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.

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.

Sue Scheff: Learn More About Inhalant Abuse!

I know I have Blogged a lot about Inhalant Abuse and I will continue to do so - especially after reading about the recent senseless deaths. Take a moment to read their Blog at http://inhalant-info.blogspot.com/ - Take the time to learn more and you never know when this knowledge will be necessary. http://www.inhalant.org/

Sue Scheff: The Dangers of Inhalant Abuse

By http://www.inhalant.org/

Inhaled chemicals are rapidly absorbed through the lungs into the bloodstream
and quickly distributed to the brain and other organs. Within minutes, the user
experiences intoxication, with symptoms similar to those produced by drinking
alcohol. With Inhalants, however, intoxication lasts only a few minutes, so some
users prolong the “high” by continuing to inhale repeatedly.

Short-term effects include:

headaches, muscle weakness, abdominal pain, severe mood swings and violent behavior, belligerence, slurred speech, numbness and tingling of the hands and feet, nausea, hearing loss, visual disturbances, limb spasms, fatigue, lack of coordination, apathy, impaired judgment, dizziness, lethargy, depressed reflexes, stupor, and loss of consciousness. The Inhalant user will initially feel slightly stimulated and, after successive inhalations, will feel less inhibited and less in control. Hallucinations may occur and the user can lose consciousness. Worse, he or she, may even die. Please see Sudden Sniffing Death Syndrome below.

Long-term Inhalant users generally suffer from:

weight loss, muscle weakness, disorientation, inattentiveness, lack of coordination, irritability and depression. Different Inhalants produce different harmful effects, and regular abuse of these substances can result in serious harm to vital organs. Serious, but potentially reversible, effects include liver and kidney damage. Harmful irreversible effects include: hearing loss, limb spasms, bone marrow and central nervous system (including brain) damage.

Sudden Sniffing Death Syndrome:

Children can die the first time, or any time, they try an Inhalant. This is known as Sudden Sniffing Death Syndrome. While it can occur with many types of Inhalants, it is particularly associated with the abuse of air conditioning coolant, butane, propane, and the chemicals in some aerosol products. Sudden Sniffing Death Syndrome is usually associated with cardiac arrest. The Inhalant causes the heart to beat rapidly and erratically, resulting in cardiac arrest.

Learn more:

Visit http://www.inhalant.org/
http://www.helpyourteens.com/
http://www.witsendbook.com/

Sue Scheff: Is Your child in Trouble?

Is Your Child in Trouble?

This article from the American Chronicle by Genae-Valecia Hinesman lists and details several signs that parents should watch out for, as they may indicate problems in your child's life. Many of these signals are also applicable for inhalant abuse, but this is a great article to read for any parent.

1. Erratic Behavior


"As young people carve out their own individuality separate from that of their parents´, and seek an answer to the proverbial question, "Who AM I?" they could clash more frequently with those around them. They may be happy one minute and sullen the next. Even this is normal. However, if your child starts reacting violently, either at home or at school, clearly something is seriously wrong."

2. Loss of Coordination, Glazed Eyes, Slurred Speech

"Without question, only two things can explain these symptoms. The first is that the person in question has suffered a stroke or a seizure. The second is that this person is inebriated. Both situations require immediate action. If your child is intoxicated, your first duty is to keep them from leaving the house until sober, for their own safety and the safety of others.

Once they are coherent, find out what they were taking and where they obtained it. If they were found unconscious, and taken to a hospital, medical testing will be able to provide a toxicology report. Encourage them to seek help, if addicted, and at least undergo counseling to learn how to avoid future dependency. Help in any way you can, but let them know that they must want to help themselves, in order to successfully change for the better."


3. Persistant Sadness and Withdrawel from Others

"Any child showing these signs for more than two weeks without interruption is clearly depressed. A change in eating habits and/or grooming has probably also been noticed. If so, something, or a combination of things, has triggered these changes. Your job is to find out what."

4. Honor Student to Dropout

"If your consistently top-notch student suddenly loses interest in school with grades in two or more classes plummeting, take heed! Straight A´s simply don´t turn into D´s overnight. Sit down with him or her and find out what´s happening in your child´s life.

Whatever it happens to be, let him or her know that you´re willing not only to help, but to listen as well. Refuse to accept "Leave me alone!" or "Nothing!" as acceptable answers. If they won´t talk to you, find another trusted adult with whom they will talk. Seek professional help if they need it."


5. Drastic Social Changes

"Friends and companions can and sometimes should, change a bit by the time your child leaves high school. Nevertheless, if your child´s associates suddenly are vastly different in negative ways from those they used to spend time with, this is usually a very bad sign. It´s even more telling if they now avoid or shun their old friends for no readily apparent reason."

6. Finding Unusual Possessions

"Discovering drugs, whether prescription, over-the-counter, or illegal narcotics that you had no idea that your child was using calls for immediate address. The same can be said for condoms, birth control devices, cigarettes, alcohol, and drug paraphernalia of any kind.

Recently, even glue, industrial products, and cleaning supplies have been used as inhalants (known among teens as "huffing") by kids seeking to get "high"-- often with fatal results. Finding these in your child´s room, pockets, or belongings is just as serious as finding a weapon. More than a red flag, this is a screaming siren!"


7. Legal Troubles

"Finally, if your child has been arrested at least once, this is clear indication that the situation is rapidly careening beyond the scope of your reach. By the time law enforcement becomes involved two or more times, your child has become society´s problem and the courts will soon decide his or her future.

Repeated run-ins with legal authorities can never be overlooked as "just a phase". There may still be hope, but only if drastic measures are taken and your child still cares enough to save himself or herself. Only so many chances are given to legal offenders. Don´t let time run out. Intervene while you still can."


These are all excellent points and can be of help to parents who ask, "is my kid abusing inhalants?" The warning signs are often subtle, but they are there.





http://www.inhalant.org/


http://www.helpyourteens.com/


http://www.witsendbook.com/

Sue Scheff: Alliance for Consumer Education - Learn More about Inhalant Use

Parents Universal Resource Experts (Sue Scheff) Inhalant use is a major concern that parents need to learn more about. It is a growing problem among teens and parents need to understand the dangers involved and potentially tragic endings.
Visit http://www.inhalant.org/ for a vast amount of information.

Sue Scheff: Deliberate Misuse of Inhaler found in 1/4 of Teens

Parents Universal Resource Experts (Sue Scheff):As a parent advocate, I am learning more and more about inhalant abuse and parents need to be aware of this type of way that kids are getting high today and potentially deadly. Click here and read this article and learn more.

Sue Scheff: What is Inhalant Abuse?

After receiving a heartwarming email from a parent that lost her precious son at a very young age to inhalant abuse (sniffing/huffing air freshener), as a parent advocate, I believe I have to continue to bring this awareness to all parents of teens and pre-teens. Many talk to their kids about the dangers of drug use, but please include inhalant use - you could save a life.

Inhalant abuse refers to the deliberate inhalation or sniffing of common products found in homes and communities with the purpose of "getting high." Inhalants are easily accessible, legal, everyday products. When used as intended, these products have a useful purpose in our lives and enhance the quality of life, but when intentionally misused, they can be deadly. Inhalant Abuse is a lesser recognized form of substance abuse, but it is no less dangerous. Inhalants are addictive and are considered to be "gateway" drugs because children often progress from inhalants to illegal drug and alcohol abuse. The National Institute on Drug Abuse reports that one in five American teens have used Inhalants to get high.

Inhalation is referred to as huffing, sniffing, dusting or bagging and generally occurs through the nose or mouth. Huffing is when a chemically soaked rag is held to the face or stuffed in the mouth and the substance is inhaled. Sniffing can be done directly from containers, plastic bags, clothing or rags saturated with a substance or from the product directly. With Bagging, substances are sprayed or deposited into a plastic or paper bag and the vapors are inhaled. This method can result in suffocation because a bag is placed over the individual's head, cutting off the supply of oxygen.

Other methods used include placing inhalants on sleeves, collars, or other items of clothing that are sniffed over a period of time. Fumes are discharged into soda cans and inhaled from the can or balloons are filled with nitrous oxide and the vapors are inhaled. Heating volatile substances and inhaling the vapors emitted is another form of inhalation. All of these methods are potentially harmful or deadly. Experts estimate that there are several hundred deaths each year from Inhalant Abuse, although under-reporting is still a problem.

What Products Can be Abused?

There are more than a 1,400 products which are potentially dangerous when inhaled, such as typewriter correction fluid, air conditioning coolant, gasoline, propane, felt tip markers, spray paint, air freshener, butane, cooking spray, paint, and glue. Most are common products that can be found in the home, garage, office, school or as close as the local convenience store. The best advice for consumers is to read the labels before using a product to ensure the proper method is observed. It is also recommended that parents discuss the product labels with their children at age-appropriate times. The following list represents categories of products that are commonly abused.

http://www.inhalant.org/

http://www.helpyourteens.com/

Sue Scheff: Inhalant Abuse Is Growing Problem Among Teens

Monitoring your child will make your child much less likely to use Inhalants or other drugs.

· Know where your child is at all times, especially after school
· Know your child's friends
· If you find your child unconscious, or you suspect your child is under the influence of an Inhalant, call 911 immediately.

If you suspect your child might be abusing Inhalants, call the Poison Control Center at 1-800-222-1222; or call the '1-800' number on the label of the product.

According to the Partnership for a Drug-Free America, "if you talk to your kids about the risks of drugs, they are 36% less likely to abuse an Inhalant." Parents can make a tremendous impact on their kids' choices by talking to them.

www.inhalant.org