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Substance Effects Match-Up Recommended Age: 14+ Goal To discuss the desired effects and potential risks of different substances. Instructions Tell the youth that most substances can be classified in one of five categories because of how they work in the body. We’re going to go through five of them to explore what the potential desired effects (what people might want from taking the substance) and potential harms (risks or side effects) may be. Option A: Substance Effects Matching Game Group Activity Use this option for a large group by using one set of cards (can be copied from following pages; make sure to cut along dotted lines) and calling on volunteers to place them. For a more collaborative activity, print several sets of cards (below) for small groups to work on together and compare results at the end as a large group. To increase the challenge or for groups with a lot of existing substance information, separate the Desired Effects and Potential Harms by cutting into two cards instead of one sheet. Place signs for ‘Downers,’ ‘Uppers,’ ‘Cannabis,’ ‘Hallucinogens,’ and ‘Inhalants’ on whiteboard or wall, or distribute to groups if doing small group version of this activity. Hand out Desired Effects and Potential Harms cards and have youth place them in the sections where they feel the cards belong. Option B: Substance Effects Matching Game Handout Use this option for a more reflective activity. Print enough copies of the Substance Effects Matching Game (follows card activity) for your group. Have youth complete the matching game individually or in small groups. Compare the final answers as a large group and use information below for debrief.

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Page 1: Substance Effects Match-Up

Substance Effects Match-Up

Recommended Age: 14+

Goal

• Todiscussthedesiredeffectsandpotentialrisksofdifferentsubstances.

Instructions

• Telltheyouththatmostsubstancescanbeclassifiedinoneoffivecategoriesbecauseofhowtheyworkinthebody.We’regoingtogothroughfiveofthemtoexplorewhatthepotentialdesiredeffects(whatpeoplemightwantfromtakingthesubstance)andpotentialharms(risksorsideeffects)maybe.

OptionA:SubstanceEffectsMatchingGameGroupActivity

• Usethisoptionforalargegroupbyusingonesetofcards(canbecopiedfromfollowingpages;makesuretocutalongdottedlines)andcallingonvolunteerstoplacethem.Foramorecollaborativeactivity,printseveralsetsofcards(below)forsmallgroupstoworkontogetherandcompareresultsattheendasalargegroup.Toincreasethechallengeorforgroupswithalotofexistingsubstanceinformation,separatetheDesiredEffectsandPotentialHarmsbycuttingintotwocardsinsteadofonesheet.

• Placesignsfor‘Downers,’‘Uppers,’‘Cannabis,’‘Hallucinogens,’and‘Inhalants’onwhiteboardorwall,ordistributetogroupsifdoingsmallgroupversionofthisactivity.

• HandoutDesiredEffectsandPotentialHarmscardsandhaveyouthplacetheminthesectionswheretheyfeelthecardsbelong.

OptionB:SubstanceEffectsMatchingGameHandout

• Usethisoptionforamorereflectiveactivity.PrintenoughcopiesoftheSubstanceEffectsMatchingGame(followscardactivity)foryourgroup.Haveyouthcompletethematchinggameindividuallyorinsmallgroups.Comparethefinalanswersasalargegroupanduseinformationbelowfordebrief.

Page 2: Substance Effects Match-Up

• Answerkeyformatchinggame:Inhalants(D&G),Downers(E&J),Uppers(B&F),Cannabis(A&H),Hallucinogens(C&I)

Debrief

• Usethefollowinginfoaboutsubstances,listedbycategory,totalkaboutthesubstanceswithyouthinasmuchoraslittledetailassuitsyourgroup.

DOWNERS:alcohol,painkillers,heroin,fentanyl,etc.Desiredeffects:Slowthebodydown,createafeelingofcalm,helpapersonrelaxorsleep(sedative),reducephysicaland/oremotionalpain.Alcoholinsmalldosescanmakepeoplefeelenergeticandhappy.Potentialharms:Downersarecalleddepressantsbecausetheyslowdownthecentralnervoussystemandthissometimesblocksmessagesgettingtoourbrains.Alcohollowersinhibitionsandimpairsjudgment,changingthethingswedoandwhatwethinkofassafeorunsafe.Thegreatestrisksoftencomefromthethingspeopledowhentheyaredrunk.Themorealcoholisconsumed,themorepeoplecanfindthemselvesbecomingincreasinglysad,angry,uncoordinated,and/orsloweddown.Alcoholpoisoningiswhenapersondrinksmorealcoholthantheirbodycanhandle.“Whatarethesignsofalcoholpoisoning?”Signsofalcoholpoisoningarevomiting,clammyskin,shallowbreathing,andpassingout.Anoverdosecanleadtoacomaordeath.Takinginamountsquicklyputsusatahigherriskofalcoholpoisoning.Takingtoomuchofanydownercanresultinoverdosebecausethebodyslowsdowntoomuchandaperson’sheartbeatorbreathingcanstop.UPPERS:cocaine,caffeine,crystalmeth,speed,etc.Uppersorstimulantsworkbyincreasingdopaminelevelsinthebrain.Desiredeffects:Mayfeelalert,happy,‘high,’excited,andanincreasedtolerancetopain.Potentialharms:Withalluppers,there’sacrashatsomepoint.Atthistime,peoplecanfeeldepressed,upset,mad,orreallytired.“Whatmightsomeonebetemptedtodoatthispointtodealwithhowtheyarefeeling?”Takemore.That’swhatcanmakeupperssoaddictive.Ifapersonusestoomuchofanupper(especiallycocaineorspeed/amphetamines),they

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canoverdosebyhavingaheartattack.Thereisalsoariskofnausea,headaches,racingheart,anxiety,moodswings,paranoia,severedepression,andviolentbehaviour.CANNABIS:pot/weed,driedbuds,hash,oil,edibles,shatter/dab,etc.Desiredeffects:Itcancausesomeonetofeelrelaxed,haveasenseofwell-beingandaslowedsenseoftime,orprovidepainrelief.Potentialharms:THC(tetrahydrocannabinol)isoneofthemoreprominentdrugsincannabis.ItishardtoguesshowstrongitwillbebecauseTHClevelsvaryfromplanttoplant.Thismeansthatitcanbehardtopredictwhateffectaparticularbatchwillhave.Somepeoplecanexperiencepanic,paranoia,andmemoryproblems,anditcanleadtolungproblemswhensmoked.“Howcouldcannabisaffectsomeone’sdriving?”Sincecannabisdistortsthinking,peoplemaythinktheyaredrivingfinewhentheyarehigh,eventhoughtheyarenot.Effectslikeslowerreactiontime,distortedperceptionsoftimeanddistance,decreasedalertness,andincreaseddrowsinessallmakedrivingdangerousundertheinfluenceofweed.i‘Greeningout’isatermusedtodescribeasituationwhereapersonmayfeelsickafterusingcannabis.Althoughnotfatal,apersonmaygopaleandsweaty,feeldizzywith‘thespins,’feelnauseous,andmayevenstartvomiting.InCanada,theuseofcannabisisnowlegalbasedonage.InManitoba,legalageis19+,whileinotherprovincesitmaybe18+.HALLUCINOGENS:magicmushrooms,LSD(acid),ecstasy/MDMA,peyote,etc.Hallucinogenschangethewaypeoplethink,see,andhearthings.Withhallucinogens,ingeneral,thehighdependsonwhereyouare,whoyou’rewith,andhowyou’refeeling.Ecstasy(orMDMA)canbeconsideredbothahallucinogenandanupper.Desiredeffects:Includefeelingsofopenness,euphoria,increasedenergy,andhallucinations.SomeIndigenouscultureshaveteachingsaboutspecificmedicinesthatareconsideredtobehallucinogensforceremonialpurposestoobtaininformation,knowledge,orpurpose.iiTheseceremoniesareguidedbyaTraditionalHealer,MedicinePeople,andKnowledgeKeepers.Potentialharms:Withmushrooms,‘badtrips’canhappen.Thisiswheresomeonecouldfeelfear,panic,andeventerror.Otherharmscanbeupset

Page 4: Substance Effects Match-Up

stomachandconfusion(whichhasledtoaccidentalinjuryanddeath).Hallucinogensmaycauselastingperceptionchanges(streakingorflashbacks)orpersistentpsychosis.Theseeffectsmaylastforyears.Forpeoplewithapre-existingmentalillness,thereisapossibilitythatbothhallucinogensandcannabiscouldaggravatetheillness.iiiEcstasysideeffectscanincludegrindingofteethandjawclenching,increasedheartrateandbodytemperature,anxiety,andparanoia.Thereisalsoariskofliver/heartfailureduetodehydrationandhyperthermia(severelyhighfever).INHALANTS:solventsandgasses(notintendedforhumanconsumption)Desiredeffects:Canmakeapersonfeeleuphoric,lightheadedordizzy,andloseinhibitions.Potentialharms:Memoryloss,lossofhearingandsenseofsmell,changesinpersonality,irreversiblebraindamage,deathfromeitherpassingoutorfromsuddensniffingdeath,wheretheheartstops.Stigma:Harmcanalsoincludebeingjudgednegatively.Ofteninoursociety,peoplemakenegativeassumptionsaboutpeoplewhouseinhalants,whereasifsomeoneisusingadifferentsubstance(likealcohol,forexample),theymaynotbejudgedinthesameway.Negativeassumptionsarecalledstigmaandthatstigmamaymakeitmoredifficultforsomeonetogethelpiftheyfeelthattheirsubstanceuseisbecomingproblematic. Additional Activities Ideally,thisactivitycanbefollowedby:

• “PartyingSafer”Brainstorm

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Desired effects: •Slows the body down •Makes you sleepy •Pain relief (physical and emotional) Potential harms: •Lowered inhibitions - taking more risks •Overdose •Addiction/problematic use

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Desired effects: •Alert and awake •Happy or ‘high’ •Increased tolerance to pain Potential harms: •Crash (feeling depressed, upset, mad, or really tired) •Overdose •Addiction/problematic use

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Desired effects: •Quick and fast high •Giddy and lightheaded or dizzy •Immediate escape from reality Potential harms: •Memory loss, loss of hearing and sense of smell •Brain damage •Changes in personality

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Desired effects: •Seeing/hearing things that others don’t •Openness and sense of well-being •More energy

Potential harms: •Bad trip •Nausea (upset stomach) •Confusion and accidental injury

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Desired effects: •Feeling chilled out and giggly •Calms upset stomach •Slowed sense of time Potential harms: •Panic or paranoia •Slowed reaction time/ less alert •Greening out

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POTENTIAL HARMS

DESIRED EFFECTS

J) Lowered inhibitions: taking m

ore risks, overdose, addiction/problem

atic use I) Bad trip, nausea (upset stom

ach), confusion and accidental injury H

) Panic or paranoia, slowed reaction tim

e/ less alert, greening out

G) M

emory loss, loss o f hearing and sense of sm

ell, brain dam

age, changes in personality

F) Crash (feeling depressed, upset, m

ad or really tired), overdose, addiction/problem

atic use

E) Sl ows the body dow

n, makes you sleepy, pain relief

(p hysical and emotional)

D) Q

uick and fast high, giddy an d lightheaded or dizzy, i m

mediate escape from

reality

C) Seeing/hearing things that others don’

t, openness and sense of w

ell -being, more ener gy

B) Alert and awake, happy or " high,”

increased tolerance to pain A) Feeling chilled out and giggly, calm

s upset stomach, slow

ed sense of tim

e

Substance Use Info M

a tching Gam

e!

Draw

a line from each desired effect (w

hat people want from

using) &

potential harm (side effects or risks) on the left to the

correct substance category on the right.

Substance Categories:

Inhalan ts

Solvents and gasses not intended for hum

an consumption (e.g ., gasses,

cleaning products)

D

owners

Alcohol, pai n-killers, heroin, sleeping

pills…

Uppers

Cocaine, caffeine, crystal m

eth, speed, e cstasy…

C

annabis

Pot/w

eed, dried buds, hash, oil, edibles, shatter/dab...

H

allucinogens

Magic m

ushrooms, acid, ecstasy/M

DM

A,

ayahuasca, peyote. ..

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iCanadianCentreonSubstanceAbuse.(2016).Effectsofdrugsonthebodyanddriving.CanadianCentreon

SubstanceAbuse. iiAddictionsFoundationofManitoba.(n.d.).Thebasics:Hallucinogens(psychedelics).InAFM.RetrievedJune

22,2021,fromhttps://afm.mb.ca/wp-content/uploads/2013/03/Hallucinogens.jpg iiiIbid.

Sexuality Education Resource Centre 2021