1. Substance Use in our Community: How Faith Communities Can Help
Brook Lane presents:
Substance Use in our Community: How Faith Communities Can Help
Featuring: Donna Fogle, LCSW-C

2. Imagine that , the number of people dying of overdoses equals…
Every 3 weeks, 9/11 happening again
A full jet liner crashing every 3 days
In 2017 as many American are expected to die of drug overdoses as died in the Vietnam, Iraq and Afghanistan War combined”
AMERICAN FIX, Ryan Hampton

4. Underlying Causes of Use/Abuse
Curiosity
Peer Pressure
Genetic predisposition
Effects of a particular drug
pain killers, depressants, hallucinogens, stimulants, etc.
Emotional Distress/
Anxiety disorder, depression, other mood disorders

5. Impact on Society
50% of all children (35.6 million) live in a household where a parent or other adults use tobacco, drink heavily, or use illicit drugs.
23.8% of all children (17 million) live in a household where a parent or other adult is a binge or heavy drinker.
12.7% of all children (9.2 million) live in s household where the parent of other adults use illicit drugs.
21.1 million people needed treatment but did not receive it, and out of that number only 1.3 million (5.8 %) felt they needed it.
Of the 1.3 million who felt they needed treatment 792,000 (64.2%) reported making no effort at all to seek the treatment.

6. Co-occurring Disorders

7. Category & Name
Commercial/Street Names
Effect
Delivery Method
Alcohol
(ethyl alcohol)
Liquor, beer, and wine
Sedative Hypnotic
Depressant
Swallowed
Marijuana
Blunt, dope, ganja, grass, herb, joint, bud, Mary Jane, pot, reefer, green, trees, smoke, sinsemilla, skunk, weed
Hallucinogen
Smoked, swallowed
Hashish
Boom, gangster, hash, hash oil, hemp
Synthetic Marijuana
Spice
K-2
Incense

8. Category & Name
Commercial/Street Names
Effect
Delivery Method
Cocaine/Crack
Cocaine hydrochloride: blow, bump, C, candy, Charlie, coke, crack, flake, rock, snow, toot
Stimulant
Smoked, snorted, injected
Methamphetamine
Desoxyn: meth, ice, crank, chalk, crystal, fire, glass, go fast, speed
Swallowed, snorted, smoked, injected
Amphetamine
Biphetamine, Dexedrine: bennies, black beauties, crosses, hearts, LA turnaround, speed, truck drivers, uppers
ADHD Medications
Ritalin
Adderall, etc.

9. Category & Name
Commercial/Street Names
Effect
Delivery Method
Heroin
Diacetylmorphine: smack, horse, brown sugar, dope, H, junk, skag, skunk, white horse, China white; cheese (with OTC cold medicine and antihistamine)
Sedative
Injected, smoked, snorted
Opiates/Opioids
OTC Medications:
Coricidan
Robitussin
Active Ingrediant:
dextromethorphan
Hallucinogen
LSD
Lysergic acid diethylamide: acid, blotter, cubes, microdot yellow sunshine, blue heaven  
Swallowed, absorbed through mouth tissues

10. Caution: Non-user

11. Category & Name
Commercial/Street Names
Effect
Delivery Method
Club Drug:
GHB
Gamma-hydroxybutyrate: G, Georgia home boy, grievous bodily harm, liquid ecstasy, soap, scoop, goop, liquid X
Sedative
Stimulant
Hallucinogen
Swallowed
Ketamine
Ketalar SV: cat Valium, K, Special K, vitamin K
Injected, snorted, smoked
Flunitrazepam
Rohypnol: forget-me pill, Mexican Valium, R2, roach, Roche, roofies, roofinol, rope, rophies
swallowed, snorted
Club Drug: MDMA (methylene-dioxy-methamph-etamine)
Ecstasy, Adam, clarity, Eve, lover's speed, peace, uppers
Swallowed, snorted, injected

13. M

14. According to AARP data:
All age groups are showing an increase in opiate use
55-plus years: 32%
35-54: 36%
25-34: 31%
15-24%: 7%

15. Mature Adults Not Told of Risks
3 in 10 people between 50 and 80 had a prescription for opiate pain medications
Of those fewer than half were educated about their risks by medical provider
Only 43% were told of the dangers of overdose
Fewer than 37 % were told what to do with unused medications
Only 2 in 5 talked to their pharmacists about side effects
Fewer than 3 in 10 were told of the risk of overdose or becoming physically dependent
DR. PREETI MALANI MD ; NATIONAL POLL ON AGING, SPONORED BY AARP AND THE UNIVERISITY OF MICHIGAN

16. Behavioral Indicators of Abuse
Drop in attendance and performance at work or school; loss of interest in extracurricular activities, hobbies, sports or exercise; decreased motivation.
Complaints from co-workers, supervisors, teachers or classmates.
Unusual or unexplained need for money or financial problems; borrowing or stealing; missing money or valuables.
Silent, withdrawn, engaging in secretive or suspicious behaviors.
Sudden change in relationships, friends, favorite hangouts, and hobbies.
Frequently getting into trouble (arguments, fights, accidents, illegal activities)

17. Psychological/Behavioral Indicators
Unexplained change in personality or attitude.
Sudden mood changes, irritability, angry outbursts or laughing at nothing.
Periods of unusual hyperactivity or agitation.
Lack of motivation; inability to focus, appearing lethargic or “spaced out.”
 Appearing fearful, withdrawn, anxious, or paranoid, with no apparent reason.

18. 10 Things You Can Do Educate yourself about the disease
Recognize enabling/provoking behaviors
Discontinue behaviors that enable or provoke
Examine your resentments and defense mechanisms
Work on your own problems
Set reasonable expectations
De-emphasize the person
Consider the possibility of relapse
Learn to control emotions
Look for progress rather than perfection
Donna: Can you give specific tips for the different audience members: Teachers, school office staff, care providers, non-liscensed attendees

22. Harm Reduction for Families
There are no rules except the ones you make
Just like drug users have the right to make their own decisions,
loved ones get to decide what they want to do, can do, willing to do, what limits to set and what consequences to impose
Loved ones need to examine their motives & compulsions
Loved one need to look at their unhealthy choices and look at themselves
It is important to stand out of the way (but ready to help) while people make their own life decisions.
(Denning, Little & Glickman, 2004)

23. Principles of Harm Reduction
Accepts, for better and or worse, that licit and illicit drug use is part of our world and chooses to work to minimize its harmful effects rather than simply ignore or condemn them.
Understands drug use as a complex, multi-faceted phenomenon that encompasses a continuum of behaviors from severe abuse to total abstinence, and acknowledges that some ways of using drugs are clearly safer than others.
Establishes quality of individual and community life and well- being–not necessarily cessation of all drug use–as the criteria for successful interventions and policies.
Calls for the non-judgmental, non-coercive provision of services and resources to people who use drugs and the communities in which they live in order to assist them in reducing attendant harm.

24. Principles of Harm Reduction
Ensures that drug users and those with a history of drug use routinely have a real voice in the creation of programs and policies designed to serve them.
Affirms drugs users themselves as the primary agents of reducing the harms of their drug use, and seeks to empower users to share information and support each other in strategies which meet their actual conditions of use.
Recognizes that the realities of poverty, class, racism, social isolation, past trauma, sex-based discrimination and other social inequalities affect both people’s vulnerability to and capacity for effectively dealing with drug-related harm.
Does not attempt to minimize or ignore the real and tragic harm and danger associated with licit and illicit drug use.

26. Ways in which Congregations Respond to the Problem of Substance Abuse in the Church
Ignore/deny the problem
Worsen the problem by being judgmental and/or holding prejudicial attitudes
Address the problem with compassion,
seeking to understand addiction and its behaviors;
its effects on families;
and ministering to affected persons as children of God who need love that is informed by accurate knowledge and disciplined by awareness of relevant care giving skills.

28. A Word of Encouragement
Ministering to individuals abusing substances can be challenging & frustrating
Challenges of shepherding these individuals can tempt you to avoid investing in a relationship
However, relating to persons hurt by substance abuse can be a rewarding ministry.

29. Faith Leader’s Role Show up
be alert to windows of opportunity for contact, assessment, intervention and treatment
Be dressed
Be prepared internally with the necessary information, resources and teaching tools
Get through the door
Know who to establish effective healing relationships with those affected by addictions
Stay in the boat
Do more than hand people off to treatment. Stick with the person as they journey on their road of recovery
Know when to leave
Respect appropriate boundaries and know when to bring their involvement to a conclusion

30. Faith Leaders Attitudes
Acceptance:
The doctrine of grace practiced in interpersonal relationships.
By accepting persons as they are we give them the incentive to become what they can be.

31. Faith Leaders Attitudes
Disciplined Love:
This form of love does not act out of a compulsive or “do-good” attitude. It understands that the addicted person must be open to help if help is given.
Awareness of Limitations:
While the religious community should mobilize reasonable resources to help the addicted person and the affected family members, it should realize that it cannot do everything.

32. Faith Leaders Attitudes
Show genuine interest
Use scripture/sacred reading in ways that value the individual and shows God’s love
Above all else, be honest

33. Spirituality
Finding a connection with a force, energy, or presence that’s bigger than you.
Encompasses questions about meaning and purpose.
Often involves experience of unity, oneness, and a connection to all that is.

34. Five Practices of Companionship
Hospitality
Neighboring
Sharing the Journey Side by Side
Listening
Accompaniment

35. Hospitality Creating Safe Space with another person
Treating another person with dignity and respect
Seeing the other person as a worthy and valuable human being
Offering refreshment, nourishment, a time and place to rest

36. Neighboring Sharing common time and space Beginning as human beings
Saying a simple “hello”
“I’m Mike. How do you like to be called?”
Starting with what we have in common.
A “frameless” relationship

37. Sharing the Journey Side by Side
There are basically 3 ways we can be with another person:
We can stand behind someone pushing and telling them where to go
We can be face to face
We can share the journey side by side

38. The Practice of Listening
Listen for the story –
Whatever a person is able to tell, however they are able to tell it.
Past
Present
Future

39. Listening for the Spiritual Journey
“In companionship, this is perhaps the greatest gift we an offer – listening to a person’s story with an ear for how this individual sees and experiences the spirit.”

40. The Practice of Accompaniment
Naming needs “The need for charity is an opportunity for community.” Consult, confirm and refer. Encourage partnerships and a circle of care. “Go with”, or hold the person in thought and prayer.

41. Power of Addiction
Takes away ability to choose because EVERYTHING becomes centered on using.
Takes away ability to grow and change.
Takes away ability to have any real relationships because our sole focus and connection is wired to be exclusively with the addiction.
Takes away ability to experience surprise, wonder and awe.

42. 10 Things the User Can Do Stop drinking or taking the drugs
Learn about the disease
Use the information to self-diagnose
Reduce frame of reference to a single day
Rearrange activities to support recovery
Make abstinence unconditional
Inform significant people of their plan
Examine possible cues and triggers
Develop a plan to address these cues and triggers
Put the plan into action

43. Celebrate Recovery (CR)
26 years ago, Saddleback Church launched Celebrate Recovery with 43 people
Biblical and balanced program designed to help individuals overcome hurts, hang-ups, and habits by showing them the loving power of Jesus Christ through a recovery process
Based on the actual words of Jesus
Today, CR is in over 29,000 churches worldwide
85% of the individuals who go through the program stay with the church and nearly 50% serve as church volunteers

44. Community Resources ADAAC Brook Lane Health Services Serenity
370 Virginia Avenue
Hagerstown, MD 21740
Brook Lane Health Services
North Village Location
18714 North Village Shopping Center
Hagerstown, MD 21742
Concerned Others Group
6:00 PM
1116 Medical Campus Rd
Robinwood (Orange Entrance)
Serenity
580 Northern Ave
Hagerstown, MD 21742
Washington County Health Department- Division of Behavioral Health Services
13114 Pennsylvania Ave
Project Act Now, Safety Home Initiative (Naloxone)
Donna: Does the HD have a listing of community resources?

45. Gal. 2:20, 2 Tim. 2:24-26, Gal. 6:1, 1 Cor. 15:57, 2 Cor. 4:7
RU is a biblically based, Christ-centered recovery program designed to rescue, recover, and restore those in addictive behaviors with the power of the victorious hidden life found only in Jesus Christ.
Gal. 2:20, 2 Tim. 2:24-26, Gal. 6:1, 1 Cor. 15:57, 2 Cor. 4:7

46. RU FAITH BASED RECOVERY
SUPPORT GROUP
Emmanuel Baptist Temple Firday 7:00 - 9:00 PM  National Pike Hagerstown, MD  

47. (Self-Management And Recovery Training)
Not a 12-step group, like Alcoholics Anonymous (AA) or Narcotics Anonymous (NA)
SMART Recovery’s 4-Point Program® helps people recover from all types of addictive behaviors, including: alcoholism, drug abuse, substance abuse, drug addiction, alcohol abuse, gambling addiction, cocaine addiction, and addiction to other substances and activities.
Local meetings: Fridays from 1:00 - 2:00 pm Frederick St, Hagerstown, MD 21740

48. Smart Recovery 4-Point Program® www.smartrecovery.org
Helps people recover from all types of addictive behaviors, including: alcoholism, drug abuse, substance abuse, drug addiction, alcohol abuse, gambling addiction, cocaine addiction, and addiction to other substances and activities.
The SMART 4-Point Program® offers tools and techniques for each program point:
Building and Maintaining Motivation
Coping with Urges
Managing Thoughts, Feelings and Behaviors
Living a Balanced Life

49. Ladders to Leaders(L2L)
Non-profit dedicated to helping people transition from alcoholism/addiction into productive members of society.
L2L assists individuals who are either already in or ready to begin their Spiritual-Based recovery from drug and alcohol dependence and addiction.
Offers residence and employment to lesson the stress of essential living while maintaining a solid environment surrounded by positive members of the recovery community.

51. Support Groups Al Anon - www.al-anon.alateen.org
Alcoholics Anonymous -
Narcotics Anonymous -
Codependents Anonymous -coda.org,
2 Hagerstown meetings

52. Support Groups Dual Diagnosis Recovery –
Thursday, 7:00 - 8:00 pm  (Closed Meeting) Non-Smoking
913 Maryland Ave  
Contact: Keith R.
Phone #:    
Wednesday, 12:00 pm -1:00 pm (Closed) Christ Reformed Church
W. Franklin St,
Contact: John
Donna: There are likely more groups . . .

53. SAVE OUR CHILDREN FAMILY SUPPORT GROUPS
Offers services, resources, education, and support for families of loved ones suffering from addiction
Crossroads Center
Tuesday, 7:30 - 8:30 pm
511 West South Street
Frederick, MD
Carin Miller
Trinity Evangelical Lutheran Church
Wednesday, 7:00 - 8:30 pm
64 South Main St
Boonsboro, MD
Deb Fling

54. Support Group for Those Whose Loved One Died by Overdose
Who: Any adult whose loved one died suddenly and tragically by an accidental overdose
What: 6 week support group
Where: Hospice of Washington County, 747 Northern Ave, Hagerstown
When: 6 consecutive Wednesdays from 5:30-7:00 pm, starting Sept. 5, 2018
Contact Cathy Campbell at or to register

55. Reading Materials
Freeing Someone You Love From Alcohol and Other Drugs Ronald Rogers, Chandler Scott McMillan
Beautiful Boy, David Sheff
Tweak, Nic Sheff

56. Additional Resources
National Institute of Drug Abuse charts/commonly-abused-drugs-chart
National Council on Alcoholism and Drug Dependence (NCADD)
WEB PAGES
Harmreduction.org
Substance Abuse and Mental Health Administration
National Alliance on Mental Illness
Facebook
In the Rooms/Renew

57. Thank You!

58. Additional Information

59. Stages of Change #1: Pre-Contemplation #2: Contemplation
lack of interest in change
having no plan or intention to change
Person might be described as “unaware”
ambivalent about whether or not it is worthwhile to change
have an intention to change at some unspecified time in the future but
not sure what change is needed

60. Stages of Change
An important decision is made between stage #2 Contemplation and stage #3: Preparation
People conclude that the negatives of their behavior outweigh the positives
They choose to change their behavior
They make a commitment to change
This decision represents an event, not a process

61. Stages of Change #3: Preparation #4: Action
people accept responsibility to change their behavior
they evaluate and select techniques for behavioral change
people engage in self- directed behavioral change efforts while gaining new insights and developing new skills
Although these change efforts are self-directed, outside help may be sought

62. Stages of Change #5: Maintenance #6: Termination
people have mastered the ability to sustain new behavior with minimal effort
they have established new behavioral patterns and self-control
people have adopted a new self-image consistent with desired behavior and lifestyle.
do not react to temptation in any situation
confidence; enjoying self-control; and appreciation of a healthier and happier life..
The relapse prevention plan has evolved into the pursuit of a meaningful and healthy lifestyle. As such, relapse into the former way of life becomes almost unthinkable
Relapse to a prior stage can occur anywhere during this process. For example, someone in the action stage may move back to the contemplation or pre-contemplation stage.

63. Adverse Childhood Experiences (ACE)

64. The 12 Steps
Step 1
We admitted we were powerless over alcohol—that our lives had become unmanageable.
Step 2
Came to believe that a Power greater than ourselves could restore us to sanity.
Step 3
Made a decision to turn our will and our lives over to the care of God as we understood Him.
Step 4
Made a searching and fearless moral inventory of ourselves.
Step 5
Admitted to God, to ourselves, and to another human being the exact nature of our wrongs.
Step 6
Were entirely ready to have God remove all these defects of character.

65. The 12 Steps Step 7 Humbly asked Him to remove our shortcomings.
Made a list of all persons we had harmed, and became willing to make amends to them all.
Step 9
Made direct amends to such people wherever possible, except when to do so would injure them or others.
Step 10
Continued to take personal inventory, and when we were wrong, promptly admitted it.
Step 11
Sought through prayer and meditation to improve our conscious contact with God as we understood Him, praying only for knowledge of His will for us and the power to carry that out.
Step 12
Having had a spiritual awakening as the result of these steps, we tried to carry this message to alcoholics, and to practice these principles in all our affairs.