1. Substance Abuse and dependency: A concern at the CHS Muthoni Mathai Antony Ayieko Ong’any Alcohol and drug abuse committee CHS

3. Objective Increase awareness on the harmful effects of Alcohol and drugs Effect on wellbeing of students and staff Impact on student and staff performance Overall cost to the institution Introduce the concept of the alcohol and drug prevention unit

4. Lifetime Drugs Use- student study

5. Active Vs Life time Drug Use Life time use 2010 (%) Active use (%) (2010) Active use (%) (2009) Alcohol 51.4 38.838.5 Tobacco 22.3 12.310.7 Khat 13 6.68.34 Cannabis 11.8 7.75.71 Sedatives 4.7 1.52.35 Opioids 2.2 1.00.34 Cocaine 2.2 1.21.3 Inhalants 2.6 1.30.84 Amphetamine 2.2 1.09 Hallucinogens 2.2 1.40.84 Revelin 1.1 0.90

6. Substance-Induced Disorders Intoxication Withdrawal Tolerance Delirium Persisting Dementia Persisting Amnestic Disorder Psychotic Disorder Mood Disorder Anxiety Disorder Sexual Dysfunction Sleep Disorder

7. Long term Effects Organ damage Neurological damage Liver cirrhosis Impotence Weight loss Reduced Immunity Wernicke-korsakoff’s syndrome Peptic ulceration Asthma, Bronchitis Pneumonia, emphysema CVAs & Cancers Death

8. National Impact Illiteracy Decline in economic production Increased cost of running and maintaining schools and other institutions Increased cost of health care- treatment and rehabilitation Disintegration of social norms Erosion of moral and spiritual values, mainly among the youth Increase in crime rate

9. Costs at the CHS Absenteeism Injuries Lowered performance Drop-outs Health costs Loss of Productivity Employee Morale increased conflicts

10. Potential of Intervention Programs 91% decrease in absenteeism 88% decrease in problems with supervisors 93% decrease in mistakes in work 97% decrease in on-the-job injuries.

11. Individual responsibilities Am I my Brother’s Keeper?? Responsibilities to self Responsibility to students Reponsibility to colleagues- academic staff Responsibilty to non teaching staff Responsibilities of managers

12. Individual Brief Intervention - NUDGE Notice someone with stress or problems Understand that you may have a role to play in the solution Decide if you should say something Use Guides (Roll with resistance, listen, show concern, make your move) Encourage him or her to get help (know your limits)

13. Alcohol and drug prevention unit- CHS Offer guidelines for dealing with ADU problems at the CHS Sensitisation and awareness Facilitate early detection Promote Individual brief intervention Referral for further management Liaise and report to the UON Unit

14. Summary The bio-psychosocial effects of Alcohol and Drug abuse on the individual are serious yet often underestimated Drugs play a major role in other problems in the society e.g. HIV/AIDS, violence, accidents, interpersonal conflicts, poor performance, etc The impact on the institution are substantial Various intervention measures can be undertaken Commitment by the management is key to success

15. Thank you “Drug abuse is a problem that can be prevented, treated and controlled” UN Secretary-General Ban Ki-moon