Showing posts with label drug abuse. Show all posts
Showing posts with label drug abuse. Show all posts

Monday, September 24, 2012

What do you think? Divorce and Family Issues


What do you think? Divorce and Family Issues


Scenario- Dean is right in the middle of high school in his sophomore year. His parents always used to argue, but he thought that was normal for every family. Then during the summer, his dad started not coming home until really late at night, or on the weekends. This summer, he overheard his parents talking about divorce, and this year of high school just hasn't felt right. Dean doesn't know who to talk to, his older brother is working all the time up north, his younger sister is too young, and he is worried he will upset her more. She cried one night their parents were fighting, and now Dean feels like he has to protect her. Many of his friends at school don't have a dad around, and have always considered him lucky, so Dean is embarrassed to complain or whine about his family drama. He has decided to simply keep quiet about the divorce and just try and keep his sister happy. Unfortunately his mom has been so busy trying to keep everything at home organized that she sometimes forgets to buy enough food and keep the house clean. It has been a struggle for Dean to be a parent to his sister and take care of his schoolwork, her schoolwork, and the house. Dean feels like he is spinning out of control, forgetting homework assignments and often missing class, and so emotional he just doesn’t know how to handle all the changes. He just wants to make things work at home, and be the man of the house since his dad is not around as much. He is unsure of talking to anyone about it, but doesn’t know if he can keep it together on his own.

Questions for Discussion-
1.)   What do you think about Dean's decision to focus on his family and take on adult responsibilities without talking to anyone? What would you do in his situation?
2.)   How do you think Dean feels about the divorce of his parents? Would talking to someone about this situation help him? If so, how?
3.)   Do you think Dean should ask for extra help in school or work something out with his teachers considering his difficult situation? Do you think that his teachers will understand and give him some leniency?
4.)   Have you ever opened up to a teacher, or adult, at school about personal problems that affect your work? What happened, and did it help you?
5.)   Have you, a family member, or close friend been through divorce/family problems? How has that affected you?

Factoids-
**Divorce can be a serious trauma for children of all ages and has many serious potential consequences. Children whose parents have divorced are more likely to be the victims of abuse. They exhibit more health, behavioral, and emotional problems, are more frequently involved in drug abuse, and have higher rates of suicide.

**Children of divorced parents also tend to perform more poorly in reading, spelling, and math, are more likely to repeat a grade, and to have higher drop-out rates and lower rates of college graduation.

**Children expect and deserve to grow up in a safe and consistent world. Their parents' role is to nurture and protect them, and help them understand the world and their place in it. The dissolution of the family is the single greatest threat to a child's emotional – and often financial or physical– wellbeing. Having their parents publicly declare that they cannot love each other enough to stay together causes a child's sense of security, and their view of the world, to change completely. While they struggle to deal with this immense change, other areas in their lives, such as academics, become a low priority, and this can cause the variety of problems mentioned above.

**Children often believe they have caused the conflict between their parents. Many children assume the responsibility for bringing their parents back together, or protecting younger siblings, sometimes by sacrificing themselves. They need those around them to let them know these are not their responsibilities, and to support them as they try to find a new clear role in their changed world.

**While parents may be devastated or relieved by the divorce, children are invariably frightened and confused by this immense change. Some parents feel so hurt or overwhelmed by the divorce that they may turn to the child for comfort or direction, which can cause greater confusion for the child. Divorce can be misinterpreted by children unless parents tell them what is happening, why it is happening, and what will happen to them moving forward. They also need the support of friends or trusted adults outside the family to help them cope and understand what is going on.

**When there is no viable alternative to divorce, parents must ensure their children's emotional well-being by arranging some form of therapy. Divorce certainly does not condemn a child to a lifetime of unhappiness; many children of divorce have successful relationships and happy lives, but the insecurities caused by their parents’ divorce must be dealt with before this can truly happen. Sometimes just speaking with a therapist or trained counselor a few times can be enough to help them move through the crisis in a healthy way by providing them the understanding and coping strategies they need, but they always need this help.



How Mentors Can Help-
            **Try to talk to your mentee about their family, and the relationships they have with their parents and siblings, and start by sharing about your own family. This can be difficult, and it often takes time for mentees to build a trust with their mentor before they open up about these things. But it is important to discuss family relationships because most of the time there is a direct correlation between a child's mental and academic stability, and their home life/family dynamic. If one parent is absent, or if both parents are working, it is more likely that your mentee will have parental/babysitting responsibilities towards their siblings. These dynamics can sometimes be detrimental to your mentee's study habits and motivation in school, not to mention their emotional state, as they are already being forced to take on adult responsibilities that eclipse less important things like homework or play. Open communication and updates on their family life are keys to successful mentoring so that you know where they are coming from and can provide support.
            **Once you know some of their home situation you can help them by giving them what they may be missing. Sometimes it’s just a person they can talk to who cares, and can help explain why things are the way they are. Someone who can reinforce that their parents love them regardless of how they may be acting. Maybe they need someone to help with school and show them that it is still important, or perhaps they need someone to show them how to be a kid and just have fun and learn experientially. If you are not sure what your mentee needs this is something your case manager might be able to help you with, and we would love to talk about it with you.
            **Asking for help is challenging for everyone, but it can be incredibly helpful to have the school staff know what is going on with a student who is struggling. Encourage your mentee to talk to their teachers or counselor about their family situation if it is at all relevant to their academic work, so that there is a support system in all areas of your mentee's life. This is especially helpful if there is divorce or a sudden absence of a parent that is causing great turmoil in their life. Often times if they speak to a counselor about what they are going through and ask for help that counselor can advocate for them to the teachers for leniency and understanding so your mentee doesn’t need to tell more than one person at school about their personal crisis, which can be difficult enough. The point of this is to avoid unnecessary reprimanding at school that can cause more emotional stress in your mentee, and to reinforce that asking for help from school staff is acceptable and positive.
            **Divorce, and/or sudden changes in the family structure can dramatically change the way a child behaves in and out of school. There are studies and research that shows a child who experience divorce at a younger age has a greater risk of dropping out of school, using drugs or alcohol, and other behavioral problems. If you see warning signs of any potential behavioral problems like these speak to your case manager right away so we can discuss how to help, and potential services available.
            **Sometimes all mentors can do is be there, listen, and support in any way we can. Your mentee might resist anything more than that, and as mentors we don’t want to break their trust by pushing too hard. Remember that you are not responsible for changing everything in their life and just do your best to be the empathetic friend and supportive adult they need in their moment of crisis. Just being there for them will make a huge difference.



**



Check out these websites for more information and tips-

http://dujs.dartmouth.edu/spring-2010/risk-and-resilience-in-children-coping-with-parental-divorce

http://www.heritage.org/research/reports/2000/06/the-effects-of-divorce-on-america

http://www.aacap.org/cs/root/facts_for_families/children_and_divorce

http://www.chabad.org/blogs/blog_cdo/aid/708492/jewish/Divorce-Facts-and-Myths.htm


Monday, January 2, 2012

What Do You Think?: Pharming Parties


Scenario:

Steve just moved to a new school this year. He is meeting new friends and becoming more and more popular. One day at lunch, his friends are talking about Billy’s party on Friday. They invite him and tell him it is a “Pharm Party” (Pharmaceutical Party). Steve is a little confused on what that is so he asks his friends about it. They tell him just to grab some pills from his parent’s medicine cabinet and bring them with him on Friday.

Friday comes along and Steve has three containers of pills. He doesn’t know what they are. Steve gets picked up by his friend and his friend’s mom and they head to the party. She drops them off at Billy’s house with pockets full of pills. They go inside, are handed a beer, and then they all sit around in a circle with a bowl in the middle. Everyone starts dumping in all their pills into the bowl. Billy mixes the pills and then tells everyone to take a couple and swallow them with their beers. Steve looks down and stares at the bowl not sure what to do next. 

Questions for Discussion:
  1. What would you do if you were Steve?  What are the pros and cons of each path he could take?
  2. What do you think are potential consequences of mixing different prescription drugs and alcohol?  Could Steve or his friends die from doing this type of partying?  
  3. Considering how dangerous it is, why do you think the teens are participating in this type of partying?  What do they gain from it?
  4. Is it worth it for Steve to take a risk just to be popular?  Could he turn down the pills without offending his new friends?  If so how?
  5. How would his parents feel if they found out he not only stole their pills but then went to a party like this?  What if he or someone else was disabled or killed by taking their drugs?  Could his parents get in trouble with the law for that or would it be Steve’s fault?

Factoids:

** The new term "Pharm Party" refers to a party where prescription drugs are readily available in a potentially deadly mixture. The term "Pharm" is short for pharmaceuticals, which includes such drugs as Xanax, a strong tranquilizer and powerful pain killers like Vicodin and Oxycontin. Often times mind altering psychotropic drugs like Zoloft, Prozac, and Wellbutrin, commonly advertised on television, are taken in concert with other powerful pain pills and tranquilizers at these pharmaceutical cocktail parties. Pharm party goers often refer to this potentially lethal concoction as "trail mix". The "trail mix" is usually served up in large bowls or baggies and handed out to guests in the same fashion as a hostess serves snacks and drinks at a cocktail party.

** Columbia University's National Center on Addiction and Substance Abuse notes that about 2.3 million kids, 12 to 17, took prescription drugs illegally in the past year, based on 2003 figures. That's a 212 percent increase from the early 1990s. 

** Part of the allure of prescription drugs is that they can be easier for kids to get than illicit drugs. Some trade on their own prescriptions (obtained legitimately or by faking symptoms), while others steal from family members or order drugs from online pharmacies.

** Experts note that "pharming parties are a new social twist that contributes to the growing problem of prescription drug abuse, which has worked its way into pop culture via message boards, song lyrics and even T-shirts."

** The fact that kids often alter the ways these drugs are to be taken increases the risk even further.  For example, they may crush the pills to achieve a quick high, even though many of these medications are meant to be slowly absorbed into the blood stream.  That leads to dangerous changes in heart rhythm and much more.

** The problem isn't just that kids can easily become addicted to painkillers like Oxycontin or Vicodin, antianxiety medicines like Valium or Xanax, or attention-deficit-disorder drugs like Ritalin and Adderall. Taken without proper supervision, those medicines can send kids to the emergency room. They can lead to difficulty breathing, a drop or rapid increase in heart rate or trouble responding when driving a car, especially when the drugs are combined with alcohol, as they often are.

** Experts of Columbia University's National Center on Addiction and Substance Abuse say that of 9.4 million teenagers, 40 percent believe that prescription drugs are “much safer” than illegal drugs. Nearly three out of 10 teens also believe that there is “nothing wrong” with using prescription drugs without a prescription.

** Wrongful use of medicines can cause permanent physical disability as well as interfere with normal brain development.

What Mentors Can Do to Help With This:

** Do an exercise with your mentee. Bring a pair of glasses and have them try them on. Maybe even attempt to take a few steps. Let them know that it's a prescription, designed just for you (or whomever you borrowed them from), and that they're not for everyone, just like prescription medications. They can make you dizzy, fall down, feel out of place. You'd give them to someone else who lost their glasses, thinking it works for you, but it may not work for them in the same way. It's best to not take something that wasn't designed for you.

** Talk with your mentee about drugs and alcohol early and often. It’s always better to prepare them before they ever encounter it. Talk to them about the reasons why a person could choose to use drugs, and go over the consequences, and how they can powerfully destroy lives and families.

** Get educated on the subject of pharm parties and talk to your mentee about possible consequences of taking pills without a prescription, and especially mixing pills.

** Ask your mentee what he/she knows about pharm parties and if she/he has an opinion about it. 

 ** Help your mentee learn from other’s mistakes by sharing stories or personal experiences that did not end well

** Talk to your mentees about peer pressure and make them realize how making the wrong choice could have dangerous consequences. Advise your mentees about having personality and not simply doing what others consider to be cool. Help them come up with different things to say to get out of doing drugs without losing face with their friends.  Role play to practice so when the time comes they don’t have to think about it.

** Make sure your mentee knows the warning signs of an overdose, so if they are at a party and a friend is in trouble, they'll know what to look for and what to do...call 911. Remind them it's better for their friend to stay alive and get in trouble than to know that they could have saved them...and didn't. They should turn them on their left side, check for breathing, see if they are responsive when you force open their eyes to see if the pupils change size.

** Here are several of the most successful ways for a teen to turn down drugs, ask your mentee which one sounds good to them and practice it with them.
1.     Give your reason and make it a joke to reduce tension and perceived rejection-  “No thanks, I need all the brain cells I can get for this math test I have tomorrow.”   
2.     Blame your parents (even if its not true)- “I can’t, my parents randomly drug test me.”  Or “I have to check in with my parents every x hours so I have to be sober or they will know and I will get in big trouble.  Sorry it's just not worth it.”
3.     Bad experience (yours or others)- “A friend did that and he went blind for a week! (Or had to go to the hospital etc.)  I’m so freaked out about that I couldn’t enjoy it, no thanks.”
4.  "I'd rather not spend the entire night on the toilet if it's a diuretic."

** If your mentee is abusing prescription drugs encourage them to seek treatment, and then contact your case manager to discuss options. You can say something like, "I've noticed some changes. I'm concerned and I'm worried and I'd like to help you get help." Approach it from a point of caring, rather than accusing.

A True Story, as shared by the Sheriff at the Carpinteria Cares RX Drug Abuse Forum on 11/2/11:

A 2010 22-year-old UCSB graduate went to a grad party. After about 4 or 5 drinks, he was offered a Xanax, which he took. Not long after, someone came up to him and said, "Hey, you gotta try this awesome new drug." Buzzed off the drinks and the Xanax, he didn't really think before taking the offer. He soon fell asleep, and his friends thought he'd just sleep it off. When he wouldn't wake up after a while, his friends called an ambulance. Thankfully he was young, so he didn't die. BUT all 4 major organ systems were affected. The concoction in his system cut off the flow of oxygen in his blood; he forgot to breathe and all his pain receptors were numbed. He suffered a minor stroke with kidney and liver damage. Thankfully he survived, but not everyone is so lucky.
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