Pubdate: Mon, 01 June 1998 Source: Chicago Tribune (IL) Contact: Website: http://www.chicago.tribune.com/ Author: Lisa Black and Jeff Coen PARENTS URGED TO LEAD BY EXAMPLE IN DRUG FIGHT As increasing numbers of teenagers experiment with drugs and alcohol, families and counselors are searching for new ways to tackle a persistent, insidious problem that has proved more complicated than urging youngsters to "just say no." Some urge a comprehensive approach of life-skills lessons, including classes on coping and self-esteem, beginning in early childhood. Others urge tougher enforcement of current laws and tougher discipline in the home. One survey concludes that parents should practice what they preach, particularly when it comes to alcohol use. "A major problem in society is the mixed messages kids get," says David Franson, assistant principal at Hinsdale Central High School. "By the time a kid reaches a certain age, he or she has been exposed to a staggering number of beer commercials." A national survey released last week by the Hazelden Foundation, the Minnesota-based coalition of treatment centers for drug and alcohol dependency, found only 23 percent of parents say they forbid their children to drink alcohol before they reach legal age. About 60 percent tell their children they prefer they not drink, but that if they do, the parents will arrange for transportation home, according to a recent telephone survey of 500 parents. Hazelden officials encourage parents to talk to their children about drug and alcohol use and develop a plan for special events such as proms. Other experts warn that there is no one-stop preventive or cure. "We have to ask ourselves, what are we doing in the school system to support and enhance topics like relationships?" said Henry Tews, director of Serenity House in Addison, which treats substance abusers. Tews favors lifelong, self-help programs in school and at home. "Self-sufficiency is important," he said. "You have to tell people it's time to grow up and not run away and use drugs." Lawrence Nikodem, clinical coordinator for addiction services at Naperville's Linden Oaks Hospital, said parents hold the key to preventing addiction. They should never become complacent in assessing their children's behavior, he said. While many symptoms of a drug or alcohol problem resemble typical adolescent behavior, parents should never dismiss behavior changes casually, Nikodem said. "You have to know who your kid is," Nikodem said, emphasizing the importance of the parent-child relationship. "You have to talk to them." Signs of trouble, experts say, include moodiness, a change in clothing preferences and friends, a rapid loss of interest in sports or a decline in grades. Parents also should watch for classic physical manifestations of substance abuse, such as heavy drowsiness or slurred speech, Nikodem said. If there are indications of a likely problem, such as finding drug paraphernalia among a child's belongings, the parent must confront the child, Nikodem said. "Never ignore something you suspect is going on," Nikodem said. "It's OK to be wrong when you confront your child, because if you don't, and there is a problem, it's going to get worse. Confronting them may save a life." Many DuPage County clinics, including Linden Oaks, offer free assessment sessions for youths and their families. Nikodem said that during such meetings, a counselor sits down with the teenager, and then with his or her family, in an attempt to determine if more help is necessary. Most clinics also offer drug screenings, he said, although some teenagers refuse to submit to such testing. "I tell parents who call me for advice to tell their kid they realize they could be wrong," Nikodem said. "I tell them to say, `This assessment will help me to understand more about what's going on. And if I'm wrong, this will certainly reveal that.' " Some parents who have dealt with a child's drug addiction recommend support groups such as Families Anonymous, a 12-step program for parents of children with drug abuse or behavior problems. "Every parent comes in thinking, `I'm going to learn to fix my kid,' " said one DuPage County mother, who asked not to be identified. "You learn the program is for you and the family." The mother said her daughter, now 20, began drinking in high school. The family had to learn to set boundaries and let their daughter suffer the consequences of her actions. For instance, the family is paying for the daughter's college courses as long as she stays sober. But they will not pay attorney costs that resulted from a DUI arrest. Some parents have resorted to a more extreme measure of testing their children's urine for drugs with home kits. One such test, Parent's Alert, includes a home urine test that can be mailed to a laboratory for the detection of drugs such as marijuana, cocaine and heroin. One Naperville mother, who asked that her name not be used, said used a home drug test three years ago when she suspected her then 15-year-old son was using marijuana. She said she read about the test in a newspaper article and had no qualms about using it. "You're talking about the well-being of your child," she said. "It's not anything horrible. You're saying that we have a problem, let's identify it and move on." The woman did uncover her son's drug problem and was able to get him to go to a rehabilitation center. Critics of home drug testing fear the tests can damage the relationship between parents and children, but the Naperville woman said that didn't happen in her case. - --- Checked-by: Melodi Cornett