zc1-f3pz Family image: http://t2.gstatic.com/images?q=tbn:ANd9GcS9JvND2_swAM68KXsbYI9pgbA_VDVSYjfnd74R8m-ZeIOKGrduLQ Comm image: http://t0.gstatic.com/images?q=tbn:ANd9GcRZcaTblL1LN1N3N1gixc6V_bwquJj44xJ35EGT9JDgp4xPavKLow