1. De Paul Treatment Centers DePaulTreatmentCenters.org

2. Our Mission De Paul Treatment Centers works with individuals, families, and communities to create freedom from addiction. DePaulTreatmentCenters.org

3. Outpatient Services Hillsboro Adult Center Downtown Portland Youth & Family Center Northeast Portland Our Locations

4. Our Philosophy on Addiction We recognize that addiction is a complex, chronic, and treatable illness resulting from an interaction of human biology, environment, and behavior. We believe that all individuals have the innate health and capacity to recover. We believe recovery happens in the context of relationship and community. We respect the dignity and recognize the uniqueness of each individual and the need for individualized treatment. DePaulTreatmentCenters.org

5. Today’s Marijuana The potency has dramatically increased. Even the past 10 years it has increased by 6-7% Many forms of using marijuana Smoking Oil DABs Vaping Edibles The higher the THC content, the stronger the effects on the brain DePaulTreatmentCenters.org

6. Oregon Healthy Teens Survey DePaulTreatmentCenters.org Answers based on Multnomah County 11 th graders https://public.health.oregon.gov/BirthDeathCertificates/Surveys/OregonHealthyTeens/Documents/2015/County/26_Multnomah.pdf Teen use in the past 30 days 27.4% consumed Alcohol 23.3% used Marijuana 5.5% used Prescription drugs Teens ease of access: 65.9% teens say it is easy to get marijuana 63.6% teens say it is easy to get some form of alcohol 32.3% teens say it is easy to get prescription drugs that were not prescribed to them Top 5 ways teens are getting marijuana 1.From friends (16.7%) 2.At a party (3.8%) 3.Gave money to someone to get it (1.7%) 4.At home with parents’ permission (1.7%) 5.From a medical marijuana cardholder or grower (1.7%)

7. Oregon Healthy Teens Survey DePaulTreatmentCenters.org How teens are using Marijuana Answers based on Multnomah County 11 th graders https://public.health.oregon.gov/BirthDeathCertificates/Surveys/OregonHealthyTeens/Documents/2015/County/26_Multnomah.pdf 27.1% of 11 th graders have driven a vehicle within 3 hours of using marijuana in the last 30 days 8 th Graders11 th Graders Smoked it (joint, bong, pipe, blunt) 81.8%91.1% Ate it (brownies, cakes, cookies, candy) 7.2%2.2% Drank it (tea, cola, alcohol) 0.9%0.4% Vaporized ‘Vaped’ it 5.7%2.2% Dabbed it 1.6%3.2% Used it some other way 2.9%0.8% 45.6% of 11 th graders do not perceive regular marijuana use (a least once or twice a week) as a health risk

8. Is Marijuana addictive? Yes 10% of adult cannabis users will become dependent. This number increases to 17% if a person begins using cannabis at age 16 or earlier. At De Paul, marijuana is the primary substance for 58% youth residential clients and 62% youth outpatient clients Reward pathway ASAM criteria factors DePaulTreatmentCenters.org

9. How Marijuana addiction is different Can be socially accepted – It’s legal in Oregon! Stages of Change Interventions can be different DePaulTreatmentCenters.org

10. Approach to Treatment We Incorporate Positive Youth Development +Positive Experiences +Positive Relationships +Positive Environments We Recognize, Utilize, and Enhance youths' strengths Cognitive Behavioral Therapy Dialectical Behavioral Therapy We meet the clients “where they are” in the stages of change DePaulTreatmentCenters.org

11. Stages of Change PrecontemplationContemplationDeterminationActionRelapseMaintenance DePaulTreatmentCenters.org EnterExit & re-enter at any stage

12. Comprehensive Care Individualized treatment planning Focus on relapse prevention Integrated Medical and Mental Health Medication Management 12 Step and Smart Recovery Models Case Management Community integration Peer Mentoring

13. DePaulTreatmentCenters.org Youth Continuum of Care Residential Day Treatment Outpatient Mental Health Family Therapy Peer Recovery Mentors

14. Youth Residential Residential Treatment for youth 13-17 Typically 30-90 days Secure Residential Facility Accredited Academic Program Individual and Group Counseling Fitness Program Integrated Family Therapy

15. Youth Day Treatment Available as a step down from residential treatment Allows teens to come and participate in a full day and then return home in the evenings Typically 10-30 days

16. Youth Outpatient Available at the NE Portland and Hillsboro Locations Both Individual and Group Counseling Integrating with the Community Typically 1-12 months

17. How to know if your child is using substances Money missing from your purse or wallet Use of incense, room deodorizer or excessive perfumes and cologne Excessive use of mints, mouth washes and gum Eye drops to reduce redness Missing medications (over the counter as well as prescription) Decline in academic performance Withdrawal and decreased interaction with good friends New friends and people whom the teen is unwilling to introduce to you Over the counter materials such as cold medicine, computer duster, nail polish or nail polish remover, white out, hairsprays or other inhalants found with their belongings Personality changes Excessive sleeping Weight loss or decline in eating Increased appetite Drug paraphernalia such as pipes, bags of seeds, rolling papers, empty bottles, baggies, etc. Child’s bedroom is strictly off limits Lack of motivation to do things they used to enjoy DePaulTreatmentCenters.org

18. What You Can Do Talk openly and directly to your kids specifically about drug use and making good choices Stay involved and interested in your child’s daily activities Help build their self esteem Keep yourself updated on trends and terminology in the schools Be mindful of your own intake availability of substances at home Properly dispose of unused medications DePaulTreatmentCenters.org

19. Contact Info: Youth Treatment Information: Drew Gadbois – Drew.Gadbois@depaultc.orgDrew.Gadbois@depaultc.org 503-535-1150 x 1132 Youth Treatment/Assessments: Scott Gallagher – Scott.Gallagher@depaultc.orgScott.Gallagher@depaultc.org 503-535-1239 Adult Treatment: Access Center: 503-535-1151 DePaulTreatmentCenters.org