Wha t Sc ho o ls c a n d o to He lp Our K id s Va ping Pre pa re d b y De b o ra h Ha g le r MD FAAP Pre sid e nt E le c t Ma ine Cha pte r AAP
T he Sc ope of the Proble m 1/ 3 of HS stude nts using a ny toba c c o produc t [1] L ife time pre va le nc e e - c ig a re tte use 45% a mong Ma ine HS stude nts with 29% re porting pa st 30- da y use [2] 11.7% 12 th g ra de rs using e - c ig s da ily [3] Pa tte rns of proble ma tic use c le a rly e me rg ing - 21% of e - c ig use rs a t out- pa tie nt c linic in NY re porte d a ddic tion [4]
Why Is this a Proble m E -L iq uid s c o nta in to xins - L e a d , Nic ke l Ca d mium, Ac ro le in [5] E - L iq uid s c hro nic e ffe c ts o n lung s just b e g inning to b e und e rsto o d [6] Nic o tine o fte n hig hly c o nc e ntra te d / hig hly a d d ic tive [7] Nic o tine a ffe c ts multiple syste ms in the b o d y inc lud ing c a rd io -va sc ula r syste m, immune syste m a nd GI syste m [7] Co nc e rning e ffe c ts o n mo o d a nd le a rning , e spe c ia lly in the d e ve lo ping b ra in [8] I nc re a se d risk o f d e ve lo ping o the r sub sta nc e use d iso rd e rs [9] I nc re a se d risk o f switc hing to c o mb ustib le c ig a re tte s / d ua l use [10]
Why a re Kids Using Curio sity [11 ,12,13] F rie nd s Using [ 11,12,13] Re la x [11,12,13] F e e l L e ss Stre sse d [11,12,13]
Are T he Kids All Rig ht Na tio na l I nstitute o f Me nta l He a lth re po rts life time Pre va le nc e o f Anxie ty Diso rd e rs is 32% in Ad o le sc e nc e [14] 2018 Surve y b y the Ame ric a n Psyc ho lo g ic a l Asso c ia tio n - yo uth a g e s 15-21 we re the le a st like ly to re po rt the y e njo ye d g o o d me nta l he a lth [15] 2005-2017 (Na tio na l Surve y o f Drug Use a nd He a lth ) 52% inc re a se in ra te o f ma jo r d e pre ssio n e piso d e s in yo uth a g e d 12-17 fro m 8.7% to 13.2% [16] Suic id e Ra te in Yo uth ha s e sse ntia lly d o ub le d sinc e 2000. Suic id e is se c o nd le a d ing c a use o f d e a th fo r yo uth a g e d 10-24 [17] Yo uth d istre ss, a nxie ty, d e pre ssio n risk fo r use e - c ig a re tte s a nd tra d itio na l c ig a re tte s [11] T his Pho to b y Unkno wn Autho r is lic e nse d unde r CC BY-SA-NC
Are T he Kids All Rig ht I n Ma ine 32% HS stud e nts fe lt sa d o r ho pe le ss in la st 2 we e ks [2] 23% HS stud e nts b ullie d in la st ye a r a t sc ho o l [2] 25% MS stud e nts sa d o r ho pe le ss in la st 2 we e ks [2] 46% MS stud e nts re po rte d e ve r b e ing b ullie d a t sc ho o l [2] T his Pho to b y Unkno wn Autho r is lic e nse d unde r CC BY-SA-NC
Use to De pe nde nc y- UCSF / Sta nford study L ooking a t E NDS 2/ 2019 [18] 173 (13-18yo ) me a n 16.6 - 10 life time use s E NDS 80.3% still using 12 mo nths la te r Da ily use 14.5% a t b e g inning - 29.8% a fte r 12 mo nths Only E NDS a t sta rt- 28.8% a lso using c o mb ustib le s De pe nd e nc e sc o re s a t b a se line 13.3 %- a t e nd inc re a se d 23.3% De pe nd e nc e sc o re s a nd c o tinine le ve ls inc re a se d o ve r time T he ~ 20% who q uit site d e sire fo r se lf- impro ve me nt; d iffic ulty/ c o st ma inta ining d e vic e ; g e tting in to o muc h tro ub le . T his Pho to b y Unkno wn Autho r is lic e nse d unde r CC BY-ND
Wha t a re Sc hools to Do Prima ry pre ve ntio n - inc o rpo ra ting stra te g ie s tha t a c kno wle d g e so me o f prima ry re a so ns fo r use (stre ss / re la xa tio n / so c ia l e xpe rie nc e with frie nd s) Distric t T o b a c c o Pre ve ntio n Pa rtne rs Po sitive Yo uth De ve lo pme nt Stre ss Re d uc tio n Stra te g ie s Yo uth Me nta l He a lth F irst Aid
Distric t T oba c c o Pre ve ntion Pa rtne rs Ca n he lp c ura te pre ve ntio n pro g ra ms: Ca tc h My Bre a th Sta nfo rd T o b a c c o Pre ve ntio n T o o l K it L ink sc ho o ls to writte n re so urc e s He lp with pro g ra mming L ink to c e ssa tio n re so urc e s
Ca tc h My Bre a th F re e - F und e d b y CVS F o und a tio n F o ur 30-40 minute se ssio ns Curric ulum fo r 5-6 th g ra d e / 7-8 th g ra d e / 9-12 th g ra d e
Sta nford T oba c c o Pre ve ntion T ool Kit E xha ustive Re so urc e pa g e ve ry he lpful to ta ilo r pro g ra ms Pre pa re d po we r po ints o n e - c ig a re tte risks / a d d ic tio n, e tc … I nte ra c tive ma te ria ls; q uizze s; vid e o s T e a c he rs Guid e s fro m Sc ho la stic / NI DA I nc lud e s c e ssa tio n ma te ria ls
F or Youth F ound Va ping On Sc hool Prope rty No suspe nsio n pra c tic e s re c o mme nd e d Athle te s pa rtic ipa te in sc ho o l suspe nsio n/ lo se pla y time . Co nfisc a te d e vic e No tify pa re nts Asse ss usa g e - sc ho o l nurse / c linic ia n a sse ss a mo unt/ d e pe nd e nc e o n nic o tine , re a so ns fo r use / o the r pro b le ms, willing ne ss to c ha ng e - re fe r to lo c a l physic ia ns a nd the Ma ine T o b a c c o He lp L ine
In Sc hool Suspe nsion 1-ho ur Sta nfo rd He a lthy F uture Curric ulum: fa c ilita te d pre -pa c ka g e d po we r po int to pro mo te c ha ng e 2 a nd 4 ho ur in sc ho o l suspe nsio n c urric ulum a va ila b le . I nDe pth - Ame ric a n L ung Asso c ia tio n: 4 50-minute se ssio ns to e d uc a te yo uth a b o ut e - c ig a re tte s a nd ma king b e ha vio ra l c ha ng e ; F a c ilita te d – fre e -o nline tra ining Distric t T o b a c c o Pre ve ntio n Pa rtne rs [DT PP] c a n sug g e st o the r a lte rna tive s De sig n yo ur o wn pro g ra mming with we a lth o f info rma tio n a va ila b le , DT PP a nd AAP c a n he lp
Sc hool Clinic ia ns- In Sc hool Asse ssme nts for Youth Va ping Asse ss le ve l o f use / nic o tine d e pe nd e nc e - Pe nn Sta te E -Cig a re tte De pe nd e nc e I nd e x [19] {a va ila b le o n Ma ine AAP we b site } Co nsid e r using SBI RT to a sse ss o the r sub sta nc e use (yo uth va ping nic o tine ha ve 3-4 time s the o d d s o f using ma rijua na ) [20] Und e rsta nd use ; with pe rmissio n d isc uss c ha ng e a nd initia te re fe rra ls fo r furthe r a sse ssme nts/ c o unse ling / c o nsid e ra tio n o f Nic o tine Re pla c e me nt T he ra py {NRT } [21] De ve lo p pla ns fo r wo rking with yo uth in the sc ho o l tha t ma y inc lud e ma na g ing nic o tine withd ra wa l a nd use o f NRT in sc ho o l se tting
Re c omme nda tions T e a m a d d re ssing me nta l he a lth/ we ll-b e ing a nd sub sta nc e a b use [a ll inhe re ntly linke d ] Po st lite ra ture / sig ns/ run vid e o s if a b le - T ruth I nitia tive ha s so me e xc e lle nt o ne s a va ila b le Ga the r info rma tio n fo r pa re nts/ sta ff - Sta nfo rd T o b a c c o T o o lkit Re so urc e s Guid e ha s info rma tio n she e ts fro m a va rie ty o f so urc e s in o ne spo t E d uc a te e ntire sta ff a b o ut e -c ig a re tte s De c id e o n pre ve ntio n c urric ulum fo r e ntire c o mmunity I d e ntify a nd tra in willing pe e r le a d e rs o n pre ve ntio n/ a nd a ssisting yo uth who wa nt he lp pe e rs q uit [ Distric t T o b a c c o Pa rtne rs c a n pro vid e tra ining fo r yo uth to le a d this type o f inte rve ntio n thro ug h the ” Sid e kic ks” pro g ra m].
Re c omme nda tions Pla n fo r yo uth fo und va ping o r with pa ra phe rna lia o n sc ho o l pro pe rty - I nc lud e I nfo rma tio n fo r fa milie s; pla ns fo r in ho use suspe nsio n; a sse ssme nt fo r d e g re e o f use a nd whe re yo uth is a ro und usa g e a nd tho ug hts o f c ha ng e Re vie w Sc ho o l Po lic ie s tha t ma y b e a b a rrie r fo r yo uth who wa nt tre a tme nt Pla n Curric ulum fo r in-sc ho o l suspe nsio ns Pla n fo r re pe a ts - 1-Ho ur se ssio n/ 2- ho ur/ 4-ho ur se ssio n/ Po sitive Yo uth De ve lo pme nt / Stre ss Ma na g e me nt De ve lo p lo c a l re fe rra l re so urc e s fo r yo uth who re q uire mo re suppo rt
Othe r Conside ra tions Sc ho o l Clima te / Culture – Anti- b ullying / fo ste ring inc lusio n Po sitive Yo uth De ve lo pme nt Build ing Re silie nc e
T HANK YOU F OR AL L YOU DO!!!! T ha nk yo u to My E xc e lle nt DT PP a t ACCE SS HE AL T H/ a nd the te a m a t Co mmunity He a lth a nd We llne ss a t Mid Co a st Ho spita l
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