Make safe stay safe keep safe AOD 101 with Deb Bradshaw Anna Moss Hayley Edgerton

What is the definition of drug? Any psychoactive substance that effects not only the brain but consequently effects actions & behavior’s. This includes prescribed, legal & illicit drugs What is the definition of drug?

What are the “3” drugs most commonly used in NZ ? 1) Alcohol 2) Tobacco 3) Cannabis

True or false? Methamphetamine was used during World War 2 You can’t get addicted to cannabis You drive better after using cannabis as you pay more attention You can do methamphetamine and not become addicted. Methamphetamine is easy to smell on someone If someone has a substance misuse problem they need to address this first before anything else, (e.g. anger management) can be addressed A scene depicting alcohol is shown on NZ prime time TV every 15 minutes True or false?

Stimulants Vs depressants

CANNABIS

ALCOhol

Alcohol and offending

methAmphetamine

Synthetics

Synthetic cannabinoids vs synthetic CATHINONES and HALLUCINOGENS At risk population: people in unstable housing or experiencing homeless/unemployment Motivations: escape, cheap products At risk population: festival goers, risk takers, young people Motivations: fun, experience enhancement, experimentation, cheap products Synthetic cannabinoids vs synthetic CATHINONES and HALLUCINOGENS There is also a 3rd group but we aren’t seeing a lot of this in NZ and that is….. SYNTHETIC OPIOIDS At risk population: people who inject drugs Motivations: potency, cheap products But these are coming and will likely cause a lot of damage as the mimic other opiods that are out there and are really harmful

Early 2000’s widely available 2010 communities concerned 2013 Psychoactive Substances Act 2016 Thriving black market in Christchurch 2018 45 deaths in 12 months

Benzo MDMA Acid GHB

quick break ….and prize entry time

Where is the balance?

DSM-V : When is it a problem? Taking in larger amounts Wanting to cut down but unable to Spending a lot of time sourcing, using drug Cravings and urges to use Not managing normal tasks Continued use despite problems in relationships Giving up important social activities Using again and again despite danger Continued use knowing its harming you physically or psychologically Tolerance Withdrawals DSM-V : When is it a problem?

The 4 L’s – is there a problem? Love Legal Livelihood Liver The 4 L’s – is there a problem?

Change process Contemplation Preparation Action Maintenance Pre-contemplation Change process

Make safe - precontemplation For individual and families Ensure they know there is support to change Ask them about pros and cons of their use Ask them about 4L’s Choose the time to have conversation Gather information about what the use is and its impact Don’t expect abstinence – try small goals to reduce harm Reassure them that they aren’t the only ones

Stay safe – contemplation/ preparation For individuals and families Ensuring family are not enabling with money Agreed boundaries in place Support network informed of plan – including safety planning if required Engaged with support agencies – ensure knowledge around detox process is known Any legal measures are adhered to Continue to have open, honest conversations Reassure that they can do it

Keep safe – action/ maintenance For individuals and families Review support in place regularly If lapse occurs reassure is not the end of the world Ensure positive support/aspects continue to develop Reinforce improvements to 4L’s Keep reminding family and/or individual of maintenance plan

Family support agencies www.familialtrust.org www.al-anon.org.nz Family Support workers at Salvation Army Addiction Advocacy Service at MHAPS - www.mhaps.org.nz Be Smart – open group for families Comcare AOD housing services Mindfulness Practice Group – CCS https://fds.org.nz/ Family support agencies

https://www. odysseychch. org. nz/ https://www. drugfoundation. org https://www.odysseychch.org.nz/ https://www.drugfoundation.org.nz https://drughelp.org.nz http://www.ahw.org.nz https://www.hpa.org.nz/what-we-do/alcohol https://www.matuaraki.org.nz

Make safe stay safe keep safe AOD 101 with Deb Bradshaw Anna Moss Hayley Edgerton