Inactive Teens by Connect with Kids

“Make time for [exercise] because once you get out of it, it’s so hard to get back in.”

– Tori, 16 years old

They run and play and participate in all sorts of sports. But what happens when little kids become teens?

“After a while, you just become like a couch potato,” says Tori, 16.

When she was a cheerleader in middle school, Tori got plenty of exercise. Now she’s 16, and she admits she hasn’t exercised regularly in years.

“I’m not physically fit,” she says. “I mean, I’m skinny, but I guess it’s just because I have a fast metabolism. But physically fit? Noooo!”

A study in the Journal of the American Medical Association followed more than one thousand children aged 9 to 15.

97% were active when they were 9-years-old, but by the time they were 15, only 31% of teens were meeting the recommended sixty minutes of vigorous physical activity during the week. And only 17% met that target on the weekend.

The older they got, the less they exercised!

Experts speculate, for some it’s just laziness, for other, interests change, or they’re simply too busy.

Tori agrees: “School starts to get harder, and you get more homework, and you want to spend more time with your friends and you need more sleep.”

Still, experts warn that teens must find a way to remain active otherwise they risk becoming obese or sick later in life. Parents can help by getting involved in activities with their children.

“Whether it’s running and pulling a kite in the wind or going out throwing a Frisbee or going for a walk with your dog, if you incorporate those things, you’re just gonna have a better quality of life,” says Jon Crosby, an Atlanta-based sports and fitness trainer.

Tori’s advice to fellow teens: “Make time for [exercise] because once you get out of it, it’s so hard to get back in.”

Tips for Parents

Many studies have found similar results to the UC- San Diego study. University of Pittsburgh researchers report that as girls age, they increasingly get less and less exercise. In their study, published in The New England Journal of Medicine, the researchers evaluated the exercise habits of 1,213 black girls and 1,166 white girls for 10 years, beginning at age 9 or 10. By the time the girls were 16 or 17, nearly 56% of the black girls and nearly 31% of the white girls reported no regular exercise participation at all outside of school.

While this study focused on teenage girls, other research shows that participation in physical activity is decreasing among all American children. The National Association for Sport & Physical Education reports that only 25% of all U.S. kids are physically active. And while most parents believe that their children are getting enough exercise during school hours, the President’s Council on Physical Fitness and Sports (PCPFS) says that only 17% of middle or junior high schools and 2% of senior high schools require daily physical activity for all students.

As a result of this physical inactivity, more and more children are becoming obese. According to the Centers for Disease Control and Prevention, 13% of children aged 6 to 11 and 18% of teens aged 12 to 19 are overweight. These same overweight adolescents also have a 70% chance of becoming overweight or obese adults and are at an increased risk for developing health problems, such as heart disease, type 2 diabetes, high blood pressure and some forms of cancer. In fact, the PCPFS reports that physical inactivity contributes to 300,000 preventable deaths a year in the United States.

Besides preventing the onset of certain diseases, regular physical exercise can also help your child in the following ways, according to the Centers for Disease Control and Prevention:

Helps control weight
Helps build and maintain healthy bones, muscles and joints
Improves flexibility
Helps burn off stress
Promotes psychological well-being
Reduces feelings of depression and anxiety
As a parent, you need to emphasize to your child the importance of physical activity. This can often be a difficult task, as you may encounter some resistance from a child who enjoys sedentary activities like watching television and surfing the Internet. The American Council on Exercise (ACE) recommends the following guidelines for easing your child into an active lifestyle:

Don’t just tell your child that exercise is fun; show him or her! Get off the couch and go biking, rock climbing or inline skating with your child. Skip rope or shoot baskets with him or her.
Invite your child to participate in vigorous household tasks, such as tending the garden, washing the car or raking leaves. Demonstrate the value of these chores as quality physical activity.
Plan outings and activities that involve some walking, like a trip to the zoo, a nature hike or even a trip to the mall.
Set an example for your child and treat exercise as something to be done on a regular basis, like brushing your teeth or cleaning your room.
Concentrate on the positive aspects of exercise. It can be a chance for your family to have some fun together. Avoid competition, discipline and embarrassment, which can turn good times into bad times. Praise your child for trying and doing.
Keep in mind that your child is not always naturally limber. His or her muscles may be tight and vulnerable to injury during growth spurts. Be sure to include stretching as part of your child’s fitness activities.
Exercise and nutrition go hand in hand. Instead of high-calorie foods and snacks, turn your child on to fruits and low- or non-fat foods.
If you discover that your teen is having trouble staying motivated to exercise, the American Academy of Family Physicians suggests these strategies:

Choose an activity that your child likes to do. Make sure it suits him or her physically, too.
Encourage your child to get a partner. Exercising with a friend can make it more fun.
Tell your child to vary his or her routine. Your child may be less likely to get bored or injured if he or she changes his or her exercise routine. Your child could walk one day and bicycle the next.
Ensure that your child is active during a comfortable time of day. Don’t allow him or her to work out too soon after eating or when it’s too hot or cold outside. And make sure your child drinks plenty of fluids to stay hydrated during physical activity.
Remind your child not to get discouraged. It can take weeks or months before he or she notices some of the changes from and benefits of exercise.
Tell your child to forget “no pain, no gain.” While a little soreness is normal after your child first starts exercising, pain isn’t. He or she should stop if hurt.
With a little encouragement and help from you, your child will be up and moving in no time!

References
American Academy of Family Physicians
American Council on Exercise
Centers for Disease Control and Prevention
National Association for Sport & Physical Education
Office of the Surgeon General
President’s Council on Physical Fitness and Sports
The New England Journal of Medicine

Inhalant Abuse

I know I have Blogged a lot about Inhalant Abuse and I will continue to do so - especially after reading about the recent senseless deaths. Take a moment to read their Blog at http://inhalant-info.blogspot.com/ - Take the time to learn more and you never know when this knowledge will be necessary. http://www.inhalant.org/

Parents Universal Resource Experts (Sue Scheff) Defining Gateway Drugs

Defining "Gateway Drugs"

Kids today have much more societal pressure put upon them than their parents generation did, and the widespread availability of drugs like methamphetamines and the "huffing" trend (which uses common household chemicals as drugs) can turn recreational use of a relatively harmless gateway drug into a severe or fatal addiction without warning.

The danger of gateway drugs increases in combination with many prescription medications taken by teens today. These dangerous side effects may not be addressed by your child's pediatrician if your child is legally too young to smoke cigarettes or drink alcohol. Drugs like Ritalin, Prozac, Adderrall, Strattera, Zoloft and Concerta can be very dangerous when mixed with recreational drugs and alcohol. Combining some prescription medications with other drugs can often negate the prescription drug's effectiveness, or severely increase the side effects of the drug being abused. For example, a 2004 study by Stanford University found that the active chemical in marijuana, THC, frequently acted as a mental depressant as well as a physical depressant. If your child is currently on an anti-depressant medication like Prozac or Zoloft, marijuana use can counterbalance their antidepressant effects.

Other prescription anti depressants and anti psychotics can also become severely dangerous when mixed with alcohol. This is why is imperative that you as a parent must familiarize yourself with any prescription medications your child is taking and educate your child of the dangers of mixing their prescription drugs with other harmful drugs- even if you don't believe your child abuses drugs or alcohol.

Marijuana - Why It is More Dangerous Than You Think
Parents who smoked marijuana as teenagers may see their child's drug use as a harmless rite of passage, but with so many new and dangerous designer drugs making their way into communities across the country, the potential for marijuana to become a gateway to more dangerous drugs for your child should not be taken lightly.

Marijuana is the most commonly abused drug by both teens and adults. The drug is more commonly smoked, but can also be added to baked goods like cookies or brownies. Marijuana which is ingested orally can be far more potent than marijuana that is smoked, but like smoking tobacco, smoking marijuana can cause lung cancer, emphysema, asthma and other chronic conditions of the lungs. Just because it is "all natural" does not make it any safer for your lungs.

Marijuana is also a depressant. This means the drug slows down the body's functions and the messages the body sends to the brain. This is why many people who are under the influence of marijuana (or "stoned") they are often sluggish or unmotivated.

Marijuana can also have psychological side effects, both temporary and permanent. Some common psychological side effects of marijuana are paranoia, confusion, restlessness, hallucinations, panic, anxiety, detachment from reality, and nausea. While these symptoms alone do not sound all that harmful, put in the wrong situation, a teen experiencing any of these feelings may act irrationally or dangerously and can potentially harm themselves or others. In more severe cases, patients who abuse marijuana can develop severe long-term mental illnesses such as schizophrenia.

Tobacco - Just Because It Is Legal Doesn't Mean It Is Safe
While cigarettes and tobacco are considered "legal", they are not legal for teens to posses or smoke until they are 18. Still, no matter the age of your child, smoking is a habit you should encourage them to avoid, whether they can smoke legally or not.

One of the main problems with cigarettes is their addictive properties. Chemicals like nicotine are added to tobacco to keep the smoker's body craving more, thus insuring customer loyalty. This is extremely dangerous to the smoker, however, as smoking has repeatedly proven to cause a host of ailments, including lung cancer, emphysema, chronic bronchitis or bronchial infection, asthma and mouth cancer- just to name a few.

In addition to nicotine, cigarettes contain over 4000 other chemicals, including formaldehyde (a poisonous compound used in some nail polishes and to preserve corpses), acetone (used in nail polish remover to dissolve paint) carbon monoxide (responsible for between 5000 to 6000 deaths annually in its "pure" form), arsenic (found in rat poison), tar (found on paved highways and roads), and hydrogen cyanide (used to kill prisoners sentenced to death in "gas chambers").

Cigarettes can also prematurely age you, causing wrinkles and dull skin, and can severely decay and stain teeth.

A new trend in cigarette smoke among young people are "bidi's", Indian cigarettes that are flavored to taste like chocolate, strawberry, mango and other sweets. Bidi's are extremely popular with teens as young as 12 and 13. Their sweet flavors and packaging may lead parents to believe that they aren't "real" cigarettes or as dangerous as brand-name cigarettes, but in many cases bidi's can be worse than brand name cigarettes, because teens become so enamored with the flavor they ingest more smoke than they might with a name brand cigarette.

Another tobacco trend is "hookah's" or hookah bars. A hookah is an ornate silver or glass water pipe with a fabric hoses or hoses used to ingest smoke. Hookahs are popular because many smokers can share one hookah at the same time. However, despite this indirect method of ingesting tobacco smoke through a hose, hookah smoking is just as dangerous as cigarette smoke.

The Sobering Effects of Alcohol on Your Teen
Alcohol is another substance many parents don't think they need to worry about. Many believe that because they don't have alcohol at home or kept their alcohol locked up, their teens have no access to it, and stores or bars will not sell to minors. Unfortunately, this is not true. A recent study showed that approximately two-thirds of all teens who admitted to drinking alcohol said they were able to purchase alcohol themselves. Teens can also get alcohol from friends with parents who do not keep alcohol locked up or who may even provide alcohol to their children.

Alcohol is a substance that many parents also may feel conflicted about. Because purchasing and consuming alcohol is legal for most parents, some parents may not deem it harmful. Some parents believe that allowing their teen to drink while supervised by an adult is a safer alternative than "forcing" their teen to obtain alcohol illegally and drinking it unsupervised. In theory, this does sound logical, but even under adult supervision alcohol consumption is extremely dangerous for growing teens. Dr. John Nelson of the American Medical Association recently testified that even light alcohol consumption in late childhood and adolescence can cause permanent brain damage in teens. Alcohol use in teens is also linked with increased depression, ADD, reduced memory and poor academic performance.

In combination with some common anti-psychotics and anti-depressants, the effects of just one 4 oz glass of wine can be akin to that of multiple glasses, causing the user to become intoxicated much faster than someone not on anti depressants. Furthermore, because of the depressant nature of alcohol, alcohol consumption by patients treated with anti-depressants can actually counteract the anti-depressant effect and cause the patient sudden overwhelming depression while the alcohol is in their bloodstream. This low can continue to plague the patient long after the alcohol has left their system.

Because there are so many different types of alcoholic beverage with varying alcohol concentration, it is often difficult for even of-age drinkers to gauge how much is "too much". For an inexperienced teen, the consequences can be deadly. Binge drinking has made headlines recently due to cases of alcohol poisoning leading to the death of several college students across the nation. But binge drinking isn't restricted to college students. Recent studies have shown teens as young as 13 have begun binge drinking, which can cause both irreparable brain and liver damage.

It is a fact that most teenage deaths are associated with alcohol, and approximately 6000 teens die each year in alcohol related automobile accidents. Indirectly, alcohol consumption can severely alter teens' judgment, leaving them vulnerable to try riskier behaviors like reckless stunts, drugs, or violent behavior. Alcohol and other drugs also slow response time, leaving teenage girls especially in danger of sexual assault. The temporary feeling of being uninhibited can also have damaging future consequences. With the popularity of internet sites like MySpace and Facebook, teens around the country are finding embarrassing and indecent photos of themselves surfacing online. Many of these pictures were taken while the subjects were just joking around, but some were taken while the subjects were drunk or under the influence of drugs. These photos are often incredibly difficult to remove, and can have life altering consequences. Many employers and colleges are now checking networking sites for any reference to potential employees and students, and using them as a basis to accept or decline applicants!

www.helpyourteens.com

Sue Scheff: Grade School Bullying

by Connect with Kids

“A new phrase has entered our vocabulary: “Barbie Brats.” The name applies to an overlooked group of kids- young children, only 6 or 8 or 10 years old, who bully other kids in real life or on the Internet.”

– Louise Myslik, LCSW

Sherrod is only seven, but already, he says, he’s the victim of bullies. Sometimes it’s verbal, at other times, physical.

“They tell me to do stuff and then they push me into a wall.”

“They don’t like him,” says Sherrod’s mother, Sherry Thornton. “They won’t share with him. They do things and just blame it on him.”

Bullying among younger kids is happening more often. In fact, studies show three-quarters of children aged 8 to 11 say they’ve been bullied.

Experts say as kids learn to socialize, sometimes they’re nice and sometimes mean. It’s the mean behavior parents should focus on.

“We can’t assume that kids will be kids [and] at some point, they will grow out of this,” says Louise Myslik, a licensed clinical social worker. “We need to really pay attention to it and help them understand what it means to be mean, what it looks like, how it feels and why it’s not appropriate.”

Experts say parents should first talk to their children about bullying. Also, ask detailed questions.

For instance, says Myslik, “’Do you think your school has bullies? Do you have bullies in your class? What do they do? What do they say? Whom do they hurt? Have you ever been hurt?’”

She says if your child is a bully, don’t ignore the behavior. If your child is the victim, like Sherrod, teach them to speak up – tell an adult, stand up to the bully.

Sherrod’s mother offers him these words, “’Stop. Don’t do that to me. I don’t like that. You’re hurting me or you hurt my feelings,’ she says, “To me, communication is key.”

Tips for Parents

It may seem like innocent child’s play, but physical and verbal taunting can weigh heavily on kids. According to a report, teasing and bullying top the list of children’s school troubles. In a survey called “Talking with Kids About Tough Issues,” authors polled 823 kids ranging in age from 8 to 15. The majority reported teasing and bullying are “big problems” that rank higher than racism, smoking, drinking, drugs or sex.

Australian researchers also found that teenagers who are the targets of repeated taunts, threats and/or physical violence are more likely to develop symptoms of anxiety and depression. Girls appear to be particularly vulnerable.

“Bullying, teasing and harassment are psychological and psychiatric traumas,” says Dr. William S. Pollack, a clinical psychologist at Harvard Medical School. Those traumas can lead to “anxiety, depression, dysfunction, nightmares, and later, incapacity to function actively and healthfully as an adult.”

Experts say it is extremely important to open the lines of communication with your kids.
Consider the following tips:

Start early
Initiate conversations
Create an open environment
Communicate your values
Listen to your child
Try to be honest
Be patient
Share your experiences
Also, watch for behavioral changes. Children who are suffering from teasing and bullying may try to hide the hurt. They become withdrawn from family and friends, lose interest in hobbies, and may turn to destructive habits like alcohol, drugs, and acts of violence.

It is the ultimate responsibility of your child’s school to make the school safe for him/her. Share the following tips with your child, and tell him/her to only do the things recommended below if he/she is comfortable doing them. If your child is not comfortable, encourage him/her to get help from a teacher or counselor. And even when he/she takes the actions below, it is always a good idea for him/her to let parents and teachers know.

Be assertive
Write the harasser a letter
Document incidents
Check with other students
File a formal complaint
References
Kaiser Family Foundation
Children Now
British Medical Journal
U.S. Department of Education
LaMarsh Research Centre

Sue Scheff: Teenage Depression - Learn More

Dr. Paul Jenkins (Family Coach) interviewed with Dr. Gary Nelson, the author of “A Relentless Hope: Surviving the Storm of Teen Depression”. I found this book to be personal and very informative, with a nice conversational tone. His story is based on his years of counseling experience, as well as his personal experiences with his son, Tom. Dr. Nelson’s insights are valuable to those of us who are trying to understand both teens and depression. You can contact Dr. Nelson through his website, survivingteendepression.com.
Listen here: July 8th Call

**************************

I read this book and found it extremely informational and and a must read for any parent that is debating whether their child is struggling with depression.
Dr. Gary Nelson is a parent that struggled with his own son. His journey with his son and his family helps you to understand that many of us having difficulties today are not alone. Gary Nelson creates an awareness that many people seem to overlook or simply don’t want to face. If you suspect your teen or pre-teen is suffering with depression, I recommend this book - it can give you a lot of insight.

Parents Universal Resource Experts (Sue Scheff) Building Social Skills with ADHD Children

By ADDitude Magazine

Role-playing strategies to help your child get along with others—even bullies.

Making eye contact. Not interrupting. Taking turns. If your child with attention deficit disorder (ADD ADHD) needs help with these and other social skills, you may want to give “role-playing” a try. By testing out various personas, he can see how simple changes in what he says and does can help him get along better with friends and family members.

Role-playing works with almost any child who is old enough to talk. It’s especially good for teaching children how to deal with teasing — a problem familiar to many kids with ADHD.

Consider the case of Joe B., a nine-year-old I recently treated. Joe’s parents sought my help because he kept overreacting to playful (but sometimes hurtful) verbal banter that came his way during recess. On one such occasion, after Joe did something silly, a playmate laughed at him and called him a “turkey head.” Enraged, Joe shoved the boy and burst into tears. He looked like a crybaby.

Joe acknowledged shoving the other boy, but said to me, “He started it.” Joe felt it was the other boy who needed to change. I explained to Joe that he couldn’t always control what other people did, but that he always had a choice about how to react. “You’re the boss of yourself,” I told him.

Talking things over made Joe feel better, and I decided that role-playing might help Joe avoid future incidents. Here are the basic steps I used with Joe that you might try with your own child:

Define the problem. Talk things over until you understand the exact nature of the problem facing your child. Joe’s problem, of course, was that he felt angry and sad when kids called him names—and couldn’t stop himself from lashing out physically.
Acknowledge bad feelings. Let your child know that it’s normal to be upset by teasing. Joe’s parents and I made sure that he understood that—and that it was not OK for children to pick on him.
Discuss alternative ways to respond. Explain to your child that there are many ways to respond to teasing, some good and some not so good. Shoving the teaser was a bad choice. Joe and I explored better options, including walking away from the encounter and saying “I don’t care” over and over, until the teaser got bored. Ultimately, Joe decided he’d simply say, “Please stop it.” He said that gave him a sense of control over the situation.
Reenact the situation. Once you’ve armed your child with socially acceptable ways to respond, let him play the role of the child being teased while you play the teaser. Then switch roles, varying the “script” to explore the different ways in which the scenario could play out. You might videotape the role-playing sessions and review the tapes at a later time with your child to reinforce appropriate behavior.
Celebrate success. If your child comes home announcing that he has used the lessons learned in role-playing, congratulate him. Give him a high-five, and tell him how proud you are — even if he didn’t do everything you had practiced. This is not the time to nit-pick.
Role-playing didn’t help Joe right away. But one day, a few weeks after we began our sessions, Joe was beaming when he came into my office. Once again, a playmate had teased him, but this time Joe hadn’t struck back. “I told him I didn’t care what he thought,” Joe explained.

Over time, as we continued our sessions, Joe got even better at controlling his behavior on the playground. Other children accepted him as one of the gang, and that made him feel good about himself.

Sue Scheff: Teen Gun Violence

ByConnect with Kids

“One thing about him—he thought no one would hurt him. He thought, ‘no enemies.’”

– Mickye McGuire-Rush, Gregory’s Mother

Mickye McGuire-Rush sits in her living room and remembers her only son, Gregory. “One thing about him—he thought no one would hurt him. He thought, ‘no enemies,’” she says.

Gregory had no enemies and no protection from random violence. At age 15, he was shot to death by another kid didn’t even know.

“Mistaken identity—Gregory lost his life over something he didn’t even know was going on,” Mickye says.

Violence is killing our kids. Murder is the second leading cause of death among teenagers.

“I saw my friend in the hospital die with a nine millimeter, with a bible over it and we had a prayer before he died. Things change from that,” says one teen.

Changing the violence is exactly what a group of fourth and fifth graders are hoping to do. Some of the girls are step dancing for peace.

“We want the world to be a safe place to live,” says Ebony.

They’re part of a program at school that teaches non-violence as a way of life.

Experts say parents may not be able to prevent their children from becoming victims of violence, but they can teach kids how to handle disagreements peacefully in their own lives.

“It has to do with what you control and what you do not control. You control your own behavior. You control what you do inside that relationship with the people inside that household,” says Dr. John Jenson, psychologist.

“Clearly something is not working and I think to conclude that it’s the kids that aren’t working is inappropriate. We first must look at the environment that we have created as adults for kids to live in,” says Dr. Stephen Thomas, psychologist.

An environment that, so far, has claimed too many lives, including Gregory.

Mickye McGuire-Rush says, “He was my best friend.”

Tips for Parents

After a decade of decline, the number of children killed by gun fire has increased, according to the report Protect Children, Not Guns. This report from the Children’s Defense Fund, used data from the Center for Disease Control and Prevention, to compile this list of statistics:

• 3,006 children and teens died from gunfire in the United States in 2005—one child or teen every three hours, eight every day, 58 children and teens every week.
  
  
  
  
  
  • 1,972 were homicide victims
    
    
  • 822 committed suicide
    
    
  • 212 died in accidental or undetermined circumstances
    
    
  • 2,654 were boys
    
    
  • 352 were girls
    
    
  • 404 were under age 15
    
    
  • 131 were under age 10
    
    
  • 69 were under age 5
    
    
  • 1,624 were White
    
    
  • 1,271 were Black
    
    
  • 614 were Latino*
    
    
  • 60 were Asian or Pacific Islander
    
    
  • 51 were American Indian or Alaska Native

• The number of children and teens in America killed by guns in 2005 would fill 120 public school classrooms of 25 students each.
  
  
• In 2005, 69 preschoolers were killed by firearms compared to 53 law enforcement officers killed in the line of duty.
  
  
• Since 1979, gun violence has snuffed out the lives of 104,419 children and teens in America. Sixty percent of them were White; 37 percent were Black.
  
  
• The number of Black children and teens killed by gunfire since 1979 is more than 10 times the number of Black citizens of all ages lynched in American history.
  
  
• The number of children and teens killed by guns since 1979 would fill 4,177 public school classrooms of 25 students each.
  
  
• More than five times as many children and teens suffered non-fatal gun injuries.
  
  
• 181 more children and teens died from firearms in 2005 than in 2004—the first annual increase since 1994.
  
  
• 68 more children and teens died from homicide in 2005 than in 2004.
  
  
• 56 more White, 122 more Black, 40 more Hispanic, and 9 more Asian and Pacific Islander children and teens died in 2005 than in 2004.
  
  
• More 10- to 19-year-olds die from gunshot wounds than from any other cause except motor vehicle accidents.
  
  
• Almost 90 percent of the children and teens killed by firearms in 2005 were boys.
  
  
• Black children and teens are more likely to be victims of firearm homicide. White children and teens are more likely to commit suicide.
  
  
• The firearm death rate for Black males ages 15 to 19 is more than four times that of comparable White males.
  
  
• A Black male has a 1 in 72 chance of being killed by a firearm before his 30th birthday; a White male has a 1 in 344 chance.
  
  
• Eight times as many White children and teens committed suicide by gun as Black children and teens.
  
  
• Males ages 15 to 19 are almost eight times as likely as females that age to commit suicide with a firearm.

The following behaviors and actions may be viewed as risk factors indicative of the potential for the initiation of violence by a child or adolescent:

• Has a history of tantrums or uncontrollable angry outbursts
  
  
• Uses abusive language or calls people names
  
  
• Makes violent threats when angry
  
  
• Has brought a weapon to school
  
  
• Has serious disciplinary problems at school or in the community
  
  
• Abuses drugs, alcohol or other substances
  
  
• Has few or no close friends
  
  
• Is preoccupied with weapons or explosives
  
  
• Has been suspended or expelled from school
  
  
• Is cruel to animals
  
  
• Has little or no supervision and support from parents or a caring adult
  
  
• Has witnessed or been a victim of abuse or neglect
  
  
• Has been bullied and/or bullies or intimidates other kids
  
  
• Prefers TV shows, movies or music with violent themes
  
  
• Is involved with a gang or an antisocial group
  
  
• Is depressed or has significant mood swings
  
  
• Has threatened or attempted suicide

What Parents Can Do
The following are suggestions of ways to help your child or adolescent deal with feelings and/or situations that might lead them to participate in violent behaviors:

• Give your children consistent love and attention. Every child needs a strong, loving, relationship with a parent or other adult to feel safe and secure and to develop a sense of trust.
  
  
• Children learn by example, so show your children appropriate behavior by the way you act. Settle arguments with calm words, not with yelling, hitting, slapping, or spanking. If you punish children by hitting, slapping, or spanking them, you are showing them that it is okay to hit others.
  
  
• Talk with your children about the violence they see on TV, in video games, at school, at home, or in the neighborhood. Discuss why violence exists in these contexts and what the consequences of this violence are.
  
  
• Try to keep your children from seeing too much violence: limit their TV time, and screen the programs they watch. Seeing a lot of violence can lead children to behave aggressively.
  
  
• Make sure your children do not have access to guns. If you own firearms or other weapons, unload them and lock them up separately from the bullets. Never store firearms where children can find them, even if unloaded. Also, talk with your children about how dangerous weapons can be.
  
  
• Involve your children in setting rules for appropriate behavior at home; this will help them understand why the rules should be followed. Also ask your children what they think an appropriate punishment would be if a rule were broken.
  
  
• Teach your children nonaggressive ways to solve problems by discussing problems with them, asking them to consider what might happen if they use violence to solve problems, and talking about what might happen if they solve problems without violence.
  
  
• Listen to your children and respect them. They will be more likely to listen and respect others if they are listened to and treated with respect.
  
  
• Note any disturbing behaviors in your child such as angry outbursts, excessive fighting, cruelty to animals, fire setting, lack of friends, or alcohol/drug use. These can be signs of serious problems.
  
  
• Don't be afraid to get help for your child if such behaviors exist, and talk with a trusted professional in the community.

References

• National Center for Injury Prevention and Control
  
  
• National Safety Council
  
  
• SafeUSA - National Center for Injury Prevention and Control
  
  
• Centers for Disease Control and Prevention
  
  
• Children’s Defense Fund

Sue Scheff: Prescription Drugs and Teens

By Connect with Kids

“I know a couple people … the first thing they ever tried, you know, going to their parents’ medicine cabinet and just looking in there and finding what they could get high off of.”

– Marie Bokemeyer, 17

According to the Federal Drug Enforcement Administration, 7 million Americans abuse prescription drugs. And many are just teens.

“Percosets, Valium, Xanax … pretty much anything I could get my hands on,” 17-year-old Mururi Wangu says.

In fact, the abuse of prescription drugs has risen 80 percent in the past 6 years. Experts say, aside from marijuana, teens are abusing these drugs more than all other illicit drugs combined.

Experts say that one reason for such a dramatic jump in abuse numbers is the availability of prescription drugs.

“This is the age of medication,” says Dr. Steven Jaffe, an adolescent psychologist. “I think there’s tremendous amounts of all sorts of medicine out there that are readily available in the bathrooms, in the cabinets at home, as well as on the black market.”

Moreover, since the U.S. Food and Drug Administration approves prescription drugs, teens mistakenly believe that using these drugs – even if they don’t have a prescription – is safe.

“For a while, I thought prescription drugs aren’t as bad because why would the doctor prescribe them if they were dangerous,” 17-year-old Marie Bokemeyer says.

Experts say that’s why parents should start early with a strong, clear message that abusing any kind of drug is wrong. They should also get to know their teens’ friends, limit unsupervised time, keep close track of medications in their homes and don’t assume it can’t happen to their teens.

“I have a thousand parents who say, ‘I didn’t know how much my child was in to.’ And it’s not just denial – teenagers are experts at hiding it,” Dr. Jaffe says.

Adds 17-year-old Kat Peterson: “I didn’t care about the danger of it; that had no effect on me. It was just the convenience of it.”

Tips for Parents

The abuse of prescription drugs has become a major health concern. More teens than ever are turning to their medicine cabinets to get high. Experts say one reason is accessibility. The majority of teens who abuse prescription drugs say they get them for free from their friends or relatives. Another reason these drugs have become so popular is, because the drugs are approved by the FDA, many teens consider them to be safe.

Consider these statistics:

In 2005, 2.1 million teens abused prescription drugs.

Three percent, or 840,000 teens ages 12-17, reported current abuse of prescription drugs in 2005, making this illegal drug category the second most abused next to marijuana (7%).
For the first time, there are just as many new abusers (12 and older) of prescription drugs as there are for marijuana.

One-third of all new abusers of prescription drugs in 2005 were 12-17-year-olds.

Teens ages 12-17 have the second-highest annual rates of prescription drug abuse after young adults (18-25).

Nearly one in five teens (19% or 4.5 million) report abusing prescription medications that were not prescribed to them.

Teens admit to abusing prescription medicine for reasons other than getting high, including to relieve pain or anxiety, to sleep better, to experiment, to help with concentration or to increase alertness.

More than one-third of teens say they feel some pressure to abuse prescription drugs, and nine percent say using prescription drugs to get high is an important part of fitting in with their friends.

Nearly three out of 10 teens (29% or 6.8 million) believe prescription pain relievers—even if not prescribed by a doctor—are not addictive.

In 2004, more than 29 percent of teens in treatment were dependent on tranquilizers, sedatives, amphetamines and other stimulants.

As a parent, it is important to understand that teens may be involved with legal and illegal drugs in various ways. The American Academy of Child & Adolescent Psychiatry (AACAP) reports that many teens begin using drugs to satisfy their curiosity, to make themselves feel good, to reduce stress, to feel grown up or to “fit in.” While it is difficult to know which teens will experiment and stop and which will develop serious problems, the National Institute of Drug Abuse says the following types of teens are at greatest risk of becoming addicted:

Those who have a family history of substance abuse
Those who are depressed
Those who have low self-esteem
Those who feel like they don’t “fit in” or are out of the mainstream
Because the U.S. Food and Drug Administration puts its seal of approval on prescription drugs, many teens mistakenly believe that using these drugs – even if they are not prescribed to them – is safe. However, this practice can, in fact, lead to addiction and severe side effects. The Center for Drug Evaluation and Research cites the following most commonly abused prescription drugs:

Opioids: Also known as narcotic analgesics, opioids are used to treat pain. Examples of this type of drug include morphine, codeine, OxyContin (oxycodone), Vicodin (hydrocodone) and Demerol (meperidine). In the short term, these drugs block pain messages and cause drowsiness. A large, single dose can cause severe respiratory depression and death. Long-term use leads to physical dependence and, in some cases, addiction.

Central nervous system (CNS) depressants: These drugs are commonly used to treat anxiety, panic attacks and sleep disorders. Examples include Nembutal (pentobarbital sodium), Valium (diazepam) and Xanax (alprazolam). CNS depressants slow down normal brain function and can cause a sleepy, uncoordinated feeling in the beginning of treatment. Long-term use can lead to physical dependence and addiction.

Stimulants: These drugs are commonly used to treat the sleeping disorder narcolepsy and attention-deficit hyperactivity disorder. Examples include Ritalin (methylphenidate) and Dexedrine (dextroamphetamine). Stimulants, which can be addictive, enhance brain activity and increase alertness and energy. They elevate blood pressure, heart rate and respiration. Very high doses can lead to irregular heartbeat and high body temperature

How can you determine if your teen is abusing drugs? The AACAP suggests looking for the following warning signs and symptoms in your teen:

Physical: Fatigue, repeated health complaints, red and glazed eyes and a lasting cough
Emotional: Personality change, sudden mood changes, irritability, irresponsible behavior, low self-esteem, poor judgment, depression and a general lack of interest

Familial: Starting arguments, breaking rules or withdrawing from the family
School-related: Decreased interest, negative attitude, drop in grades, many absences, truancy and discipline problems

Social: having new friends who are less interested in standard home and school activities, problems with the law and changes to less conventional styles in dress and music
If you believe your teen has a problem with drug abuse, you can take several steps to get the help he or she needs. The American Academy of Family Physicians suggests contacting your health-care provider so that he or she can perform an adequate medical evaluation in order to match the right treatment or intervention program with your teen. You can also contact a support group in your community dedicated to helping families coping with addiction.

Substance abuse can be an overwhelming issue with which to deal, but it doesn’t have to be. The Partnership for a Drug-Free America offers the following strategies to put into practice so that your teen can reap the rewards of a healthy, drug-free life:

Be your teen’s greatest fan. Compliment him or her on all of his or her efforts, strength of character and individuality.

Encourage your teen to get involved in adult-supervised after-school activities. Ask him or her what types of activities he or she is interested in and contact the school principal or guidance counselor to find out what activities are available. Sometimes it takes a bit of experimenting to find out which activities your teen is best suited for, but it’s worth the effort – feeling competent makes children much less likely to use drugs.

Help your teen develop tools he can use to get out of drug-related situations. Let him or her know he or she can use you as an excuse: “My mom would kill me if I smoked marijuana!”
Get to know your teen’s friends and their parents. Set appointments for yourself to call them and check-in to make sure they share your views on alcohol, tobacco and other drugs. Steer your teen away from any friends who use drugs.

Call teens’ parents if their home is to be used for a party. Make sure that the party will be drug-free and supervised by adults.

Set curfews and enforce them. Let your teen know the consequences of breaking curfew.
Set a no-use rule for alcohol, tobacco and other drugs.

Sit down for dinner with your teen at least once a week. Use the time to talk – don’t eat in front of the television.

Get – and stay – involved in your teen’s life.

References
American Academy of Child & Adolescent Psychiatry
American Academy of Family Physicians
Center for Drug Evaluation and Research
Drug Abuse Warning Network
National Institute on Drug Abuse
Partnership for a Drug-Free America
Substance Abuse & Mental Human Services Administration
U.S. Food and Drug Administration