1. Ohio College Initiative Meeting MAPS Conference March 31, 2015

2. Where We Have Been In existence since 1996 Focused primarily on high-risk drinking Engaging administrators through the President’s Luncheon Small Ohio College Prevention Association (SOCPA)

3. Where We Are Going Partnership with the newly re-established Higher Education Center for Alcohol and Drug Misuse Prevention and Recovery Recently added Mt. St. Joseph University, bringing our membership to 53 Ohio institutions Broadening our scope to be inclusive of other issues impacting the success of college students Utilizing recent Needs Assessment and the OCI Steering Committee while planning for the future Continued opportunities for networking, idea sharing, and training

4. College Students & Marijuana 18% of college students reported using marijuana in the last 30 days They believe that over 75% of their peers have used in the same time frame Marijuana use is associated with: Discontinuous enrollment Lower academic performance Increased risk of car crashes Dependence in 1 in 11 regular users; 1 in 6 if use began in adolescence Results from the Spring 2014 ACHA-NCHA Executive Summary Arria, A. M., et al. (2013). Drug Use Patterns and Continuous Enrollment in College: Results From a Longitudinal Study. Journal of Studies on Alcohol and Drugs, 74(1), 71–83. Hall, W. (2015), What has research over the past two decades revealed about the adverse health effects of recreational cannabis use?. Addiction, 110: 19–35.

5. Responsible Ohio Collecting signatures to place marijuana legalization on the ballot for November 2015 Legalizes both medicinal and recreational marijuana use Permits those over 21 to have up to 4 flowering plants (and an unlimited number of non-flowering plants) as well as possess up to 8 ounces of marijuana Would create over 1,100 business permits for retail…there are less than 900 McDonalds in the entire state

6. Dr. Donald Misch Sr. Assistant Vice Chancellor for Health and Wellness Director, Wardenburg Health Center University of Colorado Boulder Judge Linda Cooke Presiding Judge Boulder Municipal Court

7. Abbreviations MJ: Marijuana MMJ: Medical Marijuana RMJ: Recreational Marijuana or Retail Marijuana MIPs:Marijuana Infused Product Manufacturers

8. Overview History of Legalization & MJ Potency Trends in Marijuana Use & Attitudes Overdose/Accidental Ingestion Crime & Other Public Safety Issues Social Costs Marijuana Migration MJ & Business: Public & Private Sector Changing Normative Environment

9. LEGAL MARIJUANA: Implications for Colleges & Universities

10. Past Year MJ Use by 18-25 YOA Adults

11. Past Month MJ Use by 18-25 YOA Adults

12. How Students Get and Use MJ MMJ cards (under 21) From 21+ friends (if under 21) Grow their own (21+) Buy their own (21+)

13. State vs. Federal Law MJ may be legal but the Drug Free Schools Act is still in effect So universities still don’t allow it And most won’t accept MJ research $$ MJ may be legal but MJ convictions can cause loss of Federal Student Financial Aid

14. Impacts for Students Students 18-20 YOA may seek to get a MMJ card so that they can use MJ legally Students who live on campus may consume nearby in their parked cars, which is illegal public consumption Heightened scrutiny when traveling out of state: at airport, on highways (plates, stickers)

15. Impacts for Higher Ed Requests to live off campus so that 18-20 YOA students can use their MMJ Increased Student Conduct violations and/or local law violations Increased need for MJ treatment Options include SBIRT, BASICS, ASTP, Other Also...

16. MJ & MENTAL HEALTH IMPACTS

17. MJ Use and Mania, Psychosis New research suggests MJ causes mania MJ use also worsens mania for people with bipolar disorder Other studies link MJ use to depression, anxiety, psychosis, schizophrenia High-THC content MJ increases psychosis 3x more likely to have psychotic disorder 5x more likely if daily user

18. Young Adult MJ Use & Mental Health 25% of college students being treated for mental illness also abuse cannabis This cohort suffered significant functional impairment, a greater likelihood of medical leave* Nearly half the students with bipolar disorder also had cannabis use disorder * As compared to peers who used MJ but did not have a mental illness

19. Adult MJ Use & MH Effects 1. MJ use can cause acute psychotic symptoms during use (Substantial evidence supports) 2. Regular MJ use may cause depression (Moderate evidence supports) 3. MJ use may cause psychosis; likelihood increases with greater use (Limited evidence supports) 4. MJ use may cause anxiety (Limited evidence supports)

20. Reputation Management  National audience for MJ-related news, media for early adopters of RMJ  Impacts on tourism, economic development  Effect on college recruiting

21. Join Us! Full Body Ohio College Initiative Meeting May 20, 2015 9:30-1:30 pm The Ohio State University The National Meeting August 4-6, 2015 Register at hecaod.osu.edu