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NCAA National Study of Substance Use Habits of College Student Athletes Final Report July 2014 (Revised August 2014 additional sport breakdowns) Report Compiled by: Markie Rexroat, Assistant Director of Research 7

NCAA National Study of Substance Use Habits of College Student Athletes Final Report July 2014 (Revised August 2014 additional sport breakdowns) Report Compiled by: Markie Rexroat, Assistant Director of Research 8

NCAA National Study of Substance Use Habits of College Student Athletes Final Report July 2014 (Revised August 2014 additional sport breakdowns) Report Compiled by: Markie Rexroat, Assistant Director of Research 9

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NCAA National Study of Substance Use Habits of College Student Athletes Final Report July 2014 (Revised August 2014 additional sport breakdowns) Report Compiled by: Markie Rexroat, Assistant Director of Research https://www.ncaa.org/sites/default/files/substance%20use%20final%20report_fi NAL.pdf 16

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Marijuana also called weed, herb, pot, grass, bud, ganja, Mary Jane, and a vast number of other slang terms is a greenish gray mixture of the dried, shredded leaves and flowers of Cannabis sativa the hemp plant. Some users smoke marijuana in hand rolled cigarettes called joints; many use pipes, water pipes (sometimes called bongs), or marijuana cigars called blunts (often made by slicing open cigars and replacing some or all of the tobacco with marijuana). 1 Marijuana can also be used to brew tea and, particularly when it is sold or consumed for medicinal purposes, is frequently mixed into foods ("edibles") such as brownies, cookies, or candies. In addition, concentrated resins containing high doses of marijuana s active ingredients, including honey like "hash oil," waxy "budder," and hard amber like "shatter," are increasingly popular among both recreational and medical users. The main psychoactive (mind altering) chemical in marijuana, responsible for most of the intoxicating effects sought by recreational users, is delta 9 tetrahydro cannabinol (THC). The chemical is found in resin produced by the leaves and buds primarily of the female cannabis plant. The plant also contains more than 500 other chemicals, including over 100 compounds that are chemically related to THC, called cannabinoids http://smartcolorado.org/wp content/uploads/2014/07/forms of CO Marijuana.001.jpeg 18

THC is structurally similar to other neurotransmitters, it can imitate these chemicals and bind like a lock and key. THC stimulates neurons in the reward system to release the signaling chemical dopamine at levels higher than typically observed in response to natural stimuli. THC also affects the hippocampus (memory and focus) and cerebellum (balance, coordination, reaction time). 19

THC is structurally similar to other neurotransmitters, it can imitate these chemicals and bind like a lock and key. THC stimulates neurons in the reward system to release the signaling chemical dopamine at levels higher than typically observed in response to natural stimuli. THC also affects the hippocampus (memory and focus) and cerebellum (balance, coordination, reaction time). 20

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Patients preference for cannabinoids exceeds cannabinoids effectiveness Source: Medical Marijuana: Where is the evidence? https://sciencebasedmedicine.org/medicalmarijuana where is the evidence/ Scott Gavura on January 11, 2018 Primary Source: Alberta College of Family Physicians (ACFP) Tools for Practice https://www.acfp.ca/wp content/uploads/tools forpractice/1510681044_tfp199mmandpainfv.pdf 22

1. Insurance Institute for Highway Legalizing recreational marijuana is linked to increased crashes http://www.iihs.org/iihs/news/desktopnews/legalizing recreational marijuana islinked to increased crashes 2. Crash Fatality Rates After Recreational Marijuana Legalization in Washington and Colorado http://ajph.aphapublications.org/doi/abs/10.2105/ajph.2017.303848 23

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https://academo.org/demos/venn diagram generator/ Indiana Collegiate Substance Abuse Survey Spring 2016 25

ABCDstudy.org Adolescent Brain Cognitive Development Study will follow 10,000 children through early adulthood 26

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NCAA National Study of Substance Use Habits of College Student Athletes Final Report July 2014 (Revised August 2014 additional sport breakdowns) Report Compiled by: Markie Rexroat, Assistant Director of Research 28

Icon credit: heartbeat By Pravin Unagar, IN Heart Collection Image: Creative Commons License from StockSnap.io Johnson S, Domino EF. Some cardiovascular effects of marijuana smoking in normal volunteers. Clin Pharmacol Ther 1971. Kennedy, M. C. (2017). Cannabis: exercise performance and sport. A systematic review. Journal of Science and Medicine in Sport. 29

*Johnson S, Domino EF. Some cardiovascular effects of marijuana smoking in normal volunteers. Clin Pharmacol Ther 1971. 30

Icon credit: Snail By parkjisun Insects Collection Image: Creative Commons License from StockSnap.io Bird, K. D., et al. "Intercannabinoid and cannabinoid ethanol interactions and their effects on human performance." Psychopharmacology 71.2 (1980): 181 188. 31

Icon credit: tired By Gan Khoon Lay Man Collection Image: Creative Commons License from StockSnap.io Kennedy, M. C. (2017). Cannabis: exercise performance and sport. A systematic review. Journal of Science and Medicine in Sport. 32

Icon credit: Work Balance By Ayub Irawan, ID Business : Glyph Vol. 01 Collection Image: Creative Commons License from StockSnap.io Bird, K. D., et al. "Intercannabinoid and cannabinoid ethanol interactions and their effects on human performance." Psychopharmacology 71.2 (1980): 181 188. 33

Icon credit: heartbeat By Pravin Unagar, IN Heart Collection Image: Creative Commons License from StockSnap.io Bird, K. D., et al. "Intercannabinoid and cannabinoid ethanol interactions and their effects on human performance." Psychopharmacology 71.2 (1980): 181 188. 34

Icon credit: broken arm By Gan Khoon Lay Emergency and Injury Collection Image: Creative Commons License from StockSnap.io 35

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Carl Rogers, unconditional positive regard assumes that everyone is naturally creative, resourceful, and whole that they are the experts on themselves, and can grow and change if they have hope and self esteem. 48

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