 Positives  Negatives Let’s test your detective skills…  “4/20” ()stuff  favorable artists  Cutting kit and memorabilia  “huffing” kit  Cough syrup or Visine  Pipe in room   Empty toilet paper rolls  Prescription (not  Aluminum foil theirs)  Missing spoons  Burnt, bent spoon  Air fresheners  Drugs  Energy Drinks

Ask More Questions Might have a Problem  Parents discussed the following topics with their 6-17 year old in the past year:

Peer pressure: 69% Negative effects of : 42% Screen-time: 63% Negative effects of alcohol: 38% Physical activity: 57% Negative effects of marijuana and other drugs: 39% Dating and relationships: 55%

Bullying: 57%

Eating habits: 51% How much do you think Moderate people risk harming No Risk Slight Risk Great Risk Risk themselves if they: Smoke one or more packs 6% 6% 18% 70% of cigarettes per day Smoke marijuana once or 16% 21% 23% 41% twice a week Have five or more drinks of an alcoholic beverage 5% 23% 33% 39% once or twice a week Misusing prescription 3% 11% 25% 61% drugs  Legal but worth a discussion ◦ Why are they drinking them? ◦ Do they know health risks? ◦ What do they see us doing and saying?  What is the legal drinking age?  The average age of onset was 13.3 years old  14% had at least one drink in the past month (current drinker), increasing to 33% of those ages 17 and older  16% had ridden in a car driven by someone who had been drinking  4% had drank and drove E-cigarettes/vaping, cigarettes, chew, dip, snus, cigars  9% of students grades 6-12 report being a current smoker (1 day in past 30 days)

 12% of students in grades 11 & 12 reported being current smokers  Nearly one in eight reported using an e- cigarette in the past year. • Electronic cigarettes/e-cigarettes or vaping are battery operated devices designed to deliver with flavors and other chemicals to users in a vapor instead of smoke. • E-cigarettes are increasing in popularity among youth

• e-cigarettes used more than traditional cigarettes according to Monitoring the Future. • Additionally, these devices, along with vapor pens, are used to ingest marijuana concentrates. • The evidence is mounting that e-cigs are dangerous for youth and may be a first step for youth to then start using traditional tobacco products as well. ● Most recently JUULS have become the #1 ATOD violation in our schools. ● Very difficult to catch students using these “pods” ● Users can replace nicotine with THC oil or Dabs ● Health concerns include addiction, “popcorn” lung and TBD Vaping - Signs to look for...

Physical Signs of Use Behavioral Signs

● Puff of Vapor, but highly unlikely at ● More Alert the HS level ● Agitated ● Fruity, Mint or Bubble Gum scent without evidence of a wrapper or ● Sleepiness container ● Unusual Talkativeness

● Drinking lots of water to combat dry ● Disorientation mouth that is caused by vaping ● Bloodshot Eyes (physical sign) ● “Pens”, “Thumb Drives”, “Stylus” with holes at each end  Kids can use cough syrup to get high (DXM). • “” “drank” or “sizzurp” is a slang term for a mixture of a prescription cold medication, a soda drink and ice. Hard candies are often added for color and taste. • The cold medication used contains promethazine (an antihistamine) and codeine. • The effects of this drink last between three and six hours. • In addition, in some communities, other homemade drink concoctions called “nutcrackers” are also popular among teens and youth.  9% of Tuscarawas County youth reporting using • Many household items, such as propellant cleaners, contain chemicals that produce a mind- altering experience when inhaled. • Abusers of inhalants breathe them through their nose or mouth and new users are typically 12-15 years old. • Inhalants can cause “sudden sniffing death” and can also cause permanent brain damage.

• Other inhalants: Sharpies, white out, glue, spray paints, , and lighter fluid, or “whippets.”

 7% of Tuscarawas County youth in grades 9-12 reported using marijuana in the past 30 days. (2017 U.S/National data reports 20% of youth grades 9-12 have used marijuana in the past 30 days). • 420, 4:20 and 4/20 are code for marijuana or a time to get high.

• April 20th has become a “counter culture” holiday where participants come together and celebrate use.

• Posters, t-shirts, hats, stickers and other items are designed with 420 included.

• Those owning these items consider marijuana a big part of their life and identify themselves as part of the “420 community.” • Pro-Marijuana Apparel: According to Urban Dictionary, dab city is “a place you inhabit after partaking in too many consecutive dabs.”

 Butane and dabs are a THC concentrate made from marijuana.  Butane Hash Oil and dabs are a THC concentrate made from marijuana.  THC, , the psychoactive ingredient in marijuana is now in many “products.”  Look for modified or twisted “brand” names, a marijuana logo, and odd signs like no packaging or manufacture.

• Homemade smoking pipes for marijuana can be easily made out of many objects, including an apple, with how-to videos and guides found by a quick internet search. • Other common materials used include aluminum foil, water bottle and soda can. • Cigars can be hollowed-out and filled with marijuana to create a . • Dryer sheets can be used to mask the smell of marijuana on clothing, when smoking or storing. • A sploof is a homemade filter used to mask the smell of marijuana smoke. • They are frequently made out of an empty paper towel or toilet paper roll and dryer sheets. • Over 1,900 YouTube videos demonstrate how to make these homemade devices. • Regular marijuana smokers create kits to help them hide use. These kits might include eye drops to get the red out, mints to freshen their breath, perfume to hide the smell and hand sanitizer to mask the smell on their hands. • Mint Tin Breath mints and gum are used to mask the smell of alcohol, marijuana and cigarettes. Additionally, the empty boxes can be used to store marijuana or prescription pills. • Eye drops are used to hide the blood shot eyes caused by excess drinking and marijuana use.  Different “generations” of spice, some are herbs sprayed with chemicals, some are cardboard shavings sprayed  5% of Tuscarawas County youth reported using medications that were not prescribed for them or took more than prescribed to feel good or get high at some time in their lives  drugs for ADHD (like Adderall, Ritalin, Focalin) and opiate-based painkillers (like Vicodin, , Percocet) are being abused by youth.  These drugs may be shared or sold by those with a prescription for them, or taken from family and friend’s medicine cabinets.  Youth falsely think they are safer than other illicit drugs.

 All too often, individuals who become addicted to -based prescription pills will turn to if they cannot obtain the prescription pills they have been abusing.

White & brown “Cheese” heroin heroin Black tar heroin This is what a spoon used to make heroin or other drug into a liquid and a needle used to inject might look like.  Unfortunately, illegal or illicit use of fentanyl and carfentanil are now be added heroin and causing many of our overdoses in our county.  is a powerfully addictive stimulant drug and is present in our county and we are finding cases of fentanyl and carfentanil being laced in cocaine  (also called meth, crystal, chalk, and ice, among other terms) is an extremely addictive stimulant drug.

 Meth is taken orally, smoked, snorted, or dissolved in water or alcohol and injected. Smoking or injecting the drug delivers it very quickly to the brain, where it produces an immediate, intense and prevalent in our county. • What apps does your son or daughter have on their phone? • Today there are numerous marijuana related apps including maps of dispensaries, marijuana strains, handbooks and entertainment when high. • What is your child listening, what are the messages.

• Ask what they like about the music and discuss drug messages that they might be receiving. • Talk to your child about messages that they are receiving while watching movies and TV. • You can find almost anything out on the internet. • Check the search history on your child’s computer to find out what sites they are visiting. 1. Clearly state your families rules and expectations 2. Be a good listener 3. Let them know you are proud of the positive choices they are making 4. Know your kids friends 5. Talk to their friends, show them you care 6. Know their friends parents and be in contact with them 7. Help your child identify a safe adult friend they can talk with 8. Speak often and take advantage of teachable moments 9. Visit the local head-shop 10. Stay informed and become more educated 11. Model well- they learn from their parents 12. Snoop- Your home, your child 13. Get help immediately if needed  www.starttalking..gov  www.drugfree.org  www.parentfurther.com  www.drugabuse.gov  www.parentsempowered.org  www.adc-tusc.com

 Build coalition capacity  Share community data  Underscore the importance of parent/child conversations  Demonstrate and give examples for adults on how to have conversations with their kids around the issue of substance use  Educate stakeholders regarding sound prevention practices  Assist parents/teachers on identifying signs and symptoms and to know next steps  Engage media  Opportunities to share resources  Engage new community sectors  Own this issue in our community “we are the expert”  Promote prevention and the work of the coalition

 Do you have a strong prevention professional to ensure that you are using best practices  Ability to train team  Strong working relationship with law enforcement  Ability to safely manage exhibit  Agreement on how to work with stakeholders who only want exhibit without presentation  Does your exhibit help people better understand what is going on in your community Jodi Salvo LSW, OCPC Tuscarawas County Anti-Drug Coalition [email protected] (330) 440-7320