1. Community Presentations DRUG AWARENESS “ CHEESE” Crime Prevention Part II (2010) ©This TCLEOSE approved Crime Prevention Curriculum is the property of TxSSC-ICJS Crime Prevention Part II (2010)

2. A Different kind of “Cheese”?

3. Cheese Heroin “Cheese”: The New Face of Heroin Black Tar Heroin “Cheese” + = Tylenol PM or generic

4. What is “Cheese”?  Black tar heroin combined with crushed Tylenol PM tablets  Highly Addictive and very dangerous  Tan-colored powder usually snorted through the nose with a tube, straw, or small ballpoint pen

5. What is “Cheese”? Continued  Packaged in a small paper bindle or zip lock baggie  Can be bought for as little as $2  Popular among Hispanic juveniles, both male and female  Has been identified in more than a dozen Dallas ISD secondary and surrounding suburbs

6. Teenage Heroin The New Teenage Heroin Market  Cheese, Cheese, Cheez, Chez, Chz, Queso, Keso, Kso,…  look for these in text messages on cell phones

7. Teenage Heroin The New Teenage Heroin Market Combination of:  Black Tar Heroin  Tylenol PM (or generic)

8. What does “Cheese” look like

9. “Cheese” Packaged In Bindles

10. Student was storing his “cheese” in his car radio face-plate case.

11. More “Cheese”

12. VICTIMS of “Cheese”

13. Symptoms of Use  Drowsiness and Lethargy  Euphoria  Excessive Thirst  Disorientation  Sleepiness and Hunger  Sudden change in grades & friends

14. Symptoms of Withdrawal (may begin within a few hours of use)  Mood Swings  Insomnia  Headache, chills, nausea, vomiting  Muscle Spasms/bone pain  Anxiety, agitation, disorientation  May last five to six days

15. Overdose Risks  Heroin, morphine (heroin metabolite) and diphenhydramine HCl are all CNS and respiratory depressants  Overdose or combination with other depressants (i.e. alcohol) can cause respiratory arrest and subsequent death

17. Where Is The Heroin? Where Is The Heroin? Users have become quite proficient at hiding their heroin/“cheese” Tennis shoes - under the soles, slipped under the loop in the tongue Clothes – Hoodies & Pants - in cuffs, waistbands, pockets Backpacks, book bags Girl’s bras Hair buns or twists Binders, inside books Inside color markers Belt Buckles Battery compartments of cell phones

18. Where is the Heroin? (cont.) Building Hiding Places  Restrooms  Unlocked lockers  Gym locker rooms  Under portables  In desks  Classrooms

19. Manufacturing & Distribution  End users purchase “bumps” of “cheese” from other juveniles or, in some cases, directly from adult dealers  “Cheese” Can be purchased for as little as $10 a gram

20. Manufacturing & Distribution  A single dose or “bump” typically costs $2  Weights vary when packaged in bindles and stay consistent when packaged in baggies

21. Student’s Need:  Education – Overview of what “cheese” is, what “cheese” looks like, and harmful effects  Prevention – Promote developmental assets so that students are less likely to engage in risky behaviors and drug testing  Intervention – Drug testing, counseling, and/or treatment

22. Report illegal Drug Use/Sales Contact your city police department and/or Sheriff’s Office immediately. Notify your school district police department immediately. This is a DRUG FREE COMMUNITY DRUGS

23. QUESTIONS

24. SOURCE United States Drug Enforcement Administration website. www.dea.orgwww.dea.org

25. Presenter Contact Information 350 N. Guadalupe, Suite 140, PMB 164 San Marcos, Texas 78666. 877-304-2727 www.cscs.txstate.edu