SAOU. Limpopo. 17 September 2016

Transcription

1 SAOU Limpopo 17 September 2016 Dr Michiel van der Merwe Exec Director: Stabilis Treatment Centre Tel /

2 Overview Statistics Drug classification Symptoms Policy Testing No child hopes to be an addict when he grows up No parent hopes to raise one No human is immune to addiction.

3 Statistics 50% below 35 yrs use alcohol 30% teenagers use alcohol 2-9% abuse dagga 16% youth abuse medication 11% youth abuse inhalants Nyaope users doubled in one year Alcohol: 3x more - violent crime 60% gr 8-11 repeat year alcohol 42% drug users in Cape Town tik per year drinks before born Most important statistics?

4 Myths Peer pressure Parents little influence Parental involvement interfere Person must be motivated First treat mental health problems Low self-esteem is high risk Education about drugs NB! Cigarette smoking allowed Dependency cannot be treated

5 Care and Support for Teaching and Learning (CSTL programme) Health Nutritional Social Welfare CSTL Psycho -social Safety Water, Sanitation Cocurricu -lar Material Curriculum

6 Issue? Committed?

7 Drug? Mind Mood Behaviour

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9 Classification - 2 Cocaine/ crack Khat/ Bath salts Meth/amphetamine CNS Stimulants (Uppers) Appetite suppressants Epherdrine / Cafeine Tobacco

10 Classification - 3 LSD Mescaline/ Cactus Dagga Hallucinogens Mushrooms/ Psilocybin Other Malpitte

11 Signs & symptoms

12 Substance dependence? DSM V Loss of control Tolerance develop Physical withdrawal symptoms Use to avoid physical withdrawal symptoms Larger amounts OR longer periods Desire to cut down Activities to obtain/ use substance Other activities negatively affected Continuing usage despite knowledge Pattern of developing

13 CAGE - test 1. Have you ever felt you needed to Cut down on your drinking? 2. Have people Annoyed you by criticizing your drinking? 3. Have you ever felt Guilty about drinking? 4. Have you ever felt you needed a drink first thing in the morning (Eye-opener) to steady your nerves or to get rid of a hangover?

14 Challenge Practice what you preach

15 Drug Abuse Policy Everything on paper!

16 Introduction Safe and caring school All schools drug free zone Person s rights Drug testing school s code of conduct

17 Searches Motivated correct procedure Random (not allowed!) Suspect? Second opinion Police / principal / delegate Against remove from school premises

18 Suspicion Part of school s code of conduct Informed by other Scent of drugs Reports from parents Traces of drugs Any other reasonable indication

19 Procedures Legally correct with dignity & respect Principal or delegate Same gender Privacy Adult witness of same gender Drugs photographed if possible No search at private parts of body Clothes stripped down, searched Accompanied if going to bathroom

20 Drug Testing Devices Multi-drug tests better!

21 Test screening Test always never statement only Urine! Detection periods of substances Tampering results o Water o Change ph o Cheating kits o Substitution of urine Standardized Field Sobriety Test

22 Standardized Field Sobriety test (SFST) Horizontal Gaze Nystagmus (HGN) Walk-and-Turn (WAT) One-Leg Stand (OLS)

23 Steps: Drug testing What happens after the testing? a) Notify parents/ guardians b) Same gender & adult witness c) Testing kit openend in presence d) Remove kit from sealed packaging e) Read information together f) Conduct as prescribed g) Used medication? h) Latex gloves i) Urine test done j) Report with learner s permission

24 Test positive results Primary goal Rehabilitation Punitive action Confirmed positive results with NO legitimate explanation Disciplinary action

25 Conclusion (It is not always what you see/think )

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