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					The “IN” Things
What Everyone Needs
     to Know!!!

 Pamela Williams, MA,
Mercy Behavioral Health

 WHY!!!!!!!!!!!!!!!!!

Current Trends in Risky Adolescent Behavior

Warning Signs of Risky Behavior

What Can We Do to Help????

U.S. Students Enrolled in 9-12 Grade in 2001:

47.1% Drank Alcohol

23.9% Used Marijuana

45.6% Had Sexual Intercourse at Least Once
         Why Do Adolescents Engage
          in Risk-Taking Behaviors?
Poor Decision Making Process
External Forces such as:
       Peer Pressure
       School Activities
       Need for Attention
              What is the Choking Game?

 This activity is not a game
 Is played in groups as well as by a single child
 The object of this activity is asphyxiation, applying pressure
  to restrict oxygen and blood flow to the brain
 This action creates a “high” sensation,described as a tingly
  and floaty feeling. When the child becomes unconscious
  the pressure is released and the secondary high is
                       Choking Game:
Rising Sun Game American Dream Game Pass-out Game
             Sleeper Hold            Natural High
Space Monkey     Flatliner Game                Cloud Nine
           Hanging Game                Black Out Game
Black Hole          Dreaming Game               Gasp
         Teen Choking Game            Suffocation Roulette
Fainting Game           California High        Purple Dragon
          The Fainting Game           California Choke
Tingling Game           Tingling Game        Funky Chicken
             Kids are Dying from This
 Deaths of the Adolescents Often Ruled as a Suicide
 9 out of 10 Students Know about this Game

 2008-CDC-First Investigations:
 82 Probable deaths from 1995-10/2007 among 6-19 year
 Peak age was 13.3
 87% were male
 45 States have reported cases of the game.
                    REPORTED INCIDENTS
                     (as of 7/1/09 10:00am)
            Cases    Injury   Death   In the   Other
                                      U.S.     Country
Total        499       42      454      405      94
2009          25        6       19       24       1
2008          50        2       48       44       6
2007          63        6       57       56       7
2006         117       14      103      106      11
2005          96        8       88       82      14
2004-1974    148        8      140       93      55
                             Warning Signs
 Any suspicious mark on the side of the neck, sometimes hidden by
  means of a turtle neck,scarf or turned up collar.
 Changes in personality, such as overly aggressive or agitated.
 Any kind of strap,belt or rope lying near the child without any reason –
  questions about this subject are often alluded.
 Headaches, sometimes excruciatingly bad ones, loss of concentration, a
  flushed face.
 Bloodshot eyes or any other noticeable stress on the eyes.
 A thud in the bedroom against the wall-meaning a fall in cases of solitary
 Any questions about the effects,sensations or dangers of strangulation.
 Unusual need for privacy, i.e. -locked bedroom door.
                        Who is Doing It?

 The ages of kids that are participating in this activity is 9-14
 Many kids participate in this game out of curiosity, not
  because they are rebellious, depressed, or angry
 The game is played by kids that are not visibly at-risk, kids
  that do good in school, and are close with their families
 These kids believe this game is not harmful like other forms
  of getting high
 Kids from all socioeconomic status backgrounds
 Kids from all cultures
Little Angels
   Chris P – 14
  Dylan B – 11
  Kodee A – 14
  Braden E – 13
 Gabriel M – 13
   Evan O – 12
   Jason L- 14
   Nick S – 16
 Stephen C – 16
  Daniel S – 11
  Jeffery P – 14
  Cory M – 14
  Louis B – 12
Shawntae C – 14
   Leo M – 16
  Daniel S – 11

      Robo       Skittles      Tussin     Dexing

Kids as young as 12 years old are abusing over the
 counter cough medicine

At least 5 adolescent deaths have occurred in the
 past 2 years

 Adolescents used to drink the medicine because of the
  alcohol contained in the syrup

 Now it contains “Dextromethorphan”    “DXM”

 This cough suppressant can produce hallucinations, & loss of
  motor control similar to PCP.
 Getting a hallucinogenic high
 Since 2006 use among younger teens has increased 15 fold.
 According to a survey done in May 2006 one in 10 U.S.
  teens abuse cough medicine.
   Sweating
   High Body Temperature
   Dry mouth
   Itchy or Flaky skin
   Blurred vision
   Hallucinations
   Delusions
   Nausea
   Vomiting
   Irregular Heartbeat
   Red Face
   Loss of consciousness
   Numbness in toes & fingers

A normal dose of DXM is 15-30 Milligrams.

Mind altering effects can occur at dose as low as
 100 milligrams, but abusers consume much more
 (say ½ a 12oz bottle) to result in a dose of 240-360
                   Where Found?

DXM is used in more than 120 non-prescription

  Coricidin HBP
  Vicks Nyquil
  Vicks Formula 44
  Teens are over dosing on Coricidin tablets.
Since the pills look like candy kids are able to pass
  they off as candy.
In large Doses Coricidin can cause hallucinations.
In March 2007 5 teenagers overdosed on this.
The Pills can cause kidney and liver damage and
  possible seizures.
           SLOM ?


Adolescents feel that the blood sucking action can
 give them a high.

                    This is not true.
       Huffing: A New Low Point for
             Kids Getting High
Inhalant use refers to the intentional
breathing of gas or vapors with the
purpose of reaching a high.
Inhalants are legal, everyday
products which have a useful
purpose, but can be misused.
You're probably familiar with many
of these substances -- paint, glue
and others.

One on five students in America has used an
 inhalant to get high by the time he or she
 reaches the eighth grade.
Parents don't know that inhalants, cheap, legal and
 accessible products, are as popular among middle
 school students as marijuana.
                STREET TERMS
 OZ
                    How it affects us

Inhalants affect the brain with great speed and force.
They keep oxygen from reaching the lungs
The intoxication produced usually lasts just a few
 minutes; therefore, users often try to extend the
 “high” by continuing to inhale repeatedly over
 several hours.

• In addition to these physical and mental health
  problems, recent research shows that inhalant use is
  associated with symptoms of depression. Between
  2004 and 2006, an estimated 218,000 youths aged
  12-17 used inhalants and also experienced
  depression in the past year. The same research
  showed that depressed teens were more than three
  times as likely to start using inhalants than teens
  with no symptoms of depression.
                    Signs of Inhalant Use
   There is a common link between inhalant use and problems in
school -- failing grades, chronic absences and general apathy.
Other signs include the following:

   Paint or stains on body or clothing
   Spots or sores around the mouth
   Red or runny eyes or nose
   Chemical breath odor
   Drunk, dazed or dizzy appearance
   Nausea, loss of appetite
   Anxiety, excitability, irritability
They're all over your house. They're in your child's school. In
 fact, you probably picked some up the last time you went to
the grocery store. Educate yourself. Find out about inhalants
                   before your children do!
      Products Abused as Inhalants
                                  Volatile Solvents
Adhesives model airplane glue, rubber cement, household glue

            spray paint, hairspray, air freshener, deodorant, fabric
            protector, computer keyboard cleaner

          nail polish remover, paint thinner, type correction fluid and
          thinner, toxic markers, pure toluene, cigar lighter fluid,
and gases
          gasoline, carburetor cleaner, octane booster

            dry cleaning fluid, spot remover, degreaser

Food        vegetable cooking spray, dessert topping spray (whipped
products    cream), whippets

Gases       nitrous oxide, butane, propane, helium
               What to do When Someone is
Remain calm and do not panic.
 Do not excite or argue with the abuser when they are under the influence, as
  they can become aggressive or violent.
 If the person is unconscious or not breathing, call for help. CPR should be
  administered until help arrives.
 If the person is conscious, keep him or her calm and in a well-ventilated room.
 Excitement or stimulation can cause hallucinations or violence.
 Activity or stress may cause heart problems which may lead to "Sudden Sniffing
 Talk with other persons present or check the area for clues to what was used.
 Once the person is recovered, seek professional help for abuser: school nurse,
  counselor, physician, other health care worker.
 If use is suspected, adults should be frank but not accusatory in discussions with
  youth about potential inhalant use.
                                  Drug Slang
Amped - High on Amphetamines
  Bang - Inhalants; to inject a drug
  Banging - Under the influence of drugs
  Blunt - Marijuana inside a cigar; cocaine and marijuana inside a cigar
  Candy Blunt - Blunts dipped in cough syrup
  Care bears - Methylenedioxymethampehtamine (MDMA)
  Cat Valium - Ketamine
  Cocktail - Cigarette laced with cocaine or crack; partially smoked marijuana
  cigarette inserted in regular cigarette; to smoke cocaine in a cigarette
  Coco rocks - Dark brown crack made by adding chocolate pudding during
  Dime bag - $10 worth of drugs
  Dirty joints - Combination of crack cocaine and marijuana
  E (or) Ecstasy - Methylenedioxymethamphetamine (MDMA)
  Easy lay - Gamma hydroxybutyrate (GHB)
  Finger - Marijuana cigarette
  GHB - Gamma hydroxybutyrate
                                Drug Slang
• Hugs and Kisses - Combination of methamphetamine and
  methylenedioxymethamphetamine (MDMA)
  Jack - Steal someone else’s drugs
  Jib - Gamma hydroxybutyrate (GHB)
  Joint - Marijuana cigarette
  Kiddie dope - Prescription drugs
  Legal speed - Over the counter asthma drug; trade name-MiniThin
  Loaded - High on drugs
  Magic mushroom - Psilocybin/psilocin
  Meth - Methamphetamine
  Nail - Marijuana cigarette
  Nexus - 2-(4-Bromo-2,5 diethoxyphenyl)-ethylamine; also just know as 2CB
  Oolies - Marijuana cigarettes laced with crack
  Oz - Inhalants
  Pink elephants - Methamphetamine
  Pikachu - Pills containing PCP and Ecstasy
                                        Drug Slang
•   Qat - Methcathinone
    Rib - Rohypnol; methylenedioxymethamphetamine (MDMA)
    Ritz and Ts - A combination of Ritalin and Talwin injected
    Roach - Butt of marijuana cigarette
    Roach clip - Holds partially smoked marijuana cigarette
    Roofies - Rohypnol
    Ruffies - Rohypnol
    Ruffles - Rohypnol
    **Shebanging - Mixing cocaine with water and squirting it up nose
    Sheet rocking - Crack and LSD
    Shotgun - Inhaling marijuana smoke forced into one’s mouth by another’s exhaling
    Skin popping - Injecting drugs under the skin; to inject drugs on any part of the body
    without hitting a vein
    Skittling - Abuse of cold tablets containing dextromethorphan (a cough suppressant)
    Special “K” - Ketamine
    Stoned - Under the influence of drugs
                                 Drug Slang
• Thai sticks - Bundles of marijuana soaked in hashish oil; marijuana buds
  bound on short sections of bamboo
  THC - Tetrahydrocannabinol
  TNT - Fentanyl
  Toke - To inhale cocaine; to smoke marijuana; marijuana
  Ts and Rits - Talwin and ritalin combination is injected and produces an
  effect similar to the effect of heroin mixed with cocaine.
  Uppers - Amphetamine
  Vitamin K - Ketamine
  Vitamin R - Ritalin (methylphenidate)
  Wigging - Odd behavior resulting from the use of mind-altering drugs
  Wooly blunts - Marijuana and crack or PCP
  XTC - Methylenedioxymethamphetamine (MDMA)
  Ya Ba - A pure and powerful form of methamphetamine from Thailand;
  “crazy drug”
  Z - 1 ounce of heroin
  Zen - LSD
                  HAPPY SLAPPING

an unprovoked physical attack on an individual,
 recorded by an accomplice with a camera, esp. a
 camera phone; the practice of slapping or punching
 an unsuspecting victim and recording it with a
 camera phone.

The act of sending explicit messages or photos
 electronically, primarily between cell phones.

Reported as early as 2005.
Has been reported in Great Britain, Australia, New
 Zealand, United States, and Canada.
In January 2009 survey of 1,200 teenagers by a
 Burlington Vermont TV station claimed that one in
 five had sent explicit photos of themselves.
A 2009 UK survey found that 38% of under 18’s had
 “received an offensive or distressing sexual image
 via text or email.

when a child, preteen or teen is tormented,
 threatened, harassed, humiliated, embarrassed or
 otherwise targeted by another child, preteen or teen
 using the Internet, interactive and digital
 technologies or mobile phones.
It has to have a minor on both sides, or at least have
 been instigated by a minor against another minor.
Once adults become involved, it is plain and simple
 cyber-harassment or cyberstalking. Adult cyber-
 harassment or cyberstalking is NEVER called

Cyberbullying is usually not a one time
 communication, unless it involves a death threat or a
 credible threat of serious bodily harm.
Kids usually know it when they see it, while parents
 may be more worried about the lewd language used
 by the kids than the hurtful effect of rude and
 embarrassing posts.
                       How it works

There are two kinds of cyberbullying:
direct attacks (messages sent to your kids directly)
cyberbullying by proxy (using others to help
  cyberbully the victim, either with or without the
  accomplice's knowledge).
                       Direct Attacks

 Instant Messaging/Text Messaging Harassment
 Stealing Passwords
 Blogs
 Web Sites
 Sending Pictures through E-mail and Cell Phones
 Internet Polling
 Interactive Gaming
 Sending Malicious Code
 Sending Porn and Other Junk E-Mail and IMs
 Impersonation
          The four types of cyberbullies

The Vengeful Angel
The Power-Hungry or Revenge of the Nerds
The “Mean Girls”
The Inadvertent Cyberbully or “Because I Can
                        How Can We Help?
 Encourage Positive/ Healthy Risk Taking.
        Positive impact on development
           Participation in sports
           Making friends, volunteering,
           Artistic talents and abilities.
 Model Healthy risk taking as a positive experience. Share your history of
  risk-taking. Encourage to make better choices than you made.
 Teach adolescents to learn how to evaluate risk, anticipate choices and
  create strategies that place energy into healthier activities when
                 How Can We Help?

Know where your child is and who they are spending
 their time with.
Let your teen know you are interested, and you are
 willing to help with whatever they need.
Turn off television when your child wants to talk.
Practice good listening skills; do not interrupt your
Praise him or her for good communication skills.
                       Decision Making

 Create rules for decision making. If your child wants to do
  something that is not safe, explain why he or she can not
  make that decision.
 To help them understand how and why they make both
  healthy and unhealthy choices, ask them some or all of the
  following questions:
       Do you feel pressured to make risky choices by
       Do you rush into decisions?
       Do you think it is uncool to try things in a safe manner?
       Are dangerous risks more exciting to you?
       Does it feel as though it is happening “in a dream”
        when you make dangerous choices?

 All teenagers take risks as a normal part of growing up. Risk
  taking is a tool an adolescent uses to define and develop his
  or her identity; healthy risk taking is a valuable experience.
 Unhealthy risk taking may appear as rebellion or angry
  gesture directed at parents and teachers. However, risk
  taking, whether healthy or unhealthy, is simply part of a
  teen’s struggle to test out an identity and separation from
 Parents and teachers should pay attention to their own
  current patterns of risk-taking behaviors. Adolescents are
  watching and imitating you.
           THE CHALLENGE

The Challenge for any person is to
 make sense of facts in ways that
 are meaningful in life – in ways
 that help them think and make
 wise choices!
     This is happening in Our Area

presentation is
in Memory of
   Pamela Williams
Mercy Behavioral Health

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