Get right in case I needed all one of these.

Get right in case I needed all one of these.

Hi, everybody.

Hi, everybody.

My name is Madison Elliott.

My name is Madison Elliott.

I am a substance use specialist, law

I am a substance use specialist, law

social worker for Talbot County Public Schools.

social worker for Talbot County Public Schools.

I have here with me today, Beth

I have here with me today, Beth

Williams will let her introduce herself.

Williams will let her introduce herself.

And we're going to be talking about updating about me and

And we're going to be talking about updating about me and

marijuana, talk a little bit about the legalization of next year,

marijuana, talk a little bit about the legalization of next year,

but still talking about, you know, why, why you, the reasons

but still talking about, you know, why, why you, the reasons

why, you know, marijuana is bad for you and why, you

why, you know, marijuana is bad for you and why, you

know, just trying to keep our kids safe here and why,

know, just trying to keep our kids safe here and why,

you know, they shouldn't be smoking.

you know, they shouldn't be smoking.

But we are going to be talking about

But we are going to be talking about

the medical side of it as well.

the medical side of it as well.

I'm also going to put my contact information in

I'm also going to put my contact information in

early so I don't forget at the end so

early so I don't forget at the end so

you guys can email me or Beth any questions

you guys can email me or Beth any questions

you have, if you think of it afterwards. Afterwards.

you have, if you think of it afterwards. Afterwards.

But we will be doing Q and A at the end.

But we will be doing Q and A at the end.

And I'm going to put this in the chat here.

And I'm going to put this in the chat here.

My email.

My email.

I'll have her put hers in.

I'll have her put hers in.

Yeah.

Yeah.

I was going to say if you want to appear.

I was going to say if you want to appear.

Good morning.

Good morning.

Good morning, everyone.

Good morning, everyone.

My name is Beth Williams.

My name is Beth Williams.

I'm a prevention, substance

I'm a prevention, substance

abuse prevention specialist.

abuse prevention specialist.

I'm going to put my email in here as well.

I'm going to put my email in here as well.

So if you have questions or if you'd like maybe

So if you have questions or if you'd like maybe

copies of the materials, you can shoot me an email.

copies of the materials, you can shoot me an email.

Also, I'll tell you a little bit about

Also, I'll tell you a little bit about

the program that I'm doing some consulting with.

the program that I'm doing some consulting with.

That's my work. One. Yeah.

That's my work. One. Yeah.

So we're going to talk a little bit

So we're going to talk a little bit

today as Madison introduced about marijuana and kind

today as Madison introduced about marijuana and kind

of update a little bit about the presentation

of update a little bit about the presentation

we did a while ago with parents.

we did a while ago with parents.

But there's a lot of information out

But there's a lot of information out

there and a lot of questions.

there and a lot of questions.

So we're going to go ahead and get started.

So we're going to go ahead and get started.

And if you have any questions, you can

And if you have any questions, you can

go ahead and put them in the chat.

go ahead and put them in the chat.

We'll try to get them answered.

We'll try to get them answered.

Either, you know, we can either email you or

Either, you know, we can either email you or

we can, you know, answer them during the session.

we can, you know, answer them during the session.

And is the session being recorded?

And is the session being recorded?

Yeah, and the session will be recorded

Yeah, and the session will be recorded

so you can refer back to it.

so you can refer back to it.

Okay.

Okay.

So we'll get started.

So we'll get started.

What am I pushing this one? Yeah.

What am I pushing this one? Yeah.

Let me share my screen.

Let me share my screen.

I was waiting for you to just keep.

I was waiting for you to just keep.

I do have to do it up here first.

I do have to do it up here first.

I am previously from the health department,

I am previously from the health department,

and I'm now working with the University

and I'm now working with the University

of Maryland extension on what we call

of Maryland extension on what we call

the Ropeda project, which stands for reinforcing

the Ropeda project, which stands for reinforcing

overdose prevention through training and advocacy.

overdose prevention through training and advocacy.

And I'll talk to you a

And I'll talk to you a

little bit more afterwards about that.

little bit more afterwards about that.

Okay, so here we go.

Okay, so here we go.

What am I pushing this here we go.

What am I pushing this here we go.

So what we'll cover today looks like a lot

So what we'll cover today looks like a lot

of information, and it may feel like a little

of information, and it may feel like a little

bit of information to take in all at once.

bit of information to take in all at once.

But again, some of this may be reviewed to those

But again, some of this may be reviewed to those

of you that have been following along with these webinars.

of you that have been following along with these webinars.

And again, if you have questions or, you know, comments

And again, if you have questions or, you know, comments

about things, we'll gladly take those at the end.

about things, we'll gladly take those at the end.

You know, we're going to look at what the scope of

You know, we're going to look at what the scope of

the problem is right now in our country with marijuana.

the problem is right now in our country with marijuana.

Some facts and maybe dispelling some myths.

Some facts and maybe dispelling some myths.

THC and CBD, signs of marijuana use,

THC and CBD, signs of marijuana use,

effects on the body, specifically the heart,

effects on the body, specifically the heart,

lungs, brain, and mental health combinations.

lungs, brain, and mental health combinations.

So things that marijuana may be like, laced with

So things that marijuana may be like, laced with

that we need to be aware of, concentrates in

that we need to be aware of, concentrates in

edibles, cannabis use disorder, which is considered a psychiatric

edibles, cannabis use disorder, which is considered a psychiatric

disorder, medical use, legalization information, which is kind of

disorder, medical use, legalization information, which is kind of

hot off the press, and just some general prevention

hot off the press, and just some general prevention

tips, since we always like to leave with some

tips, since we always like to leave with some

good information and things for parents to think about

good information and things for parents to think about

that they can do to help their kids.

that they can do to help their kids.

So as of the monitoring the Future study,

So as of the monitoring the Future study,

which has been a study that's gone on

which has been a study that's gone on

since 1975, it's a longitudinal study.

since 1975, it's a longitudinal study.

They get reports every year.

They get reports every year.

More than one in ten young adults reported using marijuana

More than one in ten young adults reported using marijuana

on a daily basis in 21, and more than two

on a daily basis in 21, and more than two

in five used it in the past year.

in five used it in the past year.

Rates of marijuana use nearly doubled over the

Rates of marijuana use nearly doubled over the

past ten years for this age group, and

past ten years for this age group, and

past year use jumped nearly 50%.

past year use jumped nearly 50%.

Now, we know that the pandemic was in there.

Now, we know that the pandemic was in there.

A lot of people were dealing with a lot

A lot of people were dealing with a lot

of other issues going on during the pandemic.

of other issues going on during the pandemic.

The pandemic really kind of exacerbated the addiction

The pandemic really kind of exacerbated the addiction

problem that we've already had in our country.

problem that we've already had in our country.

So it's not surprising to see these kind of increases.

So it's not surprising to see these kind of increases.

About 16% of young adults reported vaping

About 16% of young adults reported vaping

nicotine in the past month, and 12%

nicotine in the past month, and 12%

report vaping marijuana, infants, children, and teens.

report vaping marijuana, infants, children, and teens.

Why these are important, and this data is important

Why these are important, and this data is important

when we look at young adults, is that infants,

when we look at young adults, is that infants,

children, and teens who still have developing brains are

children, and teens who still have developing brains are

especially susceptible to the adverse effects of marijuana, and

especially susceptible to the adverse effects of marijuana.

And that's whether they're around somebody that's

that's whether they're around somebody that's smoking it or

smoking it or obviously they're using it.

obviously, if they're using it.

Marijuana is a mind altering

Marijuana is a mind altering

psychoactive drug produced by cannabis.

psychoactive drug produced by cannabis.

Sativa plant contains over 500 substances or

Sativa plant contains over 500 substances or

chemicals, and over 100 of those chemicals

chemicals, and over 100 of those chemicals

or compounds in marijuana are psychoactive compounds.

or compounds in marijuana are psychoactive compounds.

And that's what produces the psychoactive

And that's what produces the psychoactive

or high effect, particularly thc.

or high effect, particularly thc.

Marijuana has a psychedelic,

Marijuana has a psychedelic

hallucinogen and depressive effects.

hallucinogen and depressive effects.

It's not labeled as one specific

It's not labeled as one specific

drugs drug, but as a combination.

drug, but as a combination.

Because of the effects that it produces.

Because of the effects that it produces.

It can be smoked as a cigarette, which is commonly

It can be smoked as a cigarette, which is commonly

called a joint or a roach, or in a pipe,

called a joint or a roach, or in a pipe,

bong or a blunt, which is a hollowed out cigar.

bong or a blunt, which is a hollowed out cigar.

It can affect driving, and it is not safer to drive

It can affect driving, and it is not safer to drive

under the influence of marijuana than it is with alcohol.

under the influence of marijuana than it is with alcohol.

There is a myth out there that says

There is a myth out there that says

marijuana makes people calmer, so they drive better.

marijuana makes people calmer, so they drive better.

And that has not been proven out in research.

And that has not been proven out in research.

It is addictive, and we'll talk

It is addictive, and we'll talk

a little bit more of that.

a little bit more of that.

Cannabis use disorder, like I mentioned

Cannabis use disorder, like I mentioned

earlier, is a diagnosable disorder.

earlier, is a diagnosable disorder.

Marijuana can cause tolerance, withdrawal, and overdose,

Marijuana can cause tolerance, withdrawal, and overdose,

and it is a gateway drug.

and it is a gateway drug.

Okay, so this slide is telling us that adolescent use

Okay, so this slide is telling us that adolescent use

of any of these substances do make them considered to

of any of these substances do make them considered to

be gateway drugs into future use of heroin or fentanyl.

be gateway drugs into future use of heroin or fentanyl.

You might need to take over in a second.

You might need to take over in a second.

So, for instance, adolescent use of marijuana makes future

So, for instance, adolescent use of marijuana makes future

use of heroin or fentanyl three times more likely.

use of heroin or fentanyl three times more likely.

So on the slide here, just a little bit about what the

So on the slide here, just a little bit about what the

plant marijuana looks like, and then how it looks like in what

plant marijuana looks like, and then how it looks like in what

you call here to the right, a blunt or wrap.

you call here to the right, a blunt or wrap.

So on the left here, this is, you know, a marijuana.

So on the left here, this is, you know, a marijuana.

These are called buds.

These are called buds.

And then in the middle here, this is a bong.

And then in the middle here, this is a bong.

And these are different variations of

And these are different variations of

what a bong looks like.

what a bong looks like.

And then how you.

And then how you.

So you place the marijuana bud and trying to see me

So you place the marijuana bud and trying to see me

pointing in the middle, in the middle here where it's opened,

pointing in the middle, in the middle here where it's opened,

and you kind of light it with a lighter.

and you kind of light it with a lighter.

And that's how, you know, kids are smoking it.

And that's how, you know, kids are smoking it.

These are different kinds of vapes, vapes and pipes.

These are different kinds of vapes, vapes and pipes.

You can actually smoke marijuana in a vape and

You can actually smoke marijuana in a vape, in

a pipe if you didn't know that already.

a pipe if you didn't know that already.

And there's also pods now with

And there's also pods now with

the vapes that kids are accessing.

the vapes that kids are accessing.

But you can tell if it's a regular vaping

But you can tell if it's a regular vaping

pod or a marijuana pod, because at the bottom

pod or a marijuana pod, because at the bottom

of the marijuana pod, it says THC.

of the marijuana pod, it says THC.

So they're all, as far as

So they're all, as far as

I know, they're all labeled THC.

I know, they're all labeled THC.

That's how you know if your child

That's how you know if your child

is just vaping regular or marijuana.

is just vaping regular or marijuana.

But these are kind of different variations of vapes.

But these are kind of different variations of vapes.

You know, there's joule, there's,

You know, there's joule, there's,

like a lot of popular. What's the other?

like a lot of popular. What's the other?

The views.

The views.

Views is one of them.

Views is one of them.

What I mainly see are views and Joel's

What I mainly see are views and Joel's

babes being used some slang names with marijuana.

babes being used some slang names with marijuana.

I'm sure you've heard a bunch of common

I'm sure you've heard a bunch of common

ones, like Mary Jane, bud, blunts, dope.

ones, like Mary Jane, bud, blunts, dope.

What else is there?

What else is there?

Reefer smoke weed is, I think, the most common one.

Reefer smoke weed is, I think, the most common one.

Joint, herb, grass, some not common ones.

Joint, herb, grass, some not common ones.

I haven't heard, like Keith Yerba, hash gangster skunk.

I haven't heard, like Keith Yerba, hash gangster skunk.

Haven't heard skunk before, but those are just some,

Haven't heard skunk before, but those are just some,

like, and you can look out, like with your

like, and you can look out, like with your

child's phone if you see any of these names.

child's phone if you see any of these names.

That's probably what they're referring to on pots.

That's probably what they're referring to on pots.

Another good one that, you know, kids, that

Another good one that, you know, kids, that

kids use the, what they call weed.

kids use the, what they call weed.

Did you want to take back over again?

Did you want to take back over?

Sorry about that.

Sorry about that.

I'm fighting off the end results of a cold here, so

I'm fighting off the end results of a cold here, so

hopefully I'll get through the rest of this for you.

hopefully I'll get through the rest of this for you.

THC is the primary mind altering chemical marijuana

THC is the primary mind altering chemical marijuana

that stands for delta nine tetrahydrogen hydrocannabinol, found

that stands for delta nine tetrahydrogen hydrocannabinol, found

in the buds of the plant.

in the buds of the plant.

That's what produces the high.

That's what produces the high.

When smoked, it rapidly passes from the lungs to

When smoked, it rapidly passes from the lungs to

the bloodstream and then carried throughout the body.

the bloodstream and then carried throughout the body.

If eaten THC, it's absorbed more slowly, so the

If eaten THC, it's absorbed more slowly, so the

effects are felt in maybe 30 to 60 minutes.

effects are felt in maybe 30 to 60 minutes.

And as we talk about edibles later, we'll see that

And as we talk about edibles later, we'll see that

this is what causes overdose from edibles as people get

this is what causes overdose from edibles as people get

impatient waiting for that high to kick in.

impatient waiting for that high to kick in.

CBD.

CBD.

This is something new that we've added

This is something new that we've added

since we're hearing so much about CBD.

since we're hearing so much about CBD.

It is one single compound found in

It is one single compound found in

and extracted from the cannabis plant.

and extracted from the cannabis plant.

While marijuana is a type of the plant that contains

While marijuana is a type of the plant that contains

many compounds, CBD and THC are some of those compounds.

many compounds, CBD and THC are some of those compounds.

I think it's.

I think it's over 500 compounds are found in marijuana.

Over 500 compounds are found in marijuana.

The FDA has approved only one CBD

The FDA has approved only one CBD

product, which is a prescription drug product

product, which is a prescription drug product

to treat seizures associated with specific conditions.

to treat seizures associated with specific conditions.

That is to say then, that the FDA has

That is to say then, that the FDA has

not approved any other CBD over the counter product.

not approved any other CBD over the counter product.

It is currently illegal to market CBD by adding it

It is currently illegal to market CBD by adding it

to a food or labeling it as a dietary supplement.

to a food or labeling it as a dietary supplement.

CBD products can legally only contain

CBD products can legally only contain up to 3% of THC.

up to 0.3% of THC.

There's no way to completely split THC out of CBD, but

There's no way to completely split THC out of CBD, but

THC in these very, very small doses can, when combined with

THC in these very, very small doses can, when combined with

CBD, can seem to be effective in some cases.

CBD, can seem to be effective in some cases.

But again, these products are not.

But again, these products are not.

FDA approved products include gummies, oil capsules,

FDA approved products include gummies, oil capsules,

and tinctures that you would tincture something

and tinctures that you would tincture something

you would drink, take orally.

you would drink, take orally.

Now, this was interesting when I researched this.

Now, this was interesting when I researched this.

There are six, only six evidence

There are six, only six evidence

based, proven health effects of CBD.

based, proven health effects of CBD.

And in research, these did not bear out all

And in research, these did not bear out all

of the time, so they may relieve pain.

of the time, so they may relieve pain.

Mostly in the research with multiple sclerosis and

Mostly in the research with multiple sclerosis and

arthritis patients, they found it was somewhat effective.

arthritis patients, they found it was somewhat effective.

There are neurotransmitters in our brain that'll sound

There are neurotransmitters in our brain that'll sound

a little familiar to you from previous presentations

a little familiar to you from previous presentations

that interact with the cannaboid, cannabinoid receptors in

that interact with the cannaboid, cannabinoid receptors in

our brain, or cannabis receptors in our brain.

our brain, or cannabis receptors in our brain.

The neurotransmitter interacts with that

The neurotransmitter interacts with that

receptor and eases pain.

receptor and eases pain.

CBD could reduce symptoms of mental health disorders.

CBD could reduce symptoms of mental health disorders.

Particularly, they've had some studies that have

Particularly, they've had some studies that have

looked promising for anxiety and PTSD.

looked promising for anxiety and PTSD.

They may alleviate certain cancer related

They may alleviate certain cancer related

symptoms, pain, or possibly nausea.

symptoms, pain, or possibly nausea.

But their study results have been mixed.

But their study results have been mixed.

They may have neuroprotective properties.

They may have neuroprotective properties.

So that means that there were some positive results

So that means that there were some positive results

with the relaxing of people that are having seizures,

with the relaxing of people that are having seizures,

the seizing up, the spastic nature, the tightening.

the seizing up, the spastic nature, the tightening.

But there were still some adverse effects found

But there were still some adverse effects found

in those studies may benefit heart health, which

in those studies may benefit heart health, which

is interesting, possibly artery function and blood pressure

is interesting, possibly artery function and blood pressure

and other benefits are limited, and including relief

and other benefits are limited, and including relief

from people that have a certain specific brain

from people that have a certain specific brain

tumor, antipsychotic properties, people that are having psychotic

tumor, antipsychotic properties, people that are having psychotic

mental health challenges, and sleep benefits.

mental health challenges, and sleep benefits.

But again, it is not without its side effects.

But again, it is not without its side effects

can cause changes in appetite, weight, diarrhea, and fatigue.

Can cause changes in appetite

and weight, diarrhea and fatigue.

Possible other effects may include

Possible other effects may include

drowsiness, sedation, possible respiratory concerns,

drowsiness, sedation, possible respiratory concerns,

and possible liver damage.

and possible liver damage.

It interacts with other medications, including those

It interacts with other medications, including those

that treat pain, depression, diabetes, and seizures.

that treat pain, depression, diabetes, and seizures.

As with anything new, talk to your doctor if

As with anything new, talk to your doctor if

you are even considering using CBD, because it may

you are even considering using CBD, because it may

interact or we cannot rule out these side effects.

interact or we cannot rule out these side effects.

There are ongoing questions about it.

There are ongoing questions about it.

Just like any product over the counter that is not

Just like any product over the counter that is not

regulated in any way, there are variations in dose.

regulated in any way, there are variations in dose.

You're not going to know really how much will

You're not going to know, really how much will

help you versus how much is doing too much.

help you versus how much is doing too much.

The quality of the product.

The quality of the product.

You know, as we know, you get, you can see these

You know, as we know, you get, you can see these

online, you see them through mail order, you know, you can

online, you see them through mail order, you know, you can

get them in a pharmacy and get them in a 711.

get them in a pharmacy and get them in a 711.

We don't really know which of those products are

We don't really know which of those products are

more quality products, while others may have other things

more quality products, while others may have other things

mixed in to dilute them down or whatever.

mixed in to dilute them down or whatever.

And that goes along with the purity of the product.

And that goes along with the purity of the product.

And again, it may contain other

And again, it may contain other

blends or other herbal products.

blends or other herbal products.

Many herbal products or herbal

Many herbal products or herbal

supplements will interfere with medication.

supplements will interfere with medication.

So again, if you're on an herbal supplement,

Again, if you're on an herbal supplement,

physicians need, your physician needs to know that,

your physician needs to know that, because

because that can also interact with medication.

that can also interact with medication.

And the presence or the absence or the level

The presence or the absence or the level

of how much THC might be in that CBD

of how much THC might be in that

CBD oil can affect the results as well.

oil can affect the results as well.

And again, legally, it cannot be any more than.

And again, legally, it cannot be any more than.

And again, there's just no guarantee of a consistency or

And again, there's just no guarantee of a consistency or

safety due to not having any oversight by the FDA.

safety due to not having any oversight by the FDA.

Okay, so marijuana of today is not

Okay, so marijuana of today is not

like the marijuana of the seventies.

like the marijuana of the seventies.

We always say like, not like our grandparents marijuana

We always say like, not like our grandparents marijuana

or our parents marijuana in the seventies, the THC

or our parents marijuana in the seventies, the THC

levels, again, that's the chemical that gives you the

levels, again, that's the chemical that gives you the

high feeling, the euphoric feeling, psychoactive.

high feeling, the euphoric feeling, psychoactive.

It was 3.7%, was about the average in the seventies.

It was 3.7%, was about the average in the seventies.

Now, the average marijuana levels

Now, the average marijuana levels

for THC are about 15%.

for THC are about 15%.

Now, what we're seeing in some of the extracts or

Now, what we're seeing in some of the extracts or

the edibles that are out there, extracts, and we'll talk

the edibles that are out there, extracts, and we'll talk

about those in a bit, are used in vaping, dabbing,

about those in a bit, are used in vaping, dabbing,

and edibles can contain 50% or up, and we've even

and edibles can contain 50% or up, and we've even

seen some that have been sold that are up to

seen some that have been sold that are up to

90% THC, which is staggering amount of THC.

90% THC, which is staggering amount of THC.

And of course, we know that with

And of course, we know that with

higher THC levels mean a greater risk

higher THC levels mean a greater risk

for risky, risky behaviors and addiction.

for risky, risky behaviors and addiction.

So, in general, and you all have probably seen

So, in general, and you all have probably seen

this slide before, but when we talk about signs

this slide before, but when we talk about signs

of marijuana use, we're talking generally in signs of

of marijuana use, we're talking generally in signs of

most substance abuse, it can be easy to dismiss

most substance abuse, it can be easy to dismiss

changes as normal adolescent behavior.

changes as normal adolescent behavior.

We all know when our kids get to be

We all know when our kids get to be

about eleven or twelve, or they start doing things

about eleven or twelve, or they start doing things

that we just have never seen them do before,

that we just have never seen them do before,

or speak in ways we've never heard.

or speak in ways we've never heard.

So that can, of course, be

So that can, of course, be

part of normal adolescent development.

part of normal adolescent development.

But we also want to look for changes that seem

But we also want to look for changes that seem

to be occurring frequently in patterns, extremes over time, and

to be occurring frequently in patterns, extremes over time, and

that just seemed just very unusual or not normal for

that just seemed just very unusual or not normal for

your child, even given those other factors.

your child, even given those other factors.

So, physical signs of marijuana or cannabis use, red

Physical signs of marijuana or cannabis use, red eyes,

eyes, maybe they're using eye drops more often.

maybe they're using eye drops more often, dilated pupils,

Dilated pupils, a dry cough,

a dry cough, dry mouth, changes in appetite.

dry mouth, changes in appetite.

They may get what we call the munchies, where

They may get what we call the munchies, where

they want to eat everything in sight, or they

they want to eat everything in sight, or they

may get nausea and loss of appetite.

may get nausea and loss of appetite.

Again, marijuana does have depressant quality, so it

Again, marijuana does have depressant quality, so it

can make people feel sick or feel nauseated,

can make people feel sick or feel nauseated,

dizziness, facial flushing, slowed motor speed or slowed

dizziness, facial flushing, slowed motor speed or slowed

speech, impaired coordination or clumsiness.

speech, impaired coordination or clumsiness.

Other things you may see are

Other things you may see are

changes in mood, personality, or outlook.

changes in mood, personality, or outlook.

You may see something that ranges from

You may see something that ranges from

a really high, a euphoric, a silly

a really high, a euphoric, a silly

mood, laughing, feeling very talkative.

mood, laughing, feeling very talkative.

Or you may see it ranging, especially

Or you may see it ranging, especially

as they're coming down off the high,

as they're coming down off the high,

to depression, sleeping and lethargy, disinhibition, relaxation.

to depression, sleeping and lethargy, disinhibition, relaxation.

Again, real talkative, real social, using

Again, real talkative, real social, using

drug friendly speech or attitude.

drug friendly speech or attitude.

Whereas we try to talk to our kids about certain

Whereas we try to talk to our kids about certain

substances are not healthy for them or not safe, they

substances are not healthy for them or not safe, they

may try to defend it a little bit, or, you

may try to defend it a little bit, or, you

know, oh, it's nothing wrong with it.

know, oh, it's nothing wrong with it.

I know people that do it and it's fine, or,

I know people that do it and it's fine,

or, you know, anything that seems to be that

you know, anything that seems to be that their attitude

their attitude is going toward this not being harmful.

is going toward this not being harmful, impaired judgment, like

Impaired judgment, like impaired driving,

impaired driving, increases in risk taking behavior.

increases in risk taking behavior.

Sometimes you might even see like an exaggerated

Sometimes you might even see like an exaggerated

sense of creativity, or, you know, feeling like

sense of creativity, or, you know, feeling like

they're just smarter when they use marijuana.

they're just smarter when they use marijuana.

A couple more signs.

A couple more signs.

Problems with family, lack of motivation.

Problems with family, lack of motivation.

We used to call this amotivational syndrome, where

We used to call this amotivational syndrome, where

people specifically that use a lot of marijuana

people specifically that use a lot of marijuana

just are, you know, they're like lumps, they

just are, you know, they're like lumps, they

just don't feel like doing anything.

just don't feel like doing anything.

You know, they're just, they can't get motivated, they can't

You know, they're just, they can't get motivated, they can't

get moving, you know, they're just kind of, I guess

get moving, you know, they're just kind of, I guess

you could say lazy in a way, just very down,

you could say lazy in a way, just very down,

very kind of not really caring to do anything.

very kind of not really caring to do anything.

Social or behavioral problems might be delinquent behaviors,

Social or behavioral problems might be delinquent behaviors, trouble

trouble with the law school or work problems.

with the law school or work problems, because marijuana

Because marijuana affects the attention span and the areas

affects the attention span and the areas of the

of the brain that have to do with memory.

brain that have to do with memory.

Of course it's going to affect their skills and

Of course it's going to affect their skills and

how well they can learn and absorb new information.

how well they can learn and absorb new information.

You may see your child spending less

You may see your child spending less

time studying, skipping classes, skipping school, lowered

time studying, skipping classes, skipping school, lowered

grades, or dropping out of school.

grades, or dropping out of school.

And I think in the last thing, the last

And I think in the last thing, the last

presentation we did on fentanyl, we talked also about

presentation we did on fentanyl, we talked also about

a new peer group, and maybe being hesitant to

a new peer group, and maybe being hesitant to

introduce their family to their new peer group, or

introduce their family to their new peer group, or

hanging around with people that you don't know.

hanging around with people that you don't know.

Longer term effects could be sedation, just

Longer term effects could be sedation, just

feeling very lack of energy, very sleepy,

feeling very lack of energy, very sleepy,

very tired, changes in appetite.

very tired, changes in appetite.

We talked about that in the bloodshot eyes

We talked about that in bloodshot eyes and

and the sleep, but breathing problems and lung

the sleep, but breathing problems and lung diseases,

diseases, and we'll talk more specifically about that.

and we'll talk more specifically about that.

When someone uses marijuana, there is an increase in

When someone uses marijuana, there is an increase in

heart rate or tachycardia, which is like a racing

heart rate, or tachycardia, which is like a racing

of the heart that could last up to 3

of the heart that could last up to 3

hours, and an increase in blood pressure.

hours, and an increase in blood pressure.

And for some people, they found in

And for some people, they found in

studies, there's almost 5% increased risk of

studies, there's almost 5% increased risk of

heart attack in the first hour.

heart attack in the first hour.

Now, of course, this is going to also

Now, of course, this is going to also be affected by

be affected by if the marijuana is cut

if the marijuana is cut with something or something's been added

with something or something's been added to it.

to it, and we'll talk about that in a second.

We'll talk about that in a second.

Affects fetal development.

Affects fetal development.

It can increase, I don't know what's there,

It can increase, I don't know what's there,

because we got a thing going to increase.

because we got a thing going to increase.

Low birth weight incidents, and also just in

Low birth weight incidents, and also just in

general, poor health for the mother can translate

general, poor health for the mother can translate

into the infant and maybe not getting enough

into the infant and maybe not getting enough

nutrition or oxygen, increased risk of cancers, tumors,

nutrition or oxygen, increased risk of cancers, tumors,

tumors in various areas of the body.

tumors in various areas of the body.

Marijuana and THC seem to accumulate in

Marijuana and THC seem to accumulate in

the fattier areas in our body fat.

the fattier areas in our body fat.

Believe it or not, areas like our brain

Believe it or not, areas like our brain

have a lot of fat in there.

have a lot of fat in there.

Sounds kind of funny, but those areas that have more

Sounds kind of funny, but those areas that have

more body fat tend to hold onto that THC

body fat tend to hold onto that THC for a

for a longer time, just specifically, with longer term

longer time, just specifically with longer term use.

use of marijuana, cardiovascular health is affected.

Of marijuana, cardiovascular health is affected.

It could lead to increased risk of

It could lead to increased risk of

stroke, heart disease, or other vascular diseases.

stroke, heart disease, or other vascular diseases.

This is largely linked to marijuana and strokes and

This is largely linked to marijuana and strokes and

heart attacks, largely linked to people who smoked marijuana

heart attacks, largely linked to people who smoked marijuana

as opposed to took it in other forms.

as opposed to took it in other forms.

Sometimes people eat it, as we see in edibles,

Sometimes people eat it, as we see in edibles,

but this would specifically be people who smoked, because

but this would specifically be people who smoked, because

it's not just the chemicals in the marijuana, but

it's not just the chemicals in the marijuana, but

it's just that action of smoking that gets into

it's just that action of smoking that gets into

your lungs and into your bloodstream.

your lungs and into your bloodstream.

Marijuana smoke delivers many of the same

Marijuana smoke delivers many of the same

substances in tobacco smoke that are harmful

substances in tobacco smoke that are harmful

both to the lungs and cardiovascular.

both to the lungs and cardiovascular.

So it's very hard to separate the effects of

So it's very hard to separate the effects of

marijuana chemicals versus the effects of the heavy smoke,

marijuana chemicals versus the effects of the heavy smoke,

because unlike with cigarettes, there are no filters.

because unlike with cigarettes, there are no filters.

When you're smoking marijuana, it burns very hot, and

When you're smoking marijuana, it burns very hot, and

that hot smoke gets immediately down into your lungs.

that hot smoke gets immediately down into your lungs.

It can harm lung tissues and cause scarring and

It can harm lung tissues and cause scarring and

damage to smaller blood vessels around the lungs.

damage to smaller blood vessels around the lungs.

Again, this is, I probably could have combined

Again, this is, I probably could have combined

these slides, now that I'm looking at it.

these slides, now that I'm looking at it.

Again, has the same toxins and irritants and

Again, has the same toxins and irritants and

carcinogens as tobacco smoke and leads to a

carcinogens as tobacco smoke and leads to a

greater risk of bronchitis, cough, and mucus production.

greater risk of bronchitis, cough, and mucus production.

And you will see that often with people who

And you will see that often with people who

are marijuana smokers, as well as the a very

are marijuana smokers, as well as the a very

frequent cough, often a dry cough, and then effects

frequent cough, often a dry cough, and then effects

on the brain and mental health.

on the brain and mental health.

It connects to specific sites in the brain

It connects to specific sites in the brain

that affect or influence our sensations of pleasure,

that affect or influence our sensations of pleasure,

memory, thought, concentration, sensory and time perception, coordination,

memory, thought, concentration, sensory and time perception, coordination,

and able to communicate there.

and able to communicate there.

It causes decreased blood flow to the brain.

It causes decreased blood flow to the brain.

Again, these depressant effects are in play.

Again, these depressant effects are in play.

A poor ability to plan unpleasant thoughts

A poor ability to plan unpleasant thoughts

or feelings of anxiety and paranoia, hallucinations,

or feelings of anxiety and paranoia.

Hallucinations, which do occur with marijuana.

which do occur with marijuana.

It does have psychological, or, I

It does have psychological, or, I

mean psychiatric, psychoactive, or psychedelic properties.

mean psychiatric, psychoactive, or psychedelic properties.

I'm sorry.

I'm sorry.

So people do get hallucinations and

So people do get hallucinations and

may get panic attacks as well.

may get panic attacks as well.

Even though people, the myth that's out there

Even though people, the myth that's out there

is people feel marijuana calms them down.

is people feel marijuana calms them down.

It makes them really mellow, and it can do

It makes them really mellow, and it can do

that, but it also has the chance of these

that, but it also has the chance of these

other effects, which really can be frightening if people

other effects, which really can be frightening if people

don't know or have not experienced before, especially with

don't know or have not experienced before, especially with

panic attacks or psychosis like hallucinations and paranoia, and

panic attacks or psychosis like hallucinations and paranoia, and

impaired mental functioning into adulthood.

impaired mental functioning into adulthood.

If someone's been a heavy smoker through their adolescence, it

If someone's been a heavy smoker through their adolescence, it

could take a really, really, really long time for all

could take a really, really, really long time for all

of that to get out of their system.

of that to get out of their system.

And what also happens is that from the time you

And what also happens is that from the time you

smoke marijuana to the time you stop, and that's all

smoke marijuana to the time you stop, and that's all

out of your system, you are not learning new behaviors

out of your system, you are not learning new behaviors

or learning how to manage your life, learning life skills.

or learning how to manage your life, learning life skills.

I've known people in their forties, specifically, many

I've known people in their forties, specifically many

people I know now that smoked heavily in

people I know now that smoked heavily in

their youth have trouble still managing finances, writing

their youth have trouble still managing finances, writing

bills, organizing things in their life.

bills, organizing things in their life.

They just never gained those skills.

They just never gained those skills.

So they have, instead of being

So they have, instead of being

rehabilitated, they have to be habilitated.

rehabilitated, they have to be habilitated.

They have to learn those.

They have to learn those.

Brand new marijuana use is linked with schizophrenia, particularly

Brand new marijuana use is linked with schizophrenia, particularly

early onset, usually people in their late teens, early

early onset, usually people in their late teens, early

twenties, and particularly if they have other risk factors

twenties, and particularly if they have other risk factors

for psychotic illnesses, they will have an earlier onset

for psychotic illnesses, they will have an earlier onset

of that if they're using marijuana.

of that if they're using marijuana.

So using at an earlier age and using more

So using at an earlier age and using more

frequently, you know, produces a greater risk of developing

frequently, you know, produces a greater risk of developing

schizophrenia and has also been linked to depression, social

schizophrenia and has also been linked to depression, social

anxiety, and thoughts of suicide attempts and suicide.

anxiety, and thoughts of suicide attempts and suicide.

Okay, so this was something that Madison and

Okay, so this was something that Madison and

I had never heard the term fry, but

I had never heard the term fry, but

we wanted to talk a little bit about.

we wanted to talk a little bit about.

Things that marijuana can be combined with or, you

Things that marijuana can be combined with or

know, cut with that are not, you know, are

cut with that are not, are making it

making it more dangerous than it already is.

more dangerous than it already is.

So fry is a term for marijuana

So fry is a term for marijuana

or tobacco, cigarettes that are dipped in

or tobacco, cigarettes that are dipped in

PCP or embalming fluid and then dried.

PCP or embalming fluid and then dried.

So we are seeing a lot more PCP,

So we are seeing a lot more PCP,

which is a really awful street drug.

which is a really awful street drug.

And it is very frequently cigarettes are

And it is very frequently cigarettes are

dipped into it and then smoked.

dipped into it and then smoked.

And some of the slang names for fry you can see below.

And some of the slang names for fry you can see below.

Dippers, you know, fry sticks, happy sticks, you

Dippers, you know, fry sticks, happy sticks, you

know, milk, purple rain, wet, wet daddy, wet

know, milk, purple rain, wet, wet daddy, wet

water, water, those kind of things.

water, water, those kind of things.

So drank.

So drank.

So fry would either be cigarettes or

So fry would either be cigarettes or

tobacco dipped in PCP or embalming fluid.

tobacco dipped in PCP or embalming fluid.

So when we talk about PCP,

So when we talk about PCP,

just a really quick overview.

just a really quick overview.

It was developed in the fifties as

It was developed in the fifties as

an intravenous anesthetic, but human use was

an intravenous anesthetic, but human use was

discontinued very shortly after because patients became

discontinued very shortly after because patients became

agitated, delusional, irrational, and violent.

agitated, delusional, irrational, and violent.

Today, people abuse PCP again.

Today, people abuse PCP again.

It's coming around again because of

It's coming around again because of

the mind altering or hallucinogenic effects.

the mind altering or hallucinogenic effects.

Marijuana is sprayed or a joint is dipped into PCP.

Marijuana is sprayed or a joint is dipped into PCP.

You could technically also use PCP powder and kind

You could technically also use PCP powder and

of sprinkle or mix that in with marijuana.

sprinkle or mix that in with marijuana.

The loose marijuana.

The loose marijuana.

The thing about PCP, that makes it very dangerous, it

The thing about PCP, that makes it very dangerous, it

is an anesthetic, but it's also a hallucinogenic drug.

is an anesthetic, but it's also a hallucinogenic drug.

People are hallucinating and behaving in very odd or unsafe

People are hallucinating and behaving in very odd or unsafe

ways, but they don't have any sensation of pain.

ways, but they don't have any sensation of pain.

Makes it an extremely dangerous drug.

Makes it an extremely dangerous drug.

And you could see some of the slang for PCP.

And you can see some of the slang for PCP.

If you were to hear some of these,

If you were to hear some of these,

you might want to look into that.

you might want to look into that.

Green or greens tranq, animal tranq, crystal. Dipper.

Green or greens tranq, animal tranq, crystal. Dipper.

Again. Dipper. You're going to hear a lot

Again. Dipper. You're going to hear a lot

in any of these combinations.

in any of these combinations.

Greens is usually when it's sprinkled on marijuana.

Greens is usually when it's sprinkled on marijuana.

Um, joint dust.

Um, joint dust.

Joint dust, those kind of things.

Joint dust, those kind of things.

Very dangerous.

Very dangerous.

This is just a picture of

This is just a picture of

PCP into powder or chunky form.

PCP into powder or chunky form.

On the left, the white powder and in liquid form.

On the left, the white powder and in liquid form.

And on the right is a cigarette that is

And on the right is a cigarette that is

being or has been dipped in liquid pcp.

being or has been dipped in liquid pcp.

Okay.

Okay.

And believe it or not, embalming fluid, you

And believe it or not, embalming fluid, you

know, that's what they used in funeral homes.

know, that's what they used in funeral homes.

It's a compound that contains formaldehyde, methanol,

It's a compound that contains formaldehyde, methanol,

or ethyl alcohol and other solvents.

or ethyl alcohol and other solvents.

It's really awful when it is, when the

It's really awful when it is, when the

marijuana joint is dipped or sprayed with embalming

marijuana joint is dipped or sprayed with embalming

fluid, the embalming fluid produces a hallucinogenic effect,

fluid, the embalming fluid produces a hallucinogenic effect,

more so than just straight marijuana.

more so than just straight marijuana.

And it causes the cigarette to burn more slowly,

And it causes the cigarette to burn more slowly,

so there's a more prolonged high, which also means

so there's a more prolonged high, which also means

it's more smoke that goes into the lungs.

it's more smoke that goes into the lungs.

I don't know why it says, oh, I don't

I don't know why it says, oh, I don't

know why that says marijuana there, but the joint

know why that says marijuana there, but the joint

is dipped or sprayed, and cigars can also be

is dipped or sprayed, and cigars can also be

dipped in embalming fluid and are called smurfs.

dipped in embalming fluid and are called smurfs.

Very often, cigars are used with marijuana.

Very often, cigars are used with marijuana.

They will hollow out the tobacco from

They will hollow out the tobacco from

the cigar and pack it with marijuana.

the cigar and pack it with marijuana.

And that's called a blunt.

And that's called a blunt.

Okay.

Okay.

And of course, fentanyl is in everything.

And of course, fentanyl is in everything.

And we know it is in marijuana.

And we know it is a marijuana.

We know it's a synthetic fentanyl.

We know it's a synthetic fentanyl.

Synthetic fentanyl is a synthetic opioid sold usually

Synthetic fentanyl is a synthetic opioid sold usually

as a powder illegally, but it can be

as a powder illegally, but it can be

liquefied and dropped onto blotter paper.

liquefied and dropped onto blotter paper.

And I gave you some examples

And I gave you some examples

over here of blotter paper.

over here of blotter paper.

Typically, you see LSD on this.

Typically, you see LSD on this.

It's just liquid that is

It's just liquid that is

stamped into these little squares.

stamped into these little squares.

And people would, like, cut off one of

And people would, like, cut off one of

these squares and put it on their tongue.

these squares and put it on their tongue.

But you can also do that with fentanyl.

But you can also do that with fentanyl.

But when we're talking marijuana, it's typically

But when we're talking marijuana, it's typically put

put in either eyedroppers or nasal sprays.

in either eye droppers or nasal sprays.

So it can be sprayed, you know, in a spray

So it can be sprayed, you know, in a spray

form that it can be sprayed onto marijuana or.

form that it can be sprayed onto marijuana or.

Yeah, or I guess with liquid.

Yeah, or I guess with liquid.

You could also dip it into fentanyl as well.

You could also dip it into fentanyl as well.

But I think mostly it's sprayed, and we know that

But I think mostly it's sprayed, and we know that

50 to 100 times more powerful than morphine, and fentanyl

50 to 100 times more powerful than morphine, and fentanyl

is 30 to 50 times more powerful than heroin.

is 30 to 50 times more powerful than heroin.

I don't know why that's in there.

I don't know why that's in there.

Okay, so fentanyl.

Okay, so fentanyl.

There are some slang names, and you've

There are some slang names, and you've

probably heard these from our previous presentations.

probably heard these from our previous presentations.

China girl, China White friend, TNT.

China girl, China white friend, TNT.

I've never heard some of these either.

I've never heard some of these either.

I've never heard murder aid or tango.

I've never heard murder aid or tango.

And this is just, you've seen

And this is just, you've seen

this picture before of the penny.

this picture before of the penny.

A fatal dose of fentanyl was two to three milligrams.

A fatal dose of fentanyl was two to three milligrams.

So you can see what a small amount of fentanyl that is.

So you can see what a small amount of fentanyl that is.

And if they are sprinkling it onto marijuana,

And if they are sprinkling it onto marijuana,

that is really not that much fentanyl.

that is really not that much fentanyl.

That could cause a potentially very

That could cause a potentially very

serious effect with somebody smoking marijuana.

serious effect with somebody smoking marijuana.

And this is just a Haida bulletin.

And this is just a Haida bulletin.

Haida is the high intensity drug trafficking area.

Haida is the high intensity drug trafficking area.

Funds that come from the federal government in

Funds that come from the federal government, and

the Washington, Virginia, Maryland area receives those funds.

the Washington, Virginia, Maryland area receives those funds.

So they monitor drugs that are being

So they monitor drugs that are being

trafficked, and they have found fentanyl that

trafficked, and they have found fentanyl that

has been laced in marijuana.

has been laced in marijuana.

And they had this particular case,

And they had this particular case,

the marijuana was sprayed with fentanyl.

the marijuana was sprayed with fentanyl.

Okay, so marijuana concentrates and vaping.

Okay, so marijuana concentrates and vaping.

So concentrate, a highly potent, concentrated THC is

So concentrate, a highly potent and

concentrated THC is what they call

what they call concentrates, resembles honey or butter.

concentrates, resembles honey or butter.

I'll show you some pictures in a minute.

I'll show you some pictures in a minute.

Up to four times stronger than high grade or top shelf

Up to four times stronger than high grade or top shelf

marijuana, which is usually, like we said, 15% to 20%, where

marijuana, which is usually, like we said, 15% to 20%, where

some of these concentrates are up to 40% to 80%.

some of these concentrates are up to 40% to 80%.

Commonly used, as Madison stated, in

Commonly used, as Madison stated, in

vaping devices, because they're smokeless, they're

vaping devices, because they're smokeless, they're

odorless, very easy to conceal.

odorless, very easy to conceal.

A small amount or a dab is heated in

A small amount or a dab is heated in

a vaping device, and that's called dabbing, produces vapor.

a vaping device, and that's called dabbing, produces vapor.

So it's not really burning it, but it's vaporizing

So it's not really burning it, but it's vaporizing

it, and it gives a person an instant high.

it, and it gives a person an instant high.

And the effects are more physically

And the effects are more physically

and psychologically intense than smoking marijuana.

and psychologically intense than smoking marijuana.

Street names.

Street names.

Anything sounding like honey or butter, 710, which

Anything sounding like honey or butter, 710, which

is oil that's flipped and spelled backwards because

is oil that's flipped and spelled backwards because

it looks like an oil or a butter,

it looks like an oil or a butter,

wax, hash, oil, shatter, dab, etcetera.

wax, hash, oil, shatter, dab, etcetera.

So this is what the

So this is what the

different concentrates may look like. Crumble.

different concentrates may look like. Crumble.

You can see it looks, you know, it's just kind of waxy.

You can see it looks, you know, it's just kind of waxy.

It's maybe looks a little bit like dried honey.

It's maybe looks a little bit like dried honey.

Some of them hardened, like on the bottom, that look

Some of them hardened, like on the bottom, that look

more like a brittle, solid kind of a thing.

more like a brittle, solid kind of a thing.

Rosin dry sift, which is a finer on

Rosin dry sift, which is a finer on

the bottom right there, a finer, you know,

the bottom right there, a finer, you know,

almost powdered, leafy marijuana bubble hash.

almost powdered, leafy marijuana bubble hash.

So they take the pulling out, you

So they take the pulling out, you

know, pieces and making it more condensed.

know, pieces and making it more condensed.

This is just kind of something that you might see if

This is just kind of something that you might see if

it looks waxy, if it looks, you know, like a glaze

it looks waxy, if it looks, you know, like a glaze

or a sticky liquid, that's probably a marijuana concentrated.

or a sticky liquid, that's probably a marijuana concentrate.

Now, to go a step further with that, we're

Now, to go a step further with that, we're

talking about edibles, where concentrates are infused into food.

talking about edibles, where concentrates are infused into food.

So we've all heard about marijuana

So we've all heard about marijuana

brownies back in the day.

brownies back in the day.

That was usually made with leafy marijuana.

That was usually made with leafy marijuana.

But now they use edibles again, because you

But now they use edibles again because you

really can't, it doesn't have an odor.

really can't, it doesn't have an odor.

It's hard to detect.

It's hard to detect.

It's a lot stronger.

It's a lot stronger.

So also put cookies or candy

So also put cookies or candy

or maybe even into a beverage.

or maybe even into a beverage.

It does take longer to digest, so people may

It does take longer to digest, so people may

consume more because they don't feel that immediate high

consume more because they don't feel that immediate high

that they usually feel with marijuana or vaping.

that they usually feel with marijuana or vaping.

Just some pictures from the DEA that will

Just some pictures from the DEA that will

show you how these edibles are marketed.

show you how these edibles are marketed.

We will probably be seeing more of this in

We will probably be seeing more of this in Maryland.

Maryland now that it's legal that you'd be able

Now that it's legal that you'd be able

to walk into a 711 and buy this.

to walk into a 711 and buy this.

It's very dangerous, as we all know that.

It's very dangerous, as we all know that.

They make it look like candy or cookies.

They make it look like candy or cookies.

So very recognizable to young people, and they may

So very recognizable to young people, and they may

associate that with it not being harmful or may

associate that with it not being harmful or may

mistake it for being a candy or a snack.

mistake it for being a candy or a snack.

Let's see some more of these examples.

Let's see some more of these examples.

This, to me, is probably one of the most

This, to me, is probably one of the most

frightening things, because if a child isn't even in

frightening things, because if a child isn't even in

a home and they see these, they're going to

a home and they see these, they're going to

think it's candy and eat a whole piece.

think it's candy and eat a whole piece.

Where in places like Colorado, where these have

Where in places like Colorado, where these have

been legal for a few years now, some

been legal for a few years now, some

of these packages, like the cookies, they'll tell

of these packages, like the cookies, they'll tell

you, eat one 8th of this cookie.

you, eat one eight of this cookie.

Do not eat any more than one eight of a cookie.

Do not eat any more than one 8th of a cookie.

Well, if a child sees that cookie, they're not going

Well, if a child sees that cookie, they're not going

to a know to cut it into a small piece

to a know to cut it into a small piece

and, you know, could end up overdosing on that.

and, you know, could end up overdosing on that.

And you can see some of these,

And you can see some of these,

some of these liquids as well. Very dangerous.

some of these liquids as well. Very dangerous.

Gummies are very popular.

Gummies are very popular.

And again, that's every kid's favorite food.

And again, that's every kid's favorite food.

Our favorite candy are gummies.

Our favorite candy are gummies.

And this is what we'll see

And this is what we'll see

even to look like gummy bears.

even to look like gummy bears.

Okay, so we talked early in the

Okay, so we talked early in the

presentation today about cannabis use disorder.

presentation today about cannabis use disorder.

The Diagnostic and Statistical Manual of Mental

The Diagnostic and Statistical Manual of Mental

Disorders, which is called the DSM five,

Disorders, which is called the DSM five,

is published by the American Psychiatric association,

is published by the American Psychiatric association,

provides criteria so people can diagnose and

provides criteria so people can diagnose and

know how to treat mental disorders.

know how to treat mental disorders.

And they do consider cannabis there

And they do consider cannabis there

to be a cannabis use disorder.

to be a cannabis use disorder.

So cannabis use disorder would be diagnosed if the

So cannabis use disorder would be diagnosed if the

person had a minimum of a year with at

person had a minimum of a year with at

least two of the following symptoms and accompanied by

least two of the following symptoms and accompanied by

serious impairment of functioning and agitation.

serious impairment of functioning and agitation.

So some of these symptoms, you would need

So some of these symptoms, you would need

two of these to be diagnosed repeatedly, trying

two of these to be diagnosed repeatedly, trying

to stop or lessen the amount used.

to stop or lessen the amount used.

Unusual amount of time spent trying to

Unusual amount of time spent trying to

get, use or recover from the effects.

get, use or recover from the effects.

Having cravings for cannabis, such as thoughts

Having cravings for cannabis, such as thoughts

and images, dreams about it, perceiving the

and images, dreams about it, perceiving the

smell, just being really obsessed with cannabis.

smell, just being really obsessed with cannabis.

How to get it.

How to get it.

When can I get more

When can I get more

continued use despite negative consequences.

continued use despite negative consequences.

This might be personal life, relationships, breaking

This might be personal life, relationships, breaking

up, poor job performances, job loss, poor

up, poor job performances, job loss, poor

performance in school, any of those things.

performance in school, any of those things.

Or it could be physical or psychological

Or it could be physical or psychological

problems, such as the lack of motivation.

problems, such as the lack of motivation.

We talked about the cough,

We talked about the cough,

respiratory, things like that.

respiratory, things like that.

So continued use despite negative consequences,

So continued use despite negative consequences,

having cravings, using despite risk.

having cravings, using despite risk.

And I'm going to go back to the other

And I'm going to go back to the other

page repeatedly trying to stop lack of control over

page repeatedly trying to stop lack of control over

how much they're using and seeking the drug.

how much they're using and seeking the drug.

Now, obviously, we've talked about addiction

Now, obviously, we've talked about addiction

quite a lot in these webinars.

quite a lot in these webinars.

These are all signs of addiction to any

These are all signs of addiction to any

substance, whether it be alcohol or fentanyl.

substance, whether it be alcohol or fentanyl.

And cannabis is addictive.

And cannabis is addictive.

That's another myth that's gone around many

That's another myth that's gone around many

years, that it is not an addictive

years, that it is not an addictive

drug, but it is, in fact, addictive.

drug, but it is, in fact, addictive.

Risks for cannabis use disorder

Risks for cannabis use disorder

we'll go through briefly.

we'll go through briefly.

I know our time may be running down a little bit.

I know our time may be running down a little bit.

Risk factors that are listed in the DSM

Risk factors that are listed in the DSM

five include a family history of any chemical

five include a family history of any chemical

dependence, history of conduct disorder or antisocial personality

dependence, history of conduct disorder or antisocial personality

disorders, low socioeconomic status, history of tobacco use.

disorders, low socioeconomic status, history of tobacco use.

We're talking about some of the aces things,

We're talking about some of the aces things,

you know, abusive family, unpredictable family circumstances, family

you know, abusive family, unpredictable family circumstances, family

members who use or smoke cannabis, poor performance

members who use or smoke cannabis, poor performance

in school, easy to get it.

in school, easy to get it.

You know, we're talking access, just like

You know, we're talking access, just like

with many of the other drugs.

with many of the other drugs.

That's part of the risk factors that are

That's part of the risk factors that are

involved is how accessible it is to get

involved is how accessible it is to get

that supply of drugs and drug tolerant culture.

that supply of drugs and drug tolerant culture.

And just to review, with cannabis use disorder,

And just to review, with cannabis use disorder,

people do develop a tolerance to cannabis.

people do develop a tolerance to cannabis.

You can overdose on cannabis, and we'll

You can overdose on cannabis, and we'll

talk about that in a moment.

talk about that in a moment.

But you may need larger amounts to get the

But you may need larger amounts to get the

psychoactive effect to get that high that you used

psychoactive effect to get that high that you used

to be experiencing with one or two, you know,

to be experiencing with one or two, you know,

with one or two puffs of a joint.

with one or two puffs of a joint.

Sometimes people will try to use cannabis to

Sometimes people will try to use cannabis to

halt the symptoms of withdrawal from cannabis.

halt the symptoms of withdrawal from cannabis.

That is certainly something that can be diagnosed under

That is certainly something that can be diagnosed under

cannabis use disorder and using it as a priority.

cannabis use disorder and using it as a priority.

And we've talked about the brain chemistry

And we've talked about the brain chemistry

and how the brain reorders its priorities

and how the brain reorders its priorities

for survival based on the drug.

for survival based on the drug.

So it becomes more important than any

So it becomes more important than any

areas of life than eating, drinking, all

areas of life than eating, drinking, all

of those things, drinking water, etcetera.

of those things, drinking water, etcetera.

Okay, so something else I learned

Okay, so something else I learned

new was the term greening out.

new was the term greening out.

Greening out is also known as whiting out.

Greening out is also known as whiting out.

It is where a cannabis user feels very sick

It is where a cannabis user feels very sick

after smoking cannabis and has a stronger or more

after smoking cannabis and has a stronger or more

unpleasant effect than usual, more likely to occur if

unpleasant effect than usual, more likely to occur if

the person is also drinking alcohol while smoking.

the person is also drinking alcohol while smoking.

Because alcohol in the bloodstream can speed up.

Because alcohol in the bloodstream can speed up.

The absorption of THC typically occurs with overconsumption,

The absorption of THC typically occurs with overconsumption,

the person going over their tolerance level and

the person going over their tolerance level and

lasts a few minutes, up to 2 hours.

lasts a few minutes, up to 2 hours.

In other words, this is a cannabis overdose.

In other words, this is a cannabis overdose.

And a lot of people, again, another

And a lot of people, again, another

myth is you can't overdose on pot.

myth is you can't overdose on pot.

It's safe, it's natural.

It's safe, it's natural.

You can't overdose.

You can't overdose.

But yes, you can overdose on

But yes, you can overdose on

pot, and it's called greening out.

pot, and it's called greening out.

Some of the symptoms, the person, you

Some of the symptoms, the person, you

know, they're kind of green, nauseated or

know, they're kind of green, nauseated or

pale, ashy appearance, nausea and vomiting, dizziness,

pale, ashy appearance, nausea and vomiting, dizziness,

lightheadedness, losing mobile functions.

lightheadedness, losing mobile functions.

Their arms or their legs are

Their arms or their legs are

really heavy, like they can't move.

really heavy, like they can't move.

They might have decreased blood sugar, increased

They might have decreased blood sugar, increased

heart rate, blurry vision, or trouble hearing.

heart rate, blurry vision, or trouble hearing.

Again, the hallucinations may be mild.

Again, the hallucinations may be mild.

The hallucinations may even progress and get more

The hallucinations may even progress and get more

frightening and more intense as time goes on.

frightening and more intense as time goes on.

Unstable balance and just an increased

Unstable balance and just an increased

anxiety, uneasiness, paranoia, or panic attacks.

anxiety, uneasiness, paranoia, or panic attacks.

And this is interesting because, again, we always

And this is interesting because, again, we always

are hearing that marijuana calms you down.

are hearing that marijuana calms you down.

It makes you mellow.

It makes you mellow.

It's just peace and love, and, you know,

It's just peace and love, and, you know,

everybody's just very mellow when they smoke pot.

everybody's just very mellow when they smoke pot.

But that is not the case often.

But that is not the case often.

Excuse me one moment.

Excuse me one moment.

Do you want to do this a little bit?

Do you want to do this a little bit?

I'm just going to take a.

So some of the dangers, like Beth was

So some of the dangers, like Beth was

referring to, last slide of greening out.

referring to, last slide of greening out.

So both alcohol and cannabis have depressant effects when

So both alcohol and cannabis have depressant effects when

using, if combined, increase the risk of the central

using, if combined, increase the risk of the central

nervous system slowing down at dangerous levels.

nervous system slowing down at dangerous levels.

It could affect respiratory functioning as well.

It could affect respiratory functioning as well.

So difficulty breathing, a lot of difficulty breathing.

So difficulty breathing, a lot of difficulty breathing.

I can do this part.

I can do this.

Part of cannabis in general, marijuana has

So cannabis in general, marijuana has

what they call an antimetic effect.

what they call an antimetic effect.

That is why a lot of people that are on

That is why a lot of people that are on

chemotherapy and can't hold food down use marijuana, and it

chemotherapy and can't hold food down use marijuana, and it

can be prescribed for that by a physician.

can be prescribed for that by a physician.

It helps people to regain an appetite and

It helps people to regain an appetite and

keeps them from vomiting or feeling sick.

keeps them from vomiting or feeling sick.

So that's why it's used.

So that's why it's used.

So it makes sense if you're drinking alcohol.

So it makes sense if you're drinking alcohol.

And the brain also has, I'm not sure if we

And the brain also has, I'm not sure if we

talked about this when we talked about the brain a

talked about this when we talked about the brain a

couple sessions ago, but the brain has a part, the

couple sessions ago, but the brain has a part, the

back part of your brain, toward the brainstem, has what

back part of your brain, toward the brain stem, has

what we call a vomit reflex.

we call a vomit reflex, and that is the body's

That is the body's way

way of protecting against alcohol poisoning.

of protecting against alcohol poisoning.

So when a person has consumed enough alcohol that they

When a person has consumed enough alcohol that they are

are way up in blood alcohol levels, the brain will

way up in blood alcohol levels, the brain will kick

kick into this vomit reflex, so the body can get

into this vomit reflex so the body can get rid

rid of the alcohol to get it out of its

of the alcohol to get it out of its system

system so the person doesn't die of alcohol poisoning.

so the person doesn't die of alcohol poisoning.

So it kind of makes sense here that

So it kind of makes sense here that

if you're smoking marijuana, which is preventing vomiting,

if you're smoking marijuana, which is preventing vomiting.

but you're drinking enough alcohol along with marijuana

But you're drinking enough alcohol along with marijuana

that you're getting close to alcohol poisoning levels,

that you're getting close to alcohol poisoning levels,

that this can happen, this very sick, ill

that this can happen, this very sick, ill

feeling can happen, and it can be dangerous.

feeling can happen, and it can be dangerous.

It gives a person a greater risk of

It gives a person a greater risk of

succumbing to alcohol poisoning or aspirating or choking

succumbing to alcohol poisoning or aspirating or choking

if they are able to vomit.

if they are able to vomit.

Panic attacks also occur.

Panic attacks also occur again, these can feel worse

Again, these can feel worse than they

than they are, but they can be very frightening

are, but they can be very frightening

if you've never had a panic attack.

if you've never had a panic attack.

People feel like they're going to die.

People feel like they're going to die.

They can't catch their breath, they're not in control.

They can't catch their breath, they're not in control.

They're just gasping for breath.

They're just gasping for breath.

They can't swallow.

They can't swallow, they're feeling like they're

They're feeling like they're going

going to just choke to death.

to just choke to death.

They may be sweating, they may get a

They may be sweating, they may get a

headache or backache, chest pains or palpitations.

headache or backache, chest pains or palpitations.

That's greening out.

That's greening out.

Basically what that is is a marijuana overdose.

Basically what that is is a marijuana overdose.

Medical use of cannabis there are

Medical use of cannabis there are

two FDA approved medications containing synthetic

two FDA approved medications containing synthetic

cannabis, which is called dranovanol.

cannabis, which is called drenovinol.

It's a synthetic pill, form of THC.

It's a synthetic pill form of THC.

It is schedule three, which means it

It is schedule three, which means it

does have an accepted medical use.

does have an accepted medical use.

It does not have psychoactive effects.

It does not have psychoactive effects.

So the person will not get any kind

So the person will not get any kind

of a high or euphoria off this medication.

of a high or euphoria off this medication.

Typically, the brand names are marinol, or syndrome.

Typically, the brand names are marinol or syndrose.

This is used, the approved use from the

This is used the approved use from the

FDA for AIDS related wasting, anorexia, nausea, vomiting,

FDA for AIDS related wasting, anorexia, nausea, vomiting,

chemotherapy induced, can't hold food down kind of

chemotherapy induced, can't hold food down kind of

thing, and post traumatic stress disorder.

thing, and post traumatic stress disorder.

But multiple studies have shown that the benefits

But multiple studies have shown that the benefits

of the marijuana plant, as people see it,

of the marijuana plant, as people see it,

are what is it saying there?

are what is it saying there?

The benefits of marijuana plant as opposed to

The benefits of marijuana plant, as opposed to

the cannabinoids do not outweigh the risk.

the cannabinoids, do not outweigh the risk.

In other words, there's no medically approved, FDA approved

In other words, there's no medically approved, FDA approved

use of the marijuana plant because the risks of

use of the marijuana plant, because the risks of

using the marijuana plant, especially to the lungs and

using the marijuana plant, especially to the lungs and

the respiratory system, do not, are too risky.

the respiratory system, do not, are too risky.

They do not outweigh the benefits.

They do not outweigh the benefits.

There's no science to support medical use of crude

There's no science to support medical use of crude

marijuana leaf marijuana that is smoked or ingested.

marijuana leaf marijuana that is smoked or ingested.

Medical marijuana use cannot be

Medical marijuana use cannot be

prescribed under federal law.

prescribed under federal law.

It can only be recommended.

It can only be recommended.

So yes, it's legal now.

So, yes, it's legal now.

And that does cause a bit of a dilemma

And that does cause a bit of a dilemma

because it is not legal at the federal level

because it is not legal at the federal level

and it is not legal in every state.

and it is not legal in every state.

So federal law still states it is not

So federal law still states it is not

legal for any use, medical or recreational.

legal for any use, medical or recreational marijuana

Marijuana is still classified as a schedule one drug.

is still classified as a schedule one drug.

As you may remember, a schedule one

As you may remember, a schedule one is a high

is a high risk for abuse.

risk for abuse and no approved medical use, same as

And no approved medical use, same as heroin and

heroin and cocaine, has a high potential for abuse, has

cocaine, has a high potential for abuse, has no

no currently accepted medical use, and there's a lack of

currently accepted medical use, and there's a lack of

accepted safety for use of the drug.

accepted safety for use of the drug.

These are just some organizations that have

These are just some organizations

that have opposed legalization.

opposed legalization, the American Medical Society, Society

The American medical Society, Society of

of Addiction Medicine, American Cancer Society.

Addiction Medicine, American Cancer Society.

There's another slide that has them.

There's another slide that has them.

American Glaucoma Society, American Academy of

American Glaucoma Society, American Academy of

Pediatrics, American Psychiatric Society, National MS

Pediatrics, American Psychiatric Society, National MS

Society, National Society of School Nurses,

Society, National Society of School Nurses,

and I'm sure there are others.

and I'm sure there are others.

All are opposing the legalization of marijuana on a

All are opposing the legalization of marijuana on a

statewide as well as on a federal level.

statewide as well as on a federal level.

They do, however, support continued research, and there are

They do, however, support continued research, and there are

many research studies going on on how to improve

many research studies going on on how to improve

and see if marijuana can be effective in some

and see if marijuana can be effective in some

of those illnesses we talked about earlier.

of those illnesses we talked about earlier.

So, with our recent election, state

So, with our recent election, state

of Maryland has legalized marijuana.

of Maryland has legalized marijuana.

Beginning next July, the 1 July 2023, smoking,

Beginning next July, the 1 July 2023 smoking,

possessing, and growing marijuana will be legal in

possessing, and growing marijuana will be legal in

Maryland for adults 21 and older.

Maryland for adults 21 and older.

If you're younger than 21, you

If you're younger than 21, you

are not allowed to possess marijuana.

are not allowed to possess marijuana.

Even with the new law over 21,

Even with the new law over 21,

you can legally possess up to 1.5oz.

you can legally possess up to 1.5oz.

More than 1.5oz, but less than 2.5oz will result

More than 1.5oz, but less than 2.5oz will result

in a civil fine of up to $250.

in a civil fine of up to $250.

Possession of more than two and a half ounces could face up

Possession of more than two and a half ounces could face up

to six months in jail, and a fine of up to $1,000.

to six months in jail, and a fine of up to $1,000.

Adults only will be allowed to grow up to two plants

Adults only will be allowed to grow up to two plants

at home, but it has to be out of public view.

at home, but it has to be out of public view.

So I guess that means you can't have it

So I guess that means you can't have it

in your front window or, you know, anywhere else

in your front window or, you know, anywhere else

where people could see it, but we'll only be

where people could see it, but we'll only be

able to sell it with the proper license.

able to sell it with the proper license.

Now, I put that in quotes because I'm not

Now, I put that in quotes because I'm not

sure what that will be or how that licensing

sure what that will be or how that licensing

project, how that licensing process will go, but we're

project, how that licensing process will go, but we're

early on, so I'm sure we'll find that out.

early on, so I'm sure we'll find that out.

But so that is what the legalization

But so that is what the legalization

will be after July 1 next year.

will be after July 1 next year.

Okay, so what can parents do?

Okay, so what can parents do?

Obviously, with any drug, we do not want our kids

Obviously, with any drug, we do not want our kids

using anything that is harmful to them, and we want

using anything that is harmful to them, and we want

to try to postpone the first use of alcohol and

to try to postpone the first use of alcohol and

tobacco because they are considered to be gateway drugs.

tobacco because they are considered to be gateway drugs.

We want to help them establish

We want to help them establish

healthy behaviors, attitudes, and coping skills.

healthy behaviors, attitudes, and coping skills.

A teen initiating alcohol use, for instance,

A teen initiating alcohol use, for instance,

is four times more likely to develop

is four times more likely to develop

alcohol dependence as an adult.

alcohol dependence as an adult.

The younger you start using, the higher

The younger you start using, the higher

your risk is for developing dependence.

your risk is for developing dependence.

Early tobacco use can be a gateway

Early tobacco use can be a gateway

to other substance use, including marijuana.

to other substance use, including marijuana, and

And I know some, you know, that can be controversial.

I know some that can be controversial.

People don't like the term gateway drug, but when

People don't like the term gateway drug, but when

we're talking about young people, you know, our kids,

we're talking about young people or kids, it is

it is definitely a gateway drug to other drugs.

definitely a gateway drug to other drugs.

And we saw in the earlier slide that use of marijuana

And we saw in the earlier slide that use of marijuana

makes you, I think it was three times more likely at

makes you, I think it was three times more likely at

some point in your life to progress onto opioid use.

some point in your life to progress onto opioid use.

So what parents can do if you suspect your

So what parents can do if you suspect your

child is using any substance, marijuana or other, pay

child is using any substance, marijuana or other, pay

attention to those patterns of new behavior, unusual behavior.

attention to those patterns of new behavior.

Unusual behavior.

Question or confront using a calm,

Question or confront using a calm,

factual, caring, and loving tone.

factual, caring, and loving tone.

You know, use your facts.

You know, use your facts.

Use the observations that you've made, what

Use the observations that you've made, what

you're noticing that gives you concern.

you're noticing that gives you concern.

Be informed, know available resources, and reach

Be informed.

Know available resources, and reach out when necessary for a

out when necessary for a reality check

reality check or to make a plan of action.

or to make a plan of action.

So sometimes, you know, there are hotlines out there.

So sometimes, you know, there are hotlines out there.

The CDC has hotlines.

The CDC has hotlines.

Health departments have hotlines.

Health departments have hotlines.

There are many places you can call if you're in

There are many places you can call if you're in

crisis, but you can also call just to ask these

crisis, but you can also call just to ask these

questions as a concerned parent or a concerned adult.

questions as a concerned parent or a concerned adult.

This is what I'm observing.

This is what I'm observing.

I can't believe my child would really be using a

I can't believe my child would really be using

a drug, but I just want to know what

drug, but I just kind of want to know what

to do with this information or these observations.

to do with this information or these observations.

And there are many people out there that can help

There are many people out there that can help you

you with that or to make a plan of action.

with that or to make a plan of action.

What should I do now?

What should I do now?

How should I approach this?

How should I approach this?

And as always, network with other parents.

And as always, network with other parents.

Our kids can, you know, use one against the other.

Our kids can, you know, use one against the other.

Oh, I'm going over to this person's house when

Oh, I'm going over to this person's house when

really this person is going over to another person's

really this person is going over to another person's

house, and you're all getting together and having a

house and you're all getting together and having a

field party or something like that.

field party or something like that.

So, you know, it never hurts to communicate

So, you know, it never hurts to communicate

with parents, especially the parents of your kids

with parents, especially the parents of your kids

friends, and just kind of, you know, make

friends, and just kind of, you know, make

sure everybody's on the same page there.

sure everybody's on the same page there.

General prevention tips.

General prevention tips.

I always love to give these at the end because

I always love to give these at the end because

it is never too early to start thinking about prevention.

it is never too early to start thinking about prevention.

And we don't even have to

And we don't even have to

mention the word drugs or alcohol.

mention the word drugs or alcohol.

We can start by just doing some of these

We can start by just doing some of these

things, helping our kids develop the skills and the

things, helping our kids develop the skills and the

information, getting the information that they need.

information, getting the information that they need.

Those life skills are very important.

Those life skills are very important.

So spending time together and maximizing the time that we have

So spending time together and maximizing the time that we have

with our kids, if, you know, we all have busy lives,

with our kids, if, you know, we all have busy lives,

and if we seem like we spend more time with our

and if we seem like we spend more time with our

kids in the car, driving them to practice at home, there's

kids in the car, driving them to practice at home, there's

time there that we can at least talk.

time there that we can at least talk.

It doesn't have to be big, heavy

It doesn't have to be big, heavy

talk about, oh, my gosh, drugs.

talk about, oh, my gosh, drugs.

It can be, how are you doing?

It can be, how are you doing?

How are you dealing with that stress about

How are you dealing with that

stress about your exam coming up?

your exam coming up, those kind of things?

You know, those kind of things.

We can maximize those little snippets of time

We can maximize those little snippets of time

that we might have with our kids, initiate

that we might have with our kids, initiate

the communication early, praise and encourage positive choices,

the communication early, praise and encourage positive choices,

really accentuate all the positive things that they're

really accentuate all the positive things that they're

doing in their lives that make you proud.

doing in their lives.

That make you proud.

Express concern about their safety and

Express concern about their safety and

well being on a regular basis.

well being on a regular basis.

Express consistent messages regarding

Express consistent messages regarding

disapproval of substance use.

disapproval of substance use.

Be really clear about your expectations of nonuse and

Be really clear about your expectations of nonuse and

reminding them often, you know, remember, you know, you're

reminding them often, you know, remember, you know, you're

not to be drinking when you go to that

not to be drinking when you go to that

party or you're not to be smoking pot when

party or you're not to be smoking pot when

you're hanging out, you know, after school.

you're hanging out, you know, after school.

Establish alternatives and consequences and be

Establish alternatives and consequences and be

prepared to enforce the consequences.

prepared to enforce the consequences.

It's the hardest thing that we have to do

It's the hardest thing that we have to do

as parents, but it's crucial that we stick to

as parents, but it's crucial that we stick to

our word about, you know, we have a plan.

our word about, you know, we have a plan.

You know, we do not approve of this.

We do not approve of this.

When you stray from that, there

When you stray from that, there

are going to be consequences.

are going to be consequences.

Help them develop ways to resist

Help them develop ways to resist

and be comfortable saying no.

and be comfortable saying no.

Have some kind of an exit plan.

Have some kind of an exit plan.

So if they're going to a party and they're not

So, you know, if they're going to a party

and they're not really sure that they really want

really sure that they really want to be there, or

to be there, or maybe they get there and

maybe they get there and they're feeling uncomfortable, there are

they're feeling uncomfortable, there are situations they're not comfortable

situations they're not comfortable with, you know, what's going to

with, you know, what's going to be the way

be the way for them to get out of it?

for them to get out of it?

Can they text you a word?

Can they text you a word?

Can they call you and say, mom, can you come get me?

Can they call you and say, mom, can you come get me?

I forgot I needed to do something tonight, or I'm

I forgot I needed to do something tonight, or I'm

not feeling well, or, you know, have some kind of

not feeling well, or, you know, have some kind of

a way that they can get out of that while

a way that they can get out of that while

kind of trying to save face around their friends, if

kind of trying to save face around their friends, if

you will, or give them, you know, ways to come

you will, or give them, you know, ways to come

up with a ready excuse for saying no.

up with a ready excuse for saying no.

Like, oh my gosh, my parents would kill me.

Like, oh my gosh, my parents would kill me.

Oh, my parents would freak out.

My parents would freak out.

I would be so in trouble if

I would be so in trouble if

my parents found out I was here.

my parents found out I was here.

So, you know, we can practice

So, you know, we could practice

that with them a little bit.

that with them a little bit.

Prevention research shows that eating meals together as

Prevention research shows that eating meals together as

often as possible can decrease youth and teen

often as possible can decrease youth and teen

substance use by up to 50%.

substance use by up to 50%.

Very important, again, to have that time with our kids

Very important again, to have that time with our kids

doesn't have to be real heavy, deep discussion time.

doesn't have to be real heavy, deep discussion time.

It can just be something as simple as spending

It can just be something as simple as spending

time together, enjoying time together, eating a meal together.

time together, enjoying time together, eating a meal together.

And research has shown this throughout

And research has shown this throughout

the years, that eating meals together

the years, that eating meals together

is one of those protective factors.

is one of those protective factors.

And youth do report, even though it's hard

And youth do report, even though it's hard

to believe that they look to their parents

to believe that they look to their parents

first for guidance on decision making and problem

first for guidance on decision making and problem

solving around alcohol and other drug use.

solving around alcohol and other drug use.

So they need us when they're young

So they need us when they're young

to really set the boundaries, give them

to really set the boundaries, give them

good guidance to really be their parents.

good guidance to really be their parents.

And ideally down the road when they're in their

And ideally down the road when they're in their

twenties and thirties, we can be more on a

twenties and thirties, we can be more on a

friendly basis as a friend or someone to hang

friendly basis as a friend or someone to hang

with, but they need us as parents.

with, but they need us as parents.

And when they're teenagers, that's probably it.

And when they're teenagers, that's probably it.

If anybody has any questions, you can enter in chat.

If anybody has any questions, you can enter in chat.

I wanted to just talk to you a

I wanted to just talk to you a

little bit about the program that I work

little bit about the program that I work

for through the University of Maryland extension.

for through the University of Maryland extension.

These are some of the programs we offer.

These are some of the programs we offer.

I'm sorry this looks a little blurry on the

I'm sorry this looks a little blurry on the

screen, but mental health first aid and Botvin life

screen, but mental health first aid and Botvin life

skills are offered through Taliban county public schools.

skills are offered through Tawba county public schools.

We offer those as well.

We offer those as well.

But if you were interested in one of those

But if you were interested in one of those

programs, you could probably call the school system first

programs, you could probably call the school system first

and see if they could offer it.

and see if they could offer it.

Is that accurate?

Is that accurate?

Yeah, we're, we are still doing first aid trainings.

Yeah, we, we are still doing first aid trainings.

We just haven't, we're not doing as many as we used to.

We just haven't, we're not doing as many as we used to.

Not sure if that's, we're just doing staff

Not sure if that's, we're just doing staff

or, I think we are doing some outreach.

or, I think we are doing some outreach.

So definitely look out for that

So definitely look out for that

in these next few months.

in these next few months.

It's just not going to be as many

It's just not going to be as many

offered as we previously did last year.

offered as we previously did last year.

Botsfin Life skills is not currently in the schools

Botsfin life skills is not currently in the schools

yet, but we do plan on that being part

yet, but we do plan on that being part

of that possibly here in the future, next year.

of that possibly here in the future next year.

And we offer it also through the Ropeda program.

And we offer it also through the ropeda program.

But, you know, I would maybe check with the

But you know, you, I would maybe check with the

school system first, and if there's not one going on,

school system first, and if there's not one going

on, you could check with, go on our website.

you could check with, go on our website.

I should have put that on there, but I didn't.

I should have put that on there, but I didn't.

But you can email me and

But you can email me and

I can give you that information.

I can give you that information.

Overdose lifeline are courses like this, but

Overdose lifeline are courses like this, but

they are, and we've done some of

they are, and we've done some of

those through this webinar format.

those through this webinar format.

The one that was, there's one

The one that was, there's one

called this is not about drugs.

called this is not about drugs.

There's one on the brain and the disease of addiction,

There's one on the brain and the disease of addiction,

which I think we did a few months ago, the

which I think we did a few months ago, the

opioid Public health crisis Generation Rx, which is a medication

opioid Public Health Crisis Generation Rx, which is a medication

safety program and that we can do with young children,

safety program and that we can do with young children,

teens, adults, parents and also senior citizens.

teens, adults, parents and also senior citizens.

It's on medication safety and using medications

It's on medication safety and using medications

wisely and how to store and dispose.

wisely and how to store and dispose.

And then we also do a

And then we also do a

program called regrounding our response.

program called regrounding our response.

And this is kind of a more intense program,

And this is kind of a more intense program,

a little bit of, more of a time commitment,

a little bit of, more of a time commitment,

but it gives you some in depth knowledge on

but it gives you some in depth knowledge on

adverse childhood experiences or aces drug user health framework.

adverse childhood experiences or aces drug user health framework.

So if somebody, if you're in the health field

So if somebody, if you're in the health field

and you want to know how to treat patients

and you want to know how to treat patients

that have some kind of a substance use disorder,

that have some kind of a substance use disorder,

that would help you also the medication assisted treatment

that would help you also medication assisted treatment, stages

stages of change and social determinants of health.

of change and social determinants of health.

So those really delve in a little bit

So those really delve in a little bit

deeper on how to help people, how to

deeper on how to help people, how to

understand addiction and mental health challenges.

understand addiction and mental health challenges.

So thank you for your time today.

So thank you for your time today.

Hope this was helpful.

Hope this was helpful.

I know it was a lot of information and we appreciate

I know it was a lot of information and we appreciate

you taking time out of your day to join us.

you taking time out of your day to join us.

And please contact us as you have

And please contact us as you have

questions or want to schedule another program.

questions or want to schedule another program.

Thank you. Beth.

Thank you. Beth.

Does anybody.

Does anybody.

I know we're getting so, like, it's

I know we're getting so, like,

it's a little past 01:00.

a little past 01:00 does anybody quickly

Does anybody quickly have questions for Beth or myself?

have questions for Beth or myself?

We put our emails as well.

We put our emails as well.

If you guys just want to email us.

If you guys just want to email us.

I know we're kind of probably cutting on some

I know we're kind of probably cutting

on, you know, some of yours.

of your if you're at work your lunch hour,

If you're at work your lunch hour, possibly

possibly give you guys a few minutes to questions.

give you guys a few minutes to questions.

There's also a q and a up top

There's also a q and a up top

if you want to do it in there.

if you want to do it in there.

The chat, either one works.

The chat, either one works.

Just making sure any open questions.

Making sure.

Okay.

Okay.

Well, if you guys think of any questions,

Well, if you guys think of any questions,

feel free to email any one of us.

feel free to email any one of us.

You can call me here at the board office.

You can call me here at the board office.

But thank you, everyone, for taking time

But thank you, everyone, for taking time

out of your day to come.

out of your day to come. Listen to us.

Listen to us if you guys learned a lot.

If you guys learned a lot.

And like I said, my name is Madison Elliott.

And like I said, my name is Madison Elliott.

I work for Talbot county public Schools.

I work for Taliban County Public Schools.

I'm the substance use coordinator specialist here.

I'm the substance use coordinator specialist here.

If you have any specific questions, concerns with your child

If you have specific questions, concerns with your child and

and substance use, I'm the go to person for that.

substance use, I'm the go to person for that.

But other than that, thank you, guys and

But other than that, thank you, guys, and

I hope you have a great rest of

I hope you have a great rest of

your week and a good and safe Thanksgiving.

your week and a good and safe Thanksgiving.

That was a full hour.

That was a full hour.

I think I'm still on. I'm still on.

I think I'm still on. I'm still on.