9 minute read
Legal Does Not Mean Okay
does not mean okay LEGAL
By LINDA COLLINS, Prevention Specialist
There have been a lot of changes recently across the country regarding the legalization of marijuana. Alcohol is legal for adults over the age of 21. Prescription pills are legal if prescribed by a physician. No matter how we as adults feel about substance use and misuse of medications, research has proven that the use of any substance is harmful for youth and the developing brain. Just because a substance has been legalized for recreational or medicinal use by adults, does not make it okay for youth use. The following is information taken from the National Institute on Drug Abuse, National Institutes of Health.
MARIJUANA
Of the more than 500 chemicals in marijuana, delta-9-tetrahydrocannabinol, known as THC, is responsible for many of the drug’s mind-altering effects. Marijuana disrupts the brain’s normal functioning and can lead to problems studying, learning new things, and recalling recent events. These skills are obviously needed to be successful in school. In fact, youth who use marijuana tend to get lower grades and are more likely to drop out of high school.
THC affects the areas of the brain that control balance and coordination, as well as helps control movement. These influence performance in sports, driving, and even video gaming. It interferes with alertness, concentration, coordination, and reaction time. (This comes in handy if a baseball is coming at our face at 60 mph). High school seniors who smoke marijuana are twice as likely to receive a traffic ticket and 65% more likely to get into a car crash than those who don’t smoke.
THC affects areas of the brain involved in decision making. Using marijuana can make youth more likely to engage in risky behavior, such as unprotected sex or getting in a car with someone who’s impaired.
Research suggests that people who use marijuana regularly for a long time are less satisfied with their lives and have more problems with friends and family compared to people who do not use marijuana. Being a teenager these days is hard enough to maneuver without adding the burden of additional problems with friends and family.
Whether we want to believe it or not, marijuana can be addicting. Approximately 10 percent of users will develop marijuana use disorder. Youth who begin using before the age of 18 are 4–7 times more likely than adults to develop a marijuana use disorder.
ALCOHOL
Alcohol is the mostly widely used substance of abuse by America’s youth. When teens drink alcohol, it affects their brain in the short-term, but repeated use can impact long-term brain development. It can affect both function and structure. According to the National Institute on Alcohol Abuse and Alcoholism, youth who begin drinking before the age of 15 are four times more likely to meet the criteria of alcohol dependence at some point in their life.
Drinking can lead to poor decisions by youth about engaging in risky behavior, like drinking and driving, sexual activity (such as unprotected sex), and aggressive or violent behavior. In fact, underage youth who drink are more likely to carry out or be the victim of a physical or sexual assault after drinking than others their age who do not drink.
PRESCRIPTION AND OVER THE COUNTER MEDICATIONS
When taken as prescribed, prescription and over the counter medications can be effective ways to treat pain or cold/flu. If taken without symptoms or in higher quantities, it can affect the brain in similar ways illegal drugs can, and can lead to addiction.
Given all these statistics and the research, it’s important that we as parents relay the facts to youth so misinformation does not lead them to make poor decisions. Our conversation needs to include the dangers of drugs on the developing brain and why just because it’s legal for adults, it’s not okay for kids.
Here are some pointers from, “Motivational Interviewing: Helping People Change,” William R. Miller and Stephen Rollnicon, on how to have that conversation: + Keep an open mind. When a child feels judged or condemned, she is less likely to be receptive to the message.
+ We need to put ourselves in their
shoes. Consider how we would like to be spoken to about a difficult subject. Try to think back what it was like when we were teens. Ask if it’s okay talking about this and if it’s okay if we give some advice. + Be clear about our goals. Try writing them down and review them later to make sure we got our points across. + Be calm. If we start when we’re angry or anxious, it will be harder to achieve our goal. + Be positive. Approaching the subject with anger, scare tactics or disappointment will be counterproductive. Pay attention and be respectful and understanding. Telling them that we appreciate their honesty will go a long way. + Don’t lecture. (It didn’t work when our parents did it!) Just telling them ‘they shouldn’t use because we’re the parent and we said so’ will not work. Offer empathy and compassion, showing them that we get what they’re saying. + Ask open-ended questions, for example, “tell me more about…” Then sum up and ask questions.
It’s important with all the messaging on marijuana and the messages we send youth about alcohol and even medications, they understand just because it’s legal, does not make it okay for them to use. Their brains are still developing, and for their health and safety, and for them to reach their full potential, they must stay substance-free. ■
WANT TO SUPPORT YOUR ADOLESCENT’S HEALTH? be an askable adult
By JENNI LANE, MA and LAUREN RANALLI, MPH, Adolescent Health Initiative
Mom/Dad, kids at school were talking about [fill in the blank with: suicide; racism; vaping; bullying; pornography or any hot button celebrity scandal] and I was just wondering… is what they said true?” Deep breath. As the saying goes, raising tweens and teens is not for the faint of heart. When we’re on the spot with a tough question, it can be tempting to respond with a quick cliché or to change the subject. Some of us grew up hearing from our own parents that these topics were “adult” and off-limits for household discussion. At these moments, we as parents and guardians have an opportunity to establish ourselves as a trustworthy, go-to source for accurate information and sound guidance. Being “askable” doesn’t mean that our kids will always come to us when they have questions or problems – and when they do come to us, it doesn’t mean we won’t be uncomfortable or mad. But it does mean that our kids know we are willing to talk to them about difficult things and with accurate information, without shaming them.
We can start establishing ourselves as askable adults when our kids are young. Being askable to a seven year-old when they have questions about a slang term sets up trust and sends a message that it’s okay to be curious. Catherine M. Wallace writes, “If you don’t listen eagerly to the little stuff when they are little, they won’t tell you the big stuff when they are big, because to them all of it has always been big stuff.” When we validate the concerns of our kids, whether they’re four or fourteen, we build trust.
Being askable can also serve as a protective factor, helping create a shield against health risks as our children get older and encounter more occasions to make unhealthy decisions. If teens come to us when they need guidance or information about things like alcohol and other drugs, mental health, relationships, or STD prevention, we have an opportunity to share accurate information that they might not get from the school bus or social media. We don’t have to have all of the answers. Often, just being open to the question and finding the answer together from a reputable source can illustrate that we care about their health, and it reinforces that we’re safe to come to. In many cases, these conversations can also provide an opportunity for us to share our values around these issues.
It’s not easy, and we will make mistakes! We don’t always hide our initial reactions of shock or judgment, we lose our cool, we say things that we regret.
And sometimes, teens will just not feel comfortable coming to us with questions or concerns. And that’s okay. Helping our kids connect with other trusted adults can be a great way to ensure that they’re going to get accurate information and healthy support and advice. This can be an aunt, grandfather, family friend, or any other adult who you trust in this role.
At the Adolescent Health Initiative, we focus on connecting teens with youth-friendly health care providers. Health care providers can be a valuable resource, and many providers who work with teens consider it an important part of their job to be askable.
It is important to find the right fit for your family, and it’s essential for your child to receive care at a health center that values providing adolescent-centered services. Some things for you and your child to consider when selecting a health center may include: Is the physical space welcoming to teens and affirming of LGBTQ youth? Do the waiting and exam rooms offer a sense of privacy? Does the health center provide confidential risk screening? What else will make your child feel comfortable in this setting?
Whether you are transitioning to a new provider or continuing care with an existing one, make a point to talk to them about ways to empower your child to better manage their own care. For example, the teen years are a great time for young people to learn their family health history, schedule their own appointments, and understand their insurance coverage. Additionally, make space for your child to spend time alone with their provider starting around age 13. This gives young people the opportunity to ask questions and share their own view of their health. Confidentiality and minor consent laws vary in each state, but you and your child should be aware of which mental health and sexual health services are available to adolescents.
The most common health problems among adolescents are a result of risky behaviors, so it’s especially important for teens to feel like they can talk to their provider honestly. Finding a provider your teen considers an askable, trustworthy adult, in a health center where they feel welcome and valued, can have a lifetime of positive effects on their health. If we see the provider as a partner, we can work together to help our teens make their way through adolescence as resilient, healthy adults. ■
