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Treatment: LCADC Prevention & Recovery

Our outpatient treatment program is based on the belief that chemically dependent people can abstain from mood-altering chemicals and realize their human potential.

Our agency believes chemical dependency is a primary, progressive, and potentially fatal disease that can be treated and arrested.

Chemical dependency affects individuals, their families and significant other.  We incorporate a comprehensive approach to the client and family in an individualized manner.  We stress the individual’s ability to change his/her own behavior with proper information, support, and motivation to do so.

DO YOU HAVE A PROBLEM?

  • Do you sneak drinks/drugs?
  • Do you avoid reference to alcohol/drug use?
  • Do you have memory blackouts?
  • Do you hide and protect supply?
  • Do you try periods of forced abstinence?
  • Do others disapprove of your dinking/drug use?

If you answered yes to any of the above questions for someone you care about, you can ask for help in dealing with a solution.

TREATMENT SERVICES PROVIDED

  • Outpatient
  • Intensive Outpatient
  • Deferred Prosecution Evaluations
  • Individual Counseling
  • Group Therapy
  • SAP Assessment
  • DUI Assessment
  • Adolescent Treatment
  • Information, Screening, & Referral
  • Family Counseling

CONFIDENTIALITY

We respect each individual’s rights to confidentiality, and are governed by federal regulations.  42 C.F.R.

INFORMATION SCREENING & REFERRAL SERVICES

In a time of crisis it is often difficult to know where to turn.  If you  or a family member is experiencing a problem, or if you suspect a problem, please call for a free confidential consultation.  We care and understand.

EMERGENCY SERVICES

If an emergency occurs after regular office hours, feel free to call the Lincoln County Sheriff’s Office  at 509-725-3501.

Appointments

Contact our Office Manager to make an appointment.

Our office hours are: Monday – Thursday 8am-Noon & 1pm-4pm, Fridays 8am-2pm.

Mistreated children more likely to smoke, drink, fight
and suffer from depression as adolescents

September 5, 2006

CHAPEL HILL

Children who are left home alone, physically neglected, physically assaulted or sexually abused are more likely to smoke cigarettes or marijuana, drink alcohol, abuse inhalants and be depressed or violent when they reach adolescence, according to a study by researchers at the University of North Carolina at Chapel Hill School of Public Health.

The study found that the most common form of maltreatment was leaving a child home alone, with two out of five respondents (41.5 percent) reporting that their parents or other adult caregivers left them home alone at least once when an adult should have been with them. The researchers hope the finding raises more concern about the link between neglectful parenting and future health.

“Although child neglect is the most common type of maltreatment, it receives much less attention than physical or sexual abuse”, said Dr. Jon Hussey, research assistant professor of maternal and child health at the UNC School of Public Health and a fellow at the Carolina Population Center. “However, the associations between child neglect and adolescent health risks were largely comparable to those found for child abuse”.

The study, published in the September 2006 issue of the journal Pediatrics, examines the association between maltreatment of children and their state of health when they reach adolescence. Using data from the National Longitudinal Study of Adolescent Health, researchers found that supervision neglect, physical assault, physical neglect and contact sexual abuse before the sixth grade were all associated with a number of major adolescent health risks.  Each type of maltreatment was associated with eight or more of 10 adolescent health risks, including drug, cigarette and alcohol use; violence; and depression.

More than one in four children (28.4 percent) reported physical assault, defined as being slapped, hit or kicked by a parent or other adult caregiver. The third most prevalent type of maltreatment was physical neglect, where a parent or caregiver did not meet a child’s basic needs, such as keeping him/her clean, fed and adequately clothed. Finally, by the time they entered sixth grade, about one in 25 (4.5 percent) said they had been victims of contact sexual abuse committed by a parent or other adult caregiver.

“Because many behaviors that influence adult health are initiated and established in adolescence, understanding how childhood experiences influence these behaviors will help prevention and treatment efforts”, Hussey said.  “Children and adolescents stand a better chance of growing up to become healthy adults if we can intervene early and effectively”.

Co-authors include Dr. Jonathan B. Kotch, a UNC professor of maternal and child health, and Dr. Jen Jen Chang, assistant professor of community health in epidemiology at the Saint Louis University School of Public Health.

Note:  Jon Hussey can be reached at (919) 966-1731, jon_hussey@unc.edu

Prescription Drugs

Legal but Lethal: the Danger of abusing over-the -counter drugs

Teen Prescription Drug Abuse is up

Use of Other Illicit Substances on Low Family Income Best Predictors of Prescription

Pain Reliever Misuse Among U.S. Youth

How Do Kids Get Prescription Drugs?

When popping pills becomes a top priority, people often find new ways to get the drugs they want. Most Americans get their prescriptions filled at local or legitimate online pharmacies, but people who misuse and abuse prescription drugs look for other sources.

How do people get prescription drugs illegally?

Online
Hundreds of online sources sell prescription drugs. Some are legitimate, but others fail to follow the law. For example, some Web sites sell medicine without a doctors prescription. Almost anyone with a computer and a credit card can get a prescription filled online even if they never see a doctor. Just by surfing the Web, teens easily can discover online drug sellers and order medicines they have heard about.

Theft
People who are looking for prescription drugs may steal the drugs when visiting the homes of family members and friends. They also may raid the medicine cabinet at home, taking prescriptions that belong to other family members.

Purchasing
Teens may buy another youths prescription medicine. For example, if a student is taking Ritalin®, he may find that his classmates are willing to pay money for his pills.

What to do?

  • Learn about the abuse of prescription drugs.
  • Look for opportunities to talk with your child about prescription drug abuse and other substance abuse issues. Medication is advertised widely in our society. When you see ads and television shows that suggest there is a pill for every ill, discuss them with your child.
  • Store prescription medications in your home in a safe place where your kids or their friends can not find them. Throw out unused and old medication.
  • Be aware of your childs online activities. Keep your computer in a room where you can monitor your child as she surfs the Web. Check the history of sites your kids visit on the Internet.
  • Monitor credit cards and online accounts for purchases from online pharmacies. If you do not recognize an item on your credit card statement, question it. If your child has his own credit card, review the purchases.
  • Check the mail. Make sure that you know exactly what letters and packages are being delivered to your home, especially ones that are sent to your child. Question any unmarked items.

Use of prescription drugs has grown considerably in recent years and so has the misuse and abuse of medications that were designed to help people. Prescription drugs are powerful and should be taken only as directed by a doctor. Monitor your child’s activities to make sure that she is  not getting medicines that will harm her.

Turning Remedies Into Risk

Familiar images of adolescent drug abuse include youths sharing a marijuana joint or downing ecstasy pills at a party. Yet, many youths seeking to get high turn to over-the-counter (OTC) drugs, which are legal, but dangerous when abused.

Abuse of OTC drugs often involves the cough suppressant dextromethorphan (DXM) with thousands of young people suffering dangerous side effects. While some youths go no further than the family medicine cabinet to obtain DXM, others may seek the drug from dealers who package it in a more dangerous form and sell it illegally. Parents should understand the risks of using DXM for nonmedical reasons and should be alert to signs of abuse.

Widespread Use

Abuse of DXM among youths is common and shows no sign of declining. A national survey of students in grades 7 through 12 showed that ten percent, or 1 in 10, used cough medicine to get high in 2005. This rate was about the same as in 2004 when nine percent of youths in these grades reported abusing cough medicine.1

Little Fear

The same survey found that less than half of 7th to 12th graders thought that taking cough medicine to get high was risky. This attitude is alarming because youths who think that a drug will put them at risk are less likely to use it.2

Varying Effects

How DXM makes people feel depends on how much of the drug they take. Low doses may act as a mild stimulant and distort vision, while high doses can produce hallucinations, out-of-body feelings, dizziness, and loss of control of ones body movements. Other side effects include nausea and rapid heartbeat.3

The effects of DXM can be more severe when a person takes additional substances used to treat coughs and colds. These substances include acetaminophen, pseudophedrine, antihistamines, and expectorants.4

Serious Consequences

The side effects of DXM send thousands of people to hospital emergency departments (EDs) each year. Nonmedical use of DXM accounted for nearly 5,600 of about 12,600 DXM-related ED visits recorded in 2004. Nearly half of these visits for nonmedical use were by young people aged 12 to 20. Other ED visits related to DXM were due to people taking the drug accidentally, attempting suicide, or having a bad reaction to the drug when taking it for medical reasons.5

New Sources

While abuse of DXM in OTC cough and cold remedies is not new, pure DXM in powdered form has become available on the Internet and is sold illegally.6 Dealers obtain DXM in bulk amounts and put it into capsules for sale. The Food and Drug Administration (FDA) issued a warning about this trend after the deaths of five teenagers who took powdered DXM that was sold in capsules.7

Watchful Eyes

Legal does not mean safe. Over-the-counter drugs can harm, and even kill, those who take them in high doses and for nonmedical reasons. Therefore, parents should keep track of cough and cold remedies in the home, question their kids use of them, be aware that DXM is marketed on the Internet and sold as a street drug, and watch for signs of abuse. Parents should use similar care in monitoring the storage and use of the many legal products that some youths inhale to get high.

Prescription Drug Abuse Outnumbers New Marijuana Users

A new report released by the Substance Abuse and Mental Health Services Administration (SAMHSA) found that the misuse of prescription drugs is second only to marijuana as the nation´s most prevalent drug problem, and the annual average number of people using pain relievers non-medically for the first time exceeds the number of new marijuana users. The study also shed light on where most young people are obtaining their drugs, indicating that friends and family are the number one source for these drugs, not the Internet as previously believed.

The report, Misuse of Prescription Drugs: Data from the 2002, 2003 and 2004 National Surveys on Drug Use and Health, covers four broad classes of prescription psychotherapeutics including pain relievers, tranquilizers, stimulants, and sedatives—and the specific drugs OxyContin (a pain reliever) and methamphetamine (a stimulant).

The report shows that among specific age groups, young adults aged 18 to 25 tended to have the highest rates of nonmedical use in the past year, followed by youths 12 to 17. Pain relievers, for example, were used nonmedically in the past year by 11.8 percent of young adults compared to 7.5 percent of youths and 3.1 percent of adults aged 26 or older. Among adults aged 18 or older, the risk of dependence or abuse for psychotherapeutics was greater for persons who initiated nonmedical use before age 16 compared with those who initiated use at age 16 or older.

“While marijuana continues to be the most commonly used illicit drug, the misuse of prescription drugs is clearly a growing national concern that requires action from multiple segments of our society”, said Assistant Surgeon General Eric Broderick, D.D.S., M.P.H., SAMHSA Acting Deputy Administrator. “We know that 70 to 80 percent of those 12 years or older said they got their drugs from a friend or relative and, very likely, those came from the family medicine cabinet. Only 4.3 percent got the pain relievers from a drug dealer or other stranger and only 0.8 percent reported buying the drug on the Internet. Parents and other caregivers should store their prescription drugs carefully and dispose of any unused drugs before they can fall into the wrong hands”.

Based on combined data from the 2002 through 2004 National Survey on Drug Use and Health, an annual average of 2.7 million persons aged 12 or older first misused any prescription psychotherapeutic drug in the past year while an annual average of 2.1 million people 12 years or older started using marijuana. An annual average of 11.3 million persons aged 12 or older were using prescription pain relievers nonmedically in the past year compared with an annual average of 25.5 million past-year users of marijuana. This includes new users and users who had started more than 12 months previously.

Additionally, the report found that among persons aged 12 or older, nonmedical use of pain relievers in the hydrocodone category (e.g., Vicodin) anytime in the individuals lives increased from 5.9 percent in 2002 to 7.4 percent in 2004, and use of medications in the oxycodone category (e.g., Percocet or OxyContin) increased from 4.3 percent to 5.0 percent over that period.

Males generally had higher rates than females for misuse of pain relievers, stimulants and methamphetamine among the overall population aged 12 or older. Among youths aged 12 to 17, however, the rates of nonmedical use in the past year were higher among females than males for any prescription psychotherapeutic drug (9.9 percent for females versus 8.2 percent for males), pain relievers (8.1 percent for females versus 7.0 percent for males), tranquilizers (2.6 percent for females versus 1.9 percent for males), and stimulants (2.6 percent for females versus 1.9 percent for males.

Almost 2 million people aged 12 or older met criteria for past-year dependence or abuse of prescription drugs, including 1.4 million people for pain relievers, 573,000 for tranquilizers, 470,000 for stimulants, and 128,000 for sedatives. Only 12.5 percent of those with a prescription drug use disorders in the past year received specialty treatment for drug problems in that period. Specialty treatment includes treatment at a hospital (inpatient), a rehabilitation facility (inpatient or outpatient), or a mental health center.

Misuse of Prescription Drugs is available on the web.

PARTNERSHIP FOR A DRUG-FREE AMERICA STUDY SHOWS TEEN ABUSE OF Rx DRUGS BECOMES ‘ENTRENCHED’
NEW YORK — Teen smoking and drinking continues to drop, but teenage abuse of prescription drugs has become “an entrenched behavior” that many parents fail to recognize, a survey released May 16, 2006 showed.

For a third straight year, the Partnership for a Drug-Free America study showed that about 1 in 5 teens have tried prescription drug painkillers such as Vicodin or OxyContin to get high; about 4.5 million teens. It also indicated that many teens feel experimenting with prescription drugs is safer than illegal highs.

Forty percent said prescription medicines were “much safer” than illegal drugs, while 31 percent said there was “nothing wrong” with using prescription drugs “once in a while”. The study further found that 29 percent of teens believe prescription pain relievers are non-addictive.

“It’s really a case now of accepting the fact that it’s here,” Partnership President and CEO Steve Pasierb said. “Clearly, this is a true problem in American society”.

Although this was the group’s 18th annual survey, it marked only the third year of compiling figures on the abuse of legal drugs. In 2003, the study found 20 percent of teens had tried the prescription drugs Vicodin, OxyContin and Tylox. Over the next two years, the numbers remained fairly consistent.

Pasierb said it was a good sign that the prescription drug numbers had not increased, but warned parents that the source of drugs is now the family medicine cabinet more than any dealer. The study found 62 percent of teens said prescription pain relievers are easy to find at home. And 52 percent say prescription pain relievers are “available everywhere.”

“That’s why we’re putting a lot of our attending on educating parents,” Pasierb said. “They don’t have a frame of reference in a lot of cases. This kind of behavior (prescription drug abuse) didn’t exist when they were teens.”

A study by the University of Michigan, released in December, also indicated that American teens were smoking less and using prescription drugs more. It found 1 in 10 high school seniors had experimented with prescription painkillers.

The Partnership survey put teen smoking at 22 percent, down from 23 percent last year and 42 percent in 1998. The number of teens drinking in the past 30 days was down from 33 percent last year to 31 percent; in 1998, the figure was 42 percent.

The 2005 Partnership Attitude Tracking Study surveyed more than 7,300 teens in grades 7 through 12, the largest ongoing analysis of teen drug-related attitudes toward drugs in the country. Its margin of error was plus or minus 1.5 percentage points.

The nonprofit Partnership for a Drug-Free America was launched in 1987.

 

 

The Risks of “Experimentation”

What’s the Big Deal About Marijuana?

“But it’s only marijuana” or “it’s only alcohol”, you say. “It’s a right of passage”. “Teens are expected to experiment”. Not any more. The world has changed, and so have the drugs. In fact the marijuana of today is stronger than ever before. Drugs and alcohol use can lead to many negative consequences, including bad grades, broken friendships, family problems, trouble with the law, etc.

Most important, teens brains and bodies are still developing, and substance use can interfere with their emerging independence and efforts to establish their own identity. Drug and alcohol use can change the direction of a young persons life-physically, emotionally, and behaviorally. It can weaken the ability to concentrate and retain information during a teens peak learning years, and impair judgment leading to risky decision making that could involve sex or getting into a car with someone under the influence of drugs.

Scientific Research About Risks of “Experimentation”
Drug and alcohol abuse by teens is not something to be taken lightly.

  • More teens are in treatment with a primary diagnosis of marijuana dependence than for all other illicit drugs combined.1
  • Research also shows that many adolescents start to drink at very young ages. In 2003, the average age of first use of alcohol was about 14, compared to about 17 1/2 in 1965.2
  • A 1998 study by the National Institute on Alcohol Abuse and Alcoholism says if a 15-year-old starts to drink, he or she has a 40% chance of alcoholism or dependence as an adult.3
  • Kids are using marijuana at an earlier age. In the late 1960s fewer than half of those using marijuana for the first time were under 18. By 2001, about two-thirds (67 percent) of marijuana users were younger than 18.4
  • Marijuana affects alertness, concentration, perception, coordination and reaction time, many of the skills required for safe driving and other tasks. These effects can last up to 24 hours after smoking marijuana. Marijuana use can also make it difficult to judge distances and react to signals and sounds on the road.5
  • Smoking marijuana leads to changes in the brain that are similar to those caused by cocaine, heroin, or alcohol.6

Parents Are the Most Important Influence
in a Child’s Life

There is a growing body of research that shows that parents are central to preventing adolescent substance abuse. In fact, kids themselves say that losing their parents trust and respect are the most important reasons not to use drugs.

As a parent, your actions do matter. When you suspect, or know, that your child has used drugs, take action to stop it as soon as you can. It may be the most important step you ever take.

1. TEDS, SAMHSA, October 2001

2. Newes-Adeyi, G.; Chen, C.M.; Williams, G.D.; and Faden, V.B. NIAAA Surveillance Report No. 74: Trends in Underage Drinking in the United States, 1991–2003. Bethesda, MD: National Institute on Alcohol Abuse and Alcoholism, 2005.

3. Grant, B.F., and Dawson, D.A. Age of onset of alcohol use and its association with DSM–IV alcohol abuse and dependence: Results from the National Longitudinal Alcohol Epidemiologic Survey. Journal of Substance Abuse 9:103–110, 1997.

4. Trends in Initiation of Substance Use. Based on the 2002 National Survey on Drug Use and Health. SAMHSA, 2003.
5. Marijuana: Facts Parents Need to Know, Revised, NIDA, November 1998
6. Marijuana: Facts Parents Need to Know, Revised, NIDA, November 1998

“Experimentation”, even with marijuana, can also lead to addiction. Not everyone progresses from use to abuse to addiction, but it is a dangerous road and there is no way to know who will become addicted and who will not.

Methamphetamine a.k.a. Meth

10 Ways Meth Can Mess With You

 Meth is one messed-up drug. Here are the top 10 reasons to stay far, far away.

10. Meth can mess with your head.
Meth can cause users to become delusional, paranoid and suffer from hallucinations. It can also lead to psychotic behavior even months after a user has stopped using. In other words, meth can make you act crazy.

9. Meth can mess with your social life.
Many meth users become so obsessed with using that they neglect their friends and family, which can be a pretty lonely way to live.

8. Meth can mess with your weight.
Meth can decrease one’s appetite and in return, cause them to drop some serious weight, often leaving a user with a sickly, skeleton-like appearance.

7. Meth can mess with your mouth.
Use meth and you can kiss your pearly whites goodbye. While little is know as to why, meth seems to take a terrifying toll on a meth user’s mouth. It may be a lack of saliva leaves behind bacteria which can eat away at teeth and gums. Or maybe it’s due to the fact that when high on meth, users often neglect personal hygiene and forget to brush their teeth. Either way, meth mouth is pretty darn gross.

6. Meth can mess with your neighborhood.
Makeshift meth labs can be set up anywhere — from bedrooms to garages to children’s play areas to motel rooms — and can cause serious health hazards to you, your family, friends and neighbors. Cooking meth produces large amounts of highly toxic waste which often gets dumped in yards, alleys and streets. Meth labs can explode, they can contaminate the environment, and they can endanger children (injury from fire, malnutrition, physical and sexual abuse, overdose, and exposure to toxic chemicals, just to name a few.)

5. Meth can mess with your moods.
Meth can cause extreme mind and mood changes including irritability, anxiety, euphoria, confusion and severe depression. It can also result in episodes of aggressive and violent behavior.

4. Meth can mess with your sleep.
Because meth stimulates the central nervous system, it can keep users awake and wired all night and even for days afterward using. When the binge is over, however, most users crash — becoming severely depressed, disoriented and unable to function. Long term effects can include chronic fatigue.

3. Meth can mess with your sex life.
Meth can enhance one’s sex drive, although, ironically, it can also cause impotence. And if that doesn’t scare you — this might: When high on meth, often the last thing on a users mind is protection, which can lead to the contraction of HIV/AIDS.

2. Meth can mess with your skin.
Sores and scabs are common among meth users who methodically pick at their skin because they feel compelled to do so, or scratch it because they think there are bugs crawling underneath it.

1. Meth can kill you.
Meth users may experience liver, kidney, lung, and heart problems — all of which can be fatal.

Parents Underestimate Youth Drug Problem

Signs & Symptoms of Teen Drinking and Drug Use

How can you tell if your child is using drugs or alcohol? It is difficult because changes in mood or attitudes, unusual temper outbursts, changes in sleeping habits and changes in hobbies or other interests are common in teens. What should you look for?

You can also look for signs of depression, withdrawal, and carelessness with grooming or hostility. Also ask yourself, is your child doing well in school, getting along with friends, taking part in sports or other activities?

Watch List for Parents

  • Changes in friends
  • Negative changes in schoolwork, missing school, or declining grades
  • Increased secrecy about possessions or activities
  • Use of incense, room deodorant, or perfume to hide smoke or chemical odors
  • Subtle changes in conversations with friends, e.g. more secretive, using “coded” language
  • Change in clothing choices: new fascination with clothes that highlight drug use
  • Increase in borrowing money
  • Evidence of drug paraphernalia such as pipes, rolling papers, etc.
  • Evidence of use of inhalant products (such as hairspray, nail polish, correction fluid, common household products); Rags and paper bags are sometimes used as accessories
  • Bottles of eye drops, which may be used to mask bloodshot eyes or dilated pupils
  • New use of mouthwash or breath mints to cover up the smell of alcohol
  • Missing prescription drugs—especially narcotics and mood stabilizers

 

These changes often signal that something harmful is going on—and often that involves alcohol or drugs. You may want to take your child to the doctor and ask him or her about screening your child for drugs and alcohol. This may involve the health professional asking your child a simple question, or it may involve a urine or blood drug screen. However, some of these signs also indicate there may be a deeper problem with depression, gang involvement, or suicide. Be on the watch for these signs so that you can spot trouble before it goes too far.

Sponsored by The National Youth Anti-Drug Media Campaign