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. Alcohol and other drug use by school-aged children NORTH METROPOLITAN EDUCATION DISTRICT Secondary Deputy Principals’ Meeting Wednesday, 11 March 2015 By the end of the session • Provide some data about alcohol and other drug use by secondary school-aged children • Factors influencing drinking behaviour of secondary school-aged children • Brief overview of the nature and extent of amphetamine use in the WA community • Brief overview of the new psychoactive substances • Questions and discussion Tobacco Figure 1: Prevalence and recency of alcohol use, 1993 - 2011 Alcohol and Young People Amphetamines in the Community • Media attention is not happening in isolation here in WA, and is occurring in all jurisdictions across Australia. • WA continues to have the highest level of amphetamine-type stimulant use in Australia. (Use in previous 12 mos: 6% in 1998; 3.4% in 2010; 3.8% in 2013) • Of people who are reporting amphetamine-type stimulant use the most recent available data shows: • • • • There has been a significant move to using the crystal or ice form of methamphetamine. These people also report using more frequently. Law enforcement seizures indicate that the methamphetamine being seized is of a more potent form, this coupled with the fact that the people who are using are doing so more frequently, is resulting in an increase in harm. Can expect to see people experiencing more harms if they are using a more potent methamphetamine, and they are using it more often. • The age of initiation has been increasing nationally – so older when people starting to use. • Mean age of use is older Amphetamines (cont) Metro versus Non-metro • The perception that amphetamine-type stimulants is a bigger problem in country towns is not supported by national data. • Less report use. • The rate of amphetamine-type stimulant related hospitalisation is also higher in metropolitan areas compared to non-metro areas. • In small communities where there is low or no previous use, a small increase in users experiencing problems may become very noticeable. • There may be some regional pockets of significantly higher use. Data in these areas are unreliable and specific local trends are difficult to determine. Amphetamines (cont) • Encouraged by the lack of uptake by the majority of young people. One of the objectives of education efforts is to prevent and delay onset of use. • The harm seems to be occurring amongst the regular users. Effort with this group has been to raise awareness about the problems with use and encourage people to stop or seek help through treatment services. • Habitual or regular users are far more defensive of their behaviours, and less accepting of the risks associated with use. • For this group will need to reinforce credible and believable information about the harms and encourage access to treatment and support services. • Targeted messaging on how to stop using and how to access support to do so will also be important. • The messaging will also need to de-stigmatise the accessing of treatment because there are issues around this. Effects of Use SHORT-TERM EFFECTS LONG-TERM EFFECTS OVERDOSE CAN CAUSE Increased blood pressure, breathing and pulse-rates Malnutrition Strokes Anxiety, irritability, suspiciousness, panic attacks and behaving in a threatening manner Reduced resistance to infection Heart failure Increased energy, alertness, confidence and talkativeness Violent behaviour Seizures Reduced appetite, inability to sleep and enlarged pupils Emotional disturbances Death Periods of psychosis Tolerance What are emerging psychoactive substances? • EPS often mimic the effects of existing illicit psychoactive drugs such as cannabis, ecstasy (MDMA) and LSD, or have a chemical structure very similar to existing illicit substances. • Other names given to this group of drugs include: research chemicals, analogues, legal highs, herbal highs, bath salts, party pills and synthetic drugs. The latter term derives from the fact that EPS are usually man-made and not plant-derived substances like cannabis or heroin. However this can be confusing as substances such as LSD and ecstasy are also artificially-manufactured and have been around for decades. • An EPS may consist of one or more ingredients. Many EPS are sold under brand names and in packaging that give no indication of their contents. Effects of Use Little is currently known about the short and long term effects of emerging psychoactive substances. Research to date suggests side effects may include: • • • • • • • • • Aggressive behaviour Anxiety Confusion Dehydration and overheating Dizziness and headaches Feelings of excitement or euphoria Twitches and tremors Unpleasant after-effects (‘bad comedown’) Visual distortions or hallucinations • • • • • • • • Increased alertness/arousal Increased energy Insomnia Involuntary jaw clenching and teeth grinding Overdose (especially when EPS are mixed with alcohol or other drugs) Psychosis Rapid or irregular heartbeat Stomach pains, nausea and/or vomiting Portrayal of NPS by the media NPS - The WA Approach Guiding Principles • • • • • • • Precautionary approach Responses based on available information Avoid unintended consequences Harm minimisation pillars of demand, supply and harm reduction Coordinated and consensus-based approach Acting in a timely way Preference for National consistency NPS - The WA Approach What has been done? • EPS Monitoring System. Police reports, anecdotal feedback from EDs, user networks, seizures, international and national reports • Harms assessment process • Regulatory controls • Poisons Act and Misuse of Drugs Act (and analogue provisions) • Consumer Protection • Customs • Public education • Enforcement focussed on supply • Pushed for nationally coordinated response NPS - Nationally What’s happening? • Schedule 9 listing of substances of the Australian Standard for the Uniform Scheduling of Medicines and Poisons (SUSMP) • Recent use of Australian Consumer Law to temporarily restrict sales of listed products. Primarily to cover NSW, who subsequently introduced law that aligned with the SUSMP S9 substances. • A broad precautionary psychoactive substance control scheme reversing onus-ofproof; unregulated psychoactive substances must be approved for sale • Law prohibits the manufacture, marketing, sale, import and export of a substance promoted for its psychoactive effects. Specifically excludes products otherwise approved • Complementing national and state laws (NSW, SA and Nationally; WA drafting) NPS - Nationally ADIS PDIS Drug Aware - drugaware.com.au Alcohol Think Again - alcoholthinkagain.com.au Thank you and any questions