February 2006

Substance Abuse and Youth


Working With Youth Prevention
   


Helping Students Make Healthy Decisions

For North Carolina drug prevention specialist Mina Cook, it’s all about a paradigm shift “where kids think it’s cool to lead a healthy life.” A certified substance abuse prevention specialist with Unlimited Success, a program serving 15 counties in the state, Cook is excited about the changing perception of prevention education.

“In the past we used to drive around randomly to places where we could talk to groups of kids about how bad drugs were. We didn’t use evidence based prevention methods.” Now, said Cook, specialists search out youth who are most at-risk and target prevention plans. “We work with school personnel identifying these children, and we work with the schools to help them create the skills these kids need to make healthy and safe decisions. They could be social skills, mood management, empathy and even reading skills. Kids need to feel successful and need to feel connected to their schools.”

Unlimited Success, is a division of Partnership for a Drug Free NC, Inc. (www.drugfreenc.org), and is one of a handful of substance abuse prevention programs in the nation that spans the k-12 years in the school system. Its aim is early intervention and prevention and seeks to address students on substance abuse issues long before high school. It is done cooperatively with teachers and other school personnel. It seeks to enhance a positive school culture. “Schools need to be caring, achieving and safe places where students understand what respect is all about,” said Cook.

The ultimate goal is to help students build resiliency to the challenges of growing up in less than perfect situations. “It not only addresses substance abuse but also other risky behaviors like school failure, court involvement, school suspension, truancy and violence,” said Jane Williams, vice president of Unlimited Success at PDFNC. “It’s all about supporting happy, healthy and successful lives.”

Drug prevention and intervention should help kids develop self-esteem and inner strength, says Cook. A prevention specialist might, for instance, suggest a book like A Bad Case of Stripes to a third grade teacher. In the book Camilla Cream likes lima beans but is afraid to eat them because other kids will make fun of her food choices. Because she has altered herself to fit in with her peers she has developed a “bad case of stripes” on her body. Then a kindly old woman stops at the door and suggests that Camilla stick to her “convictions” and eat some lima beans. Her case of stripes soon disappears and she is cured.

Random Drug Testing in Forsyth County

Another type of intervention program that is being employed in Forsyth County high schools is drug and steroid testing. “Drug testing is just one piece of an effective program,” noted Cook. The test covers alcohol, marijuana, cocaine, amphetamines, opiates, barbiturates and benzodiazepines. When it comes to medically prescribed drugs like Adderall, commonly used for treating attention deficit and hyperactivity disorder (ADHD), teens are excused when they test positive. But those who show evidence of a prescription drug like this and have no medical records to back up their intake will see a student assessment referral specialist who will work confidentially with the student and the student’s family. (See the article on Generation Rx.) The teenager will be offered help through counselors at PDFNC, Inc. If the student successfully completes this intervention program, no one at the school-- including the principal, a coach or club advisor is informed of the test results, noted Cook. She is the program coordinator for the “It’s My Call” and “It’s Our Call” drug testing intervention program for Forsyth County Schools. Students can voluntarily sign up to be drug tested (It’s My Call), or, if they are involved in extracurricular activities – they are required to make themselves available for random testing (It’s Our Call) done by the school system. It is not requirement for all students to participate in random drug testing.

“In a one month period, the program tests around 30% of the students who are in either It’s My Call or It’s Our Call,” says Cook. The Winston-Salem/Forsyth County Schools System was one of the first 5 or 6 school systems in the country to employ drug testing in 1997, notes Bert Wood, president and CEO of PDFNC, Inc., and there is evidence to show that it works. “The county is 25 to 30% below the state and national average for marijuana use,” he notes. Marijuana is the most common drug abused by teenagers. It is observable in test specimens for up to 30 days after each use, says Leshaun Southerland who is a student assessment referral specialist with Forsyth County. She notes that prescription drugs like Adderall are detectable for 12 hours after use.

In October of 2005, Winston-Salem/Forsyth County Schools received a Office of National Drug Control Policy (ONDCP) and U.S. Department of Education Grant to support the “It’s My Call/It’s Our Call” random student drug testing program. Research has demonstrated that such programs serve as a deterrent to adolescent substance abuse. The program was initially piloted at Carver High School and expanded as a system-wide initiative in 1998. The grant provides two positions, a program coordinator and an assessment/referral specialist to work full-time with high school students and program advisors involved in SAVE, SADD, (Students Against Violence Everywhere, Students Against Destructive Decisions) and other similar student-led clubs, as well as a contact for families who will benefit from substance abuse-related services in the district. The project has been the result of a collaborative effort by the school leaders, the Office of the Sheriff, and PDFNC and its prevention division, Unlimited Success.

“The ‘It’s My Call/It’s Our Call’ program has already demonstrated its effectiveness. The original intention of the program was to give our students another way to say no. Since the 2000-2001 year, we have witnessed a steady decline in students testing positive for alcohol and other drugs,” said Dr. Don Martin, superintendent of Winston-Salem/Forsyth County Schools. “This grant gives our district the opportunity to expand an already established program into a great program and will connect even more intensely with students and families.”

This spring this school system will be pioneering in another field – steroid testing. As only the second school system in the nation to test for steroids, high school coaches are being prepared to educate student athletes about the negative effects of steroid use. Its use has been associated with increased risk of HIV/AIDS, Hepatitis B, heart attacks, stroke, a weakening of the immune system, liver damage and cancer. Not to mention the all important effects on appearance which teenagers may especially take to heart -- irreversible baldness, cysts and acne and permanently stunted bone growth.

The U.S. Supreme Court broadened the authority of public schools to test for illegal drugs in 2002, says the Office of National Drug Control Policy (http://www.whitehousedrugpolicy.gov/publications/drug_testing/foreword.html). It allowed random drug tests for all middle and high school students participating in competitive extracurricular activities. Previously, the policy covered only student athletes.
 

 

The Next Step
Editor: Leanne Murray
Writer: Rose Walsh
Design: Virginia Hart

Partnership for a Drug-Free NC
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