Pubdate: Fri, 06 Jun 2003 Source: Cranbury Press (NJ) Copyright: Packet Online 2003 Contact: http://www.cranburypress.com/ Details: http://www.mapinc.org/media/2181 Author: Judy Shepps Battle TRUST KEY TO FIGHTING SUBSTANCE ABUSE Expensive Testing Will Not Uncover the Reasons For Drug Use A recent report in The Wall Street Journal indicates that more and more parents are purchasing home-testing drug kits to learn whether their kids are using drugs such as marijuana, cocaine and opiates. The maker of one brand, At Home, reports sales 60 percent higher than last year. Arizona's Department of Public Safety currently is distributing 30,000 alcohol drug-test strips to high school students. The message attached to these strips is direct: "Don't let your friend be dead wrong. Test your friend before it's too late." Supreme Court Justice Stephen Breyer recently told a group of students that school drug testing is an effective means of preventing young children from trying drugs. He was explaining last year's Supreme Court decision that allows schools to conduct random drug tests on students who take part in extracurricular sports activities. But testing may not be a cost efficient or effective approach to preventing alcohol and other drug use by our nation's youth. The True Cost Testing for the presence of drugs is not cheap. According to industry estimates, revenue from home-testing drug kits alone is $10 million to $12 million a year. The collective cost to school districts across the nation for drug-screening must be enormous. But regardless of the cost, test findings may not be accurate. A range of error exists in all testing; false positives and false negatives both can occur. That means youth who use drugs may not be detected and those not under the influence may be incorrectly identified. Just as important, the very act of testing may undermine the trust between parent and child, or teacher/coach and student. Finally, there is little proof that drug testing is an effective prevention tool. Identifying Individual Causes A recent national study of 76,000 students reported that school drug-testing does not discourage students from using drugs. The article, published in the April issue of the "Journal of School Health," concluded that drug use was just as prevalent in schools with drug-screening programs as those without testing procedures. According to the study, 37 percent of 12th-graders in schools that tested for drugs said they had smoked marijuana in the past year, compared with 35 percent in schools with no screening. Similar results were found for cocaine, heroin, and other illegal drugs on all grade levels. Perhaps the reason that drug testing is so ineffective is because, even when accurate, it simply confirms the symptom but doesn't identify the individual causes of underage alcohol and drug use. And without an identified cause, there can be no effective treatment. Everyone Isn't the Same Adolescents use alcohol and other drugs for various reasons. Some use these substances only in a social context, as part of peer-group acceptance and as a rite of passage toward adulthood. They responsibly designate sober drivers, stay out of risky sexual situations and don't commit criminal acts while under the influence. The lure of experimenting with illegal substances generally subsides once they reach their early 20s. Other adolescents use alcohol and other drugs to medicate deep emotional pain. They consume to excess, both socially and alone, engage in risky sexual acts, drive while under the influence, and may deal drugs or engage in other criminal acts. Without appropriate psychological help they may not "mature out" of their problematic relationship with illegal substances; they may become alcoholics or drug addicts. Unfortunately, we, as adults, may not be able to tell the difference between social alcohol and drug users, and self-medicating abusers. And drug testing does not help us make this important distinction. Trust is the Test It is only by learning skills of actively listening that an adult can begin to understand what function alcohol and drug use serves for an individual teen. Conversations with teens must involve mutual trust and a nonjudgmental atmosphere. For parents, the groundwork begins long before a child takes his or her first drink or drug. It starts with designating a regular and quiet time for talking and sharing feelings, one in which the TV, phone and computer are turned off, and in which all family members participate. No questions are off-limits and promises made by adult or child are held accountable. It continues by setting boundaries and limits for pre-adolescents and carrying through with announced consequences when rules are broken. It means talking about being mad, sad, glad and other basic feelings, even when the parent-child relationship is sorely strained. And it means that these conversations and special family times continue to and through the turbulent teen years. Finally, it means a parent must have the humility to seek professional help - -- for self, child or the entire family -- when emotional problems do not resolve easily; when depression lingers or manic behavior dominates; when the family goes through times of extreme stress, such as unemployment, divorce or death. Developing New Strategies My suggestion is that we take the billions of dollars spent on drug testing and invest in teaching families the basics of communication during the preschool years, with remedial workshops during elementary and secondary school. Parents, educators and other community members would sit down and develop strategies for their local community, and then pursue grant funding to make such models a reality. It is not an easy process, but it is the true test of how much we care about our kids. - --- MAP posted-by: Alex