Unit I

Alcohol, Tobacco, & Drug Prevention

Lesson 1 Introduction to Project ALERT

Why-Not? Exercise.
Group #1 Reasons Why People Smoke Cigarettes. Group #2 Reasons Not to Smoke Cigarettes. Group #3 Reasons Why People Use Marijuana. Group #4 Reasons Not to Use Marijuana.

Cigarettes
Myth: Cigarettes help you think clearly.

Cigarettes
Fact:
- Seems like it, but actually does not. - Nicotine: stimulant & depressant to CNS - Nicotine Kick stimulates CNS Dopamine and Glucose Release

- Followed by Depression, Nicotine Desire Increases

Cigarettes
Myth: Cigarettes calm you down.

Cigarettes
Fact:
- Addiction causes feel good - Drop in Nicotine Levels Jittery, Depression - Not addicted Nervousness

Cigarettes
Myth: Smoking keeps you thin.

Cigarettes
Fact:
- Smoking stimulates CNS - Suppresses Appetite - Does not change eating habits

- Not effective way to lose weight.

Cigarettes
Myth: Its easy to quit later.

Cigarettes
Fact:
- 3% of high school smokers believe they will still be smoking in 5 years. - Over 60% are still smokers 9 years later. - Average of 3 or more attempts to quit before actually stopping. Sometimes never.

Marijuana
Myth: Marijuana makes uncomfortable feelings go away (fear, anger, depression, sadness, etc).

Marijuana
Fact:
- Temporarily covers up feelings - Poop Spray - Increase in unwanted feelings afterwards

Marijuana
Myth: Marijuana makes you more creative.

Marijuana
Fact:
- Illusion - Not better, but worse - Marijuana cant make you something you are not

- Marijuana wears off what seemed creative while high no longer makes sense.

Marijuana
Myth: Marijuana makes problems go away.

Marijuana
Fact:
- When the high wears off, the problems are still there - Problems actually increase

Marijuana
Myth: You cant get addicted to Marijuana.

Marijuana
Fact:
- Yes you can!
- Research shows changes in brain similar to that of cocaine, heroin, and alcohol use - Withdrawal

- Tolerance

Marijuana
Myth: Marijuana makes you a better dancer, talker, etc.

Marijuana
Fact:
- Illusion
- You are what you are - Regrets later - Less competent: Marijuana interferes with memory, perception, coordination

Marijuana
Myth:
It is safe to drive after using Marijuana.

Marijuana
Fact:
- Less competent: Marijuana interferes with memory, perception, coordination, reflexes

Marijuana
Myth: Since Marijuana is natural, it is much safer than other drugs.

Marijuana
Fact:
- Laced - Effects Hormones (puberty, monthly cycle, attitudes, etc.) - Immune System Damage

- Gateway

Why Do Teens Use Marijuana?

Show Video: Lets Talk About Marijuana (6:35)

Discussion
1. What are some reasons those teens gave for starting to use Marijuana? Do you think this is true for Alcohol use? What are some reasons those teens gave for NOT using Marijuana?

2. 3.

4.

Do you think this is true for Alcohol use?

Alcohol
Myth: A can of beer will not have as much effect as a mixed drink (or a shot of liquor).

Alcohol
Fact:
- Can of beer, glass of wine, mixed drink, and a shot of liquor all have about the same amount of alcohol and have the same effect.

Alcohol
Myth: Alcohol is not a drug.

Alcohol
Fact:
- Yes it is! - Affects the brain. - Slows down judgment, thought, coordination.

Alcohol
Myth: Alcohol is not as dangerous as other drugs.

Alcohol
Fact:
- Deadly

- Quart of Vodka in one sitting will kill you. - One drink of alcohol changes judgment, one misjudgment can kill you. - Auto crashes are leading cause of deaths among teenagers, majority is alcohol related.

Alcohol
Myth: Black coffee and a cold shower can sober you up quickly.

Alcohol
Fact:
- Time is the only thing that can get you sober. - Live needs 1 hour to burn up 1 oz of pure alcohol. - Coffee & cold water may make you feel awake, but does not change judgment, coordination, reactions, etc.

Alcohol
Myth: Drinking makes your problems disappear.

Alcohol
Fact:
- Illusion - More problems when sober again

Alcohol
Myth: Drinking makes uncomfortable feelings go away (anger, shyness, loneliness, frustration).

Alcohol
Fact:
- Illusion - Opposite Effect - Poor, Drastic Decisions (violence, rage, suicide, crimes, lack of a regulator)

Marijuana vs. Alcohol

What are some similarities between alcohol and Marijuana? Reasons People Use? Reasons Not To?

Homework

Handout Test Your Drug IQ

Unit I
Alcohol, Tobacco, & Drug Prevention
Lesson 2 Consequences of Smoking Cigarettes & Marijuana

RESPOND
What can happen to you when you smoke cigarettes for.

the 1st time? after a while? (few weeks or months) a long time?

What Can Happen When You Smoke Cigarettes?

First Time: - Heart beats faster/works harder - Breath Smells - Coughing - Dizziness - Trouble at Home/School

What Can Happen When You Smoke Cigarettes?

After a While: - Addicted - Harder to Breathe - Yellow Teeth - Less Money

What Can Happen When You Smoke Cigarettes?

After a Long Time: Death - Each cig takes 10 minutes off of your life - 20 Cigarettes in 1 Pack If you started smoking 1 pack a day for the next 10 years, how many days would you lose from the end of your life? 20 years? 30 years? 40 years?

Calculations
1 Cig = 10 Min 20 Cig = 1 Pack

20 Cig x 10 Min = 200 Min/pack (day)

200 Min x 365 Days = 7300 Min/year

7300 Min / 60 Min = 1216 Hrs/year

1216 Hrs / 24 Hrs = 50 Days/year

Calculations What does it mean?

10 Years = 50 x 10 = 500 Days = 1.32 years 20 Years = 50 x 20 = 1000 Days = 2.74 years 30 Years = 50 x 30 = 1500 Days = 4.11 years

40 Years = 50 x 40 = 2000 Days = 5.48 years

What Can Happen When You Smoke Cigarettes?

After a Long Time: Lung Cancer
- Smoking is #1 Cause of Cancer - 85% of Lung Cancer for Males - 75% of Lung Cancer for Females - 13% Survival Rate for Lung Cancer - Starting Before 15 = 5x Likely to Get/Die of Lung Cancer

What Can Happen When You Smoke Cigarettes?

After a Long Time: Heart Disease
- Smokers risk of a heart attack is more 2x that of nonsmokers

- Smokers more likely to die from a heart attack

What Can Happen When You Smoke Cigarettes?

After a Long Time: COPD
- Chronic Obstructive Pulmonary Disease (COPD) - Emphysema - Chronic Bronchitis - Smoker 10x more likely to die from COPD

What Can Happen When You Smoke Cigarettes?

After a Long Time: Other
- Wrinkles - Effect on Others (second hand smoke, financial, smell, color stained house/clothes, etc.)

I already smoke. Is it worth it to stop?

24 Hours: chance of heart attack decreases. 48 Hours: nerve endings start regrowing, smell/taste enhanced.

1-9 Months: coughing, sinus congestions, fatigue, shortness of breath decrease.

1 Year: risk of heart disease decreases to that of a smoker

I already smoke. Is it worth it to stop?

5-15 Years: stroke risk is reduced to that of people who have never smoked 10 Years: risk of lung cancer is half that of smokers. 15 Years: risk of heart disease decreases to that of those who have never smoked.

What is with the red?

Did anyone notice the red consequences?

What do they mean?

What is with the red?

ANSWER: The red consequences are the only consequences that are not the same for smokeless tobacco. However

Cancer
Not Lung Cancer, but Oral Cancer

RESPOND
What can happen to you when you use Marijuana for.

the 1st time? after a while? (few weeks or months) a long time?

What Can Happen To You When You Use Marijuana?

The First Time:
- Cant Concentrate - Cant remember (loss of short-term memory) - Slow Down - Cant Drive Safely (as dangerous as alcohol) - Do Something You Regret - Feel Anxious or Panicked - Hard to Communicate - Get in Trouble with Law or Parents - Appetite Increases - Red Eyes

What Can Happen To You When You Use Marijuana?

After a While:
- Dependence - Lack of Emotions - Do Not Solve Problems (dont care, cant think straight) - Trouble (school, sports, parents, law) - Less Money

What Can Happen To You When You Use Marijuana?

After a Long Time:
- Loss of Interest in Everything (except drug use) - Severe Dependence/Addiction - Lung Damage - Damage to Reproductive Health - Damage to Immune System - Accepted by friends associated w/drug use, Harder to Stop - The only life you know - Serious Criminal Charges (not just using, grower/seller)

Can Marijuana Hurt You If You Use It Just Once?

Show Video Pot: The Party Crasher (8:25)

Discussion

Discuss Video

Homework
Handout What Teenagers Want To Know About Alcohol.
HINT: Must Know Info For Game Tomorrow

Unit I
Alcohol, Tobacco, & Drug Prevention
Lesson 3 Drinking Consequences & Alternatives

Respond

Why do people drink alcohol?

Reasons People Drink

Friends Cool, Sophisticated Rebellion Parents Drink Escape Problems, Responsibility Escape Feelings: depression, shyness, loneliness, nervousness, anger, boredom - Think it is less harmful than other drugs

Reasons People Drink

Like the feeling of getting high Curiosity, to experiment Think it tastes good Ads, movies, TV, other media make it seem fun/cool/sexy Alcohol is easy to get Seems more legal than other drugs

Respond

What are some consequences of drinking?

Consequences
ANY TIME
- Drunk - Do something you might regret - Cant drive safely - Lose control of self - Slurred speech - Throw up - Pass out - Hangover - Criminal Charges

Consequences
REGULAR or HEAVY DRINKING
- Addiction, alcoholism - Lose interest in school/life - Suicidal feelings/depression (more than teens who attempt or commit suicide are involved w/alcohol) - Death - Brain Damage - Nerve Damage - Liver Damage

Reasons For Drinking - Emotions

Depression Boredom Shyness Loneliness Anger Nervousness Insecurity

Give me an example of a time when a teen might feel one of these emotions.

Reasons For Drinking - Emotions

Depression repeated failure Boredom weekend in Crane w/nothing to do Shyness new environment Loneliness away from family, lack of attention Anger bad grade, lost a game Nervousness big test or game, new relationships Insecurity self conscience about looks/abilities, compare

Respond

Does alcohol help the situation?

What is gained? Lost?

Alternatives

What are some good alternatives to drinking?

Give example of situation and alternative.

Alcohol Facts Game

Two Teams Each Team Get 1 Illustrator at a Time (must rotate) 1 Min to Draw/Guess (no sound, hand gestures, words, letters) If the Team Has Not Guessed Correctly After 1 Min, The Other Team Gets 1 Guess (must raise hand to guess)

Each Correct Answer is Worth Extra Credit Point

Homework

Handout Alternatives to Drinking

Unit I
Alcohol, Tobacco, & Drug Prevention
Lesson 4 Intro to Pressures

Pressure To Use Drugs

Where does pressure to use drugs come from?

Friends / Students
Come on. It wont hurt you to try. I got these drugs just for us. Everyones doing it.

If you want to hang with us

Adults / Family
We forbid you to smoke Do you want a sip Its okay to drink, but you have to do it here

PARENT EXAMPLES

Ads / Media
Drinking will make you look sexy Smoking is glamorous

Smoking makes you tougher

Not having fun until you do it Its not a party without it

Yourself
I feel out of place if I dont. Im bored. I might as well. I had a bad day It will be legal in a few years anyway One time wont hurt me Everyone is doing it

Everyone is doing it
In the last month, what percentage of teens have.

smoked cigarettes? used marijuana? used alcohol?

Everyone is doing it or are they?

Smoke Cigarettes: Used Marijuana: Used Alcohol: 6.5% 6.5% 14.9%
NOTE: 2009 Statistics

Ads / Media
Drinking will make you look sexy Smoking is glamorous

Smoking makes you tougher

Not having fun until you do it Its not a party without it

Facts
How much do you think a single-page ad might cost for a magazine? $240,000

Questions
Why would a tobacco company spend so much?

What do advertisers get if they are successful at persuading us?

How do ads work?

How They Work

Make drinking/smoking look appealing Link to something that we all want Links to happiness, good times, etc

Subliminal

Commercials
Man Law Click Here Dos Equis Click Here One Way vs. Reality Click Here

Re-Writing Ads

There is a new law requiring all tobacco and liquor companies to tell the truth about their products. How could we rewrite the ads so the ads tell the truth about the products?

EXAMPLE

Re-Writing Ads
Groups of 3
Rewrite 1 Ad, Rotate Ads, Repeat Be Prepared to Answer These Questions:
1. What is the ad advertising? 2. What is it wanting you to think? 3. What is the truth?

Homework

Handout Advertisement Count Sheet

Unit I
Alcohol, Tobacco, & Drug Prevention
Lesson 5 Social Pressures to Use Drugs

Respond
How would you approach a friend who is using alcohol or marijuana? What would you say? When and where would you confront them? If necessary, write your response in script form.

Part One Click Here (10:00) Part One Click Here (9:58) Part One Click Here (6:27)

Video

Lindseys Choice (7 min)

Lindseys Choice - Characters

Lindsey Girl w/a decision to make. Diane Lindseys friend. Eric Boy Lindsey likes.

Mike Erics friend.

Skits Round 1
- 5 Minutes to Prepare - Act out how the video could end with Lindsey saying no - Every character needs to be involved

- Serious & Appropriate!

Skits Round 2
- 8 Minutes to Prepare. - Act out how a typical student at Crane High may be put in a situation where they are pressured to use drugs/alcohol. How does the student respond to the pressure (positively)? - Make it as real as possible. - Every member of group must be involved. - Serious & Appropriate!

One Poor Decision, Lifetime of Consequences

Video #1 Click Here Video #2 Video #3

Video #4

Homework

Handout Parent/Adult Interview

Unit I
Alcohol, Tobacco, & Drug Prevention
Lesson 6 Resisting Internal and External Pressures to Use Drugs

Respond

What is your greatest asset? Why?

ASSET: quality, possession, something of value, etc..

Complete sentences, proper grammar, and correct punctuation or it will not be accepted!!

The Power of Choice

Will you shower when you wake up?
What will you wear to school? Will you eat breakfast? What will you eat for breakfast? Do you go to school early or on time? Do you hold the door for the person behind you?

The Power of Choice

How fast are you going to walk down the hall? Will you wave at the teacher or look down as you pass? Will you focus in class or daydream?

Will you answer the question in class or do you sit quiet?

The Power of Choice

Do you play basketball or wrestle? Do you give everything your have in practice or relax and give a solid effort? Do work after high school or go to college?

Do you apply for a scholarship or count on loans?

The Power of Choice

Do you use your blinker or just turn? Do you go over the speed limit or follow the law? Do you wear or seatbelt or chance it? Do you stop at the red light or keep going?

The Power of Choice

Do you get married or stay single? Do you have children or wait? Do you take that job or this job?

Do you rent or own?

The Power of Choice

Will you steal from someone to have more money or greater possessions? Would you steal or go hunger? Would you murder someone?

Would you kill the man who just killed your closest loved one?

The Power of Choice

Would you turn in a family member who had committed a crime? Would you choose to die by gun shot or in your sleep? Would you choose to die by fire or by drowning?

The Power of Choice

In any situation you always have a choice. With each decision you make, you must be willing to accept the consequences, both good and bad. If you dont want to accept the consequences, make a different choice.

The Power of Choice

Let the choices you make today be something you can live with tomorrow The little yess and nos you make each day determine your future
CLICK HERE (4:47)

Alcohol, Tobacco, Drugs

What will you choose? What will you sacrifice? What is gained? Lost?

How far are you willing to go?

Exercise
- Partner Up - Take Turns Pressuring & Taking the Pressure

- Use the Script If You Need Help

- Be Appropriate, Thoughtful - Try to Make It Real Life

Internal Pressures 3 Components

1. They are generated from the environment created by other teenagers, teenage culture, the media, and a society that uses drugs.

2. They are nonverbal (teens feel pressures w/o anyone saying anything).
3. They are powerful (the pressures we put on ourselves are real and very strong).

Exercise

Handout Internal Pressures Scenarios

Unit I
Alcohol, Tobacco, & Drug Prevention
Lesson 7 Practicing Resistance Skills

Pot or Not?

Show Video Pot or Not? (6:00 min)

Respond

On a piece of paper, give 3 possible solutions to the problem. Be realistic about the situation.

If you drink Anything Can Happen

Show Video: If you drink, anything can happen. SunBurst Visual Media

Unit I
Alcohol, Tobacco, & Drug Prevention
Lesson 8 Other Drugs

Key Terms
Gateway: link, bridge, or stepping stone to the next drug

Euphoria: a feeling of intense well-being, or high followed by a crash or let down

Methamphetamine
Methamphetamine - crank, speed, ice, meth, crystal - smoked, snorted, injected, or swallowed - makes people paranoid, violent - even the fumes can be very deadly - 4-12 hrs. Half-Life

Methamphetamine

Faces of Meth

Multnomah County

Prevention Program
Real Life (Interview, Testimonies, Pictures)

Faces of Meth

Faces of Meth

Faces of Meth

Faces of Meth

Cocaine
Cocaine
- White powder made from coca bush (South America) - Stimulant (very powerful and acts fast) - Lasts from 20 minutes to several hours

Cocaine
- Confident Letdown - Letdown = depression, weight loss, edginess, physiological dependence. - Cause heart attack and/or death from electrical stimulus to heart.

Cocaine

Crack
Crack = From of Cocaine - Converted cocaine into clumps - Smoked - Effects are felt immediately. - Highly addictive.

Crack

Depressants
Depressants or Sedatives (Drugs that slow down the CNS)
- Alcohol - Barbiturates: induce sleepiness - Tranquilizers: reduce muscular activity, coordination, attention span.

- Methaqualone: reduce anxiety and help w/insomnia

Narcotics
Narcotics: drugs derived from the opium plant that have a sedative effect.
Morphine: reduce severe pain Codeine: Weaker form of morphine, often used in cough medicines. Click Here Lil Wayne

Heroin: made from Morphine and has no medical use.

Hallucinogens
Hallucinogens: drugs that alter moods, thoughts, perceptions PCP (angel dust): PCP users have drowned in shallow water because they were disoriented. LSD (acid): colorless, tasteless, and odorless. Gives a false sense of power or security. Deaths from trying to stop trains or jumping off buildings because they thought they could fly.

Inhalants
Inhalants: substances with breathable fumes that are sniffed and inhaled to give mind altering high.
Types: glue, spray paints, lighter fluid, gasoline. Leads To: kidney damage, permanent brain damage, nausea, sneezing, coughing, nosebleeds, fatigue, lack of coordination, loss of appetite, hearing loss, limb spasms, and more! Click Here (4:20)

Testimonials Through Music

Eminem Dj Vu Click Here Handout Lyrics

Testimonials Through Music

Whiskey Lullaby Brad Paisley Little Rock Collin Ray Walk a little Straighter Youre Not My God Kieth Urban Because I Got High VooDoo God Smack Tambourine Man Bob Dylan Mr. Brownstone

Assignment
Find a song that is clean (no foul language) that details the struggle of alcohol, marijuana, or other drug addiction.

Print off the lyrics of the song (make sure you edit it) and bring it to class. Write a 1-page reflection about the song.

Unit I
Alcohol, Tobacco, & Drug Prevention
Lesson Club Drugs

Respond

List as many types of drugs (common in clubs) that you can think of.

Show Video
Video:
Club Drugs: What You Should Know

HANDOUT Club Questions

(must answer 6 total questions you choose which 6)

Unit I
Alcohol, Tobacco, & Drug Prevention
Lesson Final Thoughts

Addiction
- Does not usually happen instantly, it is a process. - Addiction may not be recognized because of continual use. - Important to recognize addiction.
-

Not just in yourself, but in others.

Recognizing the Problem

Warning Signs: - concern where the next fix might come from - Friends who supply and/or use the drug continually - Changes in appearance and/or personal habits

- Irritability, nervousness, personality changes, or mood swings

Recognizing the Problem

Warning Signs: - Loss of job - Constantly borrowing money - Excuses to where there money went

- Choosing to do it rather than things they once loved

Alcoholism
Stage One:
- Social drinking, often to relax or to relieve stress or depression. - Gradually used as the only means of managing stress. - Physical & psychological dependence develops.

Alcoholism
Stage One: - Rationalizes drinking situations (excuses)

- Tolerance increases, more needed.

Alcoholism
Stage Two:
- Reaches point where they cannot stop drinking, physically dependent
- Drinks alone and may drink every day. - Physical/Mental problems may become evident.

- Increased tolerance
- More excuses, defensive, & others blamed.

Alcoholism
Stage Two:
- Denies problem, tries to hide.
- Central point of life. - Performance in all areas of life decrease. - Frequent Absences from school, work, other commitments occur.

Alcoholism
Stage Three: - Final, worst stage. - Most important thing in their life. - Problem cannot be denied.

- Uncontrolled.

Alcoholism
Stage Three: - Hallucinations may occur. - Constant companion. - Aggressive and isolated from friends and family.

- Malnutrition.

Alcoholism
Stage Three:
- Completely fallen apart: physically, mentally, emotionally, socially. - Reverse Tolerance - If stopped, serious withdrawals occur (Delirium Tremens) - hot/cold flashes, severe tremors, nightmares, hallucinations, fear of people and animals.

Alcoholism
More Than Just The Alcoholic
- Domestic Violence
- Time, Effort, Emotions, Financial (Family) - Alcohol 100,000 Americans Each Year Die - Cost of Alcoholism: $116 Billion - Lost Revenue of Employers: $30 Billion

What Can You Do?

Oregon Drug & Alcohol Helpline
1-800-923-HELP 1-877-553-TEEN Counselor Principal Teacher

Half Life
HALF LIFE: This is the period of time required for the concentration or amount of drug in the body to be reduced by one-half.

- Very Unpredictable
- Half Life varies for several drugs, especially the more powerful drugs.

Half Life

RESPOND:

How is the half life of drugs significant to the person using the drugs?

Half Life
ANSWER:
If the half life varies, it is unknown when enough of the drug is out of the system for it to be safe to use more of the drug (medical reasons). Illegal drug users (already impaired judgment) often overdose because of this as well