COMPETENCY. Presented by: Hon. Candace Cooper (Ret.) Association of Corporate Counsel. Wednesday, January 14, 2015

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1 COMPETENCY Presented by: Hon. Candace Cooper (Ret.) Association of Corporate Counsel Wednesday, January 14, 2015

2 Extent of the Problem Substantial percentage of the population will be substance abusers Large percentage of complaints to the Bar are related to substance abuse Almost everyone has been affected, either personally or through family and friends

3 What s Out There? Alcohol Marijuana Prescription Medication Cocaine Methamphetamine Heroin Party/Club Drugs Bath Salts/Krokodil

4 Alcohol Inexpensive Accessible Socially acceptable Symbolic part of doing business Alcohol is most abused substance

5 Alcohol Alcohol is a depressant. Most people drink for stimulant effect, to loosen up with a beer of glass of wine. But, if too much, reach depressant effect. Overdose, severe depressant effect: inability to feel pain; toxic effect where body vomits the poison; unconsciousness, coma or even death.

6 Alcohol

7 Traffic Fatalities Alcohol-Related In 2010, the US had a total of 32,885 deaths o 10,228 or 31% were alcohol-related o 37% of traffic deaths (age 16 20) o 1.4M DUI arrests. = 1% of self reported impaired driving. Good news! Percentage has gone down. In 1982, there was a total of 43,945 deaths. o 24,025 or 55% were alcohol-related In 2005, California had a total of 4,329 fatalities o 1,719 or 40% were alcohol-related Data: National Traffic Highway Safety Administration

8 Marijuana Marijuana is the most commonly used illegal drug in the U.S., although several states have passed laws legalizing its medicinal and recreational use It is made up of dried parts of the Cannabis sativa hemp plant. The drug is a hallucinogen a substance which distorts how the mind perceives the world you live in Chemical which creates the distortion is known as THC

9 Prescription Medication Painkillers Anti-anxiety medication Sleep aids Combination with other substances Oxycodone is second highest cause of accidental death in US, behind car accidents.

10 Cocaine Cocaine is a powerfully addictive central nervous system stimulant that is snorted, injected, or smoked. Crack is cocaine hydrochloride powder that has been processed to form a rock crystal that is then usually smoked.

11 Methamphetamine Methamphetamine is a very addictive stimulant that is closely related to amphetamine. It is long-lasting and toxic to dopamine nerve terminals in the central nervous system. It is a white, odorless, bitter-tasting powder taken orally, by snorting or injecting, or a rock crystal that is heated and smoked.

12 12 Impact of Meth true breaking bad

13 Heroin Heroin is an addictive drug that is processed from morphine and usually appears as a white or brown powder or as a black sticky substance. It is injected, snorted or smoked. Injection drug users account for more than 60% of new hepatitis C (HCV), and 16% of new HIV/AIDS infections in the U.S.

14 Party/Club Drugs Club drugs tend to be used by teenagers and young adults at bars, nightclubs, concerts, and parties. Club drugs include GHB, Rohypnol, Ketamine and others

15 BATH SALTS & KROKODIL Bath Salts o Synthetic designer drug o 300 reported cases in 2010/ 6,138 in 2011 o Users from age 15 to 55. Average age is 28 o Synthetic Drug Abuse Prevention Act of Helping but doesn t control everything possible o Symptoms Extreme paranoia; elevated heart rate, blood pressure and pulse; high body temp; sleep deprivation; hallucinations; hostility or aggression; panic attacks, suicidal thoughts 15

16 KROKODIL visual breaking bad KROKODIL Morphine derivative [opioid] with powerful, fast acting sedative and analgesic effects clandestine production in Russia. Easily made from codeine, iodine and red phosphorus. o Highly impure and contaminated with toxic and corrosive byproducts (ie, gasoline, paint thinner or alcohol) o Named for greenish scale-like appearance of damaged skin of users. Notorious for severe tissue damage, phlebitis and gangrene. Addicts have 2 3 year life expectancy Now showing up in Western Europe and USA 16

17 17 One of least gruesome pictures of Krokodil use

18 Substance Abuse Impact Employment Professional licenses Other licenses Alienation from family/friends

19 Detection Changes in Patterns Psychological changes Physical changes Self-destructive behavior Enabling behavior

20 Intervention - Barriers Denial The alternative reality Feeling of uniqueness Abusers are resourceful Friends don t want to believe there is a problem Trying to treat the problem rationally

21 Intervention What Can/Should You Do? Do something Do it in a group Use concern and love, not ultimatums Know external resources

22 Intervention Outside Resources Employee Assistance Programs California Bar Assn. Lawyer Assistance Program (LAP) 877-LAP 4 HELP [ ] The Other Bar: Alcoholics Anonymous: Al-Anon a support group for relatives and friends of alcoholics: Narcotics Anonymous:

23 Treatment Know the level of treatment available o 12-step meetings o Individual therapy o Out-patient programs o In-patient programs o Professional intervener

24 Hypotheticals A long time colleague, has been arriving late at the office. You ve noticed this person s work has been sloppy and unprofessional. There is talk of late nights after sporting events and drinking with friends. Sometimes, after lunch, you ve detected alcohol on your colleague s breath. o What should you do? o You are his/her supervisor? o He/she is your supervisor?

25 Hypotheticals (cont d) You are in a lengthy trial. You have lunch with opposing counsel to discuss jury instructions. While you drink water with lunch, opposing counsel has 3 martinis, but without any apparent adverse effect then, or later in trial. o What should you do? o Same as above, but you do notice adverse performance in trial?

26 Reduce Stress Keep a positive attitude Learn and practice relaxation techniques Exercise regularly Eat healthy, well-balanced meals Get enough rest and sleep Don t rely on alcohol or drugs to reduce stress Seek our social support Learn to manage your time more effectively SPARKLE formula

27 SPARKLE Formula Sleep well Plan every day Anticipate less (Things will not turn out as bad as you think; things usually work out well; visualize success) Relax Keep anger under control Laugh Eat well and exercise.

28 Any Good News? Any good news? Lawyers appear not to be the professionals most at risk. Medical caregivers are particularly anesthetists drugs are very accessible and stress levels are very high. Everyone has some kind of crutch. Some people s drug of choice is chocolate. Not surprisingly, it comes from the cacao bean, and stimulates a feeling of being infatuated. It is not a moral failing to have a need for something to relieve stress and pain. The goal is to find a non-selfdestructive way to do so. How about golf? Miniature golf? Knitting?

29 Questions? Thank You!

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