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Parents360
      Synthetic Drugs:
    Bath Salts, K2/Spice:
A guide for parents and other
         influencers



          February 16, 2012




                                1
Hello, and welcome to the Parents360 module that addresses issues pertaining
                    Parents360                             to synthetic drugs such as Bath Salts and K2/Spice.
                      Synthetic Drugs:
                     Bath Salts, K2/Spice
                                                           Some background to start:“Parents360 – Parents: You Matter” is a community
                                                           education presentation that helps parents and other adults who care about kids
                                                           learn how to communicate effectively with their children, look out for them and
                                                           get them help if and when they need it. The presentation has a number of drug-
                                                           specific modules that can be added to it. The one we’re talking about today is
                                            drugfree.org
                                                           Synthetic Drugs such as Bath Salts and K2/Spice.

                                                           This is a very important topic to address because synthetic drugs are dangerous.
                                                           They are not ‘safe' as a second choice, or as an alternative to more well-known
                                                           drugs, for your kids, and you must communicate that fact with them. This
                                                           presentation will help provide you with the information and resources to have
                                                           that discussion.

             “Bath Salts” are not                          The first thing that parents should know is that the drug called Bath Salts is very
                 Bath Salts                                different from the product that you put into a bath. The only reason why they
                                                           have the same name is because the products look similar like a fine powder.


                                  ≠
                                            drugfree.org




                                                           So – what are Bath Salts anyway? They are a man-made, chemical (as opposed to
         What are “Bath Salts?”
                                                           organic) stimulant drug. Generally, stimulants are a class of drugs that elevate
  • Stimulants: Manmade chemicals related to               mood, increase feelings of well-being and increase energy and alertness.
    amphetamines (speed)
                                                           Amphetamines, or speed, are an example of stimulant drugs.
  • Substituted cathinones --
    Methylenedioxypyrovalerone (MDPV) and
    mephedrone, and methylone are the                      The technical term for Bath Salts is “substituted cathinone.” Now, what does
    chemicals most often found in “bath salts”             that mean? You may have heard of Khat, a plant that is cultivated and used in
  • Consumed orally or nasally                             East Africa and the Middle East. It has a stimulant effect on the user and can be
Drug Enforcement Administration             drugfree.org
                                                           quite dangerous. Substituted cathinones are synthetic, concentrated versions of
                                                           the stimulant chemical in Khat. Methylenedioxypyrovalerone (MDPV),
                                                           mephedrone and methylone are the chemicals most often found in “Bath Salts.”

                                                           They can be ingested orally or snorted through the nose.




                                                                                                                                                 2
So – how can you tell if something that is labeled as a bath salt is really a drug?
                How can you tell?
                                                                              Well, first off, if it is contained in a packet that is about the size of a moist
                                                                              towelette, it probably isn’t designed for use in a bathtub that can hold anywhere
                                                                              from 30 to 60 gallons of water.

If it says it is “Not          Or it is not illegal   Or it is only for 18+
                                                                              But if it also says, “not for human consumption,” says that it is “not illegal”
     For Human
  Consumption”
                                                          Adults Only
                                                                              (never a good sign) or that it is for “adults only,” it is probably a drug that was
 It is probably for ingestion, not a hot bath
                                                               drugfree.org
                                                                              created for ingestion and not for a hot bath.




    Many Brands and Names and                                                 What makes this even trickier is that not all “Bath Salts” are marketed as Bath
    Not Always Sold as Bath Salts                                             Salts.

                                                                              Substituted cathinones and related drugs have been sold as plant feeder, insect
                                                                              repellent and even stain remover.
   Plant Feeder
                                                                              It is also important to note that there is no standard formulation for these drugs.
                 Insect Repellent
                                                                              The composition of chemicals that is sold in one packet may be completely
                              Stain Remover

                                                               drugfree.org
                                                                              different than what is sold in an identical packet.

                                                                              So – why all of the mystery?

                                                                              It is because when these drugs were legal, the people trying to sell them were
                                                                              working to exploit very specific loopholes in the law. For a period of time, these
                                                                              drugs were not illegal because the law did not include them. That has changed,
                                                                              and we will talk about that in a moment. But once word went out that Bath Salts
                                                                              were dangerous, the distributors of these drugs put them in new, deceiving
                                                                              packages.




                                                                                                                                                                    3
Why Do Teens Use “Bath                                                             So why would a teen or young adult, or anyone for that matter, make a decision
               Salts”?                                                                    to use “Bath Salts?”
   • For energy / alternative to illegal stimulants
   • Perceived to be legal                                                                First, we’ll look at some of the same reasons why people use stimulants. For
   • Not picked up on standard drug tests                                                 some, it is to get high or escape, but for many others it is to get energy or
   • Available at retail outlets: convenience                                             endurance to make it through the day. Many people – not just teens – feel
     stores; head shops; online
                                                                                          overworked and overstressed, and in those situations, a stimulant can have a lot
                                                                                          of appeal.
                                                                           drugfree.org

                                                                                          Peer pressure or curiosity can play a large role, and often teens don’t know what
                                                                                          the effects will be until it’s too late. Word of mouth can also play a big part in
                                                                                          deciding to try it.

                                                                                          Anecdotally, potential users may think that Bath Salts are safer than
                                                                                          methamphetamine. They may perceive them to be legal. They may think that
                                                                                          they would not test positive – at work or at school – if they use it.

                                                                                          And these drugs are readily available – if you walk into some convenience stores
                                                                                          or gas stations, you may see a whole display of pills and packages marked as
                                                                                          “vitamins” or “energy boosters.” Some may be legal, and some may not be. Head
                                                                                          shops – which are in the business of selling drug paraphernalia just within the
                                                                                          limits of the law – may sell these drugs, and a search for Bath Salts online yields
                                                                                          more than 1.3 million results.


                                                                                          The effects of Bath Salts can be severe.
           Effects of “Bath Salts”
   • Very severe paranoia • Effects reported to                                           Very severe paranoia can sometimes cause users to harm themselves or others.
     that sometimes causes Poison Control Centers
     users to harm          – Suicidal thoughts
                                                                                          Effects reported to Poison Control Centers include:
     themselves or others.  – Agitation; Combative/Violent;
                                                         Confusion
   • Speed of onset – 15
     minutes; Length of high
                                                    – Hallucinations / psychosis          Suicidal thoughts
                                                    – Increased heart rate;
     – 4-6 hours                                      Hypertension; Chest Pain            Agitation
   • Long term effects:                             – Death or serious injury
                                                                                          Combative/Violent behavior
     Unknown
Source: American Association of Poison Control Centers                     drugfree.org
                                                                                          Confusion
                                                                                          Hallucinations/psychosis
                                                                                          Increased heart rate
                                                                                          Hypertension
                                                                                          Chest Pain
                                                                                          Death or serious injury

                                                                                          The speed of onset is 15 minutes, while the length of the high from these drugs
                                                                                          is four to six hours.

                                                                                          It is especially troubling that the long-term effects of the drug are unknown,
                                                                                          because the drug has only been used widely within the past decade. We don’t
                                                                                          know what the future will hold or exactly how people will be affected.




                                                                                                                                                                            4
Calls To Poison Control Centers for Human                                                                                  Poison centers first raised the alarm about Bath Salts in December 2010 after
         Exposure to Bath Salts, 2010 to January 2012
                                                                         In early 2011, calls closed in each
                                                                                                                                     they started receiving calls about people having serious reactions to the
          The number of calls closed in
          2011 are over 20 times that in
                      2010.
                                                                         month* spiked through June, then
                                                                        gradually declined and is level in the
                                                                                   past 3 months.
                                                                                                                                     chemicals, such as increased blood pressure and heart rate, agitation,
                                                                                                                                     hallucinations, extreme paranoia and delusions. In 2010, poison centers received
                                                                                                                                     304 calls about exposures to Bath Salts. That number rose dramatically in 2011
                                                                                                                                     when poison centers received 6,138 calls. In early 2011, calls closed in each
                                              preliminary
                                              Projection
                                               based on
                                               January
                                                 data




                                                                                                                                     month* spiked through June, then gradually declined and was level in November
                                                                              2011
                                                                               *Numbers may change as cases are closed and
                                                                                                                              2012
                                                                                                                                     and December 2011 and January 2012. While this is notable progress,
                                                                                   additional information is received.



2/2012
           Source: American Association of Poison Control Centers, Bath Salts Data, Updated February 8, 2012 (Preliminary data).
                                                                                                                  drugfree.org
                                                                                                                                     projections based on January 2012 data indicate that use will remain far above
                                                                                                                                     2010 levels in 2012.




                                                                                                                                     We now make the move from salts to Spice.


               Synthetic Marijuana,
                   K2 / “Spice”




                                                                                                                  drugfree.org




                                                                                                                                     “K2” and “Spice” are street names for synthetic marijuana. Whatever
                 Synthetic Marijuana
                                                                                                                                     perceptions people have of marijuana, they should not underestimate the risk of
    • K2 or "Spice" are common names for synthetic
      marijuana, however, the effects of synthetic                                                                                   this drug or make the mistake that synthetic marijuana is somehow less
      marijuana can be very different from cultivated
      marijuana
                                                                                                                                     dangerous than cultivated marijuana.
    • K2 or "Spice" is a mixture of herbs or dried, shredded
      plant material that is typically sprayed with chemicals
      that are similar to THC, the psychoactive ingredients
                                                                                                                                     K2 or Spice is a mixture of herbs or other plant materials that have been sprayed
      in marijuana.                                                                                                                  with artificial chemicals that are supposed to mimic the effects of THC, the
    • Street names: Bliss, Black Mamba, Bombay Blue,
      Blaze, Genie, Spice, Zohai, JWH -018, -073, -250
                                                                                                                                     psychoactive ingredient in marijuana. One group of these artificial chemicals has
                                                                                                                  drugfree.org
                                                                                                                                     the prefix “JWH,” so you will see JWH-018, JWH-073 and others. It is important
                                                                                                                                     to note that K2/Spice is completely synthetic, so while these drugs may act on
                                                                                                                                     the same parts of the brain and body as THC, the effects can be very different.

                                                                                                                                     In addition to the most common names, K2 and Spice, this product is sold under
                                                                                                                                     a number of trade names such as “Blaze,” “Bliss,” “Black Mamba,” “Bombay
                                                                                                                                     Blue,” “Genie” or by the names of the chemicals that are used in the production
                                                                                                                                     process such as JWH-018.




                                                                                                                                                                                                                       5
One of the signs that parents can look for is a strong clove smell. K2/Spice is
                           Signs of Use
                                                                               typically smoked, so parents may find a coffee grinder around the house – which
   • Strong clove smell                                                        is often used to reduce the product to a fine powder so that it is easier to smoke
   • Coffee grinder – finer the powder, easier to                              – and other drug paraphernalia such as pipes or screens.
     smoke
   • Drug paraphernalia (pipes, screens, etc.)
   • Typically smoked



                                                                drugfree.org




                                                                               The physical signs of use are very troubling.
            Physical Signs of Use
   • Loss of control                            • Profuse sweating             You may notice increased agitation, profuse sweating, pale skin or vomiting.
   • Lack of pain          • Uncontrolled /
     response                spastic body
                             movements
                                                                               But what may be of the greatest concern is the loss of physical control – a kind of
   •   Increased agitation
                           • Elevated blood
                                                                               brain-body disconnect. This is where you may see seizures, a lack of pain
   •   Pale skin
                             pressure, heart rate,                             response or uncontrolled/spastic body movements.
   •   Seizures              and palpitations
   •   Vomiting
Source: Prosecuting Attorneys Association of Michigan           drugfree.org




               Effects of Synthetic                                            Looking at the effects another way, parents should know that the onset of this
                    Marijuana                                                  drug is fairly quick, and – depending on a number of factors – the length of the
   • Onset – 3-5 minutes                                                       high can last from one to eight hours.
   • Length of duration – 1-8 hours
   • Short-term effects: In addition to physical                               The paranoia that is associated with K2/Spice is closer to the psychological
     signs of use, users may experience:
                                                                               reaction to PCP or angel dust than to the paranoia associated with marijuana.
        – Dysphoria – the opposite of euphoria
        – Paranoia – similar to PCP / Angel Dust
        – Delusions, hallucinations and increased agitation                    One of the most frightening factors is that users may experience dysphoria. The
   • Long-term effects: Unknown                                                best way to explain dysphoria is that it is the opposite of euphoria. A spice user
Source: Prosecuting Attorneys Association of Michigan           drugfree.org

                                                                               posted a blog comment that read in part, “I felt as if I was in hell – this morbid
                                                                               place that I couldn’t get out of.” (http://cenblog.org/terra-
                                                                               sigillata/2010/09/07/whats-the-buzz-synthetic-marijuana-k2-spice-jwh-018/)

                                                                               As troubling as the short-term effects of this drug are, what is even more
                                                                               concerning is the fact that no one knows what their long-term effects will be.
                                                                               They simply haven’t been around long enough for medical professionals to know
                                                                               how users will be affected in 10 years, 20 years or even further in the future.




                                                                                                                                                                    6
Like Bath Salts, K2/Spice is sold online, in convenience stores and in “head”
              How is K2 obtained?
                                                                                   shops. It is often marketed as incense.
    • K2 is typically sold in small,
      silvery plastic bags of dried
      leaves and marketed as
      incense that can be smoked.
      It is said to resemble
      potpourri.
    • K2 is sold online, in
      convenience stores and in
      “head” shops, and is usually
      marketed as incense.
                                                                    drugfree.org




                                                                                   While these drugs may be “news” to many parents, more than one in 10
                                                                                   American high school seniors used synthetic marijuana in the prior year
                                                                                   according to the “Monitoring the Future” study, a survey conducted by the
                                                                                   University of Michigan,.

                                                                                   At 11.4 percent, the annual prevalence of synthetic marijuana is:
                                                                                   41 percent greater than Vicodin (8.1 percent)
                                                                                   Four times greater than inhalants (3.2 percent)
                                                                                   Four times greater than cocaine (2.9 percent)
                                                                                   Eight times greater than meth (1.4 percent)

                                                                                   It is also more common than hallucinogens, LSD and OxyContin and twice as
                                                                                   likely to be used as over-the-counter cough/cold medicine.


      Calls Received by Poison Control Centers for Human                           Calls to poison control centers for exposure to synthetic marijuana doubled
     Exposure to Synthetic Marijuana, 2010 to January 2012
                                                                                   between 2010 and 2011 and is on track to rise again in 2012.
                                   Projection based on
                                   preliminary January
                                           data




                                                         2011          2012



Source: American Association of Poison Control Centers, Synthetic
Marijuana Data, Updated February 8, 2012 (Preliminary data)
 2/2012                                                             drugfree.org




                                                                                                                                                                   7
In the past two years, the Drug Enforcement Administration has taken
              DEA takes action
                                                                                emergency action to make both Bath Salts and K2/Spice illegal. There is now a
•   On November 24, 2010, the Drug Enforcement Administration (DEA)
    took emergency action to temporarily control five chemicals used to
                                                                                study period taking place to determine if these bans will remain permanent.
    make K2 and other “fake pot” products.

•   On September 7, 2011, the DEA banned three of the drugs found in
    bath salts
                                                                                The challenge for regulators and parents, however, is to stay ahead of the new
•   Possessing and selling these chemicals or the products that contain is
    now illegal in the U.S.                                                     formulas and versions of these drugs that may not be covered by current law.
•   The DEA will study these chemicals to determine if these products
    should be permanently controlled.

•   Congress is also working to act on this issue.
                                                                                Congress is also working to act on this issue.
•   Regulators face the challenge of staying ahead of formulations

                                                                 drugfree.org

                                                                                However, regulators and parents face the challenge of staying ahead of new
                                                                                formulations.




      Messages Parents Can                                                      So what can parents and other influencers say to young people about the
            Deliver                                                             dangers of these drugs?
• It is impossible to know what these drugs contain, or who
  made them, or what you are going to get.
• Getting high – no matter how – carries risks of making                        A good overarching message to kids is to avoid putting anything in their bodies
  unsafe or unhealthy decisions
                                                                                that would change their feelings or emotions – whether it is something they
• Just because a drug is legal – or is labeled as legal –
  does not mean that it is safe                                                 would smoke, drink, take in pill form or shoot with a needle. The human brain is
• We don’t know the long term effects of synthetic drugs
  because the drugs are so new
                                                                                an incredible machine, and you need to be even more careful with a teenage
                                                                                brain because it is a work in progress.
                                                                 drugfree.org

                                                                                Additional messages include:
                                                                                •    It is impossible to know what these drugs contain, who made them or what
                                                                                     you are going to get.
                                                                                •    Getting high – no matter how – carries risks of making unsafe or unhealthy
                                                                                     decisions.
                                                                                •    Just because a drug is legal – or is labeled as legal – does not mean that it is
                                                                                     safe.
                                                                                •    We don’t know the long-term effects of synthetic drugs because the drugs
                                                                                     are so new.




                                                                                                                                                                    8
The Partnership at Drugfree.org’s “Time To Talk” resource, found at
   Drugfree.org Resources
                                                                             TimeToTalk.org, offers easy-to-use, research-based tips to help you have
          PREVENT                             INTERVENE
 TimeToTalk helps you start the
  conversation                        Time to Act if you think or know
                                                                             ongoing conversations with your kids to keep them healthy and drug free.
 Habla Con Tus Hijos-Spanish-         your child is using.
  language version                    Intervene blog
 The Decoder blog                    Intervention eBook
 The Drug Guide for Parents
                                                                             HablaConTusHijos.org is the Spanish-language version of Time to Talk.
     GET TREATMENT                             RECOVER
 Treatment eBook                     Time to Get Help community
 Time to Get Help helps parents
  better understand teen and young
                                       connects parents who understand
                                       and have been there.
                                                                             The Decoder blog addresses real issues that real parents face every day.
  adult substance abuse and
  addiction.



                                                              drugfree.org
                                                                             The Drug Guide for Parents shares facts about the top 13 drugs most commonly
                                                                             abused by teens.

                                                                             Time to Act! provides parents with step-by-step guidance on what to do if they
                                                                             think or know that their child is using.

                                                                             The Intervene blog is a forum for experts, parents and caring adults to share
                                                                             their experiences and insights.

                                                                             The Intervention eBook provides parents with an additional way to learn about
                                                                             how to help their child.

                                                                             The Treatment eBook provides parents with a guide to understanding what
                                                                             treatment is, how to pay for it, how to start treatment and more.

                                                                             Time to Get Help gives parents a better understanding of teen and young adult
                                                                             substance abuse and addiction and a community to share their experiences and
                                                                             support one another.

                                                                             A key message that we want to deliver to parents and other people who care
                                                                             about kids is that whether you are working to prevent use by their child,
                                                                             responding to it or supporting your child’s recovery, you are not alone




                                                                                                                                                              9
Connect with The                                                                 We want families to connect with the Partnership.
Partnership at Drugfree.org
              HELPLINE                                                                The Partnership at Drugfree.org’s Parents Toll-Free Helpline offers assistance to
                                                             FACEBOOK
              1- 855 -                                      /partnershipdrugfree
                                                                                      parents who want to talk to someone about their child’s drug use and drinking.
             DRUGFREE


            eNewsletter                                                               Our Helpline is open Monday through Friday from 10:00 am to 6:00 pm ET. We
            News & tips in                                     TWITTER                are closed on weekends and holidays. The Helpline is not a crisis line. If you do
             your inbox.                                        @drugnews

Drugfree.org/eNewsletters
                                                                                      not connect with a parent specialist, please leave a message and we will make
                                                                       drugfree.org
                                                                                      every effort to get back to you by the next business day. If you are in need of
                                                                                      immediate or emergency services please call 911 or a 24-hour crisis hotline.

                                                                                      Our eNewsletters are a great way to get updated information about substance
                                                                                      abuse and actions parents can take to help their kids delivered directly to your
                                                                                      inbox.

                                                                                      You can friend us on Facebook, or you can follow our Twitter feed.

                                                                                      We try to provide as many ways as possible to for you to keep in touch with us!


                                                                                      In the coming months, we will be creating additional slidecasts that use content
                                                                                      from the Parents360 presentation and modules.
                   PARENTS360
                     Thank You!                                                       If you would like to be notified when these screencasts are published, please be
                                                                                      sure to sign up for the Community Education newsletter at drugfree.org, or
                                                                                      “like” The Partnership at Drugfree.org on Facebook.

                                                                                      Thank you for your time, your attention and for your concern for the young
                                                                       drugfree.org
                                                                                      people in your life.




         Acknowledgement
       This project was supported by Grant No. 2010- DB-BX-K025
       awarded by the Bureau of Justice Assistance. The Bureau of
       Justice Assistance is a component of the Office of Justice
       Programs, which also includes the Bureau of Justice Statistics,
       the National Institute of Justice, the Office of Juvenile Justice
       and Delinquency Prevention, the Office for Victims of Crime,
       and the Office of Sex Offender Sentencing, Monitoring,
       Apprehending, Registering, and Tracking. Points of view or
       opinions in this document are those of the author and do not
       necessarily represent the official position or policies of the
       U.S. Department of Justice.




                                                                       drugfree.org




                                                                                                                                                                          10
Parents: You Matter
                                    The Tip Sheet
Here are important tips, resources and information you can use to give your kids happy, healthy and
safe futures, and help them avoid the dangers of drugs and alcohol.



                                           COMMUNICATE
   1. Clearly communicate the risks of alcohol and drug use
   2. Let your child know you disapprove of any drinking or drug use.
          a. Kids who believe their parents will be upset if they try drugs are 43 percent less likely
             to do so.
   3. Use teachable moments to talk about drinking and using drugs.
   4. Frequently talk and listen to your kids about how things are going in their lives.


                                              MONITOR
   1. Know WHO your child is with
   2. Know WHAT they’re doing
   3. Know WHERE your child will be
   4. Know WHEN your child is expected home
   5. Know who your teen’s friends are – communicate with their parents
   6. Establish and enforce rules – including a clear “no use” policy


                                 SPOT ALCOHOL AND DRUG USE
    Here are five changes to watch for…
          1. Declining school work and grades
          2. Abrupt changes in friends, groups or behavior
          3. Sleeping habits and abnormal health issues
          4. Deteriorating relationships with family
          5. Less openness and honesty
    Be aware of special vulnerabilities

                                                                                                         11
WHAT TO DO WHEN YOU SPOT ALCOHOL AND DRUG USE
1. Focus, you can do this
        Don’t panic, but act right away
2. Start talking
        Let your child know you are concerned
        Communicate your disapproval
3. Set limits, rules and consequences
4. Monitor – look for evidence, make lists, keep track
5. Get outside/professional help – you don’t have to do this alone




                            TAKE ACTION AND LEARN MORE
1. Talk to your kids about the dangers of drinking and using drugs
2. Monitor your kid’s whereabouts
3. Connect with other parents
4. Learn more about preventing teen drinking and drug use– go to www.drugfree.org




       IMPORTANT RESOURCES FROM THE PARTNERSHIP AT DRUGFREE.ORG
1. www.drugfree.org – Main Site
2. www.timetotalk.org – Learn how to start a conversation with your child
3. www.drugfree.org/timetoact – Learn what to do if you suspect or know your child is using
4. www.drugfree.org/teenbrain – Learn about teen brain development and how you can help
   your teen make smart, healthy decisions
5. www.drugfree.org/parent – The Parent Tool Kit offers videos & articles on how to talk with
   your kids at any age




                                                                                                12

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Parents360 Synthetics (Bath Salts & K2 Spice) Parents Guide

  • 1. Parents360 Synthetic Drugs: Bath Salts, K2/Spice: A guide for parents and other influencers February 16, 2012 1
  • 2. Hello, and welcome to the Parents360 module that addresses issues pertaining Parents360 to synthetic drugs such as Bath Salts and K2/Spice. Synthetic Drugs: Bath Salts, K2/Spice Some background to start:“Parents360 – Parents: You Matter” is a community education presentation that helps parents and other adults who care about kids learn how to communicate effectively with their children, look out for them and get them help if and when they need it. The presentation has a number of drug- specific modules that can be added to it. The one we’re talking about today is drugfree.org Synthetic Drugs such as Bath Salts and K2/Spice. This is a very important topic to address because synthetic drugs are dangerous. They are not ‘safe' as a second choice, or as an alternative to more well-known drugs, for your kids, and you must communicate that fact with them. This presentation will help provide you with the information and resources to have that discussion. “Bath Salts” are not The first thing that parents should know is that the drug called Bath Salts is very Bath Salts different from the product that you put into a bath. The only reason why they have the same name is because the products look similar like a fine powder. ≠ drugfree.org So – what are Bath Salts anyway? They are a man-made, chemical (as opposed to What are “Bath Salts?” organic) stimulant drug. Generally, stimulants are a class of drugs that elevate • Stimulants: Manmade chemicals related to mood, increase feelings of well-being and increase energy and alertness. amphetamines (speed) Amphetamines, or speed, are an example of stimulant drugs. • Substituted cathinones -- Methylenedioxypyrovalerone (MDPV) and mephedrone, and methylone are the The technical term for Bath Salts is “substituted cathinone.” Now, what does chemicals most often found in “bath salts” that mean? You may have heard of Khat, a plant that is cultivated and used in • Consumed orally or nasally East Africa and the Middle East. It has a stimulant effect on the user and can be Drug Enforcement Administration drugfree.org quite dangerous. Substituted cathinones are synthetic, concentrated versions of the stimulant chemical in Khat. Methylenedioxypyrovalerone (MDPV), mephedrone and methylone are the chemicals most often found in “Bath Salts.” They can be ingested orally or snorted through the nose. 2
  • 3. So – how can you tell if something that is labeled as a bath salt is really a drug? How can you tell? Well, first off, if it is contained in a packet that is about the size of a moist towelette, it probably isn’t designed for use in a bathtub that can hold anywhere from 30 to 60 gallons of water. If it says it is “Not Or it is not illegal Or it is only for 18+ But if it also says, “not for human consumption,” says that it is “not illegal” For Human Consumption” Adults Only (never a good sign) or that it is for “adults only,” it is probably a drug that was It is probably for ingestion, not a hot bath drugfree.org created for ingestion and not for a hot bath. Many Brands and Names and What makes this even trickier is that not all “Bath Salts” are marketed as Bath Not Always Sold as Bath Salts Salts. Substituted cathinones and related drugs have been sold as plant feeder, insect repellent and even stain remover. Plant Feeder It is also important to note that there is no standard formulation for these drugs. Insect Repellent The composition of chemicals that is sold in one packet may be completely Stain Remover drugfree.org different than what is sold in an identical packet. So – why all of the mystery? It is because when these drugs were legal, the people trying to sell them were working to exploit very specific loopholes in the law. For a period of time, these drugs were not illegal because the law did not include them. That has changed, and we will talk about that in a moment. But once word went out that Bath Salts were dangerous, the distributors of these drugs put them in new, deceiving packages. 3
  • 4. Why Do Teens Use “Bath So why would a teen or young adult, or anyone for that matter, make a decision Salts”? to use “Bath Salts?” • For energy / alternative to illegal stimulants • Perceived to be legal First, we’ll look at some of the same reasons why people use stimulants. For • Not picked up on standard drug tests some, it is to get high or escape, but for many others it is to get energy or • Available at retail outlets: convenience endurance to make it through the day. Many people – not just teens – feel stores; head shops; online overworked and overstressed, and in those situations, a stimulant can have a lot of appeal. drugfree.org Peer pressure or curiosity can play a large role, and often teens don’t know what the effects will be until it’s too late. Word of mouth can also play a big part in deciding to try it. Anecdotally, potential users may think that Bath Salts are safer than methamphetamine. They may perceive them to be legal. They may think that they would not test positive – at work or at school – if they use it. And these drugs are readily available – if you walk into some convenience stores or gas stations, you may see a whole display of pills and packages marked as “vitamins” or “energy boosters.” Some may be legal, and some may not be. Head shops – which are in the business of selling drug paraphernalia just within the limits of the law – may sell these drugs, and a search for Bath Salts online yields more than 1.3 million results. The effects of Bath Salts can be severe. Effects of “Bath Salts” • Very severe paranoia • Effects reported to Very severe paranoia can sometimes cause users to harm themselves or others. that sometimes causes Poison Control Centers users to harm – Suicidal thoughts Effects reported to Poison Control Centers include: themselves or others. – Agitation; Combative/Violent; Confusion • Speed of onset – 15 minutes; Length of high – Hallucinations / psychosis Suicidal thoughts – Increased heart rate; – 4-6 hours Hypertension; Chest Pain Agitation • Long term effects: – Death or serious injury Combative/Violent behavior Unknown Source: American Association of Poison Control Centers drugfree.org Confusion Hallucinations/psychosis Increased heart rate Hypertension Chest Pain Death or serious injury The speed of onset is 15 minutes, while the length of the high from these drugs is four to six hours. It is especially troubling that the long-term effects of the drug are unknown, because the drug has only been used widely within the past decade. We don’t know what the future will hold or exactly how people will be affected. 4
  • 5. Calls To Poison Control Centers for Human Poison centers first raised the alarm about Bath Salts in December 2010 after Exposure to Bath Salts, 2010 to January 2012 In early 2011, calls closed in each they started receiving calls about people having serious reactions to the The number of calls closed in 2011 are over 20 times that in 2010. month* spiked through June, then gradually declined and is level in the past 3 months. chemicals, such as increased blood pressure and heart rate, agitation, hallucinations, extreme paranoia and delusions. In 2010, poison centers received 304 calls about exposures to Bath Salts. That number rose dramatically in 2011 when poison centers received 6,138 calls. In early 2011, calls closed in each preliminary Projection based on January data month* spiked through June, then gradually declined and was level in November 2011 *Numbers may change as cases are closed and 2012 and December 2011 and January 2012. While this is notable progress, additional information is received. 2/2012 Source: American Association of Poison Control Centers, Bath Salts Data, Updated February 8, 2012 (Preliminary data). drugfree.org projections based on January 2012 data indicate that use will remain far above 2010 levels in 2012. We now make the move from salts to Spice. Synthetic Marijuana, K2 / “Spice” drugfree.org “K2” and “Spice” are street names for synthetic marijuana. Whatever Synthetic Marijuana perceptions people have of marijuana, they should not underestimate the risk of • K2 or "Spice" are common names for synthetic marijuana, however, the effects of synthetic this drug or make the mistake that synthetic marijuana is somehow less marijuana can be very different from cultivated marijuana dangerous than cultivated marijuana. • K2 or "Spice" is a mixture of herbs or dried, shredded plant material that is typically sprayed with chemicals that are similar to THC, the psychoactive ingredients K2 or Spice is a mixture of herbs or other plant materials that have been sprayed in marijuana. with artificial chemicals that are supposed to mimic the effects of THC, the • Street names: Bliss, Black Mamba, Bombay Blue, Blaze, Genie, Spice, Zohai, JWH -018, -073, -250 psychoactive ingredient in marijuana. One group of these artificial chemicals has drugfree.org the prefix “JWH,” so you will see JWH-018, JWH-073 and others. It is important to note that K2/Spice is completely synthetic, so while these drugs may act on the same parts of the brain and body as THC, the effects can be very different. In addition to the most common names, K2 and Spice, this product is sold under a number of trade names such as “Blaze,” “Bliss,” “Black Mamba,” “Bombay Blue,” “Genie” or by the names of the chemicals that are used in the production process such as JWH-018. 5
  • 6. One of the signs that parents can look for is a strong clove smell. K2/Spice is Signs of Use typically smoked, so parents may find a coffee grinder around the house – which • Strong clove smell is often used to reduce the product to a fine powder so that it is easier to smoke • Coffee grinder – finer the powder, easier to – and other drug paraphernalia such as pipes or screens. smoke • Drug paraphernalia (pipes, screens, etc.) • Typically smoked drugfree.org The physical signs of use are very troubling. Physical Signs of Use • Loss of control • Profuse sweating You may notice increased agitation, profuse sweating, pale skin or vomiting. • Lack of pain • Uncontrolled / response spastic body movements But what may be of the greatest concern is the loss of physical control – a kind of • Increased agitation • Elevated blood brain-body disconnect. This is where you may see seizures, a lack of pain • Pale skin pressure, heart rate, response or uncontrolled/spastic body movements. • Seizures and palpitations • Vomiting Source: Prosecuting Attorneys Association of Michigan drugfree.org Effects of Synthetic Looking at the effects another way, parents should know that the onset of this Marijuana drug is fairly quick, and – depending on a number of factors – the length of the • Onset – 3-5 minutes high can last from one to eight hours. • Length of duration – 1-8 hours • Short-term effects: In addition to physical The paranoia that is associated with K2/Spice is closer to the psychological signs of use, users may experience: reaction to PCP or angel dust than to the paranoia associated with marijuana. – Dysphoria – the opposite of euphoria – Paranoia – similar to PCP / Angel Dust – Delusions, hallucinations and increased agitation One of the most frightening factors is that users may experience dysphoria. The • Long-term effects: Unknown best way to explain dysphoria is that it is the opposite of euphoria. A spice user Source: Prosecuting Attorneys Association of Michigan drugfree.org posted a blog comment that read in part, “I felt as if I was in hell – this morbid place that I couldn’t get out of.” (http://cenblog.org/terra- sigillata/2010/09/07/whats-the-buzz-synthetic-marijuana-k2-spice-jwh-018/) As troubling as the short-term effects of this drug are, what is even more concerning is the fact that no one knows what their long-term effects will be. They simply haven’t been around long enough for medical professionals to know how users will be affected in 10 years, 20 years or even further in the future. 6
  • 7. Like Bath Salts, K2/Spice is sold online, in convenience stores and in “head” How is K2 obtained? shops. It is often marketed as incense. • K2 is typically sold in small, silvery plastic bags of dried leaves and marketed as incense that can be smoked. It is said to resemble potpourri. • K2 is sold online, in convenience stores and in “head” shops, and is usually marketed as incense. drugfree.org While these drugs may be “news” to many parents, more than one in 10 American high school seniors used synthetic marijuana in the prior year according to the “Monitoring the Future” study, a survey conducted by the University of Michigan,. At 11.4 percent, the annual prevalence of synthetic marijuana is: 41 percent greater than Vicodin (8.1 percent) Four times greater than inhalants (3.2 percent) Four times greater than cocaine (2.9 percent) Eight times greater than meth (1.4 percent) It is also more common than hallucinogens, LSD and OxyContin and twice as likely to be used as over-the-counter cough/cold medicine. Calls Received by Poison Control Centers for Human Calls to poison control centers for exposure to synthetic marijuana doubled Exposure to Synthetic Marijuana, 2010 to January 2012 between 2010 and 2011 and is on track to rise again in 2012. Projection based on preliminary January data 2011 2012 Source: American Association of Poison Control Centers, Synthetic Marijuana Data, Updated February 8, 2012 (Preliminary data) 2/2012 drugfree.org 7
  • 8. In the past two years, the Drug Enforcement Administration has taken DEA takes action emergency action to make both Bath Salts and K2/Spice illegal. There is now a • On November 24, 2010, the Drug Enforcement Administration (DEA) took emergency action to temporarily control five chemicals used to study period taking place to determine if these bans will remain permanent. make K2 and other “fake pot” products. • On September 7, 2011, the DEA banned three of the drugs found in bath salts The challenge for regulators and parents, however, is to stay ahead of the new • Possessing and selling these chemicals or the products that contain is now illegal in the U.S. formulas and versions of these drugs that may not be covered by current law. • The DEA will study these chemicals to determine if these products should be permanently controlled. • Congress is also working to act on this issue. Congress is also working to act on this issue. • Regulators face the challenge of staying ahead of formulations drugfree.org However, regulators and parents face the challenge of staying ahead of new formulations. Messages Parents Can So what can parents and other influencers say to young people about the Deliver dangers of these drugs? • It is impossible to know what these drugs contain, or who made them, or what you are going to get. • Getting high – no matter how – carries risks of making A good overarching message to kids is to avoid putting anything in their bodies unsafe or unhealthy decisions that would change their feelings or emotions – whether it is something they • Just because a drug is legal – or is labeled as legal – does not mean that it is safe would smoke, drink, take in pill form or shoot with a needle. The human brain is • We don’t know the long term effects of synthetic drugs because the drugs are so new an incredible machine, and you need to be even more careful with a teenage brain because it is a work in progress. drugfree.org Additional messages include: • It is impossible to know what these drugs contain, who made them or what you are going to get. • Getting high – no matter how – carries risks of making unsafe or unhealthy decisions. • Just because a drug is legal – or is labeled as legal – does not mean that it is safe. • We don’t know the long-term effects of synthetic drugs because the drugs are so new. 8
  • 9. The Partnership at Drugfree.org’s “Time To Talk” resource, found at Drugfree.org Resources TimeToTalk.org, offers easy-to-use, research-based tips to help you have PREVENT INTERVENE  TimeToTalk helps you start the conversation  Time to Act if you think or know ongoing conversations with your kids to keep them healthy and drug free.  Habla Con Tus Hijos-Spanish- your child is using. language version  Intervene blog  The Decoder blog  Intervention eBook  The Drug Guide for Parents HablaConTusHijos.org is the Spanish-language version of Time to Talk. GET TREATMENT RECOVER  Treatment eBook  Time to Get Help community  Time to Get Help helps parents better understand teen and young connects parents who understand and have been there. The Decoder blog addresses real issues that real parents face every day. adult substance abuse and addiction. drugfree.org The Drug Guide for Parents shares facts about the top 13 drugs most commonly abused by teens. Time to Act! provides parents with step-by-step guidance on what to do if they think or know that their child is using. The Intervene blog is a forum for experts, parents and caring adults to share their experiences and insights. The Intervention eBook provides parents with an additional way to learn about how to help their child. The Treatment eBook provides parents with a guide to understanding what treatment is, how to pay for it, how to start treatment and more. Time to Get Help gives parents a better understanding of teen and young adult substance abuse and addiction and a community to share their experiences and support one another. A key message that we want to deliver to parents and other people who care about kids is that whether you are working to prevent use by their child, responding to it or supporting your child’s recovery, you are not alone 9
  • 10. Connect with The We want families to connect with the Partnership. Partnership at Drugfree.org HELPLINE The Partnership at Drugfree.org’s Parents Toll-Free Helpline offers assistance to FACEBOOK 1- 855 - /partnershipdrugfree parents who want to talk to someone about their child’s drug use and drinking. DRUGFREE eNewsletter Our Helpline is open Monday through Friday from 10:00 am to 6:00 pm ET. We News & tips in TWITTER are closed on weekends and holidays. The Helpline is not a crisis line. If you do your inbox. @drugnews Drugfree.org/eNewsletters not connect with a parent specialist, please leave a message and we will make drugfree.org every effort to get back to you by the next business day. If you are in need of immediate or emergency services please call 911 or a 24-hour crisis hotline. Our eNewsletters are a great way to get updated information about substance abuse and actions parents can take to help their kids delivered directly to your inbox. You can friend us on Facebook, or you can follow our Twitter feed. We try to provide as many ways as possible to for you to keep in touch with us! In the coming months, we will be creating additional slidecasts that use content from the Parents360 presentation and modules. PARENTS360 Thank You! If you would like to be notified when these screencasts are published, please be sure to sign up for the Community Education newsletter at drugfree.org, or “like” The Partnership at Drugfree.org on Facebook. Thank you for your time, your attention and for your concern for the young drugfree.org people in your life. Acknowledgement This project was supported by Grant No. 2010- DB-BX-K025 awarded by the Bureau of Justice Assistance. The Bureau of Justice Assistance is a component of the Office of Justice Programs, which also includes the Bureau of Justice Statistics, the National Institute of Justice, the Office of Juvenile Justice and Delinquency Prevention, the Office for Victims of Crime, and the Office of Sex Offender Sentencing, Monitoring, Apprehending, Registering, and Tracking. Points of view or opinions in this document are those of the author and do not necessarily represent the official position or policies of the U.S. Department of Justice. drugfree.org 10
  • 11. Parents: You Matter The Tip Sheet Here are important tips, resources and information you can use to give your kids happy, healthy and safe futures, and help them avoid the dangers of drugs and alcohol. COMMUNICATE 1. Clearly communicate the risks of alcohol and drug use 2. Let your child know you disapprove of any drinking or drug use. a. Kids who believe their parents will be upset if they try drugs are 43 percent less likely to do so. 3. Use teachable moments to talk about drinking and using drugs. 4. Frequently talk and listen to your kids about how things are going in their lives. MONITOR 1. Know WHO your child is with 2. Know WHAT they’re doing 3. Know WHERE your child will be 4. Know WHEN your child is expected home 5. Know who your teen’s friends are – communicate with their parents 6. Establish and enforce rules – including a clear “no use” policy SPOT ALCOHOL AND DRUG USE  Here are five changes to watch for… 1. Declining school work and grades 2. Abrupt changes in friends, groups or behavior 3. Sleeping habits and abnormal health issues 4. Deteriorating relationships with family 5. Less openness and honesty  Be aware of special vulnerabilities 11
  • 12. WHAT TO DO WHEN YOU SPOT ALCOHOL AND DRUG USE 1. Focus, you can do this  Don’t panic, but act right away 2. Start talking  Let your child know you are concerned  Communicate your disapproval 3. Set limits, rules and consequences 4. Monitor – look for evidence, make lists, keep track 5. Get outside/professional help – you don’t have to do this alone TAKE ACTION AND LEARN MORE 1. Talk to your kids about the dangers of drinking and using drugs 2. Monitor your kid’s whereabouts 3. Connect with other parents 4. Learn more about preventing teen drinking and drug use– go to www.drugfree.org IMPORTANT RESOURCES FROM THE PARTNERSHIP AT DRUGFREE.ORG 1. www.drugfree.org – Main Site 2. www.timetotalk.org – Learn how to start a conversation with your child 3. www.drugfree.org/timetoact – Learn what to do if you suspect or know your child is using 4. www.drugfree.org/teenbrain – Learn about teen brain development and how you can help your teen make smart, healthy decisions 5. www.drugfree.org/parent – The Parent Tool Kit offers videos & articles on how to talk with your kids at any age 12