Tuesday, February 12, 2013

Ulster Prevention Council Weekly Blog 2-12-13: One Billion Rising

The 2012 Ulster County Youth Development Survey data just arrived – a box crammed with disks of data. I’m digging into the numbers and I will have a lot to say about our results in the coming weeks. However, it is time to take a break – to dance!
I’m joining One Billion Rising for V-Day. What is that? Here is some information from the web site:
About One Billion Rising:
One in three women on the planet will be raped or beaten in her lifetime.
One billion women violates is an atrocity.
One billion women dancing is a revolution.
On V-Day’s 15th anniversary, 14 February 2013, we are inviting one billion women and those who love them to walk out, dance, rise up and demand an end to this violence.
What does one billion look like? On February 14 it will look like a revolution.
One billion rising is:
A global strike
An invitation to dance
A call to men and women to refuse to participate in the status quo until rape and rape culture ends
An act of solidarity, demonstrating to women the commonality of their struggles and their power in numbers
A refusal to accept violence against women and girls as a given
A new time and a new way of being
One Billion Rising is a promise that we will rise up with women and men worldwide to say “Enough! The violence ends now!”.
I was excited to see that there are at least four events planned in Ulster County.  For details, visit www.vday.org.
Whether or not you can make it to one of the V Day events, please take the time to view the following video. It will give you a good sense of the power of the day and the movement:
http://onebillionrising.org/blog/we-have-an-anthem


Cheryl DePaolo
Director of Ulster Prevention Council

Friday, February 1, 2013

UPC Weekly Blog 2-1-13: We've got to do more!

This week I learned of the tragic overdose deaths of two area youths.

100 people die from drug overdoses every day in the United States. Drug overdose death rates in the United States have more than tripled since 1990 and have never been higher. Although many types of prescription drugs are abused, there is currently a growing, deadly epidemic of prescription painkiller abuse. Nearly three out of four prescription drug overdoses are caused by prescription painkillers. 

These drugs were involved in more overdose deaths in than cocaine and heroin combined. Combining alcohol with drugs increases the risk. I’ve been sharing these facts for a while now.  We’ve got to do more. For our youth, for our parents, for ourselves. Effective strategies include universal evidence-based prevention curricula in schools, prescription drug monitoring programs, laws to prevent diversion, increased awareness and education, and better access to substance abuse evaluations and treatment.

Here at the Prevention Council we are rolling up our sleeves. Will you join us?

Cheryl DePaolo
Director of Ulster Prevention Council

Friday, January 25, 2013

Ulster Prevention Council Weekly Blog 1-25-13: No Name Calling Week

It's National No Name Calling Week. Do you remember being called names by your peers? I had what my peers called "missionary glasses" the old style glasses from the 60s shaped like cats' eyes. Mine were baby blue and had stars in the corners. I remember being called "Four Eyes". In 5th grade I was called HodgePodge as my last name was Hodges. Later I can remember being called Pop'N'Fresh, referring to my pale skin and body shape. All of these seem fairly benign in comparison to the names that I hear youth use today.


Here's a link to an article in the Huffington Post by William Lucas Walker. It's a little long but I did relate to it and perhaps you will, too. Please support No Name Calling Week, and have a discussion with youth you know regarding this important topic.
http://www.huffingtonpost.com/william-lucas-walker/no-name-calling-week_b_2521125.html#.UQGC779X2ot

Cheryl DePaolo
Director of Ulster Prevention Council

Monday, January 7, 2013

Ulster Prevention Council Weekly Blog: 1-7-13: Medical Marijuana

Today I’m taking a look at New York State Senate Bill 1682 sponsored by Democratic Senators Montgomery, Krueger and Sampson.  A different bill introduced by Senator Savino is also expected to be introduced.              

Senate Bill 1682 would amend the public health law in relation to medical use of marijuana.
The bill would allow use of marijuana in health care, including palliative care, veterinary care and research. As written, dentists, podiatrists and veterinarians would be able to approve patients, and there is no age limit.

A practitioner would certify that a patient has a serious condition, that the patient is under the practitioner’s care, that the condition can and should be treated with the medical use of marijuana, and that other drugs or treatments would not be as effective. Certifications would be effective for a six month period.

Patients and caregivers would be allowed to be in possession of up to eight ounces of marijuana. Consuming marijuana in a public place would be unlawful.

Local health departments and registered non-profit organizations would sell, administer, deliver, dispense or distribute marijuana to those holding valid certifications. Organizations would dispense up to a thirty day supply.

Marijuana would be dispensed in a container with an orange label and marked “CONTROLLED SUBSTANCE, DANGEROUS UNLESS USED AS DIRECTED".

Practitioners would be required to file reports for each certification every ninety days including a brief statement of the level and pattern of marijuana use by the patient and the effectiveness of the medical use of marijuana for the patient.

An outside evaluator would conduct an analysis of the practical operation of this act, the clinical value of medical use of marijuana under this act, and the effect on illegal use of controlled substances.

This act would take effect immediately provided that the department of health shall make regulations and issue forms within 180 days.
 
Cheryl DePaolo
Director of the Ulster Prevention Council

Friday, December 28, 2012

UPC Weekly Blog 12-28-12:Medical Marijuana

I'm going to spend a few weeks exploring medical marijuana. This is a hotly debated topic, so I'd like to explore the pros and cons with you, looking at what has happened in states with medical marijuana initiatives as well as social, legal and employment issues. 

The following information comes from David Evans of the Drug Free Schools Coalition:
 
In the next legislative session there will be a bill to approve crude marijuana as a “medicine.” The advocates of crude marijuana that is smoked or eaten as a “medicine” claim that physicians should decide if patients get "medical" marijuana. However, physicians have decided that "medical" marijuana is bad medicine. Several national organizations have diagnosed “medical” marijuana and they prescribe against it.
 
The physicians' groups opposed to crude “medical” marijuana include:
 
The American Medical Association
The American Cancer Society
The American Academy of Pediatrics
The National Multiple Sclerosis Society
American Academy of Opthamology
American Glaucoma Society
National Eye Institute
National Institute for Neurological Disorders and Stroke
 
Recently, the Federal Institute of Medicine also conducted research on this issue and they see “little future in smoked marijuana as a medicine.”

Use of crude marijuana as a medicine bypasses the federal Food and Drug Administration (FDA) medicine approval process. There is no reason why marijuana should be exempt from the FDA process. Vulnerable patients need protection from unsafe medications. It is dangerous to by-pass our medicine approval process that has protected us for 100 years. 
 
The “medical” marijuana advocates claim that marijuana is good for many medical conditions. Before these claims are upheld, they must answer some fundamental questions:
 
1. What peer-reviewed FDA quality scientific research exists on marijuana use for those conditions that shows:
a. the effectiveness and safe use of marijuana use for the condition
b. the risks of marijuana use for that condition
c. the dosage of marijuana for adults and children for that condition
d. the interactions with other drugs and marijuana for that condition
f. the impact of marijuana use on other pre-existing conditions
g. the alternatives to marijuana use for that condition
 
2. What studies exist for all these medical conditions that show:
a. the frequency of administration
b. the duration of administration
c. the time of administration in relation to: meals, onset of symptoms, or other time factors
d. the route or method of administration of marijuana
 
These questions must be answered before a drug can be used for medicine. 
 
Cheryl DePaolo
Director of the Ulster Prevention Council

Friday, December 21, 2012

Ulster Prevention Council Weekly Blog 12-21-12: Fewer Teens See Occasional Marijuana Use as Harmful

Today’s blog post is an article from USA TODAY regarding new Monitoring the Future data. Our 2010 Ulster County Youth Development Survey data showed that only about 20% of high schools seniors thought that marijuana was harmful or very harmful. We anticipate releasing new Ulster County data in early 2013.
Starting next week we will begin to explore the implications of a medical marijuana initiative in New York State.

Happy Holidays!
Cheryl

Donna Leinwand Leger, USA TODAY1:02a.m. EST December 20, 2012

Fewer teens see occasional marijuana use as harmful, annual survey of youth finds.

As states increasingly adopt laws allowing medical marijuana, fewer teens see occasional marijuana use as harmful, the largest national survey of youth drug use has found. Nearly 80% of high school seniors don't consider occasional marijuana use harmful — the highest rate since 1983 — and one in 15 smoke nearly every day, according to the annual survey of eighth-, 10th- and 12th-graders made public Wednesday.
More than one in five high school seniors said they smoked marijuana in the month before the survey, and 36% smoked marijuana during the previous year, according to Monitoring the Future survey of 45,449 students from 395 public and private schools. After four straight years of increasing marijuana use among teens, annual use among 10th and 12th graders stabilized and use by eighth graders declined slightly since 2010.
The survey has measured drug, alcohol and cigarette use since 1975.
"Whether this is more than a pause in the ongoing increase that we have seen in teen marijuana use in recent years is unclear at this point," the study principal investigator Lloyd Johnston said. Teens' growing belief that marijuana is not harmful suggests that marijuana smoking will increase, he said.
The growing number of state laws that allow marijuana for medical use contributes to teen perceptions that marijuana is not a harmful drug, said Dr. Nora Volkow, director of the National Institutes of Health's National Institute on Drug Abuse, which sponsors the study.
When teens perceive drugs as safe, drug use generally increases, Volkow said. Among eighth-graders, more than 50% don't see the harm of occasional marijuana use while 42% consider occasional use of marijuana harmful -- the lowest rate since the survey began tracking risk perception for this age group in 1991.
A study published this year in the Proceedings of the National Academy of Sciences found that heavy marijuana use beginning as a teen and stretching into adulthood causes an average drop of 8 points in IQ scores.
"That's a very robust indication that (smoking marijuana) may have long-term effects," Volkow said.
The 2012 survey found 6.5% of high school seniors smoke marijuana daily, up from 5.1% five years ago. Almost 23% smoke marijuana regularly. Among 10th-graders, 3.5% smoke marijuana daily, the survey found
Among 12th-graders, 11% said they had used synthetic marijuana, known as K2 or Spice — about the same as last year, the first year the survey asked about it. Aside from alcohol and tobacco, synthetic marijuana is the second-most-widely used drug among 10th- and 12th-graders after marijuana. The federal government recently banned the drugs.
Marijuana use escalates dramatically after eighth grade, when 1.1% of the students report daily use.
"Marijuana use among teens remains at unacceptable levels," White House Office of National Drug Control Policy director Gil Kerlikowske said.
Most eighth-graders don't see the harm of occasional use, the survey found.
"I think that's the bad news in the survey -- the significant increases in the regular use of marijuana," Volkow said. "It's not just the occasional use. You have a very high rate of daily use. That's really a huge number."
Ethan Nadelmann, executive director of the Drug Policy Alliance, which advocates for decriminalization of drug use, says teens' perceptions of harm from marijuana are becoming more consistent with science.
"Kids know the dangers of cigarettes. They have a growing wariness about prescription drugs. They are aware that daily marijuana use is a very bad idea," Nadelmann said. "But they are also aware that occasional use is not much much problem."
Use of other illegal drugs continued to show a slow but steady decline. Past-year use of all illegal drugs except for marijuana is at its lowest point since 1997, the survey found.
"These long-term declines in youth drug use in America are proof that positive social change is possible," Kerlikowske said.
The prescription stimulant Adderall showed some signs of increasing abuse among 12th-graders this year, the survey found. Abuse of other prescription drugs, such as prescription painkillers like OxyContin and Vicodin, declined overall.
The survey for the first time measured use of an emerging stimulant drug known as "bath salts" and found low use among teenagers. Among 12th-graders, 1.3% said they had used the drugs, which can often be purchased on the internet or in drug paraphernalia stores.

Friday, December 14, 2012

Ulster Prevention Council Weekly Blog 12-14-12: Nearly One Third of College Students With Co-occurring Mental Disorders Abuse Prescription Drugs

From SAMHSA
December 14, 2012

Nearly One Third of College Student Substance Abuse Treatment Admissions with Co-occurring Mental Disorders Abuse Prescription Drugs 
 
 A recent study of college students identified links between nonmedical prescription drug use, depressive symptoms, and suicidality, and raised the possibility “that students may be inappropriately self-medicating psychological distress with prescription medications.”[1]
 The Treatment Episode Data Set (TEDS) is a compilation of data on admissions to substance use treatment that can be used to look at college students with mental disorders who have been admitted to treatment for drug abuse. Specifically, TEDS data for 2010 show that across college student substance abuse treatment admissions,[2] those with a co-occurring mental disorder were more than twice as likely as those without a co-occurring mental disorder to report abuse of prescription drugs[3] (31.6 vs. 15.0 percent), cocaine (14.4 vs. 5.5 percent), and heroin (14.3 vs. 5.8 percent) (Figure). They were also less likely to report abuse of alcohol (62.0 vs. 72.3 percent). 

Because college student admissions that have a co-occurring mental disorder are more likely to abuse prescription drugs, cocaine, and heroin, they may need to access special services, such as mental health care and pharmacotherapies that can treat and ease withdrawal symptoms from heroin and certain types of prescription drugs, including narcotic pain relievers, benzodiazepines, barbiturates, and sedatives[4]. Whether they are at home or away at college, students who need to identify treatment facilities in their area that can address substance abuse and/or mental health problems can access the Substance Abuse and Mental Health Services Administration’s online treatment locator at: http://findtreatment.samhsa.gov/.


[1] Zullig, K. J., & Divin, A. L. (2012). The association between non-medical prescription drug use, depressive symptoms, and suicidality among college students. Addictive Behaviors, 37(8), 890-899.
 [2] College student admissions are defined as individuals aged 18 to 24 who were not in the labor force due to being students and who had completed 13 or more years of school. Admissions of students with less than 13 years of education or admissions of individuals in this age group with missing employment/not in labor force information were excluded from the analysis.
 [3] In this report, prescription drug abuse at treatment admission includes reports of abusing drugs in any of the following categories: opiates and synthetics other than heroin and non-prescription methadone (e.g., narcotic pain relievers such as oxycodone or OxyContin®), benzodiazepines (e.g., diazepam or Valium®), other non-benzodiazepine tranquilizers (e.g., zolpidem or Ambien®), barbiturates, and other non-barbiturate sedatives or hypnotics.
 [4] U.S. Department of Health and Human Services, National Institutes of Health, National Institute on Drug Abuse. (2009). Principles of drug addiction treatment: A research-based guide (2nd ed.; NIH Publication No. 09-4180). Retrieved from http://www.drugabuse.gov/sites/default/ files/podat_0.pdf