child & youth mental health series - cheo ed outreach · often added to other powders (e.g....
TRANSCRIPT
Todayrsquos topic Youth Substance Use Drug Trends and How to Help
Speakers Liz Parsons amp Sandy Botham
child amp youth
Mental Health Series
February 8 2017
Complete todayrsquos evaluation amp apply for professional credits
If you are connected by videoconference Please mute your system while the speaker is presenting
Complete todayrsquos evaluation amp apply for professional credits
Please feel free to ask questions
By registering for todayrsquos eventhellip
You will have had an opportunity to apply for professional credits or a certificate of attendance
You will receive an email with a link to todayrsquos online evaluation
Visit our website to download slides and view archived events
Sign-up to our distribution list to receive our event notifications
Questions mentalhealthseriescheoonca
You may also want tohellip
Declaration of Conflict
Speaker has nothing to disclose with regard to commercial support
Speaker does not plan to discuss unlabeled investigational uses of commercial product
Partner Presentation
CHEO and the Royal work closely and actively with many community agencies and health care providers
This presentation is brought to you by one of our local partners The information and views presented today represents that of our partner organization
Rideauwood Overview
School Based Program
Ontario Statistics (OSDUHS)
The Stages of Substance Use
The Mood Swing Chart
Youth Substance Use - Trends
Strategies to support caregivers
Resources
7
Founded in 1976 Rideauwood Addiction and Family Service is a non-profit agency serving
adults adolescents and family members We provide group and individual treatment on an out-
patient basis as well as training and consultation
We currently provide the following programs
Adult Family Parent
School-Based Teen Young Adult
Adult Drug Treatment Court
Youth Mental Health Court Youth Probation
Gambling
Public Education Training amp Consultation
8
All English high schools in the Ottawa area
Onsite weekly during school year
Available at Rideauwood during the summer months
Catholic Board (OCSB) Grades 7-12
Public Board (OCDSB) Grades 9-12
All Senior Elementary Schools (OCDSB) Delivering presentations to all grade 7 and 8 classes -
RPEP
9
Referrals
Consent
Confidential Counselling
Parent Involvement
School Staff Support amp Collaboration
Class Presentations
10
RPEP
Provides an important aspect of life learning that students can build on as they progress through school
Builds resilience self awareness coping skills refusal skills and the understanding of potential risk factors as well as habit forming behaviours
Earlier identification of counselling needs
Assists in bridging services to the high school program
11
Alcohol 46 of students report drinking in the past year
14 mixed alcohol with an energy drink in the past year
18 report binge drinking in the past month
16 report getting drunk in the past month
22 played drinking games in the past month
20 report drinking hazardously in the past year
19 could not remember their activities in the past year
9 were injured or injured someone else because of their drinking in the past
year
27 are allowed to drink at home with their friends
grades 9-12
12
Cannabis
21 report using cannabis in the past year
2 report using cannabis daily in the past month
2 have symptoms of cannabis dependence
28 usually obtained cannabis from a friend
5 report vaping cannabis in the past year
grades 9-12
13
Cigarettes
9 of students report smoking cigarettes in the past year
3 report smoking daily in the past year
62 of smokers obtain cigarettes from friends or family
3 report smoking contraband cigarettes in the past year
6 report using smokeless tobacco in the past year
12 report using use electronic cigarettes in the past year
14
These surveys include only youth attending school who were able to participate Given these
limitations the actual rates of both past-year and heavy cannabis use among Canadian youth
are likely to be higher than reported
In Canada as in most western societies the 15- to 24-year-old segment of the population has
much higher use of cannabis than those aged 25 and over At the same time youth have
relatively high levels of alcohol use but much lower use of tobacco
Canadian youth lack knowledge and have misconceptions about the effects of cannabis that
contribute to favourable attitudes towards its use
Adolescents are more sensitive than adults to the adverse effects of regular heavy use of
cannabis including cognitive impairment dependence poor psychosocial development
impaired school and work performance drug-related psychiatric illness and generally poorer
treatment outcomes
15
Stage 1 Experimentation
Limited substance use (2-4x)
Poly substance use
Using in a group
Usually parents unaware
Usually no trouble as a result of use
Canrsquot remain in this stage
Stage 2 Regular Social Use
Actively plans use
Sets own limits (rules)
No real pattern of use
Some planned misuse
Sometimes unplanned misuse
Learns from mistakes of misuse
Uses for fun
Uses with others
16 Adapted from Johnson 1986
Stage 3 Problematic Use
Plans use ahead of time
Wants use to be part of social life
Using effects others around them
May change peer group
Drops other activities in favour of using
Begins to surpass own limits (breaks rules)
Defense mechanisms start
May attempt to cut down or quit
Able to make positive changes with help
17 Adapted from Johnson 1986
Stage 4 Addiction
Using is the goal
Many unsuccessful attempts to quit
Loss of control
Many relationships have been damaged
Family and friends are frustrated
Becomes more isolated
Increased concern for mental health issues
Has moments of clarity regarding the need to get help
Treatment often required at this stage
Canrsquot make change on their own anymore
18 Adapted from Johnson 1986
19
Normal
Pain Euphoria
Adapted from Joseph A Muldoon 1988
20
Stage 1 Learning the Mood Swing = Experimentation
Stage 2 Seeking the Mood Swing = Regular Social Use
Stage 3 Harmfully Involved = Problematic Use
Stage 4 Using to Feel to Normal = Addiction
Adapted from Johnson 1986
21
A decline in grades
Personality changes
Mood swings
Change in peer group
Secretive
Uncommunicative
Spends more time alone
Confused disoriented andor lethargic
Dishonesty (lying over trivial things)
Extremely defensive
Illusive about whereabouts friends and activities
Problems in the community (law)
Unexplained financial drain
Money or items missing from home
Dropping extra curricular activities
Becoming irresponsible towards household duties job house rules
Increase school problems skipping classes increased lateness
Changes in sleeping andor eating habits (weight)
Changes in self-care and appearance
Possession of drug paraphernalia
22
Alcohol rule based and socially acceptable
Cannabis normalized points of view
Increase in prescription use not prescribed
ex percocets xanax adderall
Increased poly drug use ndash pills ++
23
Often added to other powders (eg heroin Ketamine)
pills(eg oxy and benzos) liquids and marijuana in order to boost there potency
It is roughly 50 ndash 100 times more toxic than morphine
When fentanyl is cut into other drugs you canrsquot see smell or taste it
Also known as white china murder 8 dance fever and good-fella
When naloxone is in communities it has been shown to reduce overdose rates by 50
24
BCCDC (Bristish Columbia Centre for
Disease Control)
Used by veterinarians for very large animals
Not for human use
Is 100 times more toxic than fentanyl
Is 10000 times more toxic than morphine
Therefore can be deadly in extremely small amounts
Has been found in Ontario
Added the same way as fentanyl to other drugs (ex green
pills stamped lsquoCDNrsquo on one side and rsquo80rsquo on the other)
25 (Ottawa Public Health)
Severe sleepiness Trouble breathing Slow heartbeat Slow shallow breathing or snoring may sound like
gurgling Cold clammy skin Trouble walking or talking Unresponsive even when shaken Pin point pupils vomiting
26 Ottawa Public Health
Community collaboration ndash combined efforts police public health community centers schoolshelliphellip
Public awareness ndash media news reportshellip
Crisis response ndash hospitalsEmergency mobile health units increased availability of naloxone in pharmacy training on the use of naloxone provided to anyone
27
Examine your own views on drugalcohol use
Be informed about drugs and their effects
Establish clear expectations and consequences with your youth
As caregiver present a clear unified position
Discuss differences in strategies apart from your child
Set consequences with which you are able to follow through
28
Acknowledge amp Validate positive behavior out loud
Choose your battles
Ask open ended questions
Limit screen time (time limit dinner table bedtime family time)
Allow yourself time to reflect before answering requests from your youth
Itrsquos okay to make mistakes or be unsure and acknowledge that to your youth
Remember that it matters to your child what you think
29
You donrsquot have to agree with the situation behavior perspective you need to validate the feelings then problem solve
Dysregulated Child + Overwhelmed Parent = Co-Dysregulation Need 3 Rrsquos Regulate Relate Reason(Bruce Perry 2013)
Emotion Family Focused Therapy (website in resource section)
Emotion Coaching Skills 1 Attend to emotion 2label and express
the emotion 3 validate the emotion 4meet the need 5Fix itproblem solve
30
Expectations are important aspects of relationship because they communicate the behavior and roles that support boundaries and health
Actively encourage your teen to be involved in influencing the outcome of challenges by eliciting their participation
Inviting them to be involved in family conversations asking for there ideas amp supporting them to follow through on ideas in a way that gets them proactively involved
31
https
wwwyoutubecomwatchv=1Evwgu369Jw
Having considered all these strategies and recognizing that perhaps many of these you already practice what could be next steps your practice or organization could do to improve on assisting youth and families
33
httpwwwdrugrehabcaontario-teen-drug-rehabhtml
httpwwwdrugandalcoholhelplineca
httpwwwcamhcaenhospitalcare_program_and_servicesOutreach_ServicesPagesguide_psychiatric_outreachaspx
httpwwwhealthycanadiansgccatask-force-marijuana-groupe-etudeframework-cadreindex-engphp
34
httpwwwcamhxcaPublicationsOSDUHS2015
httpwwwccsacaEngtopicsMental-Health-and-Substance-AbusePagesdefaultaspx
35
Emotion-Focused Family Therapy emotionfocusedfamilytherapyorg
Books
1ldquoA survival Guide to Parenting Teensrdquo by Joani Geltman
2 ldquoBeyond Addictionrdquo by Jeffery Foote
3ldquoThe Awakened Familyrdquo by Shefali Tsabary
36
37
Complete todayrsquos evaluation amp apply for professional credits
Questions or Comments
Video-conferencers Unmute your system to ask a question
Webcasters Type your question
for participating in todayrsquos
Mental Health Series
Join us next time February 16 2017 With Dr Erin Kelly
Thank you
mentalhealthseriescheoonca
Complete todayrsquos evaluation amp apply for professional credits
If you are connected by videoconference Please mute your system while the speaker is presenting
Complete todayrsquos evaluation amp apply for professional credits
Please feel free to ask questions
By registering for todayrsquos eventhellip
You will have had an opportunity to apply for professional credits or a certificate of attendance
You will receive an email with a link to todayrsquos online evaluation
Visit our website to download slides and view archived events
Sign-up to our distribution list to receive our event notifications
Questions mentalhealthseriescheoonca
You may also want tohellip
Declaration of Conflict
Speaker has nothing to disclose with regard to commercial support
Speaker does not plan to discuss unlabeled investigational uses of commercial product
Partner Presentation
CHEO and the Royal work closely and actively with many community agencies and health care providers
This presentation is brought to you by one of our local partners The information and views presented today represents that of our partner organization
Rideauwood Overview
School Based Program
Ontario Statistics (OSDUHS)
The Stages of Substance Use
The Mood Swing Chart
Youth Substance Use - Trends
Strategies to support caregivers
Resources
7
Founded in 1976 Rideauwood Addiction and Family Service is a non-profit agency serving
adults adolescents and family members We provide group and individual treatment on an out-
patient basis as well as training and consultation
We currently provide the following programs
Adult Family Parent
School-Based Teen Young Adult
Adult Drug Treatment Court
Youth Mental Health Court Youth Probation
Gambling
Public Education Training amp Consultation
8
All English high schools in the Ottawa area
Onsite weekly during school year
Available at Rideauwood during the summer months
Catholic Board (OCSB) Grades 7-12
Public Board (OCDSB) Grades 9-12
All Senior Elementary Schools (OCDSB) Delivering presentations to all grade 7 and 8 classes -
RPEP
9
Referrals
Consent
Confidential Counselling
Parent Involvement
School Staff Support amp Collaboration
Class Presentations
10
RPEP
Provides an important aspect of life learning that students can build on as they progress through school
Builds resilience self awareness coping skills refusal skills and the understanding of potential risk factors as well as habit forming behaviours
Earlier identification of counselling needs
Assists in bridging services to the high school program
11
Alcohol 46 of students report drinking in the past year
14 mixed alcohol with an energy drink in the past year
18 report binge drinking in the past month
16 report getting drunk in the past month
22 played drinking games in the past month
20 report drinking hazardously in the past year
19 could not remember their activities in the past year
9 were injured or injured someone else because of their drinking in the past
year
27 are allowed to drink at home with their friends
grades 9-12
12
Cannabis
21 report using cannabis in the past year
2 report using cannabis daily in the past month
2 have symptoms of cannabis dependence
28 usually obtained cannabis from a friend
5 report vaping cannabis in the past year
grades 9-12
13
Cigarettes
9 of students report smoking cigarettes in the past year
3 report smoking daily in the past year
62 of smokers obtain cigarettes from friends or family
3 report smoking contraband cigarettes in the past year
6 report using smokeless tobacco in the past year
12 report using use electronic cigarettes in the past year
14
These surveys include only youth attending school who were able to participate Given these
limitations the actual rates of both past-year and heavy cannabis use among Canadian youth
are likely to be higher than reported
In Canada as in most western societies the 15- to 24-year-old segment of the population has
much higher use of cannabis than those aged 25 and over At the same time youth have
relatively high levels of alcohol use but much lower use of tobacco
Canadian youth lack knowledge and have misconceptions about the effects of cannabis that
contribute to favourable attitudes towards its use
Adolescents are more sensitive than adults to the adverse effects of regular heavy use of
cannabis including cognitive impairment dependence poor psychosocial development
impaired school and work performance drug-related psychiatric illness and generally poorer
treatment outcomes
15
Stage 1 Experimentation
Limited substance use (2-4x)
Poly substance use
Using in a group
Usually parents unaware
Usually no trouble as a result of use
Canrsquot remain in this stage
Stage 2 Regular Social Use
Actively plans use
Sets own limits (rules)
No real pattern of use
Some planned misuse
Sometimes unplanned misuse
Learns from mistakes of misuse
Uses for fun
Uses with others
16 Adapted from Johnson 1986
Stage 3 Problematic Use
Plans use ahead of time
Wants use to be part of social life
Using effects others around them
May change peer group
Drops other activities in favour of using
Begins to surpass own limits (breaks rules)
Defense mechanisms start
May attempt to cut down or quit
Able to make positive changes with help
17 Adapted from Johnson 1986
Stage 4 Addiction
Using is the goal
Many unsuccessful attempts to quit
Loss of control
Many relationships have been damaged
Family and friends are frustrated
Becomes more isolated
Increased concern for mental health issues
Has moments of clarity regarding the need to get help
Treatment often required at this stage
Canrsquot make change on their own anymore
18 Adapted from Johnson 1986
19
Normal
Pain Euphoria
Adapted from Joseph A Muldoon 1988
20
Stage 1 Learning the Mood Swing = Experimentation
Stage 2 Seeking the Mood Swing = Regular Social Use
Stage 3 Harmfully Involved = Problematic Use
Stage 4 Using to Feel to Normal = Addiction
Adapted from Johnson 1986
21
A decline in grades
Personality changes
Mood swings
Change in peer group
Secretive
Uncommunicative
Spends more time alone
Confused disoriented andor lethargic
Dishonesty (lying over trivial things)
Extremely defensive
Illusive about whereabouts friends and activities
Problems in the community (law)
Unexplained financial drain
Money or items missing from home
Dropping extra curricular activities
Becoming irresponsible towards household duties job house rules
Increase school problems skipping classes increased lateness
Changes in sleeping andor eating habits (weight)
Changes in self-care and appearance
Possession of drug paraphernalia
22
Alcohol rule based and socially acceptable
Cannabis normalized points of view
Increase in prescription use not prescribed
ex percocets xanax adderall
Increased poly drug use ndash pills ++
23
Often added to other powders (eg heroin Ketamine)
pills(eg oxy and benzos) liquids and marijuana in order to boost there potency
It is roughly 50 ndash 100 times more toxic than morphine
When fentanyl is cut into other drugs you canrsquot see smell or taste it
Also known as white china murder 8 dance fever and good-fella
When naloxone is in communities it has been shown to reduce overdose rates by 50
24
BCCDC (Bristish Columbia Centre for
Disease Control)
Used by veterinarians for very large animals
Not for human use
Is 100 times more toxic than fentanyl
Is 10000 times more toxic than morphine
Therefore can be deadly in extremely small amounts
Has been found in Ontario
Added the same way as fentanyl to other drugs (ex green
pills stamped lsquoCDNrsquo on one side and rsquo80rsquo on the other)
25 (Ottawa Public Health)
Severe sleepiness Trouble breathing Slow heartbeat Slow shallow breathing or snoring may sound like
gurgling Cold clammy skin Trouble walking or talking Unresponsive even when shaken Pin point pupils vomiting
26 Ottawa Public Health
Community collaboration ndash combined efforts police public health community centers schoolshelliphellip
Public awareness ndash media news reportshellip
Crisis response ndash hospitalsEmergency mobile health units increased availability of naloxone in pharmacy training on the use of naloxone provided to anyone
27
Examine your own views on drugalcohol use
Be informed about drugs and their effects
Establish clear expectations and consequences with your youth
As caregiver present a clear unified position
Discuss differences in strategies apart from your child
Set consequences with which you are able to follow through
28
Acknowledge amp Validate positive behavior out loud
Choose your battles
Ask open ended questions
Limit screen time (time limit dinner table bedtime family time)
Allow yourself time to reflect before answering requests from your youth
Itrsquos okay to make mistakes or be unsure and acknowledge that to your youth
Remember that it matters to your child what you think
29
You donrsquot have to agree with the situation behavior perspective you need to validate the feelings then problem solve
Dysregulated Child + Overwhelmed Parent = Co-Dysregulation Need 3 Rrsquos Regulate Relate Reason(Bruce Perry 2013)
Emotion Family Focused Therapy (website in resource section)
Emotion Coaching Skills 1 Attend to emotion 2label and express
the emotion 3 validate the emotion 4meet the need 5Fix itproblem solve
30
Expectations are important aspects of relationship because they communicate the behavior and roles that support boundaries and health
Actively encourage your teen to be involved in influencing the outcome of challenges by eliciting their participation
Inviting them to be involved in family conversations asking for there ideas amp supporting them to follow through on ideas in a way that gets them proactively involved
31
https
wwwyoutubecomwatchv=1Evwgu369Jw
Having considered all these strategies and recognizing that perhaps many of these you already practice what could be next steps your practice or organization could do to improve on assisting youth and families
33
httpwwwdrugrehabcaontario-teen-drug-rehabhtml
httpwwwdrugandalcoholhelplineca
httpwwwcamhcaenhospitalcare_program_and_servicesOutreach_ServicesPagesguide_psychiatric_outreachaspx
httpwwwhealthycanadiansgccatask-force-marijuana-groupe-etudeframework-cadreindex-engphp
34
httpwwwcamhxcaPublicationsOSDUHS2015
httpwwwccsacaEngtopicsMental-Health-and-Substance-AbusePagesdefaultaspx
35
Emotion-Focused Family Therapy emotionfocusedfamilytherapyorg
Books
1ldquoA survival Guide to Parenting Teensrdquo by Joani Geltman
2 ldquoBeyond Addictionrdquo by Jeffery Foote
3ldquoThe Awakened Familyrdquo by Shefali Tsabary
36
37
Complete todayrsquos evaluation amp apply for professional credits
Questions or Comments
Video-conferencers Unmute your system to ask a question
Webcasters Type your question
for participating in todayrsquos
Mental Health Series
Join us next time February 16 2017 With Dr Erin Kelly
Thank you
mentalhealthseriescheoonca
Complete todayrsquos evaluation amp apply for professional credits
Please feel free to ask questions
By registering for todayrsquos eventhellip
You will have had an opportunity to apply for professional credits or a certificate of attendance
You will receive an email with a link to todayrsquos online evaluation
Visit our website to download slides and view archived events
Sign-up to our distribution list to receive our event notifications
Questions mentalhealthseriescheoonca
You may also want tohellip
Declaration of Conflict
Speaker has nothing to disclose with regard to commercial support
Speaker does not plan to discuss unlabeled investigational uses of commercial product
Partner Presentation
CHEO and the Royal work closely and actively with many community agencies and health care providers
This presentation is brought to you by one of our local partners The information and views presented today represents that of our partner organization
Rideauwood Overview
School Based Program
Ontario Statistics (OSDUHS)
The Stages of Substance Use
The Mood Swing Chart
Youth Substance Use - Trends
Strategies to support caregivers
Resources
7
Founded in 1976 Rideauwood Addiction and Family Service is a non-profit agency serving
adults adolescents and family members We provide group and individual treatment on an out-
patient basis as well as training and consultation
We currently provide the following programs
Adult Family Parent
School-Based Teen Young Adult
Adult Drug Treatment Court
Youth Mental Health Court Youth Probation
Gambling
Public Education Training amp Consultation
8
All English high schools in the Ottawa area
Onsite weekly during school year
Available at Rideauwood during the summer months
Catholic Board (OCSB) Grades 7-12
Public Board (OCDSB) Grades 9-12
All Senior Elementary Schools (OCDSB) Delivering presentations to all grade 7 and 8 classes -
RPEP
9
Referrals
Consent
Confidential Counselling
Parent Involvement
School Staff Support amp Collaboration
Class Presentations
10
RPEP
Provides an important aspect of life learning that students can build on as they progress through school
Builds resilience self awareness coping skills refusal skills and the understanding of potential risk factors as well as habit forming behaviours
Earlier identification of counselling needs
Assists in bridging services to the high school program
11
Alcohol 46 of students report drinking in the past year
14 mixed alcohol with an energy drink in the past year
18 report binge drinking in the past month
16 report getting drunk in the past month
22 played drinking games in the past month
20 report drinking hazardously in the past year
19 could not remember their activities in the past year
9 were injured or injured someone else because of their drinking in the past
year
27 are allowed to drink at home with their friends
grades 9-12
12
Cannabis
21 report using cannabis in the past year
2 report using cannabis daily in the past month
2 have symptoms of cannabis dependence
28 usually obtained cannabis from a friend
5 report vaping cannabis in the past year
grades 9-12
13
Cigarettes
9 of students report smoking cigarettes in the past year
3 report smoking daily in the past year
62 of smokers obtain cigarettes from friends or family
3 report smoking contraband cigarettes in the past year
6 report using smokeless tobacco in the past year
12 report using use electronic cigarettes in the past year
14
These surveys include only youth attending school who were able to participate Given these
limitations the actual rates of both past-year and heavy cannabis use among Canadian youth
are likely to be higher than reported
In Canada as in most western societies the 15- to 24-year-old segment of the population has
much higher use of cannabis than those aged 25 and over At the same time youth have
relatively high levels of alcohol use but much lower use of tobacco
Canadian youth lack knowledge and have misconceptions about the effects of cannabis that
contribute to favourable attitudes towards its use
Adolescents are more sensitive than adults to the adverse effects of regular heavy use of
cannabis including cognitive impairment dependence poor psychosocial development
impaired school and work performance drug-related psychiatric illness and generally poorer
treatment outcomes
15
Stage 1 Experimentation
Limited substance use (2-4x)
Poly substance use
Using in a group
Usually parents unaware
Usually no trouble as a result of use
Canrsquot remain in this stage
Stage 2 Regular Social Use
Actively plans use
Sets own limits (rules)
No real pattern of use
Some planned misuse
Sometimes unplanned misuse
Learns from mistakes of misuse
Uses for fun
Uses with others
16 Adapted from Johnson 1986
Stage 3 Problematic Use
Plans use ahead of time
Wants use to be part of social life
Using effects others around them
May change peer group
Drops other activities in favour of using
Begins to surpass own limits (breaks rules)
Defense mechanisms start
May attempt to cut down or quit
Able to make positive changes with help
17 Adapted from Johnson 1986
Stage 4 Addiction
Using is the goal
Many unsuccessful attempts to quit
Loss of control
Many relationships have been damaged
Family and friends are frustrated
Becomes more isolated
Increased concern for mental health issues
Has moments of clarity regarding the need to get help
Treatment often required at this stage
Canrsquot make change on their own anymore
18 Adapted from Johnson 1986
19
Normal
Pain Euphoria
Adapted from Joseph A Muldoon 1988
20
Stage 1 Learning the Mood Swing = Experimentation
Stage 2 Seeking the Mood Swing = Regular Social Use
Stage 3 Harmfully Involved = Problematic Use
Stage 4 Using to Feel to Normal = Addiction
Adapted from Johnson 1986
21
A decline in grades
Personality changes
Mood swings
Change in peer group
Secretive
Uncommunicative
Spends more time alone
Confused disoriented andor lethargic
Dishonesty (lying over trivial things)
Extremely defensive
Illusive about whereabouts friends and activities
Problems in the community (law)
Unexplained financial drain
Money or items missing from home
Dropping extra curricular activities
Becoming irresponsible towards household duties job house rules
Increase school problems skipping classes increased lateness
Changes in sleeping andor eating habits (weight)
Changes in self-care and appearance
Possession of drug paraphernalia
22
Alcohol rule based and socially acceptable
Cannabis normalized points of view
Increase in prescription use not prescribed
ex percocets xanax adderall
Increased poly drug use ndash pills ++
23
Often added to other powders (eg heroin Ketamine)
pills(eg oxy and benzos) liquids and marijuana in order to boost there potency
It is roughly 50 ndash 100 times more toxic than morphine
When fentanyl is cut into other drugs you canrsquot see smell or taste it
Also known as white china murder 8 dance fever and good-fella
When naloxone is in communities it has been shown to reduce overdose rates by 50
24
BCCDC (Bristish Columbia Centre for
Disease Control)
Used by veterinarians for very large animals
Not for human use
Is 100 times more toxic than fentanyl
Is 10000 times more toxic than morphine
Therefore can be deadly in extremely small amounts
Has been found in Ontario
Added the same way as fentanyl to other drugs (ex green
pills stamped lsquoCDNrsquo on one side and rsquo80rsquo on the other)
25 (Ottawa Public Health)
Severe sleepiness Trouble breathing Slow heartbeat Slow shallow breathing or snoring may sound like
gurgling Cold clammy skin Trouble walking or talking Unresponsive even when shaken Pin point pupils vomiting
26 Ottawa Public Health
Community collaboration ndash combined efforts police public health community centers schoolshelliphellip
Public awareness ndash media news reportshellip
Crisis response ndash hospitalsEmergency mobile health units increased availability of naloxone in pharmacy training on the use of naloxone provided to anyone
27
Examine your own views on drugalcohol use
Be informed about drugs and their effects
Establish clear expectations and consequences with your youth
As caregiver present a clear unified position
Discuss differences in strategies apart from your child
Set consequences with which you are able to follow through
28
Acknowledge amp Validate positive behavior out loud
Choose your battles
Ask open ended questions
Limit screen time (time limit dinner table bedtime family time)
Allow yourself time to reflect before answering requests from your youth
Itrsquos okay to make mistakes or be unsure and acknowledge that to your youth
Remember that it matters to your child what you think
29
You donrsquot have to agree with the situation behavior perspective you need to validate the feelings then problem solve
Dysregulated Child + Overwhelmed Parent = Co-Dysregulation Need 3 Rrsquos Regulate Relate Reason(Bruce Perry 2013)
Emotion Family Focused Therapy (website in resource section)
Emotion Coaching Skills 1 Attend to emotion 2label and express
the emotion 3 validate the emotion 4meet the need 5Fix itproblem solve
30
Expectations are important aspects of relationship because they communicate the behavior and roles that support boundaries and health
Actively encourage your teen to be involved in influencing the outcome of challenges by eliciting their participation
Inviting them to be involved in family conversations asking for there ideas amp supporting them to follow through on ideas in a way that gets them proactively involved
31
https
wwwyoutubecomwatchv=1Evwgu369Jw
Having considered all these strategies and recognizing that perhaps many of these you already practice what could be next steps your practice or organization could do to improve on assisting youth and families
33
httpwwwdrugrehabcaontario-teen-drug-rehabhtml
httpwwwdrugandalcoholhelplineca
httpwwwcamhcaenhospitalcare_program_and_servicesOutreach_ServicesPagesguide_psychiatric_outreachaspx
httpwwwhealthycanadiansgccatask-force-marijuana-groupe-etudeframework-cadreindex-engphp
34
httpwwwcamhxcaPublicationsOSDUHS2015
httpwwwccsacaEngtopicsMental-Health-and-Substance-AbusePagesdefaultaspx
35
Emotion-Focused Family Therapy emotionfocusedfamilytherapyorg
Books
1ldquoA survival Guide to Parenting Teensrdquo by Joani Geltman
2 ldquoBeyond Addictionrdquo by Jeffery Foote
3ldquoThe Awakened Familyrdquo by Shefali Tsabary
36
37
Complete todayrsquos evaluation amp apply for professional credits
Questions or Comments
Video-conferencers Unmute your system to ask a question
Webcasters Type your question
for participating in todayrsquos
Mental Health Series
Join us next time February 16 2017 With Dr Erin Kelly
Thank you
mentalhealthseriescheoonca
By registering for todayrsquos eventhellip
You will have had an opportunity to apply for professional credits or a certificate of attendance
You will receive an email with a link to todayrsquos online evaluation
Visit our website to download slides and view archived events
Sign-up to our distribution list to receive our event notifications
Questions mentalhealthseriescheoonca
You may also want tohellip
Declaration of Conflict
Speaker has nothing to disclose with regard to commercial support
Speaker does not plan to discuss unlabeled investigational uses of commercial product
Partner Presentation
CHEO and the Royal work closely and actively with many community agencies and health care providers
This presentation is brought to you by one of our local partners The information and views presented today represents that of our partner organization
Rideauwood Overview
School Based Program
Ontario Statistics (OSDUHS)
The Stages of Substance Use
The Mood Swing Chart
Youth Substance Use - Trends
Strategies to support caregivers
Resources
7
Founded in 1976 Rideauwood Addiction and Family Service is a non-profit agency serving
adults adolescents and family members We provide group and individual treatment on an out-
patient basis as well as training and consultation
We currently provide the following programs
Adult Family Parent
School-Based Teen Young Adult
Adult Drug Treatment Court
Youth Mental Health Court Youth Probation
Gambling
Public Education Training amp Consultation
8
All English high schools in the Ottawa area
Onsite weekly during school year
Available at Rideauwood during the summer months
Catholic Board (OCSB) Grades 7-12
Public Board (OCDSB) Grades 9-12
All Senior Elementary Schools (OCDSB) Delivering presentations to all grade 7 and 8 classes -
RPEP
9
Referrals
Consent
Confidential Counselling
Parent Involvement
School Staff Support amp Collaboration
Class Presentations
10
RPEP
Provides an important aspect of life learning that students can build on as they progress through school
Builds resilience self awareness coping skills refusal skills and the understanding of potential risk factors as well as habit forming behaviours
Earlier identification of counselling needs
Assists in bridging services to the high school program
11
Alcohol 46 of students report drinking in the past year
14 mixed alcohol with an energy drink in the past year
18 report binge drinking in the past month
16 report getting drunk in the past month
22 played drinking games in the past month
20 report drinking hazardously in the past year
19 could not remember their activities in the past year
9 were injured or injured someone else because of their drinking in the past
year
27 are allowed to drink at home with their friends
grades 9-12
12
Cannabis
21 report using cannabis in the past year
2 report using cannabis daily in the past month
2 have symptoms of cannabis dependence
28 usually obtained cannabis from a friend
5 report vaping cannabis in the past year
grades 9-12
13
Cigarettes
9 of students report smoking cigarettes in the past year
3 report smoking daily in the past year
62 of smokers obtain cigarettes from friends or family
3 report smoking contraband cigarettes in the past year
6 report using smokeless tobacco in the past year
12 report using use electronic cigarettes in the past year
14
These surveys include only youth attending school who were able to participate Given these
limitations the actual rates of both past-year and heavy cannabis use among Canadian youth
are likely to be higher than reported
In Canada as in most western societies the 15- to 24-year-old segment of the population has
much higher use of cannabis than those aged 25 and over At the same time youth have
relatively high levels of alcohol use but much lower use of tobacco
Canadian youth lack knowledge and have misconceptions about the effects of cannabis that
contribute to favourable attitudes towards its use
Adolescents are more sensitive than adults to the adverse effects of regular heavy use of
cannabis including cognitive impairment dependence poor psychosocial development
impaired school and work performance drug-related psychiatric illness and generally poorer
treatment outcomes
15
Stage 1 Experimentation
Limited substance use (2-4x)
Poly substance use
Using in a group
Usually parents unaware
Usually no trouble as a result of use
Canrsquot remain in this stage
Stage 2 Regular Social Use
Actively plans use
Sets own limits (rules)
No real pattern of use
Some planned misuse
Sometimes unplanned misuse
Learns from mistakes of misuse
Uses for fun
Uses with others
16 Adapted from Johnson 1986
Stage 3 Problematic Use
Plans use ahead of time
Wants use to be part of social life
Using effects others around them
May change peer group
Drops other activities in favour of using
Begins to surpass own limits (breaks rules)
Defense mechanisms start
May attempt to cut down or quit
Able to make positive changes with help
17 Adapted from Johnson 1986
Stage 4 Addiction
Using is the goal
Many unsuccessful attempts to quit
Loss of control
Many relationships have been damaged
Family and friends are frustrated
Becomes more isolated
Increased concern for mental health issues
Has moments of clarity regarding the need to get help
Treatment often required at this stage
Canrsquot make change on their own anymore
18 Adapted from Johnson 1986
19
Normal
Pain Euphoria
Adapted from Joseph A Muldoon 1988
20
Stage 1 Learning the Mood Swing = Experimentation
Stage 2 Seeking the Mood Swing = Regular Social Use
Stage 3 Harmfully Involved = Problematic Use
Stage 4 Using to Feel to Normal = Addiction
Adapted from Johnson 1986
21
A decline in grades
Personality changes
Mood swings
Change in peer group
Secretive
Uncommunicative
Spends more time alone
Confused disoriented andor lethargic
Dishonesty (lying over trivial things)
Extremely defensive
Illusive about whereabouts friends and activities
Problems in the community (law)
Unexplained financial drain
Money or items missing from home
Dropping extra curricular activities
Becoming irresponsible towards household duties job house rules
Increase school problems skipping classes increased lateness
Changes in sleeping andor eating habits (weight)
Changes in self-care and appearance
Possession of drug paraphernalia
22
Alcohol rule based and socially acceptable
Cannabis normalized points of view
Increase in prescription use not prescribed
ex percocets xanax adderall
Increased poly drug use ndash pills ++
23
Often added to other powders (eg heroin Ketamine)
pills(eg oxy and benzos) liquids and marijuana in order to boost there potency
It is roughly 50 ndash 100 times more toxic than morphine
When fentanyl is cut into other drugs you canrsquot see smell or taste it
Also known as white china murder 8 dance fever and good-fella
When naloxone is in communities it has been shown to reduce overdose rates by 50
24
BCCDC (Bristish Columbia Centre for
Disease Control)
Used by veterinarians for very large animals
Not for human use
Is 100 times more toxic than fentanyl
Is 10000 times more toxic than morphine
Therefore can be deadly in extremely small amounts
Has been found in Ontario
Added the same way as fentanyl to other drugs (ex green
pills stamped lsquoCDNrsquo on one side and rsquo80rsquo on the other)
25 (Ottawa Public Health)
Severe sleepiness Trouble breathing Slow heartbeat Slow shallow breathing or snoring may sound like
gurgling Cold clammy skin Trouble walking or talking Unresponsive even when shaken Pin point pupils vomiting
26 Ottawa Public Health
Community collaboration ndash combined efforts police public health community centers schoolshelliphellip
Public awareness ndash media news reportshellip
Crisis response ndash hospitalsEmergency mobile health units increased availability of naloxone in pharmacy training on the use of naloxone provided to anyone
27
Examine your own views on drugalcohol use
Be informed about drugs and their effects
Establish clear expectations and consequences with your youth
As caregiver present a clear unified position
Discuss differences in strategies apart from your child
Set consequences with which you are able to follow through
28
Acknowledge amp Validate positive behavior out loud
Choose your battles
Ask open ended questions
Limit screen time (time limit dinner table bedtime family time)
Allow yourself time to reflect before answering requests from your youth
Itrsquos okay to make mistakes or be unsure and acknowledge that to your youth
Remember that it matters to your child what you think
29
You donrsquot have to agree with the situation behavior perspective you need to validate the feelings then problem solve
Dysregulated Child + Overwhelmed Parent = Co-Dysregulation Need 3 Rrsquos Regulate Relate Reason(Bruce Perry 2013)
Emotion Family Focused Therapy (website in resource section)
Emotion Coaching Skills 1 Attend to emotion 2label and express
the emotion 3 validate the emotion 4meet the need 5Fix itproblem solve
30
Expectations are important aspects of relationship because they communicate the behavior and roles that support boundaries and health
Actively encourage your teen to be involved in influencing the outcome of challenges by eliciting their participation
Inviting them to be involved in family conversations asking for there ideas amp supporting them to follow through on ideas in a way that gets them proactively involved
31
https
wwwyoutubecomwatchv=1Evwgu369Jw
Having considered all these strategies and recognizing that perhaps many of these you already practice what could be next steps your practice or organization could do to improve on assisting youth and families
33
httpwwwdrugrehabcaontario-teen-drug-rehabhtml
httpwwwdrugandalcoholhelplineca
httpwwwcamhcaenhospitalcare_program_and_servicesOutreach_ServicesPagesguide_psychiatric_outreachaspx
httpwwwhealthycanadiansgccatask-force-marijuana-groupe-etudeframework-cadreindex-engphp
34
httpwwwcamhxcaPublicationsOSDUHS2015
httpwwwccsacaEngtopicsMental-Health-and-Substance-AbusePagesdefaultaspx
35
Emotion-Focused Family Therapy emotionfocusedfamilytherapyorg
Books
1ldquoA survival Guide to Parenting Teensrdquo by Joani Geltman
2 ldquoBeyond Addictionrdquo by Jeffery Foote
3ldquoThe Awakened Familyrdquo by Shefali Tsabary
36
37
Complete todayrsquos evaluation amp apply for professional credits
Questions or Comments
Video-conferencers Unmute your system to ask a question
Webcasters Type your question
for participating in todayrsquos
Mental Health Series
Join us next time February 16 2017 With Dr Erin Kelly
Thank you
mentalhealthseriescheoonca
Declaration of Conflict
Speaker has nothing to disclose with regard to commercial support
Speaker does not plan to discuss unlabeled investigational uses of commercial product
Partner Presentation
CHEO and the Royal work closely and actively with many community agencies and health care providers
This presentation is brought to you by one of our local partners The information and views presented today represents that of our partner organization
Rideauwood Overview
School Based Program
Ontario Statistics (OSDUHS)
The Stages of Substance Use
The Mood Swing Chart
Youth Substance Use - Trends
Strategies to support caregivers
Resources
7
Founded in 1976 Rideauwood Addiction and Family Service is a non-profit agency serving
adults adolescents and family members We provide group and individual treatment on an out-
patient basis as well as training and consultation
We currently provide the following programs
Adult Family Parent
School-Based Teen Young Adult
Adult Drug Treatment Court
Youth Mental Health Court Youth Probation
Gambling
Public Education Training amp Consultation
8
All English high schools in the Ottawa area
Onsite weekly during school year
Available at Rideauwood during the summer months
Catholic Board (OCSB) Grades 7-12
Public Board (OCDSB) Grades 9-12
All Senior Elementary Schools (OCDSB) Delivering presentations to all grade 7 and 8 classes -
RPEP
9
Referrals
Consent
Confidential Counselling
Parent Involvement
School Staff Support amp Collaboration
Class Presentations
10
RPEP
Provides an important aspect of life learning that students can build on as they progress through school
Builds resilience self awareness coping skills refusal skills and the understanding of potential risk factors as well as habit forming behaviours
Earlier identification of counselling needs
Assists in bridging services to the high school program
11
Alcohol 46 of students report drinking in the past year
14 mixed alcohol with an energy drink in the past year
18 report binge drinking in the past month
16 report getting drunk in the past month
22 played drinking games in the past month
20 report drinking hazardously in the past year
19 could not remember their activities in the past year
9 were injured or injured someone else because of their drinking in the past
year
27 are allowed to drink at home with their friends
grades 9-12
12
Cannabis
21 report using cannabis in the past year
2 report using cannabis daily in the past month
2 have symptoms of cannabis dependence
28 usually obtained cannabis from a friend
5 report vaping cannabis in the past year
grades 9-12
13
Cigarettes
9 of students report smoking cigarettes in the past year
3 report smoking daily in the past year
62 of smokers obtain cigarettes from friends or family
3 report smoking contraband cigarettes in the past year
6 report using smokeless tobacco in the past year
12 report using use electronic cigarettes in the past year
14
These surveys include only youth attending school who were able to participate Given these
limitations the actual rates of both past-year and heavy cannabis use among Canadian youth
are likely to be higher than reported
In Canada as in most western societies the 15- to 24-year-old segment of the population has
much higher use of cannabis than those aged 25 and over At the same time youth have
relatively high levels of alcohol use but much lower use of tobacco
Canadian youth lack knowledge and have misconceptions about the effects of cannabis that
contribute to favourable attitudes towards its use
Adolescents are more sensitive than adults to the adverse effects of regular heavy use of
cannabis including cognitive impairment dependence poor psychosocial development
impaired school and work performance drug-related psychiatric illness and generally poorer
treatment outcomes
15
Stage 1 Experimentation
Limited substance use (2-4x)
Poly substance use
Using in a group
Usually parents unaware
Usually no trouble as a result of use
Canrsquot remain in this stage
Stage 2 Regular Social Use
Actively plans use
Sets own limits (rules)
No real pattern of use
Some planned misuse
Sometimes unplanned misuse
Learns from mistakes of misuse
Uses for fun
Uses with others
16 Adapted from Johnson 1986
Stage 3 Problematic Use
Plans use ahead of time
Wants use to be part of social life
Using effects others around them
May change peer group
Drops other activities in favour of using
Begins to surpass own limits (breaks rules)
Defense mechanisms start
May attempt to cut down or quit
Able to make positive changes with help
17 Adapted from Johnson 1986
Stage 4 Addiction
Using is the goal
Many unsuccessful attempts to quit
Loss of control
Many relationships have been damaged
Family and friends are frustrated
Becomes more isolated
Increased concern for mental health issues
Has moments of clarity regarding the need to get help
Treatment often required at this stage
Canrsquot make change on their own anymore
18 Adapted from Johnson 1986
19
Normal
Pain Euphoria
Adapted from Joseph A Muldoon 1988
20
Stage 1 Learning the Mood Swing = Experimentation
Stage 2 Seeking the Mood Swing = Regular Social Use
Stage 3 Harmfully Involved = Problematic Use
Stage 4 Using to Feel to Normal = Addiction
Adapted from Johnson 1986
21
A decline in grades
Personality changes
Mood swings
Change in peer group
Secretive
Uncommunicative
Spends more time alone
Confused disoriented andor lethargic
Dishonesty (lying over trivial things)
Extremely defensive
Illusive about whereabouts friends and activities
Problems in the community (law)
Unexplained financial drain
Money or items missing from home
Dropping extra curricular activities
Becoming irresponsible towards household duties job house rules
Increase school problems skipping classes increased lateness
Changes in sleeping andor eating habits (weight)
Changes in self-care and appearance
Possession of drug paraphernalia
22
Alcohol rule based and socially acceptable
Cannabis normalized points of view
Increase in prescription use not prescribed
ex percocets xanax adderall
Increased poly drug use ndash pills ++
23
Often added to other powders (eg heroin Ketamine)
pills(eg oxy and benzos) liquids and marijuana in order to boost there potency
It is roughly 50 ndash 100 times more toxic than morphine
When fentanyl is cut into other drugs you canrsquot see smell or taste it
Also known as white china murder 8 dance fever and good-fella
When naloxone is in communities it has been shown to reduce overdose rates by 50
24
BCCDC (Bristish Columbia Centre for
Disease Control)
Used by veterinarians for very large animals
Not for human use
Is 100 times more toxic than fentanyl
Is 10000 times more toxic than morphine
Therefore can be deadly in extremely small amounts
Has been found in Ontario
Added the same way as fentanyl to other drugs (ex green
pills stamped lsquoCDNrsquo on one side and rsquo80rsquo on the other)
25 (Ottawa Public Health)
Severe sleepiness Trouble breathing Slow heartbeat Slow shallow breathing or snoring may sound like
gurgling Cold clammy skin Trouble walking or talking Unresponsive even when shaken Pin point pupils vomiting
26 Ottawa Public Health
Community collaboration ndash combined efforts police public health community centers schoolshelliphellip
Public awareness ndash media news reportshellip
Crisis response ndash hospitalsEmergency mobile health units increased availability of naloxone in pharmacy training on the use of naloxone provided to anyone
27
Examine your own views on drugalcohol use
Be informed about drugs and their effects
Establish clear expectations and consequences with your youth
As caregiver present a clear unified position
Discuss differences in strategies apart from your child
Set consequences with which you are able to follow through
28
Acknowledge amp Validate positive behavior out loud
Choose your battles
Ask open ended questions
Limit screen time (time limit dinner table bedtime family time)
Allow yourself time to reflect before answering requests from your youth
Itrsquos okay to make mistakes or be unsure and acknowledge that to your youth
Remember that it matters to your child what you think
29
You donrsquot have to agree with the situation behavior perspective you need to validate the feelings then problem solve
Dysregulated Child + Overwhelmed Parent = Co-Dysregulation Need 3 Rrsquos Regulate Relate Reason(Bruce Perry 2013)
Emotion Family Focused Therapy (website in resource section)
Emotion Coaching Skills 1 Attend to emotion 2label and express
the emotion 3 validate the emotion 4meet the need 5Fix itproblem solve
30
Expectations are important aspects of relationship because they communicate the behavior and roles that support boundaries and health
Actively encourage your teen to be involved in influencing the outcome of challenges by eliciting their participation
Inviting them to be involved in family conversations asking for there ideas amp supporting them to follow through on ideas in a way that gets them proactively involved
31
https
wwwyoutubecomwatchv=1Evwgu369Jw
Having considered all these strategies and recognizing that perhaps many of these you already practice what could be next steps your practice or organization could do to improve on assisting youth and families
33
httpwwwdrugrehabcaontario-teen-drug-rehabhtml
httpwwwdrugandalcoholhelplineca
httpwwwcamhcaenhospitalcare_program_and_servicesOutreach_ServicesPagesguide_psychiatric_outreachaspx
httpwwwhealthycanadiansgccatask-force-marijuana-groupe-etudeframework-cadreindex-engphp
34
httpwwwcamhxcaPublicationsOSDUHS2015
httpwwwccsacaEngtopicsMental-Health-and-Substance-AbusePagesdefaultaspx
35
Emotion-Focused Family Therapy emotionfocusedfamilytherapyorg
Books
1ldquoA survival Guide to Parenting Teensrdquo by Joani Geltman
2 ldquoBeyond Addictionrdquo by Jeffery Foote
3ldquoThe Awakened Familyrdquo by Shefali Tsabary
36
37
Complete todayrsquos evaluation amp apply for professional credits
Questions or Comments
Video-conferencers Unmute your system to ask a question
Webcasters Type your question
for participating in todayrsquos
Mental Health Series
Join us next time February 16 2017 With Dr Erin Kelly
Thank you
mentalhealthseriescheoonca
Partner Presentation
CHEO and the Royal work closely and actively with many community agencies and health care providers
This presentation is brought to you by one of our local partners The information and views presented today represents that of our partner organization
Rideauwood Overview
School Based Program
Ontario Statistics (OSDUHS)
The Stages of Substance Use
The Mood Swing Chart
Youth Substance Use - Trends
Strategies to support caregivers
Resources
7
Founded in 1976 Rideauwood Addiction and Family Service is a non-profit agency serving
adults adolescents and family members We provide group and individual treatment on an out-
patient basis as well as training and consultation
We currently provide the following programs
Adult Family Parent
School-Based Teen Young Adult
Adult Drug Treatment Court
Youth Mental Health Court Youth Probation
Gambling
Public Education Training amp Consultation
8
All English high schools in the Ottawa area
Onsite weekly during school year
Available at Rideauwood during the summer months
Catholic Board (OCSB) Grades 7-12
Public Board (OCDSB) Grades 9-12
All Senior Elementary Schools (OCDSB) Delivering presentations to all grade 7 and 8 classes -
RPEP
9
Referrals
Consent
Confidential Counselling
Parent Involvement
School Staff Support amp Collaboration
Class Presentations
10
RPEP
Provides an important aspect of life learning that students can build on as they progress through school
Builds resilience self awareness coping skills refusal skills and the understanding of potential risk factors as well as habit forming behaviours
Earlier identification of counselling needs
Assists in bridging services to the high school program
11
Alcohol 46 of students report drinking in the past year
14 mixed alcohol with an energy drink in the past year
18 report binge drinking in the past month
16 report getting drunk in the past month
22 played drinking games in the past month
20 report drinking hazardously in the past year
19 could not remember their activities in the past year
9 were injured or injured someone else because of their drinking in the past
year
27 are allowed to drink at home with their friends
grades 9-12
12
Cannabis
21 report using cannabis in the past year
2 report using cannabis daily in the past month
2 have symptoms of cannabis dependence
28 usually obtained cannabis from a friend
5 report vaping cannabis in the past year
grades 9-12
13
Cigarettes
9 of students report smoking cigarettes in the past year
3 report smoking daily in the past year
62 of smokers obtain cigarettes from friends or family
3 report smoking contraband cigarettes in the past year
6 report using smokeless tobacco in the past year
12 report using use electronic cigarettes in the past year
14
These surveys include only youth attending school who were able to participate Given these
limitations the actual rates of both past-year and heavy cannabis use among Canadian youth
are likely to be higher than reported
In Canada as in most western societies the 15- to 24-year-old segment of the population has
much higher use of cannabis than those aged 25 and over At the same time youth have
relatively high levels of alcohol use but much lower use of tobacco
Canadian youth lack knowledge and have misconceptions about the effects of cannabis that
contribute to favourable attitudes towards its use
Adolescents are more sensitive than adults to the adverse effects of regular heavy use of
cannabis including cognitive impairment dependence poor psychosocial development
impaired school and work performance drug-related psychiatric illness and generally poorer
treatment outcomes
15
Stage 1 Experimentation
Limited substance use (2-4x)
Poly substance use
Using in a group
Usually parents unaware
Usually no trouble as a result of use
Canrsquot remain in this stage
Stage 2 Regular Social Use
Actively plans use
Sets own limits (rules)
No real pattern of use
Some planned misuse
Sometimes unplanned misuse
Learns from mistakes of misuse
Uses for fun
Uses with others
16 Adapted from Johnson 1986
Stage 3 Problematic Use
Plans use ahead of time
Wants use to be part of social life
Using effects others around them
May change peer group
Drops other activities in favour of using
Begins to surpass own limits (breaks rules)
Defense mechanisms start
May attempt to cut down or quit
Able to make positive changes with help
17 Adapted from Johnson 1986
Stage 4 Addiction
Using is the goal
Many unsuccessful attempts to quit
Loss of control
Many relationships have been damaged
Family and friends are frustrated
Becomes more isolated
Increased concern for mental health issues
Has moments of clarity regarding the need to get help
Treatment often required at this stage
Canrsquot make change on their own anymore
18 Adapted from Johnson 1986
19
Normal
Pain Euphoria
Adapted from Joseph A Muldoon 1988
20
Stage 1 Learning the Mood Swing = Experimentation
Stage 2 Seeking the Mood Swing = Regular Social Use
Stage 3 Harmfully Involved = Problematic Use
Stage 4 Using to Feel to Normal = Addiction
Adapted from Johnson 1986
21
A decline in grades
Personality changes
Mood swings
Change in peer group
Secretive
Uncommunicative
Spends more time alone
Confused disoriented andor lethargic
Dishonesty (lying over trivial things)
Extremely defensive
Illusive about whereabouts friends and activities
Problems in the community (law)
Unexplained financial drain
Money or items missing from home
Dropping extra curricular activities
Becoming irresponsible towards household duties job house rules
Increase school problems skipping classes increased lateness
Changes in sleeping andor eating habits (weight)
Changes in self-care and appearance
Possession of drug paraphernalia
22
Alcohol rule based and socially acceptable
Cannabis normalized points of view
Increase in prescription use not prescribed
ex percocets xanax adderall
Increased poly drug use ndash pills ++
23
Often added to other powders (eg heroin Ketamine)
pills(eg oxy and benzos) liquids and marijuana in order to boost there potency
It is roughly 50 ndash 100 times more toxic than morphine
When fentanyl is cut into other drugs you canrsquot see smell or taste it
Also known as white china murder 8 dance fever and good-fella
When naloxone is in communities it has been shown to reduce overdose rates by 50
24
BCCDC (Bristish Columbia Centre for
Disease Control)
Used by veterinarians for very large animals
Not for human use
Is 100 times more toxic than fentanyl
Is 10000 times more toxic than morphine
Therefore can be deadly in extremely small amounts
Has been found in Ontario
Added the same way as fentanyl to other drugs (ex green
pills stamped lsquoCDNrsquo on one side and rsquo80rsquo on the other)
25 (Ottawa Public Health)
Severe sleepiness Trouble breathing Slow heartbeat Slow shallow breathing or snoring may sound like
gurgling Cold clammy skin Trouble walking or talking Unresponsive even when shaken Pin point pupils vomiting
26 Ottawa Public Health
Community collaboration ndash combined efforts police public health community centers schoolshelliphellip
Public awareness ndash media news reportshellip
Crisis response ndash hospitalsEmergency mobile health units increased availability of naloxone in pharmacy training on the use of naloxone provided to anyone
27
Examine your own views on drugalcohol use
Be informed about drugs and their effects
Establish clear expectations and consequences with your youth
As caregiver present a clear unified position
Discuss differences in strategies apart from your child
Set consequences with which you are able to follow through
28
Acknowledge amp Validate positive behavior out loud
Choose your battles
Ask open ended questions
Limit screen time (time limit dinner table bedtime family time)
Allow yourself time to reflect before answering requests from your youth
Itrsquos okay to make mistakes or be unsure and acknowledge that to your youth
Remember that it matters to your child what you think
29
You donrsquot have to agree with the situation behavior perspective you need to validate the feelings then problem solve
Dysregulated Child + Overwhelmed Parent = Co-Dysregulation Need 3 Rrsquos Regulate Relate Reason(Bruce Perry 2013)
Emotion Family Focused Therapy (website in resource section)
Emotion Coaching Skills 1 Attend to emotion 2label and express
the emotion 3 validate the emotion 4meet the need 5Fix itproblem solve
30
Expectations are important aspects of relationship because they communicate the behavior and roles that support boundaries and health
Actively encourage your teen to be involved in influencing the outcome of challenges by eliciting their participation
Inviting them to be involved in family conversations asking for there ideas amp supporting them to follow through on ideas in a way that gets them proactively involved
31
https
wwwyoutubecomwatchv=1Evwgu369Jw
Having considered all these strategies and recognizing that perhaps many of these you already practice what could be next steps your practice or organization could do to improve on assisting youth and families
33
httpwwwdrugrehabcaontario-teen-drug-rehabhtml
httpwwwdrugandalcoholhelplineca
httpwwwcamhcaenhospitalcare_program_and_servicesOutreach_ServicesPagesguide_psychiatric_outreachaspx
httpwwwhealthycanadiansgccatask-force-marijuana-groupe-etudeframework-cadreindex-engphp
34
httpwwwcamhxcaPublicationsOSDUHS2015
httpwwwccsacaEngtopicsMental-Health-and-Substance-AbusePagesdefaultaspx
35
Emotion-Focused Family Therapy emotionfocusedfamilytherapyorg
Books
1ldquoA survival Guide to Parenting Teensrdquo by Joani Geltman
2 ldquoBeyond Addictionrdquo by Jeffery Foote
3ldquoThe Awakened Familyrdquo by Shefali Tsabary
36
37
Complete todayrsquos evaluation amp apply for professional credits
Questions or Comments
Video-conferencers Unmute your system to ask a question
Webcasters Type your question
for participating in todayrsquos
Mental Health Series
Join us next time February 16 2017 With Dr Erin Kelly
Thank you
mentalhealthseriescheoonca
Rideauwood Overview
School Based Program
Ontario Statistics (OSDUHS)
The Stages of Substance Use
The Mood Swing Chart
Youth Substance Use - Trends
Strategies to support caregivers
Resources
7
Founded in 1976 Rideauwood Addiction and Family Service is a non-profit agency serving
adults adolescents and family members We provide group and individual treatment on an out-
patient basis as well as training and consultation
We currently provide the following programs
Adult Family Parent
School-Based Teen Young Adult
Adult Drug Treatment Court
Youth Mental Health Court Youth Probation
Gambling
Public Education Training amp Consultation
8
All English high schools in the Ottawa area
Onsite weekly during school year
Available at Rideauwood during the summer months
Catholic Board (OCSB) Grades 7-12
Public Board (OCDSB) Grades 9-12
All Senior Elementary Schools (OCDSB) Delivering presentations to all grade 7 and 8 classes -
RPEP
9
Referrals
Consent
Confidential Counselling
Parent Involvement
School Staff Support amp Collaboration
Class Presentations
10
RPEP
Provides an important aspect of life learning that students can build on as they progress through school
Builds resilience self awareness coping skills refusal skills and the understanding of potential risk factors as well as habit forming behaviours
Earlier identification of counselling needs
Assists in bridging services to the high school program
11
Alcohol 46 of students report drinking in the past year
14 mixed alcohol with an energy drink in the past year
18 report binge drinking in the past month
16 report getting drunk in the past month
22 played drinking games in the past month
20 report drinking hazardously in the past year
19 could not remember their activities in the past year
9 were injured or injured someone else because of their drinking in the past
year
27 are allowed to drink at home with their friends
grades 9-12
12
Cannabis
21 report using cannabis in the past year
2 report using cannabis daily in the past month
2 have symptoms of cannabis dependence
28 usually obtained cannabis from a friend
5 report vaping cannabis in the past year
grades 9-12
13
Cigarettes
9 of students report smoking cigarettes in the past year
3 report smoking daily in the past year
62 of smokers obtain cigarettes from friends or family
3 report smoking contraband cigarettes in the past year
6 report using smokeless tobacco in the past year
12 report using use electronic cigarettes in the past year
14
These surveys include only youth attending school who were able to participate Given these
limitations the actual rates of both past-year and heavy cannabis use among Canadian youth
are likely to be higher than reported
In Canada as in most western societies the 15- to 24-year-old segment of the population has
much higher use of cannabis than those aged 25 and over At the same time youth have
relatively high levels of alcohol use but much lower use of tobacco
Canadian youth lack knowledge and have misconceptions about the effects of cannabis that
contribute to favourable attitudes towards its use
Adolescents are more sensitive than adults to the adverse effects of regular heavy use of
cannabis including cognitive impairment dependence poor psychosocial development
impaired school and work performance drug-related psychiatric illness and generally poorer
treatment outcomes
15
Stage 1 Experimentation
Limited substance use (2-4x)
Poly substance use
Using in a group
Usually parents unaware
Usually no trouble as a result of use
Canrsquot remain in this stage
Stage 2 Regular Social Use
Actively plans use
Sets own limits (rules)
No real pattern of use
Some planned misuse
Sometimes unplanned misuse
Learns from mistakes of misuse
Uses for fun
Uses with others
16 Adapted from Johnson 1986
Stage 3 Problematic Use
Plans use ahead of time
Wants use to be part of social life
Using effects others around them
May change peer group
Drops other activities in favour of using
Begins to surpass own limits (breaks rules)
Defense mechanisms start
May attempt to cut down or quit
Able to make positive changes with help
17 Adapted from Johnson 1986
Stage 4 Addiction
Using is the goal
Many unsuccessful attempts to quit
Loss of control
Many relationships have been damaged
Family and friends are frustrated
Becomes more isolated
Increased concern for mental health issues
Has moments of clarity regarding the need to get help
Treatment often required at this stage
Canrsquot make change on their own anymore
18 Adapted from Johnson 1986
19
Normal
Pain Euphoria
Adapted from Joseph A Muldoon 1988
20
Stage 1 Learning the Mood Swing = Experimentation
Stage 2 Seeking the Mood Swing = Regular Social Use
Stage 3 Harmfully Involved = Problematic Use
Stage 4 Using to Feel to Normal = Addiction
Adapted from Johnson 1986
21
A decline in grades
Personality changes
Mood swings
Change in peer group
Secretive
Uncommunicative
Spends more time alone
Confused disoriented andor lethargic
Dishonesty (lying over trivial things)
Extremely defensive
Illusive about whereabouts friends and activities
Problems in the community (law)
Unexplained financial drain
Money or items missing from home
Dropping extra curricular activities
Becoming irresponsible towards household duties job house rules
Increase school problems skipping classes increased lateness
Changes in sleeping andor eating habits (weight)
Changes in self-care and appearance
Possession of drug paraphernalia
22
Alcohol rule based and socially acceptable
Cannabis normalized points of view
Increase in prescription use not prescribed
ex percocets xanax adderall
Increased poly drug use ndash pills ++
23
Often added to other powders (eg heroin Ketamine)
pills(eg oxy and benzos) liquids and marijuana in order to boost there potency
It is roughly 50 ndash 100 times more toxic than morphine
When fentanyl is cut into other drugs you canrsquot see smell or taste it
Also known as white china murder 8 dance fever and good-fella
When naloxone is in communities it has been shown to reduce overdose rates by 50
24
BCCDC (Bristish Columbia Centre for
Disease Control)
Used by veterinarians for very large animals
Not for human use
Is 100 times more toxic than fentanyl
Is 10000 times more toxic than morphine
Therefore can be deadly in extremely small amounts
Has been found in Ontario
Added the same way as fentanyl to other drugs (ex green
pills stamped lsquoCDNrsquo on one side and rsquo80rsquo on the other)
25 (Ottawa Public Health)
Severe sleepiness Trouble breathing Slow heartbeat Slow shallow breathing or snoring may sound like
gurgling Cold clammy skin Trouble walking or talking Unresponsive even when shaken Pin point pupils vomiting
26 Ottawa Public Health
Community collaboration ndash combined efforts police public health community centers schoolshelliphellip
Public awareness ndash media news reportshellip
Crisis response ndash hospitalsEmergency mobile health units increased availability of naloxone in pharmacy training on the use of naloxone provided to anyone
27
Examine your own views on drugalcohol use
Be informed about drugs and their effects
Establish clear expectations and consequences with your youth
As caregiver present a clear unified position
Discuss differences in strategies apart from your child
Set consequences with which you are able to follow through
28
Acknowledge amp Validate positive behavior out loud
Choose your battles
Ask open ended questions
Limit screen time (time limit dinner table bedtime family time)
Allow yourself time to reflect before answering requests from your youth
Itrsquos okay to make mistakes or be unsure and acknowledge that to your youth
Remember that it matters to your child what you think
29
You donrsquot have to agree with the situation behavior perspective you need to validate the feelings then problem solve
Dysregulated Child + Overwhelmed Parent = Co-Dysregulation Need 3 Rrsquos Regulate Relate Reason(Bruce Perry 2013)
Emotion Family Focused Therapy (website in resource section)
Emotion Coaching Skills 1 Attend to emotion 2label and express
the emotion 3 validate the emotion 4meet the need 5Fix itproblem solve
30
Expectations are important aspects of relationship because they communicate the behavior and roles that support boundaries and health
Actively encourage your teen to be involved in influencing the outcome of challenges by eliciting their participation
Inviting them to be involved in family conversations asking for there ideas amp supporting them to follow through on ideas in a way that gets them proactively involved
31
https
wwwyoutubecomwatchv=1Evwgu369Jw
Having considered all these strategies and recognizing that perhaps many of these you already practice what could be next steps your practice or organization could do to improve on assisting youth and families
33
httpwwwdrugrehabcaontario-teen-drug-rehabhtml
httpwwwdrugandalcoholhelplineca
httpwwwcamhcaenhospitalcare_program_and_servicesOutreach_ServicesPagesguide_psychiatric_outreachaspx
httpwwwhealthycanadiansgccatask-force-marijuana-groupe-etudeframework-cadreindex-engphp
34
httpwwwcamhxcaPublicationsOSDUHS2015
httpwwwccsacaEngtopicsMental-Health-and-Substance-AbusePagesdefaultaspx
35
Emotion-Focused Family Therapy emotionfocusedfamilytherapyorg
Books
1ldquoA survival Guide to Parenting Teensrdquo by Joani Geltman
2 ldquoBeyond Addictionrdquo by Jeffery Foote
3ldquoThe Awakened Familyrdquo by Shefali Tsabary
36
37
Complete todayrsquos evaluation amp apply for professional credits
Questions or Comments
Video-conferencers Unmute your system to ask a question
Webcasters Type your question
for participating in todayrsquos
Mental Health Series
Join us next time February 16 2017 With Dr Erin Kelly
Thank you
mentalhealthseriescheoonca
Founded in 1976 Rideauwood Addiction and Family Service is a non-profit agency serving
adults adolescents and family members We provide group and individual treatment on an out-
patient basis as well as training and consultation
We currently provide the following programs
Adult Family Parent
School-Based Teen Young Adult
Adult Drug Treatment Court
Youth Mental Health Court Youth Probation
Gambling
Public Education Training amp Consultation
8
All English high schools in the Ottawa area
Onsite weekly during school year
Available at Rideauwood during the summer months
Catholic Board (OCSB) Grades 7-12
Public Board (OCDSB) Grades 9-12
All Senior Elementary Schools (OCDSB) Delivering presentations to all grade 7 and 8 classes -
RPEP
9
Referrals
Consent
Confidential Counselling
Parent Involvement
School Staff Support amp Collaboration
Class Presentations
10
RPEP
Provides an important aspect of life learning that students can build on as they progress through school
Builds resilience self awareness coping skills refusal skills and the understanding of potential risk factors as well as habit forming behaviours
Earlier identification of counselling needs
Assists in bridging services to the high school program
11
Alcohol 46 of students report drinking in the past year
14 mixed alcohol with an energy drink in the past year
18 report binge drinking in the past month
16 report getting drunk in the past month
22 played drinking games in the past month
20 report drinking hazardously in the past year
19 could not remember their activities in the past year
9 were injured or injured someone else because of their drinking in the past
year
27 are allowed to drink at home with their friends
grades 9-12
12
Cannabis
21 report using cannabis in the past year
2 report using cannabis daily in the past month
2 have symptoms of cannabis dependence
28 usually obtained cannabis from a friend
5 report vaping cannabis in the past year
grades 9-12
13
Cigarettes
9 of students report smoking cigarettes in the past year
3 report smoking daily in the past year
62 of smokers obtain cigarettes from friends or family
3 report smoking contraband cigarettes in the past year
6 report using smokeless tobacco in the past year
12 report using use electronic cigarettes in the past year
14
These surveys include only youth attending school who were able to participate Given these
limitations the actual rates of both past-year and heavy cannabis use among Canadian youth
are likely to be higher than reported
In Canada as in most western societies the 15- to 24-year-old segment of the population has
much higher use of cannabis than those aged 25 and over At the same time youth have
relatively high levels of alcohol use but much lower use of tobacco
Canadian youth lack knowledge and have misconceptions about the effects of cannabis that
contribute to favourable attitudes towards its use
Adolescents are more sensitive than adults to the adverse effects of regular heavy use of
cannabis including cognitive impairment dependence poor psychosocial development
impaired school and work performance drug-related psychiatric illness and generally poorer
treatment outcomes
15
Stage 1 Experimentation
Limited substance use (2-4x)
Poly substance use
Using in a group
Usually parents unaware
Usually no trouble as a result of use
Canrsquot remain in this stage
Stage 2 Regular Social Use
Actively plans use
Sets own limits (rules)
No real pattern of use
Some planned misuse
Sometimes unplanned misuse
Learns from mistakes of misuse
Uses for fun
Uses with others
16 Adapted from Johnson 1986
Stage 3 Problematic Use
Plans use ahead of time
Wants use to be part of social life
Using effects others around them
May change peer group
Drops other activities in favour of using
Begins to surpass own limits (breaks rules)
Defense mechanisms start
May attempt to cut down or quit
Able to make positive changes with help
17 Adapted from Johnson 1986
Stage 4 Addiction
Using is the goal
Many unsuccessful attempts to quit
Loss of control
Many relationships have been damaged
Family and friends are frustrated
Becomes more isolated
Increased concern for mental health issues
Has moments of clarity regarding the need to get help
Treatment often required at this stage
Canrsquot make change on their own anymore
18 Adapted from Johnson 1986
19
Normal
Pain Euphoria
Adapted from Joseph A Muldoon 1988
20
Stage 1 Learning the Mood Swing = Experimentation
Stage 2 Seeking the Mood Swing = Regular Social Use
Stage 3 Harmfully Involved = Problematic Use
Stage 4 Using to Feel to Normal = Addiction
Adapted from Johnson 1986
21
A decline in grades
Personality changes
Mood swings
Change in peer group
Secretive
Uncommunicative
Spends more time alone
Confused disoriented andor lethargic
Dishonesty (lying over trivial things)
Extremely defensive
Illusive about whereabouts friends and activities
Problems in the community (law)
Unexplained financial drain
Money or items missing from home
Dropping extra curricular activities
Becoming irresponsible towards household duties job house rules
Increase school problems skipping classes increased lateness
Changes in sleeping andor eating habits (weight)
Changes in self-care and appearance
Possession of drug paraphernalia
22
Alcohol rule based and socially acceptable
Cannabis normalized points of view
Increase in prescription use not prescribed
ex percocets xanax adderall
Increased poly drug use ndash pills ++
23
Often added to other powders (eg heroin Ketamine)
pills(eg oxy and benzos) liquids and marijuana in order to boost there potency
It is roughly 50 ndash 100 times more toxic than morphine
When fentanyl is cut into other drugs you canrsquot see smell or taste it
Also known as white china murder 8 dance fever and good-fella
When naloxone is in communities it has been shown to reduce overdose rates by 50
24
BCCDC (Bristish Columbia Centre for
Disease Control)
Used by veterinarians for very large animals
Not for human use
Is 100 times more toxic than fentanyl
Is 10000 times more toxic than morphine
Therefore can be deadly in extremely small amounts
Has been found in Ontario
Added the same way as fentanyl to other drugs (ex green
pills stamped lsquoCDNrsquo on one side and rsquo80rsquo on the other)
25 (Ottawa Public Health)
Severe sleepiness Trouble breathing Slow heartbeat Slow shallow breathing or snoring may sound like
gurgling Cold clammy skin Trouble walking or talking Unresponsive even when shaken Pin point pupils vomiting
26 Ottawa Public Health
Community collaboration ndash combined efforts police public health community centers schoolshelliphellip
Public awareness ndash media news reportshellip
Crisis response ndash hospitalsEmergency mobile health units increased availability of naloxone in pharmacy training on the use of naloxone provided to anyone
27
Examine your own views on drugalcohol use
Be informed about drugs and their effects
Establish clear expectations and consequences with your youth
As caregiver present a clear unified position
Discuss differences in strategies apart from your child
Set consequences with which you are able to follow through
28
Acknowledge amp Validate positive behavior out loud
Choose your battles
Ask open ended questions
Limit screen time (time limit dinner table bedtime family time)
Allow yourself time to reflect before answering requests from your youth
Itrsquos okay to make mistakes or be unsure and acknowledge that to your youth
Remember that it matters to your child what you think
29
You donrsquot have to agree with the situation behavior perspective you need to validate the feelings then problem solve
Dysregulated Child + Overwhelmed Parent = Co-Dysregulation Need 3 Rrsquos Regulate Relate Reason(Bruce Perry 2013)
Emotion Family Focused Therapy (website in resource section)
Emotion Coaching Skills 1 Attend to emotion 2label and express
the emotion 3 validate the emotion 4meet the need 5Fix itproblem solve
30
Expectations are important aspects of relationship because they communicate the behavior and roles that support boundaries and health
Actively encourage your teen to be involved in influencing the outcome of challenges by eliciting their participation
Inviting them to be involved in family conversations asking for there ideas amp supporting them to follow through on ideas in a way that gets them proactively involved
31
https
wwwyoutubecomwatchv=1Evwgu369Jw
Having considered all these strategies and recognizing that perhaps many of these you already practice what could be next steps your practice or organization could do to improve on assisting youth and families
33
httpwwwdrugrehabcaontario-teen-drug-rehabhtml
httpwwwdrugandalcoholhelplineca
httpwwwcamhcaenhospitalcare_program_and_servicesOutreach_ServicesPagesguide_psychiatric_outreachaspx
httpwwwhealthycanadiansgccatask-force-marijuana-groupe-etudeframework-cadreindex-engphp
34
httpwwwcamhxcaPublicationsOSDUHS2015
httpwwwccsacaEngtopicsMental-Health-and-Substance-AbusePagesdefaultaspx
35
Emotion-Focused Family Therapy emotionfocusedfamilytherapyorg
Books
1ldquoA survival Guide to Parenting Teensrdquo by Joani Geltman
2 ldquoBeyond Addictionrdquo by Jeffery Foote
3ldquoThe Awakened Familyrdquo by Shefali Tsabary
36
37
Complete todayrsquos evaluation amp apply for professional credits
Questions or Comments
Video-conferencers Unmute your system to ask a question
Webcasters Type your question
for participating in todayrsquos
Mental Health Series
Join us next time February 16 2017 With Dr Erin Kelly
Thank you
mentalhealthseriescheoonca
All English high schools in the Ottawa area
Onsite weekly during school year
Available at Rideauwood during the summer months
Catholic Board (OCSB) Grades 7-12
Public Board (OCDSB) Grades 9-12
All Senior Elementary Schools (OCDSB) Delivering presentations to all grade 7 and 8 classes -
RPEP
9
Referrals
Consent
Confidential Counselling
Parent Involvement
School Staff Support amp Collaboration
Class Presentations
10
RPEP
Provides an important aspect of life learning that students can build on as they progress through school
Builds resilience self awareness coping skills refusal skills and the understanding of potential risk factors as well as habit forming behaviours
Earlier identification of counselling needs
Assists in bridging services to the high school program
11
Alcohol 46 of students report drinking in the past year
14 mixed alcohol with an energy drink in the past year
18 report binge drinking in the past month
16 report getting drunk in the past month
22 played drinking games in the past month
20 report drinking hazardously in the past year
19 could not remember their activities in the past year
9 were injured or injured someone else because of their drinking in the past
year
27 are allowed to drink at home with their friends
grades 9-12
12
Cannabis
21 report using cannabis in the past year
2 report using cannabis daily in the past month
2 have symptoms of cannabis dependence
28 usually obtained cannabis from a friend
5 report vaping cannabis in the past year
grades 9-12
13
Cigarettes
9 of students report smoking cigarettes in the past year
3 report smoking daily in the past year
62 of smokers obtain cigarettes from friends or family
3 report smoking contraband cigarettes in the past year
6 report using smokeless tobacco in the past year
12 report using use electronic cigarettes in the past year
14
These surveys include only youth attending school who were able to participate Given these
limitations the actual rates of both past-year and heavy cannabis use among Canadian youth
are likely to be higher than reported
In Canada as in most western societies the 15- to 24-year-old segment of the population has
much higher use of cannabis than those aged 25 and over At the same time youth have
relatively high levels of alcohol use but much lower use of tobacco
Canadian youth lack knowledge and have misconceptions about the effects of cannabis that
contribute to favourable attitudes towards its use
Adolescents are more sensitive than adults to the adverse effects of regular heavy use of
cannabis including cognitive impairment dependence poor psychosocial development
impaired school and work performance drug-related psychiatric illness and generally poorer
treatment outcomes
15
Stage 1 Experimentation
Limited substance use (2-4x)
Poly substance use
Using in a group
Usually parents unaware
Usually no trouble as a result of use
Canrsquot remain in this stage
Stage 2 Regular Social Use
Actively plans use
Sets own limits (rules)
No real pattern of use
Some planned misuse
Sometimes unplanned misuse
Learns from mistakes of misuse
Uses for fun
Uses with others
16 Adapted from Johnson 1986
Stage 3 Problematic Use
Plans use ahead of time
Wants use to be part of social life
Using effects others around them
May change peer group
Drops other activities in favour of using
Begins to surpass own limits (breaks rules)
Defense mechanisms start
May attempt to cut down or quit
Able to make positive changes with help
17 Adapted from Johnson 1986
Stage 4 Addiction
Using is the goal
Many unsuccessful attempts to quit
Loss of control
Many relationships have been damaged
Family and friends are frustrated
Becomes more isolated
Increased concern for mental health issues
Has moments of clarity regarding the need to get help
Treatment often required at this stage
Canrsquot make change on their own anymore
18 Adapted from Johnson 1986
19
Normal
Pain Euphoria
Adapted from Joseph A Muldoon 1988
20
Stage 1 Learning the Mood Swing = Experimentation
Stage 2 Seeking the Mood Swing = Regular Social Use
Stage 3 Harmfully Involved = Problematic Use
Stage 4 Using to Feel to Normal = Addiction
Adapted from Johnson 1986
21
A decline in grades
Personality changes
Mood swings
Change in peer group
Secretive
Uncommunicative
Spends more time alone
Confused disoriented andor lethargic
Dishonesty (lying over trivial things)
Extremely defensive
Illusive about whereabouts friends and activities
Problems in the community (law)
Unexplained financial drain
Money or items missing from home
Dropping extra curricular activities
Becoming irresponsible towards household duties job house rules
Increase school problems skipping classes increased lateness
Changes in sleeping andor eating habits (weight)
Changes in self-care and appearance
Possession of drug paraphernalia
22
Alcohol rule based and socially acceptable
Cannabis normalized points of view
Increase in prescription use not prescribed
ex percocets xanax adderall
Increased poly drug use ndash pills ++
23
Often added to other powders (eg heroin Ketamine)
pills(eg oxy and benzos) liquids and marijuana in order to boost there potency
It is roughly 50 ndash 100 times more toxic than morphine
When fentanyl is cut into other drugs you canrsquot see smell or taste it
Also known as white china murder 8 dance fever and good-fella
When naloxone is in communities it has been shown to reduce overdose rates by 50
24
BCCDC (Bristish Columbia Centre for
Disease Control)
Used by veterinarians for very large animals
Not for human use
Is 100 times more toxic than fentanyl
Is 10000 times more toxic than morphine
Therefore can be deadly in extremely small amounts
Has been found in Ontario
Added the same way as fentanyl to other drugs (ex green
pills stamped lsquoCDNrsquo on one side and rsquo80rsquo on the other)
25 (Ottawa Public Health)
Severe sleepiness Trouble breathing Slow heartbeat Slow shallow breathing or snoring may sound like
gurgling Cold clammy skin Trouble walking or talking Unresponsive even when shaken Pin point pupils vomiting
26 Ottawa Public Health
Community collaboration ndash combined efforts police public health community centers schoolshelliphellip
Public awareness ndash media news reportshellip
Crisis response ndash hospitalsEmergency mobile health units increased availability of naloxone in pharmacy training on the use of naloxone provided to anyone
27
Examine your own views on drugalcohol use
Be informed about drugs and their effects
Establish clear expectations and consequences with your youth
As caregiver present a clear unified position
Discuss differences in strategies apart from your child
Set consequences with which you are able to follow through
28
Acknowledge amp Validate positive behavior out loud
Choose your battles
Ask open ended questions
Limit screen time (time limit dinner table bedtime family time)
Allow yourself time to reflect before answering requests from your youth
Itrsquos okay to make mistakes or be unsure and acknowledge that to your youth
Remember that it matters to your child what you think
29
You donrsquot have to agree with the situation behavior perspective you need to validate the feelings then problem solve
Dysregulated Child + Overwhelmed Parent = Co-Dysregulation Need 3 Rrsquos Regulate Relate Reason(Bruce Perry 2013)
Emotion Family Focused Therapy (website in resource section)
Emotion Coaching Skills 1 Attend to emotion 2label and express
the emotion 3 validate the emotion 4meet the need 5Fix itproblem solve
30
Expectations are important aspects of relationship because they communicate the behavior and roles that support boundaries and health
Actively encourage your teen to be involved in influencing the outcome of challenges by eliciting their participation
Inviting them to be involved in family conversations asking for there ideas amp supporting them to follow through on ideas in a way that gets them proactively involved
31
https
wwwyoutubecomwatchv=1Evwgu369Jw
Having considered all these strategies and recognizing that perhaps many of these you already practice what could be next steps your practice or organization could do to improve on assisting youth and families
33
httpwwwdrugrehabcaontario-teen-drug-rehabhtml
httpwwwdrugandalcoholhelplineca
httpwwwcamhcaenhospitalcare_program_and_servicesOutreach_ServicesPagesguide_psychiatric_outreachaspx
httpwwwhealthycanadiansgccatask-force-marijuana-groupe-etudeframework-cadreindex-engphp
34
httpwwwcamhxcaPublicationsOSDUHS2015
httpwwwccsacaEngtopicsMental-Health-and-Substance-AbusePagesdefaultaspx
35
Emotion-Focused Family Therapy emotionfocusedfamilytherapyorg
Books
1ldquoA survival Guide to Parenting Teensrdquo by Joani Geltman
2 ldquoBeyond Addictionrdquo by Jeffery Foote
3ldquoThe Awakened Familyrdquo by Shefali Tsabary
36
37
Complete todayrsquos evaluation amp apply for professional credits
Questions or Comments
Video-conferencers Unmute your system to ask a question
Webcasters Type your question
for participating in todayrsquos
Mental Health Series
Join us next time February 16 2017 With Dr Erin Kelly
Thank you
mentalhealthseriescheoonca
Referrals
Consent
Confidential Counselling
Parent Involvement
School Staff Support amp Collaboration
Class Presentations
10
RPEP
Provides an important aspect of life learning that students can build on as they progress through school
Builds resilience self awareness coping skills refusal skills and the understanding of potential risk factors as well as habit forming behaviours
Earlier identification of counselling needs
Assists in bridging services to the high school program
11
Alcohol 46 of students report drinking in the past year
14 mixed alcohol with an energy drink in the past year
18 report binge drinking in the past month
16 report getting drunk in the past month
22 played drinking games in the past month
20 report drinking hazardously in the past year
19 could not remember their activities in the past year
9 were injured or injured someone else because of their drinking in the past
year
27 are allowed to drink at home with their friends
grades 9-12
12
Cannabis
21 report using cannabis in the past year
2 report using cannabis daily in the past month
2 have symptoms of cannabis dependence
28 usually obtained cannabis from a friend
5 report vaping cannabis in the past year
grades 9-12
13
Cigarettes
9 of students report smoking cigarettes in the past year
3 report smoking daily in the past year
62 of smokers obtain cigarettes from friends or family
3 report smoking contraband cigarettes in the past year
6 report using smokeless tobacco in the past year
12 report using use electronic cigarettes in the past year
14
These surveys include only youth attending school who were able to participate Given these
limitations the actual rates of both past-year and heavy cannabis use among Canadian youth
are likely to be higher than reported
In Canada as in most western societies the 15- to 24-year-old segment of the population has
much higher use of cannabis than those aged 25 and over At the same time youth have
relatively high levels of alcohol use but much lower use of tobacco
Canadian youth lack knowledge and have misconceptions about the effects of cannabis that
contribute to favourable attitudes towards its use
Adolescents are more sensitive than adults to the adverse effects of regular heavy use of
cannabis including cognitive impairment dependence poor psychosocial development
impaired school and work performance drug-related psychiatric illness and generally poorer
treatment outcomes
15
Stage 1 Experimentation
Limited substance use (2-4x)
Poly substance use
Using in a group
Usually parents unaware
Usually no trouble as a result of use
Canrsquot remain in this stage
Stage 2 Regular Social Use
Actively plans use
Sets own limits (rules)
No real pattern of use
Some planned misuse
Sometimes unplanned misuse
Learns from mistakes of misuse
Uses for fun
Uses with others
16 Adapted from Johnson 1986
Stage 3 Problematic Use
Plans use ahead of time
Wants use to be part of social life
Using effects others around them
May change peer group
Drops other activities in favour of using
Begins to surpass own limits (breaks rules)
Defense mechanisms start
May attempt to cut down or quit
Able to make positive changes with help
17 Adapted from Johnson 1986
Stage 4 Addiction
Using is the goal
Many unsuccessful attempts to quit
Loss of control
Many relationships have been damaged
Family and friends are frustrated
Becomes more isolated
Increased concern for mental health issues
Has moments of clarity regarding the need to get help
Treatment often required at this stage
Canrsquot make change on their own anymore
18 Adapted from Johnson 1986
19
Normal
Pain Euphoria
Adapted from Joseph A Muldoon 1988
20
Stage 1 Learning the Mood Swing = Experimentation
Stage 2 Seeking the Mood Swing = Regular Social Use
Stage 3 Harmfully Involved = Problematic Use
Stage 4 Using to Feel to Normal = Addiction
Adapted from Johnson 1986
21
A decline in grades
Personality changes
Mood swings
Change in peer group
Secretive
Uncommunicative
Spends more time alone
Confused disoriented andor lethargic
Dishonesty (lying over trivial things)
Extremely defensive
Illusive about whereabouts friends and activities
Problems in the community (law)
Unexplained financial drain
Money or items missing from home
Dropping extra curricular activities
Becoming irresponsible towards household duties job house rules
Increase school problems skipping classes increased lateness
Changes in sleeping andor eating habits (weight)
Changes in self-care and appearance
Possession of drug paraphernalia
22
Alcohol rule based and socially acceptable
Cannabis normalized points of view
Increase in prescription use not prescribed
ex percocets xanax adderall
Increased poly drug use ndash pills ++
23
Often added to other powders (eg heroin Ketamine)
pills(eg oxy and benzos) liquids and marijuana in order to boost there potency
It is roughly 50 ndash 100 times more toxic than morphine
When fentanyl is cut into other drugs you canrsquot see smell or taste it
Also known as white china murder 8 dance fever and good-fella
When naloxone is in communities it has been shown to reduce overdose rates by 50
24
BCCDC (Bristish Columbia Centre for
Disease Control)
Used by veterinarians for very large animals
Not for human use
Is 100 times more toxic than fentanyl
Is 10000 times more toxic than morphine
Therefore can be deadly in extremely small amounts
Has been found in Ontario
Added the same way as fentanyl to other drugs (ex green
pills stamped lsquoCDNrsquo on one side and rsquo80rsquo on the other)
25 (Ottawa Public Health)
Severe sleepiness Trouble breathing Slow heartbeat Slow shallow breathing or snoring may sound like
gurgling Cold clammy skin Trouble walking or talking Unresponsive even when shaken Pin point pupils vomiting
26 Ottawa Public Health
Community collaboration ndash combined efforts police public health community centers schoolshelliphellip
Public awareness ndash media news reportshellip
Crisis response ndash hospitalsEmergency mobile health units increased availability of naloxone in pharmacy training on the use of naloxone provided to anyone
27
Examine your own views on drugalcohol use
Be informed about drugs and their effects
Establish clear expectations and consequences with your youth
As caregiver present a clear unified position
Discuss differences in strategies apart from your child
Set consequences with which you are able to follow through
28
Acknowledge amp Validate positive behavior out loud
Choose your battles
Ask open ended questions
Limit screen time (time limit dinner table bedtime family time)
Allow yourself time to reflect before answering requests from your youth
Itrsquos okay to make mistakes or be unsure and acknowledge that to your youth
Remember that it matters to your child what you think
29
You donrsquot have to agree with the situation behavior perspective you need to validate the feelings then problem solve
Dysregulated Child + Overwhelmed Parent = Co-Dysregulation Need 3 Rrsquos Regulate Relate Reason(Bruce Perry 2013)
Emotion Family Focused Therapy (website in resource section)
Emotion Coaching Skills 1 Attend to emotion 2label and express
the emotion 3 validate the emotion 4meet the need 5Fix itproblem solve
30
Expectations are important aspects of relationship because they communicate the behavior and roles that support boundaries and health
Actively encourage your teen to be involved in influencing the outcome of challenges by eliciting their participation
Inviting them to be involved in family conversations asking for there ideas amp supporting them to follow through on ideas in a way that gets them proactively involved
31
https
wwwyoutubecomwatchv=1Evwgu369Jw
Having considered all these strategies and recognizing that perhaps many of these you already practice what could be next steps your practice or organization could do to improve on assisting youth and families
33
httpwwwdrugrehabcaontario-teen-drug-rehabhtml
httpwwwdrugandalcoholhelplineca
httpwwwcamhcaenhospitalcare_program_and_servicesOutreach_ServicesPagesguide_psychiatric_outreachaspx
httpwwwhealthycanadiansgccatask-force-marijuana-groupe-etudeframework-cadreindex-engphp
34
httpwwwcamhxcaPublicationsOSDUHS2015
httpwwwccsacaEngtopicsMental-Health-and-Substance-AbusePagesdefaultaspx
35
Emotion-Focused Family Therapy emotionfocusedfamilytherapyorg
Books
1ldquoA survival Guide to Parenting Teensrdquo by Joani Geltman
2 ldquoBeyond Addictionrdquo by Jeffery Foote
3ldquoThe Awakened Familyrdquo by Shefali Tsabary
36
37
Complete todayrsquos evaluation amp apply for professional credits
Questions or Comments
Video-conferencers Unmute your system to ask a question
Webcasters Type your question
for participating in todayrsquos
Mental Health Series
Join us next time February 16 2017 With Dr Erin Kelly
Thank you
mentalhealthseriescheoonca
RPEP
Provides an important aspect of life learning that students can build on as they progress through school
Builds resilience self awareness coping skills refusal skills and the understanding of potential risk factors as well as habit forming behaviours
Earlier identification of counselling needs
Assists in bridging services to the high school program
11
Alcohol 46 of students report drinking in the past year
14 mixed alcohol with an energy drink in the past year
18 report binge drinking in the past month
16 report getting drunk in the past month
22 played drinking games in the past month
20 report drinking hazardously in the past year
19 could not remember their activities in the past year
9 were injured or injured someone else because of their drinking in the past
year
27 are allowed to drink at home with their friends
grades 9-12
12
Cannabis
21 report using cannabis in the past year
2 report using cannabis daily in the past month
2 have symptoms of cannabis dependence
28 usually obtained cannabis from a friend
5 report vaping cannabis in the past year
grades 9-12
13
Cigarettes
9 of students report smoking cigarettes in the past year
3 report smoking daily in the past year
62 of smokers obtain cigarettes from friends or family
3 report smoking contraband cigarettes in the past year
6 report using smokeless tobacco in the past year
12 report using use electronic cigarettes in the past year
14
These surveys include only youth attending school who were able to participate Given these
limitations the actual rates of both past-year and heavy cannabis use among Canadian youth
are likely to be higher than reported
In Canada as in most western societies the 15- to 24-year-old segment of the population has
much higher use of cannabis than those aged 25 and over At the same time youth have
relatively high levels of alcohol use but much lower use of tobacco
Canadian youth lack knowledge and have misconceptions about the effects of cannabis that
contribute to favourable attitudes towards its use
Adolescents are more sensitive than adults to the adverse effects of regular heavy use of
cannabis including cognitive impairment dependence poor psychosocial development
impaired school and work performance drug-related psychiatric illness and generally poorer
treatment outcomes
15
Stage 1 Experimentation
Limited substance use (2-4x)
Poly substance use
Using in a group
Usually parents unaware
Usually no trouble as a result of use
Canrsquot remain in this stage
Stage 2 Regular Social Use
Actively plans use
Sets own limits (rules)
No real pattern of use
Some planned misuse
Sometimes unplanned misuse
Learns from mistakes of misuse
Uses for fun
Uses with others
16 Adapted from Johnson 1986
Stage 3 Problematic Use
Plans use ahead of time
Wants use to be part of social life
Using effects others around them
May change peer group
Drops other activities in favour of using
Begins to surpass own limits (breaks rules)
Defense mechanisms start
May attempt to cut down or quit
Able to make positive changes with help
17 Adapted from Johnson 1986
Stage 4 Addiction
Using is the goal
Many unsuccessful attempts to quit
Loss of control
Many relationships have been damaged
Family and friends are frustrated
Becomes more isolated
Increased concern for mental health issues
Has moments of clarity regarding the need to get help
Treatment often required at this stage
Canrsquot make change on their own anymore
18 Adapted from Johnson 1986
19
Normal
Pain Euphoria
Adapted from Joseph A Muldoon 1988
20
Stage 1 Learning the Mood Swing = Experimentation
Stage 2 Seeking the Mood Swing = Regular Social Use
Stage 3 Harmfully Involved = Problematic Use
Stage 4 Using to Feel to Normal = Addiction
Adapted from Johnson 1986
21
A decline in grades
Personality changes
Mood swings
Change in peer group
Secretive
Uncommunicative
Spends more time alone
Confused disoriented andor lethargic
Dishonesty (lying over trivial things)
Extremely defensive
Illusive about whereabouts friends and activities
Problems in the community (law)
Unexplained financial drain
Money or items missing from home
Dropping extra curricular activities
Becoming irresponsible towards household duties job house rules
Increase school problems skipping classes increased lateness
Changes in sleeping andor eating habits (weight)
Changes in self-care and appearance
Possession of drug paraphernalia
22
Alcohol rule based and socially acceptable
Cannabis normalized points of view
Increase in prescription use not prescribed
ex percocets xanax adderall
Increased poly drug use ndash pills ++
23
Often added to other powders (eg heroin Ketamine)
pills(eg oxy and benzos) liquids and marijuana in order to boost there potency
It is roughly 50 ndash 100 times more toxic than morphine
When fentanyl is cut into other drugs you canrsquot see smell or taste it
Also known as white china murder 8 dance fever and good-fella
When naloxone is in communities it has been shown to reduce overdose rates by 50
24
BCCDC (Bristish Columbia Centre for
Disease Control)
Used by veterinarians for very large animals
Not for human use
Is 100 times more toxic than fentanyl
Is 10000 times more toxic than morphine
Therefore can be deadly in extremely small amounts
Has been found in Ontario
Added the same way as fentanyl to other drugs (ex green
pills stamped lsquoCDNrsquo on one side and rsquo80rsquo on the other)
25 (Ottawa Public Health)
Severe sleepiness Trouble breathing Slow heartbeat Slow shallow breathing or snoring may sound like
gurgling Cold clammy skin Trouble walking or talking Unresponsive even when shaken Pin point pupils vomiting
26 Ottawa Public Health
Community collaboration ndash combined efforts police public health community centers schoolshelliphellip
Public awareness ndash media news reportshellip
Crisis response ndash hospitalsEmergency mobile health units increased availability of naloxone in pharmacy training on the use of naloxone provided to anyone
27
Examine your own views on drugalcohol use
Be informed about drugs and their effects
Establish clear expectations and consequences with your youth
As caregiver present a clear unified position
Discuss differences in strategies apart from your child
Set consequences with which you are able to follow through
28
Acknowledge amp Validate positive behavior out loud
Choose your battles
Ask open ended questions
Limit screen time (time limit dinner table bedtime family time)
Allow yourself time to reflect before answering requests from your youth
Itrsquos okay to make mistakes or be unsure and acknowledge that to your youth
Remember that it matters to your child what you think
29
You donrsquot have to agree with the situation behavior perspective you need to validate the feelings then problem solve
Dysregulated Child + Overwhelmed Parent = Co-Dysregulation Need 3 Rrsquos Regulate Relate Reason(Bruce Perry 2013)
Emotion Family Focused Therapy (website in resource section)
Emotion Coaching Skills 1 Attend to emotion 2label and express
the emotion 3 validate the emotion 4meet the need 5Fix itproblem solve
30
Expectations are important aspects of relationship because they communicate the behavior and roles that support boundaries and health
Actively encourage your teen to be involved in influencing the outcome of challenges by eliciting their participation
Inviting them to be involved in family conversations asking for there ideas amp supporting them to follow through on ideas in a way that gets them proactively involved
31
https
wwwyoutubecomwatchv=1Evwgu369Jw
Having considered all these strategies and recognizing that perhaps many of these you already practice what could be next steps your practice or organization could do to improve on assisting youth and families
33
httpwwwdrugrehabcaontario-teen-drug-rehabhtml
httpwwwdrugandalcoholhelplineca
httpwwwcamhcaenhospitalcare_program_and_servicesOutreach_ServicesPagesguide_psychiatric_outreachaspx
httpwwwhealthycanadiansgccatask-force-marijuana-groupe-etudeframework-cadreindex-engphp
34
httpwwwcamhxcaPublicationsOSDUHS2015
httpwwwccsacaEngtopicsMental-Health-and-Substance-AbusePagesdefaultaspx
35
Emotion-Focused Family Therapy emotionfocusedfamilytherapyorg
Books
1ldquoA survival Guide to Parenting Teensrdquo by Joani Geltman
2 ldquoBeyond Addictionrdquo by Jeffery Foote
3ldquoThe Awakened Familyrdquo by Shefali Tsabary
36
37
Complete todayrsquos evaluation amp apply for professional credits
Questions or Comments
Video-conferencers Unmute your system to ask a question
Webcasters Type your question
for participating in todayrsquos
Mental Health Series
Join us next time February 16 2017 With Dr Erin Kelly
Thank you
mentalhealthseriescheoonca
Alcohol 46 of students report drinking in the past year
14 mixed alcohol with an energy drink in the past year
18 report binge drinking in the past month
16 report getting drunk in the past month
22 played drinking games in the past month
20 report drinking hazardously in the past year
19 could not remember their activities in the past year
9 were injured or injured someone else because of their drinking in the past
year
27 are allowed to drink at home with their friends
grades 9-12
12
Cannabis
21 report using cannabis in the past year
2 report using cannabis daily in the past month
2 have symptoms of cannabis dependence
28 usually obtained cannabis from a friend
5 report vaping cannabis in the past year
grades 9-12
13
Cigarettes
9 of students report smoking cigarettes in the past year
3 report smoking daily in the past year
62 of smokers obtain cigarettes from friends or family
3 report smoking contraband cigarettes in the past year
6 report using smokeless tobacco in the past year
12 report using use electronic cigarettes in the past year
14
These surveys include only youth attending school who were able to participate Given these
limitations the actual rates of both past-year and heavy cannabis use among Canadian youth
are likely to be higher than reported
In Canada as in most western societies the 15- to 24-year-old segment of the population has
much higher use of cannabis than those aged 25 and over At the same time youth have
relatively high levels of alcohol use but much lower use of tobacco
Canadian youth lack knowledge and have misconceptions about the effects of cannabis that
contribute to favourable attitudes towards its use
Adolescents are more sensitive than adults to the adverse effects of regular heavy use of
cannabis including cognitive impairment dependence poor psychosocial development
impaired school and work performance drug-related psychiatric illness and generally poorer
treatment outcomes
15
Stage 1 Experimentation
Limited substance use (2-4x)
Poly substance use
Using in a group
Usually parents unaware
Usually no trouble as a result of use
Canrsquot remain in this stage
Stage 2 Regular Social Use
Actively plans use
Sets own limits (rules)
No real pattern of use
Some planned misuse
Sometimes unplanned misuse
Learns from mistakes of misuse
Uses for fun
Uses with others
16 Adapted from Johnson 1986
Stage 3 Problematic Use
Plans use ahead of time
Wants use to be part of social life
Using effects others around them
May change peer group
Drops other activities in favour of using
Begins to surpass own limits (breaks rules)
Defense mechanisms start
May attempt to cut down or quit
Able to make positive changes with help
17 Adapted from Johnson 1986
Stage 4 Addiction
Using is the goal
Many unsuccessful attempts to quit
Loss of control
Many relationships have been damaged
Family and friends are frustrated
Becomes more isolated
Increased concern for mental health issues
Has moments of clarity regarding the need to get help
Treatment often required at this stage
Canrsquot make change on their own anymore
18 Adapted from Johnson 1986
19
Normal
Pain Euphoria
Adapted from Joseph A Muldoon 1988
20
Stage 1 Learning the Mood Swing = Experimentation
Stage 2 Seeking the Mood Swing = Regular Social Use
Stage 3 Harmfully Involved = Problematic Use
Stage 4 Using to Feel to Normal = Addiction
Adapted from Johnson 1986
21
A decline in grades
Personality changes
Mood swings
Change in peer group
Secretive
Uncommunicative
Spends more time alone
Confused disoriented andor lethargic
Dishonesty (lying over trivial things)
Extremely defensive
Illusive about whereabouts friends and activities
Problems in the community (law)
Unexplained financial drain
Money or items missing from home
Dropping extra curricular activities
Becoming irresponsible towards household duties job house rules
Increase school problems skipping classes increased lateness
Changes in sleeping andor eating habits (weight)
Changes in self-care and appearance
Possession of drug paraphernalia
22
Alcohol rule based and socially acceptable
Cannabis normalized points of view
Increase in prescription use not prescribed
ex percocets xanax adderall
Increased poly drug use ndash pills ++
23
Often added to other powders (eg heroin Ketamine)
pills(eg oxy and benzos) liquids and marijuana in order to boost there potency
It is roughly 50 ndash 100 times more toxic than morphine
When fentanyl is cut into other drugs you canrsquot see smell or taste it
Also known as white china murder 8 dance fever and good-fella
When naloxone is in communities it has been shown to reduce overdose rates by 50
24
BCCDC (Bristish Columbia Centre for
Disease Control)
Used by veterinarians for very large animals
Not for human use
Is 100 times more toxic than fentanyl
Is 10000 times more toxic than morphine
Therefore can be deadly in extremely small amounts
Has been found in Ontario
Added the same way as fentanyl to other drugs (ex green
pills stamped lsquoCDNrsquo on one side and rsquo80rsquo on the other)
25 (Ottawa Public Health)
Severe sleepiness Trouble breathing Slow heartbeat Slow shallow breathing or snoring may sound like
gurgling Cold clammy skin Trouble walking or talking Unresponsive even when shaken Pin point pupils vomiting
26 Ottawa Public Health
Community collaboration ndash combined efforts police public health community centers schoolshelliphellip
Public awareness ndash media news reportshellip
Crisis response ndash hospitalsEmergency mobile health units increased availability of naloxone in pharmacy training on the use of naloxone provided to anyone
27
Examine your own views on drugalcohol use
Be informed about drugs and their effects
Establish clear expectations and consequences with your youth
As caregiver present a clear unified position
Discuss differences in strategies apart from your child
Set consequences with which you are able to follow through
28
Acknowledge amp Validate positive behavior out loud
Choose your battles
Ask open ended questions
Limit screen time (time limit dinner table bedtime family time)
Allow yourself time to reflect before answering requests from your youth
Itrsquos okay to make mistakes or be unsure and acknowledge that to your youth
Remember that it matters to your child what you think
29
You donrsquot have to agree with the situation behavior perspective you need to validate the feelings then problem solve
Dysregulated Child + Overwhelmed Parent = Co-Dysregulation Need 3 Rrsquos Regulate Relate Reason(Bruce Perry 2013)
Emotion Family Focused Therapy (website in resource section)
Emotion Coaching Skills 1 Attend to emotion 2label and express
the emotion 3 validate the emotion 4meet the need 5Fix itproblem solve
30
Expectations are important aspects of relationship because they communicate the behavior and roles that support boundaries and health
Actively encourage your teen to be involved in influencing the outcome of challenges by eliciting their participation
Inviting them to be involved in family conversations asking for there ideas amp supporting them to follow through on ideas in a way that gets them proactively involved
31
https
wwwyoutubecomwatchv=1Evwgu369Jw
Having considered all these strategies and recognizing that perhaps many of these you already practice what could be next steps your practice or organization could do to improve on assisting youth and families
33
httpwwwdrugrehabcaontario-teen-drug-rehabhtml
httpwwwdrugandalcoholhelplineca
httpwwwcamhcaenhospitalcare_program_and_servicesOutreach_ServicesPagesguide_psychiatric_outreachaspx
httpwwwhealthycanadiansgccatask-force-marijuana-groupe-etudeframework-cadreindex-engphp
34
httpwwwcamhxcaPublicationsOSDUHS2015
httpwwwccsacaEngtopicsMental-Health-and-Substance-AbusePagesdefaultaspx
35
Emotion-Focused Family Therapy emotionfocusedfamilytherapyorg
Books
1ldquoA survival Guide to Parenting Teensrdquo by Joani Geltman
2 ldquoBeyond Addictionrdquo by Jeffery Foote
3ldquoThe Awakened Familyrdquo by Shefali Tsabary
36
37
Complete todayrsquos evaluation amp apply for professional credits
Questions or Comments
Video-conferencers Unmute your system to ask a question
Webcasters Type your question
for participating in todayrsquos
Mental Health Series
Join us next time February 16 2017 With Dr Erin Kelly
Thank you
mentalhealthseriescheoonca
Cannabis
21 report using cannabis in the past year
2 report using cannabis daily in the past month
2 have symptoms of cannabis dependence
28 usually obtained cannabis from a friend
5 report vaping cannabis in the past year
grades 9-12
13
Cigarettes
9 of students report smoking cigarettes in the past year
3 report smoking daily in the past year
62 of smokers obtain cigarettes from friends or family
3 report smoking contraband cigarettes in the past year
6 report using smokeless tobacco in the past year
12 report using use electronic cigarettes in the past year
14
These surveys include only youth attending school who were able to participate Given these
limitations the actual rates of both past-year and heavy cannabis use among Canadian youth
are likely to be higher than reported
In Canada as in most western societies the 15- to 24-year-old segment of the population has
much higher use of cannabis than those aged 25 and over At the same time youth have
relatively high levels of alcohol use but much lower use of tobacco
Canadian youth lack knowledge and have misconceptions about the effects of cannabis that
contribute to favourable attitudes towards its use
Adolescents are more sensitive than adults to the adverse effects of regular heavy use of
cannabis including cognitive impairment dependence poor psychosocial development
impaired school and work performance drug-related psychiatric illness and generally poorer
treatment outcomes
15
Stage 1 Experimentation
Limited substance use (2-4x)
Poly substance use
Using in a group
Usually parents unaware
Usually no trouble as a result of use
Canrsquot remain in this stage
Stage 2 Regular Social Use
Actively plans use
Sets own limits (rules)
No real pattern of use
Some planned misuse
Sometimes unplanned misuse
Learns from mistakes of misuse
Uses for fun
Uses with others
16 Adapted from Johnson 1986
Stage 3 Problematic Use
Plans use ahead of time
Wants use to be part of social life
Using effects others around them
May change peer group
Drops other activities in favour of using
Begins to surpass own limits (breaks rules)
Defense mechanisms start
May attempt to cut down or quit
Able to make positive changes with help
17 Adapted from Johnson 1986
Stage 4 Addiction
Using is the goal
Many unsuccessful attempts to quit
Loss of control
Many relationships have been damaged
Family and friends are frustrated
Becomes more isolated
Increased concern for mental health issues
Has moments of clarity regarding the need to get help
Treatment often required at this stage
Canrsquot make change on their own anymore
18 Adapted from Johnson 1986
19
Normal
Pain Euphoria
Adapted from Joseph A Muldoon 1988
20
Stage 1 Learning the Mood Swing = Experimentation
Stage 2 Seeking the Mood Swing = Regular Social Use
Stage 3 Harmfully Involved = Problematic Use
Stage 4 Using to Feel to Normal = Addiction
Adapted from Johnson 1986
21
A decline in grades
Personality changes
Mood swings
Change in peer group
Secretive
Uncommunicative
Spends more time alone
Confused disoriented andor lethargic
Dishonesty (lying over trivial things)
Extremely defensive
Illusive about whereabouts friends and activities
Problems in the community (law)
Unexplained financial drain
Money or items missing from home
Dropping extra curricular activities
Becoming irresponsible towards household duties job house rules
Increase school problems skipping classes increased lateness
Changes in sleeping andor eating habits (weight)
Changes in self-care and appearance
Possession of drug paraphernalia
22
Alcohol rule based and socially acceptable
Cannabis normalized points of view
Increase in prescription use not prescribed
ex percocets xanax adderall
Increased poly drug use ndash pills ++
23
Often added to other powders (eg heroin Ketamine)
pills(eg oxy and benzos) liquids and marijuana in order to boost there potency
It is roughly 50 ndash 100 times more toxic than morphine
When fentanyl is cut into other drugs you canrsquot see smell or taste it
Also known as white china murder 8 dance fever and good-fella
When naloxone is in communities it has been shown to reduce overdose rates by 50
24
BCCDC (Bristish Columbia Centre for
Disease Control)
Used by veterinarians for very large animals
Not for human use
Is 100 times more toxic than fentanyl
Is 10000 times more toxic than morphine
Therefore can be deadly in extremely small amounts
Has been found in Ontario
Added the same way as fentanyl to other drugs (ex green
pills stamped lsquoCDNrsquo on one side and rsquo80rsquo on the other)
25 (Ottawa Public Health)
Severe sleepiness Trouble breathing Slow heartbeat Slow shallow breathing or snoring may sound like
gurgling Cold clammy skin Trouble walking or talking Unresponsive even when shaken Pin point pupils vomiting
26 Ottawa Public Health
Community collaboration ndash combined efforts police public health community centers schoolshelliphellip
Public awareness ndash media news reportshellip
Crisis response ndash hospitalsEmergency mobile health units increased availability of naloxone in pharmacy training on the use of naloxone provided to anyone
27
Examine your own views on drugalcohol use
Be informed about drugs and their effects
Establish clear expectations and consequences with your youth
As caregiver present a clear unified position
Discuss differences in strategies apart from your child
Set consequences with which you are able to follow through
28
Acknowledge amp Validate positive behavior out loud
Choose your battles
Ask open ended questions
Limit screen time (time limit dinner table bedtime family time)
Allow yourself time to reflect before answering requests from your youth
Itrsquos okay to make mistakes or be unsure and acknowledge that to your youth
Remember that it matters to your child what you think
29
You donrsquot have to agree with the situation behavior perspective you need to validate the feelings then problem solve
Dysregulated Child + Overwhelmed Parent = Co-Dysregulation Need 3 Rrsquos Regulate Relate Reason(Bruce Perry 2013)
Emotion Family Focused Therapy (website in resource section)
Emotion Coaching Skills 1 Attend to emotion 2label and express
the emotion 3 validate the emotion 4meet the need 5Fix itproblem solve
30
Expectations are important aspects of relationship because they communicate the behavior and roles that support boundaries and health
Actively encourage your teen to be involved in influencing the outcome of challenges by eliciting their participation
Inviting them to be involved in family conversations asking for there ideas amp supporting them to follow through on ideas in a way that gets them proactively involved
31
https
wwwyoutubecomwatchv=1Evwgu369Jw
Having considered all these strategies and recognizing that perhaps many of these you already practice what could be next steps your practice or organization could do to improve on assisting youth and families
33
httpwwwdrugrehabcaontario-teen-drug-rehabhtml
httpwwwdrugandalcoholhelplineca
httpwwwcamhcaenhospitalcare_program_and_servicesOutreach_ServicesPagesguide_psychiatric_outreachaspx
httpwwwhealthycanadiansgccatask-force-marijuana-groupe-etudeframework-cadreindex-engphp
34
httpwwwcamhxcaPublicationsOSDUHS2015
httpwwwccsacaEngtopicsMental-Health-and-Substance-AbusePagesdefaultaspx
35
Emotion-Focused Family Therapy emotionfocusedfamilytherapyorg
Books
1ldquoA survival Guide to Parenting Teensrdquo by Joani Geltman
2 ldquoBeyond Addictionrdquo by Jeffery Foote
3ldquoThe Awakened Familyrdquo by Shefali Tsabary
36
37
Complete todayrsquos evaluation amp apply for professional credits
Questions or Comments
Video-conferencers Unmute your system to ask a question
Webcasters Type your question
for participating in todayrsquos
Mental Health Series
Join us next time February 16 2017 With Dr Erin Kelly
Thank you
mentalhealthseriescheoonca
Cigarettes
9 of students report smoking cigarettes in the past year
3 report smoking daily in the past year
62 of smokers obtain cigarettes from friends or family
3 report smoking contraband cigarettes in the past year
6 report using smokeless tobacco in the past year
12 report using use electronic cigarettes in the past year
14
These surveys include only youth attending school who were able to participate Given these
limitations the actual rates of both past-year and heavy cannabis use among Canadian youth
are likely to be higher than reported
In Canada as in most western societies the 15- to 24-year-old segment of the population has
much higher use of cannabis than those aged 25 and over At the same time youth have
relatively high levels of alcohol use but much lower use of tobacco
Canadian youth lack knowledge and have misconceptions about the effects of cannabis that
contribute to favourable attitudes towards its use
Adolescents are more sensitive than adults to the adverse effects of regular heavy use of
cannabis including cognitive impairment dependence poor psychosocial development
impaired school and work performance drug-related psychiatric illness and generally poorer
treatment outcomes
15
Stage 1 Experimentation
Limited substance use (2-4x)
Poly substance use
Using in a group
Usually parents unaware
Usually no trouble as a result of use
Canrsquot remain in this stage
Stage 2 Regular Social Use
Actively plans use
Sets own limits (rules)
No real pattern of use
Some planned misuse
Sometimes unplanned misuse
Learns from mistakes of misuse
Uses for fun
Uses with others
16 Adapted from Johnson 1986
Stage 3 Problematic Use
Plans use ahead of time
Wants use to be part of social life
Using effects others around them
May change peer group
Drops other activities in favour of using
Begins to surpass own limits (breaks rules)
Defense mechanisms start
May attempt to cut down or quit
Able to make positive changes with help
17 Adapted from Johnson 1986
Stage 4 Addiction
Using is the goal
Many unsuccessful attempts to quit
Loss of control
Many relationships have been damaged
Family and friends are frustrated
Becomes more isolated
Increased concern for mental health issues
Has moments of clarity regarding the need to get help
Treatment often required at this stage
Canrsquot make change on their own anymore
18 Adapted from Johnson 1986
19
Normal
Pain Euphoria
Adapted from Joseph A Muldoon 1988
20
Stage 1 Learning the Mood Swing = Experimentation
Stage 2 Seeking the Mood Swing = Regular Social Use
Stage 3 Harmfully Involved = Problematic Use
Stage 4 Using to Feel to Normal = Addiction
Adapted from Johnson 1986
21
A decline in grades
Personality changes
Mood swings
Change in peer group
Secretive
Uncommunicative
Spends more time alone
Confused disoriented andor lethargic
Dishonesty (lying over trivial things)
Extremely defensive
Illusive about whereabouts friends and activities
Problems in the community (law)
Unexplained financial drain
Money or items missing from home
Dropping extra curricular activities
Becoming irresponsible towards household duties job house rules
Increase school problems skipping classes increased lateness
Changes in sleeping andor eating habits (weight)
Changes in self-care and appearance
Possession of drug paraphernalia
22
Alcohol rule based and socially acceptable
Cannabis normalized points of view
Increase in prescription use not prescribed
ex percocets xanax adderall
Increased poly drug use ndash pills ++
23
Often added to other powders (eg heroin Ketamine)
pills(eg oxy and benzos) liquids and marijuana in order to boost there potency
It is roughly 50 ndash 100 times more toxic than morphine
When fentanyl is cut into other drugs you canrsquot see smell or taste it
Also known as white china murder 8 dance fever and good-fella
When naloxone is in communities it has been shown to reduce overdose rates by 50
24
BCCDC (Bristish Columbia Centre for
Disease Control)
Used by veterinarians for very large animals
Not for human use
Is 100 times more toxic than fentanyl
Is 10000 times more toxic than morphine
Therefore can be deadly in extremely small amounts
Has been found in Ontario
Added the same way as fentanyl to other drugs (ex green
pills stamped lsquoCDNrsquo on one side and rsquo80rsquo on the other)
25 (Ottawa Public Health)
Severe sleepiness Trouble breathing Slow heartbeat Slow shallow breathing or snoring may sound like
gurgling Cold clammy skin Trouble walking or talking Unresponsive even when shaken Pin point pupils vomiting
26 Ottawa Public Health
Community collaboration ndash combined efforts police public health community centers schoolshelliphellip
Public awareness ndash media news reportshellip
Crisis response ndash hospitalsEmergency mobile health units increased availability of naloxone in pharmacy training on the use of naloxone provided to anyone
27
Examine your own views on drugalcohol use
Be informed about drugs and their effects
Establish clear expectations and consequences with your youth
As caregiver present a clear unified position
Discuss differences in strategies apart from your child
Set consequences with which you are able to follow through
28
Acknowledge amp Validate positive behavior out loud
Choose your battles
Ask open ended questions
Limit screen time (time limit dinner table bedtime family time)
Allow yourself time to reflect before answering requests from your youth
Itrsquos okay to make mistakes or be unsure and acknowledge that to your youth
Remember that it matters to your child what you think
29
You donrsquot have to agree with the situation behavior perspective you need to validate the feelings then problem solve
Dysregulated Child + Overwhelmed Parent = Co-Dysregulation Need 3 Rrsquos Regulate Relate Reason(Bruce Perry 2013)
Emotion Family Focused Therapy (website in resource section)
Emotion Coaching Skills 1 Attend to emotion 2label and express
the emotion 3 validate the emotion 4meet the need 5Fix itproblem solve
30
Expectations are important aspects of relationship because they communicate the behavior and roles that support boundaries and health
Actively encourage your teen to be involved in influencing the outcome of challenges by eliciting their participation
Inviting them to be involved in family conversations asking for there ideas amp supporting them to follow through on ideas in a way that gets them proactively involved
31
https
wwwyoutubecomwatchv=1Evwgu369Jw
Having considered all these strategies and recognizing that perhaps many of these you already practice what could be next steps your practice or organization could do to improve on assisting youth and families
33
httpwwwdrugrehabcaontario-teen-drug-rehabhtml
httpwwwdrugandalcoholhelplineca
httpwwwcamhcaenhospitalcare_program_and_servicesOutreach_ServicesPagesguide_psychiatric_outreachaspx
httpwwwhealthycanadiansgccatask-force-marijuana-groupe-etudeframework-cadreindex-engphp
34
httpwwwcamhxcaPublicationsOSDUHS2015
httpwwwccsacaEngtopicsMental-Health-and-Substance-AbusePagesdefaultaspx
35
Emotion-Focused Family Therapy emotionfocusedfamilytherapyorg
Books
1ldquoA survival Guide to Parenting Teensrdquo by Joani Geltman
2 ldquoBeyond Addictionrdquo by Jeffery Foote
3ldquoThe Awakened Familyrdquo by Shefali Tsabary
36
37
Complete todayrsquos evaluation amp apply for professional credits
Questions or Comments
Video-conferencers Unmute your system to ask a question
Webcasters Type your question
for participating in todayrsquos
Mental Health Series
Join us next time February 16 2017 With Dr Erin Kelly
Thank you
mentalhealthseriescheoonca
These surveys include only youth attending school who were able to participate Given these
limitations the actual rates of both past-year and heavy cannabis use among Canadian youth
are likely to be higher than reported
In Canada as in most western societies the 15- to 24-year-old segment of the population has
much higher use of cannabis than those aged 25 and over At the same time youth have
relatively high levels of alcohol use but much lower use of tobacco
Canadian youth lack knowledge and have misconceptions about the effects of cannabis that
contribute to favourable attitudes towards its use
Adolescents are more sensitive than adults to the adverse effects of regular heavy use of
cannabis including cognitive impairment dependence poor psychosocial development
impaired school and work performance drug-related psychiatric illness and generally poorer
treatment outcomes
15
Stage 1 Experimentation
Limited substance use (2-4x)
Poly substance use
Using in a group
Usually parents unaware
Usually no trouble as a result of use
Canrsquot remain in this stage
Stage 2 Regular Social Use
Actively plans use
Sets own limits (rules)
No real pattern of use
Some planned misuse
Sometimes unplanned misuse
Learns from mistakes of misuse
Uses for fun
Uses with others
16 Adapted from Johnson 1986
Stage 3 Problematic Use
Plans use ahead of time
Wants use to be part of social life
Using effects others around them
May change peer group
Drops other activities in favour of using
Begins to surpass own limits (breaks rules)
Defense mechanisms start
May attempt to cut down or quit
Able to make positive changes with help
17 Adapted from Johnson 1986
Stage 4 Addiction
Using is the goal
Many unsuccessful attempts to quit
Loss of control
Many relationships have been damaged
Family and friends are frustrated
Becomes more isolated
Increased concern for mental health issues
Has moments of clarity regarding the need to get help
Treatment often required at this stage
Canrsquot make change on their own anymore
18 Adapted from Johnson 1986
19
Normal
Pain Euphoria
Adapted from Joseph A Muldoon 1988
20
Stage 1 Learning the Mood Swing = Experimentation
Stage 2 Seeking the Mood Swing = Regular Social Use
Stage 3 Harmfully Involved = Problematic Use
Stage 4 Using to Feel to Normal = Addiction
Adapted from Johnson 1986
21
A decline in grades
Personality changes
Mood swings
Change in peer group
Secretive
Uncommunicative
Spends more time alone
Confused disoriented andor lethargic
Dishonesty (lying over trivial things)
Extremely defensive
Illusive about whereabouts friends and activities
Problems in the community (law)
Unexplained financial drain
Money or items missing from home
Dropping extra curricular activities
Becoming irresponsible towards household duties job house rules
Increase school problems skipping classes increased lateness
Changes in sleeping andor eating habits (weight)
Changes in self-care and appearance
Possession of drug paraphernalia
22
Alcohol rule based and socially acceptable
Cannabis normalized points of view
Increase in prescription use not prescribed
ex percocets xanax adderall
Increased poly drug use ndash pills ++
23
Often added to other powders (eg heroin Ketamine)
pills(eg oxy and benzos) liquids and marijuana in order to boost there potency
It is roughly 50 ndash 100 times more toxic than morphine
When fentanyl is cut into other drugs you canrsquot see smell or taste it
Also known as white china murder 8 dance fever and good-fella
When naloxone is in communities it has been shown to reduce overdose rates by 50
24
BCCDC (Bristish Columbia Centre for
Disease Control)
Used by veterinarians for very large animals
Not for human use
Is 100 times more toxic than fentanyl
Is 10000 times more toxic than morphine
Therefore can be deadly in extremely small amounts
Has been found in Ontario
Added the same way as fentanyl to other drugs (ex green
pills stamped lsquoCDNrsquo on one side and rsquo80rsquo on the other)
25 (Ottawa Public Health)
Severe sleepiness Trouble breathing Slow heartbeat Slow shallow breathing or snoring may sound like
gurgling Cold clammy skin Trouble walking or talking Unresponsive even when shaken Pin point pupils vomiting
26 Ottawa Public Health
Community collaboration ndash combined efforts police public health community centers schoolshelliphellip
Public awareness ndash media news reportshellip
Crisis response ndash hospitalsEmergency mobile health units increased availability of naloxone in pharmacy training on the use of naloxone provided to anyone
27
Examine your own views on drugalcohol use
Be informed about drugs and their effects
Establish clear expectations and consequences with your youth
As caregiver present a clear unified position
Discuss differences in strategies apart from your child
Set consequences with which you are able to follow through
28
Acknowledge amp Validate positive behavior out loud
Choose your battles
Ask open ended questions
Limit screen time (time limit dinner table bedtime family time)
Allow yourself time to reflect before answering requests from your youth
Itrsquos okay to make mistakes or be unsure and acknowledge that to your youth
Remember that it matters to your child what you think
29
You donrsquot have to agree with the situation behavior perspective you need to validate the feelings then problem solve
Dysregulated Child + Overwhelmed Parent = Co-Dysregulation Need 3 Rrsquos Regulate Relate Reason(Bruce Perry 2013)
Emotion Family Focused Therapy (website in resource section)
Emotion Coaching Skills 1 Attend to emotion 2label and express
the emotion 3 validate the emotion 4meet the need 5Fix itproblem solve
30
Expectations are important aspects of relationship because they communicate the behavior and roles that support boundaries and health
Actively encourage your teen to be involved in influencing the outcome of challenges by eliciting their participation
Inviting them to be involved in family conversations asking for there ideas amp supporting them to follow through on ideas in a way that gets them proactively involved
31
https
wwwyoutubecomwatchv=1Evwgu369Jw
Having considered all these strategies and recognizing that perhaps many of these you already practice what could be next steps your practice or organization could do to improve on assisting youth and families
33
httpwwwdrugrehabcaontario-teen-drug-rehabhtml
httpwwwdrugandalcoholhelplineca
httpwwwcamhcaenhospitalcare_program_and_servicesOutreach_ServicesPagesguide_psychiatric_outreachaspx
httpwwwhealthycanadiansgccatask-force-marijuana-groupe-etudeframework-cadreindex-engphp
34
httpwwwcamhxcaPublicationsOSDUHS2015
httpwwwccsacaEngtopicsMental-Health-and-Substance-AbusePagesdefaultaspx
35
Emotion-Focused Family Therapy emotionfocusedfamilytherapyorg
Books
1ldquoA survival Guide to Parenting Teensrdquo by Joani Geltman
2 ldquoBeyond Addictionrdquo by Jeffery Foote
3ldquoThe Awakened Familyrdquo by Shefali Tsabary
36
37
Complete todayrsquos evaluation amp apply for professional credits
Questions or Comments
Video-conferencers Unmute your system to ask a question
Webcasters Type your question
for participating in todayrsquos
Mental Health Series
Join us next time February 16 2017 With Dr Erin Kelly
Thank you
mentalhealthseriescheoonca
Stage 1 Experimentation
Limited substance use (2-4x)
Poly substance use
Using in a group
Usually parents unaware
Usually no trouble as a result of use
Canrsquot remain in this stage
Stage 2 Regular Social Use
Actively plans use
Sets own limits (rules)
No real pattern of use
Some planned misuse
Sometimes unplanned misuse
Learns from mistakes of misuse
Uses for fun
Uses with others
16 Adapted from Johnson 1986
Stage 3 Problematic Use
Plans use ahead of time
Wants use to be part of social life
Using effects others around them
May change peer group
Drops other activities in favour of using
Begins to surpass own limits (breaks rules)
Defense mechanisms start
May attempt to cut down or quit
Able to make positive changes with help
17 Adapted from Johnson 1986
Stage 4 Addiction
Using is the goal
Many unsuccessful attempts to quit
Loss of control
Many relationships have been damaged
Family and friends are frustrated
Becomes more isolated
Increased concern for mental health issues
Has moments of clarity regarding the need to get help
Treatment often required at this stage
Canrsquot make change on their own anymore
18 Adapted from Johnson 1986
19
Normal
Pain Euphoria
Adapted from Joseph A Muldoon 1988
20
Stage 1 Learning the Mood Swing = Experimentation
Stage 2 Seeking the Mood Swing = Regular Social Use
Stage 3 Harmfully Involved = Problematic Use
Stage 4 Using to Feel to Normal = Addiction
Adapted from Johnson 1986
21
A decline in grades
Personality changes
Mood swings
Change in peer group
Secretive
Uncommunicative
Spends more time alone
Confused disoriented andor lethargic
Dishonesty (lying over trivial things)
Extremely defensive
Illusive about whereabouts friends and activities
Problems in the community (law)
Unexplained financial drain
Money or items missing from home
Dropping extra curricular activities
Becoming irresponsible towards household duties job house rules
Increase school problems skipping classes increased lateness
Changes in sleeping andor eating habits (weight)
Changes in self-care and appearance
Possession of drug paraphernalia
22
Alcohol rule based and socially acceptable
Cannabis normalized points of view
Increase in prescription use not prescribed
ex percocets xanax adderall
Increased poly drug use ndash pills ++
23
Often added to other powders (eg heroin Ketamine)
pills(eg oxy and benzos) liquids and marijuana in order to boost there potency
It is roughly 50 ndash 100 times more toxic than morphine
When fentanyl is cut into other drugs you canrsquot see smell or taste it
Also known as white china murder 8 dance fever and good-fella
When naloxone is in communities it has been shown to reduce overdose rates by 50
24
BCCDC (Bristish Columbia Centre for
Disease Control)
Used by veterinarians for very large animals
Not for human use
Is 100 times more toxic than fentanyl
Is 10000 times more toxic than morphine
Therefore can be deadly in extremely small amounts
Has been found in Ontario
Added the same way as fentanyl to other drugs (ex green
pills stamped lsquoCDNrsquo on one side and rsquo80rsquo on the other)
25 (Ottawa Public Health)
Severe sleepiness Trouble breathing Slow heartbeat Slow shallow breathing or snoring may sound like
gurgling Cold clammy skin Trouble walking or talking Unresponsive even when shaken Pin point pupils vomiting
26 Ottawa Public Health
Community collaboration ndash combined efforts police public health community centers schoolshelliphellip
Public awareness ndash media news reportshellip
Crisis response ndash hospitalsEmergency mobile health units increased availability of naloxone in pharmacy training on the use of naloxone provided to anyone
27
Examine your own views on drugalcohol use
Be informed about drugs and their effects
Establish clear expectations and consequences with your youth
As caregiver present a clear unified position
Discuss differences in strategies apart from your child
Set consequences with which you are able to follow through
28
Acknowledge amp Validate positive behavior out loud
Choose your battles
Ask open ended questions
Limit screen time (time limit dinner table bedtime family time)
Allow yourself time to reflect before answering requests from your youth
Itrsquos okay to make mistakes or be unsure and acknowledge that to your youth
Remember that it matters to your child what you think
29
You donrsquot have to agree with the situation behavior perspective you need to validate the feelings then problem solve
Dysregulated Child + Overwhelmed Parent = Co-Dysregulation Need 3 Rrsquos Regulate Relate Reason(Bruce Perry 2013)
Emotion Family Focused Therapy (website in resource section)
Emotion Coaching Skills 1 Attend to emotion 2label and express
the emotion 3 validate the emotion 4meet the need 5Fix itproblem solve
30
Expectations are important aspects of relationship because they communicate the behavior and roles that support boundaries and health
Actively encourage your teen to be involved in influencing the outcome of challenges by eliciting their participation
Inviting them to be involved in family conversations asking for there ideas amp supporting them to follow through on ideas in a way that gets them proactively involved
31
https
wwwyoutubecomwatchv=1Evwgu369Jw
Having considered all these strategies and recognizing that perhaps many of these you already practice what could be next steps your practice or organization could do to improve on assisting youth and families
33
httpwwwdrugrehabcaontario-teen-drug-rehabhtml
httpwwwdrugandalcoholhelplineca
httpwwwcamhcaenhospitalcare_program_and_servicesOutreach_ServicesPagesguide_psychiatric_outreachaspx
httpwwwhealthycanadiansgccatask-force-marijuana-groupe-etudeframework-cadreindex-engphp
34
httpwwwcamhxcaPublicationsOSDUHS2015
httpwwwccsacaEngtopicsMental-Health-and-Substance-AbusePagesdefaultaspx
35
Emotion-Focused Family Therapy emotionfocusedfamilytherapyorg
Books
1ldquoA survival Guide to Parenting Teensrdquo by Joani Geltman
2 ldquoBeyond Addictionrdquo by Jeffery Foote
3ldquoThe Awakened Familyrdquo by Shefali Tsabary
36
37
Complete todayrsquos evaluation amp apply for professional credits
Questions or Comments
Video-conferencers Unmute your system to ask a question
Webcasters Type your question
for participating in todayrsquos
Mental Health Series
Join us next time February 16 2017 With Dr Erin Kelly
Thank you
mentalhealthseriescheoonca
Stage 3 Problematic Use
Plans use ahead of time
Wants use to be part of social life
Using effects others around them
May change peer group
Drops other activities in favour of using
Begins to surpass own limits (breaks rules)
Defense mechanisms start
May attempt to cut down or quit
Able to make positive changes with help
17 Adapted from Johnson 1986
Stage 4 Addiction
Using is the goal
Many unsuccessful attempts to quit
Loss of control
Many relationships have been damaged
Family and friends are frustrated
Becomes more isolated
Increased concern for mental health issues
Has moments of clarity regarding the need to get help
Treatment often required at this stage
Canrsquot make change on their own anymore
18 Adapted from Johnson 1986
19
Normal
Pain Euphoria
Adapted from Joseph A Muldoon 1988
20
Stage 1 Learning the Mood Swing = Experimentation
Stage 2 Seeking the Mood Swing = Regular Social Use
Stage 3 Harmfully Involved = Problematic Use
Stage 4 Using to Feel to Normal = Addiction
Adapted from Johnson 1986
21
A decline in grades
Personality changes
Mood swings
Change in peer group
Secretive
Uncommunicative
Spends more time alone
Confused disoriented andor lethargic
Dishonesty (lying over trivial things)
Extremely defensive
Illusive about whereabouts friends and activities
Problems in the community (law)
Unexplained financial drain
Money or items missing from home
Dropping extra curricular activities
Becoming irresponsible towards household duties job house rules
Increase school problems skipping classes increased lateness
Changes in sleeping andor eating habits (weight)
Changes in self-care and appearance
Possession of drug paraphernalia
22
Alcohol rule based and socially acceptable
Cannabis normalized points of view
Increase in prescription use not prescribed
ex percocets xanax adderall
Increased poly drug use ndash pills ++
23
Often added to other powders (eg heroin Ketamine)
pills(eg oxy and benzos) liquids and marijuana in order to boost there potency
It is roughly 50 ndash 100 times more toxic than morphine
When fentanyl is cut into other drugs you canrsquot see smell or taste it
Also known as white china murder 8 dance fever and good-fella
When naloxone is in communities it has been shown to reduce overdose rates by 50
24
BCCDC (Bristish Columbia Centre for
Disease Control)
Used by veterinarians for very large animals
Not for human use
Is 100 times more toxic than fentanyl
Is 10000 times more toxic than morphine
Therefore can be deadly in extremely small amounts
Has been found in Ontario
Added the same way as fentanyl to other drugs (ex green
pills stamped lsquoCDNrsquo on one side and rsquo80rsquo on the other)
25 (Ottawa Public Health)
Severe sleepiness Trouble breathing Slow heartbeat Slow shallow breathing or snoring may sound like
gurgling Cold clammy skin Trouble walking or talking Unresponsive even when shaken Pin point pupils vomiting
26 Ottawa Public Health
Community collaboration ndash combined efforts police public health community centers schoolshelliphellip
Public awareness ndash media news reportshellip
Crisis response ndash hospitalsEmergency mobile health units increased availability of naloxone in pharmacy training on the use of naloxone provided to anyone
27
Examine your own views on drugalcohol use
Be informed about drugs and their effects
Establish clear expectations and consequences with your youth
As caregiver present a clear unified position
Discuss differences in strategies apart from your child
Set consequences with which you are able to follow through
28
Acknowledge amp Validate positive behavior out loud
Choose your battles
Ask open ended questions
Limit screen time (time limit dinner table bedtime family time)
Allow yourself time to reflect before answering requests from your youth
Itrsquos okay to make mistakes or be unsure and acknowledge that to your youth
Remember that it matters to your child what you think
29
You donrsquot have to agree with the situation behavior perspective you need to validate the feelings then problem solve
Dysregulated Child + Overwhelmed Parent = Co-Dysregulation Need 3 Rrsquos Regulate Relate Reason(Bruce Perry 2013)
Emotion Family Focused Therapy (website in resource section)
Emotion Coaching Skills 1 Attend to emotion 2label and express
the emotion 3 validate the emotion 4meet the need 5Fix itproblem solve
30
Expectations are important aspects of relationship because they communicate the behavior and roles that support boundaries and health
Actively encourage your teen to be involved in influencing the outcome of challenges by eliciting their participation
Inviting them to be involved in family conversations asking for there ideas amp supporting them to follow through on ideas in a way that gets them proactively involved
31
https
wwwyoutubecomwatchv=1Evwgu369Jw
Having considered all these strategies and recognizing that perhaps many of these you already practice what could be next steps your practice or organization could do to improve on assisting youth and families
33
httpwwwdrugrehabcaontario-teen-drug-rehabhtml
httpwwwdrugandalcoholhelplineca
httpwwwcamhcaenhospitalcare_program_and_servicesOutreach_ServicesPagesguide_psychiatric_outreachaspx
httpwwwhealthycanadiansgccatask-force-marijuana-groupe-etudeframework-cadreindex-engphp
34
httpwwwcamhxcaPublicationsOSDUHS2015
httpwwwccsacaEngtopicsMental-Health-and-Substance-AbusePagesdefaultaspx
35
Emotion-Focused Family Therapy emotionfocusedfamilytherapyorg
Books
1ldquoA survival Guide to Parenting Teensrdquo by Joani Geltman
2 ldquoBeyond Addictionrdquo by Jeffery Foote
3ldquoThe Awakened Familyrdquo by Shefali Tsabary
36
37
Complete todayrsquos evaluation amp apply for professional credits
Questions or Comments
Video-conferencers Unmute your system to ask a question
Webcasters Type your question
for participating in todayrsquos
Mental Health Series
Join us next time February 16 2017 With Dr Erin Kelly
Thank you
mentalhealthseriescheoonca
Stage 4 Addiction
Using is the goal
Many unsuccessful attempts to quit
Loss of control
Many relationships have been damaged
Family and friends are frustrated
Becomes more isolated
Increased concern for mental health issues
Has moments of clarity regarding the need to get help
Treatment often required at this stage
Canrsquot make change on their own anymore
18 Adapted from Johnson 1986
19
Normal
Pain Euphoria
Adapted from Joseph A Muldoon 1988
20
Stage 1 Learning the Mood Swing = Experimentation
Stage 2 Seeking the Mood Swing = Regular Social Use
Stage 3 Harmfully Involved = Problematic Use
Stage 4 Using to Feel to Normal = Addiction
Adapted from Johnson 1986
21
A decline in grades
Personality changes
Mood swings
Change in peer group
Secretive
Uncommunicative
Spends more time alone
Confused disoriented andor lethargic
Dishonesty (lying over trivial things)
Extremely defensive
Illusive about whereabouts friends and activities
Problems in the community (law)
Unexplained financial drain
Money or items missing from home
Dropping extra curricular activities
Becoming irresponsible towards household duties job house rules
Increase school problems skipping classes increased lateness
Changes in sleeping andor eating habits (weight)
Changes in self-care and appearance
Possession of drug paraphernalia
22
Alcohol rule based and socially acceptable
Cannabis normalized points of view
Increase in prescription use not prescribed
ex percocets xanax adderall
Increased poly drug use ndash pills ++
23
Often added to other powders (eg heroin Ketamine)
pills(eg oxy and benzos) liquids and marijuana in order to boost there potency
It is roughly 50 ndash 100 times more toxic than morphine
When fentanyl is cut into other drugs you canrsquot see smell or taste it
Also known as white china murder 8 dance fever and good-fella
When naloxone is in communities it has been shown to reduce overdose rates by 50
24
BCCDC (Bristish Columbia Centre for
Disease Control)
Used by veterinarians for very large animals
Not for human use
Is 100 times more toxic than fentanyl
Is 10000 times more toxic than morphine
Therefore can be deadly in extremely small amounts
Has been found in Ontario
Added the same way as fentanyl to other drugs (ex green
pills stamped lsquoCDNrsquo on one side and rsquo80rsquo on the other)
25 (Ottawa Public Health)
Severe sleepiness Trouble breathing Slow heartbeat Slow shallow breathing or snoring may sound like
gurgling Cold clammy skin Trouble walking or talking Unresponsive even when shaken Pin point pupils vomiting
26 Ottawa Public Health
Community collaboration ndash combined efforts police public health community centers schoolshelliphellip
Public awareness ndash media news reportshellip
Crisis response ndash hospitalsEmergency mobile health units increased availability of naloxone in pharmacy training on the use of naloxone provided to anyone
27
Examine your own views on drugalcohol use
Be informed about drugs and their effects
Establish clear expectations and consequences with your youth
As caregiver present a clear unified position
Discuss differences in strategies apart from your child
Set consequences with which you are able to follow through
28
Acknowledge amp Validate positive behavior out loud
Choose your battles
Ask open ended questions
Limit screen time (time limit dinner table bedtime family time)
Allow yourself time to reflect before answering requests from your youth
Itrsquos okay to make mistakes or be unsure and acknowledge that to your youth
Remember that it matters to your child what you think
29
You donrsquot have to agree with the situation behavior perspective you need to validate the feelings then problem solve
Dysregulated Child + Overwhelmed Parent = Co-Dysregulation Need 3 Rrsquos Regulate Relate Reason(Bruce Perry 2013)
Emotion Family Focused Therapy (website in resource section)
Emotion Coaching Skills 1 Attend to emotion 2label and express
the emotion 3 validate the emotion 4meet the need 5Fix itproblem solve
30
Expectations are important aspects of relationship because they communicate the behavior and roles that support boundaries and health
Actively encourage your teen to be involved in influencing the outcome of challenges by eliciting their participation
Inviting them to be involved in family conversations asking for there ideas amp supporting them to follow through on ideas in a way that gets them proactively involved
31
https
wwwyoutubecomwatchv=1Evwgu369Jw
Having considered all these strategies and recognizing that perhaps many of these you already practice what could be next steps your practice or organization could do to improve on assisting youth and families
33
httpwwwdrugrehabcaontario-teen-drug-rehabhtml
httpwwwdrugandalcoholhelplineca
httpwwwcamhcaenhospitalcare_program_and_servicesOutreach_ServicesPagesguide_psychiatric_outreachaspx
httpwwwhealthycanadiansgccatask-force-marijuana-groupe-etudeframework-cadreindex-engphp
34
httpwwwcamhxcaPublicationsOSDUHS2015
httpwwwccsacaEngtopicsMental-Health-and-Substance-AbusePagesdefaultaspx
35
Emotion-Focused Family Therapy emotionfocusedfamilytherapyorg
Books
1ldquoA survival Guide to Parenting Teensrdquo by Joani Geltman
2 ldquoBeyond Addictionrdquo by Jeffery Foote
3ldquoThe Awakened Familyrdquo by Shefali Tsabary
36
37
Complete todayrsquos evaluation amp apply for professional credits
Questions or Comments
Video-conferencers Unmute your system to ask a question
Webcasters Type your question
for participating in todayrsquos
Mental Health Series
Join us next time February 16 2017 With Dr Erin Kelly
Thank you
mentalhealthseriescheoonca
19
Normal
Pain Euphoria
Adapted from Joseph A Muldoon 1988
20
Stage 1 Learning the Mood Swing = Experimentation
Stage 2 Seeking the Mood Swing = Regular Social Use
Stage 3 Harmfully Involved = Problematic Use
Stage 4 Using to Feel to Normal = Addiction
Adapted from Johnson 1986
21
A decline in grades
Personality changes
Mood swings
Change in peer group
Secretive
Uncommunicative
Spends more time alone
Confused disoriented andor lethargic
Dishonesty (lying over trivial things)
Extremely defensive
Illusive about whereabouts friends and activities
Problems in the community (law)
Unexplained financial drain
Money or items missing from home
Dropping extra curricular activities
Becoming irresponsible towards household duties job house rules
Increase school problems skipping classes increased lateness
Changes in sleeping andor eating habits (weight)
Changes in self-care and appearance
Possession of drug paraphernalia
22
Alcohol rule based and socially acceptable
Cannabis normalized points of view
Increase in prescription use not prescribed
ex percocets xanax adderall
Increased poly drug use ndash pills ++
23
Often added to other powders (eg heroin Ketamine)
pills(eg oxy and benzos) liquids and marijuana in order to boost there potency
It is roughly 50 ndash 100 times more toxic than morphine
When fentanyl is cut into other drugs you canrsquot see smell or taste it
Also known as white china murder 8 dance fever and good-fella
When naloxone is in communities it has been shown to reduce overdose rates by 50
24
BCCDC (Bristish Columbia Centre for
Disease Control)
Used by veterinarians for very large animals
Not for human use
Is 100 times more toxic than fentanyl
Is 10000 times more toxic than morphine
Therefore can be deadly in extremely small amounts
Has been found in Ontario
Added the same way as fentanyl to other drugs (ex green
pills stamped lsquoCDNrsquo on one side and rsquo80rsquo on the other)
25 (Ottawa Public Health)
Severe sleepiness Trouble breathing Slow heartbeat Slow shallow breathing or snoring may sound like
gurgling Cold clammy skin Trouble walking or talking Unresponsive even when shaken Pin point pupils vomiting
26 Ottawa Public Health
Community collaboration ndash combined efforts police public health community centers schoolshelliphellip
Public awareness ndash media news reportshellip
Crisis response ndash hospitalsEmergency mobile health units increased availability of naloxone in pharmacy training on the use of naloxone provided to anyone
27
Examine your own views on drugalcohol use
Be informed about drugs and their effects
Establish clear expectations and consequences with your youth
As caregiver present a clear unified position
Discuss differences in strategies apart from your child
Set consequences with which you are able to follow through
28
Acknowledge amp Validate positive behavior out loud
Choose your battles
Ask open ended questions
Limit screen time (time limit dinner table bedtime family time)
Allow yourself time to reflect before answering requests from your youth
Itrsquos okay to make mistakes or be unsure and acknowledge that to your youth
Remember that it matters to your child what you think
29
You donrsquot have to agree with the situation behavior perspective you need to validate the feelings then problem solve
Dysregulated Child + Overwhelmed Parent = Co-Dysregulation Need 3 Rrsquos Regulate Relate Reason(Bruce Perry 2013)
Emotion Family Focused Therapy (website in resource section)
Emotion Coaching Skills 1 Attend to emotion 2label and express
the emotion 3 validate the emotion 4meet the need 5Fix itproblem solve
30
Expectations are important aspects of relationship because they communicate the behavior and roles that support boundaries and health
Actively encourage your teen to be involved in influencing the outcome of challenges by eliciting their participation
Inviting them to be involved in family conversations asking for there ideas amp supporting them to follow through on ideas in a way that gets them proactively involved
31
https
wwwyoutubecomwatchv=1Evwgu369Jw
Having considered all these strategies and recognizing that perhaps many of these you already practice what could be next steps your practice or organization could do to improve on assisting youth and families
33
httpwwwdrugrehabcaontario-teen-drug-rehabhtml
httpwwwdrugandalcoholhelplineca
httpwwwcamhcaenhospitalcare_program_and_servicesOutreach_ServicesPagesguide_psychiatric_outreachaspx
httpwwwhealthycanadiansgccatask-force-marijuana-groupe-etudeframework-cadreindex-engphp
34
httpwwwcamhxcaPublicationsOSDUHS2015
httpwwwccsacaEngtopicsMental-Health-and-Substance-AbusePagesdefaultaspx
35
Emotion-Focused Family Therapy emotionfocusedfamilytherapyorg
Books
1ldquoA survival Guide to Parenting Teensrdquo by Joani Geltman
2 ldquoBeyond Addictionrdquo by Jeffery Foote
3ldquoThe Awakened Familyrdquo by Shefali Tsabary
36
37
Complete todayrsquos evaluation amp apply for professional credits
Questions or Comments
Video-conferencers Unmute your system to ask a question
Webcasters Type your question
for participating in todayrsquos
Mental Health Series
Join us next time February 16 2017 With Dr Erin Kelly
Thank you
mentalhealthseriescheoonca
20
Stage 1 Learning the Mood Swing = Experimentation
Stage 2 Seeking the Mood Swing = Regular Social Use
Stage 3 Harmfully Involved = Problematic Use
Stage 4 Using to Feel to Normal = Addiction
Adapted from Johnson 1986
21
A decline in grades
Personality changes
Mood swings
Change in peer group
Secretive
Uncommunicative
Spends more time alone
Confused disoriented andor lethargic
Dishonesty (lying over trivial things)
Extremely defensive
Illusive about whereabouts friends and activities
Problems in the community (law)
Unexplained financial drain
Money or items missing from home
Dropping extra curricular activities
Becoming irresponsible towards household duties job house rules
Increase school problems skipping classes increased lateness
Changes in sleeping andor eating habits (weight)
Changes in self-care and appearance
Possession of drug paraphernalia
22
Alcohol rule based and socially acceptable
Cannabis normalized points of view
Increase in prescription use not prescribed
ex percocets xanax adderall
Increased poly drug use ndash pills ++
23
Often added to other powders (eg heroin Ketamine)
pills(eg oxy and benzos) liquids and marijuana in order to boost there potency
It is roughly 50 ndash 100 times more toxic than morphine
When fentanyl is cut into other drugs you canrsquot see smell or taste it
Also known as white china murder 8 dance fever and good-fella
When naloxone is in communities it has been shown to reduce overdose rates by 50
24
BCCDC (Bristish Columbia Centre for
Disease Control)
Used by veterinarians for very large animals
Not for human use
Is 100 times more toxic than fentanyl
Is 10000 times more toxic than morphine
Therefore can be deadly in extremely small amounts
Has been found in Ontario
Added the same way as fentanyl to other drugs (ex green
pills stamped lsquoCDNrsquo on one side and rsquo80rsquo on the other)
25 (Ottawa Public Health)
Severe sleepiness Trouble breathing Slow heartbeat Slow shallow breathing or snoring may sound like
gurgling Cold clammy skin Trouble walking or talking Unresponsive even when shaken Pin point pupils vomiting
26 Ottawa Public Health
Community collaboration ndash combined efforts police public health community centers schoolshelliphellip
Public awareness ndash media news reportshellip
Crisis response ndash hospitalsEmergency mobile health units increased availability of naloxone in pharmacy training on the use of naloxone provided to anyone
27
Examine your own views on drugalcohol use
Be informed about drugs and their effects
Establish clear expectations and consequences with your youth
As caregiver present a clear unified position
Discuss differences in strategies apart from your child
Set consequences with which you are able to follow through
28
Acknowledge amp Validate positive behavior out loud
Choose your battles
Ask open ended questions
Limit screen time (time limit dinner table bedtime family time)
Allow yourself time to reflect before answering requests from your youth
Itrsquos okay to make mistakes or be unsure and acknowledge that to your youth
Remember that it matters to your child what you think
29
You donrsquot have to agree with the situation behavior perspective you need to validate the feelings then problem solve
Dysregulated Child + Overwhelmed Parent = Co-Dysregulation Need 3 Rrsquos Regulate Relate Reason(Bruce Perry 2013)
Emotion Family Focused Therapy (website in resource section)
Emotion Coaching Skills 1 Attend to emotion 2label and express
the emotion 3 validate the emotion 4meet the need 5Fix itproblem solve
30
Expectations are important aspects of relationship because they communicate the behavior and roles that support boundaries and health
Actively encourage your teen to be involved in influencing the outcome of challenges by eliciting their participation
Inviting them to be involved in family conversations asking for there ideas amp supporting them to follow through on ideas in a way that gets them proactively involved
31
https
wwwyoutubecomwatchv=1Evwgu369Jw
Having considered all these strategies and recognizing that perhaps many of these you already practice what could be next steps your practice or organization could do to improve on assisting youth and families
33
httpwwwdrugrehabcaontario-teen-drug-rehabhtml
httpwwwdrugandalcoholhelplineca
httpwwwcamhcaenhospitalcare_program_and_servicesOutreach_ServicesPagesguide_psychiatric_outreachaspx
httpwwwhealthycanadiansgccatask-force-marijuana-groupe-etudeframework-cadreindex-engphp
34
httpwwwcamhxcaPublicationsOSDUHS2015
httpwwwccsacaEngtopicsMental-Health-and-Substance-AbusePagesdefaultaspx
35
Emotion-Focused Family Therapy emotionfocusedfamilytherapyorg
Books
1ldquoA survival Guide to Parenting Teensrdquo by Joani Geltman
2 ldquoBeyond Addictionrdquo by Jeffery Foote
3ldquoThe Awakened Familyrdquo by Shefali Tsabary
36
37
Complete todayrsquos evaluation amp apply for professional credits
Questions or Comments
Video-conferencers Unmute your system to ask a question
Webcasters Type your question
for participating in todayrsquos
Mental Health Series
Join us next time February 16 2017 With Dr Erin Kelly
Thank you
mentalhealthseriescheoonca
21
A decline in grades
Personality changes
Mood swings
Change in peer group
Secretive
Uncommunicative
Spends more time alone
Confused disoriented andor lethargic
Dishonesty (lying over trivial things)
Extremely defensive
Illusive about whereabouts friends and activities
Problems in the community (law)
Unexplained financial drain
Money or items missing from home
Dropping extra curricular activities
Becoming irresponsible towards household duties job house rules
Increase school problems skipping classes increased lateness
Changes in sleeping andor eating habits (weight)
Changes in self-care and appearance
Possession of drug paraphernalia
22
Alcohol rule based and socially acceptable
Cannabis normalized points of view
Increase in prescription use not prescribed
ex percocets xanax adderall
Increased poly drug use ndash pills ++
23
Often added to other powders (eg heroin Ketamine)
pills(eg oxy and benzos) liquids and marijuana in order to boost there potency
It is roughly 50 ndash 100 times more toxic than morphine
When fentanyl is cut into other drugs you canrsquot see smell or taste it
Also known as white china murder 8 dance fever and good-fella
When naloxone is in communities it has been shown to reduce overdose rates by 50
24
BCCDC (Bristish Columbia Centre for
Disease Control)
Used by veterinarians for very large animals
Not for human use
Is 100 times more toxic than fentanyl
Is 10000 times more toxic than morphine
Therefore can be deadly in extremely small amounts
Has been found in Ontario
Added the same way as fentanyl to other drugs (ex green
pills stamped lsquoCDNrsquo on one side and rsquo80rsquo on the other)
25 (Ottawa Public Health)
Severe sleepiness Trouble breathing Slow heartbeat Slow shallow breathing or snoring may sound like
gurgling Cold clammy skin Trouble walking or talking Unresponsive even when shaken Pin point pupils vomiting
26 Ottawa Public Health
Community collaboration ndash combined efforts police public health community centers schoolshelliphellip
Public awareness ndash media news reportshellip
Crisis response ndash hospitalsEmergency mobile health units increased availability of naloxone in pharmacy training on the use of naloxone provided to anyone
27
Examine your own views on drugalcohol use
Be informed about drugs and their effects
Establish clear expectations and consequences with your youth
As caregiver present a clear unified position
Discuss differences in strategies apart from your child
Set consequences with which you are able to follow through
28
Acknowledge amp Validate positive behavior out loud
Choose your battles
Ask open ended questions
Limit screen time (time limit dinner table bedtime family time)
Allow yourself time to reflect before answering requests from your youth
Itrsquos okay to make mistakes or be unsure and acknowledge that to your youth
Remember that it matters to your child what you think
29
You donrsquot have to agree with the situation behavior perspective you need to validate the feelings then problem solve
Dysregulated Child + Overwhelmed Parent = Co-Dysregulation Need 3 Rrsquos Regulate Relate Reason(Bruce Perry 2013)
Emotion Family Focused Therapy (website in resource section)
Emotion Coaching Skills 1 Attend to emotion 2label and express
the emotion 3 validate the emotion 4meet the need 5Fix itproblem solve
30
Expectations are important aspects of relationship because they communicate the behavior and roles that support boundaries and health
Actively encourage your teen to be involved in influencing the outcome of challenges by eliciting their participation
Inviting them to be involved in family conversations asking for there ideas amp supporting them to follow through on ideas in a way that gets them proactively involved
31
https
wwwyoutubecomwatchv=1Evwgu369Jw
Having considered all these strategies and recognizing that perhaps many of these you already practice what could be next steps your practice or organization could do to improve on assisting youth and families
33
httpwwwdrugrehabcaontario-teen-drug-rehabhtml
httpwwwdrugandalcoholhelplineca
httpwwwcamhcaenhospitalcare_program_and_servicesOutreach_ServicesPagesguide_psychiatric_outreachaspx
httpwwwhealthycanadiansgccatask-force-marijuana-groupe-etudeframework-cadreindex-engphp
34
httpwwwcamhxcaPublicationsOSDUHS2015
httpwwwccsacaEngtopicsMental-Health-and-Substance-AbusePagesdefaultaspx
35
Emotion-Focused Family Therapy emotionfocusedfamilytherapyorg
Books
1ldquoA survival Guide to Parenting Teensrdquo by Joani Geltman
2 ldquoBeyond Addictionrdquo by Jeffery Foote
3ldquoThe Awakened Familyrdquo by Shefali Tsabary
36
37
Complete todayrsquos evaluation amp apply for professional credits
Questions or Comments
Video-conferencers Unmute your system to ask a question
Webcasters Type your question
for participating in todayrsquos
Mental Health Series
Join us next time February 16 2017 With Dr Erin Kelly
Thank you
mentalhealthseriescheoonca
A decline in grades
Personality changes
Mood swings
Change in peer group
Secretive
Uncommunicative
Spends more time alone
Confused disoriented andor lethargic
Dishonesty (lying over trivial things)
Extremely defensive
Illusive about whereabouts friends and activities
Problems in the community (law)
Unexplained financial drain
Money or items missing from home
Dropping extra curricular activities
Becoming irresponsible towards household duties job house rules
Increase school problems skipping classes increased lateness
Changes in sleeping andor eating habits (weight)
Changes in self-care and appearance
Possession of drug paraphernalia
22
Alcohol rule based and socially acceptable
Cannabis normalized points of view
Increase in prescription use not prescribed
ex percocets xanax adderall
Increased poly drug use ndash pills ++
23
Often added to other powders (eg heroin Ketamine)
pills(eg oxy and benzos) liquids and marijuana in order to boost there potency
It is roughly 50 ndash 100 times more toxic than morphine
When fentanyl is cut into other drugs you canrsquot see smell or taste it
Also known as white china murder 8 dance fever and good-fella
When naloxone is in communities it has been shown to reduce overdose rates by 50
24
BCCDC (Bristish Columbia Centre for
Disease Control)
Used by veterinarians for very large animals
Not for human use
Is 100 times more toxic than fentanyl
Is 10000 times more toxic than morphine
Therefore can be deadly in extremely small amounts
Has been found in Ontario
Added the same way as fentanyl to other drugs (ex green
pills stamped lsquoCDNrsquo on one side and rsquo80rsquo on the other)
25 (Ottawa Public Health)
Severe sleepiness Trouble breathing Slow heartbeat Slow shallow breathing or snoring may sound like
gurgling Cold clammy skin Trouble walking or talking Unresponsive even when shaken Pin point pupils vomiting
26 Ottawa Public Health
Community collaboration ndash combined efforts police public health community centers schoolshelliphellip
Public awareness ndash media news reportshellip
Crisis response ndash hospitalsEmergency mobile health units increased availability of naloxone in pharmacy training on the use of naloxone provided to anyone
27
Examine your own views on drugalcohol use
Be informed about drugs and their effects
Establish clear expectations and consequences with your youth
As caregiver present a clear unified position
Discuss differences in strategies apart from your child
Set consequences with which you are able to follow through
28
Acknowledge amp Validate positive behavior out loud
Choose your battles
Ask open ended questions
Limit screen time (time limit dinner table bedtime family time)
Allow yourself time to reflect before answering requests from your youth
Itrsquos okay to make mistakes or be unsure and acknowledge that to your youth
Remember that it matters to your child what you think
29
You donrsquot have to agree with the situation behavior perspective you need to validate the feelings then problem solve
Dysregulated Child + Overwhelmed Parent = Co-Dysregulation Need 3 Rrsquos Regulate Relate Reason(Bruce Perry 2013)
Emotion Family Focused Therapy (website in resource section)
Emotion Coaching Skills 1 Attend to emotion 2label and express
the emotion 3 validate the emotion 4meet the need 5Fix itproblem solve
30
Expectations are important aspects of relationship because they communicate the behavior and roles that support boundaries and health
Actively encourage your teen to be involved in influencing the outcome of challenges by eliciting their participation
Inviting them to be involved in family conversations asking for there ideas amp supporting them to follow through on ideas in a way that gets them proactively involved
31
https
wwwyoutubecomwatchv=1Evwgu369Jw
Having considered all these strategies and recognizing that perhaps many of these you already practice what could be next steps your practice or organization could do to improve on assisting youth and families
33
httpwwwdrugrehabcaontario-teen-drug-rehabhtml
httpwwwdrugandalcoholhelplineca
httpwwwcamhcaenhospitalcare_program_and_servicesOutreach_ServicesPagesguide_psychiatric_outreachaspx
httpwwwhealthycanadiansgccatask-force-marijuana-groupe-etudeframework-cadreindex-engphp
34
httpwwwcamhxcaPublicationsOSDUHS2015
httpwwwccsacaEngtopicsMental-Health-and-Substance-AbusePagesdefaultaspx
35
Emotion-Focused Family Therapy emotionfocusedfamilytherapyorg
Books
1ldquoA survival Guide to Parenting Teensrdquo by Joani Geltman
2 ldquoBeyond Addictionrdquo by Jeffery Foote
3ldquoThe Awakened Familyrdquo by Shefali Tsabary
36
37
Complete todayrsquos evaluation amp apply for professional credits
Questions or Comments
Video-conferencers Unmute your system to ask a question
Webcasters Type your question
for participating in todayrsquos
Mental Health Series
Join us next time February 16 2017 With Dr Erin Kelly
Thank you
mentalhealthseriescheoonca
Alcohol rule based and socially acceptable
Cannabis normalized points of view
Increase in prescription use not prescribed
ex percocets xanax adderall
Increased poly drug use ndash pills ++
23
Often added to other powders (eg heroin Ketamine)
pills(eg oxy and benzos) liquids and marijuana in order to boost there potency
It is roughly 50 ndash 100 times more toxic than morphine
When fentanyl is cut into other drugs you canrsquot see smell or taste it
Also known as white china murder 8 dance fever and good-fella
When naloxone is in communities it has been shown to reduce overdose rates by 50
24
BCCDC (Bristish Columbia Centre for
Disease Control)
Used by veterinarians for very large animals
Not for human use
Is 100 times more toxic than fentanyl
Is 10000 times more toxic than morphine
Therefore can be deadly in extremely small amounts
Has been found in Ontario
Added the same way as fentanyl to other drugs (ex green
pills stamped lsquoCDNrsquo on one side and rsquo80rsquo on the other)
25 (Ottawa Public Health)
Severe sleepiness Trouble breathing Slow heartbeat Slow shallow breathing or snoring may sound like
gurgling Cold clammy skin Trouble walking or talking Unresponsive even when shaken Pin point pupils vomiting
26 Ottawa Public Health
Community collaboration ndash combined efforts police public health community centers schoolshelliphellip
Public awareness ndash media news reportshellip
Crisis response ndash hospitalsEmergency mobile health units increased availability of naloxone in pharmacy training on the use of naloxone provided to anyone
27
Examine your own views on drugalcohol use
Be informed about drugs and their effects
Establish clear expectations and consequences with your youth
As caregiver present a clear unified position
Discuss differences in strategies apart from your child
Set consequences with which you are able to follow through
28
Acknowledge amp Validate positive behavior out loud
Choose your battles
Ask open ended questions
Limit screen time (time limit dinner table bedtime family time)
Allow yourself time to reflect before answering requests from your youth
Itrsquos okay to make mistakes or be unsure and acknowledge that to your youth
Remember that it matters to your child what you think
29
You donrsquot have to agree with the situation behavior perspective you need to validate the feelings then problem solve
Dysregulated Child + Overwhelmed Parent = Co-Dysregulation Need 3 Rrsquos Regulate Relate Reason(Bruce Perry 2013)
Emotion Family Focused Therapy (website in resource section)
Emotion Coaching Skills 1 Attend to emotion 2label and express
the emotion 3 validate the emotion 4meet the need 5Fix itproblem solve
30
Expectations are important aspects of relationship because they communicate the behavior and roles that support boundaries and health
Actively encourage your teen to be involved in influencing the outcome of challenges by eliciting their participation
Inviting them to be involved in family conversations asking for there ideas amp supporting them to follow through on ideas in a way that gets them proactively involved
31
https
wwwyoutubecomwatchv=1Evwgu369Jw
Having considered all these strategies and recognizing that perhaps many of these you already practice what could be next steps your practice or organization could do to improve on assisting youth and families
33
httpwwwdrugrehabcaontario-teen-drug-rehabhtml
httpwwwdrugandalcoholhelplineca
httpwwwcamhcaenhospitalcare_program_and_servicesOutreach_ServicesPagesguide_psychiatric_outreachaspx
httpwwwhealthycanadiansgccatask-force-marijuana-groupe-etudeframework-cadreindex-engphp
34
httpwwwcamhxcaPublicationsOSDUHS2015
httpwwwccsacaEngtopicsMental-Health-and-Substance-AbusePagesdefaultaspx
35
Emotion-Focused Family Therapy emotionfocusedfamilytherapyorg
Books
1ldquoA survival Guide to Parenting Teensrdquo by Joani Geltman
2 ldquoBeyond Addictionrdquo by Jeffery Foote
3ldquoThe Awakened Familyrdquo by Shefali Tsabary
36
37
Complete todayrsquos evaluation amp apply for professional credits
Questions or Comments
Video-conferencers Unmute your system to ask a question
Webcasters Type your question
for participating in todayrsquos
Mental Health Series
Join us next time February 16 2017 With Dr Erin Kelly
Thank you
mentalhealthseriescheoonca
Often added to other powders (eg heroin Ketamine)
pills(eg oxy and benzos) liquids and marijuana in order to boost there potency
It is roughly 50 ndash 100 times more toxic than morphine
When fentanyl is cut into other drugs you canrsquot see smell or taste it
Also known as white china murder 8 dance fever and good-fella
When naloxone is in communities it has been shown to reduce overdose rates by 50
24
BCCDC (Bristish Columbia Centre for
Disease Control)
Used by veterinarians for very large animals
Not for human use
Is 100 times more toxic than fentanyl
Is 10000 times more toxic than morphine
Therefore can be deadly in extremely small amounts
Has been found in Ontario
Added the same way as fentanyl to other drugs (ex green
pills stamped lsquoCDNrsquo on one side and rsquo80rsquo on the other)
25 (Ottawa Public Health)
Severe sleepiness Trouble breathing Slow heartbeat Slow shallow breathing or snoring may sound like
gurgling Cold clammy skin Trouble walking or talking Unresponsive even when shaken Pin point pupils vomiting
26 Ottawa Public Health
Community collaboration ndash combined efforts police public health community centers schoolshelliphellip
Public awareness ndash media news reportshellip
Crisis response ndash hospitalsEmergency mobile health units increased availability of naloxone in pharmacy training on the use of naloxone provided to anyone
27
Examine your own views on drugalcohol use
Be informed about drugs and their effects
Establish clear expectations and consequences with your youth
As caregiver present a clear unified position
Discuss differences in strategies apart from your child
Set consequences with which you are able to follow through
28
Acknowledge amp Validate positive behavior out loud
Choose your battles
Ask open ended questions
Limit screen time (time limit dinner table bedtime family time)
Allow yourself time to reflect before answering requests from your youth
Itrsquos okay to make mistakes or be unsure and acknowledge that to your youth
Remember that it matters to your child what you think
29
You donrsquot have to agree with the situation behavior perspective you need to validate the feelings then problem solve
Dysregulated Child + Overwhelmed Parent = Co-Dysregulation Need 3 Rrsquos Regulate Relate Reason(Bruce Perry 2013)
Emotion Family Focused Therapy (website in resource section)
Emotion Coaching Skills 1 Attend to emotion 2label and express
the emotion 3 validate the emotion 4meet the need 5Fix itproblem solve
30
Expectations are important aspects of relationship because they communicate the behavior and roles that support boundaries and health
Actively encourage your teen to be involved in influencing the outcome of challenges by eliciting their participation
Inviting them to be involved in family conversations asking for there ideas amp supporting them to follow through on ideas in a way that gets them proactively involved
31
https
wwwyoutubecomwatchv=1Evwgu369Jw
Having considered all these strategies and recognizing that perhaps many of these you already practice what could be next steps your practice or organization could do to improve on assisting youth and families
33
httpwwwdrugrehabcaontario-teen-drug-rehabhtml
httpwwwdrugandalcoholhelplineca
httpwwwcamhcaenhospitalcare_program_and_servicesOutreach_ServicesPagesguide_psychiatric_outreachaspx
httpwwwhealthycanadiansgccatask-force-marijuana-groupe-etudeframework-cadreindex-engphp
34
httpwwwcamhxcaPublicationsOSDUHS2015
httpwwwccsacaEngtopicsMental-Health-and-Substance-AbusePagesdefaultaspx
35
Emotion-Focused Family Therapy emotionfocusedfamilytherapyorg
Books
1ldquoA survival Guide to Parenting Teensrdquo by Joani Geltman
2 ldquoBeyond Addictionrdquo by Jeffery Foote
3ldquoThe Awakened Familyrdquo by Shefali Tsabary
36
37
Complete todayrsquos evaluation amp apply for professional credits
Questions or Comments
Video-conferencers Unmute your system to ask a question
Webcasters Type your question
for participating in todayrsquos
Mental Health Series
Join us next time February 16 2017 With Dr Erin Kelly
Thank you
mentalhealthseriescheoonca
Used by veterinarians for very large animals
Not for human use
Is 100 times more toxic than fentanyl
Is 10000 times more toxic than morphine
Therefore can be deadly in extremely small amounts
Has been found in Ontario
Added the same way as fentanyl to other drugs (ex green
pills stamped lsquoCDNrsquo on one side and rsquo80rsquo on the other)
25 (Ottawa Public Health)
Severe sleepiness Trouble breathing Slow heartbeat Slow shallow breathing or snoring may sound like
gurgling Cold clammy skin Trouble walking or talking Unresponsive even when shaken Pin point pupils vomiting
26 Ottawa Public Health
Community collaboration ndash combined efforts police public health community centers schoolshelliphellip
Public awareness ndash media news reportshellip
Crisis response ndash hospitalsEmergency mobile health units increased availability of naloxone in pharmacy training on the use of naloxone provided to anyone
27
Examine your own views on drugalcohol use
Be informed about drugs and their effects
Establish clear expectations and consequences with your youth
As caregiver present a clear unified position
Discuss differences in strategies apart from your child
Set consequences with which you are able to follow through
28
Acknowledge amp Validate positive behavior out loud
Choose your battles
Ask open ended questions
Limit screen time (time limit dinner table bedtime family time)
Allow yourself time to reflect before answering requests from your youth
Itrsquos okay to make mistakes or be unsure and acknowledge that to your youth
Remember that it matters to your child what you think
29
You donrsquot have to agree with the situation behavior perspective you need to validate the feelings then problem solve
Dysregulated Child + Overwhelmed Parent = Co-Dysregulation Need 3 Rrsquos Regulate Relate Reason(Bruce Perry 2013)
Emotion Family Focused Therapy (website in resource section)
Emotion Coaching Skills 1 Attend to emotion 2label and express
the emotion 3 validate the emotion 4meet the need 5Fix itproblem solve
30
Expectations are important aspects of relationship because they communicate the behavior and roles that support boundaries and health
Actively encourage your teen to be involved in influencing the outcome of challenges by eliciting their participation
Inviting them to be involved in family conversations asking for there ideas amp supporting them to follow through on ideas in a way that gets them proactively involved
31
https
wwwyoutubecomwatchv=1Evwgu369Jw
Having considered all these strategies and recognizing that perhaps many of these you already practice what could be next steps your practice or organization could do to improve on assisting youth and families
33
httpwwwdrugrehabcaontario-teen-drug-rehabhtml
httpwwwdrugandalcoholhelplineca
httpwwwcamhcaenhospitalcare_program_and_servicesOutreach_ServicesPagesguide_psychiatric_outreachaspx
httpwwwhealthycanadiansgccatask-force-marijuana-groupe-etudeframework-cadreindex-engphp
34
httpwwwcamhxcaPublicationsOSDUHS2015
httpwwwccsacaEngtopicsMental-Health-and-Substance-AbusePagesdefaultaspx
35
Emotion-Focused Family Therapy emotionfocusedfamilytherapyorg
Books
1ldquoA survival Guide to Parenting Teensrdquo by Joani Geltman
2 ldquoBeyond Addictionrdquo by Jeffery Foote
3ldquoThe Awakened Familyrdquo by Shefali Tsabary
36
37
Complete todayrsquos evaluation amp apply for professional credits
Questions or Comments
Video-conferencers Unmute your system to ask a question
Webcasters Type your question
for participating in todayrsquos
Mental Health Series
Join us next time February 16 2017 With Dr Erin Kelly
Thank you
mentalhealthseriescheoonca
Severe sleepiness Trouble breathing Slow heartbeat Slow shallow breathing or snoring may sound like
gurgling Cold clammy skin Trouble walking or talking Unresponsive even when shaken Pin point pupils vomiting
26 Ottawa Public Health
Community collaboration ndash combined efforts police public health community centers schoolshelliphellip
Public awareness ndash media news reportshellip
Crisis response ndash hospitalsEmergency mobile health units increased availability of naloxone in pharmacy training on the use of naloxone provided to anyone
27
Examine your own views on drugalcohol use
Be informed about drugs and their effects
Establish clear expectations and consequences with your youth
As caregiver present a clear unified position
Discuss differences in strategies apart from your child
Set consequences with which you are able to follow through
28
Acknowledge amp Validate positive behavior out loud
Choose your battles
Ask open ended questions
Limit screen time (time limit dinner table bedtime family time)
Allow yourself time to reflect before answering requests from your youth
Itrsquos okay to make mistakes or be unsure and acknowledge that to your youth
Remember that it matters to your child what you think
29
You donrsquot have to agree with the situation behavior perspective you need to validate the feelings then problem solve
Dysregulated Child + Overwhelmed Parent = Co-Dysregulation Need 3 Rrsquos Regulate Relate Reason(Bruce Perry 2013)
Emotion Family Focused Therapy (website in resource section)
Emotion Coaching Skills 1 Attend to emotion 2label and express
the emotion 3 validate the emotion 4meet the need 5Fix itproblem solve
30
Expectations are important aspects of relationship because they communicate the behavior and roles that support boundaries and health
Actively encourage your teen to be involved in influencing the outcome of challenges by eliciting their participation
Inviting them to be involved in family conversations asking for there ideas amp supporting them to follow through on ideas in a way that gets them proactively involved
31
https
wwwyoutubecomwatchv=1Evwgu369Jw
Having considered all these strategies and recognizing that perhaps many of these you already practice what could be next steps your practice or organization could do to improve on assisting youth and families
33
httpwwwdrugrehabcaontario-teen-drug-rehabhtml
httpwwwdrugandalcoholhelplineca
httpwwwcamhcaenhospitalcare_program_and_servicesOutreach_ServicesPagesguide_psychiatric_outreachaspx
httpwwwhealthycanadiansgccatask-force-marijuana-groupe-etudeframework-cadreindex-engphp
34
httpwwwcamhxcaPublicationsOSDUHS2015
httpwwwccsacaEngtopicsMental-Health-and-Substance-AbusePagesdefaultaspx
35
Emotion-Focused Family Therapy emotionfocusedfamilytherapyorg
Books
1ldquoA survival Guide to Parenting Teensrdquo by Joani Geltman
2 ldquoBeyond Addictionrdquo by Jeffery Foote
3ldquoThe Awakened Familyrdquo by Shefali Tsabary
36
37
Complete todayrsquos evaluation amp apply for professional credits
Questions or Comments
Video-conferencers Unmute your system to ask a question
Webcasters Type your question
for participating in todayrsquos
Mental Health Series
Join us next time February 16 2017 With Dr Erin Kelly
Thank you
mentalhealthseriescheoonca
Community collaboration ndash combined efforts police public health community centers schoolshelliphellip
Public awareness ndash media news reportshellip
Crisis response ndash hospitalsEmergency mobile health units increased availability of naloxone in pharmacy training on the use of naloxone provided to anyone
27
Examine your own views on drugalcohol use
Be informed about drugs and their effects
Establish clear expectations and consequences with your youth
As caregiver present a clear unified position
Discuss differences in strategies apart from your child
Set consequences with which you are able to follow through
28
Acknowledge amp Validate positive behavior out loud
Choose your battles
Ask open ended questions
Limit screen time (time limit dinner table bedtime family time)
Allow yourself time to reflect before answering requests from your youth
Itrsquos okay to make mistakes or be unsure and acknowledge that to your youth
Remember that it matters to your child what you think
29
You donrsquot have to agree with the situation behavior perspective you need to validate the feelings then problem solve
Dysregulated Child + Overwhelmed Parent = Co-Dysregulation Need 3 Rrsquos Regulate Relate Reason(Bruce Perry 2013)
Emotion Family Focused Therapy (website in resource section)
Emotion Coaching Skills 1 Attend to emotion 2label and express
the emotion 3 validate the emotion 4meet the need 5Fix itproblem solve
30
Expectations are important aspects of relationship because they communicate the behavior and roles that support boundaries and health
Actively encourage your teen to be involved in influencing the outcome of challenges by eliciting their participation
Inviting them to be involved in family conversations asking for there ideas amp supporting them to follow through on ideas in a way that gets them proactively involved
31
https
wwwyoutubecomwatchv=1Evwgu369Jw
Having considered all these strategies and recognizing that perhaps many of these you already practice what could be next steps your practice or organization could do to improve on assisting youth and families
33
httpwwwdrugrehabcaontario-teen-drug-rehabhtml
httpwwwdrugandalcoholhelplineca
httpwwwcamhcaenhospitalcare_program_and_servicesOutreach_ServicesPagesguide_psychiatric_outreachaspx
httpwwwhealthycanadiansgccatask-force-marijuana-groupe-etudeframework-cadreindex-engphp
34
httpwwwcamhxcaPublicationsOSDUHS2015
httpwwwccsacaEngtopicsMental-Health-and-Substance-AbusePagesdefaultaspx
35
Emotion-Focused Family Therapy emotionfocusedfamilytherapyorg
Books
1ldquoA survival Guide to Parenting Teensrdquo by Joani Geltman
2 ldquoBeyond Addictionrdquo by Jeffery Foote
3ldquoThe Awakened Familyrdquo by Shefali Tsabary
36
37
Complete todayrsquos evaluation amp apply for professional credits
Questions or Comments
Video-conferencers Unmute your system to ask a question
Webcasters Type your question
for participating in todayrsquos
Mental Health Series
Join us next time February 16 2017 With Dr Erin Kelly
Thank you
mentalhealthseriescheoonca
Examine your own views on drugalcohol use
Be informed about drugs and their effects
Establish clear expectations and consequences with your youth
As caregiver present a clear unified position
Discuss differences in strategies apart from your child
Set consequences with which you are able to follow through
28
Acknowledge amp Validate positive behavior out loud
Choose your battles
Ask open ended questions
Limit screen time (time limit dinner table bedtime family time)
Allow yourself time to reflect before answering requests from your youth
Itrsquos okay to make mistakes or be unsure and acknowledge that to your youth
Remember that it matters to your child what you think
29
You donrsquot have to agree with the situation behavior perspective you need to validate the feelings then problem solve
Dysregulated Child + Overwhelmed Parent = Co-Dysregulation Need 3 Rrsquos Regulate Relate Reason(Bruce Perry 2013)
Emotion Family Focused Therapy (website in resource section)
Emotion Coaching Skills 1 Attend to emotion 2label and express
the emotion 3 validate the emotion 4meet the need 5Fix itproblem solve
30
Expectations are important aspects of relationship because they communicate the behavior and roles that support boundaries and health
Actively encourage your teen to be involved in influencing the outcome of challenges by eliciting their participation
Inviting them to be involved in family conversations asking for there ideas amp supporting them to follow through on ideas in a way that gets them proactively involved
31
https
wwwyoutubecomwatchv=1Evwgu369Jw
Having considered all these strategies and recognizing that perhaps many of these you already practice what could be next steps your practice or organization could do to improve on assisting youth and families
33
httpwwwdrugrehabcaontario-teen-drug-rehabhtml
httpwwwdrugandalcoholhelplineca
httpwwwcamhcaenhospitalcare_program_and_servicesOutreach_ServicesPagesguide_psychiatric_outreachaspx
httpwwwhealthycanadiansgccatask-force-marijuana-groupe-etudeframework-cadreindex-engphp
34
httpwwwcamhxcaPublicationsOSDUHS2015
httpwwwccsacaEngtopicsMental-Health-and-Substance-AbusePagesdefaultaspx
35
Emotion-Focused Family Therapy emotionfocusedfamilytherapyorg
Books
1ldquoA survival Guide to Parenting Teensrdquo by Joani Geltman
2 ldquoBeyond Addictionrdquo by Jeffery Foote
3ldquoThe Awakened Familyrdquo by Shefali Tsabary
36
37
Complete todayrsquos evaluation amp apply for professional credits
Questions or Comments
Video-conferencers Unmute your system to ask a question
Webcasters Type your question
for participating in todayrsquos
Mental Health Series
Join us next time February 16 2017 With Dr Erin Kelly
Thank you
mentalhealthseriescheoonca
Acknowledge amp Validate positive behavior out loud
Choose your battles
Ask open ended questions
Limit screen time (time limit dinner table bedtime family time)
Allow yourself time to reflect before answering requests from your youth
Itrsquos okay to make mistakes or be unsure and acknowledge that to your youth
Remember that it matters to your child what you think
29
You donrsquot have to agree with the situation behavior perspective you need to validate the feelings then problem solve
Dysregulated Child + Overwhelmed Parent = Co-Dysregulation Need 3 Rrsquos Regulate Relate Reason(Bruce Perry 2013)
Emotion Family Focused Therapy (website in resource section)
Emotion Coaching Skills 1 Attend to emotion 2label and express
the emotion 3 validate the emotion 4meet the need 5Fix itproblem solve
30
Expectations are important aspects of relationship because they communicate the behavior and roles that support boundaries and health
Actively encourage your teen to be involved in influencing the outcome of challenges by eliciting their participation
Inviting them to be involved in family conversations asking for there ideas amp supporting them to follow through on ideas in a way that gets them proactively involved
31
https
wwwyoutubecomwatchv=1Evwgu369Jw
Having considered all these strategies and recognizing that perhaps many of these you already practice what could be next steps your practice or organization could do to improve on assisting youth and families
33
httpwwwdrugrehabcaontario-teen-drug-rehabhtml
httpwwwdrugandalcoholhelplineca
httpwwwcamhcaenhospitalcare_program_and_servicesOutreach_ServicesPagesguide_psychiatric_outreachaspx
httpwwwhealthycanadiansgccatask-force-marijuana-groupe-etudeframework-cadreindex-engphp
34
httpwwwcamhxcaPublicationsOSDUHS2015
httpwwwccsacaEngtopicsMental-Health-and-Substance-AbusePagesdefaultaspx
35
Emotion-Focused Family Therapy emotionfocusedfamilytherapyorg
Books
1ldquoA survival Guide to Parenting Teensrdquo by Joani Geltman
2 ldquoBeyond Addictionrdquo by Jeffery Foote
3ldquoThe Awakened Familyrdquo by Shefali Tsabary
36
37
Complete todayrsquos evaluation amp apply for professional credits
Questions or Comments
Video-conferencers Unmute your system to ask a question
Webcasters Type your question
for participating in todayrsquos
Mental Health Series
Join us next time February 16 2017 With Dr Erin Kelly
Thank you
mentalhealthseriescheoonca
You donrsquot have to agree with the situation behavior perspective you need to validate the feelings then problem solve
Dysregulated Child + Overwhelmed Parent = Co-Dysregulation Need 3 Rrsquos Regulate Relate Reason(Bruce Perry 2013)
Emotion Family Focused Therapy (website in resource section)
Emotion Coaching Skills 1 Attend to emotion 2label and express
the emotion 3 validate the emotion 4meet the need 5Fix itproblem solve
30
Expectations are important aspects of relationship because they communicate the behavior and roles that support boundaries and health
Actively encourage your teen to be involved in influencing the outcome of challenges by eliciting their participation
Inviting them to be involved in family conversations asking for there ideas amp supporting them to follow through on ideas in a way that gets them proactively involved
31
https
wwwyoutubecomwatchv=1Evwgu369Jw
Having considered all these strategies and recognizing that perhaps many of these you already practice what could be next steps your practice or organization could do to improve on assisting youth and families
33
httpwwwdrugrehabcaontario-teen-drug-rehabhtml
httpwwwdrugandalcoholhelplineca
httpwwwcamhcaenhospitalcare_program_and_servicesOutreach_ServicesPagesguide_psychiatric_outreachaspx
httpwwwhealthycanadiansgccatask-force-marijuana-groupe-etudeframework-cadreindex-engphp
34
httpwwwcamhxcaPublicationsOSDUHS2015
httpwwwccsacaEngtopicsMental-Health-and-Substance-AbusePagesdefaultaspx
35
Emotion-Focused Family Therapy emotionfocusedfamilytherapyorg
Books
1ldquoA survival Guide to Parenting Teensrdquo by Joani Geltman
2 ldquoBeyond Addictionrdquo by Jeffery Foote
3ldquoThe Awakened Familyrdquo by Shefali Tsabary
36
37
Complete todayrsquos evaluation amp apply for professional credits
Questions or Comments
Video-conferencers Unmute your system to ask a question
Webcasters Type your question
for participating in todayrsquos
Mental Health Series
Join us next time February 16 2017 With Dr Erin Kelly
Thank you
mentalhealthseriescheoonca
Expectations are important aspects of relationship because they communicate the behavior and roles that support boundaries and health
Actively encourage your teen to be involved in influencing the outcome of challenges by eliciting their participation
Inviting them to be involved in family conversations asking for there ideas amp supporting them to follow through on ideas in a way that gets them proactively involved
31
https
wwwyoutubecomwatchv=1Evwgu369Jw
Having considered all these strategies and recognizing that perhaps many of these you already practice what could be next steps your practice or organization could do to improve on assisting youth and families
33
httpwwwdrugrehabcaontario-teen-drug-rehabhtml
httpwwwdrugandalcoholhelplineca
httpwwwcamhcaenhospitalcare_program_and_servicesOutreach_ServicesPagesguide_psychiatric_outreachaspx
httpwwwhealthycanadiansgccatask-force-marijuana-groupe-etudeframework-cadreindex-engphp
34
httpwwwcamhxcaPublicationsOSDUHS2015
httpwwwccsacaEngtopicsMental-Health-and-Substance-AbusePagesdefaultaspx
35
Emotion-Focused Family Therapy emotionfocusedfamilytherapyorg
Books
1ldquoA survival Guide to Parenting Teensrdquo by Joani Geltman
2 ldquoBeyond Addictionrdquo by Jeffery Foote
3ldquoThe Awakened Familyrdquo by Shefali Tsabary
36
37
Complete todayrsquos evaluation amp apply for professional credits
Questions or Comments
Video-conferencers Unmute your system to ask a question
Webcasters Type your question
for participating in todayrsquos
Mental Health Series
Join us next time February 16 2017 With Dr Erin Kelly
Thank you
mentalhealthseriescheoonca
https
wwwyoutubecomwatchv=1Evwgu369Jw
Having considered all these strategies and recognizing that perhaps many of these you already practice what could be next steps your practice or organization could do to improve on assisting youth and families
33
httpwwwdrugrehabcaontario-teen-drug-rehabhtml
httpwwwdrugandalcoholhelplineca
httpwwwcamhcaenhospitalcare_program_and_servicesOutreach_ServicesPagesguide_psychiatric_outreachaspx
httpwwwhealthycanadiansgccatask-force-marijuana-groupe-etudeframework-cadreindex-engphp
34
httpwwwcamhxcaPublicationsOSDUHS2015
httpwwwccsacaEngtopicsMental-Health-and-Substance-AbusePagesdefaultaspx
35
Emotion-Focused Family Therapy emotionfocusedfamilytherapyorg
Books
1ldquoA survival Guide to Parenting Teensrdquo by Joani Geltman
2 ldquoBeyond Addictionrdquo by Jeffery Foote
3ldquoThe Awakened Familyrdquo by Shefali Tsabary
36
37
Complete todayrsquos evaluation amp apply for professional credits
Questions or Comments
Video-conferencers Unmute your system to ask a question
Webcasters Type your question
for participating in todayrsquos
Mental Health Series
Join us next time February 16 2017 With Dr Erin Kelly
Thank you
mentalhealthseriescheoonca
Having considered all these strategies and recognizing that perhaps many of these you already practice what could be next steps your practice or organization could do to improve on assisting youth and families
33
httpwwwdrugrehabcaontario-teen-drug-rehabhtml
httpwwwdrugandalcoholhelplineca
httpwwwcamhcaenhospitalcare_program_and_servicesOutreach_ServicesPagesguide_psychiatric_outreachaspx
httpwwwhealthycanadiansgccatask-force-marijuana-groupe-etudeframework-cadreindex-engphp
34
httpwwwcamhxcaPublicationsOSDUHS2015
httpwwwccsacaEngtopicsMental-Health-and-Substance-AbusePagesdefaultaspx
35
Emotion-Focused Family Therapy emotionfocusedfamilytherapyorg
Books
1ldquoA survival Guide to Parenting Teensrdquo by Joani Geltman
2 ldquoBeyond Addictionrdquo by Jeffery Foote
3ldquoThe Awakened Familyrdquo by Shefali Tsabary
36
37
Complete todayrsquos evaluation amp apply for professional credits
Questions or Comments
Video-conferencers Unmute your system to ask a question
Webcasters Type your question
for participating in todayrsquos
Mental Health Series
Join us next time February 16 2017 With Dr Erin Kelly
Thank you
mentalhealthseriescheoonca
httpwwwdrugrehabcaontario-teen-drug-rehabhtml
httpwwwdrugandalcoholhelplineca
httpwwwcamhcaenhospitalcare_program_and_servicesOutreach_ServicesPagesguide_psychiatric_outreachaspx
httpwwwhealthycanadiansgccatask-force-marijuana-groupe-etudeframework-cadreindex-engphp
34
httpwwwcamhxcaPublicationsOSDUHS2015
httpwwwccsacaEngtopicsMental-Health-and-Substance-AbusePagesdefaultaspx
35
Emotion-Focused Family Therapy emotionfocusedfamilytherapyorg
Books
1ldquoA survival Guide to Parenting Teensrdquo by Joani Geltman
2 ldquoBeyond Addictionrdquo by Jeffery Foote
3ldquoThe Awakened Familyrdquo by Shefali Tsabary
36
37
Complete todayrsquos evaluation amp apply for professional credits
Questions or Comments
Video-conferencers Unmute your system to ask a question
Webcasters Type your question
for participating in todayrsquos
Mental Health Series
Join us next time February 16 2017 With Dr Erin Kelly
Thank you
mentalhealthseriescheoonca
httpwwwcamhxcaPublicationsOSDUHS2015
httpwwwccsacaEngtopicsMental-Health-and-Substance-AbusePagesdefaultaspx
35
Emotion-Focused Family Therapy emotionfocusedfamilytherapyorg
Books
1ldquoA survival Guide to Parenting Teensrdquo by Joani Geltman
2 ldquoBeyond Addictionrdquo by Jeffery Foote
3ldquoThe Awakened Familyrdquo by Shefali Tsabary
36
37
Complete todayrsquos evaluation amp apply for professional credits
Questions or Comments
Video-conferencers Unmute your system to ask a question
Webcasters Type your question
for participating in todayrsquos
Mental Health Series
Join us next time February 16 2017 With Dr Erin Kelly
Thank you
mentalhealthseriescheoonca
Emotion-Focused Family Therapy emotionfocusedfamilytherapyorg
Books
1ldquoA survival Guide to Parenting Teensrdquo by Joani Geltman
2 ldquoBeyond Addictionrdquo by Jeffery Foote
3ldquoThe Awakened Familyrdquo by Shefali Tsabary
36
37
Complete todayrsquos evaluation amp apply for professional credits
Questions or Comments
Video-conferencers Unmute your system to ask a question
Webcasters Type your question
for participating in todayrsquos
Mental Health Series
Join us next time February 16 2017 With Dr Erin Kelly
Thank you
mentalhealthseriescheoonca
37
Complete todayrsquos evaluation amp apply for professional credits
Questions or Comments
Video-conferencers Unmute your system to ask a question
Webcasters Type your question
for participating in todayrsquos
Mental Health Series
Join us next time February 16 2017 With Dr Erin Kelly
Thank you
mentalhealthseriescheoonca
Complete todayrsquos evaluation amp apply for professional credits
Questions or Comments
Video-conferencers Unmute your system to ask a question
Webcasters Type your question
for participating in todayrsquos
Mental Health Series
Join us next time February 16 2017 With Dr Erin Kelly
Thank you
mentalhealthseriescheoonca
for participating in todayrsquos
Mental Health Series
Join us next time February 16 2017 With Dr Erin Kelly
Thank you
mentalhealthseriescheoonca