Alcohol. Fits Hallucinations. Hallucinations Brain damage. Cirrhosis Gastritis. Diabetes Vomiting blood

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Alcohol. Brain Hallucinations Brain damage. Lungs Coughing Effects of Alcohol use Fits Hallucinations Headaches. Liver and pancreas Hepatitis 4 Numbness Vomiting Swollen liver 5 5. Stomach Ulcers Cirrhosis Gastritis Diabetes Vomiting blood Pancreatitis 4. Heart High blood pressure 6 6. Hands and feet Tingling and numbness Enlarged heart People who drink alcohol also experience behavioural problems such as aggression, mental and emotional health problems that includes anxiety and depression. Indigenous Risk Impact Screen & Brief Intervention Project: Tool Kit 9

Cannabis Ganga, Yarndi, Pot, Marijuana, Weed, Grass. Skunk, Dope, Hash. Brain Hallucinations and paranoia Anxiety and panic Problems with learning and remembering Effects of Cannabis Use Vomiting Reddened eyes. Lungs Cancer Bronchitis Respiratory diseases Eating more Confusion, anxiety and panic. Sex organs Lower sperm count/irregular menstrual cycles Less sex drive Indigenous Risk Impact Screen & Brief Intervention Project: Tool Kit 0

Amphetamines, Ecstasy, LSD. Brain Hallucination and paranoia Loss of concentration Effects of Amphetamines Use Anxiety and fear Delusion Bizarre behaviours Aggression and violence Dry mouth Sweating Large pupils Wide awake and alert. Heart High blood pressure Increased heart rate, breathing and blood pressure Rapid and irregular heartbeat Less eating Can t sleep. Stomach Reduced appetite Restless and excited Panic and anxiety Stomach cramps Anger and aggression Malnutrition Indigenous Risk Impact Screen & Brief Intervention Project: Tool Kit

Inhalants. Brain Hallucination Effects of Inhalants use Fits Brain damage Hallucination Stroke Fits Headaches. Lungs Coughing Numbness Vomiting Lung damage. Heart High blood pressure Enlarged heart 4 4. Digestive problems Nausea and vomiting Weight loss and malnutrition Indigenous Risk Impact Screen & Brief Intervention Project: Tool Kit

Benzodiazepines. Brain Headaches Blurred vision Effects of Benzodiazepines Dry mouth Drowsiness Skin rash Increased sleep Dizziness Can t concentrate Headaches Impaired coordination Nausea Blurred vision. Skin Rashes Drowsiness Loss of memory. Digestive system Loss of coordination Dry mouth Nausea Confusion Indigenous Risk Impact Screen & Brief Intervention Project: Tool Kit

Heroin. Brain Drowsiness Effects of Heroin Use Loss of coordination Impaired vision. Lungs Slowed breathing Nausea and vomiting Pinpoint pupils Pneumonia. Digestive problems Nausea and vomiting Drowsiness Itching and scratching Loss of coordination Confusion Weight loss and malnutrition 4. Veins 4 Collapsed veins Abscesses Blood borne viruses Indigenous Risk Impact Screen & Brief Intervention Project: Tool Kit 4

All Drugs Effects of All drugs use Difficulties paying for food & bills Problems with diet and nutrition Aggressive behaviours and fights Legal Strife Problems with emotional well-being (feeling down in the dumps, sad, slack, nervous, scared, hopeless) Unsafe in the home Thoughts of harming self or others Note: Workers to discuss the effects of drug use with clients regarding the 7 Ls model eg. Liver, lover, livelihood, lores, legal, land, loss and grief. Combining drugs use can increase the effects however it can also increase the risk of serious health consequences including mental, emotional, physical and social wellbeing Indigenous Risk Impact Screen & Brief Intervention Project: Tool Kit 5

Emotional well-being Hallucination Depression Feeling sad, slack or down in the dumps Unable to think clearly Thoughts of harming yourself Trauma Shock from stressful events Nightmares Flashbacks Memory lapses Seeing or hearing things that other people don t see or hear Anxiety Feeling nervous, scared or worried Sleeplessness Palpitations - heart racing Breathing problems Sweating Stomach upsets Drug Use Anger Feelings of rage Feeling hostile Having temper Behaving aggressively Using drugs to cope with life Grief and Loss Feelings of loss related to a significant event in your life Indigenous Risk Impact Screen & Brief Intervention Project: Tool Kit 6

Kava Effects of Kava use. Brain Worsening of pre-existing mental illness Light sensitivity Sleeplessness Decreased motivation Loss of muscle control Difficulty breathing Scaly skin Relaxation of muscles Numbness in mouth or throat. Skin 4 Vomiting Scaly skin crocodile skin Infections particularly meliodosis High blood pressure Red eyes 5. Liver and Kidney 5. Stomach Biochemical changes Liver damage Malnutrition Blood in urine 6 Gastritis Nausea 4. Heart 6. Muscles Contributing factor to heart disease Pulmonary hypertension Tingling and numbness Involuntary writhing of limbs and trunk Loss of body fat Loss of muscle control People who drink kava experience many health problems Indigenous Risk Impact Screen & Brief Intervention Project: Tool Kit 0 Queensland Health, courtesy of Shane Flanigan