Vaping, Marijuana & Digital Resources for SAP Teams and Families M.Henry.pdf · 800.678.2332 I •...

Vaping, Marijuana & Digital Resources for SAP Teams

and FamiliesMallory Henry

Gretchen Hagenbuch

800.678.2332 I www.caron.org

• National leader in behavioral healthcare & addiction treatment

• Over 60-year history • Education Department: 30-year history• Full spectrum of treatment programs to meet the needs

of everyone

Caron Quick Facts


HOW can we help them?

Policy, education & cessation resources

WHAT are they doing?

Nicotine and THC vaping trends

WHY are they doing it?

The teen brain unraveled

Objectives for Today


Relaxation & Pleasure

SocializationAvoidance of Emotional PainCuriosity

Avoid Alienation

Find Excitement

Feel like Part of a CrowdTo Fall Asleep or to Wake UpCope with Perceived Failure

Relieve Boredom

Rebel

Drugs and Alcohol can be a tool with many

functions:


The Reality of Mind AlteringSubstances is:

They WORK!!


Addiction (Substance Use Disorder) …is an illness:

Mind altering substances are either:

Physically addictiveEmotionally addictiveOrBOTH!

Important Basics!

The repetitive use of a substance or behavior, despite negative consequences


Family History ofAddiction

Being around others that abuse drugs or

alcohol

Pre-existing, untreated mental health issues

ChildhoodTrauma

Brain developmentmatters!

Risk Factors for Addiction


Social Norms Theory

Teens (and some adults) tend to grossly overestimate the frequency of unhealthy behaviors in their peers

And underestimate the frequency of healthy behaviors

This FALSE perception is contagious.

This false perception often leads to

unhealthy normative behavior


12th

Alcohol 59%Been Drunk 41%

Any Vape 46%Vape Nicotine 41%

Vape Marijuana 24%

Any Marijuana 44%

Monitoring the Future 2019Lifetime Use

Most Seniors have NEVER been drunk,

NEVER vaped, and NEVER used

marijuana


Drugs and the Central Nervous System

Mind altering substances usually fall into 4 categories

Stimulants- Speed up HR, respiration, raise BP

Depressants- Slow down HR, respiration, lower BP

Hallucinogens- Alter perception of reality

Cannabinoids- Can be ALL Three!

Current Trends


THE VAPING “EPIDEMIC”


E-cigarettes: Handheld devices that produce an aerosol (suspension of fine particles in a gas) from a solution typically containing nicotine, flavoring chemicals, and other additives for inhalation through a mouthpiece by the user

Definition


AKA: e-cigs, electronic cigars, electronic nicotine delivery systems (ENDS), e-hookah, hookah sticks, personal vaporizers, mechanical mods, vape pens, pod systems, and vaping devices

Definition


• Introduced in US market in early 2000’s

• Started as an alternative to smoking

• Marketed as a “healthier way to enjoy” nicotine without the tobacco and “combustibles that come along with traditional smoking (harm reduction approach)

Why?


• The idea of using vaping products for harm reduction had applied to adults who are already heavy tobacco users

• There are safe nicotine cessations products on the market that have equal and higher quitting success rates for adults

Harm Reduction


• The best way for people to ensure that they are not at risk while the CDC is investigating the recent outbreak of vaping associated lung illness, is to consider refraining from use of all e-cigarette, or vaping, products (CDC, 2020)

Harm Reduction


8th 10th 12th

Alcohol 19% 38%% 52%Cigarettes

(last 30 days)2% 3% 6%

Vaping 20% 36% 41%

Marijuana 6% 14% 16%

Monitoring the Future 2019Past Year Use


Trends in Teen UseThe most common tobacco product among youth

One in four 12th graders say they vaped nicotine in the past month (MTF, 2019)

One in five 10th graders, and nearly one in ten 8th

graders vaped in the past 30 days (MTF, 2019)

More than 5 million youth currently use(NYTS 2019)

Nearly 1 million daily(NYTS 2019)

Slang Terms:

Get Nicked, Ghosting, Stacking, Blinking, Zero Out, Nic Sick,

Greening Out, Juuling


VAPING PRODUCTS


The Evolution of Vaping Devices

1st GenerationDesigned to look like a traditional cigarette for the

smoker to reduce their harm.

2nd Generation

Pen-like refillable devices

3rd Generation

Mods and tank systems

4th Generation

Sleek,pod-based technology


2020Popular Rechargeable Vaping Brands

NJOYJuul SuorinSmok


2020

Popular Disposable Vaping Brands

StigPuff Bar PoshBlu


Over 70% of e-cigarette market

• #1 vape trend among youth• Concealable• Trendy• More mainstream audience• Not viewed as harmful compared

to other devices

JUUL


Hiding in Plain Sight


DIY & Custom Devices


What is being Vaporized?

• Propylene glycol & vegetable glycerin: clear liquids that create a visible aerosol. Often used in medical, beauty, and food industries

• Nicotine

• Flavor


What is being Vaporized?

• Leaf marijuana

• Psychoactive substances (THC oil/marijuana concentrates)

• Easy to modify to fill with homemade substance or marijuana


How Do Teens Get Them?

Social Source: a friend or relative

Retail outlets: including vendors that sell tobacco, vape shops, mall kiosks, gas stations, convenience stores, grocery stores, and pharmacies as well as through online/Internet vendors

Raising minimum age of purchase to 21 intended to curb youth access


• Experimentation• Social reasons• To feel good• Portable and easily hidden • Cartridges allow for

customization of flavors, nicotine levels and cannabis compounds

• Vaping tricks• Flavors• They are “hooked”

Reasons They Use


www.drugabuse.gov


• TV ads targeted to stations with clear youth appeal

• Ads at the point of sale at retail stores

• Product websites and social media• Targeted advertisements through

search engines and websites that are focused on music, entertainment, and sports

Promotional Tactics


Then, and Now


• Unexplained sweet scent• Pens or flash drives that

aren’t pens or flash drives• Dry mouth – drinking lots of

liquids• Nose bleeds• Caffeine sensitivity• Glassy eyes

Signs They Might Vape


• Inside empty containers (deodorant, soda bottle)

• Hidden in sharpie pen

• Pinned to shirt collar or bra strap

• Pinned to shoulder strap of book bag

Hiding Devices


THE HEALTH IMPLICATIONS OF

TEEN VAPING


What we know

The vapor is NOT water – It’s aerosol. Users breathe in heavy metals, volatile organic compounds, carcinogens, ultra fine particles.

Nicotine levels can be very high


What we know

“Experienced users” able to inhale more nicotine, reaching cigarette levels

Overheating increases toxins and risk

Recent deaths and over *2,700 confirmed and probable cases of lung disease associated with use

*CDC as of 2/4/20


What we know

Clinical and Health departments refer to the illness as: E-cigarette, or Vaping, product use-Associated Lung Injury (EVALI)

Vitamin E Acetate, an ingredient in some Vape products, is highly associated with EVALI


EVALI Symptoms

Some patients have reported that their symptoms developed over a few days, while others have reported that their symptoms developed over several weeks

A lung infection does not appear to be causing the symptoms

• Respiratory: Cough, shortness of breath, chest pain• Gastrointestinal: Nausea, vomiting, stomach pain, diarrhea

• Fever, chills, or weight loss


Dangers of Vaping

Impact on developing brain

Polysubstance use/adult addiction

Respiratory Issues/EVALI

Vaper’s cough

Eye, ear, throat irritation

Gum disease

Nausea, dizziness

Secondhand and third hand aerosol

Poisonings

Burns/fires from defective batteries

Bridge to cigarette smoking


MARIJUANATRENDS


Marijuana Basics

Marijuana is a ‘mixed action’ drugIt can be a: • Stimulant• Depressant• Hallucinogen

• It can be smoked in traditional form• Inhaled as an oil or wax• Consumed orally: ‘Edibles’

The active ingredient that makes a person

‘high’ is THCThere is also CBD in Marijuana which has

some medical benefits, but without the ‘high’


Marijuana is much more potent

• THC levels in the ‘60s and ‘70s were about 1%• THC levels in the ‘80s and ‘90s were about 3%• Today the average THC level is 14% (just the green, dried stuff)

Consuming in edible form has it’s own risks

It’s not the sameold Weed!

Using THC oils or waxes can increase the level to 40%-99%


• Problems with memory, learning & problem-solving• Distorted perception• Apathy • Increased risk of Mental Illness• Marijuana strength is leading more addiction• Unpredictability, (even hospitalization) especially

with edibles

Risks of Marijuana/THC Use


VAPING MARIJUANA


• Past year vaping of marijuana doubled over the past two years (MTF, 2019)

• Past month use nearly doubled in a single year among 12th graders (MTF, 2019)

• Easy to hide • Look like common items

such as pens, USB drives or a stylus

• Easy to use-in school, on the bus

• Smokeless and less odor

Vaping THC


Stats & Stuff

Daily Marijuana use has increased among 8th and 10th

graders:(Daily use – 20+ occasions in

a month

56% of 12th graders have never tried marijuana

Overall Marijuana use remains steady

8th graders report an 86% increase

over last year

10th graders report a 41% increase

Percentage of teens who consider Marijuana use a

risky behavior is in steady decline


“Dry Herb” THC Vapes

https://www.vaporizerwizard.com/best-portable-vaporizers/

https://ecigarettereviewed.com/best-dry-herb-atomizers/


THC Wax/Dab Pens

https://www.google.com/url?sa=i&rct=j&q=&esrc=s&source=images&cd=&cad=rja&uact=8&ved=2ahUKEwj86ofklablAhUyU98KHQehBVMQjRx6BAgBEAQ&url=https://www.vapor.com/pages/concentrate-pen-guide&psig=AOvVaw1-gLnSnRB88HUK0HubBz38&ust=1571500355230379

https://www.wikileaf.com/thestash/what-is-cannabis-wax/


THC Oil Pens

Charger Cartridge“Cart”

Battery

https://www.leafly.com/news/strains-products/heres-how-to-buy-and-review-vape-carts

https://www.google.com/url?sa=i&rct=j&q=&esrc=s&source=images&cd=&ved=2ahUKEwiB9dj6j6blAhUEuRoKHQqiA0sQjRx6BAgBEAQ&url=https://www.leafly.com/news/strains-products/what-are-pre-filled-cannabis-oil-vape-cartridges&psig=AOvVaw3TS0H_VX9Ok-8jfRnvVlsL&ust=1571498906236358

http://www.google.com/url?sa=i&rct=j&q=&esrc=s&source=images&cd=&cad=rja&uact=8&ved=2ahUKEwju99Puk6blAhUrzlkKHRBOAboQjRx6BAgBEAQ&url=/url?sa=i&rct=j&q=&esrc=s&source=images&cd=&ved=&url=https%3A%2F%2Fwww.grasscity.com%2Ftsunami-express-wax-vaporizer-pen-kit-silver.html&psig=AOvVaw1aRkBjNZic7mNNn5BnOYlr&ust=1571499571808779&psig=AOvVaw1aRkBjNZic7mNNn5BnOYlr&ust=1571499571808779


Users who try to quit experience withdrawal symptoms that include:• Restlessness• Irritability• Anxiety• Insomnia/Sleep Disturbance• Appetite disturbance• Depression • Weight Loss

53

MarijuanaWithdrawal Symptoms


54


Edibles


WHAT CAN YOU DO?


Sophisticated knowledge

of ATOD

Absent/Tardy

Signs a Child of Addiction is struggling


What CanYou Do?

• Utilize a Student Assistance Program• Provide a safe and open environment• Be Observant and address what you overhear• Support Social Norms Theory• Correct Misperceptions


Tier 1

Project Connect/Connect 5 Peak Performance for Athletes

Psycho-educational support groupsTier 2

Behavioral Health Assessment Marijuana Brief InterventionTier 3

School wide initiatives Examples: posters, stall stories, SAP programming regarding effects of vaping, school wide prevention

assemblies, faculty education, classroom presentations

School Response to Intervention


They say: “I’m only vaping once in awhile on weekends, so it’s not a big deal.”

You could say: “What would make it feel like a big deal to you?”

Why this works: This gets them to think about the future, and what their boundaries are. It will give you insight into what’s important to him or her. If use progresses and some of these boundaries are crossed, you can bring that up at a later date.

What can We say?


They say: “ Would you rather I smoke cigarettes. Vaping is so much safer.”

You could say: “Honestly, I don’t want you doing anything that can harm you. I’m interested in knowing why you think vaping is safer?”

Why this works: This reminds your child that you care about his or her well-being. Expressing genuine curiosity about their thought process is going to help them open up.

What can We say?


They say: “It’s just flavored water. What’s the big deal?”

You could say: “We are realizing now that many of these products contain the drug nicotine. There are healthier ways to cope with feelings rather than turning to drugs. Can we brainstorm some activities?”

Why this works: You show concern, ask permission and promote collaboration in thinking through healthy alternatives.

What can We say?


Learn More:CARON.ORG/DIGITAL-LEARNING


Five-week program

Self-paced

Multiple “episodes” per week

Engaging, interactive

Multimedia, animations


Resources• SAMHSA www.samhsa.gov• Al-Anon www.al-anon.alateen.org• Partnership at Drugfree.org www.drugfree.org• National Institute on Drug Abuse

www.drugabuse.gov• Above the Influence www.abovetheinfluence.com• National Family Partnership www.nfp.org• Monitoring the Future www.monitoringthefuture.org

http://www.samhsa.gov/

http://www.al-anon.alateen.org/

http://www.drugfree.org/

http://www.drugabuse.gov/

http://www.abovetheinfluence.com/

http://www.nfp.org/

http://www.monitoringthefuture.org/


Follow us on social media!

Thank You

@CaronTreatment

Facebook.com/Caron

YouTube.com/CaronTreatment

7.31.2019

Vaping, Marijuana & Digital Resources for SAP Teams and Families M.Henry.pdf · 800.678.2332 I •...

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Transcript of Vaping, Marijuana & Digital Resources for SAP Teams and Families M.Henry.pdf · 800.678.2332 I •...