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

2. 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?

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

5. 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?

6. Stimulants Vs depressants

7. CANNABIS

8. ALCOhol

9. Alcohol and offending

10. methAmphetamine

11. Synthetics

12. 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

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

14. Benzo MDMA Acid GHB

15. quick break
….and prize entry time

16. Where is the balance?

17. 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?

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

19. Change process Contemplation Preparation Action Maintenance
Pre-contemplation
Change process

20. 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

21. 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

22. 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

23. Family support agencies
Family Support workers at Salvation Army
Addiction Advocacy Service at MHAPS -
Be Smart – open group for families
Comcare AOD housing services
Mindfulness Practice Group – CCS
Family support agencies

24. https://www. odysseychch. org. nz/ https://www. drugfoundation. org

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