Pubdate: Sun, 12 Nov 2006 Source: News-Times, The (Danbury, CT) Copyright: 2006 The News-Times Contact: http://www.newstimes.com/ Details: http://www.mapinc.org/media/637 Author: Eileen FitzGerald, The News-Times DRUG WARNINGS IN THE CLASSROOM Some Educators Advocate Teaching About Drugs in The Schools Chronic use of high-inducing inhalants damages the protective sheath around certain nerve fibers in the brain, which is clinically similar to multiple sclerosis. A teen who binge drinks can decrease his or her respiration, which can lead to death from failure to breathe. Someone using cocaine can reduce the reabsorption process of dopamine, which causes continuous stimulation of receiving neurons and can result in a range of effects from increased heart rate to disturbances in heart rhythm, strokes, and seizures. Research on Ecstasy links it to long-term damage to neurons involved in mood, thinking, and judgment. A study of nonhuman primates showed that use for only four days caused damage to serotonin nerve terminals that was evident six to seven years later. If students study the physiological effects of drugs and alcohol in their chemistry, biology and anatomy classes, especially how substances act upon the central nervous system, then would it change a student's mind about trying the substances? What started as a science department meeting at Immaculate High School in Danbury last week was transformed into a regional conversation when 45 educators and medical and substance abuse experts from throughout western Connecticut showed up. It underscores the urgency to find new ways to teach young people about substance abuse at a time when other methods aren't working well. "I feel strongly that this should be a non-judgmental part of the class. It should be part of the standardized curriculum so when the opportunity to use or not use arises they will know the effect of the drugs rather than 'just say no' as Nancy Reagan used to promote," said Dr. Henry Blandsfield, a retired surgeon and internist in Danbury who has been a leading voice in the city on addiction medicine. Blandsfield approached Immaculate High School officials about incorporating science-based material on how drugs affect the body within the academic environment so students would know the material well enough to be tested on it. "The idea is to shift drug education from the sidelines and give it more integrity by integrating it into the curriculum," said Richard Stoops, principal of Immaculate High School in Danbury, who organized the conversation Tuesday. "It makes kids more academically responsible for learning the material." It is unrealistic to think that teens do not try drugs. Nearly one in four has tried marijuana, a survey last year showed. Twenty-three percent of high school students in Connecticut and 20 percent nationally used marijuana in the past 30 days, according to survey conducted in the spring of 2005 by the Connecticut departments of education and public health. Forty-five percent of Connecticut students and 43 percent nationally drank alcohol during the past 30 days. The National Institute on Drug Abuse reports some positive trends in 2005, such as a decrease in drug abuse from the peak years of the mid-1990s, as well as negative trends such as an increase in the abuse of prescription drugs and inhalants and less fear among young people about the effects of marijuana and Ecstasy. Charles Herrick, medical director of inpatient psychiatry and crisis intervention at Danbury Hospital, agreed that there's a clear benefit for students to understand the science of drugs better, but its affect on the use of drugs is more complex. "Their study can help them retain the science better but what impact will it have on stopping the use of drugs and alcohol?" Herrick asked. "It makes the assumption that better knowledge will lead to better judgments." Herrick wants more attention paid to the influence peers have on a student's decision to use substances. He urges parents and educators to monitor young people's use of the Internet and cell phones to keep track of the influences on their children and thinks any new approach to drug education must do a better job of finding peer leaders who model healthier behavior. "We need to identify leaders among the peers to help modify behavior," Herrick said. "I believe it's not just providing drug education but influencing their friends and enlisting support from peers." One highly popular method of drug education used since 1983 hasn't worked, according to research. In 1983, the Los Angeles Police Department created a hour-long class held weekly for 17 weeks for fifth- and sixth-graders called DARE, which stands for Drug Abuse Resistance Education. The course covered drug use and misuse, consequences of behavior, resisting peer pressure, ways to say no, increasing self-esteem, media images of drug use, positive role models, and support systems. Many police departments across the country adopted the program and received federal money for it. The General Accounting Office of the federal government reviewed the program in 2003 and "found no significant differences in illicit drug use between students who received DARE in the fifth or sixth grade (the intervention group) and students who did not. The evaluations suggested that DARE had no statistically significant long-term effect on preventing illicit drug use among youth. In fact, because the federal government requires curriculum that relies on evidence-based, proven research, it no longer pays for DARE programs, said Scott Newgass, consultant for the state Department of Education for safe schools. Newgass said he would support the drug education program under discussion. "The strategy is a solid one. Anything that is done to prevent drug abuse is a good thing to do," Newgass said. "The issue with teenagers is that they are not looking that far ahead. They're not likely to be looking at long-term consequences." And, he said, no matter how intensive the drug education program is, a community must do more. "Drugs are symptomatic of other problems. If you take away drugs, you have to provide alternative activities," Newgass said. "We really want to provide other activities that are safe and stimulating and productive and pro-social." Liz Jorgensen, an adolescent psychotherapist in Ridgefield for 22 years, has used a program from the National institute of Drug Abuse in presentations to teenagers that shows how the teenage brain develops and the effects of drug use on the brain. "I've found that the more dangerous a kid thinks a drug is, they either won't try it or will wait longer," she said. Jorgensen said students just can't hear the facts, they must believe them. The problem with DARE was that students heard a very black and white message about drugs being bad in fifth grade but when they reached high school, they saw some kids who used drugs didn't have those bad effects necessarily. "The message didn't fit their experience," she said. Jorgensen agreed that integrating drug education into science curriculum was a good idea. "Any curriculum that makes kids understand accurately how dangerous drug use is can be effective," she said. "Prevention models call for many messages from many messengers." Dr. Peter Rostenberg, a New Fairfield internist who specializes in addiction medicine, said schools can be one place for early intervention but no matter what, If the substance abuser feels the system really cares for them they will do better. "The principle in law, medicine and human nature is if we create intervention at the earliest possible time we will get the best results," he said. But, drug education is only one part of it. Society sends students messages that can't be overlooked. Rostenberg said that up to 5,000 young people die from alcohol-related injuries each year and they are all preventable deaths, but society tolerates a certain number of deaths to be able to continue its practices. Newgass said society sends students mixed messages, like all the ads for over-the-counter medications to solve every ailment. "The culture communicates a sense that substances that alter your functioning can be useful," he said. Joe Sullivan, director of the Midwestern Connecticut Council on Alcoholism, said that in the past 10 years there has been a lot more understanding on the effects of drugs on the central nervous system and agreed that students could benefit from that information. Still, Frances Evans, coordinator of health and physical education for Danbury public schools, said information is only one aspect of drug education. "We can only get them a certain amount of information and then must lead them forward," she said. Her school district uses national drug education programs for sixth and ninth grades that include simulation of drunk behavior, the chemical response in the brain of pleasure receptors and family tendencies for abuse. In addition, the school's peer leadership class has seniors teach freshmen classes on a variety of topics including drug use. Immaculate principal Stoops pointed out there is a growing state-wide sensibility about teaching children to live healthier lives and cited the new school lunch nutrition guidelines as one example. He'll bring together parents, students and teachers to discuss expanding the science curriculum in his school to include the physiological affects of drugs on the body. "I hope that by next September, we would place these issues firmly in classes," he said. "The idea is to give them (students) critical thinking skills. It makes sense. It should be part of the main curriculum, not just part of the co-curricular activities," Stoops said. "These kids need everything we can give them to help them cope with the world." - --- MAP posted-by: Elaine