REDUCING TEEN Webinar Moderator SUBSTANCE MISUSE: WHAT REALLY - PDF document

3/7/16 ¡ REDUCING TEEN Webinar Moderator SUBSTANCE MISUSE: WHAT REALLY WORKS Tracy McPherson, PhD Senior Research Scientist Substance Abuse, Mental Health and PRESENTED BY: Criminal Justice Studies THE BIG SBIRT INITIATIVE, NATIONAL SBIRT ATTC, NORC at the University of Chicago and NORC at THE UNIVERSITY OF CHICAGO 4350 East West Highway 8th Floor, Bethesda, MD 20814 esap1234@gmail.com March 9, 2016 Produced in Partnership… 2016 SBIRT Webinar Series January 27th – Mini-Guide to SBIRT: An Overview of SBIRT ¨ and Resources – NOW ON-DEMAND February 17th – Integrating Adolescent SBIRT in Nursing and ¨ Social Work Education March 9 th – Reducing Teen Substance Misuse: What Really ¨ Works March 16 th – Gambling Screening: How to Make it Fun! ¨ April 27 th – Integrating Motivational Interviewing Techniques ¨ for Brief Intervention into the Curriculum May 4 th – Part IV: Using Case Studies for Integrating SBIRT ¨ into Curriculum May 23 rd – Preventing Prescription Drug Abuse and Doctor ¨ Shopping: Prescribing Guidelines and Intervention Skills for Nurses and Healthcare Professionals www.sbirteducation.com June 22 nd – Intimate Partner Violence SBIRT: The WINGS ¨ Intervention Model hospitalsbirt.webs.com/webinars.htm Ask Questions Access Materials Ask ¨ PowerPoint Slides questions through the ¨ Materials and “Questions” Resources Pane ¨ Recording ¨ Certificate of Will be Completion answered live at the end http://hospitalsbirt.webs.com/teen-substance-misuse 1 ¡

3/7/16 ¡ Technical Facilitator Webinar Presenter Anne De Biasi, MHA Misti Storie, MS, NCC Director of Policy Development Technical Consultant Trust for America’s Health (TFAH) misti.storie@gmail.com www.mististorie.com About TFAH: Who we are Reducing Teen Substance Misuse: Trust for America ’ s Health (TFAH) is a non-profit, non- o partisan organization dedicated to saving lives by protecting What Really Works the health of every community and working to make disease prevention a national priority. Anne De Biasi, MHA Director of Policy Development Trust for America’s Health TFAH’s Work on Substance Misuse Background: October 2013 Report, Prescription Drug Abuse: Strategies to o Stop the Epidemic Teen Substance Misuse in the U.S. Coalition on Effective Prescription Opioid Policies (CEPOP), o co-convened by TFAH, Community Anti-Drug Coalitions of American, The Honorable Mary Bono National Collaborative on Education and Health’s 2015 o Substance Use Working Group (Conrad Hilton Foundation) November 2015 Report, Reducing Teen Substance Misuse: o What Really Works (Conrad Hilton Foundation) 2 ¡

3/7/16 ¡ Teen Drug Use Trends in Teen Drug Use Prescription Drug Misuse Consequences of Substance Misuse Long-term adverse effects on: o Physical and mental health n Academic and career attainment n Relationships with family and friends n Establishing and being a connected part of a community n The Need for Prevention Consequences of Substance Misuse 90% of adults with a substance use disorder began using before they were 18 years old We need to… 1 Prevent use in the first place 2 Intervene and provide support earlier 3 View treatment and recovery as a sustained and long-term commitment 3 ¡

3/7/16 ¡ A Prevention-Oriented Approach What Really Works Risk Factors ¡ Protective Factors ¡ • Aggressive behavior in childhood • Good self-control • Lack of parental supervision • Parental monitoring and support • Poor social skills • Positive relationships • Drug experimentation • Academic competence • Availability of drugs at school • School anti-drug policies • Community poverty ¡ • Neighborhood pride ¡ The 10 Indicators 10 State Policy/Program Indicators to Help Advance our Goals of: 1 Prevention 2 Early Intervention/Support 3 Sustained Treatment/Recovery State Rankings Academic Achievement Nationally, around 20% of students do not graduate o from high school (rate is 30% among low income students) Substance abuse and school dropout – highly o correlated and bidirectional Children with academic problems at ages 7-9 are more n likely to be involved with substance use by age 14-15 12 th graders who do not complete high school are almost n twice as likely to currently use cigarettes, illicit drugs, marijuana and nonmedical prescription drugs Providing support to students with academic o performance concerns or irregular school attendance, and helping improve the overall school climate, can help reduce substance misuse, and vice versa 4 ¡

3/7/16 ¡ School Environment School Environment Over 20% of high school students Recommended state policy “ clearly defines the role and the o o report being bullied. authority of the school officials, teachers, and other school employees to address bullying and would require a zero Bullying refers to unwanted aggressive o tolerance policy for bullying based on race, ethnicity, gender, behavior(s) by other youth(s) who are sexual orientation, gender identity, disability, religious not siblings or current dating partners beliefs, and other personal attributes… [and applies] to involving an observed or perceived students in all schools, both on or off campus, or through the power imbalance and is repeated or use of technology (i.e., cyberbullying). ” highly likely to be repeated. It can have a long-term negative psychological There are efforts to align the “ zero tolerance ” approaches to o impact on victims. bullying with effective intervention strategies to address bullying – that avoid harsh discipline approaches that often LGBT youth are significantly more o exacerbate the undesired behavior likely to be bullied and abused in a range of ways, which may contribute to increased risk and subsequent high incidence of substance misuse and other health problems Tobacco Use Alcohol Use 12-20 year olds drink 11% of all alcohol consumed in o # of 12-17 year olds reporting past month cigarette use o the U.S. and more than 90% of that consumption is in reach an all time low of 5.6% in 2013, but tobacco the form of binge drinking. remains the leading cause of preventable diseases, disability, and death in the U.S. Youth who drink alcohol are more likely to experience o a range of negative outcomes, including: Smoke-free laws help limit the exposure of youth to o School problems n secondhand smoke – but also can help reduce smoking Social problems n rates by limiting opportunities for smoking initiation Legal problems and use n Physical problems n Promising policy measures Higher risk for suicide and homicide o n Alcohol-related car crashes and other n Raise legal age to purchase tobacco products from 18 to 21 n unintentional injuries Increase tobacco taxes n Misuse of other drugs n Changes in brain development n Limit sales to minors under 18 year olds n Death from alcohol poisoning n Substance Use Screening, Intervention Alcohol Use and Referral to Treatment Holding alcohol retailers liable for injuries or damage Fewer than half of pediatricians currently report o o done by their intoxicated customers can reduce motor asking teens about alcohol and other drug use, and vehicle deaths, violence, homicides, injuries, and other fewer than 25% report asking teens about drinking and alcohol related problems driving. Additional recommended policy measures that curtail SBIRT is a comprehensive, integrated public health o o excessive and underage alcohol misuse as well as approach to early intervention and treatment for lower alcohol-related motor vehicle crashes and persons with substance use disorders or at risk for fatalities, and lower violence rates include: developing these disorders. Increasing alcohol taxes n It is a quick, low-cost way to reach teens and young o Maintaining limits on the days and hours of sale n adults on a broad scale to deter risky behavior. of alcohol Regulation of alcohol outlet density n 5 ¡