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Please keep in mind your intention for attempting to find out if someone is doing alcohol and/or drugs- To Identify and Help rather than Catch and Punish. General: General and specific guides to detection of alcohol and drug use, and definition of addiction. Contents:I. General Guide to Detection II. Definition of Addiction III. Pupil Dilation IV. Signs and Symptoms V. Paraphernalia a) S/S Chart Version VI. Drug Facts VII. Articles and Other Resources VIII. Drug Pictures/Resources IX. Topics X. Additional Articles (Alcoholism, Drugs, Teenage Addiction, Interventions) XI. Overdose and Emergency Intervention Techniques I. Specific: General Guide to Detection Abrupt changes in work or school attendance, quality of work, work output, grades, discipline. Unusual flare-ups or outbreaks of temper. Withdrawal from responsibility. General changes in overall attitude. Deterioration of physical aspect and grooming. Wearing of sunglasses at undesirable times. Continual wearing of long-sleeved garments particularly in hot weather or reluctance to wear short sleeved attire when appropriate. Association with known substance abusers. Unusual borrowing of cash from friends, co-workers or parents. Stealing little items from employer, home or school. Secretive conduct with regards to actions and possessions; poorly concealed attempts to stay clear from attention and suspicion such as ordinary trips to storage rooms, restroom, basement, etc. II. Specific: DSM-IV Definition of Addiction A maladaptive pattern of substance use, leading to clinically substantial disablement or distress, as manifested by three (or more) of the following, occurring at any time in the same 12-month period: (1) Tolerance, as specified by either of the following: a. A need for markedly increased amounts of the substance to achieve intoxication or desired effect. b. Markedly diminished effect with continued use of the same amount of the substance. (2) Withdrawal, as manifested by either of the following: a. The characteristic withdrawal syndrome for the substance b. The same (or a closely related) substance is taken to relieve or refrain from withdrawal symptoms. ( 3) The substance is oftentimes taken in more spectacular amounts or over a longer amount of time than was intended (loss of control). (4) There is a persistent desire or not successful attempts to cut down or control substance use (loss of control). ( 5) A outstanding deal of time is expended on actions necessary to obtain the substance, use the substance, or recover from it is effects (preoccupation). (6) Important social, occupational, or recreational activenesses are given up or scaled down because of substance use (continuation in spite of averse consequences). (7) The substance use is continued in spite of cognition of having a persistent or recurrent physical or psychological problem that is likely to have been caused or exacerbated by the substance (adverse consequences). III. Specific: Pupil Dilation Before you do anything, consider this. There are two trains of thought prior to detection and intervention. One thought is to catch and punish, and the other is to distinguish and help- do not forget why you are doing this, and the intervention will turn out much better. Note: A 6mm, 7mm, or 8mm pupil size could indicate that a person is beneath the influence of cocaine, crack, and meth, hallucinogens, crystal, ecstasy, or other stimulant. A 1mm or 2mm pupil size could indicate a person underneath the influence of heroin, opiates, or other depressant. A pupil close to pinpoint could indicate use. A pupil totally dilated could indicate use. Blown out wide pupils are indicatory of crack, methamphetamine, cocaine, and stimulant use. Pinpoint pupils are indicatory of heroin, opiate, depressant use. Other causes of pupil dilation IV. Specific: Signs and Symptoms Alcohol: Odor on the breath. Intoxication. Difficulty focusing: glazed aspect of the eyes. Uncharacteristically passive behavior; or combative and argumentative behavior. Gradual (or sudden in adolescents) deterioration in personal aspect and hygiene. Gradual development of dysfunction, peculiarly in occupation performance or schoolwork. Absenteeism (particularly on Monday). Unexplained bruises and accidents. Irritability. Flushed skin. Loss of memory (blackouts). Availability and consumption of alcohol becomes the focus of social or professional activities. Changes in peer-group associations and friendships. Impaired interpersonal relationships (troubled marriage, unexplainable termination of deep relationships, alienation from close family members). Marijuana/Pot: Rapid, piercing talking and bursts of laughter linearly stages of intoxication. Sleepy or stupor in the later stages. Forgetfulness in conversation. Inflammation in whites of eyes; pupils improbable to be dilated. Odor similar to burnt rope on costume or breath. Tendency to drive tardily – beneath speed limit. Distorted sense of time passage – tendency to overestimate time intervals. Use or possession of paraphernalia including roach clip, packs of rolling papers, pipes or bongs. Marijuana users are difficult to recognize unless they are under the influence of the drug at the time of observation. Casual users may show none of the popular symptoms. Marijuana does have a distinct odor and may be the same color or a bit greener than tobacco. Cocaine/Crack/Methamphetamines/Stimulants: Extremely dilated pupils. Dry mouth and nose, bad breath, general lip licking. Excessive activity, difficultness sitting still, lack of interest in feed or sleep. Irritable, argumentative, nervous. Talkative, but speech often times lacks continuity; changes subjects rapidly. Runny nose, cold or chronic sinus/nasal problems, nose bleeds. Use or possession of paraphernalia including little spoons, razor blades, mirror, little bottles of white powder and plastic, glass or metal straws. Depressants: Symptoms of alcohol intoxication with no alcohol odor on breath (remember that depressants are oftentimes applied with alcohol). Lack of facial expression or animation. Flat affect. Flaccid appearance. Slurred speech. Note: There are few readily apparent symptoms. Abuse may be conveyed by activenesses such as general visits to dissimilar physicians for prescriptions to treat” nervousness”, “anxiety”,” stress”, etc. Narcotics/Prescription Drugs/Opium/Heroin/Codeine/Oxycontin: Lethargy, drowsiness. Constricted pupils fail to respond to light. Redness and raw nostrils from inhaling heroin in power form. Scars (tracks) on inner arms or other elements of body, from needle injections. Use or possession of paraphernalia, including syringes, bent spoons, bottle caps, eyedroppers, rubber tubing, cotton and needles. Slurred speech. While there may be no readily apparent sensations or changes of analgesic abuse, it may be indicated by frequent visits to dissimilar physicians or dentists for prescriptions to treat pain of non-specific origin. In cases where patient has chronic pain and abuse of medication is suspected, it may be indicated by amounts and frequency taken. Inhalants: Substance odor on breath and clothes. Runny nose. Watering eyes. Drowsiness or unconsciousness. Poor muscle control. Prefers group action to being alone. Presence of bags or rags containing arid plastic cement or other solvent at home, in locker at school or at work. Discarded whipped cream, spray paint or similar chargers (users of nitrous oxide). Small bottles labeled” incense” (users of butyl nitrite). Solvents, Aerosols, Glue, Petrol: Nitrous Oxide – laughing gas, whippits, nitrous. Amyl Nitrate – snappers, poppers, pearlers, rushamie, .Butyl Nitrate – locker room, bolt, bullet, rush, climax, red gold. Slurred speech, impaired coordination, nausea, vomiting, slowed breathing. Brain damage, pains in the chest, muscles, joints, heart trouble, severe depression, fatigue, loss of appetite, bronchial spasm, sores on nose or mouth, nosebleeds, diarrhea, bizarre or reckless behavior, sudden death, suffocation. LSD/Hallucinogens: Extremely dilated pupils, (see note below). Warm skin, exuberant perspiration and body odor. Distorted sense of sight, hearing, touches; distorted effigy of self and time perception. Mood and conduct changes, the extent depending on aroused state of the user and environmental conditions Unpredictable flashback sequences even long after withdrawal (although these are rare). Hallucinogenic drugs, which occur both naturally and in synthetic form, distort or disturb sensory input, from time to time to a great degree. Hallucinogens take place naturally in principally two forms, (peyote) cactus and psilocybin mushrooms. Several chemical varieties have been synthesized, most notably, MDA , STP, and PCP. Hallucinogen usage reached a peaking the United States in the late 1960′s, but declined shortly thereafter due to a broader cognizance of the detrimental effects of usage. However, a disturbing trend indicating resurgence in hallucinogen usage by high school and college age persons nationwide has been acknowledged by law enforcement. With the exception of PCP, all hallucinogens seem to portion mutual effects of use. Any portion of sensory perceptions may be modified to varying degrees. Synesthesia, or the “seeing” of sounds, and the “hearing” of colors, is a mutual side effect of hallucinogen use. Depersonalization, acute anxiety, and acute depression resulting in suicide have likewise been noted as a result of hallucinogen use. Note: there are a great deal of forms of hallucinogens that are considered downers and constrict pupil diameters. PCP: Unpredictable behavior; mood may swing from passiveness to violence for no evident reason. Symptoms of intoxication. Disorientation; agitation and violence if exposed to exuberant sensory stimulation. Fear, terror. Rigid muscles. Strange gait. Deadened sensory sensing (may experience severe injuries while appearing not to notice). Pupils may appear dilated. Mask like facial appearance. Floating pupils, appear to follow a moving object. Comatose (unresponsive) if big amount consumed. Eyes may be open or closed. Ecstasy: Confusion, depression, headaches, dizziness (from hangover/after effects), muscle tension, panic attacks, paranoia, possession of pacifiers (used to stop jaw clenching), lollipops, candy necklaces, mentholated vapor rub, severe anxiety, sore jaw (from clenching teeth after effects), vomiting or nausea (from hangover/after effects) Signs that your teen could be high on Ecstasy: Blurred vision, rapid eye movement, pupil dilation, chills or sweating, high body temperature, sweating profusely, dehydrated, confusion, faintness, paranoia or severe anxiety, trance-like state, transfixed on web sites and sounds, unconscious clenching of the jaw, grinding teeth, very affectionate. V. DRUG SIGNS & SYMPTOMS Stimulants (Cocaine, Ecstasy, Meth., Crystal) Depressants (Heroin, Marijuana, Downers) Hallucinogens (LSD) Narcotics (Rx. Medications) Inhalants (Paint, Gasoline, White Out) PCP Alcohol Note: Paraphernalia- Keep in mind, that you may not find drugs, if you are searching for them, but you may normally find the paraphernalia affiliated with use. VI. Specific: Drug Facts Includes identifiers, definitions, language of users and dealers. Drug Terms Slang and Street Terms VII. Specific: Articles and Other Resources This the further and added selective information for brain alchemy and the drug user) VIII. Specific: Drug Pictures/Resources from the DEA CHEMICAL CONTROL INTRODUCTION TO DRUG CLASSES NARCOTICS Narcotics of Natural Origin Opium, Morphine, Codeine, Thebaine Semi-Synthetic Narcotics Heroin Hydromorphone Oxycodone Hydrododone Synthetic Narcotics Meperidine Narcotics Treatment Drugs Methadone Dextroproxyphene Fentanyl Pentazocine Butorphanol DEPRESSANTS Barbiturates Controlled Substances Uses and Effects (Chart) Benzodiazepines Gamma Hydroxybutric AcidParaldehyde, Chloral HydrateGlutethimide 7 MethaqualoneMeprobamate Newly Marketed Drugs STIMULANTS Cocaine Amphetamines Methcathinone, Methylphenidate ANORECTIC DRUGS hat CANNABIS Marijuana Hashish Hashish Oil HALLUCINOGENS LSD Psilocybin & Psiocyn and Other Tryptamines Peyote & Mescaline MDMA (Ecstasy) & Other Phenethylamines Phencyclidine (PCP) & Related Drugs Ketamine STEROIDS INHALANTS IX. Specific: NICD Topics Do you have questions relating to addiction /addictions / substance abuse? Contact us…Health Info and Videos Medical issues altered weekly. Family Resources for the family, intervention information, support, and counseling. Medical information, doctor and specialists directory, terminology and dictionary of terms. Treatment. The Villa at Scottsdale- Providing a full continuum of care for the treatment of alcoholism and drug addiction. Alcohol and Drug Addiction Survival Kit General: A series, for the individual, family, friends, employers, educators, professionals, etc. on prevention, intervention, treatment, recovery, relapse prevention, support, and other issues relating to alcoholism and drug addiction. 1. Prevention- Includes tips on how to talk to your kids regarding alcohol, tobacco, and drugs. 2. Detection of Signs and Symptoms- A guide to detection of alcohol and respective drug usage. 3. Definition of Addiction- A DSM-IV definition of incisively what constitutes alcoholism and drug addiction. 4. Intervention- Interventions may and do work. We will show you how to do it effectively. 5. Treatment & Housing- A treatment center and halfway house locator. 6. Support- Some guides to how to support somebody while they are in treatment. 7. After Care- What to do prior to and after release from treatment. 8. Recovery / Relapse Prevention- Addiction may surface again, in the form of relapse. 9. Other Issues- Issues to think in regards to regarding those affected by substance abuse, as well as those around them. 10. References- A list of those who contributed to this series of articles. Articles Medical Today Dr. William Gallagher takes us through his use of DNFT with his patients. Psychotherapy Today Psychologist Jim Maclaine keeps us up to date with his articles of insight, therapy, and healing. Counseling Today Therapist Thom Rutledge gives a originative approach to dealing with life on life’s terms thru his distinguishable counseling sessions. Big Book Bytes Author Shelly Marshall shares by way of the Big Book on issues of concern to those in recovery. All pages are set-up to copy, for use by counselors, professionals, sponsors, and others. Recovery Today Interviews of humans in recovery, with regards to alcoholism, drug abuse, addictions, recovery, sobriety, spirituality, wisdom, experience, strength, and hope. Tune in per month for new articles! A.A. History Author Dick B. will take you back to a time when the recovery rates were as high as 93%. Journaling Today A series of informative articles by Author Doreene Clementon how, why, and what to write about. Spirituality Today Author Carol Tuttle takes us to new heights on our spiritual journey. Articles of God and Faith Features 100′s of topics relating to God, faith, spirituality, and more. Life Today Everyday life experiences from humans all over the world. Life, Addictions, Recovery, Hope, Inspiration, Wisdom, Advice, and so much more. Tune in on a regular basis to see what others have and are going through. Find hope from the experiences of others. Steps Today Recovery Peer and Advisory Board Member Dean G. gives originative approach to dealing with life on life’s terms by way of his distinctive recovery sessions. Step Work / Relapse Prevention This service is designed to help with step work, with quotes and pages from the Big Book, with forms ready to copy and utilize. There is a division devoted to relapse preventative action as well. X. Specific: Additional Articles Health and Medical News, videos, text from the world of medicine, health, and medical. Ecstasy information. How Do I Talk With My Kids About Alcohol? How Do I talk to my kids regarding drugs? How Do I talk with my teenager in regards to drugs and alcohol? What does a crack pipe look like? Family assistance for substance abuse. Addiction treatment for my teenager. Overdose or OD Information XI. Specific: Overdose & Emergency Intervention Techniques Drug Overdose- Drug overdoses may be accidental or on purpose. The amount of a drug necessitated to cause an overdose varies with the type of drug and the person taking it. Overdoses from prescription or over-the-counter (OTC) medicines, “street” drugs, and/or alcohol may be life threatening. Know, too, that mixing sure medications or “street” drugs with alcohol may likewise kill. Physical sensations or changes of a drug overdose vary with the type of drug(s) taken. They include: Abnormal breathing Slurred speech Lack of coordination Slow or rapid pulse Low or elevated body temperature Enlarged or little eye pupils Reddish face Heavy sweating Drowsiness Violent outbursts Delusions and/or hallucinations Unconsciousness which may lead to coma (Note: A diabetic who takes insulin may show galore of the above sensations or changes if he or she is having an insulin reaction.) Parents need to watch for signs of illegal drug and alcohol use in their children. Morning hangovers, the odor of alcohol, and red streaks in the whites of the eyes are apparent signs of alcohol use. Items such as pipes, rolling papers, eye droppers and butane lighters may be the basi telling clues that somebody is abusing drugs. Another clue is conduct changes such as: Lack of appetite Insomnia Hostility Mental confusedness Depression Mood swings Secretive conduct Social isolation Deep sleep Hallucinations. Prevention- Accidental prescription and over-the-counter medication overdoses may be prevented by asking your doctor or pharmacist: What is the medication and why is it being prescribed? How and when must the medication be taken and for how long? (Follow the instructions incisively as given.) Can the medication be taken with other medicines or alcohol or not? Are there any foods to keep away from while taking this medication? What are the possible side effects? What are the sensations or changes of an overdose and what will have to be done if it occurs? Should any activenesses be fended off such as sitting in the sun, operating heavy machinery, driving? Should the medicine still be taken if there is a pre-existing medical condition? To keep out of the way of medication overdoses: Never take a medicine prescribed for someone else. Never give or take medication in the dark. Before each dose, always read the label on the bottle to be sure it is the rectify medication. Always tell the doctor of any former side effects or averse reactions to medication as well as new and strange sensations or changes that take place after taking the medicine. Always store medications in bottles with childproof lids and place those bottles on high shelves, out of a child’s reach, or in locked cabinets. Take the prescribed dose, not more. Keep medications in their introductory containers to admonish illicit drug use among children: Set a good example for your children by not using drugs yourself. Teach your child to say “NO” to drugs and alcohol. Explain the dangers of drug use, including the danger of AIDS. Get to know your children’s friends and their parents. Know where your children are and whom they are with. Listen to your children and support them to express their sensations and fears. Encourage your children to engage in healthful activenesses such as sports, scouting, community-based youth programs and volunteer work. Learn to recognize the signs of drug and alcohol abuse. Questions to Ask: Is the person not breathing and has no pulse? FIRST AID Perform Cyprinids the person not breathing, but has a pulse? FIRST AID Perform Rescue Breathing AND is the person unconscious? FIRST AID lay the victim down on his or her left side and check airway, breathing and pulse ofttimes before emergency care. Do CPR or Rescue Breathing as needed. ANDdoes the person have any of these signs? Hallucinations Confusion Convulsions Breathing slow and shoal and/or slurring their words Do you suspect the person has taken an overdose of drugs? FIRST AID Call Poison Control Center. Follow the Poison Control Center’s instructions. Approach the victim calmly and carefully. Walk the person around to keep him or her awake and to support the syrup of ipecac work faster, if you were told to give this to the victim. Also, see “Poisoning”. AND is the person’s personality all of a sudden hostile, violent and aggressive? FIRST AID Use caution. Protect yourself. Do not turn your back to the victim or move all of a sudden in front of him or her. If you can, see that the victim does not hurt you, himself or herself. Remember, the victim is under the influence of a drug. Call the police to aid you if you can not handle the situation. Leave and find a safe place to stay until the police arrive. AND Have you or an individual else without intention taken more than the prescribed dose of a prescription or over-the-counter medication? DO NOT carry out any technique unless it is a matter of life and death! If you are unsure of what you are doing, please follow the instructions given by a 911 operator. Note: If doctor is not available, call Poison Control Center. Follow instructions given.
34 of 36 people found the following review helpful. Edwidge Danticat has written an exceptional and beautifully crafted novel about a young Haitian girl and the family of women that surround her. A somber, spiritual story told with a feverish tenacity that will bewitch you and leave you aching for more from this talented and gifted writer.
After twelve years of being raised in Haiti by her aunt Atie, young Sophie Caco has been summoned by her mother to join her in New York. Sophie is terrified and does not want to go, especially since she does not remember her mother, who left Haiti when Sophie was just a baby. What follows is a painful rendering of horrifying secrets and Haitian tradition that deeply affects Sophie and the way she lives her life. Finally, frantic for justification and healing, Sophie turns to her homeland for the answers and refuge she so desperately needs.
The flow of the writing is smooth and lyrical, like music that rolls off the tongue. There is just enough description to make vivid pictures, but not too much to overwhelm. I do find it lacking in the development of the relationship between Sophie and her mother, although not enough to interrupt the beauty and quality of the story. Readers will be awed at the strong determination of the Caco women and the unbreakable bonds that hold them together. A very poetic and powerful novel that mixes a family, their culture, and a country in the midst of political upheaval. Breath, Eyes, Memory is extraordinary. 24 of 25 people found the following review helpful. 13 of 13 people found the following review helpful. The only flaw I can find in this book is that more character development was needed. I wanted to learn more about the aunt that raised her and the relationship between Sophie and her mother was never fully examined.
The writing however was beautiful and I enjoyed that aspect of it immensely. Danticat makes each of us realize that family can give us much strength but we need to make the change within ourself in order to become a stronger person. Sometimes a cycle within a family needs to be broken. Thankfully Sophie realizes this power and seizes it.
Definitely a novel worth the read. Breath Eyes Memory Picture Breath Eyes Memory Image Breath Eyes Memory Image Breath Eyes Memory Picture Breath Eyes Memory Photo Breath Eyes Memory Image |
Haunting look into another culture
The Haitian Experience
