State-funded Marijuana Objectives

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State-funded Marijuana Objectives Objectives funded by Maine Office of Substance Abuse and Mental Health Services (SAMHS) Increase communications to the public about the risk and harm of marijuana use Use SAMHS-developed materials to provide educational sessions for residents Disseminate information and/or materials to residents.

State-funded Prevention & Education Activities Social Marke5ng Campaign Chamber of Commerce Brown Bag Presenta5ons Table Talks Screening, Brief Interven5on, Referral to Treatment (SBIRT) training for medical providers Drug Impairment Training for Educa5on Professionals Youth Engagement and Empowerment Drug Facts Week & In- school presenta5ons

Maine s Marijuana Education Toolkit PowerPoint Slide Bank 5 Key Messages Pregnancy and Breastfeeding Rack Cards Maineparents.net Various PSAs and other materials created by SAMHS and Marijuana Workgroup

Community Norms and Five Key Messages

Marijuana use changes teens brains, bodies, and behaviors. Help Maine teens have safe, healthy and successful futures! Impairment Health Future Success Addiction Perception of Harm and Normalization

Marijuana use lowers teens good judgment and self-control. Heavy marijuana use is linked to an increased risk of a motor vehicle crashes. Na5onally, in 11, 57% of Emergency Department visits for illicit drug use among 12-24 year olds involved marijuana. Using marijuana weekly or more has also been shown to double a teen's risk of depression or anxiety. Ashbridge, M. & Hayden, JA (12) Acute Cannabis Consump5on and Motor Vehicle Collision Risk: Systema5c Review of Observa5onal Studies and Meta- analysis. Bri$sh Medical Journal, 344:e356. Substance Abuse and Mental Health Services Administra5on, Drug Abuse Warning Network, 11:Na$onal Es$mates of Drug- Related Emergency Department Visits. HHS Publica5on No. (SMA) 13-4760,DAWN Series D- 39. Rockville, MD: Substance Abuse and Mental Health Services Administra5on, 13 Hayatbakhsh, M.R. et al. (07) Cannabis and anxiety and depression in young adults: A large prospec5ve study. Journal of the American Academy of Child and Adolescent Psychiatry, 46(3):408-17. Pacon, GC et al. (02) Cannabis use and mental health in young people: cohort study. Bri$sh Medical Journal, 325:15-18.

Marijuana use damages teen brains and bodies. Studies indicate that problems with acen5on, learning, memory and processing speeds can be associated with heavy marijuana use during adolescence. The amount of tar inhaled by marijuana smokers and the level of carbon monoxide absorbed are 3 to 5 5mes greater than from tobacco smoke. Marijuana contains more cancer causing chemicals than tobacco. Meier, MH et. al (12) Persistent Cannabis Users Show Neuropsychological Decline from Childhood to Midlife. Proceedings of the Na$onal Academy of Sciences. 109(40) e2657- e2664. Jacobus, J., Bava, S. et. al. (09) Func5onal Consequences of Marijuana Use in Adolescents. Pharmacology, Biochemistry and Behavior 92(4). Drugs and Human Performance Fact Sheets - Cannabis / Marijuana ( D 9 - Tetrahydrocannabinol, THC). Na5onal Highway Traffic Safety Administra5on, n.d. Accessed at: hcp://www.nhtsa.gov/people/injury/research/job185drugs/cannabis.htm. The Bri5sh Lung Founda5on (12) The Impact of Cannabis on Your Lungs. Accessed at: hcp://www.blf.org.uk/files/8ec171b2-9b7e- 49d9- b3b1- a07e00f11c05/the- impact- of- cannabis- on- your- lungs- - - BLF- report- 12.pdf

Marijuana use keeps teens from doing their best. Marijuana use in teens has been linked to lower academic performance and reduced job prospects. Heavy marijuana users experience acen5on and memory problems which last beyond the 5me when they are high. Studies indicate these problems can worsen with years of regular use. Meier, MH et. al (12) Persistent Cannabis Users Show Neuropsychological Decline from Childhood to Midlife. Proceedings of the Na5onal Academy of Sciences. 109(40) e2657- e2664. Solowij N, Stephens RS, Roffman RA, et al. (02) Cogni5ve Func5oning of Long- term Heavy Cannabis Users Seeking Treatment. JAMA, 287(9):1123-1131.

Teens who use marijuana are at an increased risk for addiction. Research has established that marijuana is addic5ve and that it is three 5mes more likely to lead to dependence among adolescents than adults. About 1 in 6 of those who start using marijuana in their teens develop addic5on Na5onally, in 11, 872,000 persons reported receiving treatment for marijuana use Gfroerer, JC, Wu, LT., & Penne, MA. (02). Ini5a5on of Marijuana Use: Trends, Pacerns, and Implica5ons (Analy5c Series: A- 17, DHHS Publica5on No. SMA 02-3711). Rockville, MD: Substance Abuse and Mental Health Services Administra5on, Office of Applied Studies. Wagner, FA & Anthony, JC (02) From first drug use to drug dependence; developmental periods of risk for dependence upon cannabis, cocaine, and alcohol. Neuropsychopharmacology 26(4), 479-488.

Marijuana is neither safe nor benign Today s marijuana is far more potent: The average THC content in marijuana has risen from under 4% in 83 to more than 10% in 08. Greater marijuana potency means a smaller amount can make someone higher, faster- and perhaps far more intoxicated than they can handle. Mehmedic Z, et al (10) Potency Trends of r9- THC and Other Cannabinoids in Confiscated Cannabis Prepara5ons from 93 to 08. Journal of Forensic Science, 55(5):19-17. ibid

14 12 Average THC and CBD Levels in the US: 60-11 10 MARIJUANA POTENCY 8 6 4 THC: Psychoactive Ingredient CBD: NON- Psychoactive Ingredient 2 0 60 65 70 74 78 80 83 84 85 86 90 92 93 95 96 THC 0.2 0.2 0.4 0.5 1 1 1.5 3.3 3.3 3.5 3.5 3.1 3.1 4 4.5 5.2 5 4.7 5.4 6.2 7.3 7.2 8.3 8.1 9.1 10 10 9.9 11 11 CBD 0.3 0.3 0.4 0.4 0.3 0.3 0.4 0.4 0.4 0.4 0.5 0.5 0.4 0.5 0.5 0.5 0.5 0.5 0.4 97 98 99 00 01 02 03 04 05 06 07 08 09 10 11 Source: Mehmedic et al., 10

Public Safety: Marijuana increases risks to everyone on the road. Marijuana use, and its impairment of motor coordina5on and reac5on 5me, doubles the risk of car crashes. Cannabinoids, the drug class that includes marijuana, ranked as the number one drug found in Maine impaired driving cases (Jan 09- Aug 11) when a Drug Recogni5on Expert was called in. M. Asbridge, J.A. Hayden, J.L. Cartwright. (12) Acute cannabis consump$on and motor vehicle collision risk; systema$c review of observa$onal studies and meta- analysis. Bri5sh Medical Journal, 344 : e536: DOI: 10.1136/bmj.e536 Brunell, D. (Maine Dept. of Transporta5on), Pierce, S. (Maine Dept. of Health and Human Services), Drug Recogni5on Experts. (March 12) Maine Drug and Alcohol Crash Related Data. [Powerpoint slides]