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12 Tips For Helping Kids Understand the Drug Epidemic

By Stepworks Connect

This blog post was co-written with Ashley M. Stuck, MSSW, CSW.

With a national drug epidemic affecting more and more families, parents may be increasingly concerned about keeping their kids safe. But helping kids understand addiction can seem like a challenge! Parents and their kids often feel awkward about talking frankly about substance use. While you might feel like you have a responsibility to have that discussion with your kids, not everyone knows how or where to start.

(In case you missed it, read our previous blog post about why you should be talking to your kids about addiction, and how the holidays might be a good time to do it.)

For parents who need some help clearing away the obstacles to discussing drug use and addiction with their kids, we’ve compiled a list of 12 helpful tips. Read on for a short, practical guide to helping kids understand addiction.

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3 Reasons To Discuss Addiction with Your Kids Over the Holidays

By Stepworks Connect

The winter holidays are upon us, and for many people, that means more time to spend with family. That goes especially for parents with school-age children on winter break or older ones returning from college. It’s true that this can be a hectic time of the year, but many parents will want to carve out some quality time to connect with their kids. Although it might seem daunting to discuss addiction with your kids, the extra time over the holidays provides an opportunity to do just that.

Why use the holidays to discuss addiction?

So why bring up a subject that might make your kids uncomfortable, however briefly? For starters, your kids have probably already heard some things about the ongoing national addiction epidemic. The crisis of opioid and heroin use and drug overdose regularly makes headlines, and social-media-savvy teens and young adults are probably aware of the national discussion on the problem of addiction.

This is an opportunity to begin to discuss addiction with your kids. Having the subject so extensively covered in media makes it a little easier to have an unforced discussion about the risks of drug use. You might broach the topic simply by asking your adolescent children what they think about all the stories in the media about an addiction epidemic or the increases in prescription opioid and heroin use.

Even if it still isn’t easy, it is urgent and important. While many communities are trying to expand prevention and treatment resources, we’re still very much in the middle of a crisis of addiction. In the last decade the number of young adults (18-25) using heroin has doubled. Addiction does not discriminate by age, and people are encountering deadly drugs at ever younger ages.

And the risks are far worse than many people know. Drug overdose rates are still rising and becoming more fatal with extremely potent synthetic opioids like fentanyl on the streets. Those who use injection drugs often don’t realize the other kinds of health risks they’re exposing themselves to, like hepatitis or bacterial infections targeting vital organs. It’s dangerous stuff that can dramatically alter a young person’s life. So why not use an opportunity like the Christmas break to talk to your kids about drug use?

While any starter conversation opening up the topic of drugs and the addiction epidemic would be beneficial, let’s look at three specific reasons that some people might find it even more urgent to have this discussion.

If your family has a history of addiction

If there is a history of drug abuse or addiction in your family, there’s every reason to make sure your kids know the risks of addiction. That’s because they might have a predisposition toward addiction. Addiction is a brain disease, and inherited genetic factors can make a person more likely to get addicted if they use drugs. Having a family history of addiction makes it vital to know a little bit about the science of addiction. If you’re new to the subject, take a look at our post about why addiction is a brain disease—and don’t forget to share what you learned with your kids. Addiction education is one of the most important aspects of both prevention and treatment.

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If you’ve seen some signs of potential addiction

The conversation we’re talking about is an urgent one if you’ve already seen some signs of a potential drug problem in your teen or young adult. This might be a reason not only to talk about addiction, but also to start thinking about treatment options. But let’s back up a bit. Are you confident that you would know if your kid was starting to abuse drugs or alcohol? Here are a couple of signs that something might be up:

  • Behavioral changes: Any drastic changes in your kid’s behavior could be an indication of a developing drug problem. Some examples include changing friend groups, spending more time outside the home (and being vague about the details), falling school grades, or an inability to meet other responsibilities. Remember that these don’t necessarily equal a drug problem; rather, they can be signs of a potential problem.
  • Personality or mood changes: Because addiction causes changes in the brain, you could expect to see changes in how your teen feels or expresses themselves under an addiction. Young people with a drug problem might seem more moody, angry, agitated, anxious, or depressed.

If your kid has had a past problem with drug use or addiction, it’s also a good idea to be aware of signs of increased risk of drug overdose. You can read about those signs in the previous Stepworks post, “Drug Overdose: 4 Signs Your Loved One Could Be at Risk.”

If your kid is entering a new environment

Transitions like entering high school or college, living on one’s own for the first time, moving to a new city, or starting a new job can expose your kids to new risks. There are a few reasons why, and they’re probably pretty obvious. New social environments might mean more exposure to recreational drug use. That’s a common anxiety that parents have when sending their kids off to college. But it’s increasingly a concern even for those entering high school or middle school.

In addition, the stress that can accompany major life changes can also make your kids more susceptible to drug use. Young people struggling to adapt to new living, educational, or work settings might turn to drug or alcohol use in an attempt to escape the stress. Take advantage of the holidays to check in with your kids to see how they’re coping with the changes in their lives. Make sure they’re aware of the resources available to them to help with stress, too. For example, college students can usually go to their campus student health center for physical or emotional health needs.

discuss addiction, teen addiction, childhood addiction, college drug use, teen drug problem

Have a conversation about addiction. Any conversation.

The kind of conversation to have with your kids over the holidays depends on what they’re experiencing. The three scenarios we’ve talked about in this post can provide some direction. However, the really important takeaway is to have some kind of conversation about drug use and addiction. Stigma still makes it difficult for some people to discuss addiction, so think of the holidays as an opening to check in on this important subject with your kids. When you know what’s going on in your kids’ lives, it’s a lot easier to spot a problem with addiction as it’s developing. Helping your kids avoid falling victim to the prescription opioid and heroin epidemic is a gift you can’t put a price on.

“Not in my backyard” views hinder efforts to curb addiction epidemic

By Stepworks Connect

Only days before this year’s Thanksgiving holiday, a Kentucky county approved a controversial ordinance placing strict limits on where many new addiction treatment facilities can operate. The law, which confines new facilities to shopping centers, raises important issues about the legality and prudence of such decisions that target addicted populations or organizations that serve them.

Breathitt County arrived at the new legislation after a previous version was struck down by a circuit court judge, who found the original ordinance to be in violation of the Americans With Disabilities Act. That ordinance from 2015 had brazenly barred any new drug treatment centers from opening in the county. The revised ordinance backs away from out-and-out banning of new treatment centers. Instead, it requires facilities that provide medications like methadone or Suboxone to be situated in shopping centers. Although it’s easy to see this as an improvement on the wholesale outlawing of addiction treatment, is it really more defensible? At best, the ordinance is a counterproductive measure that will likely have negative consequences for all involved.

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Thanksgiving Tips: Practicing Gratitude in Recovery

By Stepworks Connect

Thanksgiving Day gives us a timely opportunity to think about practicing gratitude in recovery. Many people use the holiday to think about what they’re thankful for in their lives. Of course, sometimes that goal is lost in the bustle of family get-togethers. People settle back into the familiar rhythms of their family relationships or end up stressing out about the Thanksgiving dinner spread.

For those in recovery, the holiday can be a little difficult. Visiting with extended family or attending parties can present triggers or high levels of stress for the recovering drinker or drug user. That’s why using the holiday as an opportunity for reflection and self-care is vital! Gratitude—one of the reasons for this particular season—can be a tool for strengthening your recovery from drugs or alcohol. Let’s talk about why.

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Drug Overdose: 4 Signs Your Loved One Could Be at Risk

By Stepworks Connect

If you have a family member or friend who is struggling with addiction, you’ve probably worried that they might experience a drug overdose. Maybe your loved one has already overdosed before, and you’re concerned it will happen again. Anyone who has seen recent headlines about the epidemic of opioid abuse in the United States knows that drug overdoses are becoming more common and more deadly.

You should know that there are warning signs that can indicate far in advance that someone you know is at risk for overdose. Let’s talk about four major risk factors for drug overdose. These four signs could mean that trouble is on the way and your loved one might require intervention to prevent the worst-case scenario of overdose.

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3 Reasons Why Addiction is a Brain Disease

By Stepworks Connect

What is addiction and why does it happen? At first glance that could seem like a simple question, but in reality, a lot of people struggle to find an answer that makes sense. Some mistakenly get the idea that addiction is a sign of a person’s bad character or some moral failing. That’s not true, although individual choices and responsibility do come into play. Others believe that addiction is an inherited condition that can’t be changed. That’s also mistaken. People who think this might have heard that addiction is a brain disease. Now we’re getting closer to the facts! Recognizing that addiction is a brain disease is just the first step. Understanding why it’s a disease helps us to get a clear picture of how addiction works and what we can do about it. Let’s look at three essential keys to this understanding.

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Family addiction leaves 4 children without parents after overdose

By Stepworks Connect

How does addiction affect families? There have been more and more incidents reported in which families have been put at risk by the epidemic of heroin and prescription opioid drug use across the country. One recent incident out of Pennsylvania illustrates how serious the problem of family addiction has become. It led to the destruction of a family and a sister’s plea to others in similar circumstances to do everything possible to help a loved one overcome addiction.

This story in The Washington Post tells about how a seven-year-old girl woke one day to find both of her parents unresponsive from a drug overdose. The girl had tried to wake her parents without success before going to school. Later, her comment to a bus driver about her parents led authorities to discover both parents dead from overdose in their home. There were three other young children in the house.

Even more tragic, other family members were aware of the adult couple’s drug dependency and had tried to get help for them and their children. The sister of the mother who died from overdose had attempted to intervene by getting the couple to seek drug treatment or removing the couple’s four children from the dangerous home situation. In a video embedded in the article, the sister talked about how drugs had changed her addicted family member, making it a challenge to help her. “She wasn’t the person I knew. It was like the drugs had taken over,” she said.

The stakes are too high—get help for family addiction

A sad truth about addiction is that it never affects one person alone. Addiction is a family disease. This family addiction to heroin resulted in the most tragic of consequences and left their young children vulnerable until authorities discovered what had happened. Before that, their addiction had already created a risky situation at home: photos shared by the overdose victim’s sister showed a house in disarray, and the use of injection drugs also carries the risk of spreading disease and bacterial infection.

On top of those health risks, addiction is a family disease in how it changes, damages, or destroys family relationships. The behavior and personality changes of an addicted family member that come from heavy drug use often alienate loved ones—those who might be the best chance of helping their addicted family member find treatment for their drug problem. Speaking out to others trying to get a loved one to seek help for addiction, the sister of the victim urged persistence. “Just don’t stop trying,” she said. “Make them understand…that you’re doing this because you love them.”

If you have a loved one struggling with a drug addiction—and especially if your addicted family member is at risk of heroin or prescription opioid overdose—help them find treatment for addiction. Even if it strains a family relationship, getting help for a loved one is the first step toward healing a damaged family.

Image by wcowperthwaite is licensed under CC BY 2.0
Stepworks, science of addiction

Workplace addiction should be met with treatment-friendly policies

By Stepworks Connect No Comments

Workplace addiction was the topic of a Boyle County public forum in which Stepworks’ Dr. Tom Ingram was a featured speaker. Pam Wright of The Advocate-Messenger covered the forum and threw a spotlight on Dr. Ingram’s remarks about understanding addiction. Dr. Ingram emphasized that understanding addiction as a common brain disease is essential to helping employees get treatment for their condition.

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stepworks connect,addiction education,affordable care act,screening brief intervention and referral to treatment,addiction health

Medical Complications of Addiction: A Stepworks Speaker Series Event

By Stepworks Connect No Comments

Stepworks Speaker Series: Medical Complications of Addiction

Join Stepworks and Chrysalis House at the Chrysalis House Community Center for the next live presentation in our series of speakers on current topics in addiction.

Tuesday, November 10
9:00 a.m. – 12:00 p.m.
Chrysalis House Community Center
1589 Hill Rise Dr
Lexington, KY 40504

Our next speaker series event covers the intersections of addiction with other health issues. This educational forum is open to the public (please RSVP above) and will feature two speaker presentations. Shawn Ryan, MD, from Brightview Health, will speak first, followed by Jason Joy, LLPC, from UK Medical Center.

If you attended our first speaker series event with A. Thomas McLellan, PhD, you learned about the changes in healthcare law that are bringing addiction care into mainstream healthcare systems. In this upcoming presentation, we’ll expand on the relationships between diagnosing and treating substance use disorders and providing general healthcare services.

Part I: Insights from the ED: How to Appropriately Assess, Diagnose, and Refer Patients for Substance Use Disorder Treatment

Shawn Ryan, MD, BrightView Health, Cincinnati, OH

Hospital emergency departments see a high volume of patients, many of whom are suffering from undiagnosed substance use disorders. However, in the past, emergency department physicians and nurses haven’t been adequately trained to diagnose underlying addiction disorders. Now that addiction treatment is being integrated into mainstream healthcare systems, it’s more important than ever for ED healthcare workers to know how to conduct screening, brief intervention, and referral to treatment for substance abuse.

Part II: Medical Complications of Care for Those with Substance Use Disorders

Jason Joy, LPCC, University of Kentucky Medical Center, Lexington, KY

In part two of this speaker series event, Jason Joy will help us to step outside the emergency department to look at broader issues related to treating health conditions when a patient is also suffering from a substance use disorder. Health intervention outcomes and patient quality of life will be maximized only if healthcare workers address the substance use disorder that may be interfering with the patient’s health or treatment. This talk will also cover how a patient’s history of substance abuse can make certain medical procedures more difficult or problematic. For those in the field, it will offer practical suggestions to improve current treatment models.

Changes in Addiction Treatment with A. Thomas McLellan, Ph.D.

By Stepworks Connect No Comments

Stepworks is proud to present the first in a special series of speakers on addiction education, treatment, and technology. You can find this special series and future resources and events through Stepworks Connect, a new free source of podcasts, videos, and other educational supplements. Through Stepworks Connect, we hope to help educate the public and medical community on the disease of addiction and cutting-edge treatment solutions.

Changes in Addiction Treatment with A. Thomas McLellan

This month, Dr. A. Thomas McLellan discusses how recent policy changes in insurance coverage have created new opportunities for prevention, early intervention, and treatment of substance use disorders. Dr. McLellan is among the foremost names in substance use research and public policy, having published over 400 articles of addiction research. He founded the Treatment Research Institute (TRI) and has worked as Science Advisor and Deputy Director of the White House Office of National Drug Control Policy. The presentation will include an overview of recent health insurance policy changes and cover key issues for clinical and administrative personnel dealing with substance use problems in clinical populations.

Registration

addiction treatment

The Live Event

September 14, 2015
9:30 a.m. – 12:30 p.m.

Chrysalis Community Center
1589 Hill Rise Drive, Lexington, KY 40504

About the Speaker

A. Thomas McLellan, Ph.D. is the founder of the Treatment Research Institute (TRI) and an experienced substance abuse researcher. From 2009 to 2010, he was Science Advisor and Deputy Director of the White House Office of National Drug Control Policy (ONDCP), a congressionally confirmed Presidential appointment to help shape the nation’s public policy approach to illicit drug use. At ONDCP, Dr. McLellan worked on a broad range of drug issues, including formulation and implementation of the President’s National Drug Control Strategy and promotion of drug treatment through the broader revamping of the national health care system.

Dr. McLellan has more than 35 years of experience in addiction treatment research. In 1992, he co-founded and led TRI (until his ONDCP appointment) to transform the way research is employed in the treatment of and policy-making around substance use and abuse. In his career he has published over 400 articles and chapters on addiction research. From 2000-2009 he was Editor-in-Chief of the Journal of Substance Abuse Treatment, and he has also served on several other editorial boards of scientific journals. Dr. McLellan is the recipient of several distinguished awards, including the Life Achievement Awards of the American and British Societies of Addiction Medicine (2001 & 2003); the Robert Wood Johnson Foundation Innovator Award (2005); and awards for Distinguished Contribution to Addiction Medicine from the Swedish (2002) and Italian (2002) Medical Associations.

In the 1980s, with his colleagues from the Center for the Studies of Addiction at the University of Pennsylvania, Dr. McLellan introduced the Addiction Severity Index and, later, the Treatment Services Review. Both are among the most widely used assessment instruments in the world.

Our topics of discussion will include:

  • Innovations in screening and brief intervention: applications in school systems and primary care
  • Harm-reduction methods: what they are and why they are so controversial
  • Maintenance medications
  • Overdose prevention and reversal
  • Syringe exchange
  • Creating welcoming treatment environments that engage and retain patients
  • Technological and administrative solutions

All training series events will be recorded and available for later viewing.

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