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2018 Current Trends

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Transcript of 2018 Current Trends

The Alcohol and Drug Program
Student Health Service
University of California, Santa Barbara

Current Trends &
Resources

What you might say to a friend...
Marijuana
"Molly"
Cocaine
Hallucinogens
Increasingly common- goes with the "work hard-play hard" mentality
Multiple routes of administration- including injection
Mixing with other substances
Coke/Alcohol= cocaetheylene
Speedballs- coke/heroin
Coke/Xanax

The Myth of Molly
Concentrates: A liquid or oil like form of concentrated THC. It can be smoked, vaporized or used in edibles.
Can be up to 90% THC
People are using marijuana in a variety of ways
Flower/Plant: Comes in two main strains:
Indica
(Calming effects) or
Sativa
(Stimulating effects).
(Typically 17-24% THC)
Kief: Tri-chromes/resin glands that are more concentrated in THC. Can be smoked, vaporized, Condensed into resin balls
(Typically 40% THC)
Edibles are typically made by using "Budder" with Hash oil and students are smoking concentrates by "Dabbing"
More on Concentrates
How do you DAB?
How are concentrates made?
It can be highly dangerous and involves the use of flammable solvents
People use blow torches, titanium nails/plates and other tools to vaporize the wax
Implications
According to new stats out by SAMSHA:
ER visits rose 128%
33% of cases, alcohol was mixed
Effects of alcohol are intensified
Effects: Increased heart rate, blood pressure, can effect the rigidity of arteries, seizures, liver, and kidney failure.
It comes in several forms:

"Ecstasy:" Pill form of the drug
"Molly:" Powder or Capsule containing powder
"Moon Rocks:" Crystals

No matter which form it comes in, there is no way
to know it's true purity.

Other known ingredients in Molly/Ecstasy
:
Caffeine, Meth, procaine, ketamine, benedryl, pseudoephedrine, MDA, MDEA, bath salts, heroin, PCP, laxatives, etc.
Hyperthermia or overheating, drinking exacerbates hyperthermia, is the main risk associated with it's use
Risks:

seizures, Heart, BP, constricted arteries,
Students feel they can drink more
Can be fatal
and... what am I getting??
Students are often unaware of the use of synthetics
Need for law enforcement due to agitated behavior
Need for medical attention
The use of these chemicals are often unknown and can be life threatening (organ failure and death)
There are chemists that are working on new chemical compounds daily. So as one becomes illegal, another similar to it is created.
N-bomb-
(25I-NBOMBE) A combination of chemicals that can replicate similar effects of LSD.
Bath Salts-
Amphetamine like, mimics positive effects of ecstasy, has serious negative side effects (paranoia, aggressive, violent behavior, agitation, hallucinatory delirium. (Cocaine alternative)
Spice/K2-
shredded plant materials with chemicals sprayed on it. Typically smoked. Does not show up in drug tests
What to do?

Ask questions...

Mixing alcohol and cocaine speeds up the metabolism and alcohol reaches the brain faster

Cocaine can mask the effects of the alcohol this leads to increased consumption over longer periods of time

Combining the two leaves a highly toxic chemical in the liver called cocaethylene, which over time increases the likelihood of an early heart attack, or sudden death

When mixing substances, there is an additive effect which increases the likelihood of overdosing on either drug

Increased tendency toward violence and risky sexual behavior
Mixing Alcohol and Coke
High Tolerance

Negative consequences with continued use
Denial
Isolation
Inability to concentrate
Major behavior change
Inability to control use
Obsession with control
AOD use for self-medication
Family history of AOD problem
Warning Signs of an Alcohol/Drug Problem
Opiates/Heroin
The Slippery Slope continues....
Strong Cannabis causes problems
Decreased perception of risk due to medical marijuana use
Increase in Emergency Response- due to potency
Negative Effects of the Drug are intensified
High potential for Abuse and Addiction
Decrease in cognitive functioning
Dangerous and Flammable production process
Use of Torches in Residence Halls and burns

A recent study cited in Addiction Professional Magazine indicated that:

The
strongest risk factor
in the transition to heroin use was
non-oral administration
of prescription opioids
(snorting/sniffing)

Other factors
that most or all heroin users in the study had in common were:

Use of oxycontin
at some point in their lifetime

Non-medical / recreational use of opioids
to get high

HOW
students use drugs is often as/,more important than what they are using....(intervention opportunity)

Spring 2018
Xanax
AKA: "Bars"
BARS- Used to describe the shape of the pill
Why?
Produces Calm, relief, and relaxation


Used as a party drug, people are getting "Barred out"
Used to help with symptoms of "come-down" after cocaine use, alcohol consumption, or both
Lowers inhibitions
Used without having to drink or smoke in the residence halls. "let's get barred out and watch netflix."



Implications:
Self-medication
as a alternative "coping with life" skill; immediate gratification
False sense of safety-
taking a pill is not a "big deal", it is prescribed to others
Unintentionally
ingesting high doses
of the drug
Mixing with other substances-
alcohol, cocaine, ADHD medication, marijuana, etc.
Building
high tolerances-
needing assistance with withdrawal
Moving to other types of drugs
or routes of administration to achieve desired effects.

Brief Screen:
ut down on Alcohol, Marijuana, and Other Drug Use


oncern from self or others about Alcohol, Marijuana, and Other Drug Use


ncreased risk of injury or other negative consequences


uilty feelings about AOD use or behavior while using AOD
CCIG
C
C
I
G


Data from Colorado
Creates a Baseline
Conclusive pros and cons
Trends in usage
Normalization
Legalization
Colorado

Moles/Mokes/Mooks
Mixing tobacco and marijuana in the bowl and smoking them together
increased addiction potential
Ketamine
Also referred to as Special K, Kit Kat, cat valium, Dorothy or Vitamin K
Schedule III controlled substance, the same category as codeine and anabolic steroids
Trends
Festivals, special occasion use
Use remains consistent, if not tapering
Students are addressing myths

ADHD medications can increase blood pressure, blood glucose
and heart rate, and constrict blood vessels

Increased likelihood of anxiety, difficulty sleeping, racing thoughts,
sexual impotence, headaches and dependence

Being caught with these substances without a prescription,
or with intent to sell/distribute is a felony
Rx Stimulants
Trends
Normalization
Sharing
Binging
Mixing
Individuals aged 12 to 25 accounted for 74 percent of the
ketamine emergency department mentions in the United States in 2000
Ketamine has a short-lived high and tolerance to the drug builds up quickly, requiring user to keep increasing quantities as they chase the initial high.
"I wanted to check in with you about what happened last night. I can imagine you're not feeling great about things and that it might be hard to talk about, and I want you to know I'm here to support you. Are you open to talking about it?"

If there's resistance:
"Ultimately the decision is yours, but I know you don't want something like this to happen again. What have you thought about trying to keep yourself safer?"
Blackouts
Contact
Information

General Information & Appointments: 893-5013

studenthealth.sa.ucsb.edu

a l c o h o l . s a . u c s b . e d u

Find us at Student Health and Embarcadero Hall

ADP Support for quitting or reducing Marijuana Use
Counseling involves discussion of current marijuana use and motivation to change, goal setting, exploration of obstacles, and collaborative support for making healthy changes.
Call It Quits
We offer a Tobacco and Nicotine Cessation Program free of charge to all students:

Peer counseling
One month of free nicotine replacement therapies

Smoking and vaping on campus is illegal
How to Help a Friend
1. Find the right time and place

2. Use the right opening (ex., “Can I talk to you about last weekend?”)
and attitude (friendly concern)

3. Use “I” statements: “I’m worried when you black out.”

4. State facts: “You didn't lock the front door last night and
I'm scared we could get robbed”.

5. Listen: “How are you feeling about your drinking?”

6. Offer support; come up with solutions
together

7. Refer if needed
Parker
Your brother, Parker, uses his roommate's Adderall every time he needs to finish a paper or study for a test. He has noticed he needs a lot more than when he first started using it, and feels really down and lethargic the next day. He actually missed the exam he'd studied all night for because he crashed an hour before it!

What are your concerns and how would you voice them?
Marcie
You hear Marcie dabbles with cocaine. At work, she has seemed more "amped" than normal lately. She often blurts out her thoughts without a filter, and is easily distracted. Her weight loss is obvious and sometimes she gets overly irritated at trivial issues. Now she is paranoid there are cameras watching her.

What are your thoughts and what do you do?
Charlie
Charlie realizes that when he starts drinking, he has no control. He recently got his second DUI and is highly distressed about it. Both of his parents have struggled with drinking problems, and he doesn't want the problem to get worse. He has decided to not drink at all anymore. He finds this difficult as drinking is a big part of the college culture and all his friends drink.

How could you provide support?
Where else could he get support?


One-on-One Counseling
Alcohol and drug counselors are available to meet with students to address questions, issues and concerns related to alcohol and drugs.
For students themselves, or for a friend.
Self-referred appointments are free and confidential.



ECigs,
Vaping,
Juuls
Nicotine without tobacco (1 pod Juuls= 1 pack of cigs)
Vapor less detected than smoke
Lead to changes in brain- headrush= dopamine
Dependency: cravings, withdrawal effects
Expense (~$50 + $40/pack)

Gauchos for Recovery is a UCSB student organization that aims to provide a safe, supportive, and fun environment for students in recovery from addiction to substances and addictive behaviors. Additionally we support students who have been directly and indirectly affected by a loved one's substance use or addictive behavior.
Whitney J. Bruice, MA, MFT
ADP Counselor/Educator

Stats on drinking rates from recent National Collegiate Heath Assessment (NCHA):


26% of students don't drink (14% never) or didn't drink in last month
56% drank 1-9 days in a month
17% drank 10-29 days in a month

(Perception: 97% drink)

Number of drinks on a night of "partying":
0-4, 59%
5-6, 21%
7+, 19%




Blackouts ~ .2o+ BAC
Alcohol Poisoning ~.30+ BAC
Coma ~.40 BAC
Death ~.50 BAC
Cannabis Stats from NCHA
Never used: 38%

Used, not in last 30 days: 19%

Used, 1-9 days: 27%

Used, 10-29 days: 11%
Top 10 Endorsed Marijuana Consequences (offered by students in an open ended survey)

1. Eating (i.e. too much)
2. Sleep problems
3. Productivity, apathy, motivation issues, or boredom
4. Cognitive abilities, attention, or concentration problems
5. Memory problems
6. Problems with lungs or coughing
7. Feeling antisocial or experiencing social awkwardness
8. Physical difficulties outside of lung, cough, mouth, or throat (e.g. feeling dizzy, sick, uncoordinated, etc)
9. Not getting things done
10. Spending too much money

Walter, Kilmer, Logan, 2014


Opiates/Heroin
A recent study cited in Addiction Professional Magazine indicated that:

The
strongest risk factor
in the transition to heroin use was
non-oral administration
of prescription opioids
(snorting/sniffing)

Other factors
that most or all heroin users in the study had in common were:

Use of oxycontin
at some point in their lifetime

Non-medical / recreational use of opioids
to get high

HOW
students use drugs is often as/more important than what they are using....(intervention opportunity)

Full transcript