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Student Edition 1.1 SESSION 1: MYTH AND FACTS Objectives: After completing this lesson, participants will… Be able to differentiate between drug myths and facts. PA State Standards: National Standards: 1.8.2, 1.8.4, 1.8.7, 1.12.1, 1.12.7, 2.8.5 2, 4 Question: How can you tell the difference between a truth and a lie? __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ VOCABULARY: 1. Drug: 2. Addiction: 3. Abuse: 1 Student Edition 1.2 Myths About Drugs and Alcohol Beer is “weaker” than rum or vodka. Teens are too young to get addicted. It is not possible to die from an overdose of alcohol. All drugs are dangerous. Drug relief stress. They help people deal with problems. People who use drugs hurt only themselves. Sniffing glue gives you an instant rush. There isn’t time for it to hurt you. Cocaine is only addictive if you inject it. Steroid creams can be bought in drug stores. Doctors can prescribe steroids to treat allegories, so using steroids to build muscles is okay. Experimenting with alcohol and marijuana isn’t really dangerous, but stronger drugs could lead to problems. As soon as a person feels normal, the entire drug is out of the body. Drugs affect everyone the same way. 2 Student Edition 1.3 Debate Questions: 1. What is the myth? 2. Why is the myth not true? 3. Change your myth to fact. List as many facts as you can. 4. Why do people believe in the myths? 5. What should people do to tell a myth from fact? 3 Student Edition 2.1 SESSION 2: ALCOHOL Objectives: After completing this lesson, participants will… Be able to determine the negative effects of alcohol on the body. PA State Standards: National Standards: 2.8.3, 2.8.9, 2.12.1, 2.12.9 Review: List one new fact you learned last class. __________________________________________________________________ __________________________________________________________________ Question: Is alcohol a stimulant or a depressant? Explain your answer. __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ VOCABULARY: 1. Alcohol: 2. Binge Drinking 4 Student Edition 2.2 Alcohol Something to Think About DID YOU KNOW THAT: Adults who drink excessively can become alcoholics in 5 to 15 years. Teenagers who drink excessively can become alcoholics in 6 to 18 months! Pre-teenagers who drink excessively can become alcoholics in only 3 months! Recent research claims that teenagers who smoke a pack or more of cigarettes a day are 45% more likely to use marijuana than nonsmokers. Over half the people killed in drunk driving accidents are teenagers, even though they account for only 20% of licensed drivers. The only age group in this country whose life expectancy is actually decreasing is teenagers! Someone once said that alcohol is what put the “wreck” in recreation. All the statistics out there agree. We know, for example, that the greatest enemy of today’s teenagers – is today’s teenagers. They are killing each other in gang activity, each others cars and at parties when they encourage each other to drink too much. We also know that teenagers are also their own best friends. Friends watch out for each other because they care. Let’s find good friends, then, the kind that really care about us, and listen to them. We only magnify our problems when we look at them through the bottom of a glass. We help resolve them when we see them through the eyes of a good friend. Alcohol and tobacco use violates training rules, but that’s only one reason not to use them. The best reason is that they just aren’t good for you, especially if you hope to develop the lung capacity so important for athletics and lifelong health. REMEMBER: Alcohol and Tobacco are poisons; Treat them accordingly. 5 Student Edition 2.3 Effects of Alcohol Directions: Fill in the blanks to explain how alcohol affects a person. How Alcohol Affects a Person Depends On: 1. How __________ you drink. 2. How __________ you drink. 3. Your body __________. I’ve been drinking for 5 years now!?! 4. How much drinking you’ve done in the __________. 5. How much __________ is in your stomach. 6. What your __________ are about drinking. 7. __________ you are when you drink. 6 Student Edition 3.1 SESSION 3: INHALANTS Objectives: After completing this lesson, participants will… Be able to identify types of inhalants and the effects on the body. PA State Standards: National Standards: 1.8.1, 1.12.1, 1.12.7, 2.8.3, 2.8.9 Review: List 3 negative effects of alcohol. 1. ____________________________________________________________ 2. ____________________________________________________________ 3. _____________________________________________________________ Question: Are inhalants considered a drug? Why or why not? __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ VOCABULARY: 1. Inhalants: 2. Huffing: 3. Sudden: Sniffing Death Syndrome (SSDS) 7 Student Edition 3.2a BASIC FACTS ABOUT DRUGS: INHALANTS What are inhalants? Inhalants are drugs that produce a quick, temporary high; lightheadedness; and euphoria (good feeling) when their fumes or gases are breathed and absorbed into the body through the lungs. The high is sometimes compared to the sensation of being drunk. It tends to last only a short time, from a few minutes to about three-quarters of an hour. It may be followed by after-effects like those of an alcohol hangover, such as drowsiness, headache, or nausea, which last for an hour or two. Compared with other recreational drugs, inhalants are readily available and relatively cheap. Many of them can be obtained legally, even by minors, for more than a thousand common household products can be used to get high. It is partly for this reason, and partly because they are mistakenly believed to be safer than other recreational drugs, that inhalants are especially popular among children and young adolescents. The average age at which adolescents first try these drugs is 13, and one eighth grader in five has used them. Dangerous and potentially lethal in their own right, inhalants often also serve as a gateway to other, stronger drugs. down, or dissolve, other carbon compounds. Organic solvents are also highly volatile; they readily evaporate from a liquid to a gas or aerosol, which can be inhaled. Many common products are either based on organic solvents or contain high concentrations of them. They include gasoline, lighter fluid and butane lighter fuel, spray paint, paint thinners and removers, transparent glue, rubbercement thinner, hair spray, nail polish remover, degreasers, and cleaning fluids. Organic solvents are the easiest inhalants to obtain and the most dangerous to abuse. Nitrites are compounds of nitrogen and act mainly as vasodilators, causing the walls of blood vessels to relax so that the vessels enlarge, or dilate. They are used medically to relieve attacks of angina chest pain caused by insufficient blood flow in the vessels serving the heart. They also tend to depress the activity of the central nervous system, producing the giddiness and euphoria of a high. The most commonly abused are amyl nitrite and butyl nitrite. Amyl nitrite is usually packaged in small, crushable glass or plastic capsules, known as poppers or snappers. Butyl nitrite often comes in a bottle or spray can and is sold as an air freshener under names such as Rush, Locker Room, or JacAroma. What are the Main Types? There are three main types of inhalants: Organic solvents are liquid compounds of carbon that have the power to break Nitrous oxide, commonly called laughing gas, was the first inhalant used for recreational purposes. Introduced as an anesthetic in the 1850’s, this compound of nitrogen and oxygen is still 8 Student Edition 3.2b used medicinally, particularly by dentists. It doesn’t completely block pain, but it does alter the perception of pain, so that there is no distress. Nitrous oxide tends to produce a pleasant, dreamy state of consciousness, somewhere between waking and sleep. For medical use, nitrous oxide is compressed and stored in metal tanks, to which a hose and inhalant mask are attached. The compressed gas is also used to make whipped cream. When packaged in small cartridges, called whippets, and enclosed in a container of cream, the gas mixes with the cream when the nozzle is depressed. How are they taken? The three types of inhalants are sniffed or huffed in somewhat different ways: The fumes from organic solvents may simply be inhaled from their containers. A liquid solvent may also be poured or sprayed on an absorbent material, such as a balled up sock or rag, or a roll of toilet paper, to increase the release of fumes. Abusers often try to concentrate the fumes by putting the solvent in a paper or plastic bag or a rubber balloon, and then holding the open end over the mouth and nose. The capsules containing amyl nitrite are crushed and held beneath the nose. Butyl nitrite may be inhaled in its container, or, like organic solvents, applied to absorbent cloth or paper. Nitrous oxide may be inhaled through a mask from a tank of the compressed gas or directly from a punctured whippet. The nozzle of a whipped-cream container can also be depressed in such a way that only the nitrous oxide is discharged. How do Inhalants Harm You? Because the immediate after-effects are usually mild and last only a short time, many abusers believe that inhalants are essentially harmless. They are wrong. Inhalants can be very dangerous, both in their immediate effects and their longterm consequences. Short-term effects During the high itself and the period of reaction afterward, physical coordination and mental judgment are impaired, much as they are by excessive drinking. Abusers often suffer falls and other accidents and cannot drive safely. They may engage in irresponsible or dangerous behavior, such as reckless violence. Inhalants irritate the breathing passages, sometimes provoking severe coughing, painful inflammation, and nosebleeds. Nitrite inhalants often cause intense facial flushing, feelings of severe weakness and dizziness, and heart palpitations. Inhalants, particularly in heavy doses, may not produce a pleasant high but mental confusion, hallucinations, and delusions of persecution (paranoia) instead. By depressing the central nervous system, inhalants may dangerously 9 Student Edition 3.2c hinder the activity of the nerves that control breathing. The resulting respiratory depression may cause unconsciousness, coma, or even death. The danger is especially great if inhalants are taken along with other nervous-system depressants, such as alcohol or barbiturates (sleeping pills). Inhaling for an extended time from a bag or balloon may cause a dangerous shortage of oxygen in the lungs. Like respiratory depression, oxygen deprivation (asphyxia) may lead to unconsciousness, coma, or death. Even first-time users run the risk of sudden sniffing death (SSD). The mechanics are not well understood, but abusers may suffer fatal irregularity of heartbeat (arrhythmia) or complete heart arrest. The risk of SSD seems to be higher if the abuser engages in strenuous physical activity or is suddenly startled. Nitrite inhalants tend to raise the pressure of the fluid within the eyes. The raised pressure may eventually lead to glaucoma and blindness. Regular nitrite abuse may also cause severe, pounding headaches. Organic solvents are the most dangerous of all inhalants. They are poisons that break down organic compounds of all kinds including those that make up living cells. Once absorbed into the body, they tend to concentrate in the liver and kidneys, where they are processed for disposal. Repeated, heavy abuse may cause fatal damage to these organs, as well as to the heart and nervous system. What are the Signs of Abuse? Certain signs suggest that a person may be abusing inhalants: Long-term effects Repeated use tends to produce increased tolerance to the drugs and larger doses are needed to achieve the same results. Heavy doses in turn increase the risk of permanent brain damage, with effects such as poor memory, extreme mood swings, tremors, and seizures. Heavy, continuous use also increases the risk of heart arrhythmia and respiratory depression. A sweetish, chemical smell on the clothes or body Inflammation of the nostrils, frequent nosebleeds, or a rash around the nose and mouth Poor appetite and loss of weight Pale, bluish skin Watery, bloodshot eyes with dilated pupils Slow, slurred speech Clumsy, staggering gait, and drunken appearance 10 Student Edition 3.3 List the products you can find under the kitchen or bathroom sink that are considered INHALANTS: ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ Physical Effects: Psychological Effects: Why are inhalants primarily used by teens? ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ 11 Student Edition 3.4 Inhalant Project Project must be typed. Websites: (use sites with .gov or .org) Suggested sites: www.Nida.nih.gov www.Whitehousedrugpolicy.gov www.Inhalants.org www.Usdoj.gov No Printing Out Information You can print the newspaper article only. The questions must be answered in order (use bullet format – in the format menu) Example: What are the 5 short-term effects of using inhalants? Answer Answer Answer Answer PAGE ORDER OF INHALANT PROJECT Page 1 – Cover Page (Collage, Drawing, Name, Date and Section) Page 2 – Inhalant Article (Copy of Article) Page 3 – Summary of Article (Paragraph – Question 1) Page 4 – Questions and Answers for # 2, 3, 4, & 5 Page 5 – Questions and Answers for # 6, 7, 8, 9, & 10 Page 6 – Write a story about a teenager using inhalants. o (One typed page minimum – double spaced) o (Include in your story some information you learned from your report.) Questions: 1. Locate an article related to inhalant use. Print the article and write a oneparagraph summary. 2. Why is an inhalant not categorized as a drug? 3. What are 5 short-term effects of using inhalants? 4. What are 5 long-term effects of using inhalants? 5. List 5 signs of inhalant use. 6. What are the 3 ways inhalants are done? 7. What age do people start using inhalants? 8. List 5 slang names for inhalants. 9. List 5 current statistics about inhalants. 10. List 5 examples of inhalants. 12 Student Edition 4.1 SESSION 4: STEROIDS Objectives: After completing this lesson, participants will… Be able to describe what steroids are and their effects on the body. PA State Standards: National Standards: 1.12.1, 2.8.9, 2.12.9 Review: List 5 effects of Inhalants 1. ____________________________________________________________ 2. ____________________________________________________________ 3. ____________________________________________________________ 4. ____________________________________________________________ 5. ____________________________________________________________ Question: Where are steroid used for the most? Why do you think this is? __________________________________________________________________ __________________________________________________________________ VOCABULARY: 1. Steroid: 2. Anabolic: 3. Androgenic: 4. Stacking: 5. Hormones: 6. Roid Rage: 7. HGH: 13 Student Edition 4.2a Tips for Teens: The Truth About Steroids Shotgunning--taking steroids on an inconsistent basis. Stacking--using a combination of two or more anabolic steroids. Slang--Arnolds, Gym Candy, Pumpers, Stackers, Weight Trainers, Juice Know the law. Steroids are illegal to possess without a prescription from a licensed physician. It is illegal for individuals to sell steroids. Steroids affect your heart. Steroid abuse has been associated with cardiovascular disease, including heart attack and stroke. These heart problems can even happen to athletes under the age of 30. Steroids affect your appearance. In both sexes, steroids can cause male-pattern baldness, cysts, acne, and oily hair and skin. Steroids affect your mood. Steroids can make you angry and hostile for no reason. There are recorded cases of murder attributed to intense anger from steroid use. Steroids increase your risk of infection. Sharing needles or using dirty needles to inject steroids puts you at risk for diseases such as HIV/AIDS and hepatitis. Other slang terms associated with steroid use include: Roid rages--uncontrolled outbursts of anger, frustration, or combativeness that may result from using anabolic steroids. Get the facts. Doctors prescribe steroids for specific medical conditions. They are only safe for use when a doctor monitors the person. Know the risks. Illegal steroids are made overseas and smuggled into the United States or made in underground labs in this country. They pose greater health risks because they are not regulated by the government and may not be pure or labeled correctly. Look around you. The majority of teens aren't using steroids. Among teenage males, who are most likely to use steroids, only 1.8 percent of 8th graders, 2.3 percent of 10th graders, and 3.2 percent of 12th graders reported steroid use in the past year.1 How can you tell if a friend is abusing steroids? Sometimes it’s hard to tell. But there are signs you can look for. If your friend has one or more of the following warning signs, he or she may be abusing steroids: 14 Student Edition 4.2b For Guys: Baldness Development of breasts Impotence For Girls: Growth of facial hair Deepened voice Breast reduction body for 3 to 4 months while the oral types may remain for 1 to 4 weeks.3 Q. What can I do to excel in sports if I don’t use steroids? A. Focus on getting proper diet, rest, and good overall mental and physical health. These things are all factors in how your body is shaped and conditioned. Excelling in sports is achievable and done by millions of athletes without relying on steroids. For Both: Jaundice (yellowing of the skin) Swelling of feet or ankles Aching joints Bad breath Mood swings Nervousness Trembling What can you do to help someone who is abusing steroids? Be a real friend. Save a life. Encourage your friend to stop or seek professional help. For information and referrals, call the National Clearinghouse for Alcohol and Drug Information at 800-729-6686. Q. Are steroids addictive? A. Yes, they can be. Withdrawal symptoms include mood swings, suicidal thoughts or attempts, fatigue, restlessness, loss of appetite, and sleeplessness.2 Q. How long do steroids stay in your system? A. The length of time that steroids stay in the body varies. Injected steroids may be detected in the To learn more about steroids or obtain referrals to programs in your community, contact one of the following toll-free numbers: SAMHSA’s National Clearinghouse for Alcohol and Drug Information 800-729-6686 TDD 800-487-4889 linea gratis en español 877-767-8432 Curious about the TV ads of the National Youth Anti-Drug Media Campaign? Check out the Web site at www.freevibe.com or visit the Office of National Drug Control Policy Web site at www.whitehousedrugpolicy.gov. The bottom line: If you know someone who abuses steroids, urge him or her to get help. If you're abusing them--stop! The longer you ignore the real facts, the more chances you take with your life. It's never too late. Talk to your parents, a doctor, a counselor, a teacher, or another adult you trust. Do it today! 15 Student Edition 4.3 Steroid Worksheet: 1. What is the difference between anabolic and androgenic? 2. What are the medical uses for steroids? 3. Are steroids addictive? 4. List the possible disorders that are cause by steroids. 5. List 5 “RED Flags” for steroid use. 6. What are long term effects of steroid use? 16 Student Edition 5.1 SESSION 5: COCAINE & CRACK COCAINE Objectives: After completing this lesson, participants will… Be able to determine the effects of crack and cocaine on the brain, emotions and body. PA State Standards: National Standards: 1.12.1, 2.8.9, 2.12.9 Review: Question: Where do you believe that cocaine comes from? __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ VOCABULARY: 1. Cocaine: 2. Crack: 3. Central: Nervous System 4. Stimulant: 17 Student Edition 5.2a Tips for Teens: The Truth About Cocaine Slang-Coke, Dust, Toot, Snow, Blow, Sneeze, Powder, Lines, Rock (Crack) Cocaine can kill you. Cocaine use can cause heart attacks, seizures, strokes, and respiratory failure. People who share needles can also contract hepatitis, HIV/AIDS, or other diseases. Know the law. Cocaine-in any form-is illegal. Stay informed. Even first-time cocaine users can have seizures or fatal heart attacks. Cocaine affects your brain. The word "cocaine" refers to the drug in both a powder (cocaine) and crystal (crack) form. It is made from the coca plant and causes a short-lived high that is immediately followed by opposite, intense feelings of depression, edginess, and a craving for more of the drug. Cocaine may be snorted as a powder, converted to a liquid form for injection with a needle, or processed into a crystal form to be smoked. Know the risks. Combining cocaine with other drugs or alcohol is extremely dangerous. The effects of one drug can magnify the effects of another, and mixing substances can be deadly. Cocaine affects your body. People who use cocaine often don't eat or sleep regularly. They can experience increased heart rate, muscle spasms, and convulsions. If they snort cocaine, they can also permanently damage their nasal tissue. Stay in control. Cocaine impairs your judgment which may lead to unwise decisions around sexual activity. This can increase your risk for HIV/AIDS and other diseases, as well as rape and unplanned pregnancy. Cocaine affects your emotions. Using cocaine can make you feel paranoid, angry, hostile, and anxious, even when you're not high. Look around you. The vast majority of teens aren't using cocaine. According to a 1998 study, less than 1 percent of teens are regular cocaine users. In fact, 98 percent of teens have never even tried cocaine. Cocaine is addictive. Cocaine interferes with the way your brain processes chemicals that create feelings of pleasure, so you need more and more of the drug just to feel normal. People who become addicted to cocaine start to lose interest in other areas of their life, like school, friends, and sports. Be aware. Cocaine is expensive. Regular users can spend hundreds and even thousands of dollars on cocaine each week and some will do anything to support their addiction. 18 Student Edition 5.2b How can you tell if a friend is using cocaine? Sometimes it's tough to tell. But there are signs you can look for. If your friend has one or more of the following warning signs, he or she may be using cocaine or other illicit drugs: Red, bloodshot eyes A runny nose or frequently sniffing A change in eating or sleeping patterns A change in groups of friends A change in school grades or behavior Acting withdrawn, depressed, tired, or careless about personal appearance Losing interest in school, family, or activities he or she used to enjoy Frequently needing money What can you do to help someone who is using cocaine? Be a real friend. Save a life. Encourage your friend to stop or seek professional help. For information and referrals, call the National Clearinghouse for Alcohol and Drug Information at 800-729-6686. Q. Is cocaine really still a problem? A. Yes. While the number of cocaine users has decreased from what was witnessed in the mid1980's, there have been nearly 2 million cocaine users every year since 1992. Q. Isn't crack less addictive than cocaine because it doesn't stay in your body very long? A. No. Both cocaine and crack are powerfully addictive. The length of time it stays in your body doesn't change that. Q. Don't some people use cocaine to feel good? A. Any positive feelings are fleeting and are usually followed by some very bad feelings, like paranoia and intense cravings. Cocaine may give users a temporary illusion of power and energy, but it often leaves them unable to function emotionally, physically, and sexually. To learn more about cocaine or obtain referrals to programs in your community, contact: SAMHSA's National Clearinghouse for Alcohol and Drug Information 800-729-6686 TDD 800-487-4889 linea gratis en español 877-767-8432 Web site: ncadi.samhsa.gov Curious about the TV ads of the National Youth Anti-Drug Media Campaign? Check out the Web site at http://www.freevibe.com or visit the Office of National Drug Control Policy Web site at http://www.whitehousedrugpolicy.gov. The bottom line: If you know someone who has a problem with cocaine/crack cocaine, urge him or her to stop or get help. If you use it--stop! The longer you ignore the real facts, the more chances you take with your life. It's never too late. Talk to your parents, a doctor, a counselor, a teacher, or another adult you trust. Do it today! 19 Student Edition 5.3 FACTS ABOUT DRUGS COCAINE WHAT IT IS Names: Cocaine, Rock Cocaine, coke, “C”, Flake, Snow, Stardust, Peruvian Marching Powder, The Devil’s Dandruff Type: Central Nervous System Stimulant Forms: Leaf of coca bush (ritual form), White crystalline powder as cocaine hydrochloride, Vapor as cocaine freebase, Dried lump of combined baking soda or ammonia and cocaine processed as freebase “crack” or “rock”, solution diluted in water Combinations: With heroin - “dynamite”, “speedball” or “whiz-bang”; with morphine – “whiz-bang”; Dissolved in liquid and drunk. HOW IT CAN HURT YOU Shaking, muscle twitches, seizures, severe anxiety, compulsive repetition of moments, paranoia, psychosis, heart related effects, nausea and vomiting, changes in breathing, increase in body temperature, cold sweat, dramatic mood swings, hallucinations, sensation of insects crawling under skin and other continuing psychotic effects, eating and sleeping disorders, impaired sexual performance, destructions of nose tissue, ongoing respiratory problems, needle infections such as endocarditis, hepatitis and AIDS. Death from overdose and heroin combination, suicide, homicide, fatal accidents while under the influence. Snorting can be fatal. WHEN TO GET HELP Orgasmic “rush”, then energetic, alert, with no need for food or sleep, talkative or peaceful, self-confident, in command, quick, agitated, anxious, unhappy Do you use cocaine regularly? Do you freebase or inject cocaine? Do you use it in the morning or at regular intervals? Do you lie about how much cocaine you use? Are you spending more on cocaine than you can afford? Are you having problems at work or school or with family and friends? Do you try to “buy” friendship or companionship with cocaine? One “yes” and your common sense tells you it’s time to get smart about drugs and the rest of your life. WHAT IT DOES FACT: COCAINE MAY BE THE To Your Mind: Stimulates rapid, intense general euphoria To Your Body: Slows, then increases heart rate and blood pressure, constricts blood vessels, increases breathing rate, dries mouth, dilates pupils, exaggerates movements. Special Characteristics: A cocaine “spree” may lead to a “crash” with severe depression, lethargy, and hunger. Freebasing results in severe burn accidents. MOST ADDICTIVE DRUG OF ALL! Usage: Chewed (leaves), Smoked (paste and freebase lumps), Sniffed or “Snorted” into mucous membranes of nose (powder and vapor), Applied to the mucous membranes of mouth, vagina, rectum (powder), Injected into bloodstream (in a water solution) Legal Status: Illegal unless used by licensed physician as a local anesthetic. Also used in Brompton’s cocktail to treat terminal cancer patients. WHAT IT FEELS LIKE BUCKS COUNTY COUNCIL ON ALCOHOLISM AND DRUG DEPENDENCE, INC. UNIT #12, 252 WEST SWAMP ROAD, DOYLESTOWN, PA 18901 INFORMATION CENTER 1-800-221-6333 20 Student Edition 5.4 FACTS ABOUT DRUGS CRACK COCAINE vomiting, changes in breathing, increase in body temperature, cold sweat, dramatic mood swings, Names: Crack, Rock, “Readyrock”, “French Fries” (threehallucinations, sensation of insects crawling under inch sticks) skin and other continuing psychotic effects, eating Type: Central Nervous System Stimulant and sleeping disorders, impaired sexual Forms: Dried chunk or shaving or cocaine combined with performance, extreme social problems can baking soda or ammonia in water. A freebase form less develop from irritability, depression, and financial pure than freebase prepared with ether. difficulties. Combinations: With heroin - “dynamite”, “speedball” or Death from overdose is common, as are suicide, “whiz-bang”; with morphine – “whiz-bang” homicide, fatal accidents while under the Usage: Smoked as a vapor influence. Snorting can be fatal. Breathing is often Legal Status: Illegal stopped when combined doses of cocaine and Other Forms: Leaf of coca bush (ritual form), white heroin are taken. Lethal doses vary by individual crystalline powder or lump (“rock”) as cocaine and are not predictable. hydrochloride, vapor as cocaine freebase, solution WHEN TO GET HELP diluted in water, used for medicinal purposes as a surface anesthesia. Do you use crack? Do you use it in the morning or at regular WHAT IT FEELS LIKE intervals? Do you think about crack often? Immediate and overwhelming high or euphoria lasting Do you lie about how much you use? three to five minutes, followed by intense low with Are you spending more on cocaine than you depression, worry, inability to concentrate can afford? WHAT IT DOES Are you having problems at work or school or To Your Mind: Stimulates intense alertness and with family and friends? excitement. One “yes” and your common sense knows it’s time To Your Body: Speeds up all systems, increasing heart to get smart about drugs and the rest of your life. rate and blood pressure, constricts blood vessels, alters breathing, creates dry mouth, dilates pupils, exaggerates FACT: COCAINE MAY BE THE movements. MOST ADDICTIVE DRUG OF ALL! Special Characteristics: Increased risk of overdose due to uncontrollable, higher concentration in bloodstream, increased risk of heart failure in otherwise healthy users, severe breathing and lung effects, liver damage, malnutrition, overstimulation of all body systems, destruction of brain neurotransmitters. BUCKS COUNTY COUNCIL ON ALCOHOLISM AND DRUG DEPENDENCE, INC. WHAT IT IS HOW IT CAN HURT YOU UNIT #12, 252 WEST SWAMP ROAD, DOYLESTOWN, PA 18901 INFORMATION CENTER 1-800-221-6333 Shaking, muscle twitches, seizures, severe anxiety, compulsive repetition of actions with no meaning, paranoia, psychosis, heart related effects, nausea and 21 Student Edition 5.5 Cocaine Worksheet Slang names of Cocaine: Forms of Cocaine: List 4 ways Cocaine can be taken in the body. And explain the ways: Cocaine is a strong central nervous system ___________________________. What are the dangers of mixing cocaine and alcohol? What type of treatment is available for someone addicted to cocaine? List the short-term effects of Cocaine. List the long-term effects of Cocaine. 22 My Choices Have Consequences Student Edition 5.6 Listed below are several situations. Think of three possible solutions for each of the situations. List at least three consequences for each of the solutions you present. Remember that consequences can be good and bad. 1) Your parents have dropped you off at the arcade for an hour while they go shopping. You meet some of your friends and they want to go to get something to eat but you will have to leave the arcade and walk about 1 mile. Your parents told you to stay at the arcade. What do you do? _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ 2) Your best friend is hooked on drugs. He cannot stop and is running out of money. He does not want to get help because he is afraid his parents will find out. What do you do? _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ 3) Your parents have gotten tickets for the whole family to go to a play and want you to attend with them, but your friends ask you to go with them to a party on the same night. You really want to go with your friends but your parents have tried hard to get these tickets and want this to be a family night. What do you do? _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ 4) You are playing basketball during lunch at school. A very tough guy and his friends take the ball away and start harassing you. What do you do? _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ 5) You and a couple of friends are hanging out at the mall. To create some excitement, one of your friends suggest going into a store and shoplifting. What do you do? _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ 6) Your father and you argue all the time about almost everything. You are tired of all the fighting and want it to stop. What can you do? _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ 23 SESSION 6: HEROIN Student Edition 6.1 Objectives: After completing this lesson, participants will… Be able to describe the effects of heroine on the body. PA State Standards: National Standards: 1.12.1, 2.8.9, 2.12.9 Review: How are crack and cocaine related? __________________________________________________________________ __________________________________________________________________ Question: Which recreational drug is considered the most addictive drug? __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ VOCABULARY: 1. Injection: 2. Euphoria: 3. Convulsions: 4. Stimulant: 24 Student Edition 7.1 SESSION 7: DECIDE SKILLS Objectives: After completing this lesson, participants will… Be able to demonstrate the correct way to practice the decide skill in authentic situation. PA State Standards: National Standards: 5.8.1, 5.8.4, 5.8.5, 5.8.7 Review: There are three ways that heroin enters the body. Name one of those ways. __________________________________________________________________ __________________________________________________________________ Question: Why is it important to think about a decision before you make it? __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ VOCABULARY: 1. Determine: 2. Elicit: 3. Compare: 4. Imagine: 5. Decide: 6. Evaluate: 25 Student Edition 7.2 The DECIDE Skill 1. Determine What Needs to be Decided. 2. Elicit Information. 3. Compare Alternatives. 4. Imagine the Consequences. 5. Decide 6. Evaluate the Decision 26 Student Edition 8.1 SESSION 8: RIPPLE EFFECT Objectives: After completing this lesson, participants will… PA State Standards: National Standards: Review: __________________________________________________________________ __________________________________________________________________ Question: __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ VOCABULARY: 1. ???: 27 SESSION 8: INNOCENT VICTIMS/CHEMICAL DEPENDENCY Student Edition 9.1 Objectives: After completing this lesson, participants will… PA State Standards: National Standards: 8.8.2, 8.8.3, 8.8.4 Review: __________________________________________________________________ __________________________________________________________________ Question: Seven out of ten families are dealing with a family member that has a drug dependency. Why do the families try to hide it from others? What do you think you could do to be more understanding of that person’s dependency? __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ VOCABULARY: 1. Chemical: Dependency 2. Scapegoat: 3. Lost Child: 4. Mascot: Clown 5. Family Hero: 28 Student Edition 9.2 Chemical Dependency and the Family Family Stages When a family member becomes a victim of alcoholism or another drug addiction, the rest of the family tends to react in predictable ways. They may move through any or all of the following stages: Stage 1: Denial Family members deny there is a problem; nonetheless, they try to hide the problem from themselves and others. The family feels embarrassed and becomes concerned with its reputation. Family member accept the chemically dependent person’s excuses for excessive drug behavior and make excuses themselves. Relationships in the family become strained, and members try to create the “perfect family” illusion. Stage 2: Home Treatment Everyone tries to control the chemically dependent person’s drug use in a variety of ways – eliminating the supply of drugs, nagging, threatening, etc. The family becomes socially isolated, and members feel they are to blame. Members’ selfworth falls as they fail to control the dependent family member. Stage 3: Chaos and Disorganization A crisis occurs as a direct result of the dependent person’s use of drugs, and the disease can no longer be denied or hidden. The family feels helpless, children become confused and frightened, family violence may occur, and financial difficulties become pressing. The family may seek outside help, searching for a “magical solution.” Stage 4: Reorganization with the Individual The family attempts to reorganize by easing the dependent person out of the family roles and responsibilities. The dependent person is either ignored or treated like a child, and other family members remain torn with conflicting emotions – love, fear, guilt, anger, shame and resentment. Stage 5: Reorganization without the Individual The family separates from the dependent person, and tries to cope through its new detachment. The family may seek outside help, and either grow toward independence or continue in old behavior patterns. Stage 6: Recovery and Reconciliation The family may reunify and seek therapy, and in any case begin discussing problems and rebuilding trust. Family members learn new ways of responding, and become involved with support groups. Family Roles In many families, members – particularly children – develop certain roles that help them cope with problems, or roles that seem comfortable to them. When a family becomes dysfunctional, or it doesn’t work very well, these roles may become more pronounced. Chemical dependency is a common cause of a dysfunctional family, but there are others including mental illnesses and physical illnesses. 29 Student Edition 9.3 Survival Roles The Mode of Survival What you See The Family Hero or Super-Kid The Scapegoat The Lost Child The Mascot/ Clown What the Role Represents to the Family What you Don’t See Excels in everything Overdeveloped sense of responsibility Overachiever Needs everyone’s approval “Little Adult” Hostility Defiance Withdrawn Sullen Gets Negative Attention Hurt Inadequacy Confusion Guilt Fear Low Self-Esteem Hurt Anger Rejection Total Inadequacy Low Self-Worth Quiet Loner Fades into the Background Invisible Anything for a Laugh Immature Unimportant Hurt Abandoned Fear Inadequacy Unimportant Low Self-Esteem Proves to the world that family is normal Provides selfworth to the family Someone to be proud of Takes focus off the family Takes the heat Acts out the family pain Absorbs all the blame Provides relief for the family Provides diversion through humor and fun 30 Notebook Quiz – Chemical Dependency Student Edition 9.4 1. When a family member becomes a victim of alcoholism how does the family tend to react? __________________________________ ______________________________________________________ 2. What are the 6 stages the family will go through? a. _________________________________________________ b. _________________________________________________ c. _________________________________________________ d. _________________________________________________ e. _________________________________________________ f. _________________________________________________ 3. Why do people, in particular children, develop certain roles to help them cope with problems? ________________________________ ______________________________________________________ 4. What are the 5 family roles? a. _________________________________________________ b. _________________________________________________ c. _________________________________________________ d. _________________________________________________ e. _________________________________________________ 5. Using the Survival Roles page, answer the following: a. What is one thing that you will see in the family hero or super-kid? ________________________________________ _________________________________________________ b. What importance is this role to the family? ______________ _________________________________________________ c. What is common in the super-kid and the scapegoat? ______ ________________________________________________ d. What is common in the lost child and the mascot? _________ _________________________________________________ e. What does the scapegoat represent to the family? _________ _________________________________________________ f. What will you see in the lost child? ____________________ _________________________________________________ 6. How do these roles help through life? 31 Notebook Quiz – Chemical Dependency Teacher Edition 9.4 1. When a family member becomes a victim of alcoholism how does the family tend to react? In predictable ways 2. What are the 6 stages the family will go through? a. Denial b. Home Treatment c. Chaos and Disorganization d. Reorganization with Individual e. Reorganization without the Individual f. Recovery and Reconciliation 3. Why do people, in particular children, develop certain roles to help them cope with problems? “comfortable”, “dysfunctional” 4. What are the 5 family roles? a. Chief Enabler b. Family Hero c. Scapegoat d. Lost Child e. Mascot 5. Using the Survival Roles page, answer the following: a. What is one thing that you will see in the family hero or super-kid? Excels in everything, sense of responsibility, overachiever, “little adult”, needs everyone’s approval b. What importance is this role to the family? Proves family normal, provides self-worth, someone to be proud of c. What is common in the super-kid and the scapegoat? Hurt, Inadequacy d. What is common in the lost child and the mascot? Feel Unimportant e. What does the scapegoat represent to the family? Takes focus off family, acts out family pain, takes the heat, absorbs blame f. What will you see in the lost child? Quiet, loner, fade to background, invisible 6. How do these roles help through life? 32 Student Edition 10.1 SESSION 10: IDENTIFYING AND APPROACHING THE RIGHT PEOPLE Objectives: After completing this lesson, participants will… PA State Standards: National Standards: 2.8.1, 2.8.3, 2.8.4, 2.8.9, 3.8.4 Review: List 3 of the 6 stages of chemical dependency and give a brief explanation of each. 1. _____________________________________________________________ 2. _____________________________________________________________ 3. _____________________________________________________________ Question: If you or a friend is having a problem and you need to talk to someone, what adults could you approach for help? Why? __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ VOCABULARY: 1. Trustworthy: 2. Approachable: 3. Knowledgeable: 4. Good: Listener 33 Student Edition 10.2 Finding the Right People You have a problem. Or one of your friends has a problem. Or you just want to talk with someone – an adult. Who are the right ones to approach? Think about the following: They should be Trustworthy. They shouldn’t repeat your discussion to anyone else (unless they’re legally obligated to repeat what you’ve revealed, like a problem with chemical dependency, a case of abuse, or an impending fight.) They shouldn’t laugh or make fun of what you say. They shouldn’t ignore you. They should be honest and genuine with you. They should be Approachable. They should have enough time to give you their full attention. They should have enough energy and concentration to give you their full attention. They should be able to arrange a place and time so you can have a private discussion with them. They should have a Good Relationship with You. They should like and respect you. They should know something about you so they can place your conversation in context. They should be a Good Listener. They should be able to understand what you’re telling them or ask you to clarify it so they can understand. They shouldn’t automatically assume that they know best how to solve your problem. They should be Knowledgeable. They should be familiar with the issues around what you’re telling them or else be able to steer you to someone who is. They should be intelligent enough to grasp what you’re saying. 34 Student Edition 10.3 Approaching the Right People Let’s say that you really want to talk to someone at school about a problem you’ve been having. You’ve decided that the best person to talk with is your science teacher, Mr. Bernard. How do you approach him? Plan What You Want to Say Think about what you want to get out of the conversation, like a solution to a problem, an opportunity to express some emotion, a referral to someone else, or an exchange of ideas. Think about the important points you want to make, like what someone said, what someone did, what conflicts you have or how you feel. Think about how you might open the conversation, like “Can we talk?” “Can we set up a time to talk?” “I have some things I’d like to talk about.” “I have a problem.” Think about what you might want to do after the conversation, like continue meeting with Mr. Bernard, talk with someone else, just think or take some specific actions. Consider taking notes about any of these points and referring to them when you talk. Decide on a Good Time and Place to Talk. It’s tough to have a private conversation when you keep getting interrupted. It’s also tough when the person you’re talking to is distracted. It may be best to approach the person and set up an appointment to meet later. If you need to speak to the person immediately, then try to pick a time when the person is least likely to be distracted. Don’t Give Up! If it doesn’t work out with the first person you approach, for whatever reason, don’t give up. Try someone else. Keep trying until you get someone who’s willing and able to listen to you and help you. 35 Student Edition 10.4 Approaching and Finding the Right People What qualities are you looking for in a person that you want to approach What is your plan of action? 36