IT IS NOT OUR FEET THAT MOVE US ALONG IT IS OUR MINDS. Ancient Chinese proverb. 2/5/ :22 c2009 Eva Gregory, MA, 1

Transcription

1 IT IS NOT OUR FEET THAT MOVE US ALONG IT IS OUR MINDS. Ancient Chinese proverb. 2/5/ :22 c2009 Eva Gregory, MA, 1

2 TO DEVELOP A PLAN FOR POSITIVE LIFESTYLE CHANGE. This is not therapy or counseling. It is an opportunity for you to look at the facts so that you can make informed decisions about how you want to live your life in the future. 2/5/ :22 PM c2009 Eva Gregory, MA, CCJAP,ICCJAP, QCC 2

3 TO IDENTIFY PATTERNS OF DRUG USE AND ABUSE. This is designed to help participants evaluate their own patterns connected with their use, abuse or illegal activities. Age Amount What drug? Age Amt. Drug? Started using TIMELINE 2/5/ :22 PM c2009 Eva Gregory, MA, CCJAP,ICCJAP, QCC 3

4 NATURE OF THE PROBLEM During the course at nearly any time of the year, a review of newspaper articles, news stories and personal observations will reveal many problems in our society as a result of drug use. This is not meant as a judgment, it is just a simple observation. Please look in the paper, internet, magazines for current articles and reports of drugs in our society and consequences. Then write a one page summary of the article and your summary to eva_gregory@ymail.com 2/5/ :22 PM c2009 Eva Gregory, MA, CCJAP,ICCJAP, QCC 4

5 DISCUSSION MODULE A-1 QUESTIONS.. 1. What kinds of problems related to drug use have you read about or observed? 2. What are some potential solutions to dealing with the drug problem in Texas? 2/5/ :22 PM c2009 Eva Gregory, MA, CCJAP,ICCJAP, QCC 5

6 RULERS FOR PLANNING CHANGES Think of a change in your behavior or habits that you would like to consider. WRITE IT DOWN. 6 c2009 Eva Gregory, MA, CCJAP,ICCJAP, QCC 2/5/ :22 PM

7 IMPORTANCE RULER How important is it to you to make this change? If 0 was not important and 10 was very important what number would you give? Write down the number. 7 c2009 Eva Gregory, MA, CCJAP,ICCJAP, QCC 2/5/ :22 PM

8 CONFIDENCE RULER If you decided right now to, how confident do you feel about succeeding with this? If 0 is not confident and 10 is very confident WRITE DOWN THE NUMBER. 8 c2009 Eva Gregory, MA, CCJAP,ICCJAP, QCC 2/5/ :22 PM

9 READINESS RULER On this line below, which point best reflects how ready you are at the present time to make the change? Not at all Thinking Planning a I have made Ready to about it. And making a the change commitment STARTED. work 9 c2009 Eva Gregory, MA, CCJAP,ICCJAP, QCC 2/5/ :22 PM

10 MODULE B-2 DRUGS AND HEALTH ISSUES 1. Discuss how drug use in general poses a health threat. 2. Identify the acronyms HIV, AIDS and HCV. 3. Describe how the body s immune system is impaired by HIV. 4. Identify when HIV disease can be transmitted to others.5. Describe the connection between injectable drug use and HIV. 7. Identify an agency that provides HIV counseling and testing. 8. Identify how HCV disease can be transmitted to others. 1 0 c2009 Eva Gregory, MA, CCJAP,ICCJAP, QCC 2/5/ :23 PM

11 Fighting AIDS Through Education F.A.T.E. American Medical Association Medical Student Section Community Service Committee International Health and Policy Committee Prepared by Students at: University 11 of Arkansas for Medical Sciences, Little Rock, AR Keck School of Medicine, LA, CA 2/5/ :23 PM c2009 Eva Gregory, MA, CCJAP,ICCJAP, QCC

12 CUMULATIVE ESTIMATED NUMBER OF DIAGNOSIS OF AIDS The total number in the U. S. is 929,985. Adult and adolescent cases total was 920,566. There were 749,887 cases in males. There were 170,679 cases in females. There were and estimated 9,419 in children under c2009 Eva Gregory, MA, CCJAP,ICCJAP, QCC 2/5/ :23 PM

13 TEXAS Texas ranks fourth in nation, behind New York, California and Florida in AIDS cases reported in *In 2003 there were 3,379 AIDS cases reported in Texas. *The Cumulative number o AIDS cases reported in Texas through 2003 is 62, c2009 Eva Gregory, MA, CCJAP,ICCJAP, QCC 2/5/ :23 PM

14 WHY TALK ABOUT AIDS? The fastest growing group of new HIV/AIDS cases is the under twenty-five age group, particularly those who are sexually active and/or IV drug users. In 1999, HIV was the fifth leading cause of death for Americans between the ages of 25 and 44.* Among African American men in this age group, HIV infection has been the leading cause of death since In 1999, among black women years old, HIV infection was the third leading cause of death. Many of these young adults likely were infected in their teens and twenties. * *CDC, /5/ :23 PM c2009 Eva Gregory, MA, CCJAP,ICCJAP, QCC

15 WHAT IS AIDS? AIDS: Acquired Immune Deficiency Syndrome Acquired: passed from one person to another Immune: the body s defense system against disease Deficiency: lack of or breakdown in Syndrome: a combination of symptoms and disorders 15 2/5/ :23 PM c2009 Eva Gregory, MA, CCJAP,ICCJAP, QCC

16 WHAT CAUSES AIDS? 2/5/ :23 PM AIDS is caused by the human immunodeficiency virus (HIV). That is, HIV is the VIRUS that causes AIDS. HIV attacks and weakens the body s immune system by destroying the body s T-helper white blood cells; white blood cells are those cells in your body that fight infections c2009 Eva Gregory, MA, CCJAP,ICCJAP, QCC 16

17 WHY TALK ABOUT AIDS? The fastest growing group of new HIV/AIDS cases is the under twenty-five age group, particularly those who are sexually active and/or IV drug users. In 1999, HIV was the fifth leading cause of death for Americans between the ages of 25 and 44.* Among African American men in this age group, HIV infection has been the leading cause of death since In 1999, among black women years old, HIV infection was the third leading cause of death. Many of these young adults likely were infected in their teens and twenties. * *CDC, /5/ :23 PM c2009 Eva Gregory, MA, CCJAP,ICCJAP, QCC

18 HOW DO YOU TEST FOR HIV? 2/5/ :23 PM HIV infected persons produce antibodies against this virus that can be detected in the blood or the oral mucosa. These antibodies can be measured by medical testing. a quick oral swab Some require blood samples Others just need It can take up to six months after exposure to HIV for enough antibodies to develop in the affected person to be detected by laboratory testing. c2009 Eva Gregory, MA, CCJAP,ICCJAP, QCC 18

19 HIV AND AIDS FACTS A person infected with HIV may not show symptoms for five to ten years. People who look completely healthy can still have HIV. HIV can ALWAYS be passed to others, even if they have no symptoms of AIDS. Once HIV begins to destroy the body s immune system, the affected person 19 progresses through different phases of AIDS until they die. 2/5/ :23 PM c2009 Eva Gregory, MA, CCJAP,ICCJAP, QCC

20 WHO IS AT RISK FOR CONTRACTING HIV/AIDS? 2/5/ :23 PM EVERYONE who practices unsafe sex, has a preexisting STD, or uses IV drugs is at HIGH RISK for contracting HIV/AIDS. Worldwide, more than 90% of all adolescent and adult HIV infections have resulted from heterosexual intercourse*. Females are in as much a risk as Males. c2009 Eva Gregory, MA, CCJAP,ICCJAP, QCC * 20

21 HOW CAN YOU PROTECT YOURSELF? ABSTINENCE ABSTINENCE is the only certain way to protect yourself against HIV and other STDs. MUTUAL monogamy in your relationships after you have both been tested. SAFE sex- Nobody has a body to die for. If you have sex, LATEX CONDOMS are the most effective protection against HIV and other sexually transmitted diseases (STD s). Natural membranes have small microscopic holes that can let STD s through. Novelty condoms (like ones that glow in the dark) should not be used. Don t use oil based lubrication because it will cause the condom to tear. AVOID drug use 21 2/5/ :23 PM c2009 Eva Gregory, MA, CCJAP,ICCJAP, QCC

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24 WANT MORE INFORMATION? DO YOU NEED MORE INFORMATION ABOUT HIV OR HIV COUNSELING AND TESTING? You can receive free publications from the centers for Disease Control and Prevention. To receive brochures, or to ask any questions about HIV infection or AIDS, call the CDC National AIDS Hotline at AIDS (Spanish: ). Montrose Clinic and the local Health Clinics have HIV/AIDS information. 24 2/5/ :23 PM c2009 Eva Gregory, MA, CCJAP,ICCJAP, QCC

25 TYPES OF HEPATITIS There are several different types of hepatitis. The most common types of hepatitis: Hepatitis A Hepatitis B Hepatitis C 2/5/ :23 PM c2009 Eva Gregory, MA, CCJAP,ICCJAP, QCC 25

26 WHAT IS HEPATITIS? It is an inflammation (infection) of the liver. Acute (sudden, fast) *Short term Chronic (long-term) *Liver disease *Infections 2/5/ :23 PM c2009 Eva Gregory, MA, CCJAP,ICCJAP, QCC 26

27 Hepatitis involves the Liver. 2/5/ :23 PM c2009 Eva Gregory, MA, CCJAP,ICCJAP, QCC 27

28 JAUNDICE AT THE BEGINNING FOR SOME INDIVIDUALS. Here is how jaundice looks. 2/5/ :23 PM c2009 Eva Gregory, MA, CCJAP,ICCJAP, QCC 28

29 VIRAL HEPATITIS A Important things to know about hepatitis A: It is a liver disease caused by the hepatitis A virus (HAV) The hepatitis A virus can affect anyone In the United States, hepatitis A can occur in a few areas or in whole regions One-third of Americans have evidence of past HAV infection Hepatitis A virus is in the fecal material poop of persons infected with hepatitis A 2/5/ :23 PM c2009 Eva Gregory, MA, CCJAP,ICCJAP, QCC 29

30 HOW IS HEPATITIS A SPREAD? 2/5/ :23 PM Putting something in your mouth (food, water, hands) that has touched the fecal material of a person with hepatitis A. Most infections come from someone with hepatitis A that you live with or have sex with. c2009 Eva Gregory, MA, CCJAP,ICCJAP, QCC 30

31 VIRAL HEPATITIS B What causes Hepatitis B? Hepatitis B is a disease of the liver caused by the Hepatitis B virus (HBV) The HBV can cause lifelong infection, cirrhosis (scarring) of the liver, liver cancer, liver failure, and death. 2/5/ :23 PM c2009 Eva Gregory, MA, CCJAP,ICCJAP, QCC 31

32 CURE AND PREVENTION OF HEPATITIS B Is there a cure? There is no cure for chronic Hepatitis B Prevention and changing behavior is so important Hepatitis B vaccine is the best protection against HBV Three (3) doses are needed for complete protection. 2/5/ :23 PM c2009 Eva Gregory, MA, CCJAP,ICCJAP, QCC 32

33 WHO IS AT RISK? Hepatitis B can affect any non-immunized person Persons with multiple sex partners or diagnosis of a sexually transmitted disease Men who have sex with men Sex contacts of infected persons Injection drug users 2/5/ :24 PM c2009 Eva Gregory, MA, CCJAP,ICCJAP, QCC 33

34 SPREAD OF HEPATITIS B You can get infected with HBV by: Contacting blood, or body fluids containing blood, while you are not immune Sharing needles to inject drugs or paraphernalia (e.g., spoons, cotton, water) Having sex with an infected person without using a condom 2/5/ :24 PM c2009 Eva Gregory, MA, CCJAP,ICCJAP, QCC 34

35 HEPATITIS B VIRUS CARRIERS How is it transmitted? Some HBV infected persons carry the virus and can infect others 2/5/ :24 PM In the United States about one million people carry HBV c2009 Eva Gregory, MA, CCJAP,ICCJAP, QCC 35

36 SYMPTOMS OF VIRAL HEPATITIS B If you have the Hepatitis B virus you may Have eyes or skin turn yellow Lose your appetite Have nausea, vomiting, fever, stomach or joint pain Feel extremely tired and not be able to work for weeks or months. 2/5/ :24 PM c2009 Eva Gregory, MA, CCJAP,ICCJAP, QCC 36

37 PICTURE OF PERSON WITH CIRRHOSIS. Hepatitis B causes health problems such as cirrhosis and in fact, causes most of the liver cancer in the world. 2/5/ :24 PM c2009 Eva Gregory, MA, CCJAP,ICCJAP, QCC 37

38 CURE AND PREVENTION OF HEPATITIS B Is there a cure? There is no cure for chronic Hepatitis B Prevention and changing behavior is so important Hepatitis B vaccine is the best protection against HBV Three (3) doses are needed for complete protection. 2/5/ :24 PM c2009 Eva Gregory, MA, CCJAP,ICCJAP, QCC 38

39 HEPATITIS B VACCINATION Who should get Vaccination? All babies, at birth All children 0-18 years of age who have not been vaccinated Persons of any age whose behavior puts them at high risk for HBV infection Persons whose jobs expose them to human blood 2/5/ :24 PM c2009 Eva Gregory, MA, CCJAP,ICCJAP, QCC 39

40 VIRAL HEPATITIS C Cause Viral hepatitis C is caused by the hepatitis C virus (HCV) HCV can be found in the blood of a person with hepatitis C People with hepatitis C will carry the HCV in their blood for the rest of their lives, and could pass the virus on to others 2/5/ :24 PM c2009 Eva Gregory, MA, CCJAP,ICCJAP, QCC 40

41 LIVER WITH INFECTION OF HEPATITIS C 2/5/ :24 PM c2009 Eva Gregory, MA, CCJAP,ICCJAP, QCC 41

42 VIRAL HEPATITIS C Prevalence An estimated 3.9 million Americans have been infected with HCV, of whom 2.7 million are chronically infected. Most infections are due to illegal injection and drug use. 2/5/ :24 PM c2009 Eva Gregory, MA, CCJAP,ICCJAP, QCC 42

43 VIRAL HEPATITIS C Long-term effects Long-term infection will occur in 75-85% of infected persons Life-long liver disease in 70% of chronically infected persons Deaths from chronic liver disease in less than 3% Leading reason for liver transplant 2/5/ :24 PM c2009 Eva Gregory, MA, CCJAP,ICCJAP, QCC 43

44 PREVENTION OF HEPATITIS C Prevention No vaccine Best Prevention is behavior 2/5/ :24 PM change. Do not shoot drugs Do not share personal items such as razors or toothbrushes Avoid tattoo or body piercing c2009 Eva Gregory, MA, CCJAP,ICCJAP, QCC 44

45 Summary Hepatitis A Rectal-oral Vaccine for Hepatitis A Acute infection HEPATITIS B & C BLOOD VACCINE FOR B, NONE FOR C Contaminated needles, unprotected sex, many sex partners 2/5/ :24 PM c2009 Eva Gregory, MA, CCJAP,ICCJAP, QCC 2/4/2012 c2007evagregorycounselingonline.com 23 45

46 HEATH WAS ON TOP OF THE WORLD. HAD JUST BEEN NOMINATED FOR AN OSCAR FOR HIS ROLE IN THE CRITICALLY-ACCLAIMED FILM BOKEBACK MOUNTAIN. 2/5/ :24 PM c2009 Eva Gregory, MA, CCJAP,ICCJAP, QCC On January 22, 2008, Heath was found dead. Doctors concluded that the 28-year-old had died from a lethal combination of prescription drugs, including oxycodone, hydrocodone and diazepam. 46

47 BENZODIAZEPINE INFORMATION These drugs have been developed to produce central nervous system (CNS) depression. These drugs are referred to as downers, sedatives, hypnotics, minor tranquilizers, anxiolytics, and anti-anxiety medications. Of the drugs marketed in the United States that affect CNS function, benzodiazepines are among the most widely prescribed medications. 2/5/ :24 PM c2009 Eva Gregory, MA, CCJAP,ICCJAP, QCC 47

48 XANAX Xanax is a group of drugs called benzodiazepines which affect the chemicals in the brain that may become unbalanced and cause anxiety. The long-term effects of using Xanax is drowsiness, dizziness, feeling irritable, amnesia or forgetfulness, trouble concentrating, sleep problems (insomnia), muscle weakness, lack of balance or coordination, slurred speech, blurred vision and loss of interest in sex. 2/5/ :24 PM c2009 Eva Gregory, MA, CCJAP,ICCJAP, QCC 48

49 Young Adults Prescription Drug use is up ^ and many do not think twice about STACKING Drugs. 2/5/ :24 PM 49 c2009 Eva Gregory, MA, CCJAP,ICCJAP, QCC