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Substance Abuse
            by Zak Olive
               Dan McKenna
               Matt Michell
Defining Abuse
Defining Abuse
• SUBSTANCE DEPENDENCE - state when drug-taking becomes
 compulsive, taking precedence over other needs.
Defining Abuse
• SUBSTANCE DEPENDENCE - state when drug-taking becomes
 compulsive, taking precedence over other needs.

• SUBSTANCE ADDICTION - is not clearly defined but implies a
 physical dependence, however, sometimes it is used as a symptom to
 drug (substance) dependence
Defining Abuse
• SUBSTANCE DEPENDENCE - state when drug-taking becomes
 compulsive, taking precedence over other needs.

• SUBSTANCE ADDICTION - is not clearly defined but implies a
 physical dependence, however, sometimes it is used as a symptom to
 drug (substance) dependence

• SUBSTANCE ABUSE - more general term, includes recurrent use of
 any illegal/harmful substance, i.e In sports.
Defining Abuse
• SUBSTANCE DEPENDENCE - state when drug-taking becomes
 compulsive, taking precedence over other needs.

• SUBSTANCE ADDICTION - is not clearly defined but implies a
 physical dependence, however, sometimes it is used as a symptom to
 drug (substance) dependence

• SUBSTANCE ABUSE - more general term, includes recurrent use of
 any illegal/harmful substance, i.e In sports.

            Based on these terms, how many
             people here abuse a substance?
* Nutt, King, Saulsbury, & Blakemore (2007)
The Usual Suspects
                                              (in order of addictiveness*)




* Nutt, King, Saulsbury, & Blakemore (2007)
The Usual Suspects
                                                 (in order of addictiveness*)



Nicotine

Alcohol

Hard Drugs

Caffeine

Prescriptions

Cannabis

   * Nutt, King, Saulsbury, & Blakemore (2007)
Nicotine
Nicotine
Addictiveness: Highest
Nicotine             Typical Delivery
Addictiveness: Highest
Nicotine             Typical Delivery
                           • Smoking
Addictiveness: Highest
Nicotine             Typical Delivery
                           • Smoking
Addictiveness: Highest     • Chewing
Nicotine             Typical Delivery
                           • Smoking
Addictiveness: Highest     • Chewing
  Harmful Effects:
Nicotine             Typical Delivery
                           • Smoking
Addictiveness: Highest     • Chewing
  Harmful Effects:
Nicotine                   Typical Delivery
                                  • Smoking
Addictiveness: Highest            • Chewing
   Harmful Effects:
• Chronic Lung disease (COPD,
Emphysema)
Nicotine                         Typical Delivery
                                         • Smoking
Addictiveness: Highest                   • Chewing
   Harmful Effects:
• Chronic Lung disease (COPD,
Emphysema)
• Cardiovascular diseases, including
Coronary Artery Disease, Peripheral
Vascular Disease, and Stroke
Nicotine                         Typical Delivery
                                         • Smoking
Addictiveness: Highest                   • Chewing
   Harmful Effects:
• Chronic Lung disease (COPD,
Emphysema)
• Cardiovascular diseases, including
Coronary Artery Disease, Peripheral
Vascular Disease, and Stroke
• Cancers of the head and neck,
lung, and GI tract
Nicotine                         Typical Delivery
                                         • Smoking
Addictiveness: Highest                   • Chewing
   Harmful Effects:
• Chronic Lung disease (COPD,
Emphysema)
• Cardiovascular diseases, including
Coronary Artery Disease, Peripheral
Vascular Disease, and Stroke
• Cancers of the head and neck,
lung, and GI tract

       Treatment &
        Prevention:
Nicotine                         Typical Delivery
                                         • Smoking
Addictiveness: Highest                   • Chewing
   Harmful Effects:
• Chronic Lung disease (COPD,
Emphysema)
• Cardiovascular diseases, including
Coronary Artery Disease, Peripheral
Vascular Disease, and Stroke
• Cancers of the head and neck,
lung, and GI tract

       Treatment &
        Prevention:
 • Educate Yourself
Nicotine                         Typical Delivery
                                         • Smoking
Addictiveness: Highest                   • Chewing
   Harmful Effects:
• Chronic Lung disease (COPD,
Emphysema)
• Cardiovascular diseases, including
Coronary Artery Disease, Peripheral
Vascular Disease, and Stroke
• Cancers of the head and neck,
lung, and GI tract

       Treatment &
        Prevention:
 • Educate Yourself
 • Nicotine Patches & Gum
Nicotine                         Typical Delivery
                                         • Smoking
Addictiveness: Highest                   • Chewing
   Harmful Effects:
• Chronic Lung disease (COPD,
Emphysema)
• Cardiovascular diseases, including
Coronary Artery Disease, Peripheral
Vascular Disease, and Stroke
• Cancers of the head and neck,
lung, and GI tract

       Treatment &
        Prevention:
 • Educate Yourself
 • Nicotine Patches & Gum
 • Prescriptions
Nicotine                       Typical Delivery
                                         • Smoking
Addictiveness: Highest                   • Chewing
     Harmful Effects:
• Chronic Lung disease (COPD,
Emphysema)
• Cardiovascular diseases, including
Coronary Artery Disease, Peripheral
Vascular Disease, and Stroke
• Cancers of the head and neck,
lung, and GI tract

        Treatment &
         Prevention:
 •   Educate Yourself
 •   Nicotine Patches & Gum
 •   Prescriptions
 •   Support Groups
Alcohol
Alcohol
Addictiveness: Higher
Alcohol             Typical Delivery
Addictiveness: Higher
Alcohol             Typical Delivery
Addictiveness: Higher     • Drinking
Alcohol             Typical Delivery
Addictiveness: Higher     • Drinking

  Harmful Effects:
Alcohol             Typical Delivery
Addictiveness: Higher     • Drinking

  Harmful Effects:
Alcohol               Typical Delivery
Addictiveness: Higher           • Drinking

   Harmful Effects:
• Cirrhosis or Pancreatitis
Alcohol               Typical Delivery
Addictiveness: Higher           • Drinking

   Harmful Effects:
• Cirrhosis or Pancreatitis
• High blood pressure
Alcohol               Typical Delivery
Addictiveness: Higher           • Drinking

   Harmful Effects:
• Cirrhosis or Pancreatitis
• High blood pressure
• Osteoporosis
Alcohol                         Typical Delivery
Addictiveness: Higher                    • Drinking

   Harmful Effects:
• Cirrhosis or Pancreatitis
• High blood pressure
• Osteoporosis
• Certain types of Cancer, including
Breast Cancer
Alcohol                         Typical Delivery
Addictiveness: Higher                    • Drinking

   Harmful Effects:
• Cirrhosis or Pancreatitis
• High blood pressure
• Osteoporosis
• Certain types of Cancer, including
Breast Cancer
• Stroke
Alcohol                         Typical Delivery
Addictiveness: Higher                    • Drinking

   Harmful Effects:
• Cirrhosis or Pancreatitis
• High blood pressure
• Osteoporosis
• Certain types of Cancer, including
Breast Cancer
• Stroke
• Gallstones
Alcohol                         Typical Delivery
Addictiveness: Higher                    • Drinking

   Harmful Effects:
• Cirrhosis or Pancreatitis
• High blood pressure
• Osteoporosis
• Certain types of Cancer, including
Breast Cancer
• Stroke
• Gallstones

       Treatment &
        Prevention:
Alcohol                         Typical Delivery
Addictiveness: Higher                    • Drinking

   Harmful Effects:
• Cirrhosis or Pancreatitis
• High blood pressure
• Osteoporosis
• Certain types of Cancer, including
Breast Cancer
• Stroke
• Gallstones

       Treatment &
        Prevention:
 • Educate Yourself
Alcohol                         Typical Delivery
Addictiveness: Higher                    • Drinking

   Harmful Effects:
• Cirrhosis or Pancreatitis
• High blood pressure
• Osteoporosis
• Certain types of Cancer, including
Breast Cancer
• Stroke
• Gallstones

       Treatment &
        Prevention:
 • Educate Yourself
 • Group Therapy
Alcohol                         Typical Delivery
Addictiveness: Higher                    • Drinking

   Harmful Effects:
• Cirrhosis or Pancreatitis
• High blood pressure
• Osteoporosis
• Certain types of Cancer, including
Breast Cancer
• Stroke
• Gallstones

       Treatment &
        Prevention:
 • Educate Yourself
 • Group Therapy
 • Counseling
Alcohol                       Typical Delivery
Addictiveness: Higher                    • Drinking

     Harmful Effects:
• Cirrhosis or Pancreatitis
• High blood pressure
• Osteoporosis
• Certain types of Cancer, including
Breast Cancer
• Stroke
• Gallstones

        Treatment &
         Prevention:
 •   Educate Yourself
 •   Group Therapy
 •   Counseling
 •   12 Step Programs
Hard Drugs
Hard Drugs
Addictiveness: High
Hard Drugs            Typical Delivery
Addictiveness: High
Hard Drugs            Typical Delivery
                        • Injection
Addictiveness: High
Hard Drugs            Typical Delivery
                        • Injection
Addictiveness: High     • Inhaling
Hard Drugs            Typical Delivery
                        • Injection
Addictiveness: High     • Inhaling

 Harmful Effects:
Hard Drugs                Typical Delivery
                             • Injection
 Addictiveness: High         • Inhaling

   Harmful Effects:
• Depression and Anxiety
Hard Drugs                Typical Delivery
                             • Injection
 Addictiveness: High         • Inhaling

   Harmful Effects:
• Depression and Anxiety
• Fatigue
Hard Drugs                  Typical Delivery
                               • Injection
 Addictiveness: High           • Inhaling

   Harmful Effects:
• Depression and Anxiety
• Fatigue
• Difficulty concentrating
Hard Drugs                    Typical Delivery
                                 • Injection
 Addictiveness: High             • Inhaling

    Harmful Effects:
• Depression and Anxiety
• Fatigue
• Difficulty concentrating
• Inability to feel pleasure
Hard Drugs                         Typical Delivery
                                      • Injection
 Addictiveness: High                  • Inhaling

   Harmful Effects:
• Depression and Anxiety
• Fatigue
• Difficulty concentrating
• Inability to feel pleasure
• Physical symptoms including
Aches, Pains, Tremors, and Chills
Hard Drugs                         Typical Delivery
                                      • Injection
 Addictiveness: High                  • Inhaling

   Harmful Effects:
• Depression and Anxiety
• Fatigue
• Difficulty concentrating
• Inability to feel pleasure
• Physical symptoms including
Aches, Pains, Tremors, and Chills



       Treatment &
        Prevention:
Hard Drugs                         Typical Delivery
                                      • Injection
 Addictiveness: High                  • Inhaling

   Harmful Effects:
• Depression and Anxiety
• Fatigue
• Difficulty concentrating
• Inability to feel pleasure
• Physical symptoms including
Aches, Pains, Tremors, and Chills



       Treatment &
        Prevention:
 • Rehab Clinic
Hard Drugs                         Typical Delivery
                                      • Injection
 Addictiveness: High                  • Inhaling

   Harmful Effects:
• Depression and Anxiety
• Fatigue
• Difficulty concentrating
• Inability to feel pleasure
• Physical symptoms including
Aches, Pains, Tremors, and Chills



       Treatment &
        Prevention:
 • Rehab Clinic
 • Support Groups
Hard Drugs                         Typical Delivery
                                      • Injection
 Addictiveness: High                  • Inhaling

   Harmful Effects:
• Depression and Anxiety
• Fatigue
• Difficulty concentrating
• Inability to feel pleasure
• Physical symptoms including
Aches, Pains, Tremors, and Chills



       Treatment &
        Prevention:
 • Rehab Clinic
 • Support Groups
 • Methadone
Caffeine
Caffeine
Addictiveness: Low
Typical Delivery
  Caffeine
Addictiveness: Low
Typical Delivery
  Caffeine             • Coffee
Addictiveness: Low
Typical Delivery
  Caffeine             • Coffee
                       • Tea
Addictiveness: Low
Typical Delivery
  Caffeine             • Coffee
                       • Tea
Addictiveness: Low
                       • Energy Drinks
Typical Delivery
  Caffeine             •   Coffee
Addictiveness: Low     •   Tea
                       •   Energy Drinks
                       •   Soda
Typical Delivery
  Caffeine             •   Coffee
Addictiveness: Low     •   Tea
                       •   Energy Drinks
Harmful Effects:       •   Soda
Typical Delivery
  Caffeine             •   Coffee
Addictiveness: Low     •   Tea
                       •   Energy Drinks
Harmful Effects:       •   Soda
Typical Delivery
      Caffeine                       •   Coffee
 Addictiveness: Low                  •   Tea
                                     •   Energy Drinks
   Harmful Effects:                  •   Soda
• Insomnia, tremors, nausea,
vomiting, chest pains, and heart
palpitations
Typical Delivery
      Caffeine                       •   Coffee
 Addictiveness: Low                  •   Tea
                                     •   Energy Drinks
   Harmful Effects:                  •   Soda
• Insomnia, tremors, nausea,
vomiting, chest pains, and heart
palpitations

• Cardiovascular Stress
Typical Delivery
      Caffeine                       •   Coffee
 Addictiveness: Low                  •   Tea
                                     •   Energy Drinks
   Harmful Effects:                  •   Soda
• Insomnia, tremors, nausea,
vomiting, chest pains, and heart
palpitations

• Cardiovascular Stress
• Lower Bone Density in Women
Typical Delivery
      Caffeine                       •   Coffee
 Addictiveness: Low                  •   Tea
                                     •   Energy Drinks
   Harmful Effects:                  •   Soda
• Insomnia, tremors, nausea,
vomiting, chest pains, and heart
palpitations

• Cardiovascular Stress
• Lower Bone Density in Women

       Treatment &
        Prevention:
Typical Delivery
      Caffeine                       •   Coffee
 Addictiveness: Low                  •   Tea
                                     •   Energy Drinks
   Harmful Effects:                  •   Soda
• Insomnia, tremors, nausea,
vomiting, chest pains, and heart
palpitations

• Cardiovascular Stress
• Lower Bone Density in Women

       Treatment &
        Prevention:
 • Educate Yourself
Typical Delivery
      Caffeine                       •   Coffee
 Addictiveness: Low                  •   Tea
                                     •   Energy Drinks
   Harmful Effects:                  •   Soda
• Insomnia, tremors, nausea,
vomiting, chest pains, and heart
palpitations

• Cardiovascular Stress
• Lower Bone Density in Women

       Treatment &
        Prevention:
 • Educate Yourself
 • Get More Exercise
Typical Delivery
      Caffeine                       •   Coffee
 Addictiveness: Low                  •   Tea
                                     •   Energy Drinks
   Harmful Effects:                  •   Soda
• Insomnia, tremors, nausea,
vomiting, chest pains, and heart
palpitations

• Cardiovascular Stress
• Lower Bone Density in Women

       Treatment &
        Prevention:
 • Educate Yourself
 • Get More Exercise
 • Switch to Decaf
Typical Delivery
       Caffeine                      •   Coffee
 Addictiveness: Low                  •   Tea
                                     •   Energy Drinks
     Harmful Effects:                •   Soda
• Insomnia, tremors, nausea,
vomiting, chest pains, and heart
palpitations

• Cardiovascular Stress
• Lower Bone Density in Women

        Treatment &
         Prevention:
 •   Educate Yourself
 •   Get More Exercise
 •   Switch to Decaf
 •   Limit your amount
Prescriptions
Prescriptions
Addictiveness: Lower
Prescriptions          Typical Delivery
Addictiveness: Lower
Prescriptions          Typical Delivery
                         • Pill
Addictiveness: Lower
Prescriptions          Typical Delivery
                         • Pill
Addictiveness: Lower     • Liquid
Prescriptions          Typical Delivery
                         • Pill
Addictiveness: Lower     • Liquid

  Harmful Effects:
Prescriptions          Typical Delivery
                         • Pill
Addictiveness: Lower     • Liquid

  Harmful Effects:
Prescriptions            Typical Delivery
                           • Pill
Addictiveness: Lower       • Liquid

   Harmful Effects:
• Accidental overdoses
Prescriptions            Typical Delivery
                           • Pill
Addictiveness: Lower       • Liquid

   Harmful Effects:
• Accidental overdoses
• Ulcer formation
Prescriptions                      Typical Delivery
                                     • Pill
Addictiveness: Lower                 • Liquid

   Harmful Effects:
• Accidental overdoses
• Ulcer formation
• Liver and Kidney Complications
Prescriptions                      Typical Delivery
                                     • Pill
Addictiveness: Lower                 • Liquid

   Harmful Effects:
• Accidental overdoses
• Ulcer formation
• Liver and Kidney Complications


       Treatment &
        Prevention:
Prescriptions                      Typical Delivery
                                     • Pill
Addictiveness: Lower                 • Liquid

   Harmful Effects:
• Accidental overdoses
• Ulcer formation
• Liver and Kidney Complications


       Treatment &
        Prevention:
 • Stick to prescribed amount
Prescriptions                      Typical Delivery
                                     • Pill
Addictiveness: Lower                 • Liquid

   Harmful Effects:
• Accidental overdoses
• Ulcer formation
• Liver and Kidney Complications


       Treatment &
        Prevention:
 • Stick to prescribed amount
 • Never crush or break a pill
Prescriptions                      Typical Delivery
                                     • Pill
Addictiveness: Lower                 • Liquid

   Harmful Effects:
• Accidental overdoses
• Ulcer formation
• Liver and Kidney Complications


       Treatment &
        Prevention:
 • Stick to prescribed amount
 • Never crush or break a pill
 • Rehabilitation Clinic
Prescriptions                      Typical Delivery
                                     • Pill
Addictiveness: Lower                 • Liquid

     Harmful Effects:
• Accidental overdoses
• Ulcer formation
• Liver and Kidney Complications


         Treatment &
          Prevention:
 •   Stick to prescribed amount
 •   Never crush or break a pill
 •   Rehabilitation Clinic
 •   Support Groups
Cannabis
Cannabis
Addictiveness: Lowest
Cannabis             Typical Delivery
Addictiveness: Lowest
Cannabis             Typical Delivery
                          • Smoking
Addictiveness: Lowest
Cannabis             Typical Delivery
                          • Smoking
Addictiveness: Lowest     • Brownies
Cannabis             Typical Delivery
                          • Smoking
Addictiveness: Lowest     • Brownies

  Harmful Effects:
Cannabis             Typical Delivery
                          • Smoking
Addictiveness: Lowest     • Brownies

  Harmful Effects:
Cannabis               Typical Delivery
                              • Smoking
Addictiveness: Lowest         • Brownies

   Harmful Effects:
• Distorted sense of time
Cannabis               Typical Delivery
                              • Smoking
Addictiveness: Lowest         • Brownies

   Harmful Effects:
• Distorted sense of time
• Paranoia
Cannabis                    Typical Delivery
                                   • Smoking
Addictiveness: Lowest              • Brownies

   Harmful Effects:
• Distorted sense of time
• Paranoia
• Magical or "random" thinking
Cannabis                    Typical Delivery
                                   • Smoking
Addictiveness: Lowest              • Brownies

   Harmful Effects:
• Distorted sense of time
• Paranoia
• Magical or "random" thinking
• Short-term memory loss
Cannabis                    Typical Delivery
                                   • Smoking
Addictiveness: Lowest              • Brownies

   Harmful Effects:
• Distorted sense of time
• Paranoia
• Magical or "random" thinking
• Short-term memory loss
• Anxiety and depression
Cannabis                    Typical Delivery
                                   • Smoking
Addictiveness: Lowest              • Brownies

   Harmful Effects:
• Distorted sense of time
• Paranoia
• Magical or "random" thinking
• Short-term memory loss
• Anxiety and depression


       Treatment &
        Prevention:
Cannabis                    Typical Delivery
                                   • Smoking
Addictiveness: Lowest              • Brownies

   Harmful Effects:
• Distorted sense of time
• Paranoia
• Magical or "random" thinking
• Short-term memory loss
• Anxiety and depression


       Treatment &
        Prevention:
 • Educate Yourself
Cannabis                    Typical Delivery
                                   • Smoking
Addictiveness: Lowest              • Brownies

   Harmful Effects:
• Distorted sense of time
• Paranoia
• Magical or "random" thinking
• Short-term memory loss
• Anxiety and depression


       Treatment &
        Prevention:
 • Educate Yourself
 • Support Groups
Cannabis                    Typical Delivery
                                   • Smoking
Addictiveness: Lowest              • Brownies

   Harmful Effects:
• Distorted sense of time
• Paranoia
• Magical or "random" thinking
• Short-term memory loss
• Anxiety and depression


       Treatment &
        Prevention:
 • Educate Yourself
 • Support Groups
 • Counseling
Abuse in U.S. Population




                      *Substance Abuse and Mental Health Services
                      Administration. (2009)
Abuse in U.S. Population
Caffeine
Alcohol
Nicotine
Cannabis
Hard Drugs
Prescriptions




                                      *Substance Abuse and Mental Health Services
                                      Administration. (2009)
Abuse in U.S. Population
Caffeine
Alcohol
Nicotine
Cannabis
Hard Drugs
Prescriptions




          43%



                                      *Substance Abuse and Mental Health Services
                                      Administration. (2009)
Abuse in U.S. Population
Caffeine
                              33%
Alcohol
Nicotine
Cannabis
Hard Drugs
Prescriptions




          43%



                                      *Substance Abuse and Mental Health Services
                                      Administration. (2009)
Abuse in U.S. Population
Caffeine
                              33%
Alcohol
Nicotine
Cannabis
Hard Drugs
Prescriptions



                                                17%




          43%



                                      *Substance Abuse and Mental Health Services
                                      Administration. (2009)
Abuse in U.S. Population
Caffeine
                              33%
Alcohol
Nicotine
Cannabis
Hard Drugs
Prescriptions



                                                   17%




          43%

                                    5%

                                         *Substance Abuse and Mental Health Services
                                         Administration. (2009)
Abuse in U.S. Population
Caffeine
                              33%
Alcohol
Nicotine
Cannabis
Hard Drugs
Prescriptions



                                                   17%




          43%

                                    5%

                                         *Substance Abuse and Mental Health Services
                              1%         Administration. (2009)
Abuse in U.S. Population
Caffeine
                                 33%
Alcohol
Nicotine
Cannabis
Hard Drugs
Prescriptions



                                                      17%




          43%

                                       5%
                            1%
                                            *Substance Abuse and Mental Health Services
                                 1%         Administration. (2009)
High School
Senior Use




  Department of Health and Human Services, Youth Risk Behavior Surveillance System: 2005
White
      Black
                           High School
      Hispanic
                           Senior Use
60%



45%



30%



15%



 0%                                                                            Illegal Drugs
                                         Nicotine
                 Alcohol

                             Department of Health and Human Services, Youth Risk Behavior Surveillance System: 2005
White
      Black
                           High School
      Hispanic
                           Senior Use
60%



45%



30%



15%



 0%                                                                            Illegal Drugs
                                         Nicotine
                 Alcohol

                             Department of Health and Human Services, Youth Risk Behavior Surveillance System: 2005
White
      Black
                           High School
      Hispanic
                           Senior Use
60%



45%



30%



15%



 0%                                                                            Illegal Drugs
                                         Nicotine
                 Alcohol

                             Department of Health and Human Services, Youth Risk Behavior Surveillance System: 2005
White
      Black
                           High School
      Hispanic
                           Senior Use
60%



45%



30%



15%



 0%                                                                            Illegal Drugs
                                         Nicotine
                 Alcohol

                             Department of Health and Human Services, Youth Risk Behavior Surveillance System: 2005
High School
Senior Use




  Department of Health and Human Services, Youth Risk Behavior Surveillance System: 2005
Women
      Men
                        High School
                        Senior Use
60%



45%



30%



15%



 0%                                                                            Illegal Drugs
                                        Nicotine
              Alcohol

                          Department of Health and Human Services, Youth Risk Behavior Surveillance System: 2005
Women
      Men
                        High School
                        Senior Use
60%



45%



30%



15%



 0%                                                                            Illegal Drugs
                                        Nicotine
              Alcohol

                          Department of Health and Human Services, Youth Risk Behavior Surveillance System: 2005
Women
      Men
                        High School
                        Senior Use
60%



45%



30%



15%



 0%                                                                            Illegal Drugs
                                        Nicotine
              Alcohol

                          Department of Health and Human Services, Youth Risk Behavior Surveillance System: 2005
Women
      Men
                        High School
                        Senior Use
60%



45%



30%



15%



 0%                                                                            Illegal Drugs
                                        Nicotine
              Alcohol

                          Department of Health and Human Services, Youth Risk Behavior Surveillance System: 2005
Deaths
Deaths
 How many deaths per
year are there from . . .
Deaths
 How many deaths per
year are there from . . .


  Nicotine
Deaths
 How many deaths per
year are there from . . .


  Alcohol
Deaths
 How many deaths per
year are there from . . .


 Caffeine
Deaths
 How many deaths per
year are there from . . .


Medication
Deaths
Deaths
Deaths
500



375



250



 125



      0
                               Caffeine      Medication
                     Alcohol
          Nicotine
                                          in Thousands
Local Aid




860-418-7000
 Department of Mental
 Health & Addiction
 Services

 www.ct.gov/dmhas
Substance abuse
Substance abuse
Substance abuse
Substance abuse

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Substance abuse

  • 1.
  • 2. Substance Abuse by Zak Olive Dan McKenna Matt Michell
  • 3.
  • 5. Defining Abuse • SUBSTANCE DEPENDENCE - state when drug-taking becomes compulsive, taking precedence over other needs.
  • 6. Defining Abuse • SUBSTANCE DEPENDENCE - state when drug-taking becomes compulsive, taking precedence over other needs. • SUBSTANCE ADDICTION - is not clearly defined but implies a physical dependence, however, sometimes it is used as a symptom to drug (substance) dependence
  • 7. Defining Abuse • SUBSTANCE DEPENDENCE - state when drug-taking becomes compulsive, taking precedence over other needs. • SUBSTANCE ADDICTION - is not clearly defined but implies a physical dependence, however, sometimes it is used as a symptom to drug (substance) dependence • SUBSTANCE ABUSE - more general term, includes recurrent use of any illegal/harmful substance, i.e In sports.
  • 8. Defining Abuse • SUBSTANCE DEPENDENCE - state when drug-taking becomes compulsive, taking precedence over other needs. • SUBSTANCE ADDICTION - is not clearly defined but implies a physical dependence, however, sometimes it is used as a symptom to drug (substance) dependence • SUBSTANCE ABUSE - more general term, includes recurrent use of any illegal/harmful substance, i.e In sports. Based on these terms, how many people here abuse a substance?
  • 9. * Nutt, King, Saulsbury, & Blakemore (2007)
  • 10. The Usual Suspects (in order of addictiveness*) * Nutt, King, Saulsbury, & Blakemore (2007)
  • 11. The Usual Suspects (in order of addictiveness*) Nicotine Alcohol Hard Drugs Caffeine Prescriptions Cannabis * Nutt, King, Saulsbury, & Blakemore (2007)
  • 14. Nicotine Typical Delivery Addictiveness: Highest
  • 15. Nicotine Typical Delivery • Smoking Addictiveness: Highest
  • 16. Nicotine Typical Delivery • Smoking Addictiveness: Highest • Chewing
  • 17. Nicotine Typical Delivery • Smoking Addictiveness: Highest • Chewing Harmful Effects:
  • 18. Nicotine Typical Delivery • Smoking Addictiveness: Highest • Chewing Harmful Effects:
  • 19. Nicotine Typical Delivery • Smoking Addictiveness: Highest • Chewing Harmful Effects: • Chronic Lung disease (COPD, Emphysema)
  • 20. Nicotine Typical Delivery • Smoking Addictiveness: Highest • Chewing Harmful Effects: • Chronic Lung disease (COPD, Emphysema) • Cardiovascular diseases, including Coronary Artery Disease, Peripheral Vascular Disease, and Stroke
  • 21. Nicotine Typical Delivery • Smoking Addictiveness: Highest • Chewing Harmful Effects: • Chronic Lung disease (COPD, Emphysema) • Cardiovascular diseases, including Coronary Artery Disease, Peripheral Vascular Disease, and Stroke • Cancers of the head and neck, lung, and GI tract
  • 22. Nicotine Typical Delivery • Smoking Addictiveness: Highest • Chewing Harmful Effects: • Chronic Lung disease (COPD, Emphysema) • Cardiovascular diseases, including Coronary Artery Disease, Peripheral Vascular Disease, and Stroke • Cancers of the head and neck, lung, and GI tract Treatment & Prevention:
  • 23. Nicotine Typical Delivery • Smoking Addictiveness: Highest • Chewing Harmful Effects: • Chronic Lung disease (COPD, Emphysema) • Cardiovascular diseases, including Coronary Artery Disease, Peripheral Vascular Disease, and Stroke • Cancers of the head and neck, lung, and GI tract Treatment & Prevention: • Educate Yourself
  • 24. Nicotine Typical Delivery • Smoking Addictiveness: Highest • Chewing Harmful Effects: • Chronic Lung disease (COPD, Emphysema) • Cardiovascular diseases, including Coronary Artery Disease, Peripheral Vascular Disease, and Stroke • Cancers of the head and neck, lung, and GI tract Treatment & Prevention: • Educate Yourself • Nicotine Patches & Gum
  • 25. Nicotine Typical Delivery • Smoking Addictiveness: Highest • Chewing Harmful Effects: • Chronic Lung disease (COPD, Emphysema) • Cardiovascular diseases, including Coronary Artery Disease, Peripheral Vascular Disease, and Stroke • Cancers of the head and neck, lung, and GI tract Treatment & Prevention: • Educate Yourself • Nicotine Patches & Gum • Prescriptions
  • 26. Nicotine Typical Delivery • Smoking Addictiveness: Highest • Chewing Harmful Effects: • Chronic Lung disease (COPD, Emphysema) • Cardiovascular diseases, including Coronary Artery Disease, Peripheral Vascular Disease, and Stroke • Cancers of the head and neck, lung, and GI tract Treatment & Prevention: • Educate Yourself • Nicotine Patches & Gum • Prescriptions • Support Groups
  • 29. Alcohol Typical Delivery Addictiveness: Higher
  • 30. Alcohol Typical Delivery Addictiveness: Higher • Drinking
  • 31. Alcohol Typical Delivery Addictiveness: Higher • Drinking Harmful Effects:
  • 32. Alcohol Typical Delivery Addictiveness: Higher • Drinking Harmful Effects:
  • 33. Alcohol Typical Delivery Addictiveness: Higher • Drinking Harmful Effects: • Cirrhosis or Pancreatitis
  • 34. Alcohol Typical Delivery Addictiveness: Higher • Drinking Harmful Effects: • Cirrhosis or Pancreatitis • High blood pressure
  • 35. Alcohol Typical Delivery Addictiveness: Higher • Drinking Harmful Effects: • Cirrhosis or Pancreatitis • High blood pressure • Osteoporosis
  • 36. Alcohol Typical Delivery Addictiveness: Higher • Drinking Harmful Effects: • Cirrhosis or Pancreatitis • High blood pressure • Osteoporosis • Certain types of Cancer, including Breast Cancer
  • 37. Alcohol Typical Delivery Addictiveness: Higher • Drinking Harmful Effects: • Cirrhosis or Pancreatitis • High blood pressure • Osteoporosis • Certain types of Cancer, including Breast Cancer • Stroke
  • 38. Alcohol Typical Delivery Addictiveness: Higher • Drinking Harmful Effects: • Cirrhosis or Pancreatitis • High blood pressure • Osteoporosis • Certain types of Cancer, including Breast Cancer • Stroke • Gallstones
  • 39. Alcohol Typical Delivery Addictiveness: Higher • Drinking Harmful Effects: • Cirrhosis or Pancreatitis • High blood pressure • Osteoporosis • Certain types of Cancer, including Breast Cancer • Stroke • Gallstones Treatment & Prevention:
  • 40. Alcohol Typical Delivery Addictiveness: Higher • Drinking Harmful Effects: • Cirrhosis or Pancreatitis • High blood pressure • Osteoporosis • Certain types of Cancer, including Breast Cancer • Stroke • Gallstones Treatment & Prevention: • Educate Yourself
  • 41. Alcohol Typical Delivery Addictiveness: Higher • Drinking Harmful Effects: • Cirrhosis or Pancreatitis • High blood pressure • Osteoporosis • Certain types of Cancer, including Breast Cancer • Stroke • Gallstones Treatment & Prevention: • Educate Yourself • Group Therapy
  • 42. Alcohol Typical Delivery Addictiveness: Higher • Drinking Harmful Effects: • Cirrhosis or Pancreatitis • High blood pressure • Osteoporosis • Certain types of Cancer, including Breast Cancer • Stroke • Gallstones Treatment & Prevention: • Educate Yourself • Group Therapy • Counseling
  • 43. Alcohol Typical Delivery Addictiveness: Higher • Drinking Harmful Effects: • Cirrhosis or Pancreatitis • High blood pressure • Osteoporosis • Certain types of Cancer, including Breast Cancer • Stroke • Gallstones Treatment & Prevention: • Educate Yourself • Group Therapy • Counseling • 12 Step Programs
  • 46. Hard Drugs Typical Delivery Addictiveness: High
  • 47. Hard Drugs Typical Delivery • Injection Addictiveness: High
  • 48. Hard Drugs Typical Delivery • Injection Addictiveness: High • Inhaling
  • 49. Hard Drugs Typical Delivery • Injection Addictiveness: High • Inhaling Harmful Effects:
  • 50. Hard Drugs Typical Delivery • Injection Addictiveness: High • Inhaling Harmful Effects: • Depression and Anxiety
  • 51. Hard Drugs Typical Delivery • Injection Addictiveness: High • Inhaling Harmful Effects: • Depression and Anxiety • Fatigue
  • 52. Hard Drugs Typical Delivery • Injection Addictiveness: High • Inhaling Harmful Effects: • Depression and Anxiety • Fatigue • Difficulty concentrating
  • 53. Hard Drugs Typical Delivery • Injection Addictiveness: High • Inhaling Harmful Effects: • Depression and Anxiety • Fatigue • Difficulty concentrating • Inability to feel pleasure
  • 54. Hard Drugs Typical Delivery • Injection Addictiveness: High • Inhaling Harmful Effects: • Depression and Anxiety • Fatigue • Difficulty concentrating • Inability to feel pleasure • Physical symptoms including Aches, Pains, Tremors, and Chills
  • 55. Hard Drugs Typical Delivery • Injection Addictiveness: High • Inhaling Harmful Effects: • Depression and Anxiety • Fatigue • Difficulty concentrating • Inability to feel pleasure • Physical symptoms including Aches, Pains, Tremors, and Chills Treatment & Prevention:
  • 56. Hard Drugs Typical Delivery • Injection Addictiveness: High • Inhaling Harmful Effects: • Depression and Anxiety • Fatigue • Difficulty concentrating • Inability to feel pleasure • Physical symptoms including Aches, Pains, Tremors, and Chills Treatment & Prevention: • Rehab Clinic
  • 57. Hard Drugs Typical Delivery • Injection Addictiveness: High • Inhaling Harmful Effects: • Depression and Anxiety • Fatigue • Difficulty concentrating • Inability to feel pleasure • Physical symptoms including Aches, Pains, Tremors, and Chills Treatment & Prevention: • Rehab Clinic • Support Groups
  • 58. Hard Drugs Typical Delivery • Injection Addictiveness: High • Inhaling Harmful Effects: • Depression and Anxiety • Fatigue • Difficulty concentrating • Inability to feel pleasure • Physical symptoms including Aches, Pains, Tremors, and Chills Treatment & Prevention: • Rehab Clinic • Support Groups • Methadone
  • 61. Typical Delivery Caffeine Addictiveness: Low
  • 62. Typical Delivery Caffeine • Coffee Addictiveness: Low
  • 63. Typical Delivery Caffeine • Coffee • Tea Addictiveness: Low
  • 64. Typical Delivery Caffeine • Coffee • Tea Addictiveness: Low • Energy Drinks
  • 65. Typical Delivery Caffeine • Coffee Addictiveness: Low • Tea • Energy Drinks • Soda
  • 66. Typical Delivery Caffeine • Coffee Addictiveness: Low • Tea • Energy Drinks Harmful Effects: • Soda
  • 67. Typical Delivery Caffeine • Coffee Addictiveness: Low • Tea • Energy Drinks Harmful Effects: • Soda
  • 68. Typical Delivery Caffeine • Coffee Addictiveness: Low • Tea • Energy Drinks Harmful Effects: • Soda • Insomnia, tremors, nausea, vomiting, chest pains, and heart palpitations
  • 69. Typical Delivery Caffeine • Coffee Addictiveness: Low • Tea • Energy Drinks Harmful Effects: • Soda • Insomnia, tremors, nausea, vomiting, chest pains, and heart palpitations • Cardiovascular Stress
  • 70. Typical Delivery Caffeine • Coffee Addictiveness: Low • Tea • Energy Drinks Harmful Effects: • Soda • Insomnia, tremors, nausea, vomiting, chest pains, and heart palpitations • Cardiovascular Stress • Lower Bone Density in Women
  • 71. Typical Delivery Caffeine • Coffee Addictiveness: Low • Tea • Energy Drinks Harmful Effects: • Soda • Insomnia, tremors, nausea, vomiting, chest pains, and heart palpitations • Cardiovascular Stress • Lower Bone Density in Women Treatment & Prevention:
  • 72. Typical Delivery Caffeine • Coffee Addictiveness: Low • Tea • Energy Drinks Harmful Effects: • Soda • Insomnia, tremors, nausea, vomiting, chest pains, and heart palpitations • Cardiovascular Stress • Lower Bone Density in Women Treatment & Prevention: • Educate Yourself
  • 73. Typical Delivery Caffeine • Coffee Addictiveness: Low • Tea • Energy Drinks Harmful Effects: • Soda • Insomnia, tremors, nausea, vomiting, chest pains, and heart palpitations • Cardiovascular Stress • Lower Bone Density in Women Treatment & Prevention: • Educate Yourself • Get More Exercise
  • 74. Typical Delivery Caffeine • Coffee Addictiveness: Low • Tea • Energy Drinks Harmful Effects: • Soda • Insomnia, tremors, nausea, vomiting, chest pains, and heart palpitations • Cardiovascular Stress • Lower Bone Density in Women Treatment & Prevention: • Educate Yourself • Get More Exercise • Switch to Decaf
  • 75. Typical Delivery Caffeine • Coffee Addictiveness: Low • Tea • Energy Drinks Harmful Effects: • Soda • Insomnia, tremors, nausea, vomiting, chest pains, and heart palpitations • Cardiovascular Stress • Lower Bone Density in Women Treatment & Prevention: • Educate Yourself • Get More Exercise • Switch to Decaf • Limit your amount
  • 78. Prescriptions Typical Delivery Addictiveness: Lower
  • 79. Prescriptions Typical Delivery • Pill Addictiveness: Lower
  • 80. Prescriptions Typical Delivery • Pill Addictiveness: Lower • Liquid
  • 81. Prescriptions Typical Delivery • Pill Addictiveness: Lower • Liquid Harmful Effects:
  • 82. Prescriptions Typical Delivery • Pill Addictiveness: Lower • Liquid Harmful Effects:
  • 83. Prescriptions Typical Delivery • Pill Addictiveness: Lower • Liquid Harmful Effects: • Accidental overdoses
  • 84. Prescriptions Typical Delivery • Pill Addictiveness: Lower • Liquid Harmful Effects: • Accidental overdoses • Ulcer formation
  • 85. Prescriptions Typical Delivery • Pill Addictiveness: Lower • Liquid Harmful Effects: • Accidental overdoses • Ulcer formation • Liver and Kidney Complications
  • 86. Prescriptions Typical Delivery • Pill Addictiveness: Lower • Liquid Harmful Effects: • Accidental overdoses • Ulcer formation • Liver and Kidney Complications Treatment & Prevention:
  • 87. Prescriptions Typical Delivery • Pill Addictiveness: Lower • Liquid Harmful Effects: • Accidental overdoses • Ulcer formation • Liver and Kidney Complications Treatment & Prevention: • Stick to prescribed amount
  • 88. Prescriptions Typical Delivery • Pill Addictiveness: Lower • Liquid Harmful Effects: • Accidental overdoses • Ulcer formation • Liver and Kidney Complications Treatment & Prevention: • Stick to prescribed amount • Never crush or break a pill
  • 89. Prescriptions Typical Delivery • Pill Addictiveness: Lower • Liquid Harmful Effects: • Accidental overdoses • Ulcer formation • Liver and Kidney Complications Treatment & Prevention: • Stick to prescribed amount • Never crush or break a pill • Rehabilitation Clinic
  • 90. Prescriptions Typical Delivery • Pill Addictiveness: Lower • Liquid Harmful Effects: • Accidental overdoses • Ulcer formation • Liver and Kidney Complications Treatment & Prevention: • Stick to prescribed amount • Never crush or break a pill • Rehabilitation Clinic • Support Groups
  • 93. Cannabis Typical Delivery Addictiveness: Lowest
  • 94. Cannabis Typical Delivery • Smoking Addictiveness: Lowest
  • 95. Cannabis Typical Delivery • Smoking Addictiveness: Lowest • Brownies
  • 96. Cannabis Typical Delivery • Smoking Addictiveness: Lowest • Brownies Harmful Effects:
  • 97. Cannabis Typical Delivery • Smoking Addictiveness: Lowest • Brownies Harmful Effects:
  • 98. Cannabis Typical Delivery • Smoking Addictiveness: Lowest • Brownies Harmful Effects: • Distorted sense of time
  • 99. Cannabis Typical Delivery • Smoking Addictiveness: Lowest • Brownies Harmful Effects: • Distorted sense of time • Paranoia
  • 100. Cannabis Typical Delivery • Smoking Addictiveness: Lowest • Brownies Harmful Effects: • Distorted sense of time • Paranoia • Magical or "random" thinking
  • 101. Cannabis Typical Delivery • Smoking Addictiveness: Lowest • Brownies Harmful Effects: • Distorted sense of time • Paranoia • Magical or "random" thinking • Short-term memory loss
  • 102. Cannabis Typical Delivery • Smoking Addictiveness: Lowest • Brownies Harmful Effects: • Distorted sense of time • Paranoia • Magical or "random" thinking • Short-term memory loss • Anxiety and depression
  • 103. Cannabis Typical Delivery • Smoking Addictiveness: Lowest • Brownies Harmful Effects: • Distorted sense of time • Paranoia • Magical or "random" thinking • Short-term memory loss • Anxiety and depression Treatment & Prevention:
  • 104. Cannabis Typical Delivery • Smoking Addictiveness: Lowest • Brownies Harmful Effects: • Distorted sense of time • Paranoia • Magical or "random" thinking • Short-term memory loss • Anxiety and depression Treatment & Prevention: • Educate Yourself
  • 105. Cannabis Typical Delivery • Smoking Addictiveness: Lowest • Brownies Harmful Effects: • Distorted sense of time • Paranoia • Magical or "random" thinking • Short-term memory loss • Anxiety and depression Treatment & Prevention: • Educate Yourself • Support Groups
  • 106. Cannabis Typical Delivery • Smoking Addictiveness: Lowest • Brownies Harmful Effects: • Distorted sense of time • Paranoia • Magical or "random" thinking • Short-term memory loss • Anxiety and depression Treatment & Prevention: • Educate Yourself • Support Groups • Counseling
  • 107. Abuse in U.S. Population *Substance Abuse and Mental Health Services Administration. (2009)
  • 108. Abuse in U.S. Population Caffeine Alcohol Nicotine Cannabis Hard Drugs Prescriptions *Substance Abuse and Mental Health Services Administration. (2009)
  • 109. Abuse in U.S. Population Caffeine Alcohol Nicotine Cannabis Hard Drugs Prescriptions 43% *Substance Abuse and Mental Health Services Administration. (2009)
  • 110. Abuse in U.S. Population Caffeine 33% Alcohol Nicotine Cannabis Hard Drugs Prescriptions 43% *Substance Abuse and Mental Health Services Administration. (2009)
  • 111. Abuse in U.S. Population Caffeine 33% Alcohol Nicotine Cannabis Hard Drugs Prescriptions 17% 43% *Substance Abuse and Mental Health Services Administration. (2009)
  • 112. Abuse in U.S. Population Caffeine 33% Alcohol Nicotine Cannabis Hard Drugs Prescriptions 17% 43% 5% *Substance Abuse and Mental Health Services Administration. (2009)
  • 113. Abuse in U.S. Population Caffeine 33% Alcohol Nicotine Cannabis Hard Drugs Prescriptions 17% 43% 5% *Substance Abuse and Mental Health Services 1% Administration. (2009)
  • 114. Abuse in U.S. Population Caffeine 33% Alcohol Nicotine Cannabis Hard Drugs Prescriptions 17% 43% 5% 1% *Substance Abuse and Mental Health Services 1% Administration. (2009)
  • 115. High School Senior Use Department of Health and Human Services, Youth Risk Behavior Surveillance System: 2005
  • 116. White Black High School Hispanic Senior Use 60% 45% 30% 15% 0% Illegal Drugs Nicotine Alcohol Department of Health and Human Services, Youth Risk Behavior Surveillance System: 2005
  • 117. White Black High School Hispanic Senior Use 60% 45% 30% 15% 0% Illegal Drugs Nicotine Alcohol Department of Health and Human Services, Youth Risk Behavior Surveillance System: 2005
  • 118. White Black High School Hispanic Senior Use 60% 45% 30% 15% 0% Illegal Drugs Nicotine Alcohol Department of Health and Human Services, Youth Risk Behavior Surveillance System: 2005
  • 119. White Black High School Hispanic Senior Use 60% 45% 30% 15% 0% Illegal Drugs Nicotine Alcohol Department of Health and Human Services, Youth Risk Behavior Surveillance System: 2005
  • 120. High School Senior Use Department of Health and Human Services, Youth Risk Behavior Surveillance System: 2005
  • 121. Women Men High School Senior Use 60% 45% 30% 15% 0% Illegal Drugs Nicotine Alcohol Department of Health and Human Services, Youth Risk Behavior Surveillance System: 2005
  • 122. Women Men High School Senior Use 60% 45% 30% 15% 0% Illegal Drugs Nicotine Alcohol Department of Health and Human Services, Youth Risk Behavior Surveillance System: 2005
  • 123. Women Men High School Senior Use 60% 45% 30% 15% 0% Illegal Drugs Nicotine Alcohol Department of Health and Human Services, Youth Risk Behavior Surveillance System: 2005
  • 124. Women Men High School Senior Use 60% 45% 30% 15% 0% Illegal Drugs Nicotine Alcohol Department of Health and Human Services, Youth Risk Behavior Surveillance System: 2005
  • 125. Deaths
  • 126. Deaths How many deaths per year are there from . . .
  • 127. Deaths How many deaths per year are there from . . . Nicotine
  • 128. Deaths How many deaths per year are there from . . . Alcohol
  • 129. Deaths How many deaths per year are there from . . . Caffeine
  • 130. Deaths How many deaths per year are there from . . . Medication
  • 131. Deaths
  • 132. Deaths
  • 133. Deaths 500 375 250 125 0 Caffeine Medication Alcohol Nicotine in Thousands
  • 134. Local Aid 860-418-7000 Department of Mental Health & Addiction Services www.ct.gov/dmhas

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