With drug addiction, a distinction must be made between physical and psychological dependence
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1 Working Meeting 12 July 2012
2 What is addiction? With drug addiction, a distinction must be made between physical and psychological dependence 1. Physical dependence; as the body of the addict protests when he or she stops taking the drugs - withdrawal symptoms Tolerance; one needs more of the drug to feel the same effect caused by the drug
3 What is addiction? (continuation) 2. Psychological dependence; the addict has the idea not properly to function without the drug Whether mental dependence occurs, is more about the thinking of the addict than the drug By "social use" of alcohol for example, there is moderate psychological dependence When used intensively, there is substantial physical and psychological dependence
4 What is addiction? (continuation) Weed and hashish (cannabis) -> no physical dependence; mental dependence is generally low, this increases when intensive used Cocaine -> no physical dependence, there is psychological dependence Heroin -> dependence occurs generally very fast and is great, both physically and mentally
5 In this region specifically: Alcohol Drugs (cannabis, cocaine, coke/crack) Gambling Medicine
6 Groups of Alcoholic Beverages Beer, wine and strong alcoholic beverages (5%, 12% and 35% (distilled) alcohol) Sherry and Port (strong wine with about 20% alcohol) Rum and gin (distilled) (could be about 80%) Mix drinks and the Shooters: Mix drink (strong drink/liquor mix with soft drink, alcohol 5% to 7%) Shooter (20 ml bottle of liquor with 20% alcohol )(High risk drinking because of HIGH % alcohol and the amount of ML. You don't always realize how much you have been drinking)
7 Consequences and dangers of alcohol abuse Hangover Alcohol intoxication Lever-cirrhosis Brain damage Short and Long term memory loss (korsakovsyndroom) Concentration problems Heart and vascular diseases Cancer in the mouth Oesophagus, Lever and Colon
8 Marijuana and Hash (Cannabis) Also known as: Marijuana, Weed, Hashish, Stuff, Pot, Grass, Shit, Skunk and Nederwiet Weed and Hash are all made from the Hennepplant no difference Weed/Marijuana is made from the: Dry Flower- top and Hash is made from the Secrete/Produce Resin from the trees. All from the same Hennepplant
9 Consequences and dangers of cannabis abuse Anxiety (neurotic) Panic-attacks Fainting Depression Dizziness Nausea Concentration problems Difficulties with thinking clear Reaction is diminish
10 Consequences and damages alcohol (in general) Malfunctioning of organs (alcohol -> liver) Brain damage (cells, neurons) Anxiety (neurotic) Panic-attacks Fainting Depression Dizziness Nausea Concentration problems Difficulties with thinking clear Reaction is diminish
11 Consequences Use of alcohol and drugs can have far-reaching consequences for personal health and well-being, social relations, safety and jobs Drug abuse including alcohol may lead to health problems, social problems, injuries, unprotected sex, violence, deaths, motor vehicle accidents, homicides, suicides, physical and mental addiction or psychological addiction
12 Risks Key risk periods for drug abuse: during major transitions in a child's life; e.g. moving, divorce, leaving the security of the home Research: The earlier the drug use, the greater possibility for continued use Social approval, lack of perceived risks, and availability of drugs in the community are exacerbating factors that can influence drug use to become drug abuse
13 Signals & symptoms of abuse Physicals signs; e.g. loss/increase of appetite, inability to sleep, cold/sweaty palms, puffy face, red/watery eyes Behavioral Signs; e.g. change in overall attitude/personality, changes in friends, concentration problems, change of habits, lack of motivation Drug Specific Symptoms
14 What is our definition of prevention? To prevent literally means to keep something from happening The term prevention is reserved for those interventions that occur before the initial onset of disorder
15 Prevention Especially important for young people who are experimenting or threatened to begin experimenting with problems, boredom or being influenced by trends Raise awareness of the dangers of drug and alcohol use and the benefits of constructive behavior Awareness: educating children and families about the harms of substance abuse Taboo and fear for people with addiction problems and associated problems in the population must be broken Knowledge and awareness about drug and alcohol consumption among the population and aid workers need to increase
16 Prevention (continuation) Provide mentoring and positive role modeling for youth. Build social skills to enable the development of strong self-image that leads to positive life decisions Promote good parenting skills and strengthen the family as the first defense against drug abuse. Parents: say No to alcohol and drugs Promote skills that allow individuals the potential of developing into contributing members of society Educational material and age limit on alcohol purchase Health promotion
17 Examples of statements from parents towards children Alcohol is good for the appetite To let children buy alcoholic beverages Consuming alcohol or drugs in front of children Children are often together with parents in venues/places where alcohol is used
18 Drug prevention and information In providing the youth with information, the type of approach is of critical importance. Three different approaches can generally be distinguished.
19 Approaches 1. Warning approach: The dangers of risky substances 2. Informative approach: The use and effects of the various are considered 3. Person-oriented approach: The focus of prevention is placed on the pupil and not on the drugs. In this approach, knowledge of the various drugs, clarification of values, decision-making skills, resisting peer-groups pressure and increasing ones self-respect are all considered.
20 Conclusion Clear positive effects of the person-oriented approach have been observed. Research shows the enlargement of social skills in combination with the imparting of knowledge to be most effective. Such an approach was therefore applied in developing the teaching materials for the project The healthy school and drugs. Source: Trimbos-Instituut.
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