Professional Documents
Culture Documents
03/13/21
RISK FACTORS
• Friends who use drugs (this is the
number one predictor of who will
experiment with drugs/alcohol)
RISK FACTORS
• Absence of healthy recreational or leisure
interests
• Early antisocial behavior (e.g., aggression,
hyperactivity, defiance)
RISK FACTORS
• Parental drug use and a positive attitude toward use
RISK FACTORS
• Academic Failure (low and failing grades)
• Little commitment to school
RISK FACTORS
• Favorable attitude towards drug use
• Early first use of drugs
• Prenatal exposure to alcohol (FAS/E)
PROTECTIVE FACTORS
• Involvement in alternative activities
• Sense of well being and self-confidence
PROTECTIVE FACTORS
• Positive future plans
• Healthy coping strategies to deal with stress
• Positive attitude towards learning
PROTECTIVE FACTORS
Knowledge about risks associated with substance use
PROTECTIVE FACTORS
Negative attitude towards substance use
PROTECTIVE FACTORS
• Positive relationships with adults
Signs and Symptoms of Substance Use
Problems in Older Adults
(Brown, 1992)
Screening Instruments
Modified CAGE for drug abuse
• Examined for older populations (50 and over)
• Excellent sensitivity, poor specificity
(Hinkin et al., 2001)
Conjoint two-item screen
• "In the past year, have you ever drunk or used drugs more
than you meant to?"
• "Have you felt you wanted or needed to cut down on your
drinking or drug use in the past year?"
• Ages 50-59: Sensitivity 73.9, Specificity 84.8
(Brown et al., 2001)
Drug Abuse Screening Test (DAST-10, 20, 28)
Drug Abuse Screening Test (DAST-
20)
1. Have you used drugs other than those required for medical reasons?
2. Have you abused prescription drugs?
3. Do you abuse more than one drug at a time?
4. Can you get through the week without using drugs (other than those required for
medical reasons)?
5. Are you always able to stop using drugs when you want to?
6. Have you had "blackouts" or "flashbacks" as a result of drug use?
7. Do you ever feel bad or guilty about your drug use?
8. Does your spouse (or parents) ever complain about your involvement with drugs?
9. Has drug abuse created problems between you and your spouse or your parents?
10. Have you lost friends because of your use of drugs?
Drug Abuse Screening Test (DAST-
11. Have you neglected your family20)
because of your use of drugs?
12. Have you been in trouble at work because of drug abuse?
13. Have you lost a job because of drug abuse?
14. Have you gotten into fights when under the influence of drugs?
15. Have you engaged in illegal activities in order to obtain drugs?
16. Have you been arrested for possession of illegal drugs?
17. Have you ever experienced withdrawal symptoms (felt sick) when you
stopped taking drugs?
18. Have you had medical problems as a result of your drug use (e.g., memory
loss, hepatitis, convulsions, bleeding, etc.)?
19. Have you gone to anyone for help for a drug problem?
20. Have you been involved in a treatment program specifically related to drug
use?
Signs to look for
• Mood Swings & Attitude
• New Friends
• Bad Performance in school
• Physical Health
• “Evidence”
• Increased Secrecy
• Little Things - fashion, hairstyle, breath mints, untidy room
• Overt Signals
Parenting Strategies
• Set appropriate limits: based on your child’s needs, capabilities, age,
and trust.
• Enforce limits: establish clear, specific limits and follow through with
consequences.