Vaping, Marijuana & Digital Resources for SAP Teams
and FamiliesMallory Henry
Gretchen Hagenbuch
800.678.2332 I www.caron.org
• National leader in behavioral healthcare & addiction treatment
• Over 60-year history • Education Department: 30-year history• Full spectrum of treatment programs to meet the needs
of everyone
Caron Quick Facts
800.678.2332 I www.caron.org
HOW can we help them?
Policy, education & cessation resources
WHAT are they doing?
Nicotine and THC vaping trends
WHY are they doing it?
The teen brain unraveled
Objectives for Today
800.678.2332 I www.caron.org
Relaxation & Pleasure
SocializationAvoidance of Emotional PainCuriosity
Avoid Alienation
Find Excitement
Feel like Part of a CrowdTo Fall Asleep or to Wake UpCope with Perceived Failure
Relieve Boredom
Rebel
Drugs and Alcohol can be a tool with many
functions:
800.678.2332 I www.caron.org
The Reality of Mind AlteringSubstances is:
They WORK!!
800.678.2332 I www.caron.org
Addiction (Substance Use Disorder) …is an illness:
Mind altering substances are either:
Physically addictiveEmotionally addictiveOrBOTH!
Important Basics!
The repetitive use of a substance or behavior, despite negative consequences
800.678.2332 I www.caron.org
Family History ofAddiction
Being around others that abuse drugs or
alcohol
Pre-existing, untreated mental health issues
ChildhoodTrauma
Brain developmentmatters!
Risk Factors for Addiction
800.678.2332 I www.caron.org
Social Norms Theory
Teens (and some adults) tend to grossly overestimate the frequency of unhealthy behaviors in their peers
And underestimate the frequency of healthy behaviors
This FALSE perception is contagious.
This false perception often leads to
unhealthy normative behavior
800.678.2332 I www.caron.org
12th
Alcohol 59%Been Drunk 41%
Any Vape 46%Vape Nicotine 41%
Vape Marijuana 24%
Any Marijuana 44%
Monitoring the Future 2019Lifetime Use
Most Seniors have NEVER been drunk,
NEVER vaped, and NEVER used
marijuana
800.678.2332 I www.caron.org
Drugs and the Central Nervous System
Mind altering substances usually fall into 4 categories
Stimulants- Speed up HR, respiration, raise BP
Depressants- Slow down HR, respiration, lower BP
Hallucinogens- Alter perception of reality
Cannabinoids- Can be ALL Three!
Current Trends
800.678.2332 I www.caron.org
THE VAPING “EPIDEMIC”
800.678.2332 I www.caron.org
E-cigarettes: Handheld devices that produce an aerosol (suspension of fine particles in a gas) from a solution typically containing nicotine, flavoring chemicals, and other additives for inhalation through a mouthpiece by the user
Definition
800.678.2332 I www.caron.org
AKA: e-cigs, electronic cigars, electronic nicotine delivery systems (ENDS), e-hookah, hookah sticks, personal vaporizers, mechanical mods, vape pens, pod systems, and vaping devices
Definition
800.678.2332 I www.caron.org
• Introduced in US market in early 2000’s
• Started as an alternative to smoking
• Marketed as a “healthier way to enjoy” nicotine without the tobacco and “combustibles that come along with traditional smoking (harm reduction approach)
Why?
800.678.2332 I www.caron.org
• The idea of using vaping products for harm reduction had applied to adults who are already heavy tobacco users
• There are safe nicotine cessations products on the market that have equal and higher quitting success rates for adults
Harm Reduction
800.678.2332 I www.caron.org
• The best way for people to ensure that they are not at risk while the CDC is investigating the recent outbreak of vaping associated lung illness, is to consider refraining from use of all e-cigarette, or vaping, products (CDC, 2020)
Harm Reduction
800.678.2332 I www.caron.org
8th 10th 12th
Alcohol 19% 38%% 52%Cigarettes
(last 30 days)2% 3% 6%
Vaping 20% 36% 41%
Marijuana 6% 14% 16%
Monitoring the Future 2019Past Year Use
800.678.2332 I www.caron.org
Trends in Teen UseThe most common tobacco product among youth
One in four 12th graders say they vaped nicotine in the past month (MTF, 2019)
One in five 10th graders, and nearly one in ten 8th
graders vaped in the past 30 days (MTF, 2019)
More than 5 million youth currently use(NYTS 2019)
Nearly 1 million daily(NYTS 2019)
Slang Terms:
Get Nicked, Ghosting, Stacking, Blinking, Zero Out, Nic Sick,
Greening Out, Juuling
800.678.2332 I www.caron.org
VAPING PRODUCTS
800.678.2332 I www.caron.org
The Evolution of Vaping Devices
1st GenerationDesigned to look like a traditional cigarette for the
smoker to reduce their harm.
2nd Generation
Pen-like refillable devices
3rd Generation
Mods and tank systems
4th Generation
Sleek,pod-based technology
800.678.2332 I www.caron.org
2020Popular Rechargeable Vaping Brands
NJOYJuul SuorinSmok
800.678.2332 I www.caron.org
2020
Popular Disposable Vaping Brands
StigPuff Bar PoshBlu
800.678.2332 I www.caron.org
Over 70% of e-cigarette market
• #1 vape trend among youth• Concealable• Trendy• More mainstream audience• Not viewed as harmful compared
to other devices
JUUL
800.678.2332 I www.caron.org
Hiding in Plain Sight
800.678.2332 I www.caron.org
DIY & Custom Devices
800.678.2332 I www.caron.org
What is being Vaporized?
• Propylene glycol & vegetable glycerin: clear liquids that create a visible aerosol. Often used in medical, beauty, and food industries
• Nicotine
• Flavor
800.678.2332 I www.caron.org
What is being Vaporized?
• Leaf marijuana
• Psychoactive substances (THC oil/marijuana concentrates)
• Easy to modify to fill with homemade substance or marijuana
800.678.2332 I www.caron.org
How Do Teens Get Them?
Social Source: a friend or relative
Retail outlets: including vendors that sell tobacco, vape shops, mall kiosks, gas stations, convenience stores, grocery stores, and pharmacies as well as through online/Internet vendors
Raising minimum age of purchase to 21 intended to curb youth access
800.678.2332 I www.caron.org
• Experimentation• Social reasons• To feel good• Portable and easily hidden • Cartridges allow for
customization of flavors, nicotine levels and cannabis compounds
• Vaping tricks• Flavors• They are “hooked”
Reasons They Use
800.678.2332 I www.caron.org
www.drugabuse.gov
800.678.2332 I www.caron.org
• TV ads targeted to stations with clear youth appeal
• Ads at the point of sale at retail stores
• Product websites and social media• Targeted advertisements through
search engines and websites that are focused on music, entertainment, and sports
Promotional Tactics
800.678.2332 I www.caron.org
Then, and Now
800.678.2332 I www.caron.org
• Unexplained sweet scent• Pens or flash drives that
aren’t pens or flash drives• Dry mouth – drinking lots of
liquids• Nose bleeds• Caffeine sensitivity• Glassy eyes
Signs They Might Vape
800.678.2332 I www.caron.org
• Inside empty containers (deodorant, soda bottle)
• Hidden in sharpie pen
• Pinned to shirt collar or bra strap
• Pinned to shoulder strap of book bag
Hiding Devices
800.678.2332 I www.caron.org
THE HEALTH IMPLICATIONS OF
TEEN VAPING
800.678.2332 I www.caron.org
What we know
The vapor is NOT water – It’s aerosol. Users breathe in heavy metals, volatile organic compounds, carcinogens, ultra fine particles.
Nicotine levels can be very high
800.678.2332 I www.caron.org
What we know
“Experienced users” able to inhale more nicotine, reaching cigarette levels
Overheating increases toxins and risk
Recent deaths and over *2,700 confirmed and probable cases of lung disease associated with use
*CDC as of 2/4/20
800.678.2332 I www.caron.org
What we know
“Experienced users” able to inhale more nicotine, reaching cigarette levels
Overheating increases toxins and risk
Recent deaths and over *2,700 confirmed and probable cases of lung disease associated with use
*CDC as of 2/4/20
800.678.2332 I www.caron.org
What we know
Clinical and Health departments refer to the illness as: E-cigarette, or Vaping, product use-Associated Lung Injury (EVALI)
Vitamin E Acetate, an ingredient in some Vape products, is highly associated with EVALI
800.678.2332 I www.caron.org
EVALI Symptoms
Some patients have reported that their symptoms developed over a few days, while others have reported that their symptoms developed over several weeks
A lung infection does not appear to be causing the symptoms
• Respiratory: Cough, shortness of breath, chest pain• Gastrointestinal: Nausea, vomiting, stomach pain, diarrhea
• Fever, chills, or weight loss
800.678.2332 I www.caron.org
Dangers of Vaping
Impact on developing brain
Polysubstance use/adult addiction
Respiratory Issues/EVALI
Vaper’s cough
Eye, ear, throat irritation
Gum disease
Nausea, dizziness
Secondhand and third hand aerosol
Poisonings
Burns/fires from defective batteries
Bridge to cigarette smoking
800.678.2332 I www.caron.org
MARIJUANATRENDS
800.678.2332 I www.caron.org
Marijuana Basics
Marijuana is a ‘mixed action’ drugIt can be a: • Stimulant• Depressant• Hallucinogen
• It can be smoked in traditional form• Inhaled as an oil or wax• Consumed orally: ‘Edibles’
The active ingredient that makes a person
‘high’ is THCThere is also CBD in Marijuana which has
some medical benefits, but without the ‘high’
800.678.2332 I www.caron.org
Marijuana is much more potent
• THC levels in the ‘60s and ‘70s were about 1%• THC levels in the ‘80s and ‘90s were about 3%• Today the average THC level is 14% (just the green, dried stuff)
Consuming in edible form has it’s own risks
It’s not the sameold Weed!
Using THC oils or waxes can increase the level to 40%-99%
800.678.2332 I www.caron.org
• Problems with memory, learning & problem-solving• Distorted perception• Apathy • Increased risk of Mental Illness• Marijuana strength is leading more addiction• Unpredictability, (even hospitalization) especially
with edibles
Risks of Marijuana/THC Use
800.678.2332 I www.caron.org
VAPING MARIJUANA
800.678.2332 I www.caron.org
• Past year vaping of marijuana doubled over the past two years (MTF, 2019)
• Past month use nearly doubled in a single year among 12th graders (MTF, 2019)
• Easy to hide • Look like common items
such as pens, USB drives or a stylus
• Easy to use-in school, on the bus
• Smokeless and less odor
Vaping THC
800.678.2332 I www.caron.org
Stats & Stuff
Daily Marijuana use has increased among 8th and 10th
graders:(Daily use – 20+ occasions in
a month
56% of 12th graders have never tried marijuana
Overall Marijuana use remains steady
8th graders report an 86% increase
over last year
10th graders report a 41% increase
Percentage of teens who consider Marijuana use a
risky behavior is in steady decline
800.678.2332 I www.caron.org
“Dry Herb” THC Vapes
800.678.2332 I www.caron.org
THC Wax/Dab Pens
800.678.2332 I www.caron.org
THC Oil Pens
Charger Cartridge“Cart”
Battery
800.678.2332 I www.caron.org
Users who try to quit experience withdrawal symptoms that include:• Restlessness• Irritability• Anxiety• Insomnia/Sleep Disturbance• Appetite disturbance• Depression • Weight Loss
53
MarijuanaWithdrawal Symptoms
800.678.2332 I www.caron.org
54
800.678.2332 I www.caron.org
Edibles
800.678.2332 I www.caron.org
WHAT CAN YOU DO?
800.678.2332 I www.caron.org
Sophisticated knowledge
of ATOD
Absent/Tardy
Signs a Child of Addiction is struggling
800.678.2332 I www.caron.org
What CanYou Do?
• Utilize a Student Assistance Program• Provide a safe and open environment• Be Observant and address what you overhear• Support Social Norms Theory• Correct Misperceptions
800.678.2332 I www.caron.org
Tier 1
Project Connect/Connect 5 Peak Performance for Athletes
Psycho-educational support groupsTier 2
Behavioral Health Assessment Marijuana Brief InterventionTier 3
School wide initiatives Examples: posters, stall stories, SAP programming regarding effects of vaping, school wide prevention
assemblies, faculty education, classroom presentations
School Response to Intervention
800.678.2332 I www.caron.org
They say: “I’m only vaping once in awhile on weekends, so it’s not a big deal.”
You could say: “What would make it feel like a big deal to you?”
Why this works: This gets them to think about the future, and what their boundaries are. It will give you insight into what’s important to him or her. If use progresses and some of these boundaries are crossed, you can bring that up at a later date.
What can We say?
800.678.2332 I www.caron.org
They say: “ Would you rather I smoke cigarettes. Vaping is so much safer.”
You could say: “Honestly, I don’t want you doing anything that can harm you. I’m interested in knowing why you think vaping is safer?”
Why this works: This reminds your child that you care about his or her well-being. Expressing genuine curiosity about their thought process is going to help them open up.
What can We say?
800.678.2332 I www.caron.org
They say: “It’s just flavored water. What’s the big deal?”
You could say: “We are realizing now that many of these products contain the drug nicotine. There are healthier ways to cope with feelings rather than turning to drugs. Can we brainstorm some activities?”
Why this works: You show concern, ask permission and promote collaboration in thinking through healthy alternatives.
What can We say?
800.678.2332 I www.caron.org
Learn More:CARON.ORG/DIGITAL-LEARNING
800.678.2332 I www.caron.org
800.678.2332 I www.caron.org
Five-week program
Self-paced
Multiple “episodes” per week
Engaging, interactive
Multimedia, animations
800.678.2332 I www.caron.org
Resources• SAMHSA www.samhsa.gov• Al-Anon www.al-anon.alateen.org• Partnership at Drugfree.org www.drugfree.org• National Institute on Drug Abuse
www.drugabuse.gov• Above the Influence www.abovetheinfluence.com• National Family Partnership www.nfp.org• Monitoring the Future www.monitoringthefuture.org
800.678.2332 I www.caron.org
Follow us on social media!
Thank You
@CaronTreatment
Facebook.com/Caron
YouTube.com/CaronTreatment
7.31.2019