W14_06 adolescent substance abuse Flashcards Preview

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Flashcards in W14_06 adolescent substance abuse Deck (19)
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1
Q

what are the most frequently used substances by adolescents?

A

alcohol and cannabis;
high caffeinated energy drinks, tobacco, prescription opiod pain relievers, OTC cough/cold meds

2
Q

what’s the ontario student drug use survey?

A

CAMH’s surveillance program of alcohol, drug use, other health related behaviours among adolescents (gr 7 - 12) in canada, every 2 years since 1977

3
Q

note: males and females are equally likely to use cannabis and alcohol

A

ok

4
Q

note: alcohol and cannabis use increases significantly with each grade from gr 7 to gr 12

A

ok

5
Q

note: 30-50% of teens presenting with a substance use disorder will have a concurrent mental health disorder

A

ok

6
Q

what do we need to diagnose to label someone with concurrent disorder?

A

both a mental health disorder and substance use disorder concurrently

7
Q

what’s the continuum o fsubstance use?

A

no use;
experimentation;
regular use;
abuse;
dependence

8
Q

what are the 4 stages of substance dependence? (including ending dependece)

A

regular use;
physical adaptation;
tolerance;
withdrawal

9
Q

what’s tolerance of a substance?

A

need to increase amount to achieve desired effect, or diminished effect with same amount

10
Q

what defines substance abuse?

A

consequences of use;
hazardous situations;
use despite problems

11
Q

what’s the CRAFFT questionnaire for screening substance abuse?

A

ridden in a CAR by someone who was high?;
use drugs to RELAX, feel secure, or fit in?;
use drugs ALONE?;
FORGET things that were done while using drugs?;
told by FAMILY or friends to cut down?;
gotten in to TROUBLE?

12
Q

note: the adolescent brain is still developing at a time when they’re most likely to initiate substance use

A

ok

13
Q

note: the prefrontal cortex (inhibition and executive control) takes time to mature between ages 5-20

A

ok

14
Q

which areas does THC affect in the brain?

A

hypothalamus (appetite);
amygdala (anxiety);
cerebral cortex (consciousness, hallucinations);
hippocampus (memory);
cerebellum (coordination)

15
Q

note: lower prefrontal volumes correlated with a higher maximum number of drinks per drinking episode

A

ok

16
Q

what’s the intervention for the abstinence stage of substance use?

A

positive reinforcement

17
Q

what’s the intervention for the experimentation/regular use stage of substance use?

A

harm reduction

18
Q

what’s the intervention for the abuse stage of substance use?

A

brief intervention

19
Q

what’s the intervention for the dependence stage of substance use?

A

motivational interviewing/referral

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