1. Alcohol and IYou
Jackie Daniels, MSW, LCSW
Office of Alternative Screening and Intervention Services
(OASIS)
Eigenmann Hall West 725
danieljm@indiana.edu
3. STATS (everyone loves numbers)
• 50% of IU men and women drink at least once a
month
• 30% are “risky” drinkers
• 30% don’t drink
• 15% smoke pot at least once a month
• 6% take Rx drugs monthly (Adderall, Vicodin and
Xanax)
• 2% use cocaine
N=5,500
• Source: Indiana Collegiate Substance Use Survey 2012
4. Biological Sex Women Have More
Differences Vulnerabilities than Men
Metabolism of Alcohol: •Liver damage and hepatitis
•Less water=Higher
Concentration & Faster •Heart Disease in Heavy
Intoxication Consumers
Alcohol and Birth Control
•Increased risk for breast
•Alcohol does not change
birth control effectiveness cancer in women who drink
more than one drink per day
•Alcohol takes longer to leave
body=Increased intoxication •Drive drunk less, yet higher
& BAC
risk for traffic fatality
5. What is a “Drink?”
“Standard” Keep in mind…
• Beer can range in alcohol %
• 100 proof liquor= 1 oz.
• Carbonated
beverages=More rapid rise
in BAC
• Measuring is the only way
to track correctly!
• TRY- BAC App on
Smartphone
6. illegally impaired*
toxic pass out*
legally unimpaired* Drinking
(1/2pint of whiskey)
death (½)
.01 .05 .08 .10 .11 .15 .20 .30 .40 .45
legally impaired*
black out
(dangerous drinking – coma
alcohol low memory function)
poisoning
??? Legal drinking age in Indiana is….
???Impairment BAC in Indiana is…
blood alcohol concentration
7. motor coordination
low signal
memory breathing
heart rate
.01 .05 .08 .10 .11 .15 .20 .30 .40 .45
abstract reasoning
judgment emotion regulation
logic consciousness
spit
sweat
pee death (½)
puke
(poisoning) the alcohol signaling system
8. Attentional Myopia
• The more we drink, the less likely we are to
attend to things in the periphery
• Our attention turns to what is right in front of
us
– Ego Boost (taller, more talkative, better dancer)
– Real worries get worse
– Pleasure in the moment (risky sex, driving)
– “In the zone” (better writer, philosopher)
» Steele C.M & Josephs R.A., 1990)
9. RISK FACTORS
• Consequences- Legal, Health, Academic,
Relational, Financial
• Tolerance- Less able to get the “signals”
• Family Risk- Nature vs. Nurture
• Risk Taking- Combining substances, Brain
Affects
• Control- Voluntary vs. Involuntary
» National Institute on Alcohol Abuse and Alcoholism
10. Combining Substances*
• Stimulants (Cocaine, Adderall)- Higher Tolerance=
illusion of less intoxication can lead to overdose
• Marijuana- decreases ability to vomit, increases
affects of alcohol
• Antihistamines- Increase affect of alcohol
• Prescription Medication- Use your doctor and
pharmacists as resources= Informed Consumerism!!!
• Sedatives (Benzodiazepines) – DANGEROUS
(breathing, heart rate) CNS Depressants
• Narcotics/Opiates-DANGEROUS (breathing, heart
rate) CNS Depressants *Affects differ from person to
person
12. LIFELINE
• Legal immunity for person seeking medical assistance for a person
suffering from an alcohol- related health emergency:
– PI
– Minor Possession and Consumption
– Minor transportation
• To meet criteria under the law, one must:
- Provide full name & any other relevant information requested by law
enforcement officers
- Remain on the scene until law enforcement and emergency medical
assistance arrives
- Cooperate with authorities on the scene
13. What is Your P.L.A.N.?
• People- Who is your buddy, who is sober? Who do
you call for help? Who do you trust? Why?
• Location- Where are you going? Do you know
someone there? Where is it? Have you told
anyone? Where are you staying? How will you get
there?
• Amount- What’s your limit? Why? How are you
going to keep track? What will you do if you don’t
stick to it?
• NEVER… - What are your deal breakers? What is
your limit? Who is not okay? What is not okay? Have
14. IU Resources
• Residential Programs & Services (RPS) staff
• Counseling and Psychological Services (CAPS)
• Sexual Assault Crisis Services (SACS)
• Office of Alternative Screening and Intervention
Services (OASIS)
• Student Life and Learning (Hazing)
• Student Advocates Office (academic, legal)
• Student Legal Services
• Office of Student Ethics
• Incident Teams (trust@indiana.edu)
• IUPD, 911
Editor's Notes
Legal Impairment is only “legal” for 21 and above. Legally unimpaired means it is no longer safe to drive or be in public from a legal standpoint. Driving at any BAC is a risk. Anything between .05 and .08 (for 21 and over) – legally impaired- means you can be arrested for PI, DUI, as long as there is probable cause for concern about the safety of you and others. Illegally impaired is the actual legal limit for drinking, period. If you are under 21, these laws apply, but there can be stricter punishments for you as there is no tolerance in Indiana (legally) for underage drinking. Alcohol poisoning means the body starts to reject alcohol due to the experience of a toxic substance present in the body. This is only the case for someone drinking 1-2 drinks per hour. At .15 BAC , you have consumed the equivalent to one half pint of whiskey. It marinates your liver and increases the risks associated with kidney, pancreatic and liver functions. Even in young people. Emergency services must be called when someone passes out . Their breathing, heart rate and brain functions can diminish quickly. They also risk dehydration. (see Lifeline Law) If someone has been drinking quickly (pre-gaming, shots, drinking games, or anything else that results in drinking more than 2 in one hour), and passes out, their BAC can continue to increase as the body processes the alcohol. Very important to know this as they can go from passed out to coma quickly.
The physiological signaling system only works if you are drinking at a steady pace (1-2 standard drinks in an hour). As you drink, your body sends you “signals” to tell you if you’re fine, overdosing (alcohol poisoning) or toxic. The arrows below the line show what function becomes difficult or could happen-- and above the line is what is being affected as you drink.
These are individual risk factors and help students identify their individual risk for further problems (later) with alcohol. Tolerance- using alcohol in increasing amounts for the desired effect over time can eventually result in dependence on alcohol (alcoholism) Consequences- Students who continue to drink in the face of consequences are at a greater risk of future problems from alcohol. Some students risk more than others (scholarships, suspension/expulsion, loss of career opportunities, loss of relationships, poor reputation, familial disappointment, professional licenses, etc.) Family Risk- We know from genetic and twin studies that risk related to alcohol problems can be traced to familial history, ethnicity, etc. Risk taking- Students who are risk takers can be identified as : Wanting consistent excitement, trying anything at least once, adrenaline junkies, etc. They are more likely to do illegal drugs, and other high risk behaviors related to alcohol (stupid human tricks that result in injury or harm to others). Students that combine alcohol with other drugs are also seen as risk takers. Control- the epitome of drug or alcohol addiction is loss of control over amount, frequency, desire and need for alcohol. Students need to monitor their drinking not only for their safety, but to monitor if use is increasing, becoming more frequent and if they spend a lot of time thinking about it.
Facilitator: Here are a list of campus resources you should use to help you help others. Handout resource handout
