NCADD logo

NCADD logo

Tuesday, July 23, 2013

ATOD and Advocacy Update - Week-Ending July 19, 2013



Young Children’s Personality Traits Linked to Teen Alcohol Use
A child’s personality traits before age 5 may help predict whether they will use alcohol in adolescence, a new study suggests. The researchers followed about 12,600 children from the time they were born. Parents were asked about their children’s personalities in the first five years of life; after that, the researchers interviewed both the children and their parents, Fox News reports. By age 15 ½, 4,600 teens were still participating. The researchers were able to statistically extrapolate results from the teens who had dropped out of the study. They found the personality traits in toddlers most closely associated with teen alcohol use fell into two categories: emotional instability and relatively low sociability, and high sociability, which may lead to “sensation seeking” later in life. The findings appear in the journal Alcoholism: Clinical and Experimental Research. “This underscores the fact that drinking during adolescence is largely a social phenomenon,” study co-author Danielle Dick of Virginia Commonwealth University said in a journal news release. “However, this doesn’t mean it’s less problematic; we know from other studies that most adolescent drinking is high risk — for example, binge drinking — and can lead to numerous negative consequences.” She added, “People don’t enter adolescence as blank slates; they have a history of life experiences that they bring with them, dating back to early childhood. This is one of the most comprehensive attempts to understand very early childhood predictors of adolescent alcohol use in a large epidemiological cohort.” She noted the study indicates that troubled children are not the only ones who start to use alcohol. “It’s also the highly sociable kids as well. Parents should be aware of this.”




U.S. Government Announces Major Drop in Worldwide Cocaine Production
The U.S. Office of National Drug Control Policy (ONDCP) announced there has been at 41 percent decrease in worldwide cocaine production since 2001, and a 10 percent drop from the previous year. The 2011 National Survey on Drug Use and Health found the number of Americans aged 12 or older who are current users of cocaine has dropped by 44 percent since 2006, The Christian Science Monitor reports. “I’ve never seen such a rapid decline for such an addictive drug,” Peter Reuter, a public policy professor and drug economy expert at the University of Maryland in College Park, told the newspaper. ONDCP says a U.S.-Columbian partnership has contributed to the drop in worldwide cocaine production. Interceptions by the Coast Guard and Defense Department along drug trafficking routes have also led to a decrease in the amount of cocaine entering the United States. The government survey on cocaine use found in 2011, an estimated 1.4 million Americans used cocaine, down from 2.4 million in 2006.  The number of people who first tried cocaine in the previous year decreased from 1 million in 2002, to 670,000 in 2011. In addition, the number of people who abused or were dependent on cocaine dropped from 1.7 million in 2006, to 0.8 million in 2011. The number of people who tested positive for cocaine in the workplace dropped 65 percent from 2006 to 2012, while there was a 44 percent decrease in cocaine-related overdose deaths from 2006 to 2010. Some experts say the drop in cocaine use in the United States is largely due to rising prices and shifts in the global cocaine market, with a greater share of the drug going to Europe and other parts of the world.



Aggression Caused by Family Violence May Lead to Substance Abuse, Study Suggests
Boys who are exposed to family violence become more aggressive toward their classmates, and this behavior is linked with greater levels of substance abuse over time, according to a new study. The study looked at the effects of family violence, including verbal and physical aggression between siblings, Medical Xpress reports. Most previous studies of family violence and its effects have focused on parents’ behavior, the article notes. The University of Illinois researchers studied more than 1,200 students at four middle schools, who completed questionnaires about their levels of substance abuse, and whether they engaged in fighting and bullying. They were asked about conflicts in their homes, including arguing, teasing and physical aggression between siblings. They found bullying and fighting are linked to family violence and substance abuse in boys. Girls exposed to family violence reported higher levels of substance abuse over time, which was not associated with bullying and fighting. The study appears in the Journal of Research on Adolescence. “There’s been a growing consensus that family violence is a training ground for peer aggression and associated risk behaviors such as substance abuse,” lead researcher Dorothy Espelage said in a news release. “However, awareness of the impact of sibling aggression on bullying has lagged behind other types of family violence. It is imperative that researchers investigating the family context of bullying and substance abuse examine not only violence involving parents but also that involving siblings.”



Samuel T. Wilkinson: Pot-Smoking And the Schizophrenia Connection

Medical research shows a clear link between marijuana use and mental illness.

Recent legislation has permitted the recreational use of marijuana in Colorado and Washington state. Those who support legalization often tout the lack of serious medical consequences associated with the drug. Most of us know people who used marijuana in high school or college and seem to have suffered no significant medical consequences. As the medical and scientific literature continues to accumulate, however, it is becoming clearer that the claim that marijuana is medically harmless is false. Continue reading here.



“Doctor Shoppers” Bought 4.3 Million Prescriptions for Opioids in 2008

People who “doctor shop” bought an estimated 4.3 million prescriptions for opioids such as Vicodin and OxyContin in 2008, a new study finds. Doctor shoppers, who visit multiple health care providers to obtain prescriptions, represented almost 1 percent of all buyers of addictive pain medications in the United States that year. The study, conducted by the think tank Abt Associates, is the first national estimate of doctor shopping in the country, the researchers said. “There’s a hole in our prescription control system in the United States,” study co-author Douglas McDonald told HealthDay. “Lacking a universal health record, doctors have to rely on what patients tell them about what they’ve been prescribed by other doctors.”  This means “doctor shoppers can get multiple prescriptions for the same drug if they lie to their physician,” he said. The researchers analyzed a national sample of more than 146 prescriptions for opioids dispensed in 2008. They found one out of every 143 patients who purchased the drugs received an unusually large number of prescriptions from multiple health care providers. These patients obtained an average of 32 prescriptions from 10 different doctors. The study is published in the journal PLOS ONE. Although many states have prescription drug monitoring programs designed to detect doctor shopping, some people are able to get around the system, McDonald said. “There are patients who have doctored MRI results, they go from doctor to doctor and show this falsified MRI record that shows they have a bone spur in their neck and they are in intense pain.” Steve Pasierb, President and CEO of The Partnership at Drugfree.org, said because the monitoring programs function at the state level, doctor shoppers can avoid detection by crossing state lines. “I could have gotten a prescription in Portland yesterday, and then come to Connecticut and get another prescription,” he said.



Most Women Who Drink Before Pregnancy Continue While Pregnant

Most women who drink before becoming pregnant continue consuming alcohol throughout their pregnancy, Australian researchers have found. A study of 1,969 women found 82 percent consumed some alcohol during pregnancy, HealthCanal.com reports. Of these women, 77 percent consumed one or two drinks on the days they drank, and 90 percent drank no more than once or twice a week. Women who drank weekly before pregnancy were 50 percent more likely to continue drinking during pregnancy, compared with women who drank less than weekly. Those who reported binge drinking before becoming pregnant were more than twice as likely to continue to drink during pregnancy. Women who had fertility problems were 36 percent less likely to drink, compared with women who did not have difficulty becoming pregnant. The study appears in BJOG: An International Journal of Obstetrics and Gynaecology. A study published last year by the U.S. Centers for Disease Control and Prevention found almost 8 percent of pregnant women report alcohol use. The study analyzed data from almost 14,000 pregnant women and more than 330,000 non-pregnant women ages 18 to 44. About one in 13 pregnant women, or 7.6 percent, said they drank alcohol within the past month, compared with 51.5 percent of non-pregnant women. The researchers found 1.4 percent of pregnant women reported binge drinking. Among pregnant women who said they engaged in binge drinking, those with a high school education or less reported binge drinking an average of 3.4 times a month, and having 6.4 drinks per occasion. In contrast, college graduates reported binge drinking 2.5 times per month, with 5.4 drinks per occasion. Binge drinking was more common among unmarried women.



Epilepsy Drug May Help Curb Cocaine and Alcohol Addiction

A team of researchers at the University of Pennsylvania tested the effects of topiramate on a group of individuals struggling with both cocaine and alcohol addiction. Past studies have shown that topiramate could be used to curb cocaine as well as alcohol dependency, but this is the first time it's been used to treat people who struggle with both cocaine and alcohol addictions at the same time. Because cocaine and alcohol addiction frequently comes hand in hand, in conjunction with cognitive behavioral therapy, treatments "targeting both may be the best strategy to treat individuals," the study states. Please click here to continue reading.





Alcohol deaths in young women show 'worrying rise', warns study

The number of deaths of women born in the 1970s has "disproportionately increased" since the middle of the last decade.  Cheap drink has led to a “worrying” increase in alcohol-related deaths among young women in England and Scotland, according to a new study. Since the mid-2000s, there has been an overall fall in alcohol-related deaths across all sexes and age groups except women born in the 1970s, according to the Journal of Epidemiology & Community Health. The researchers urged health officials use the figures as a "warning signal". Click here to continue reading.





Commentary: Getting Past the Stigma and Treating Addiction as a Chronic Disease

I recently received a call from a very senior level executive at a prestigious medical school, asking for advice on how to help his 26-year-old son who has a serious heroin addiction. The son had been through five residential treatment programs over the past several years, at a cost to the family of over $150,000. The troubling thing about this call was the reason this man reached out to me. He called me because I have been public about my own son’s drug overdose – he was calling me as another affected father and had no idea that I had any familiarity with the field other than my family experience. Let’s just stop there. Consider if this high-level executive’s son had been suffering from a rare tropical disease, he would have unhesitatingly sought and received guidance from a leading medical expert – not a father who had lost his child to that disease. In this case, he was literally too ashamed to contact one of his own organization’s physicians. This extraordinary degree of stigma and sense of isolation that families still experience is unjustified and incapacitating. Continue reading here.





History of Severe Childhood Abuse May Increase Drug Users’ Risk of Suicide Attempts

Drug users who have been victims of severe childhood abuse are at increased risk for suicide attempts, a new study concludes. Less severe abuse, or physical or emotional neglect, does not appear to increase the risk. HealthDay reports the Canadian study included 1,600 people who used drugs. They found extreme childhood abuse, especially emotional or sexual abuse, was associated with a significantly increased risk of attempting suicide. During the course of the study, 80 participants reported a total of 97 suicide attempts—a rate that is five times higher than in the general population, the article notes. Participants who suffered severe to extreme emotional abuse were 2.9 to 3.5 times more likely to attempt suicide than those who did not suffer such abuse. Those who suffered extreme sexual abuse were 2.5 to 2.8 times more likely to attempt suicide, while such attempts were 1.6 to 2 times more likely in those who had suffered extreme physical abuse. The findings appear in the American Journal of Public Health. They show “how detrimental childhood trauma can be,” lead author Brandon Marshall of the Brown University School of Public Health, said in a university news release. “We saw extremely strong associations, which suggest that abuse has lasting mental health impacts well into adulthood.”  He advised care providers to screen for these types of abuse and intervene whenever they see a situation of severe abuse, regardless of what type it was.



Myths About Addiction: “They Could Stop If They Wanted To”

Whether we like to admit it or not, we all have our own ideas of what an addict looks like. We have our beliefs about why they engage in the behaviors they engage in and why they just won’t quit. This is also true for addicts themselves. Often it is difficult to overcome addiction because of the perception of what addiction really is. But the truth of addiction is sometimes hidden behind common, long-standing myths. So here are some of those common myths — and the real truth — about addicts and addiction. Please click here to read the rest of the story.

Wednesday, July 17, 2013

ATOD and Advocacy Update - Week-Ending July 12, 2013



Anti-Alcohol Policies in Schools More Effective If Students Think They Are Enforced
School anti-alcohol policies are more effective when students think they are being enforced, researchers at the University of Washington have found. Students’ perceptions of the policies’ enforcement are more important than the details of the policies.
Researchers studied school anti-alcohol policies in Washington state and Australia, and how effective they were in deterring eighth and ninth graders from drinking. Students were more likely to drink on campus if they felt the school did not enforce its anti-alcohol policies, even if the school had a suspension or expulsion policy, Science Daily reports. If students believed school officials would enforce the policy, they were less likely to drink, even if the policy required milder sanctions, such as counseling. “Whatever your school policy is, lax enforcement is related to more drinking,” lead researcher Richard Catalano said in a news release. The study also found students were less likely to binge drink if they received an abstinence alcohol message or a harm minimization message, and if they believed teachers would talk to them about alcohol’s dangers. Catalano said harsh punishment for drinking at school can have negative consequences, such as causing students to feel disconnected from school. The students may end up drinking even more. “What we’ve seen in other studies from this sample is suspension policies actually worsen the behavior problem,” he noted. “What that says to me is, although you want policies and you want enforcement of policies, there are other ways of responding than suspension, expulsion and calling the police: Getting a student to talk to a teacher about how alcohol might be harmful, or a session with the school counselor.” The study appears in the journal Health Education Research.


A Third Of Kids Taste First Sips Of Alcohol As Early As Age 8
Despite several studies showing that drinking alcohol at an early age can lead to problems later on in life, parents still continue to give young children sips of alcohol. A new study shows that many children had their first sip of alcohol as young as eight years old. Continue reading here.

Tripping Up Memories of Alcohol
For recovering alcoholics, memories associated with drinking — the smell of a bar, ice clinking in a glass — are among the greatest threats to sobriety. But what if retrieval of those memories could be blocked? Using a drug typically given to organ-transplant patients, researchers at the University of California, San Francisco, reduced the incidence of relapse in rats by disrupting memories linked to past drinking. Read more here.

Prescription Painkiller Overdoses. A growing epidemic, especially among women
About 18 women die every day of a prescription painkiller overdose in the US, more than 6,600 deaths in 2010. Prescription painkiller overdoses are an under-recognized and growing problem for women. Although men are still more likely to die of prescription painkiller overdoses (more than 10,000 deaths in 2010), the gap between men and women is closing. Deaths from prescription painkiller overdose among women have risen more sharply than among men; since 1999 the percentage increase in deaths was more than 400% among women compared to 265% in men. This rise relates closely to increased prescribing of these drugs during the past decade. Health care providers can help improve the way painkillers are prescribed while making sure women have access to safe, effective pain treatment. Continue here please.


Approximately Two-Thirds of Teens Who Already Use Marijuana Report That Legalizing the Drug Would Increase Their Likelihood of Using
Marijuana legalization would likely increase use among teens who already use marijuana, according to data from a survey of U.S. high school students.  Nearly two-thirds (65%) of teens who reported using marijuana at least once in their lifetime said that legalizing the drug would make them more likely to use it. In addition, more than three-fourths (78%) of heavy marijuana users reported that legalizing the drug would make them more likely to use it. Only sixteen percent of teens who reported that they had never used marijuana agreed that they would be more likely to use marijuana if it were legal. According to the authors, “One possible scenario suggested by these data is that even if legalization does not drive up overall prevalence of teen marijuana use, it may lead to increased use among those already using, including teens who are already smoking marijuana almost daily” (p. 16). Both Colorado and Washington recently enacted laws legalizing small amounts of marijuana for recreational use by person over the age of 21. SOURCE:  Adapted by CESAR from The Partnership for a Drug-Free America and the MetLife Foundation, The Partnership Attitude Tracking Study (PATS): Teens and Parents, 2013.

Fentanyl Patch Can Be Deadly to Children
Young children have died or become seriously ill from accidental exposure to a skin patch containing a powerful pain reliever. As a result of this, the Food and Drug Administration (FDA) is issuing a safety alert to warn patients, caregivers and health care professionals about the dangers of accidental exposure to and improper storage and disposal of the fentanyl patch. Rest of this article is here.


Treating addiction as a chronic disease - how do we get from here to there?
We are at a watershed moment in the field of substance abuse treatment. Public awareness about addiction is growing, the research base is expanding so that we can better address social and biological determinants of the disease, and health reform and parity legislation will change the way substance use disorders are managed within healthcare. Now, more than ever before in history, there is a real opportunity to prevent, intervene earlier and effectively treat substance use disorders – but only if we come together to demand comprehensive quality that is on par with treatments for other chronic medical illnesses. Read more here.


Medical Marijuana Deemed Kosher By Israeli Rabbi
Rabbi Efraim Zalmanovich, an orthodox rabbi of some reputation, has issued a religious ruling sanctifying the use of marijuana as a medicine prescribed by a doctor to treat pain or other symptoms. In Israel, health care providers may prescribe marijuana for more than 30 health ailments, including Parkinson's disease, cancer, and chronic pain. Zalmanovich specified that smoking marijuana for a recreational high or as an escape from the rigors of life is not sanctioned by religion, however. Rest of this article is here.


Synthetic Cannabinoid Users Report Using the Drug to Avoid Positive Drug Tests; Return to Marijuana Use When Not Being Tested
Synthetic cannabinoids, also known as K2 or Spice, are not included in most routine drug test panels because they require specialized, more expensive testing. Furthermore, studies have shown that the types and amounts of synthetic cannabinoid (SC) metabolites can vary greatly between products, lots, and even within the same package1, making it difficult to decide which specific SC metabolite should be included in drug testing programs. Some SC users use the drug as a substitute for marijuana to avoid positive drug tests, according a qualitative study of SC users in Southern California. The study found that:
       The majority of synthetic cannabinoid users reported that they used the drug to avoid positive drug tests, either because they were under community correctional supervisions, seeking employment, residing in a sober living facility, or joining the military.  According to one user, “Spice would give you a weed like effect without the positive test”.
       “Most of the users of Spice-type products in this study consumed these products as a substitute for marijuana during drug-testing periods, and returned to marijuana use once that period ended” . According to one user, “I was trying to get a job where they were going to drug test . . . so I got that stuff [Spice], and I liked it enough. I enjoyed it. I did it for a while . . . Then, my job search ended ‘cause I wasn’t going to do any of them. So I went back to the regular stuff”.
       Nearly all the SC users learned of the drug from someone who was using SC to avoid detection on drug tests. For example, one user reported that he “was talking to some kids that went to a Christian school, and they get drug tested. So, all the kids there would smoke Spice instead of weed” .
       All the SC users also used marijuana, and half had a history of drug problems, such as sobriety attempts, drug-related offending, and negative drug experiences.
       Some of the SC users expressed concern over the health effects of the drug. “I don’t know what they’re putting in it. It kind of scares me, so I try not to do it that often”. Others experienced negative side-effects. “It [Spice] just doesn’t feel right. Way more of a stressor on your body, like your body is trying to deal with whatever cannabinoid that is in there, and it’s just like you experience it in a different way. It feels worse.” .
The authors note that while synthetic cannabinoid products are labeled as not being for human consumption and thus cannot be regulated by the Food and Drug Administration (FDA), “this tactic for circumventing the law does not appear to detract potential users form purchasing and consuming these untested, unknown and potentially harmful substances”. SOURCE:  Adapted by CESAR from Perrone, D., Helgesen, R.D., and Fischer, R.G., “United States Drug Prohibition and Legal Highs: How Drug Testing May Lead Cannabis Users to Spice,” Drugs: Education, Prevention and Policy

NIH STUDY IDENTIFIES BRAIN CIRCUITS INVOLVED IN LEARNING AND DECISION MAKING
Research from the National Institutes of Health has identified neural circuits in mice that are involved in the ability to learn and alter behaviors. The findings help to explain the brain processes that govern choice and the ability to adapt behavior based on the end results. Researchers think this might provide insight into patterns of compulsive behavior such as alcoholism and other addictions. "Much remains to be understood about exactly how the brain strikes the balance between learning a behavioral response that is consistently rewarded, versus retaining the flexibility to switch to a new, better response," said Kenneth R. Warren, Ph.D., acting director of the National Institute on Alcohol Abuse and Alcoholism. "These findings give new insight into the process and how it can go awry."  The study, published online in Nature Neuroscience, indicates that specific circuits in the forebrain play a critical role in choice and adaptive learning.  Like other addictions, alcoholism is a disease in which voluntary control of behavior progressively diminishes and unwanted actions eventually become compulsive. It is thought that the normal brain processes involved in completing everyday activities become redirected toward finding and abusing alcohol.  The research, conducted by investigators from NIAAA, with support from the National Institute of Mental Health and the University of Cambridge, England, used a variety of approaches to study choice.  Researchers used a simple choice task in which mice viewed images on a computer touchscreen and learned to touch a specific image with their nose to get a food reward. Using various techniques to visualize and record neural activity, researchers found that as the mice learned to consistently make a choice, the brain's dorsal striatum was activated. The dorsal striatum is thought to play an important role in motivation, decision-making, and reward.  Conversely, when the mice later had to shift to a new choice to receive a reward, the dorsal striatum quieted while regions in the prefrontal cortex, an area involved in decision-making and complex cognitive processes, became active.  Building upon these findings, the authors next deleted or pharmacologically blocked a component of nerve cells which normally binds the neurochemical glutamate (specifically, the GluN2B subunit of the NMDA receptor) within two different areas of the brain, the striatum and the frontal cortex. Previous studies have shown that GluN2B plays a role in memory, spatial reference, and attention. Researchers found that making dorsal striatal GluN2B inactive markedly slowed learning, while shutting down GluN2B in the prefrontal cortex made the mice less able to relearn the touchscreen reward task after the reward image was changed.  "These data add to what we understand about the neural control of behavioral flexibility and striatal learning by identifying GluN2B as a critical molecular substrate to both processes," said the study's senior author, Andrew Holmes, Ph.D., Laboratory Chief and Principal Investigator of the NIAAA Laboratory of Behavioral and Genomic Neuroscience.  "This is particularly intriguing for future studies because NMDA receptors are a major target for alcohol and contribute to important features of alcoholism, such as withdrawal.  These new findings suggest that GluN2B in corticostriatal circuits may also play a key role in driving the transition from controlled drinking to compulsive abuse that characterizes alcoholism."

FDA Approves New Opioid Addiction Treatment Combining Buprenorphine and Naloxone
The Food and Drug Administration has approved a new drug to treat opioid addiction that combines buprenorphine and naloxone. The drug, Zubsolv, is similar to Subutex and Suboxone, according to Reuters. Zubsolv is made by Swedish drugmaker Orexo. It dissolves under the tongue, and comes in a menthol flavor. “Zubsolv is indicated for use as maintenance treatment for people suffering from opioid dependence and should be used as part of a complete treatment plan to include counselling and psychosocial support,” the company said in a news release. The company states that compared with current opioid drug treatments, patients will need to take less of the new drug in order to achieve the same effect, the article notes. Zubsolv is expected to be available in the United States in September, the company said. In May, the FDA asked for more information on an implant designed to treat opioid addiction, before making a decision on whether to approve the drug. The implant, Probuphine, is a long-acting version of the opioid dependence medication buprenorphine. It is implanted under the skin of the upper arm, in a procedure that takes about 10 to 15 minutes in a doctor’s office. It remains in place for about six months. The FDA asked for more information on the effect of higher doses of Probuphine, and on how doctors would be trained to insert and remove the implant.



Small, Cheap Devices Measure Blood Alcohol Levels
A growing number of small, inexpensive personal devices measure a person’s blood alcohol level, providing drivers with an easier way to assess their fitness to drive. Experts warn the devices do not guarantee a person can drive safely, The New York Times reports. The costs for these devices can be as low as $30. Some hang from a key chain, while others are sold as smartphone accessories. Critics of the devices note they aren’t necessarily accurate, in part because impairment from alcohol varies among people. Proponents note they could be useful for parents who want to check whether their teens have been drinking. BACtrack sells a hand-held unit that displays a graph predicting a person’s blood alcohol levels in the hours to come on an iPhone, through a Bluetooth link. Company owner Keith Nothacker says the device won’t guarantee whether a drinker would be under the legal blood alcohol limit, but is simply an education tool. Device manufacturers say personal blood alcohol testing units will be particularly useful if states follow recommendations by the National Transportation Safety Board (NTSB) to lower allowable blood-alcohol levels for drivers, from 0.08 percent to 0.05 percent. The NTSB said thousands of people are killed or injured each year by drivers who are not legally drunk, but who are still impaired. Currently about 10,000 people die in alcohol-related car crashes each year. A person with a blood-alcohol level of 0.05 percent is 38 percent more likely to be involved in a crash, compared with someone who has not been drinking, according to the NTSB. A person with a 0.08 blood-alcohol level is 169 percent more likely to be involved in an accident. Nothacker told the newspaper that “law-abiding citizens can’t possibly be expected to know the difference” between 0.05 blood alcohol content and 0.08 blood alcohol content without doing a test.


Montreal Cops Seize Drug "40X Stronger Than Heroin"
A powerful new synthetic drug that is 40 times stronger than heroin and 80 times stronger than morphine has hit the streets of Montreal, police warn. Seven recent raids throughout the Canadian city resulted in the arrests of two dealers inside a UPS store as they attempted to ship over 12,000 pills of the narcotic known as Desmethyl Fentanyl, a derivative of the painkiller Fentanyl, which were hidden inside a microwave oven and a toaster. Read more here.


Little Evidence ADHD Drugs Improve Students’ Grades: Study
Students taking attention-deficit hyperactivity disorder (ADHD) medication don’t perform better in school than their peers who do not use the drugs, a new study concludes. Boys taking the drugs performed worse than those with a similar number of symptoms who didn’t use ADHD medications, The Wall Street Journal reports. Girls taking the medication reported having more emotional problems. The study included almost 4,000 Canadian students, who were followed over an average of 11 years. It was published by the National Bureau of Economic Research, a nonprofit economics research firm. Experts say they are surprised the drugs do not seem to translate into better grades, since they appear to enhance memory. A study published in April in Pharmacology Biochemistry and Behavior found ADHD drugs seem to improve memory in children with the disorder. A study known as MTA examined the long-term effects of ADHD treatment in 579 children, and did not find improvements in educational outcomes six to eight years later. The newspaper notes the findings of these studies suggest medication by itself is not enough to boost academic achievement. A study released in April by The Partnership at Drugfree.org and MetLife Foundation found in 2012, one in eight teens (about 2.7 million) reported having misused or abused Ritalin or Adderall at least once in their lifetime, and 9 percent of teens (about 1.9 million) reported having misused these drugs in the past year.

More Clinics Treating Pregnant Women Addicted to Opioids
A growing number of clinics around the country are treating pregnant women who are addicted to prescription painkillers, according to The Wall Street Journal. They are often associated with university medical centers, and are free for patients. The clinics often provide obstetric care, as well as counseling and addiction treatment. Some provide the opioid addiction treatment buprenorphine to patients. A study published last year in the Journal of the American Medical Association concluded a baby is born in the United States with symptoms of opioid withdrawal every hour. The study found the number of pregnant women who are addicted to opioids, and the number of infants born with opioid withdrawal symptoms, has jumped in the past decade. An estimated 13,500 babies are born with withdrawal symptoms each year in the United States. Many babies who experience these symptoms must be hospitalized for weeks. Babies going through opioid withdrawal can have seizures, dehydration, breathing problems, tremors, difficulty feeding and irritability. Dr. John Thorp, a professor at the University of North Carolina School of Medicine, says many doctors are reluctant to treat pregnant women who are addicted to opioids. They often have complicated personal lives that include histories of abuse and criminal records. Many suffer from anxiety or depression. At the Maternal Addiction and Recovery Center at Marshall University in Huntington, West Virginia, pregnant women are treated with buprenorphine, and must attend weekly group therapy sessions. They also attend monthly individual therapy sessions, as well as Narcotics Anonymous or Alcoholics Anonymous meetings. The clinic has seen some promising results. Fewer babies are being born prematurely, and their average birthweight has risen. About one-fourth of the babies have not needed any treatment for withdrawal. However, more than one-third of the women who signed up for treatment never showed up for their first appointment, and one-fifth of those who were treated had to leave because they repeatedly violated the program’s requirements.

Study Finds Poor and Minority Patients Less Likely to be Prescribed Opioids
Patients in pain who are poor, black, or Hispanic are less likely to be given opioids in the emergency room, compared with wealthier white patients, a new study finds. Researchers from the University of Rochester School of Medicine and Dentistry evaluated data from about 1,400 hospital emergency rooms between 2006 and 2009. During that time, the emergency rooms prescribed opioids to more than 50,000 people who reported being in moderate to severe pain. The study found 46 percent of white patients were given opioids, compared with 39 percent of black patients. In addition, 45 percent of non-Hispanic patients received opioids, compared with 40 percent of Hispanics. The study found 47 percent of patients from the wealthiest neighborhoods received opioids, compared with 41 percent of those from the poorest neighborhoods. The findings are published in the Journal of General Internal Medicine. “The disparities are concerning and definitely warrant further investigation,” lead researcher Dr. Michael Joynt told Reuters. He added that there is probably not “any one single factor” that explains those disparities. In a university news release, the researchers said the results point to a need for a national discussion to increase awareness and to provide consistent and unbiased treatments.

Medical marijuana for kids? Some praise results while others worry about risks
Zaki Jackson was 6 months old when doctors diagnosed him with a form of epilepsy so severe that it sparked as many as 250 seizures a day. For years his mom, Heather Jackson, feared for his life. “He would stop breathing,” she told NBC chief medical editor Dr. Nancy Snyderman. “All the air leaves his lungs and he does not take another breath until that seizure is over.” After 10 years and 17 medications, Zaki wasn’t getting any better. Then, finally, his doctor wrote a prescription for a medication that calmed the electrical storms in Zaki’s brain. The surprise was that it wasn’t for a standard anti-seizure medication -- it was a prescription for marijuana. Rest of this article is here.


N.J.'s Pallone proposes restrictions to thwart prescription drug abuse through Medicare
New Jersey Congressman Frank Pallone, Jr. (D) said Monday he will introduce legislation to address problems of prescription drug abuse among Medicare’s Part D participants. The Centers for Disease Control and Prevention had a new report last week about the "skyrocketing" increase in prescription opioid painkiller abuse and overdose deaths among women, particularly middle-age and older women. But the CDC and the Food and Drug Administration has had several reports in recent years about the increase in misuse of the addictive opioid painkillers. Please click here to read more.


Women Use More Moderate Words to Describe Drunkenness
Women are more likely to describe intoxication with moderate words such as “tipsy” or “buzzed,” while men tend to use harsher words such as “hammered” or “wasted,” according to a new study.  The findings come from a study of 145 college students, who read vignettes that described people who had been drinking, USA Today reports.  “Results supported previous research by showing that moderate intoxication terms such as ‘tipsy’ were applied to female vignette characters more than male characters, even when female characters were heavily intoxicated,” said study author Ash Levitt of the Research Institute on Addictions at the University of Buffalo, State University of New York. “Female participants applied these terms more than male participants.”  He said women may downplay intoxication to fit expectations of how much they should drink. Men may overestimate how much they are expected to drink, and how much their male friends consume. The study is published in Alcoholism: Clinical & Experimental Research. Mark Wood, Professor of Psychology at the University of Rhode Island, who was not involved with the study, told the newspaper women may be at risk of sexual victimization by underestimating how impaired they are from drinking. They also may increase the risk of impaired driving, he added.


Prescription for addiction: State probe finds poor oversight fuels 'epidemic' demand for heroin, painkillers
Corrupt doctors, phony wellness clinics and organized crime groups have exploited an under-regulated health care system to feed a growing epidemic of prescription painkiller and heroin addiction across New Jersey, according to a report released by state investigators Wednesday. From a heroin mill in Cliffside Park and sham medical centers in Passaic and Wallington to gangs in Paterson and addicts in northern Bergen County suburbs, the report by the State Commission of Investigation highlighted North Jersey as a nexus of the regional heroin and opiate painkiller trade. Please continue reading here.

Breaking Down the Myths about Substance Abuse Treatment
The efficacy of substance abuse treatment and the need for treatment is an interesting topic of discussion. Some believe that substance abusers cannot truly recover without treatment, while others feel treatment is unnecessary.  We also see treatment displayed in various ways in the media, adding to the widely-varying perspectives about what it’s all about and what it really looks like. Maybe you or someone you love has made the first step by acknowledging your substance use has gotten out of hand and you are ready to get help.  However, you’ve heard several things about attending treatment, some good and some bad. What’s the truth? It is important to be aware of the common myths about treatment for substance abuse. By becoming aware of the facts, we can make an educated decision regarding the need for treatment and whether it can be beneficial. Rest of this story is here.


To Keep Kids From Drinking Alcohol In Classrooms, Make Sure Students Know Policies Will Be Enforced
Researchers found new ways of getting high school students who drink while in class to stop, and they don't include suspension or expulsion.
With adolescents trying alcohol at younger ages, schools have taken measures to prohibit its consumption, particularly within the school. But school policies will do nothing to curb teenage drinking, unless school's officials are enforcing them, a new study confirmed. "Whatever your school policy is, lax enforcement is related to more drinking," Richard Catalano, a professor of social work at the University of Washington, said. Catalano and his team of researchers looked at enforcement policies among eighth and ninth graders in public and private schools throughout Washington state and Australia's Victoria state. Specifically, they looked at how students' reports on alcohol policies and their drinking habits matched up to self-reported alcohol use in eighth and ninth grade. Researchers found that 44 percent of Victoria eighth graders and 22 percent of Washington eighth graders said they drank alcohol. Binge drinking was also prevalent among many more Victoria students. They found that both adolescents in each state had similar behaviors, even though in Washington — where the legal drinking age is 21 — policies were focused more on a zero-tolerance approach, whereas in Victoria — where the legal drinking age is 18 — policies were more about minimizing harm. The researchers also found that such behaviors were reduced when students thought they would have to undergo counseling by teachers if they were caught drinking, rather than being expelled or suspended. Catalano said the students could be reminded of this in personal messages about abstinence or harm minimization. This tactic is much more positive, since suspension or expulsion can have long-term negative effects. "What we've seen in other studies from this sample is suspension policies actually worsen the behavioral problem," he said. "What that says to me is, although you want policies and you want enforcement of policies, there are other ways of responding than suspension, expulsion, and calling the police." A recent study found that kids and adolescents are trying alcohol at even earlier ages. At eight years old, 37 percent of 452 children studied, had tried alcohol. Up until age 12, most kids were either drinkers or non-drinkers, but from 13 to 18 years old, a third group emerged: the drinkers who experienced drunkenness. At 14 years old, 75 percent of the teens had tried alcohol, 19 percent were drank a significant quantity, and 3 percent had at least three drinks on a single occasion. By 18 years old, 96 percent of the group had tried alcohol and a third of them had alcohol related problems. "Schools should focus on zero-tolerance and abstinence in primary school and early middle school, Catalano said, "but sometime between middle school and high school they have to blend in zero tolerance with minimization. By the time they get into high school, they need new strategies." Underage drinking results in almost 5,000 deaths each year, and may contribute to brain impairment, liver damage, and abnormal growth and hormone production during puberty, according the the National Institutes of Health. Source: Evans-Whipp T, Plenty S, Catalano R, et al. The impact of school alcohol policy on student drinking. Health Education Research. 2013. Donovan J, Molina B. Types of Alcohol Use Experience From Childhood Through Adolescence. Journal of Adolescent Health. 2013.

 College Students Downplay or Underestimate Female Intoxication, Study Says
A new study suggests that college students are more likely to downplay or underestimate intoxication in women than in men. “Our participants were more likely to say that women are only tipsy even when they are actually heavily intoxicated,” Ash Levitt, 32, a research scientist at the Research Institute on Addictions at SUNY Buffalo, who published the study this year, told ABC News. “On the contrary, our participants were able to accurately say how drunk a male was,” Levitt added. Participation in the online survey was open to the entire student body; almost one in three of those who participated were in a fraternity or sorority, and they received  academic credit for participating. So while Levitt’s study is limited, according to the National Institute on Alcohol Abuse and Alcoholism as part of the National Institutes of Health, young adults ages 18 to 24 pose a higher risk for alcohol abuse than older adults. Click here for the rest of this story

.Justice Department Asks For Reduced Sentences for Less Serious Drug Offenders
The Justice Department is asking for changes to sentencing guidelines that would provide reduced or alternative sentences for less serious drug crimes, USA Today reports. The proposal would not lessen penalties for violent and repeat drug offenses. Jonathan Wroblewski, Director of the Justice Department’s policy and legislation office, made the requests in an annual report sent to the U.S. Sentencing Commission, which sets sentencing policies for the federal courts. The Sentencing Commission reviews the policies annually, and considers whether to amend them. “Violent crime in the United States is now near generational lows,” Wroblewski wrote. “At the same time, the U.S. prison population exploded and overall criminal justice spending with it.” Many states have already implemented the types of changes recommended by the Justice Department, in reaction to prison overcrowding and budget cuts. They have implemented shorter sentences for non-violent offenders, and increased efforts to prevent repeat offenses. “These changes have no doubt sprung in part out of budgetary necessity,” Wroblewski stated. “But they have also come from a growing understanding of new research into what works among various approaches to sentencing and corrections.”


Smoking Rate in Teens Declines to New Low
Smoking rates among teens are the lowest they have been since the U.S. government began keeping track, according to a new report. Just 5 percent of high school sophomores said they smoked cigarettes every day in the previous month, compared with 18 percent at one point in the 1990s. The survey also found record-low smoking rates for eighth graders and high school seniors, the Los Angeles Times reports. The findings come from the Federal Interagency Forum on Child and Family Statistics, which is releasing a new report on the well-being of American children. American children are less likely than in previous years to be exposed to secondhand smoke, according to the report. Danny McGoldrick, Vice President for Research for the advocacy group Campaign for Tobacco-Free Kids, told the newspaper that tobacco taxes, laws limiting where people can smoke and smoking prevention programs, have contributed to the decline in teen smoking rates. He noted the reduction in teen smoking rates has slowed recently. “We need to invest in more of what has worked in the past to accelerate these declines,” he said. Binge drinking among high school seniors is on the rise, the report found. In 2012, almost one-quarter of high school seniors said they engaged in binge drinking in the previous two weeks, a slight increase from the previous year.


Breathalyzers of the Future Today
A quantified intoxicated self in the era of the social Web. Even though it was invented in 1953, the breathalyzer still seems like something out of science fiction. Think about it: A stranger can appear at any point during an evening, have you blow into an electronic wand, and then can tell you exactly how much you've had to drink.  In the years since his passing, though, technology has advanced by degrees. From analyzers that fit on a keychain, to "stylish" inserts powered by smartphones, to those that detect other drugs, the concept has seen more than a few changes. Please click here to read more.