Sue Scheff: Addictions and Inhalants

From the Sunshine Coast’s Health Center Blog:

Daniel Jordan raises some interesting questions in his summary of an addictions presentation byDr. Carlton Erickson, Ph.D., Professor of Pharmacology, and director of the Addiction Science & Research Center in the College of Pharmacy at the University of Texas at Austin.

What are your perspectives or thoughts on his following two points?

1. Inhalants and Addiction:“Dr. Erickson calls the likelihood that a person will become dependent on a drug its “dependence liability.” Some drugs have a dependence liability while others do not.

The criteria for dependence liability is how it acts on the mesolimbic dopamine system. Caffeine, antidepressants, and newer anti-seizure medications do not have dependence liability. However, some drugs do and the following chart shows that a certain percentage of people (depending on the drug) will become dependent *:

Drug / Percentage of People Who Become DependentNicotine - 32%, Heroin - 23%, Cocaine - 17%, Alcohol - 15%, Stimulants - 11%, Cannabis - 9%, Sedatives - 9%, Psychedelics - 5%, Inhalants - 4%.

Source: Anthony, J.C., Warner, L.A., & Kessler, R.C., (1994). Comparative epidemiology of dependence on tobacco, alcohol, controlled substances, and inhalants: Basic findings from the national comorbidity survey. Experimental & Clinical Psychopharmacology, 2, 244-268.”

2. Use the term “Abuse” in Inhalant Abuse:“I was particularly fascinated by Dr. Erickson’s claim that many of the words, or terminology, that the general public and the treatment field use to describe drinking and drugging are leading to continued prejudice and discrimination in North American culture. This stigmatizing, Dr. Erickson argues, is a big part of why governments are not providing adequate funding for addiction research, prevention, and education

“Abuse” is a Perjorative Term and Should be Retired. In his book, The Science of Addiction, Dr. Erickson calls the term “abuse” the number 1 myth that prevails in the treatment field or in the minds of the public. The word abuse * is an inappropriate term for several reasons, such as:

the term being used, for centuries, as a morally sinful act such as child abuse, sexual abuse, spousal abuse
the implication that alcohol, an object, is being abused by someone just like a child is being abused by someone (a preferred term in Europe is misuse)

the use of the term substance abuse does not distinguish between voluntary use (”misuse”) and uncontrolled use (”dependence”) similar to the generalized use of the term “addiction”

“By continuing to refer to people as drug, alcohol, or substance abusers, according to Bill White *, “misstates the nature of their condition and calls for their social rejection, sequestration, and punishment.”

Visit http://www.inhalant.org/ for more information.

Parents Universal Resource Experts: Preventing Addiction by Dr. John C. Fleming

How can concerned parents predict if their kids will become addicted to drugs or alcohol? With the effect of media and the current wide availability of addicting drugs, parents face more challenges raising children than ever before. Opinions vary on the question of who will become addicted. Some think that people become addicted because of their heredity, while others think addiction is not a disease at all, just a weakness of will.

Visit http://www.johncfleming.com/ for more information.

Sue Scheff Featured on Talk Radio

Sue Scheff talks about Wit's End! and the struggles parents are facing today with their teens. Learn more and list live! http://www.kandeeg.com/

Parents Universal Resource Experts - Sue Scheff- American School Counselors Association

The American School Counselor Association (ASCA) supports school counselors' efforts to help students focus on academic, personal/social and career development so they achieve success in school and are prepared to lead fulfilling lives as responsible members of society. ASCA provides professional development, publications and other resources, research and advocacy to more than 24,000 professional school counselors around the globe. Join today!

New Inhalant Abuse Report from SAMHSA - (The Substance Abuse & Mental Health Services Administration)

I have been very vocal in bringing awareness to Inhalant Use among teens and tweens since a wonderful parent shared her story of losing her son to this. Parents need to understand this is a growing and major concern - like drug use, kids are turning to huffing as a form of getting high. Unlike many street drugs, inhalants can be found in many homes today. Learn more at http://www.inhalant.org/.

The Substance Abuse & Mental Health Services Administration (SAMHSA) just released a new National Survey on Drug Use & Health (NSDUH) Report.

The report is entitled,” Inhalant Abuse and Major Depressive Episode Among Youth Aged 12 to 17: 2004-2006. “The 2006 NSDUH Report surveys youth 12-17 years old to assess “co-occurrence of inhalant use and Major Depressive Episode (MDE) in the past year.”
Some of the findings include:

Inhalant Use:

Past year inhalant use was almost 4 times higher among persons aged 12 to 17 than among young adults aged 18 to 25 (1.3 vs. 0.4 percent).

In 2004 to 2006, 1.1 million youths aged 12 to 17 (4.5 percent) used inhalants in the past year
Females in this age range were more likely than males to use inhalants in the past year (4.8 vs. 4.2 percent)

Youth aged 14 or 15 (5.3 percent) were more likely than youths aged 12 or 13 (4.3 percent) & those aged 16 or 17 (3.9 percent) to have used inhalants in the past year.
Inhalant Abuse & Major Depressive Episode (MDE)

The rate of past year inhalant use was higher among youths aged 12 to 17 who had MDE in the past year than among those who did not (10.2 vs. 4.0 percent)

Males with past year MDE were about twice as likely as those without past year MDE to have used inhalants (9.6 vs. 4.0 percent)

Females with past year MDE were about 3 times as likely as those without past year MDE to have used inhalants (10.5 vs. 3.9 percent)

In each age group, youths with past year MDE were more likely than youths without past year MDE to have used an inhalant in the past year.

Which comes first: MDE or Inhalant Abuse:

An estimated 218,000 (.9 percent) youths aged 12 to 17 used inhalants and experienced MDE in the past year.

43.1 percent experienced their first episode of MDE before initiating inhalant use.
28.3 percent used inhalants before they experienced their first episode of MDE
28.5 percent started using inhalants and experienced their first episode of MDE at about the same time.