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High-Risk Alcohol use and the College StudentTom Szigethy, MAAssociate Dean/Director of the Duke Student Wellness Center

+OUTLINE

Defining the Terms

Talking with Students

Drugs of Abuse

+Defining the Terms

+DSM IV – Substance AbuseA. Maladaptive pattern of substance use (1 or more) within a 12 month period

Failure to fulfill major role obligations

Use when physically hazardous

Substance related legal problems

Continued use despite persistent or recurrent social or interpersonal problems

+DSM IV- Substance Dependencemaladaptive pattern of SA within the same 12 month period, with 3 or more of:

Tolerance-(increases)

Withdrawal (withdrawal syndrome or take similar drug)

Substance taken in larger amounts or longer duration than intended

Persistent or unsuccessful effort to decrease or control use

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Much time spent to obtain, use, or recover from effects of substance

Important activities given up or reduced because of use

Use continues despite physical or psychological problems

Substance dependence -continued…

+Talking with the student

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Determination

Stages of Change

Screening

Maintenance

ContemplationRelapse

Action

Pre-contemplation

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Determination

Stages of Change

Screening

Maintenance

ContemplationRelapse

Action

Pre-contemplation Alcohol.edu, Presidential Statement re position on alcohol

Student Conduct, Policy, BASICS, Academic Affairs, ER

Ed. Classes, CAPS, CDBH

Internships, AA, Alanon, Brief Counseling, CDBH

AOD Rehab, off-campus

Admissions,Orientation,FAC, parents

+Motivational Interviewing

Empathy

Develop Discrepancy

Avoid Argumentation

Roll with Resistance

Build Self-Efficacy

+Implications to the Medical World

How do I do this in 2 minutes or less?

The teachable moment

+Why screen in the Medical Office?

+Prescriptions

Are the symptoms described through a medical malady…or maybe withdrawal from experimenting?

+ Post Acute Withdrawal Symptoms These symptoms are a natural part of the recovery process.

They are usually present from 6 to 18 months after addict stops drinking or drugging.

Symptoms include: difficultly in thinking problems numbering things difficulty in focusing attention problems following logical sequences memory problems over or under-emotional, such

as over-reacting or being numb over-reacts to stress sleep disturbances accident prone

+Why Students Use

Anxiety

Depression

Social Acceptance

Quell FEAR

Cope with problems

Aide a Sexual encounter

+What students do not understand about alcohol

Measurement

Blood Alcohol Content

Tolerance

Gender differences

Pacing themselves

Proof

BiPhasic Curve

+What do students use?

+What are you aware of?

Mephadrone (“Coke on speed”)

Ritalin et al

Cocaine

GHB – soap, liquid E, G, GBH,

Pot, weed, grass, buddha, scwag, 420, L, MaryJane, Chronic,Tree, reefer

Bath Salts

ALCOHOL