Tag Archives: Addiction

The Pot Piper Leads, Children, Teens Follow

“I’ve seen far more examples of propaganda and unfair marketing practices than I have of reasoned arguments. Worst of all, this kind of marketing targets kids, teenagers, and college students. If we want to make progress in substance use issues, we will need facts and reason, not ploys to grab the attention of our nation’s youth.”  Wharton School of Business student research analyst Theodore Caputi,  recently wrote in an article,  Is Pro-Marijuana Pro-Propaganda?  He’d like to hear more true debate without hype.

Social Media Uses Kids, Teens, Young Adults

How did the push for marijuana legalization come about so rapidly?  The answer lies in a social media campaign by a rich  pro-marijuana lobby aimed at changing opinion.  The Pied Piper has become the Pot Piper.  Young people use social media much more than middle-aged adults and senior citizens.  The largest pro-marijuana Twitter site sends out  an average of 11 pro-marijuana messages per day, according to a study by Washington University psychiatry professor, Patricia Cavazo-Rehg.  Cavazo-Rehg also found that the tweeters targeted Black and Hispanic youth disproportionately, much more frequently than Caucasians.

While Twitter and Facebook have been growing so much over the last decade, the federal government’s funding for substance abuse education and prevention programs has been reduced by 48% during the same time period.  It doesn’t help that a national merchant, Urban Outfitters, has continuously made clothing to glorify marijuana, pill abuse, drinking and now depression.

Surveys of teens indicate they would use more frequently, if marijuana is legalized.  Marijuana lobbyists say they do not advocate for  usage under age 21.  There’s never been a marijuana legalization initiative that would allow users under age 21.  Yet, while NORML and the Marijuana Policy Project “officially” declare it’s not for children, they’ve targeted the youth who wouldn’t be allowed usage under their laws.

Studies show that children and teens have gained the false perception that pot is harmless; this change of perception began in 2005 and grew stronger after 2009,  corresponding to the growth in social media  over that time.

 As the perceived risk in marijuana goes down, teen usage goes up, according to recently-published findings from 2013.  Only Adderall, an ADHD medication, is also trending upward, and it’s being used by those without a prescription.  Cigarette smoking is going down, as is adult smoking, and alcohol use is declining among teens.

Souce: National Institute of Drug Addiction and Abuse, released Dec. 2013
Souce: National Institute of Drug Abuse, released Dec. 2013

Marijuana usage by children and teens has steadily grown along with the push to legalize marijuana and/or expand medical marijuana into more states.  College students use more than ever, probably reflecting this trend, also.

According to the 2013 Monitoring the Future Survey findings, five-year trends show a significant increase in current marijuana use among 8th, 10th and 12th graders.  For example, from 2008 to 2013, reported past-month use increased from 5.8% to 7.0% among 8th graders, from 13.8% to 18.0% among 10th graders, and from 19.4 % to 22.7% among 12th graders surveyed.  Alarmingly, the survey noted that this trend coincides with a decrease in the perceived risk of harm of marijuana use among the same group of students. The annual Monitoring the Future study surveys 6th, 8th 10th and 12th grade students for daily marijuana use, past month use and lifetime use.PiedPiper(13)

Of the top 23 states for teen marijuana usage, 21 of them were in states that had legalized medical marijuana.

How ironic legalization advocates would use ideas like building schools or funding early childhood education by legalizing and taxing a bad habit and dangerous substance like marijuana.   As Washington and Colorado are learning, their states suddenly need to spend money to offset a new problem set of problems.  Taxpayers have to pay for the unnecessary hash oil explosions that have gotten out of hand this year.

Colorado found it necessary to fund public service announcements to warn against stoned driving and against marijuana usage by those under age 21.  The state has decided to spend $2 million on the “Don’t be a Lab Rat” campaign.

Create a Problem to Solve a Problem

Legalizing marijuana to collect taxes and fund drug prevention is the way to create a problem — or make a problem worse — in order to solve the problem. Taxes collected from Washington’s legalization program are supposed to go fund drug prevention programs.   Already taxes in Colorado run far behind what was expected.

States that have had recent problems with pill addiction, cocaine and  heroin, had greater percentages of marijuana usage in youth, in 2010-2011.  They tend to have higher alcohol usage, too.  When asked,  Barbara Cimiglio, deputy commissioner for substance abuse in Vermont’s health department linked the heroin epidemic in Vermont to higher youth usage of marijuana.   “I think what drives this up tends to be the higher use of marijuana, and if you look at the states [with high illicit drug use], they tend to be the states that have decriminalized or have more favorable attitudes toward use of marijuana,” she said.

Marijuana use in the young often creates a-motivational syndrome and apathy, in addition to and apart from the affects of addiction.  It becomes more challenging for many students to keep their educational options open, get jobs and achieve their goals.

There is a connection to regular marijuana usage, gaps in college education and dropping out of high school, which often hinders future success.  “Chronic/heavy marijuana users are twice as likely to experience gaps in college enrollment as minimal users, ” according to  Dr. Robert DuPont, Director of the Institute for Behavior and Health,  in Rockville, MD.

Researchers at Northwestern University recently published their studies indicating the changes on specific parts of the brain, and the National Institute of Drug Abuse (NIDA) has written about some of those findings.

American Academy of Child and Adolescent Psychiatry  warns about  marijuana and young minds:  “Marijuana’s deleterious effects on adolescent brain development, cognition, and social functioning may have immediate and long-term implications, including increased risk of motor vehicle accidents, sexual victimization, academic failure, lasting decline in intelligence measures, psychopathology, addiction, and psychosocial and occupational impairment.”

Education Secretary Arne Duncan and Health and Human Services Secretary Sylvia Burwell should speak out against the growing usage of marijuana at younger ages. The current spike in middle school and high school students using marijuana means that the time is now!

 

Drug Policy Reform

By  Robert L. DuPont, MD,President, Institute of Behavior and Health, a  501(c)3 non-profit organization working to reduce illegal drug use through the power of good ideas.

Often overlooked in discussions of drug policy today is the nature of the drug problem. The global drug problem can be traced to the innate nature of the human brain. The mammalian brain is extremely vulnerable to chemicals that stimulate brain reward. These chemicals are drugs of abuse. They produce far more intense brain reward than any natural reward, even sex and food. The repeated use of drugs of abuse leads to addiction. In its definition of addiction, the American Society of Addiction Medicine notes that it is “characterized by inability to consistently abstain, impairment in behavioral control, craving, diminished recognition of significant problems with one’s behaviors and interpersonal relationships, and a dysfunctional emotional response.”

Addiction is a chronic, often fatal, illness that typically begins in adolescence. The earlier an individual uses drugs of abuse, including alcohol and marijuana, the more likely it is that the person will develop a substance use disorder later in life. The best way to prevent addiction is to prevent the use of these substances. As a 13-year-old said to me years ago, “I don’t want to try cigarettes because I might like them.”

Modern Drug Use Epidemic

While the biology of addiction has not changed for millions of years, over the past half century drug use has changed dramatically. In the modern drug abuse epidemic, whole populations are exposed to a mind-bending array of drugs of abuse by powerful routes of administration. This has never happened before in human history.

Marijuana, the most widely used illegal drug, has been transformed in the time since the peak of its use in the United States in 1978. The potency of marijuana, as measured by the level of THC (the primary active cannabinoid in marijuana), has tripled over this time. New modes of marijuana consumption have increased the potency of marijuana delivery. For example, butane hash oil contains dramatically higher levels of THC, with concentrations up to 90 percent.

The addiction landscape also has changed as a result of the non-medical use of legal prescription drugs. Eighty percent of the global opioid supply is consumed by Americans who constitute less than five percent of the world’s population. With widespread medical use of opioid analgesics has come an epidemic of opiate dependence. The number of drug overdose deaths in the US has surpassed highway fatalities. The widespread use of prescription drugs has led to changes in the demographics of heroin use and subsequent heroin overdoses. Forty years ago heroin addiction was mostly confined to young inner-city men who often were involved in criminal activities. The new demography of heroin is the result of the demography of those that use pain medications non-medically. An estimated half of young heroin users previously abused prescription opioids prior to their heroin use. Heroin addiction has reached all parts of the country, especially small towns and rural areas, and is no longer limited to minority, male or lower income populations.

The drug epidemic continues to evolve in complex ways even as the public attitudes toward the use of drugs are shifting. Attitudes today are far more permissive toward the “recreational” use of drugs, especially marijuana. National polls indicate that a growing majority of Americans now favor legalization of marijuana for “recreational” use by adults.

Well-Funded Lobby Pushes for Marijuana Normalization

The well-funded lobby promoting the normalization of the use of marijuana (and other drugs) is based on the erroneous premise that marijuana is not only safe but also beneficial. (Ed. note: Three billionaires have spent an estimated $200,000,000 to legalize marijuana.) In contrast to this view, the science is clear that marijuana use is a serious threat to health, safety and productivity. As the negative impact of legal marijuana in the states of Colorado and Washington – and in the states that permit “medical” marijuana – is more widely understood, attitudes toward permissive drug use will shift once again.

The US, and the entire world, is at a crossroads in drug policy today with two oppositional perspectives on the future of drug policy. On the one hand is the vision on which current global drug policy was established in the first decades of the 20th century with the US in the lead which separates medical use from non-medical use of drugs with abuse potential. Under this framework, the goal of drug policy is to limit the use of drugs of abuse to medical uses only. Drugs of abuse are provided only through the process of physicians’ prescriptions and dispensed at pharmacies in a closed system and only for the treatment of diseases. The use of drugs of abuse outside of this very limited medical practice and their sale is illegal, punishable by the criminal law.

This well-established formulation of drug policy now is threatened by an alternative vision that treats drugs of abuse the way alcohol and tobacco are treated: through regulated production and sale to adults for legal use for any purpose. The campaign for this alternative drug policy begins with the legalization of marijuana but the stakes are far greater because it applies to all drugs of abuse and because there are enormous potential profits to be earned in this new marketplace. This move erases the sharp line between legal and illegal drugs. Erasing this line frustrates prevention and it opens the floodgates to widespread drug use.

Addiction Goes Up When Percent Usage Increases

When considering the potential public health impact of the legalization of drugs of abuse, including marijuana, it is helpful to consider the rates of use of the two legal drugs. Among Americans age 12 and older, 52 percent used alcohol and 27 percent used tobacco in the past month whereas 9 percent used any illegal drug. Only 7 percent of Americans used marijuana. Treating marijuana – to say nothing of other drugs of abuse – the way alcohol and tobacco are treated most certainly will increase availability and with it dramatically increase the level of marijuana use to a level that is similar to the use of the two currently legal drugs.

Is increased marijuana use and subsequent proportional increases in marijuana addiction in the interest of the nation’s public health? I don’t think so. The use of alcohol and tobacco are the two leading causes of preventable illness and death in the United States. Adding a third legal drug will add to the devastation that these legal drugs already generate.

NFIAAmericaondrugs
Usage can only go up if legalized.      Graphic Source: National Families in Action

What is the better answer for the future of drug policy, if it is not the legalization and regulation of drugs of abuse? The future of an effective drug policy lies in finding ways to reduce the use of drugs of abuse that are compatible with modern values and laws. This search for better ways to reduce illegal drug use is the focus and the agenda of the Institute for Behavior and Heath, Inc. (www.ibhinc.org). There are many good new ideas for drug policy, all based on the recognition of the vulnerability of the brain to the excessive, unnatural stimulation of brain reward mechanism by drugs of abuse which leads to addiction for millions of people and the resulting devastation suffered by these individuals, their families and their communities.

Rather than embrace drug legalization, we must develop innovative policies and programs that reduce the use of drugs of abuse and we must provide assistance, including quality treatment that achieves long-term recovery, to those with substance use disorders.

Robert L. DuPont, M.D.
President, Institute for Behavior and Health, Inc.
Former Director, National Institute on Drug Abuse (1973-1978)
Former White House Drug Chief (1973-1977)

(Editor’s Note–Original article, “The Changing State of Drug Policy,” is reprinted with permission from the Institute of Behavior and Health website, where footnotes align exactly with text.  It publishes several excellent articles about the influence of drug policy on addiction, drugged driving,etc.)

 


American Society of Addiction Medicine. (2011). Public Policy Statement: Definition of Addiction. Chevy Chase, MD: American Society of Addiction Medicine. Available: http://www.asam.org/advocacy/find-a-policy-statement/view-policy-statement/public-policy-statements/2011/12/15/the-definition-of-addiction
National Institute on Drug Abuse. (2010). Drugs, Brains and Behavior: The Science of Addiction. NIH Pub No. 10-5606. Rockville, MD: National Institute on Drug Abuse, National Institutes of Health, US Department of Health and Human Services. Available: http://www.drugabuse.gov/sites/default/files/sciofaddiction.pdf
Drug Enforcement Administration. (2014). The Dangers and Consequences of Marijuana Abuse. Washington, DC: Drug Enforcement Administration Demand Reduction Section, US Department of Justice. Available: http://www.justice.gov/dea/docs/dangers-consequences-marijuana-abuse.pdf
Manchikanti, L., Fellows, B., Ailinani, H., & Pampati, V. (2010). Therapeutic use, abuse, and nonmedical use of opioids: a ten-year perspective. Pain Physician, 13(5), 401-435. Available: http://www.painphysicianjournal.com/2010/september/2010;13;401-435.pdf
Centers for Disease Control and Prevention. (2014). Prescription Drug Overdose in the United States: Fact Sheet. Atlanta, GA: Centers for Disease Control and Prevention, National Center for Injury Prevention and Control, Division of Unintentional Injury Prevention. Available: http://www.cdc.gov/homeandrecreationalsafety/overdose/facts.html
Kuehn, B. M. (2014). Driven by prescription drug abuse, heroin use increases among suburban and rural whites. JAMA, 312(2), 118-119.
Johnson, K. (2014, April 17). Heroin is a growing threat across USA, police say. USA Today. Available: http://www.usatoday.com/story/news/nation/2014/04/16/heroin-overdose-addiction-threat/7785549/
National Institute on Drug Abuse. (2013, April). Heroin. DrugFacts. Rockville, MD: National Institute on Drug Abuse, National Institutes of Health, US Department of Health and Human Services. Available: http://www.drugabuse.gov/sites/default/files/drugfacts_heroin_final_0.pdf
Cicero, T. J., Ellis, M. S., Surratt, H. L., & Kurtz, S. P. (2014). The changing face of heroin use in the United States: a retrospective analysis of the past 50 years. JAMA Psychiatry, 71(7), 821-826.
Pew Research Center. (2014, April 2). America’s New Drug Policy Landscape. Washington, DC: Pew Research Center. Available: http://www.people-press.org/files/legacy-pdf/04-02-14%20Drug%20Policy%20Release.pdf
Volkow, N.D., Baler, R.D., Compton, W.M., & Weiss, S.R.B. (2014). Adverse health effects of marijuana use. The New England Journal of Medicine, 370(23), 2219-2227.
Richter, K. P., & Levy, S. (2014, June 11). Big marijuana—lessons from big tobacco [Perspective]. The New England Journal of Medicine. Available: http://www.nejm.org/doi/full/10.1056/NEJMp1406074
Substance Abuse and Mental Health Services Administration. (2013). Results from the 2012 National Survey on Drug Use and Health: Summary of National Findings, NSDUH Series H-46, HHS Publication No. (SMA) 13-4795. Rockville, MD: Substance Abuse and Mental Health Services Administration.


Established in 1978, the Institute for Behavior and Health, Inc. (IBH) is a 501(c)3 non-profit organization working to reduce illegal drug use through the power of good ideas. IBH websites include: www.ibhinc.org, www.StopDruggedDriving.org, www.PreventTeenDrugUse.org, and www.PreventionNotPunishment.org.

Myths About Marijuana

This Video comes from the Concordance Blog and is dated 2012.

This video deals exclusively with the documented negative health consequences of recreational cannabis use.

I used data from over 140 papers in the process of preparing this video. I’ve done my best to document sources. Below are some key papers for reference.

1. CANNABIS USE AND RISK OF LUNG CANCER: A CASE-CONTROL STUDY
Eur Respir J. 2008 February; 31(2): 280–286.

2. Possible role of marijuana smoking as a carcinogen in the development of lung cancer at a young age.
J Psychoactive Drugs. 1994 Jul-Sep;26(3):285-8.

3. Associations between duration of illicit drug use and health conditions: results from the 2005-2007 national surveys on drug use and health.
Ann Epidemiol. 2010 Apr;20(4):289-97.

4. Cannabis and road crashes: a survey of recent French studies.
Ann Pharm Fr. 2006 May;64(3):192-6.

5. Drugs in fatally injured young male drivers.
Public Health Rep. 1985 Jan–Feb; 100(1): 19–25.

6. Dose related risk of motor vehicle crashes after cannabis use.
Drug Alcohol Depend. 2004 Feb 7;73(2):109-19.

7. Developing limits for driving under cannabis.
Addiction. 2007 Dec;102(12):1910-7.

8. The effect of cannabis compared to alcohol on driving.
Am J Addict. 2009; 18(3): 185–193.

9. If cannabis caused schizophrenia–how many cannabis users may need to be prevented in order to prevent one case of schizophrenia? England and Wales calculations.
Addiction. 2009 Nov;104(11):1856-61.

10. Cannabis and suicide: longitudinal study.
Br J Psychiatry. 2009 Dec;195(6):492-7.

11. Cannabis use and the risk of developing a psychotic disorder.
World Psychiatry. 2008;7(2):68-71.

12. Delta-9-tetrahydrocannabinol effects in schizophrenia: implications for cognition, psychosis, and addiction.
Biol Psychiatry. 2005 Mar 15;57(6):594-608.

13. Adverse health effects of non-medical cannabis use.
Lancet. 2009 Oct 17;374(9698):1383-91.

14. General and oral health implications of cannabis use.
Aust Dent J. 2005 Jun;50(2):70-4.

15. Adverse health effects of non-medical cannabis use.
Lancet. 2009 Oct 17;374(9698):1383-91.

16. Adverse effects of cannabis on health: an update of the literature since 1996.
Prog Neuropsychopharmacol Biol Psychiatry. 2004 Aug;28(5):849-63.

17. Evaluating the drug use “gateway” theory using cross-national data: consistency and associations of the order of initiation of drug use among participants in the WHO World Mental Health Surveys.
Drug Alcohol Depend. 2010 Apr 1;108(1-2):84-97.

18. Does marijuana use serve as a gateway to cigarette use for high-risk African-American youth?
Am J Drug Alcohol Abuse. 2008;34(6):782-91.

There are another dozen or so papers I would like to include here, but will not for the sake of brevity.
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Education
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marijuana pot cannabis legalization health effects safety impairment science biology medicine c0nc0rdance
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Marijuana: What Parents Need to Know Today

Today’s Reality

For more information, download this brochure from Narconon.  Even if you smoked pot 20+ years ago without harm, today’s situation is different.  We want our children to avoid marijuana because they care about the risks in marijuana itself.  Here’s the facts for raising your children today:

* Marijuana has been modified since 1994. The THC, which gives the high, is 3-10x stronger in the plants of today.  If a child begins using today’s pot , it’s like to learning to drink with grain alcohol, instead of beeror wine.  Also, youth today frequently use the potent “dabs” “wax” and “budder.”  These are extractions can have 40-80% THC.

* Marijuana is addictive, contrary to a popular myth, particularly with today’s stronger strains of pot.

* In states with medical marijuana, teen usage is much higher than in other states, and many teens who use pot get it from some marijuana cardholders.

* Those who begin in adolescence or their teens, have an addiction rate of 17 percent, as opposed to 9 percent for those who begin using marijuana as an adult.

*Emergency Department hospitalizations from marijuana rose from 281,000 to 455,000 between 2004 and 2011, making it 2nd amongst the illegal drugs causing ER treatment.

* Individuals responses to marijuana can be vary greatly, and the potential for paranoia and psychotic reactions are real side effects, omitted in the pot propaganda.

* Marijuana is fat soluble and stays in the body for weeks, which is why some people have flashbacks.

* The  brain, which is 1/3 fat, isn’t fully developed until age 25 or later, and until it is, marijuana can cause irreversible damage.

* Marijuana is not as widely used as alcohol,  6-7% of the adult population, vs.  66% who drink, one reason the comparison doesn’t work.

* Marijuana usage causes traffic deaths and it is not safe to combine with driving.

* More teens seek substance abuse treatment for pot than any other legal or illegal substance.

* Marijuana is a gateway drug,  because nearly every young person who develops a drug addiction begins with marijuana.  Early pot users such as Robert Downey, Jr. (age 9), and Cameron Douglas  (age 13), prove that the stranglehold of drug addiction lasts for years.

* A multi-year study out of New Zealand, tracking marijuana users and through their mid-30s showed IQs decrease an 6-8 percentage points over time.  Again, we point to the medical studies summarized on this webpage.

* In a recent study, schizophrenics who have used marijuana had an onset of the disease 2-1/2 years earlier than those who did not use marijuana.

* Marijuana can trigger psychotic symptoms and/or mental illness, and cognitive decline in youth, more quickly than alcohol, while tobacco does not.

* Since marijuana usage increases the odds of developing a mental illness, expansion of pot will expand mental health treatment needs.

* Efforts to legalize for age 21+  hide the motivation to attract young users and build big profits.  Legal pot mean more young users.

* Marijuana usage is associated with greater risk for testicular cancer in males.

* With universal health care, all of us will pay for the increase in medical care for those needing help from pot abuse.

* The number of pot-related hospitalizations in Colorado accelerated in 2009 and went out of control in the the first half of 2014.

* Existing mental health issues, such as ADHD, anxiety and depression, greatly increase the use of drugs for self-medication.

Mental Health, Physical Health Alike

“We cannot promote a comprehensive system of mental health treatment and marijuana legalization, which increases permissiveness for a drug that directly contributes to mental illness,”  states former Congressman Patrick Kennedy, who fought tirelessly on behalf of parity for mental health treatment. Kennedy and policy expert Kevin Sabet promote  Smart Approaches to Marijuana.

* The National Alliance for Mental Illness lists four illegal drugs which cause psychosis: cannabis, LSD, methamphetamine and heroin and two classes of legal drugs, amphetamines and steroids. Pharmaceutical drugs are sold with warnings, while marijuana isn’t.

Sharon Levy, Chairwoman of the American Academy of Pediatrics committee on substance abuse, said “We’re losing the public health battle” and policy is being made by legalization advocates who might be misinformed about marijuana’s dangers.”