Guest Speaker Notes

Minding Your Mind- Connection between mental health & substance use - POC:

Sheila Gillin

-Stress: family,friends, school

-It's important to manage stress because we have a hormone in our brain and when we are stressed our body becomes more vulnerable.

-Depression: Loss of energy, aches and pains,changes in appetite, feeling like the whole world in on your shoulders,

-Emotional symptoms: sadness,anger, wanting to be alone, losing interest in your hobbies, not wanting to go to school and hangout with friends

-Anxiety: Shaking, racing heart, sleeping difficulties, stomach issues, dizziness, sweating

-Emotion systems: fears, worrying, negative thinking, self-criticism

-Part of the brain: Amygdala, responsible for the limbic system (emotions), signals for stress

-Pre-frontal cortex: Not fully developed until your 19-25, substance abuse/emotional.

-Negative coping skills (easy to access, helps escape stress): provides relief= self harm, drugs, alcohol

-Substance use makes changes to our brains

-Many people use substance as a negative coping skill

-Parents feel powerlessness when living with a kid with substance use

-Financial difficulties because a family member tries to find a way to support their addiction

-Siblings on that substance user might feel anger/fear

-Substance use can affect a community because there are higher health care costs, increases in crime rates, schools=declining grades, employment=decreases in workplace, not showing up for work.

-Social media during Covid was helpful because we could communicate with our friends

• Talking about fentanyl

• What happens when we put a drug through a pathway?

• The drug hijacks natural reward

• Dopamine=thinking, decision-making,judgment

• Dopamine makes changes in the brain and increases your mood but soon the drug leaves your body and your mood decreases

• When you do the drug a lot you don't get as high as the first time

• You will feel worse then the first time

• “Spiraling cycle” when you use the drug

• Your brain is done developing at 25

• You lose motivation because the brain isn't rewarding the domaine

• When you have trauma the fear pathway may become overactive and the reward pathway might become underactive

• Fentanyl in San Diego:

• 2012=12

• 2013=14

• 2014=15

• 2016=33

• 2017=84

• 2018=92

• 2019=151

• 2020=457

• 2021=800+

• 2017 fentanyl deaths become more current because it's being transported through the border.

• Opioid is from plants

• They but opioids in chemistry laps and made it stronger

• Strongest medications: Morphine,hydrocodone,oxycodone

• ⅘ new heroin abusers started with prescription opioids

• When you break a bone it goes to the brain while it goes to the brain it goes through receptors

• When you take an opioid you get fewer pain signals

• When you take so many opioids it blocks the brain from telling the body to breathe.

• Fake pulls that look like they are from a pharmacy but they are really filled with FENTANYL a deathly opioid

• As little as 2 mg of Fentanyl can kill you

• Fentanyl is made in fake labs in South America and Mexico

• Fentanyl is cheaper and easier to make

• Narcan only worlds on opiods

• Nasal spray, you push on the plunger

• When you see someone overdosing,drunk, you use the nasal spray

• It can only help and not harm

• How to know if someone is overdosing

• There face starts to turn bluish

• Snoring sound

• It's going to go to the brain and push the opioid off

• You still need to call 911 because it won't last forever

Substances:

• Alcohol: ethanol is intoxicating

• ABV= acolhol by volume

• The amount of alcohol consumed that affects a person most not the type of alcohol

• Underage people drinking are most likely to binge drink

• Alcohol overdose occurs when there is a lot of alcohol in the bloodstream that areas of the brain controlling basic life support functions shut down

• Symptoms: mental confusion, difficulty remaining conscious, vomiting, hard time breathing, dulled responses such as no gag reflexes (prevents choking), low body temperature, slow heart rate, clammy-like skin, and seizures.

Cannabis:

• Is dried flowers or leaves from the cannabis plant and contains mind-altering compounds like TCH (Tetrahydrocannabinol)

• Is legal in all states for anyone under the age of 21 to use cannabis recreationally

Prescription drugs:

• Don't take prescription medication that isn't yours and don’t share your prescription medication with others

• Never take more than what is prescribed by your doctor

• Never mix medications with alcohol or other drugs

Poly-substance use:

• Studies show that when teenagers use alcohol and marijuana at the same time (they tend to experience 2-3 times more consequences

Why 21:

• Using substances at a young age leads to an increased rate of self-harm or attempted suicides

• Brain damage, permanent brain loss, Health problems in adulthood, Increased risk of addiction, Poor performance in school, Legal and financial consequences, and Increased risk of being injured or killed

Shelly park

• Got in a car crash

• Played basketball, volleyball, and softball and got a full scholarship at NAU

• Was 18 at the time.

• Bought alcohol with the fake Id

• Lied to their parents and took off to Arizona

• Was a passenger in the car with a drunk driver

• Her friend passed out of fell asleep and the car swerved off the road and flew 100 feet in the air and flipped 3 times she was ejected because she was not wearing a seat belt

• Had emergency surgery (Broke nose, jaw, wrist, brain damage, etc)

• Parents barely recognized her because she was swollen and traumatized

• Was in a coma for 30 days and was on life support for 10 days

• Doctors said that she would be a third-grade level and come back

• Needed to be put in a nursing home

• Spent a year in 3 different hospitals

• Needed 14 major surgeries

• Born right-handed and now shes is left-handed

• Partially paralyzed on her right side, Has Short term memory lost, Has foot drop from the brain damage, Major neck issues, Wears a device on her knee that kicks up her ankle and saves her foot drop

• Doctors gave her bad blood and got hepatitis C (Took 5 years off her life)

• Lack of common sense

• Just turn 56 but is living with her parents

• Workouts 4-5 times a week

• Volunteers for the police department and MADD (Share her stories to help keep others safe)

• Her injuries affected her and her family

• Coach taught her PMA (positive mental attitude)

• Every poor choice you make there is consequences

• Can drive (limits driving at night)

• Focuses on the positive things

-Suicde is the 10th leading death cause of death in the US

-In 2019 47,511 Americans died by suicide

-Men are 4 times more likely to die by suicide woman are 3 times more likely to attempt suicide

-There are nearly 2.5 times as many suicides in the US as there are homicides (based on 2019 numbers).

-For every 1 death by suicide, there are approximately 6

immediate relatives affected.

-Woman use more legal means and men use more illegal ways to commit suicide

-11% decreases in suicide since 2020

-Most people died by suicide from Firearm and Asphyxia (2021)

-Unintentional deaths compared to suicide in san diego county, 2021 (Drug overdose, 1,092)

-1990-2006 26Z% decrease

-2006-2013 31% increases

-2018-2020 10% decrease

-Increase in the number of individuals reporting depression,stress,anxiety during the pandemic

-Suicides in the United States in 2020 it went town by 3%

-13% of Americans reported starting or increasing substance use as a way to cope with stress related to the

Pandemic.

-28.5% increase in drug overdose deaths from April 2020-April 2021

-Increases overdose deaths due to fentanyl and Methamphetamine.

-Warning Signs for Suicide

-”I want to kill myself”

-Loss of job, breakup, death of loved one, diagnosis of serious illness

-Increases in drug use or alcohol use

-Warning signs for substance use

-Difference in eyes

-weight loss or gain

-odors in body

-Moodswings, fearful,increased energy, nervous

-Sneaky behaviors, neglecting responsibilities, unexplained need for money, abandoning hobbies.

-What can you do to help

-Start conversations, learn the warning signs, reach out and ask, share resources (phone numbers), host or attend trainings, learn more about getting directly involved

-QOR background informations

-(Question,persuade,Refer)

-Trained for warning signs

-Know how to do CPR

-90 min trainings

-Learn: basic sings of suicide, dispel myths on suicide, three steps to help save a life, local resources

-ASIST Background informations

-Two day thing 15 hours,16 and up

-Learn:Recognizing signs of suicide

-Provide a skilled intervention

-Develop a safety plan

-Teaches you about the causes of opioid overdose and how to recognize and respond to an overdose

-San Diego access and crisis line 888-724-7240

• Drugs imitate the brain's natural chemical messengers which cues damage to neurological connections

• Overstimulating the reward circuit of the brain, leading to reduced ability to feel pleasure

• Impacts proper function and growth, as a brain reaches its fully developed stage at 25

• Using drugs causes mental health issues

• ALL types of drugs are ADDICTIVE

• Different types of drugs

• Dopamine is short-term happiness

• Serotonin is long-term satisfaction

• Dopamine is addictive

• Meth can cause schizophrenia

• Dopamine and serotonin are the Happy hormone

• Heroin has lots of dopamine

• One in every 5 people has a mental illness

• 21% of people over the age of 18 have a mental illness

• One in every 6 people suffer from a substance use disorder

• 40.3 million people over the age of 12 have had a SUD in the past year

• One person dies over 5 minutes from a drug overdose

• As little as 2 mg of fentanyl can kill someone

• There is a lot of ways to avoid using substances

• Social Support, Healthy habits, Building Positive Habits, Prevention, Managing emotions

• Say no, tell why not, offer other ideas, promptly leave, or STOP

About cannabis:

• Cannabis is also known as marijuana, weed, Maryjane, dope, etc.

• It comes from the dry flowers, leaves, and stems of the Cannabis sativa/ Indica plant.

• Marijuana blinds our brain receptors that's how we get “high” or “stoned”

• its own drug class

• not federally approved medicinal use for treatment by the DEA

• Not associated with addiction

• high concentrations found in hemp plants

• Used for clinical and medicinal purposes

• Harmful to a developing brain

• Is Linked to social anxiety, depression, suicide, and schizophrenia

• Symptoms: Difficulty Learning, Memory loss, Impaired movement and judgment, Increased heart rate, Anxiety, Altered perception of time, and Acute psychosis

• 3 in 10 who uses Cannabis has CUD (Cannabis Use Disorder)

• Cannabis is a Schedule 1 drug

• Legal to consume and possess on federal land

• Regardless of state laws illegal for cannabis stores/businesses to use banks

• Drive high and get a DUI

CBD:

Cannabidiol

• CBD comes from the Sativa plant

• CBD nonpsychoactive

• Does Not cause a high

• CBD has less than 0.3% of THC

• CBD is legal

• Is a medication

• not addictive

• the active ingredient in cannabis that is derived from the hemp plant

• Can improve: sleep disorders, Pain, muscle spasticity related to multiple sclerosis, and anxiety.

• prescription drug

THC:

Tetrahydrocannabinol

• THC comes from the Sativa plant

• THC is the main psychoactive compound in marijuana

• Stronger and more likely for someone to get addicted

• THC vapes linked to EVIL (e-cig or vaping-associated lung injury)

Vaping and smoking:

• Vaping is not safer than smoking

• 1 in 5 12th graders said they vaped cannabis

• Smoking or Vaping harms the lungs

• Smoking affects the heart, brain, and lungs

• Addiction means your brain is dependent on it

-Fentanyl, Opioids and Naloxone/Narcan Training

-Many people don't know that they are mixing drugs with fentanyl and that they are mixing pills

-Receptors that regulate pain

-Opioid and heroin they are both dangerous

-Opioids=Heroin, Morphine,Codeine,Oxycodone,Some pain killers(Vicodin,Percocet) , Fentanyl, Carfentanil

-Used in surgical procedures to induce anesthesia(birth,car accident)

-Fentanyl is tasteless

-Used by mexican transnational criminal organizations made in china and india within a day

-Fentanyl patches(absorbs through your skin), Liquid fentanyl, Fentanyl lollipops that go under your tongue

-Illegal fentanyl(pills and powder)

-Opioid pain medications 1 in 4 people will become with a substance use

- Prescribed opioids= sports injured, dental procedures, surgeries

-2mg of fentanyl can kill you

-Fentanyl can be found in any street drugs= powers,pills,tables,other pills

-fentanyl deaths mostly 18 and 45

-80% of overdose deaths in children 17 and under were caused by fentanyl poisonings

-Children under 14 are routinely coming in contact with fentanyl

-108,000 Drug Overdose in USA

-Opioid Epidemic started 1999

-$130 Narcan in pharmacies

-6/10 pills on the street probably contain fentanyl

-Uneven mixing of fentanyl and higher concentration in some areas

-when making illegal “pills” some parts may have more fentanyl then other

-not getting mixed up properly

-Die stamps pill/tables presses to make then look like normal pills

-1,800,000 counterfeit pain pills with fentanyl (300 pounds)

-Mexico 1,200 pounds of fentanyl and 70 tins of orecurcer cartels

-First does through your liver before your bloodstream

-Rainbow fentanyl is deliberate effort by being a risk for young kids tricking them into thinking it's candy

-Online pharmacies that are selling fake pills

-If you touch fentanyl it can be removed from skin with soap and water (don't use hand sanitizer, alcohol based produced because it will get more into your skin)

- If someone overdosed and they would go and investigate and make sure there is no airflow (wind)

-lack of oxygen and the pupils will enlarge or get smaller depending on the drug

-signs of overdose=not responding,slow breathing, death rattle, tiny pupils,blue lips and nails,cold and clammy skin

-they usually happen 1-3 hours after the drug is consumed

-you can use narcan on pets

-after the narcan stops working they can overdose again make sire to keep giving it to them

-give every 2 minutes because it will ware of in minutes

-use for one nostril and then you can switch nostrils, doesn't matter which one you put it in

-once they start to revive and start breathing out then on there side and make sure they know whats happening because they might not know that they overdoses

-don't put them in cold water or bath

-don't give them water or food

-don't put ice on them

-opioids is causing them to not feel pain

-don't give them salt or milk

-11376 Law= won't get in trouble if you are calling 911 high

JUUL:

Company

• does not offer nicotine-free pods

• Seller's market to all ages

• Flavor and smell reel in adolescent users

• 1 JUUL pod is equal to about 1.25 packs of cigarettes

• JUUL pods contain more than nicotine, flavorings, and water vapor

Nicotine Vapes:

• Salt-based nicotine has a higher chance of being addicted

• Salt-based nicotine contains 59 mg of nicotine

• Freebase nicotine contains 0-36mg of nicotine

• Not biodegradable

• Vapes are not harsh on the throat

Types of Tobacco Products:

• Dip

• Chewing tobacco

• Cigarettes

• Puff Bars

Facts:

• A designer from apple designed the Suorin pod

• Formaldehyde is in Cigarettes and is the liquid found in cows' eyes

• When Glycerin and Propylene Glycol are introduced to heat they create Formaldehyde

• Individuals who vape are more susceptible to Covid-19 because the lungs have already been weakened

• Young people are targeted by flavoring, marketing, and changing social norms to get them to start vaping

• There are over 15,000 flavors of vaping out on the market

• Vape makers start marketing to individuals as young as 12 years old