CHARACTERISTICS OF A SUBSTANCE ABUSER€¦ · Stage 3: ABUSER ‐Cont’d •Significant health...

1/8/2015

1

Presented by:

Jacque Miller MHN, CBS, CLE, BHT

www.premierrecoveryoptions.com

www.jacquemiller.com

602‐672‐6333

[email protected]

CHARACTERISTICS OF A SUBSTANCE ABUSER

Clients Affiliations• US West

• Toshiba• Southwest Airlines

• Discount Tire Co.• Woman’s World Shops

• Kroger• Ohio State University

• Club Mgr.'s Assoc. of Am.

• Hyatt Resorts• Double Tree Inc.• Select and Non‐profit departments within the US government

• Complete list can be seen at www.cdoaz.com

• Who’s Who in American Women

• Who’s Who in US Executive

• Community Leaders of America for Outstanding Professional Performance

• United Who’s Who Registry of executives and Professionals

• Singleton Mom’s‐nutrition

• The Broke Wives Club – Mentor

• Metro Tech High School Advisory Board Member

• Member of National Assoc of Nutrition Professionals

• Member of EAPA, IAEDP, AzRHA

Personal Knowledge

Meth Addict – family member in 1989

Best Friends kids involved in 80’s – 90’s (3 out of 5 kids on drugs)

Staff Nutritionist in clinicians offices helping addicts regain health in recovery since 2008

Started a resource website for families & Clinicians etc. 2011 www.jacquemiller.com

Grandson #1 Heroin addict 2011

Worked as Clinical Outreach Specialist for national firm 2013

Work nationally presenting drug education to clinicians and general public 2013

Grandson #2 Heroin addict 2013

1/8/2015

2

TODAY

RECOGNIZING USE/USERSIN HOME/BUSINESS

STREET LANGUAGE

COMMUNICATION/BEHAVIOR PATTERNS

How to Recognize Drug use

How Substance Abuse Develops

Possible Risk Factors for Substance Problems

Early Symptoms of Substance Abuse

Late Symptoms of Substance Abuse


• This section demonstrates risk factors, early indicators, and late indicators of substance abuse problems.

•Risk factors are circumstances or characteristics that predispose someone to having a substance abuse problem. •Early indicators of substance abuse are subtle symptoms or other outward signs that someone may have a substance abuse problem. •Late indicators are more obvious symptoms or signs of substance abuse and include physical illness or damage from substance abuse or problems with the law.

1/8/2015

3

No Problem Severe Problem

1 2 3 4

Risk factors, early indicators, and late indicators lie on a continuum from “No substance abuse Problem” to Severe substance abuse Problem.”Everyone falls somewhere along this continuum.



Prevention of substance abuse takes place before a problem occurs. Risk Factors, such as those you see here, are clues that prevention is appropriate.

Marital Problem or geographical separations

Stress at work or life changes

Family Problems

Previous drug usage

Family member with substance abuse problem

Concern about own substance abuse

1 2 3 4

How Substance Abuse DevelopsPossible Risk Factors for Substance Abuse Problems


Early Indicators, such as those listed here, are clues that substance abuse may have started. Intervention, such as referral to the clinical ASAP for an assessment of a possible problem, may be appropriate.

Frequent absences from work

Difficulty eating and/or sleeping

Mood swings

Depression

DWI/DUI or positive urinalysis

Sudden poor job performance

1 2 3 4

How Substance Abuse DevelopsEarly Symptoms of Substance Abuse Problems

1/8/2015

4


Liver damage

Overdose

Repeat DWI/DUI

Arrest for possession or sale of drugs

Repeat urinalysis positive

Fired from job &/or put on probation due to substance abuse

Late Indicators such as those listed here mean that treatment is appropriate. It is usually easier and much less costly to prevent substance abuse than it is to treat it.

1 2 3 4

How Substance Abuse DevelopsLate Symptoms of Substance Abuse Problems

Signs and Symptoms of Abuse

STAGES OF CHEMICAL DEPENDENCY

•STAGE 1: Experimentation

•STAGE 2: User

•STAGE 3: Abuser

•STAGE 4: Chemical Dependency (Addiction)

Stage 1: Experimentation

• Tries the drug out of curiosity, media, peer pressure or to find out what it does.

•Uses in social settings or alone.

•Occasional to infrequent use.

• Begin to “look forward to the buzz” of the drug of choice.

This is the beginning of drug abuse, it is primarily a rare usage of the drug. No changes are normally noticed in these individuals.

1/8/2015

5

Stage 2: USER

• Party weekend use.

•Uses to socialize, not to have fun.

• Controlled use, avoids getting wasted or drunk.

• Experience few, if any, significant consequences with their jobs, relationships with others, or the law.

Most of the “ beginner” drug abusers fall into this area. It is very difficult to notice changes in behavior or job performance.

Stage 3: ABUSER

• Changes in peer group – develops new friends who are involved with drugs.

• Experiences memory loss from use (passing out, blackouts, prolonged drug binge).

• Family and friends become suspicious and concerned about abuse.

• Increasing tolerance – quantity and frequency goes up!

• Mood changes from abuse – anger, irritability, depression.

Stage 3: ABUSER ‐ Cont’d

• Significant health problems begin – weight loss, hair and tooth loss, acne, liver problems, poor personal hygiene.

• Consequences from abuse – work, home and legal issues.

• Changes in interests – partying/getting high is more important than work, health, family, etc.

• Increased problems at work/school – chronic tardiness and absences, accidents, poor performance.

If a loved one falls into this category a family member or co‐worker should have already noticed the problem.

1/8/2015

6

Stage 4: CHEMICAL DEPENDENCY (ADDICTION)

• Continued misuse despite serious consequences at work/school, home and with the law (loss of job, debt, DUI, relationship problems)

• Often enabled by family, friends, and coworkers to continue to stay in addiction.

• Demonstrates lying patterns; value system changes.

• Loss of interest in work/school, family and formerly enjoyed activities.

• Severely poor nutrition and health; preoccupation with chemicals.

Stage 4: Chemical Dependency – Cont’d

• Rationalizes behavior to hide drug use.

• Increased isolation, paranoid and suicidal feelings.

• Experiences withdrawal symptoms when drug is not consumed.

This Cycle can only be stopped by recovery (abstinence)

or death.

Major Types of Commonly Abused Drugs

Alcohol (ethanol)

Nicotine (all forms of tobacco)

Stimulants‐Amphetamines, Cocaine, Crack, Caffeine, Nicotine

Hallucinogens/Psychedelics‐LSD, Mescaline, Peyote, Psilocybin (‘magic mushrooms”)

Depressants – Barbiturates, Benzodiazepines, Valium, Alcohol

Cannabis – Marijuana & Hashish

Anabolic Steroids‐A synthetic form of the male hormone testosterone

Inhalants/Organic Solvents‐inhalants such as gasoline, model glue, pain thinner, certain foods, herbs, and vitamins

Narcotics/Opiates‐Opium, Morphine, Codeine, and Heroin

1/8/2015

7

Heroin: Stuff, Heroina, Charley, Dope, Hard Stuff, Hero, Little Boy, Black Bitch, Smack, China White, Black Pearl, Black Tar, Tar, The Big H, H, Antifreeze, golden girls, sweet dreams, brown sugar

Opium: Aunti, Big O, Black Whack, Black Tar, Chinese Tobacco, Chocolate, Dopium, Hocus, Joy Plant, O, Ope, Pin Yen, Zero

Others: Dover’s Powder, Hilbilly Heroin, Horse, Junk, Lean, Purple Drank MPTP, OC, Mud, OC, OX, Oxy, OXYcotton, Sipin, Roxy, Rs, Os, Narco’s, The Patch, China Girl, He‐man, Jackpot, Poison, Fenny,Whip

STREET NAMES FOR NARCOTICS

Cocaine: Blow C, Candy, Coke, Do a l ine, Freeze, Girl, happy dust, Mama coca, mojo, monster, mose, pimp, shot, smoking gun, snow, sugar, sweet stuff, and white powder

Crack: Base, Beat, Blast, Casper, Chalk, Devil drug, gravel, hardball, hell, kryptonite, love, moonrocks, rock, scrabble, stones and tornado

Inhalants: air blast, bolt, boppers, bullet bolt, climax, discorama, hardware, heart‐on, highball, honey oil, hugg, laughing gas, medusa, moon gas, satan’s secret, thrust and whiteout, Whip

LSD: A, Acid, black star, blotter, boomers, cubes, elvis, golden dragon, L, Microdot, Paper acid, pink robots, superman, twenty‐five, yellow sunshine and ying yang

STREET NAMES:

Marijuana: 420, Aunt Mary, Baby, bobby, boom, chira, chronic, ditch, ganja, grass, greens, hash, herb, Mary Jane, Weed, Dope, Pot, Nigra, rip, root, skunk, stack, torch and zambi

Methamphetamine: Beannies, blue devils, chalk, CR, Crank, Crystal, Crystal meth, fast, granulated orange, ice, meth, Mexican crack, pink, rock, speckled birds, speed, tina and yellow powder

STREET NAMES

1/8/2015

8

Three Types of Drug Users

1. Experimenters

• Begin using drugs largely because of peer pressure and curiosity, and they confine their use to recreational settings

2. Compulsive users

• Devote considerable time and energy into getting high, talk incessantly (sometimes exclusively) about drug use, and become connoisseurs of street drugs.

3. Floaters or ‘chippers”

• Focus more on using other people’s drugs without maintaining as much of a personal supply

Drug Testing Used to identify those who may be using drugs Urine, Blood screening, or hair analysis

Duration of Detection/”Cut-Off” Levels

Urine Analysis Amphetamines ‐ 24‐72 hours Cocaine/Metabolite – 24‐72 hours Opiates – 24‐72 hours PCP – 24‐96 hours THC/Metabolite – 24 hours – 3 hours (depends on

frequency of use)

NOTE: Hair analysis 1‐3 months for all drugs listed

Drugs Testing Continued

Approximately 70% of large companies test for drug use; 50% of medium companies and 22% of small companies drugs test

Over 90% use urine analysis, less than 20% use blood analysis, and less than 3% use hair analysis.

Most drug using youth do not cease drug use when they begin working.

1/8/2015

9

Gender/Weight/Age Difference?

• Gender: The same dose of a drug administered to a man and a woman will generally have greater effects on the woman due to the higher percentage of body fat and therefore less body water in women.

Thus the drug is more concentrated. Also, since some drugs bind to body fat, they are eliminated more slowly and remain active in the body longer

• Weight: A heavier person has more blood and other fluids and thus, as stated above, there is less concentration of the drug with less drug effect.

• Age: Children and elderly can be more sensitive due to enzyme systems that metabolize drugs not fully developed in children or impaired in the elderly. As a result, there is an increased duration of the drug action in both.

WHAT TREATMENT IS APPROPRIATE

Things to consider

Know the Signs and Symptoms

A radical change in personality

Needle marks may be evident –look in unseen areas like between toes besides the normal places you would expect to see use ‘tracks’

Opiate abusers may appear unusually thirsty or sweaty

The pupils of opiate abusers often appear as pinpoints

The frequent smell of alcohol

Alcoholics may exhibit irritable behavior, slurred speech, unusually bright or glassy eyes & difficulty expressing thoughts and ideas in a logical manner.

Alcoholics often try to hide the physical evidence of their addiction, including empty bottles, cans etc.

Individuals abusing prescription drugs may exhibit signs of intoxication, including clumsiness and slurred speech

Someone with a dependency on prescription drugs may appear droopy eyed.

1/8/2015

10

Once Acknowledged What Steps Can You Take to Help Them Get Treatment

1. Educate Family about addiction2. Know your Community Systems and Resources3. CBT –to help identify the undesirable behavior.4. Task‐Centered Approach5. Family Treatment Approach6. Use of Humor7. Self‐disclosure & Storytelling8. Setting Limits & Boundaries9. Instilling Hope10. Work Through Resistance

Narrow down the choices to the needs of the client

Do they have a successful history treating the specific addiction?

Is the program licensed and accredited?

What is facilities views on medications etc.?

Does the program length meet scheduling needs of client?

Do the take Insurance if needed?

Will the client commit to working the program if they go?

Is family committed to participating in process?

Are there Cultural or lifestyle consideration?

Age demographic of facility

Is location a problem to be considered?

Have a resource you can call on for advice for placement that is willing to meet with family/addict

Coach families to ask questions before admitting loved one

What type of After‐Care program do they provide?

What to look for in Family Programs at Treatment Centers

1. How many family members can attend and can different members attend for different sessions? What age?

2. Is there a program for younger family members?

3. Is the program required – (recommended)

4. Is there a separate charge for the family program?

5. What participation level is required by the family members?

6. How long is the program?

7. Does the program present ‘brain disease’ education about addiction?

8. Does the program address Nutritional support needs?

1/8/2015

11

Education Points to Consider

1. Create a reading list for families to educate themselves

2. Include info/HO on signs, brain impact, detox, TX options etc

3. Ask them to check on what Insurance coverage they may have

4. Discuss Intervention if required and steps to achieve one

5. Listing of Detox clinics and rehab centers & requirements

6. Community resources that may help if $ is tight and not Ins’d

7. Website listing of support meetings i.e. AA etc.

8. Educate them on what may be needed as far as professional and specialist help‐ before, during and after treatment

9. Encourage loved ones to seek help

10. Outline steps and approach of addicted loved one

All of the following items were used by users in my home!

MY PICTURE ALBUM

Drug Use Clues ‐ Pictures

1/8/2015

12

Running out of foil ?

1/8/2015

13

1/8/2015

14

Are you finding jewelry in out of place or missing?

YOUR BOSS, YOUR BEST FRIEND, SPOUSE, KIDS,

GRANDKIDS, CO‐WORKER, PASTOR, DELIVERY MAN, POOL GUY, MAIL PERSON, KID NEXT DOOR, YOUR KIDS FRIENDS

Users can be anyone

DRUG USERS

1/8/2015

15

Resources

Questions?

THANK YOU!

JACQUE MILLERPREMIER RECOVERY OPTIONS

JACQUE MILLER & CO.602‐672‐6333

CHARACTERISTICS OF A SUBSTANCE ABUSER€¦ · Stage 3: ABUSER ‐Cont’d •Significant health...

Documents

Transcript of CHARACTERISTICS OF A SUBSTANCE ABUSER€¦ · Stage 3: ABUSER ‐Cont’d •Significant health...