Substance Use Supports How Jeffco School are Working to Educate, Intervene and Support our Students facing Substance Use Challenges
Introductions Keke Stickney, M. Ed. District Coordinator- Substance Use Prevention, Jeffco Public Schools Pronouns: She/her/hers Keke.Stickney@jeffco.k12.co.us 303.982.6475 Pamela Gould, MPH Communities That Care (CTC), Coordinator, Jefferson County Public Health Pronouns: She/her/hers PGould@Jeffco.us 303.275-7526
Substance Use Supports- An Overview Alcohol Tobacco/Vaping Marijuana Opioids / Other Drugs Central District Office Collaboration ● Health Services ● Student Engagement ● Behavior and Discipline Identified Staff working together in Schools ● The Designee/ Administrator (Vice Principal or Dean) ● The Nurse ● SRO- School Resource Officer
The High School Nurse ● The role of the high school district RN, as of school year 2019-20 has changed significantly. The Nurse is now entirely site based. ● Nursing Role= .6 Fte ● Drug Intervention Services Role= .4 Fte Safety Assessment Collaboration with S.B.I.R.T Administrator and SRO ● administration to define support ● Connect with student and family for a minimum of 3 months ● Provide support and low-level drug interventions, Tier 2 ● Foster positive connections with trusted adults ● Possible alternatives to suspension- working alongside the school Administration to define support
Refe ferrin ing to to Exte ternal l Communit ity Part rtners External Partner Agencies: Denver Family Therapy- Individual & Family Counseling ● Y.D.A.P. Youth Drug and Alcohol Prevention ● A.S.A.P. Adolescent Substance Abuse Program The Jefferson Center for Mental Health ● Site Based Certified Addiction Counselors (CAC III) ● Community based Mental Health Support Professional Counseling Services (PCS) ● Certified Addiction Counselors (CAC III) in the Mountain Community (Conifer HS and Evergreen HS) ● Referral to Private Insurance Companies and their resources
Lookin ing at t Data ta fr from Sta tate te Part rtners-CDPHE
Youth th Vapin ing: : A Publi lic Healt lth Cri risis is ● As of 2017, Colorado has the highest rate of youth vaping in the country – with a rate that is over twice the national average. ● Jefferson County’s rate is higher than the state average. ● You Tube Video: 9 News Vaping Series “Clearing the Air” 9 News Vaping Series- Part 2/Schools Source: Colorado, Weighted Healthy Kids Colorado Survey (2017);
Nurs rses pro rovid ide Educati tion and Guid idance E-Cigarettes are Not “Harmless Water Vapor” Carcinogen Exposure can lead to Pulmonary Risk
Where re could ld youth th be headin ing? A New Generation Addicted to Nicotine One Juul pod contains as much nicotine as an entire pack of cigarettes. Youth who vape regularly are 4x more likely to be smoking combustible cigarettes a year later.
Facts ts on Nic icoti tine and th the Teen Bra rain in Priming the Brain for Addiction to Other Substances Students who currently vape are... 9.5x as likely to currently use marijuana 8.8x as likely to currently binge drink • Brain is still developing until 25 8.6x • Nicotine can prime the brain for future addiction as likely to currently abuse prescription drugs
The Good News! Youth who can ask a Youth who participate parent for help in extracurricular are 31% less likely to activities are 12% less vape. likely to vape. Youth who have an adult they trust to talk to and ask a parent for help are 22% less likely to vape. Youth who feel safe at Youth who have clear school are 28% less family rules are 39% less likely to vape likely to vape
Outside Cessation Resources for Youth ● Colorado Youth QuitLine ● My Life, My Quit (call, text, and web program) ● Smokefree Teen (text program) ● Smokefree Teen quitSTART (app) ● This is Quitting (text program)
Educati tional l Resources fo for Youth th and Tru ruste ted Adult lts ● Second Chance ● NOT on Tobacco: training in Spring 2020 ● Start the Conversation (CDPHE) ● School Staff Trainings ● INDEPTH- An ATS from the American Lung Association ● Stanford Medicine Tobacco Toolkits (also MJ)
Q and A Q&A
Refe ferences ● Buettner-Schmidt K, Miller DR, Balasubramanian N. Electronic cigarette refill liquids: child-resistant packaging, nicotine content, and sales to minors. J Ped Nursing . 2016;31(4):37. doi: 10.1016/j.pedn.2016.03.019 ● Goniewicz ML, Gupta R, Lee YH, et al. Nicotine levels in electronic cigarette refill solutions: a comparative analysis of products from the United States, Korea, and Poland. Int J Drug Policy . 2015;26(6):583 – 588. ● Johnston LD, O’Malley PM, Miech RA, Bachman JG, Schulenberg, JE. 2015 Overview: Key Findings on Adolescent Drug Use. National Institute on Drug Abuse. Retrieved from http://monitoringthefuture.org/pubs/monographs/mtf-overview2015.pdf ● Leventhal AM, Strong DR, Kirkpatrick MG, et al. Association of Electronic Cigarette Use With Initiation of Combustible Tobacco Product Smoking in Early Adolescence. JAMA. 2015;314(7):700 – 707. doi:10.1001/jama.2015.8950 ● National Academies of Sciences, Engineering, and Medicine. Public health consequences of e-cigarettes . 2018. Washington, DC: The National Academies Press. ● Stanford University School of Medicine. Tobacco Prevention Toolkit: E-Cigarettes and vape pens. Retrieved https://med.stanford.edu/tobaccopreventiontoolkit/E-Cigs.html ● US Department of Health and Human Services. E-cigarette Use Among Youth and Young Adults: A Report of the Surgeon General [PDF – 8.47MB]. Atlanta, GA: US Department of Health and Human Services, CDC; 2016. Accessed July 27, 2018. ● RMC Health Presentation: “Start with the Facts: Young People, Vaping, JUULS, and Other Electronic Nicotine Products” ● “Achieving Health Equity in Tobacco Control”, The Truth Initiative, https://truthinitiative.org/sites/default/files/Achieving%20Health%20Equity%20in%20Tabacco%20Control%20-%20Version%201.pdf ● American Indians/Alaska Natives and Tobacco Use, Centers for Disease Control and Prevention, https://www.cdc.gov/tobacco/disparities/american-indians/index.htm
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