SubstanceAbuseDivision

Welcome to the new South East Texas Substance Abuse Division web site. Check back often as we will be posting new information about upcoming events, resources, pictures and more...

Experience: Help. Hope. Healing.

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    The National Prescription Medicine Take Back Day will be held April 30, 2011 at Central Mall in Port Arthur, located at 3100 Highway 365. The event will begin at 10am and end at 2pm.

      “Over 3,400 sites nationwide have joined the effort that seeks to prevent increased pill abuse and theft. Government, community, public health and law enforcement partners will be collecting potentially dangerous expired, unused, and unwanted prescription drugs for destruction. The service is free and anonymous; no questions asked.”

     This local Prescription Medicine Take Back event has been organized by Southeast Texas Regional Planning Commission and the Substance Abuse Division’s Regional Alcohol and Drug Abuse Advisory Coalition (RADAAC) and DEA.

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      Teenage girls 

      Washington, D.C.) - Gil Kerlikowske, Director of National Drug Control Policy, released the following statement regarding a recently released, independent research study that found that ONDCP's National Youth Anti-Drug Media Campaign is effective in reducing drug use among girls. 
       
      "These findings are the latest indication that this drug education campaign is effectively reaching and resonating with youth in local communities across the Nation.  Teenage girls face unique social pressures and vulnerabilities that can lead to the initiation of substance use. Research shows that drug and alcohol use - which can be tied to self-esteem issues, depression, and peer pressure - have a more profound physical and psychological impact on teen girls.  Now more than ever, it is imperative that the community-based 'Above the Influence' campaign continues to receive the funding it needs to keep our young people safe, healthy, and drug-free."

      The research, published in the American Journal of Public Health (AJPH) in March, linked greater exposure to ONDCP's "Above the Influence" (ATI) campaign to reduced drug use among young females.  Specifically, the study found girls to "be especially receptive to 'Above the Influence's' anti-drug messages about achievement and living life above negative influences."

      Several of ONDCP's partners and teens engaged with the "Above the Influence" campaign also underscored the importance of the campaign in supporting local communities:

      "Negative peer pressure is incredibly strong, particularly among girls with low self-esteem who are in search of peer approval.  Campaigns such as 'Above the Influence' are critical to increasing the awareness of young people about the dangers associated with drug abuse." 

      -- Roxanne Spillett, President and CEO, Boys & Girls Clubs of America


      "I come from a background where some of my family members abused drugs and alcohol, but the empowering message of the ATI campaign inspires me to keep going."

      -- Stephanie Hardy, 18, member of Girls Inc. of Lynn, MA


      "'Above the Influence' is about being above more than just drugs and alcohol - it's about standing up to negative influences in the media and online.  We started our own ATI campaign here at Girls Inc. and we have a lot of the posters hanging on our wall.  I really love the message.  It shows me that I'm not alone.  Whenever I need information about how to stand up to negative pressures, I go on the ATI website and read about other teens doing well in their communities.  It's a role-model movement."

      -- Arantza Guillen, 17, member of Girls Inc. of Lynn, MA 

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        No-Alcohol1 

        A new report based on a national survey shows that only 1.2 percent of the nation’s more than 7.4 million adults aged 21 to 64 with an untreated alcohol abuse disorder perceive they could benefit from treatment. The report released by the Substance Abuse and Mental Health Services Administration (SAMHSA) in conjunction with National Alcohol Screening Day, April 7, highlights the need to raise awareness about adult problem drinking, how to identify when someone has a problem, how to confront a problem drinker and how to get help.

         The report focuses on those who met the diagnostic criteria for either alcohol abuse or alcohol dependence as defined by the American Psychiatric Association’s Fourth Edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Alcohol abuse includes drinking-related behavior that may cause a person to physically endanger themselves or others; get into trouble with the law; experience difficulties in relationships or jobs; and fail to fulfill major role obligations at work, school or home.

         Alcohol dependence is a more serious disorder than alcohol abuse. The hallmarks of this disorder are addiction to alcohol, inability to cut down or stop drinking, and repeated interpersonal, school, or work related problems that can be directly attributed to the use of alcohol. Alcohol dependence can have serious consequences, affecting an individual's health and personal life, as well as impacting society at large. Among the nearly six million Americans aged 21 to 64 with untreated alcohol dependence, only 7.8 percent or 506,000 of them recognized they needed treatment.

         "SAMHSA’s spotlight provides striking evidence that millions of Americans are in serious denial regarding problem drinking," said SAMHSA Administrator Pamela S. Hyde, J.D. "Individuals, friends and family members clearly need help and support in confronting and doing something about the problem. Without help alcoholism can be fatal. As a nation we need to ask ourselves why we stand by and allow so many people to self destruct before intervening. National Alcohol Screening Day provides one day to have the conversation we should be willing to have every day until screening for alcohol problems becomes the norm -- just like heart disease, cancer, and diabetes."

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          Underage-drinking 

          WASHINGTON - Downing five or more alcoholic drinks nearly every day isn't seen as a big problem for many of the nation's teens, says a new report.

          When asked if they see "great risk" in drinking that much, almost half the teens questioned - 45 percent - didn't see it as a big deal.

          The study released Wednesday by The Partnership at Drugfree.org also showed upward trends in marijuana and Ecstasy use among young people in grades 9 through 12.

          "You're seeing this weakness in this generation of teens' attitudes around drug and alcohol use," says Steve Pasierb, president of the partnership. "It's not like this generation of kids thinks they're more bulletproof than others, but they really don't see any harm in that heavy drinking."

          And while the numbers suggest many teens do not perceive significant harm in heavy drinking, the percentage of teens drinking is down.

          "It's important that we not lose sight of the progress our country has made in fighting underage drinking," says Dr. Raymond Scalettar, former chairman of the American Medical Association and a medical adviser to the Washington-based Distilled Spirits Council. "U.S. government data shows underage drinking and binge drinking are at record low levels."

          The partnership study also shows the percentage of teens drinking alcohol in the past month declining, down to 35 percent last year from a high of 50 percent in 1998.

          Among teens, the average age when they had their first drink was 14, the study said.

          Overall, 68 percent said they had consumed alcohol in their lifetime. Of those, one quarter of teens had their first drink at age 12 or younger.

          "It is much more terrifying these days than it was when we were younger," says actress and mother Melissa Gilbert, national spokeswoman for the partnership.

          Gilbert, the former "Little House on the Prairie" star, is herself a recovering alcoholic who at one time was drinking two bottles of wine a night but has been sober now for six and a half years. She has faced drug-abuse struggles with one of her four sons, and she says she is doing everything in her power to make sure her youngest, now 15, knows the drama and pain addiction can bring.

          "The most important thing is to get to know his friends and stay in constant communication with the people that are around him all day - his teachers, his counselors at school," Gilbert told The Associated Press in an interview from her Los Angeles home.

          Being sober, she says, is the best way to live. "It's not the easiest, but it's definitely the best," she said.

          According to the study, teens said the top reasons for drinking were "because it is fun" and "so they won't feel left out."

          Pasierb says early drinking can often signal deeper problems. "It's about that vulnerability," he said, "Why is a 12-year-old drinking?"

          Gregg Aguero of Houston, Texas, says he started drinking regularly at 13 after his parents split up. That led to cocaine and other drugs and eventually landed him in rehab for several stays.

          Now 22 and in college, Aguero says he's been sober for 4 months and is trying to help teenagers avoid the mistakes he made.

          "It's never too late," he tells them. "That's the most important thing. It's never too late to turn and get help."

          Other findings in the study:

          -Twenty-five percent of teens said last year that they had smoked marijuana in the past month. While that number is unchanged from the previous year, it is higher than 2008 and confirms an upward trend that ended nearly a decade of declines in pot usage among teens.

          -Ecstasy abuse also continued an upward trend, with six percent of teens reporting past-month use - up from four percent in 2008.

           

           

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            KIck Butts LU2 
            Kick Butts LU3 

            Kick Butts LU 

            Visitors to Lamar University's Setzer Student Center may stumble upon a surreal sight Wednesday — a graveyard.

            No, it's not the popular October holiday come early — it's an attention-grabbing display aimed at younger smokers.

            The "graveyard" display in the middle of one of Lamar's busiest campus buildings from 10 a.m. to 2 p.m. is to illustrate how many people die every day from tobacco-related causes, said Crystal Petry, director of the Jefferson County Tobacco Coalition.

            Organizers hope the sinister sepulchers shock and the tombstones tell a tale that compels some to change their tobacco-use habits, Petry said.

            "In Texas, tobacco is the number one cause of preventable death and disease," Petry said. "Tobacco-related diseases kill 24,200 Texans each year."

            Nationally, more than 440,000 die each year from smoking-associated causes, according to the Centers for Disease Control. Smoking kills more people than alcohol, AIDS, car crashes, illegal drugs, murders and suicides in the U.S. combined.

            While tombstones and coffins may seem macabre, the coalition is making sure visitors get the message. Organizers will be on hand with information on making the transition from smoker to successful nonsmoker – a sober message on how to "kick butts."

            The Jefferson County Tobacco Coalition seeks to increase awareness, promote prevention and cessation, improve resistance skills, and protect the public from exposure to the harmful effects of tobacco. For more information, www.helphopehealing.org.

            For more information contact Petry at 924-3389, extension 6538.

            By University Press

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                Chemical_toxicity_nicotine

              New research suggests that smoking is less prevalent in communities of color, and, among those who smoke, racial and ethnic "minorities" are more likely to be "light" smokers -- but may find it harder to quit, UPI reported Mar. 9.

              The study relied on census data from adults age 20 to 64. Among other things, the results showed that fewer African Americans, Asian Americans/Pacific Islanders, and Latinos had ever taken up smoking compared with non-Hispanic Whites. Racial and ethnic "minorities" were more likely than Whites to be light smokers.

              The study also found that light smokers may have just as hard a time as heavy smokers quitting.

              Although racial and ethnic minorities were just as likely as Whites to be told to quit smoking by health professionals, they were less likely to use nicotine replacement therapy. According to the study abstract, "significantly fewer African Americans reported long-term quitting."

              "Our understanding of how to get people to quit smoking has been based on those who were the heaviest smokers, that is, those who smoked a pack a day or more," said Dennis Trinidad, of Claremont Graduate University's School of Community and Global Health. "Now, as the smoking population shifts to include more light smokers, we may need to look for better ways to help them stop."

              The study, "A Nationwide Analysis of US Racial/Ethnic Disparities in Smoking Behaviors, Smoking Cessation, and Cessation-Related Factors," was published online on Feb. 17, 2011, in the American Journal of Public Health.

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                  Drugs1

                Gil Kerlikowske, Director of National Drug Control Policy, highlighted major resources for drug control programs and initiatives the Obama Administration has requested from Congress for Fiscal Year 2012 to support efforts to reduce drug use and its consequences in the United States.  

                The President's Budget, released last month, dedicates over $10 billion in Federal funds for reducing drug consumption in the United States. This includes nearly $9.0 billion treatment services for American substance abusers – an increase of $98.7 million over FY 2010 and $1.7 billion for drug education and outreach programs aimed at preventing the initiation of drug use. This represents an increase of $123.0 million over the FY 2010 enacted level.

                "Drug use in America drives crime, violence, addiction, and instability throughout our Nation and our hemisphere," said Kerlikowske. "As a major drug consumption Nation, we recognize that we have a responsibility to drive down our demand for drugs here at home to ensure the health and safety of our citizens and to support the brave efforts of President Calderon and our foreign partners in their courageous efforts to combat transnational criminal organizations." 

                The Obama Administration's National Drug Control Budget supports funding for a variety of drug demand reduction programs that will expand upon on existing efforts to reduce drug consumption in the United States. Included in the Budget request are resources for the Departments of Health and Human Services (HHS) and the Department of Education (DOE) to support education and outreach programs aimed at preventing the initiation of drug use and grants to assist state and local educational agencies to develop and implement programs and services designed to prevent youth drug use and violence.  Resources will also support the continued development of a national, community-based prevention system to protect adolescents, and support over 700 community drug-free coalitions currently operating throughout the United States.

                • Cigarette 

                   

                   

                   

                  Proponents of a proposed statewide smoking ban that failed in the 2009 legislative session are set to press for the ban in the current session.  It is a battle that philosophically pits the interests of the public’s health and well-being against those of individual freedom and liberty. 

                  For a public health student and advocate, it is difficult to accept that concerns about personal freedom can win out over a health issue that is the third leading cause of preventable death in the United States - known to cause lung cancer, heart disease, premature birth and low birthweight, along with other health issues.  Nonetheless, that is exactly what happened during the 2009 legislative session thanks to the lobbying of conservative free-enterprise groups.



                  However, one of the interim charges given to the Senate Health and Human Services Committee was to evaluate the impact a statewide smoking ban.  And earlier today the Smoke-Free Texas coalition and Texas Health Institute released results of a study carried out by researchers from the Michael & Susan Dell Center for Healthy Living at the UT School of Public Health, and the Texas A&M Health Science School of Rural Public Health, which indicate that a comprehensive ban on smoking will save the state and private-sector employers $404 million over two years.

                  The breakdown in savings includes:

                  • Over $108 million in health care savings to non-smokers who are no longer exposed to second-hand smoke, including $32 million averted medical costs from the reduction in low-birthweight babies caused by mothers being exposed to secondhand smoke.
                  • $142 million in health care cost savings to smokers who quit as a result of this legislation; and
                  • $154 million in productivity cost savings.


                  “Smokers earn roughly $2,000 per year less than non-smokers in similar positions, industries and with same age and levels of education due to productive time lost from taking smoke breaks, increased absenteeism and lower rates of raises,” says Dr. Shelton Brown (pictured above), of the Michael & Susan Dell Center for Healthy Living, principle researcher for the study.  “Making Texas a smoke-free state, will help ensure that we have a productive workforce that is attractive to companies who are making decisions about where to locate.”

                  The results of the study were released during a press conference at the state Capitol.  Bipartisan  legislation for a statewide smoking ban has been introduced in both chambers of the legislature by State Senator Rodney Ellis, D-Houston (SB 355), and State Representative Myra Crownover, R-Denton (HB 670), both of whom spoke at the press conference.


                  27 states have already passed smoking bans covering all enclosed public areas.  And 34 Texas cities have comprehensive smoking bans in place, with others enacting ordinances with varying degrees of restrictions.  A comprehensive statewide ban, in addition to the savings discussed above, would ensure that restaurants and bars in cities with a ban (like Ft. Worth) do not experience a drop in revenue when smokers go to restaurants in adjacent cities (like Addison) that do not have a ban.

                  At the end of the day, it is an issue of conflict of rights.  But smokers’ rights are more expensive than non-smokers’ rights (i.e. not breathing smoke). Smokers cause $54 million in medical costs on others due to second-hand smoke and almost $20 million in medical costs for low-birthweight babies.

                  What are your thoughts on the proposed statewide smoking ban?  What is more important, the improved health of the general public, financial savings at the state level, or individual freedom of choice, or some other issue not discussed here?

                  Written by Kim Wilson, MPIA
                  Graduate Assistant
                  Michael & Susan Dell Center for Healthy Living

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                     Black_Mild_Swisher_Sweets

                    Tobacco companies are doing an end run around Minnesota laws by wrapping cigarettes in brown paper and calling them "little cigars.''

                    State lawmakers should act quickly to close this tax and regulation loophole, not only for revenue reasons but to prevent tobacco companies from hooking younger generations on their products.

                    Packages of so-called "little cigars" retail in Minnesota for less than half the price of a traditional cigarette brand -- $1.99 vs. $5.70 during a recent check at a local convenience store.

                    That price point and the little cigars' fruity flavors make them attractive to teens and young adults.

                    The per-pack difference is mainly because cigarettes are subject to a minimum price law in the state and are taxed much more than discount little cigars, which are wrongly classified as "other tobacco products.''

                    If you put a Marlboro 100 cigarette next to a strawberry-flavored Swisher Sweet little cigar, even hard-core smokers would be hard-pressed to tell the difference.

                    Little cigars have the same size and shape as cigarettes. They have filters. They commonly come 20 to a package.

                    They're essentially the same product other than the brown paper wrapping, which contains just enough tobacco pulp to give it color.

                    But the tobacco's presence means that these products are not considered cigarettes.

                    It doesn't make sense, and it needs to change.

                    Making these products' price more equal to cigarettes will help deter smokers and prevent high health care costs in years to come.

                    This is a critical public health priority that will help hold down future costs of private medical insurance premiums and public programs such as Medicare and Medicaid -- the two big, expensive, government-run health care programs for the elderly and the poor.

                    It's galling to think that tobacco companies are thumbing their noses at both state and federal tax laws while health conditions strongly linked with their products contribute mightily toward the nation's soaring $2.3 trillion annual medical bill.

                    This isn't about raising taxes. It's about accountability and ending tobacco companies' exploitation of a loophole.

                    Minnesota lawmakers neglected to change little cigars' classification when they updated state tobacco laws last year.

                    Those new and much-needed regulations put many new smokeless and spitless tobacco products -- such as "orbs," which look like breath mints and dissolve in your mouth -- behind store counters and out of reach of young customers.

                    By Star Tribune

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                       Chemical_toxicity_nicotine

                      A federal judge unsealed a government proposal that outlines what it wants tobacco companies to say in national advertising and on cigarette packages — that they lied to the American public about so-called light cigarettes and the addictiveness of nicotine.

                      Judge Gladys Kessler of the United States District Court in Washington denied a request by the tobacco companies that the recommendations, by the Justice Department, be kept secret until they submitted a response.

                      The so-called corrective statements were ordered as part of a civil racketeering judgment in 2006 in which Judge Kessler ruled against the tobacco companies, saying they had lied for 50 years. The statements are to appear in newspaper and magazine advertising and in attachments to cigarette packages.

                      Judge Kessler is also deciding how the advertisements should be displayed at retail outlets. She is expected to set a schedule for the response from the companies and her decision.

                      The Justice Department’s proposed statement are blunt, and are being met with stiff resistance from the tobacco companies.

                      One would have the tobacco companies buy ads saying in part: “We falsely marketed low tar and light cigarettes as less harmful than regular cigarettes to keep people smoking and sustain our profits. We knew that many smokers switch to low tar and light cigarettes rather than quitting because they believe low tar and lights are less harmful. They are NOT.”

                      Another would say in part: “We told Congress under oath that we believed nicotine is not addictive. We told you that smoking is not an addiction and all it takes to quit is willpower. Here’s the truth: Smoking is very addictive. And it’s not easy to quit. We manipulated cigarettes to make them more addictive.”

                      Philip Morris USA, the largest United States tobacco company, said that the government’s proposals “go beyond factual and scientific information.” The company, which makes Marlboro cigarettes and is owned by the Altria Group, signaled it would appeal to higher courts if necessary.

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