RecognizingRecognizing thethe SignsSigns andand SymptomsSymptoms ofof DrugsDrugs andand AlcoholAlcohol PleasePlease Note:Note: The following information is being provided as a means to assist persons in recognizing the signs, symptoms of drugs and alcohol for purposes of determining if an individual may be under the influence. This information has been gathered from multiple sources and is intended for informational purposes only. It is not intended for use as training material to assist individuals in becoming drug recognition experts and should not be used in lieu of recommendations or advice from qualified professionals. Should you have specific questions, concerns or need assistance with persons under the influence of a controlled substance or misusing alcohol, you should seek the advice of qualified professionals. IntroductionIntroduction . Signs and symptoms of drugs and alcohol are used in determining if an employee may be under the influence of drugs and/or alcohol that would warrant the employee to be tested. In most cases the employees behavior will be inconsistent with their normal behavior due to the use of a controlled substance or alcohol. Abnormal behavior draws attention to the employee and, in most cases, establishes the opportunity for the supervisor to take proactive measures to determine drug/alcohol use. SomeSome CausesCauses ofof AbnormalAbnormal BehaviorBehavior . Stress . Work . Home? . Kids . Family . Financial matters . Death in Family . Divorce . New Medications/Medical Problems ProblemsProblems CausedCaused inin thethe WorkplaceWorkplace . Accidents/Injuries . To himself/herself . To other employees . To members of the public . Lack of Productivity . Reduced or poor output . Increased workload on others . Theft . Violence . Increased liability to the Department KnowKnow YourYour EmployeesEmployees Know when they are stressed about something. Take time to listen. Always look for the warning signs that could indicate something is wrong. WarningWarning SignsSigns ChangeChange inin behaviorsbehaviors SuddenSudden swiftswift moodmood changeschanges EasilyEasily angeredangered AbsentAbsent fromfrom workwork AwayAway fromfrom jobjob sitesite InabilityInability toto explainexplain reasonsreasons forfor doingdoing somethingsomething ThingsThings turnturn upup missingmissing FrequentFrequent accidents/injuriesaccidents/injuries TiredTired allall thethe timetime DrugsDrugs inin TheThe WorkplaceWorkplace TheThe NationalNational InstituteInstitute ofof DrugDrug AbuseAbuse (NIDA)(NIDA) hashas identifiedidentified thethe followingfollowing drugsdrugs asas thethe fivefive drugsdrugs thatthat areare moremore commonlycommonly foundfound inin thethe workplace.workplace. TheseThese areare referredreferred toto asas thethe ““NIDANIDA 55”.”. Alcohol,Alcohol, althoughalthough notnot consideredconsidered aa drug,drug, isis alsoalso foundfound inin thethe workplaceworkplace andand isis oftenoften thethe reasonreason testingtesting isis ordered.ordered. Amphetamines/ Methamphetamines NIDA 5 Marijuana Opiates (Heroin) Cocaine Phencyclidine (PCP) MethamphetaminesMethamphetamines StreetStreet names:names: Crank, Crystal, Speed LooksLooks Like:Like: White Powder, Pills, Rock resembling a block of paraffin HowHow Taken:Taken: Orally, injected, inhaled MethamphetaminesMethamphetamines Manufactured in bathtubs, barns, motels, cars (driving down the road). Highly explosive and contains materials with a base of ephedrine (what Sudafed is made of) Also contains many of these ingredients: Red Phosphorous Lighter Fluid Drano Acetone Ether Freon MethamphetaminesMethamphetamines Signs and Symptoms: Edginess Nervous Restless Hard to sit still Twitching, jerking movements (loss of motor skills) Itching, scratching (they feel like bugs are crawling on them) Act very paranoid – feel people are out to get them and can make the individual very aggressive and violent Sweat a lot – even when it’s cold MethamphetaminesMethamphetamines Signs and Symptoms: Rapid, irrational and slurred speech Grinding their teeth Runny nose Sometimes bloody nose for no reason Sudden weight loss (no desire to eat) Sickly looking Skin sores on the arms and face Rotten teeth and gums Poor personal hygiene Extreme/bizarre behavior MethamphetaminesMethamphetamines Long term effects of heavy use: Depression Permanent psychological problems Possible brain damage Disturbance of personality development Liver damage Fatal lung and kidney disorders Stroke or heart problems Death MethamphetaminesMethamphetamines Meth Lab Meth Lab Feels like bugs are under their skin and they keep scratching to get rid of them. Meth Products Meth Mites MethamphetaminesMethamphetamines Meth Trash Meth Victim According to the DEA this individual jumped into the shower when his meth lab exploded. Car Meth Lab Meth Lab ResultsResults ofof MethMeth UseUse After 2½ months After 30 months StreetStreet Names:Names: CocaineCocaine Coke, Snow, Nose Candy, Flake, Blow, Big C, Lady, White, and Snowbirds LooksLooks Like:Like: White crystalline powder HowHow Taken:Taken: Inhaled, injected CocaineCocaine . Effects . Dangers . Produces brief but intense . Bleeding and damage to nasal feelings of euphoria passages . Stimulates the central nervous system . Paranoid psychosis, hallucinations and mental . Increases pulse, blood abnormalities pressure, body temperature, . Impaired driving ability and respiratory rate . Death caused by heart or . Causes extreme excitability and anxiety respiratory failure . Produces sleeplessness and chronic fatigue CocaineCocaine . Addiction . Withdrawal . Cocaine users often become . Withdrawal symptomps from psychologically and cocaine are not as physically dependent on the physically apparent as with drug after relatively short many other drugs periods of time . The most profound . In many cases, crack use symptom is an intense leads to virtual immediate craving for the drug once addiction use is discontinued . If the craving is not satisfied, the individual may experience irritability, depression and a loss of energy Crack Cocaine StreetStreet Names:Names: Crack, Rock, Freebase LooksLooks Like:Like: Crystalline rocks that look like soap HowHow Taken:Taken: Smoked Crack Cocaine TheThe highhigh fromfrom thethe firstfirst hithit isis soso intenseintense thatthat thethe useruser willwill dodo almostalmost anythinganything toto trytry andand getget thatthat feelingfeeling again.again. ManyMany timestimes thisthis becomesbecomes aa mismissionsion andand everythingeverything elseelse inin lifelife becomesbecomes secondary.secondary. WillWill havehave nono interestinterest inin doingdoing anyany work,work, andand maymay becomebecome violentviolent forfor anyany reason.reason. StreetStreet Names:Names: Marijuana Pot, Reefer, Grass, Weed, Dope, Ganja, Mary Jane, or Sinsemilla LooksLooks Like:Like: Parsley, with stems and/or seeds; rolled into cigarettes or cigars HowHow Taken:Taken: Smoked or eaten in brownies, stews and other goodies Marijuana Blunts Joints Blunts: Cigars hollowed out and filled Seeds and Joints Kilo Bricks with marijuana. Marijuana . Effects . Dangers . Deteriorating performance . Euphoric feeling; increased at work sense of well being . “Burn out" involving muddled thinking, acute . Lack of motivation frustration, depression, and isolation . Lowered inhibitions, . Impaired sexual talkativeness development and fertility . Dry mouth and throat . Damage to the lungs and pulmonary system (one . Increased appetite - joint is equal to 25 ”munchies" cigarettes) . Hallucinations and paranoia . Impaired coordination, concentration and memory . Increased risk to safety and health as a result of . Increased heart rate impaired judgment and motormotor abilities Marijuana ““II waswas atat aa concertconcert nextnext toto somesome peoplepeople whowho werewere smokingsmoking somesome marijuanamarijuana andand II inhaledinhaled enoughenough ofof thethe smokesmoke andand thatthat mademade meme testtest positivepositive”.”. While it is possible to produce levels of marijuana in a urine sample, cutoff levels were established in order to disallow a claim of passive inhalation. To exceed the cutoff levels established by the United States Department of Health and Human Services, the individual would have to use marijuana in some manner (e.g., smoke, eat in food, etc). Heroin (Opiates) StreetStreet Names:Names: Smack, Horse, Mud, Brown Sugar, Junk, Black tar, Big H LooksLooks Like:Like: White to dark-brown powder or tar like substance HowHow Taken:Taken: Injected, smoked, or inhaled Heroin (Opiates) . The physical effects of . Dangers opiates depend on the . AIDS, blood poisoning, opiate used, the dose, and hepatitis as the and how the drug is result of drug infection taken. Effects may and use of unsterilized or “shared” needles include:: . Short lived state of . Death resulting from the euphoria, followed by injection of impure heroin drowsiness . Death resulting from . Slowed heart rate, unexpectedly high purity breathing, and brain of drug activity . Convulsions, coma, or . Depressed appetite, thirst, death from overdose reflexes and sexual desire HeroinHeroin (Opiates)(Opiates) . Addiction . Withdrawal . Opiates, particularly heroin, . Following long-time or have an unusually high heavy use, withdrawal potential for abuse and symptoms generally appear addiction. Heroin addiction 4-8 hours after the last often leads to malnutrition, dose. Symptoms include infection, and unattended chills, sweating, runny injuries and diseases. nose, irritability, insomnia, Addicts tend to continue