Talking Points (2018) Talal Khan MD Mariah DeYoung LMSW CAADC
|
|
- Camilla Fisher
- 5 years ago
- Views:
Transcription
1 Talking Points (2018) Talal Khan MD Mariah DeYoung LMSW CAADC
2 Cannabis - Key Chemicals Marijuana comes from the plant Cannabis sativa. It has more than 500 chemicals. Many Psychoactive (mind-altering). Active ingredient is Delta 9 Tetrahydrocannabinol - THC: This is the main psychoactive agent in marijuana. When you smoke cannabis, THC goes from your lungs into your bloodstream and then into your brain. It stimulates the Mesolimbic Dopamine system of the brain The reward pathway It is a known neurotoxin and carcinogen Another chemical within the 500+ is Cannabidiol - CBD Which May have medicinal potential Medicine already exists - Dronabinol, Nabilone, Sativex The science is NOT READY FOR PRIME TIME
3 Cannabis Effects Short Term Long Term Short-term memory problems Increased risk of Respiratory illnesses Severe anxiety, Panic Paranoia Psychosis: Loss of reality, Hallucinations Loss of sense of personal identity Lowered reaction time Altered time space perception Increased risk of cancers Increased psychiatric conditions Depression, schizophrenia Decline in IQ ( average 8-10 points reduction if prolonged use started in adolescent age) Poor school performance and higher chance of dropping out Increased risk of heart attack Increased risk of stroke Problems with coordination (impairing safe driving or playing sports) Sexual problems (for males) Increased likelihood of contracting STDs Impaired thinking and ability to learn and perform complex tasks Lower life satisfaction, poor motivation Addiction (about 9% if adulthood onset and 17% if teen) increased potential development of opiate use disorder. Relationship problems, intimate partner violence Increased criminal behaviors Financial difficulties, unemployment Increased dependence on Welfare
4 Is It Medicine? Facebook videos and people s opinions are not evidence. JAMA did a meta analysis. A total of 79 studies qualified to be non biased (6462 participants). There was moderate-quality evidence to support the use of cannabinoids for the treatment of chronic pain and spasticity. Newer research states that effect is affective rather than sensory. There was low-quality evidence suggesting with some improvements in nausea and vomiting due to chemotherapy, weight gain in HIV, sleep disorders, and Tourette syndrome. Minimal to no evidence on improvement in psychosis, anxiety and depression. Only 2 studies studied Cannabis. In all the studies Cannabinoids were associated with an increased risk of serious and common Adverse Effects.
5 Is It Medicine? (continued) Psychiatric effects: Worsening Depression, Mood disorders, Psychosis, Anxiety, increased Suicide risk Marijuana has effects on metabolism of other medications Marijuana has serious effects on pregnancy The Cannabis now has increased potency about 8-10 x more potent. Concentrations up to 70-90% THC. There is a lot of misinformation regarding cannabis and Opioids
6
7
8 The Medical Organizations Stance The American Medical Association (AMA) The American Society of Addiction Medicine s (ASAM) The American Academy of Addiction Psychiatry (AAAP) The American Cancer Society (ACS) The American Glaucoma Society (AGS) The Glaucoma Research Foundation (GRF) The American Academy of Pediatrics (AAP) The American Academy of Child and Adolescent Psychiatry (AACAP) The National Multiple Sclerosis Society (NMSS) The National Association of School Nurses (NASN The American Psychiatric Association (APA)
9 Traffic Accidents Marijuana more than doubles the risk of accidents. Cannabis effects Vision, Reaction Time, Coordination, Tracking Ability, Attention and Judgement Chronic marijuana use can impair a person s ability to drive for up to 3 weeks after stopping it. Measuring Cannabis in system is not easy.
10 ER and Hospital Cost In Colorado, the annual rate of marijuana-related emergency room visits increased 35% between the years 2011 and 2015 (CDPHE, 2017). Central Oregon hospitals saw a nearly 2,000% increase in emergency room visits due to marijuana poisoning, with 434 marijuana-related emergency visits in January 2016 alone, compared to a maximum of 32 visits per month prior to legalization (Kent, 2016). In Colorado, calls to poison control centers have risen 210%. Washington has seen a 70% increase in calls after legalization. One hospital in Bend, Oregon, also had an increase in marijuana-related emergency room visits from 229 in 2012 to 2,251 in 2015; the average number of marijuana-related emergency room visits per month in the same hospital in 2016 was 552 (Hawryluk, 2017). Many psychiatric admissions are directly or indirectly cannabis related.
11 Unintentional Pediatric Exposure There were 985 unintentional marijuana exposures reported from 2005 through 2011 in children aged 9 years and younger: 496 in non-legal states, 93 in transitional states, and 396 in decriminalized states.
12 Work force Impact Marijuana use impairs the ability to function effectively and safely on the job and increases work-related absences, tardiness, accidents, compensation claims, and job turnover. Marijuana urine test results in Washington and Colorado are now double the national average (Quest Diagnostics, 2016). Insurance claims have become a growing concern among companies in legalized states (Hlavac & Easterly, 2016) because if marijuana use is allowed or drug testing ignored, employers are at risk of liability claims when a marijuana-related injury or illness occurs onsite Colorado construction company GE Johnson was forced to hire out-of-state construction workers because too many Coloradans were failing preemployment drug tests A study conducted in Washington during found that the percentage of work-related injuries and illnesses was significantly higher (8.9%) among marijuana users than non-users (Marcum, Chin, Anderson, & Bonauto, 2017). Pro-marijuana advocates are pushing to eliminate work force drug testing.
13 Crime and Homelessness There is clear increase in criminal activities by legalization. The crime rate in Colorado has increased 11 times faster than the rest of the nation since legalization (Mitchell, 2017), reporting an 8.3% increase in property crimes and an 18.6% increase in violent crimes (CBI 2017). The density of marijuana dispensaries was linked to increased property crimes in nearby areas. There was a 54% increase in public consumption of marijuana citations since legalization (Boulder Police Department [BPD], 2017). In Alaska, misdemeanor, larceny and vehicle thefts have dramatically increased since legalization.(alaska Department of Public Safety, 2016). Homelessness increases Reliance on welfare increases Black market and illegal smuggling
14 The Social Justice Argument Washington, DC, saw public consumption and distribution arrests nearly triple between the years 2015 and A disproportionate number of those marijuana- related arrests occurred among African- Americans (Moyer, 2017; District of Columbia Metropolitan Police Department [DCMPD], 2016). Colorado marijuana arrests for young African-American and Hispanic youth have increased since legalization (Colorado Department of Public Safety [CDPS], 2016). Colorado schools that had 25% or fewer youth of color had 313 marijuana-related suspensions compared to 658 marijuana-related suspensions for schools comprised of populations with 76% or more youth of color (CDPS, 2016). Legalizing Marijuana is not going to reform the Criminal Justice System or Racism.
15 Is It All About The Money? Every $1 received in tax revenue from our legal drugs costs society more than $10 in lost social costs, due to workplace, highway, health, criminal justice, and other reasons. Society and businesses will have to bear the cost of decreased productivity, absenteeism, workplace accidents, road accidents, increase of other drug use and increased health cost. The environmental cost is very high / carbon print What is the cost of ruining our future generations?
16 Effects on the Young Brain In young adults multimodal high resolution MRI studies showed increased gray matter density, volume and changes in shape in the left nucleus accumbens and right amygdala in recreational cannabis users as opposed to controls. Gray matter density changes in prefrontal cortex structures There were alterations in neuronal organization
17 Our Future Generations Marijuana is Addictive - 1 in 6 teens who start become addicted It is a Gateway Drug It causes permanent changes the teen brain Reduces IQ Lowers School performance Increases school drop out rates Legalizing has made it more accessible at earlier age The Perception of Risk is decreasing
18 1 in 6 Teens Who Use Will Be Addicted Teens who smoke marijuana regularly Say it is very easy to get Score worse on tests of memory, visual scanning, and cognitive flexibility Have impaired learning, particularly with math and reading Are less likely to graduate high school Are more likely to have psychotic symptoms as adults Are more likely to use other drugs, like heroin and cocaine The younger marijuana is first used, the more likely the use of other drugs Smart Approaches to Marijuana (SAM). (2018). Leassons Learned From Marijuana Legalization in Four U.S. States and D.C. Retail Marijuana Public Health Advisory Committee (2016). Monitoring Health Concerns Related to Marijuana in Colorado: Retrieved on May 2, 2017 from Centers for Disease Control and Prevention. (2015). Vital Signs: Today s heroin epidemic. Olfson, M., Wall, M. M., Liu, S. M., & Blanco, C. (2017). Cannabis use and risk of prescription opioid use disorder in the United States. American Journal of Psychiatry, 175(1),
19 Our Future Generations In Colorado, Washington, Oregon, Alaska, and the District of Columbia (Washington, DC) Use among youth aged has increased way above average (National Survey on Drug Use and Health ). Alaska and Oregon are leading the nation in past-year marijuana use among youth aged Colorado currently holds the top ranking for first-time marijuana use among youth, representing a 65% increase in the years since legalization Young adult use (youth aged 18 25) in legalized states is increasing Colorado toxicology reports show the percentage of adolescent suicide victims testing positive for marijuana has increased (Colorado Department of Public Health & Environment 2017). In Anchorage, school suspensions for marijuana use and possession increased more than 141% from 2015 to 2017 (Wohlforth, 2018).
20 Treatment Requests for detox, residential and IOP treatment- Insurances not covering it Individual therapy is helpful, but not sufficient in many cases Medications Call to set up an assessment to determine treatment options
Marijuana. Module 4 ALLIED TRADES ASSISTANCE PROGRAM PREVENTATIVE EDUCATION: SUBSTANCE USE DISORDER
Marijuana Module 4 ALLIED TRADES ASSISTANCE PROGRAM PREVENTATIVE EDUCATION: SUBSTANCE USE DISORDER Marijuana Pot Grass Weed Reefer Herb Mary Jane MJ Whatever you call it, marijuana is the nations most
More informationMarijuana and Adolescent Brain Development
Marijuana and Adolescent Brain Development Amy Turncliff, PhD June 2016 Acknowledgements: Slides contributed by Ruth Potee MD, Bertha Madras PhD, John Scheft Esq, and Heidi Heilman. Maturation of the human
More informationMarijuana and Adolescents: Truth and Consequences. Disclosure Statement OBJECTIVES. Secondary Objectives. State of Marijuana in US
Marijuana and Adolescents: Truth and Consequences Clinical Advances in Pediatrics Symposium Children s Mercy Park September 28, 2017 Disclosure Statement I have no actual or potential conflict of interest
More informationIs the most common illicit drug used in the United States. After a period of decline in the last decade, its use has been increasing among young
The Facts Cannabis, commonly known as marijuana and by numerous other names, is a preparation of the cannabis plant intended for use as a psychoactive drug and now as medicine. Marijuana also refers to
More informationHot Topics in Healthcare Osher Lifelong Learning Institute University of California at San Diego. October 17, 2017
Hot Topics in Healthcare Osher Lifelong Learning Institute University of California at San Diego October 17, 2017 Format Notes Speakers present pro and con perspectives Goal is to inform..not have one
More informationPLENARY PANEL THE INTERSECTION OF MENTAL HEALTH AND MARIJUANA LEGALIZATION
STANFORD ADOLESCENT MENTAL WELLNESS CONFERENCE: OVERCOMING CULTURAL BARRIERS TO ACCESS PLENARY PANEL THE INTERSECTION OF MENTAL HEALTH AND MARIJUANA LEGALIZATION Time: Friday, April 27, 3:15-4:15p Paula
More informationWHAT SHOULD WE KNOW ABOUT MARIJUANA
WHAT SHOULD WE KNOW ABOUT MARIJUANA Marijuana is the most commonly used illicit drug in the U.S. The use of marijuana can produce adverse physical, mental, emotional, and behavioral effects. What is marijuana?
More informationCannabis and What we Know. Bonnie Schnittker RN PHN Public Health Nurse October 20, 2017
Cannabis and What we Know Bonnie Schnittker RN PHN Public Health Nurse October 20, 2017 We All Have a Role to Play! Objectives What is Cannabis? What do we know about the health effects? Legalization:
More informationAGENDA. 9:00 Sign-in and introductions 9:15 Marijuana 10:30 Break 10:45 Opioid Prevention 11:30 Discussion & Wrap-Up
AGENDA 9:00 Sign-in and introductions 9:15 Marijuana 10:30 Break 10:45 Opioid Prevention 11:30 Discussion & Wrap-Up Marijuana: Preventing Youth Use Juliet D Alessandro, Healthy Communities Specialist Today
More informationCannabis in the Community
Department of Pediatrics Cannabis in the Community The Unintended Consequences of Increased Marijuana Availability on the Pediatric Population Karen Buchi, MD Professor of Pediatrics Chair, University
More informationCANNABIS LEGALIZATION: SUPPORT MATERIAL FOR MANITOBA PHYSICIANS
CANNABIS LEGALIZATION: SUPPORT MATERIAL FOR MANITOBA PHYSICIANS 1. GENERAL INFORMATION Cannabis 101 What is cannabis? Cannabis is a product derived from the Cannabis sativa plant. Cannabis contains hundreds
More informationMedibles. Objectives. What is the definition of a Medible? 10/24/2017. Define medibles. Explain Cannabinoids in the human system
Medibles Kimberly Marcus, RN.,BSN. Objectives Define medibles Explain Cannabinoids in the human system Discuss adverse Effects of Marijuana in Pediatrics Discuss Treatment for overdose of Marijuana in
More informationPuget Sound Educational Service District
Puget Sound Educational Service District Before we begin..thank you! Agenda-Introductions and Reflection Marijuana Prevention Closing and Reflection Why Are We Here? Let s Hear From You. Name. School/Work/Community
More informationMedical Cannabis MATT WEBSTER DO, MS
Medical Cannabis MATT WEBSTER DO, MS Cannabis Sativa One of the oldest used drugs and medicinal remedies Most commonly abused illicit drug in the US There has been increasing access for medicinal MJ use
More informationReefer Sanity: Seven Great Myths About Marijuana
Reefer Sanity: Seven Great Myths About Marijuana Kevin A. Sabet, Ph.D. Director, Drug Policy Institute, University of Florida Co-Founder, Project SAM (Smart Approaches to Marijuana) www.learnaboutsam.org
More informationOpioid Review and MAT Clinic Marijuana
1 Opioid Review and MAT Clinic Marijuana April 18, 2018 Learning Objectives Describe the societal impact of marijuana Explain the long-term ramifications of early initiation of marijuana use 2 Disclosure
More informationSacramento County Youth MARIJUANA PREVENTION CAMPAIGN
Sacramento County Youth MARIJUANA PREVENTION CAMPAIGN There is so much more the world has to offer. Marijuana has no place in my life. - Damon, 17 Introduction With the passage and implementation of Prop
More informationINTRODUCTION WHAT IS MARIJUANA 2/28/2018
INTRODUCTION AT THE END OF THE SESSION, YOU WILL ASSESS THE USE AND IMPACT (SIDE EFFECTS) OF MARIJUANA ON PATIENTS EXPLORE CANNABIS THERAPY LEGALITY AND PRACTICALITY POSSESS STRATEGIES TO PROVIDE PSYCHO-EDUCATIONAL
More informationCannabis Use: Scope of the Issue
Three Areas of Focus How Changing Cannabis Policy Will Affect Your Practice Kevin P. Hill, MD, MHS Director, McLean Hospital Division of Alcohol and Drug Abuse Belmont, MA Assistant Professor of Psychiatry,
More informationMany drugs of abuse are illegal drugs. Possessing, using, buying, or selling these drugs is illegal for people of any age.
1 Chapter 12 Section 1 Objectives List six ways illegal drug use can be dangerous. State five reasons a person might try illegal drugs. Identify the reason drug abuse is especially dangerous to teens.
More informationOutcome. Educating Ohio Providers On The Basics Related To Recommending Medical Marijuana. Connie J. Cerilli, APRN, FNP-C
Educating Ohio Providers On The Basics Related To Recommending Medical Marijuana Connie J. Cerilli, APRN, FNP-C Outcome Participants will be able to list 3 approved medical conditions Participants will
More informationEducating Ohio Providers On The Basics Related To Recommending Medical Marijuana. Connie J. Cerilli, APRN, FNP-C
Educating Ohio Providers On The Basics Related To Recommending Medical Marijuana Connie J. Cerilli, APRN, FNP-C Outcome Participants will be able to list 3 approved medical conditions Participants will
More informationPEDIATRIC EXPOSURE PREVENTION CLINICAL GUIDANCE FOR COLORADO HEALTH CARE PROVIDERS
PEDIATRIC EXPOSURE PREVENTION CLINICAL GUIDANCE FOR COLORADO HEALTH CARE PROVIDERS FOR DISCUSSIONS WITH PARENTS OR GUARDIANS OF CHILDREN AND ADOLESCENTS AGES 0-20 In Colorado, it is illegal for youth under
More informationMarijuana. The legalization of marijuana EMPLOYERS. The Implications. Legalization to
The Implications of Marijuana Legalization to EMPLOYERS Written by Mark Pew, Senior Vice President of PRIUM 28 The Self-Insurer www.sipconline.net The legalization of marijuana use creates intended and
More informationPEDIATRIC EXPOSURE PREVENTION
PEDIATRIC EXPOSURE PREVENTION CLINICAL GUIDANCE FOR COLORADO HEALTH CARE PROVIDERS FOR DISCUSSIONS WITH PARENTS OR GUARDIANS OF CHILDREN AND ADOLESCENTS AGES 0-20 It is illegal for Colorado youth under
More information9/28/2015. Support. R01CA A1 Intervening with smoking parents of inpatients to reduce
Medical marijuana and the impact of marijuana policy on children Karen M. Wilson, MD, MPH, FAAP Associate Professor of Pediatrics Section Head, Pediatric Hospital Medicine University of Colorado School
More informationMedical Marijuana Consent Form
Medical Marijuana Consent Form A qualified physician may not delegate the responsibility of obtaining written informed consent to another person. The qualified patient or the patient s parent or legal
More informationMarijuana Legalization. What do we want for Ohio and our Communities?
Marijuana Legalization What do we want for Ohio and our Communities? Ohio - Marijuana News Ohio Rights Group Responsible Ohio Responsible Ohioans Ohioans to End Prohibition Two Policy Considerations 1.
More informationCannabis Legalization and Regulation
Cannabis Legalization and Regulation Presentation to alpha Ontario Public Health Unit Collaboration on Cannabis February 24, 2017 Elena Hasheminejad and Allison Imrie 1 Overview The Ontario Public Health
More informationCDHA 2016 Fall Symposium. Speaker Handout Files. For registered attendees only
CDHA 2016 Fall Symposium Speaker Handout Files For registered attendees only Providing Care in a Marijuana Legal World Heather Rogers, BSDH heatherrdh@heatherrdh.com Objectives We will discuss some of
More informationOpioid Epidemic Update
Opioid Epidemic Update - 2018 Talal Khan MD Addiction Psychiatrist Pine Rest What are Opioids? Opiates are alkaloid compounds naturally found in the opium Poppy plant. Papaver somniferum The psychoactive
More informationMarijuana Legalization 2016: Understanding the policy landscape and design considerations
Marijuana Legalization 2016: Understanding the policy landscape and design considerations Beau Kilmer, PhD Co-Director, RAND Drug Policy Research Center Senior Policy Researcher, RAND Corporation Professor,
More informationPREVENTING MARIJUANA USE AMONG YOUTH & YOUNG ADULTS
PREVENTING MARIJUANA USE AMONG YOUTH & YOUNG ADULTS PREVENTING MARIJUANA USE AMONG YOUTH & YOUNG ADULTS 2 The Drug Enforcement Administration s (DEA) primary mission and responsibility is to enforce the
More informationCANNABIS AND CANNABINOIDS: 2017 REPORT, U.S. NATIONAL ACADEMIES OF SCIENCES, ENGINEERING AND MEDICINE
1 CANNABIS AND CANNABINOIDS: 2017 REPORT, U.S. NATIONAL ACADEMIES OF SCIENCES, ENGINEERING AND MEDICINE The Health Effects of Cannabis and Cannabinoids. The Current State of Evidence and Recommendations
More information50 Shades of Developing Gray Matter: Adolescents and Marijuana
50 Shades of Developing Gray Matter: Adolescents and Marijuana Ken Winters, Ph.D. Department of Psychiatry University of Minnesota winte001@umn.edu MNCAMH Webinar October 10, 2014 www.psychiatry.umn.edu/research/casar/home.html
More informationColorado s Cannabis Experience Doug Friednash
Colorado s Cannabis Experience Doug Friednash (dfriednash@bhfs.com) Brownstein Hyatt Farber Schreck, LLP Denver, Colorado 1 Marijuana in the US 62% of Americans say the use of marijuana should be legal.
More informationPerkins Middle School
MARIJUANA AND HEALTH Perkins Middle School February 21, 2017 F u n d e d b y t h e C o u n t y o f S a n D i e g o, H e a l t h a n d H u m a n S e r v i c e s A g e n c y, B e h a v i o r a l H e a l
More informationMedical Marijuana s Transition to a Legalized Structure. Lessons Learned from Colorado
Medical Marijuana s Transition to a Legalized Structure Lessons Learned from Colorado Marijuana Impact on Public Health & Safety in Colorado A conference for Law Enforcement, Regulators, and Policy Makers
More informationJulia Dilley, PhD Oregon Health Authority, Public Health Division & Multnomah County Health Dept.
Matthew Farrelly, PhD Center for Health Policy Science and Tobacco Research, RTI International Julia Dilley, PhD Oregon Health Authority, Public Health Division & Multnomah County Health Dept. Daniel Vigil,
More informationA Tool Kit. Educating All Sectors of the Community about the Dangers of Youth Marijuana Use
A Tool Kit Educating All Sectors of the Community about the Dangers of Youth Marijuana Use Our Goals Today 1. Presentation of a PowerPoint that can be used to provide information to your Coalition It includes:
More informationDecision Time for NEW JERSEY Pushing back against marijuana commercialization. Kevin A. Sabet, PhD
Decision Time for NEW JERSEY 2018 Pushing back against marijuana commercialization State Contact: Grace Hanlon grace@learnaboutsam.org Kevin A. Sabet, PhD 1 2 Groups SAM Have Collaborated With American
More informationJan. 12, 2017 FOR IMMEDIATE RELEASE
Jan. 12, 2017 FOR IMMEDIATE RELEASE Nearly 100 Conclusions on the Health Effects of Marijuana and Cannabis-Derived Products Presented in New Report; One of the Most Comprehensive Studies of Recent Research
More informationEffects of Drugs on the Brain and Behavior in Adolescents
Effects of Drugs on the Brain and Behavior in Adolescents Lucas Moore, LCSW, SAC-IT Adolescent Substance Abuse Treatment Coordinator July 20, 2015 Wisconsin Department of Health Services Today What would
More informationMedical Marijuana. Gina C. Guzman, MD, DBIM, FALU, FLMI. Munich Re US (Life) 17 Nov 2016
Medical Marijuana Gina C. Guzman, MD, DBIM, FALU, FLMI Vice President & Chief Medical Director ACSW/SEAC Annual Meeting Munich Re US (Life) 17 Nov 2016 Learning Objectives 1. Provide an introduction to
More informationMental Illness and Addiction:
Mental Illness and Addiction: Impact on the Workforce Presented by Terri White, MSW Commissioner Oklahoma Department of Mental Health and Substance Abuse Services Mental Illness and Addiction: Diseases
More informationMarijuana Legalization. Marijuana legalization is an area that attracts great public deliberations in America
Surname 1 Name: Course: Tutor: Date: Marijuana Legalization Marijuana legalization is an area that attracts great public deliberations in America and most parts of the world. Apparently, people are usually
More informationIs Marijuana Medicine? Testimony on SB155 Kansas State Legislature By Smart Approaches to Marijuana (SAM)
Is Marijuana Medicine? Testimony on SB155 Kansas State Legislature By Smart Approaches to Marijuana (SAM) www.learnaboutsam.org This testimony today is based on the expertise of over a dozen top scientists
More informationMedical Marijuana Myths and Realities
Medical Marijuana Myths and Realities Herbert D. Kleber, M.D. Professor of Psychiatry Director, Division on Substance Abuse Columbia University/NYSPI October 8, 2013 THS 2013 Biarritz Introduction Marijuana
More informationMarijuana: Hurting Our Youth and Our Future
Marijuana: Hurting Our Youth and Our Future Kevin A. Sabet, Ph.D. Director, Drug Policy Institute, University of Florida Co-Founder, Project SAM (Smart Approaches to Marijuana) www.learnaboutsam.org www.kevinsabet.com
More informationKevin Wong. Strategic Intelligence Analyst. Rocky Mountain High Intensity Drug Trafficking Area (RMHIDTA)
Kevin Wong Strategic Intelligence Analyst Rocky Mountain High Intensity Drug Trafficking Area (RMHIDTA) Outline Drug Policy 101 Arguments For and Against Legalization Marijuana Impact: Collateral Damages
More informationMedical Marijuana: The Move to Schedule II
Medical Marijuana: The Move to Schedule II David Deitz, MD, PhD David Deitz & Associates Today s discussion Does medical marijuana actually treat anything? What are the workplace issues? What are the interactions
More informationMedical Marijuana Martin P. Eason MD, JD Associate Chief of Staff for Education Mountain Home VA Medical Center. Disclosure.
Medical Marijuana Martin P. Eason MD, JD Associate Chief of Staff for Education Mountain Home VA Medical Center Controversies in Pain Management Conference Johnson City, TN November 13, 2015 Disclosure
More informationThe Meaning of the November Ballot Initiative to Legalize Recreational Marijuana
The Meaning of the November Ballot Initiative to Legalize Recreational Marijuana On Tuesday, November 6, 2018, Michigan citizens will be asked whether they want to legalize recreational marijuana. Medical
More informationMARIJUANA PREVENTION TOOLKIT KNOW THE FACTS
MARIJUANA PREVENTION TOOLKIT KNOW THE FACTS MARIJUANA PREVENTION TOOLKIT United Way of Broward County Commission on Substance Abuse has developed this Toolkit as part of Prevention in a Box to bring relevant
More informationMinnesota, Marijuana and Myths
3M: Minnesota, Marijuana and Myths Ken Winters, Ph.D. Senior Scientist Oregon Research Institute & Adjunct Faculty, Dept. of Psychology University of Minnesota winte001@umn.edu April 26, 2018 Curious How
More informationRunning Head: LEGALIZATION OF MARIJUANA 1 LEGALIZATION OF RECREATIONAL MARIJUANA IN CALIFORNIA
Running Head: LEGALIZATION OF MARIJUANA 1 LEGALIZATION OF RECREATIONAL MARIJUANA IN CALIFORNIA By Name Course Tutor s Name Institution Date LEGALIZATION OF MARIJUANA 2 Legalization of Recreational Marijuana
More informationMarijuana and the Chronic Non-Cancer Pain Patient
Marijuana and the Chronic Non-Cancer Pain Patient Kevin P. Hill, M.D., M.H.S. Pain 101: Provider Workshop 9/23/16 McLean Hospital Division of Alcohol and Drug Abuse khill@mclean.harvard.edu DrKevinHill.com,
More informationLife s brighter under the sun MEDICAL CANNABIS AND GROUP BENEFITS PLAN COVERAGE
Life s brighter under the sun MEDICAL CANNABIS AND GROUP BENEFITS PLAN COVERAGE With the legalization of recreational cannabis upon us in Canada, our conversation about cannabis use is changing. It s not
More informationFrequently Asked Questions
Frequently Asked Questions Legal 1. Can I use cannabis? You can legally use cannabis if you are 21 or older. You can also use cannabis if you are 18 or older and have a current qualifying physician s recommendation
More informationMARIJUANA & THE EFFECTS ON THE BRAIN
MARIJUANA & THE EFFECTS ON THE BRAIN Sheryl Ryan, MD Professor of Pediatrics Chief, Division of Adolescent Medicine, Penn State Health Hershey Medical Center DISCLOSURES I have no relevant financial relationships
More informationPOLICY NUMBER: POL 153
Chapter: CLAIMS Subject: MEDICAL CANNABIS Effective Date: October 25, 2018 Last Update: October 25, 2018 PURPOSE STATEMENT The purpose of this policy is to explain how the Workers Compensation Board determines
More informationCITY OF BEVERLY HILLS POLICY AND MANAGEMENT MEMORANDUM
CITY OF BEVERLY HILLS POLICY AND MANAGEMENT MEMORANDUM TO: FROM: Health and Safety Commissioners Cynthia Owens, Senior Management Analyst DATE: June 26, 2017 SUBJECT: ATTACHMENTS: Overview of the Adult
More informationINTER-AMERICAN DRUG ABUSE CONTROL COMMISSION C I C A D
INTER-AMERICAN DRUG ABUSE CONTROL COMMISSION C I C A D Secretariat for Multidimensional Security FIFTY-FIFTH REGULAR SESSION April 29 - May 1, 2014 Washington, D.C. OEA/Ser.L/XIV.2.55 CICAD/doc.2094/14
More informationHealth Impact of Cannabis: Adolescents
Health Impact of Cannabis: Adolescents Leslie R. Walker-Harding, MD National Academies committee on the Health Effects of Marijuana Meeting August 18, 2016 THC on the Human Brain NIDA Cannabis/Marijuana
More informationMARIJUANA: EXPLORING THE PUBLIC HEALTH APPROACH
MARIJUANA: EXPLORING THE PUBLIC HEALTH APPROACH CIPHI CONFERENCE OCTOBER 2 ND 2017 FAREEN KARACHIWALLA, MD MPH CCFP FRCPC ASSOCIATE MEDICAL OFFICER OF HEALTH KFL&A PUBLIC HEALTH DISCLAIMER This presentation
More informationMedical Marijuana. Navigating Medical Marijuana in Workers Compensation
Medical Marijuana Navigating Medical Marijuana in Workers Compensation Agenda Federal and State Laws Public Health Adverse Effects & Concerns Clinical Use Implications for Employers Implications for Workers
More informationWiFi. Network: Renaissance Conference Password: officeteamfield. Sponsored by:
WiFi Network: Renaissance Conference Password: officeteamfield Sponsored by: THE DRUG BUZZ RIGHT NOW Christine Clearwater President, Drug-Free Solutions Group, LLC for The Associated General Contractors
More informationA Conversation: Marijuana and Youth
A Conversation: Marijuana and Youth Kevin P. Hill, M.D., M.H.S. North Shore Community College, 9/28/17 Division of Addiction Psychiatry, Beth Israel Deaconess Medical Center khill1@ bidmc.harvard.edu,
More informationCANNABIS AND CANADA S CHILDREN AND YOUTH CPS Podcast
CANNABIS AND CANADA S CHILDREN AND YOUTH CPS Podcast Developed by KEON MA and Dr. CHRISTINA GRANT for PedsCases.com July 6, 2018 INTRODUCTION: Keon: On June 21, 2018, Bill C-45, also known as the Cannabis
More informationThe ATTC Network LEARNING OBJECTIVES. Clinical Skills in the Era of Legal Cannabis. Clinical Skills in the Era of Legal Cannabis 6/30/2015
Clinical Skills in the Era of Legal Cannabis Jennifer Wyatt, LMHC, MT-BC, CDP: wyattj@ohsu.edu Northwest Institute of Addiction Studies Conference July 22, 2015: Clackamas, OR The ATTC Network Ten Regional
More informationSeeing through the Smoke: Preparing Your Workplace for Legalized Marijuana. October 23, 2018
Seeing through the Smoke: Preparing Your Workplace for Legalized Marijuana October 23, 2018 Let s Be Blunt... With the many new state laws being passed legalizing medical and recreational marijuana, employers
More informationCannabis use carries significant health risks, especially for people who use it frequently and or/begin to use it at an early age.
Background: The Centre for Addiction and Mental Health (CAMH) released recommendations for the Legalization of Marijuana (with restrictions and regulations) on October 8, 2014. Addiction Services of Thames
More informationMARIJUANA & WORKPLACE CHALLENGES. Jo McGuire Five Minutes of Courage
MARIJUANA & WORKPLACE CHALLENGES Jo McGuire jo@jomcguire.org Five Minutes of Courage www.jomcguire.org 24.6 M drug users 12 yoa + up % of Users Marijuana = 19 Million Non-Medical Pain Reliever = 4.5 Million
More informationnatal Legal Marijuana: Medicine, Recreation or Plant?
natal Legal Marijuana: Medicine, Recreation or Plant? Larry Wolk, MD MSPH Executive Director and CMO October 2015 1 natal 2 natal CDPHE Role Medical Marijuana Registry Medical Marijuana Research Retail
More informationCannabis Use Disorder: What Nurses Need to Know. Bari K Platter, MS, RN, PMHCNS-BC Clinical Nurse Specialist
Cannabis Use Disorder: What Nurses Need to Know Bari K Platter, MS, RN, PMHCNS-BC Clinical Nurse Specialist MARIJUANA POTENCY Average THC and CBD Levels in the U.S. 1960-2011 14 12 10 8 6 4 THC: Psychoactive
More information2018/05/01 DISCLOSURE EFFECTS OF CANNABIS USE IN ADOLESCENTS
DISCLOSURE EFFECTS OF CANNABIS USE IN ADOLESCENTS No conflict of interest to declare No pharmaceutical industry support No support from cannabis producers Selene Etches MD, FRCPC Cannabis is the most widely
More informationNational Institute on Drug Abuse (NIDA) Understanding Drug Abuse and Addiction: What Science Says
National Institute on Drug Abuse (NIDA) Understanding Drug Abuse and Addiction: What Science Says Last Updated February 2016 https://www.drugabuse.gov 1 Table of Contents Understanding Drug Abuse and Addiction:
More informationBranson School Parent Meeting Marin s Alcohol & Drug Epidemic How To Protect Your Child
Branson School Parent Meeting Marin s Alcohol & Drug Epidemic How To Protect Your Child Don Carney, Marin YMCA Director of Restorative Services & Youth Court US Healthiest County in California Marin County
More informationMarijuana: The Facts
Marijuana: The Facts Everybody s Doing It FALSE! 78% of Ball State students have NOT used marijuana in the last month. Only 5.9% of BSU students are daily users. Source: National College Health Assessment
More informationChanging the Drug Enforcement Administration (DEA) Schedule of Tetrahydrocannabinol (THC), Cannabidiol and Combinations to Promote Research
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 TITLE: Changing the Drug Enforcement Administration (DEA) Schedule of Tetrahydrocannabinol
More informationThe Shifting Federal Regulation of Cannabis Products
The Durham Bar 2019 CLE Program The Shifting Federal Regulation of Cannabis Products Erica M. Jackson, FDA Partner K&L Gates February 6, 2019 Copyright 2018 by K&L Gates LLP. All rights reserved. OVERVIEW
More informationKansas Sheriffs Association PO Box 1122 Pittsburg, KS (620)
Kansas Association of Chiefs of Police PO Box 780603 Wichita, KS 67278 (316)733-7300 Kansas Sheriffs Association PO Box 1122 Pittsburg, KS 66762 (620)230-0864 Kansas Peace Officers Association PO Box 2592
More informationteen drug use Percent of 12th-graders Who Used A Substance in the Past Month (Type of Drug & Prevalence): 13% 33% 11% 23%
teen drug use As kids get older, they often start to question the life lessons they hear from parents and teachers. They become more heavily influenced by the things they see on TV, the Internet and social
More informationMedical vs Recreational Use of Cannabis. 11 th December 2017
1 Medical vs Recreational Use of Cannabis 11 th December 2017 2 Defining Cannabis and Chemical Constituents Cannabis is a plant species. Two main Cannabis sub-species are Cannabis Sativa and Cannabis Indica.
More informationImpaired Driving in Colorado: First Results from a Data Integration Initiative
Impaired Driving in Colorado: First Results from a Data Integration Initiative BECKY BUI OFFICE OF RESEARCH & STATISTICS DIVISION OF CRIMINAL JUSTICE COLORADO DEPARTMENT OF PUBLIC SAFETY Presentation to
More informationMedical Marijuana. Speaker Disclosure Requirements. Share with a Partner 4/10/2015
Medical Marijuana Kent W. Peterson, MD, FACOEM Occupational Health Strategies, Inc. Charlottesville, VA Speaker Disclosure Requirements 1. Do not dispense, prescribe, refer or recommend MMJ 2. Have no
More informationTrends, Tactics and Toxicity: Marijuana Movement on Missouri College Campuses. Janice Putnam PhD, RN Amy Kiger MS, ABD Kelly Skinner DNP, FNP-C
Trends, Tactics and Toxicity: Marijuana Movement on Missouri College Campuses Janice Putnam PhD, RN Amy Kiger MS, ABD Kelly Skinner DNP, FNP-C 1 Marijuana/Cannabis Marijuana use is growing in popularity
More informationEffects of Marijuana On Brain, Body & Behavior. Nora D. Volkow, MD Director
Effects of Marijuana On Brain, Body & Behavior Nora D. Volkow, MD Director Marijuana is the Most Commonly Used Illicit Drug In the U.S. Over 111 million Americans have tried it at least once An estimated
More informationNorthern California Chapter, ACP Update In Medicine
Northern California Chapter, ACP Update In Medicine Kathleen A. Kenny MD Clinical Associate Professor of Medicine Primary Care and Population Health November 3, 2018 UPDATE ON MARIJUANA Kathleen A. Kenny
More informationObjectives. 1. Review controversy 2. Pathophysiology 3. Indications for Use 4. Adverse Effects 5. How Patients Access
Medical Marijuana Deb Evans, RN, MScN, CON(C), CHPCN(C) Clinical Nurse Specialist Pain and Symptom Management Team Juravinski Cancer Centre May 29, 2014 Objectives 1. Review controversy 2. Pathophysiology
More informationMARIJUANA AND THE ADOLESCENT BRAIN
MARIJUANA AND THE ADOLESCENT BRAIN OUTLINE The Developing Brain and Susceptibility to Addiction Marijuana s Effects on the Developing Brain Youth Marijuana Use Rates Youth Substance Use Prevention Town
More informationWhy do people use drugs? Why do so many people use drugs? What should we do?
Why do people use drugs? Why do so many people use drugs? What should we do? David Labby MD PhD Health Share of Oregon -- May 17, 2018 Learning Objectives 1. To increase understanding of societal determinants
More informationMarijuana and Public Safety in Colorado
Marijuana and Public Safety in Colorado JACK K. REED COLORADO DEPARTMENT OF PUBLIC SAFETY DIVISION OF CRIMINAL JUSTICE OFFICE OF RESEARCH & STATISTICS MAY 2018 National Landscape of Marijuana Laws Medical
More informationA Guide to In-District Lobbying for Marijuana Legalization
A Guide to In-District Lobbying for Marijuana Legalization Presented by: With: What We re Covering Legislative Update How to Lobby Why Tax and Regulate? Responding to Concerns Questions from the Audience
More informationProposal 18-1: Marijuana Legalization
Proposal 18-1: Marijuana Legalization November 2018 Statewide Ballot Issues Webinar - October 16, 2018 Tim Michling, Research Associate Citizens Research Council of Michigan 2 Access our analyses, official
More informationUNDERSTANDING TEENAGE DRUG USE. Dr DES CORRIGAN Sligo Oct 13 th 2012
UNDERSTANDING TEENAGE DRUG USE Dr DES CORRIGAN Sligo Oct 13 th 2012 LAST MONTH USE (CURRENT USE) Drug Left School Early Still in School National Survey (18-64) Cigarettes 70% 27% 28% Alcohol 66% 56% 71%
More informationCell body, axon, dendrite, synapse
SOME BASIC NEUROSCIENCE Neurons have specialised extensions 1: Label the parts of a neuron by selecting the correct term from the box below. Cell body, axon, dendrite, synapse 1 dendrite synapse cell body
More informationGoals & Objectives. Goal: Understanding FACTS and IMPACT of today s marijuana on youth and ensure a healthy and safe environment for our youth.
Goals & Objectives Goal: Understanding FACTS and IMPACT of today s marijuana on youth and ensure a healthy and safe environment for our youth. Objective: Learn about other forms of marijuana. Objective:
More informationMinority Report to the HCR48 Medical Marijuana Dispensary System Task Force 2015
Minority Report to the HCR48 Medical Marijuana Dispensary System Task Force 2015 January 23, 2015 We represent the perspective and concerns of law enforcement and substance abuse education and prevention
More information