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Presentation for Office of First Year Experience conference on April 2nd, 2014 on stimulant misuse in college



2. AGENDA CRASH COURSE Terminology Prevalence and Motives Implications OASIS Questions 3. CRASH COURSE They arent new. Historically, stimulants have treated asthma and other respiratory conditions, obesity, narcolepsy and a variety of other ailments Big picture. Pharmaceutical and technological advancements, quick fix culture and staunch competition in higher education are some factors to consider Healthcare problem vs. bad students There has been a 5,000% increase in stimulant prescriptions since 1991. In 2011, there was an Adderall shortage. Prescriptions were being written faster than the drug was produced. (National Institute on Drug Abuse, 2013) 4. OVERVIEW TERMINOLOGY Terms frequently used: Nonmedical use Non-prescribed or other-than-prescribed use Misuse or abuse Intention 1) Is it your prescription? 2) Are you taking the medication for the intended purpose, or something else? (I take it to study can mean different things) 3) Are you taking it as prescribed? (higher dosage, etc.) Opioids, sedatives and stimulants are the top 3 most misused prescription drugs on the IUB campus. 5. FIRST-YEAR STUDENT DATA Required pre-matriculation course in alcohol, drug and sexual violence prevention (holds placed for failing to complete) Replaced AlcoholEDU in 2013 Personal feedback, safety planning, bystander intervention July 1, 2013-April, 2014 8716 Student Completions 6. FIRST-YEAR STUDENT DATA 7. PREVALENCE STIMULANT USE AT IUB 2012-2013 Past 6 months Males 1 in 5 (20%) Females 1 in 9 (11%) Past Month Males 1 in 9 (11%) Females 1 in 15 (7%) OTC 16.5 Rx Drugs 17.4 Indiana Collegiate Substance Use Survey (ICSUS), 2013 8. PREVALENCE CONSEQUENCES (TOP 5) 38.2% Used more than one drug at a time 35.4% Driven a car 29.0% Felt bad or guilty after 19.6% Missed class or assignment 12.7% Family or friends complain Indiana Collegiate Substance Use Survey (ICSUS), 2013 9. STUDENTS BELIEVE My peers would ? of trying amphetamines once or twice Strongly Approve 14.5% Strongly Disapprove 15% My peers would ? of taking amphetamines regularly Strongly Approve 4.7% Strongly Disapprove 32.6% Indiana Collegiate Substance Use Survey (ICSUS), 2013 10. MOTIVES Functional Recreational 11. IMPLICATIONS THE 5 DS OF DRUG ABUSE Disruption- Academic, relationship and/or financial Damage- injury, vandalism, property destruction, reputation, violence (physical and sexual) Disability- any long-term injury or condition due to intoxication or drug use Disorder- lifestyle chaos, mental health conditions Premature Death- caused by excessive use of substances, overdose, suicide, accidents 12. ACADEMIC IMPLICATIONS PROS Quick-acting and time- release versions Alertness, focus, concentration, recall CONS Cardiovascular concerns Withdrawal with chronic use Mental Health dysfunction 13. LEGAL IMPLICATIONS Stimulant medications are Schedule II Controlled Substances under Indiana Law Possession of any non-prescribed schedule II substance is a Class D Felony Selling to a friend is a Class B Felony. Selling to a minor, selling within 1,000 feet of school property, selling on a school bus is a Class A Felony Giving away or sharing Adderall is a Class B Felony 14. HEALTH IMPLICATIONS Consuming drugs with an antagonistic interaction puts the central nervous system in a physiological tug of war. Cross-tolerance can lead to a potentially lethal situation due to the lack of an operative warning system. Additionally, if one drug leaves the system more quickly than the other, a person may be left with a lethal dose of one of the drugs in his/her system. i.e. Cocaine + Alcohol Adderall+ Alcohol 15. CAREER AND FINANCIAL AID IMPLICATIONS Under federal law (Section 3002 of 50 U.S.C. 435b), current or recent drug use prohibits federal employees from obtaining security clearance Federal Financial Aid Higher Education Act of 1965 (amended) suspends federal financial aid eligibility for students convicted of the sale or possession of drugs under federal or state law (with stipulations) The U.S. Department of Education requires students receiving financial aid convicted of a drug crime to notify their school's financial aid office immediately The suspension of eligibility for Federal financial aid begins on the date of the conviction and ends as follows: - for Possession of a Controlled Substance 1st offense: 1 year - for Possession of a Controlled Substance 2nd offense: 2 years - for Possession of a Controlled Substance 3rd offense: Indefinite - for Sale of a C.S. 1st Offense or 2nd Offense: 2 years - for Sale of a C.S. 3rd Offense: Indefinite 16. OASIS MISSION OASIS is the campus hub for alcohol and drug prevention education and intervention. To reduce the harm created by the presence and use of alcohol and other drugs on our campus, we provide education, brief intervention, programming, and support to students and staff on the IU- Bloomington campus. OASIS@INDIANA.EDU 17. Prevention & Intervention MyStudentBody Alcohol and Drug Workgroup (RPS) Culture of Care & Step Up! IU CLEAR Programming and Presentations Trainings The Journey Program: Screening Brief Intervention (counseling) Referral Support Graduate Internships Program Evaluation and Research 18. QUESTIONS?