Sue Scheff: Parent Choices for At Risk Teens

Local Therapy:

Local therapy is a good place to start with children that struggling at home and school. To locate a local therapist, it is beneficial to contact your insurance company for a list of adolescent therapists in your area. If you don’t have insurance when calling therapists, ask them if they accept sliding scales according to your income. Check your yellow pages for local Mental Health Services in your area or ask your Pediatrician or Family Doctor for a referral.

Military Schools and Academies:

Military Schools have been around for over a hundred years. Many parents are under the misconception that Military Schools are for at risk children. Military Schools are a privilege and honor to attend and be accepted into. Your child must have some desire to attend a Military School. Many children believe Military Schools are for bad kids, however if they visit a campus they may realize it is an opportunity for them. Many parents start with a Military Summer program to determine if their child is a candidate for Military School.

Military Schools usually do not offer therapy, unless contracted on the outside of the school. They offer structure, positive discipline, self-confidence, small class sizes and excellent academics. Military Schools can build a student’s self-esteem; motivate them to benefit their future both socially and academically.

Traditional Boarding Schools:

Traditional Boarding Schools are like Military Schools, in which your child will have to want to attend and be accepted into the school. There are many excellent Boarding Schools that offer both academics and special needs for students. Many specialize in specific areas such as fine arts, music, and competitive sports. In most cases, therapy is not offered unless contracted on the outside.

Therapeutic Boarding Schools (TBS):

Therapeutic Boarding Schools offer therapy and academics to students. Usually the student has not done well in a traditional school and is making bad choices that could have an effect on their future. Although many of the students are exceptionally smart, they are not working to their ability. Sometimes peer pressure can lead your child down a destructive path. Removing them from their environment can be beneficial to them to focus on themselves both emotionally and academically.

Christian Boarding Schools:

Christian Boarding Schools and Programs for struggling teens offer therapy and academics. They have a spiritual foundation that can assist a child to better understand Christianity as well as bring them closer to a Higher Power. Many offer Youth Groups and activities that can create life skills for a better future. A program with a Christian setting may enhance a child’s better understanding of the world today.

Residential Treatment Center (RTC):

Residential Treatment Centers, similar to a TBS, offer therapy and academics. However Residential Treatment Centers are for children that require more clinical support. Their issues are more specific with substance abuse, eating disorders, self-mutilators, and other behavioral issues.

Summer Programs:

Summer programs are a great place to start if your child is beginning to make bad choices or losing their motivation. Finding a good summer program that can build self-confidence can be beneficial to student’s prior starting a new school year.

Visit www.helpyourteens.com for more information and a free consultation.

Sue Scheff: Teen Drug Use

As a parent advocate, I always welcome valuable information and websites that can help educate parents and others with today’s concerns with substance abuse and other issues surrounding our children. TheAntiDrug.com website has a wide variety of educational information for parents and adult caregivers of teens - also check out the Q&A below with Karen Reed, the American Pharmacists Association’s national spokesperson for American Pharmacists.

TheAntiDrug.com – a Web site created by the White House Office of National Drug Control Policy to equip parents and adult caregivers with the tools they need to raise drug-free kids. You might have seen ads on TV recently calling attention to the issue of teen prescription drug abuse.

Unfortunately, growing numbers of teens are abusing prescription and over-the-counter (OTC) drugs to get high or to cope with school and social pressures. Many teens say these drugs are not only easy to get, but also that they think they are a safe way to get high. According to the Substance Abuse and Mental Health Services Administration (SAMHSA), everyday 2,000 kids age 12 to 17 abuse a painkiller for the very first time. SAMHSA also finds:

More teens abuse prescription drugs than any illicit drug except marijuana
• Among 12- and 13-year-olds, prescription drugs are the drug of choice

To provide answers to common parent questions about teen prescription drug abuse, TheAntiDrug.com has teamed up with pharmacist Karen Reed, spokesperson for the American Pharmacists Association.

The Rx drug information is currently highlighted on the homepage of http://www.theantidrug.com/, including an interactive house tour (http://www.theantidrug.com/drug_info/prescription_dangerZones.asp) which highlights locations where teens can find prescription and OTC drugs, tips for parents on how to prevent abuse and to talk to your teen about prescription drug abuse, along with much more.

Q&A with Karen Reed, spokesperson for the American Pharmacists Association

Q: I hear about kids taking various pills – uppers, downers, painkillers, etc., that have been prescribed for their parents. What can those drugs do to teens who have not been prescribed those medications?

A: It is always difficult to predict what type of reaction teens will have to medication not prescribed for them, especially when we don’t know the dose they will abuse — and if it will be taken with other drugs or alcohol. Uppers can cause hostility, paranoia, or seizures. These drugs can affect motor skills, impair judgment, and affect the heart. Downers and painkillers can decrease concentration, impair judgment, and slow motor skills. Taking downers and painkillers in excess can also cause sedation and seizures. Imagine a teen driver under the influence of these drugs driving a motor vehicle — this combination could prove deadly as well. (http://www.theantidrug.com/drug_info/prescription_dangers.asp)

Q: My son tells me his friends take pills that aren’t theirs and sometimes take them when they’re drinking alcohol. What is the resulting effect and what can I tell him to scare him away from experimenting?

A: No one, adults or teens, should take medication with alcohol. Teens who are taking medication that is not prescribed for them are probably also taking excessive doses. And mixing that medication with alcohol could prove deadly for teenagers. The effect of the medication could be intensified, causing the teen to stop breathing or have a seizure that could be fatal. If this practice is combined with driving, others could be injured as well. The combination of medication and alcohol could lead to poor judgment that could cause serious injuries or worse. Teenagers often feel invincible. The combination of drugs and alcohol may intensify this belief.

Q: We keep cold, cough, and other over-the-counter medications in the house. What is the best way to monitor those medications?

A: Over-the-counter medications are safe and effective for some people when used properly under a medical professional’s guidance. However, the ingredients, when abused, can be taken to get high. Therefore keep them in limited quantities and monitor their use as you would a prescription drug. Never use them to help your teen or yourself sleep. Children (regardless of their age) mimic adult behavior. Be a good role model and never abuse OTC products yourself. (http://www.theantidrug.com/drug_info/prescription_wcyd_good_example.asp)

Q: My child has prescribed medications she takes regularly. How do I ensure those pills are not abused?

A: Keep track of the number of pills that should be on hand. Keep track of refills, lost pills, and request for refills. Paying close attention to use will help prevent abuse.

Q: What are some of the signs I can look for if I suspect my teen has been abusing prescription drugs?

A: It is easy for parents to miss prescription drug abuse because mood changes, temper outbursts, changes in sleeping habits and interests are typical teenage behaviors. You can smell alcohol and tobacco and marijuana — you can’t smell pills. Watch for changes in grooming, habits, and interests. Watch for negative changes in school work, school attendance, and declining grades. Watch for increased secrecy, changes in friends, and increased needs for money. Monitor your own prescription drugs and encourage friends and family to do the same.
(http://www.theantidrug.com/drug_info/prescription_abusing_signs_symptoms.asp)

Karen L. Reed, the American Pharmacists Association’s national spokesperson for American Pharmacists Month, is a graduate of West Virginia University School of Pharmacy and a staff pharmacist with Kmart in Beckley, West Virginia. She is a consultant pharmacist for Beckley Surgery Center and is serving her second term as chair of West Virginia’s Medicaid Drug Utilization Review Board. Reed is a preceptor for WVU PharmD candidates and a GlaxoSmithKline community pharmacy advisory board member. She is an APhA Fellow, past APhA- Academy of Pharmacy Practice and Management officer, past President of the West Virginia Pharmacists Association, recipient of the National Community Pharmacists Association Leadership Award, Merck Pharmacist Recognition Award, and the Wyeth-Ayerst Bowl of Hygeia. In 2002, Reed was named Kmart Pharmacist of the Year.

Sue Scheff: Dating Violence and Teens

Source: Connect with Kids

“Just let it go. If you keep answering the phone calls, you’re only making it available to him. You’re only allowing him to yell at you and to scream at you.”

– Amanda Kramer, 21 years old

Many times, teens feel so overpowered and controlled in abusive relationships that they can’t leave. It takes support from friends and family to help.

Amanda Kramer was no different. “I knew what was going on, I knew it, but it wasn’t strong enough in me to get rid of it,” she says. “I wasn’t strong enough inside.”

Her then-boyfriend was jealous and controlling. He told her if she ever left him, he would kill himself.

She didn’t want to see him in pain. “I told him, ‘I’m sorry, I’m sorry, I’m sorry’ and he told me everything was my fault and that everything was never gonna be okay - but as long as we were together [he wouldn’t kill himself]. And so I went back.”

Experts say this cycle of threats and violence is hard to break. Many times the teens involved are in denial.

“It’s very important, though,” explains domestic violence specialist, Kim Frndak, “that they have facts and information about this issue.”

An estimated one in three teens will be in an abusive relationship; one in four girls will be raped or sexually assaulted.

And the victims don’t always know that the abuse is not their fault.

“It’s very, very important to say, ‘I’m concerned for your safety, you’re not alone, you’re not the only person dealing with this kind of thing, and you don’t deserve to be treated like this’,” explains Frndak.

That’s the message to the child. And, she says, that’s just the beginning.

“Have the guidance counselors and administrators at the school investigate,” she says, “[and] there’s nothing wrong with calling the young man’s parents - because chances are, if he’s behaving this way towards your daughter, he’s done it in the past with other people.”

Finally, she says, parents need to do whatever it takes to keep their child safe.

“If you need to put limitations on your child’s activity - do it. If you need to say, ‘no you can’t go to the mall - you can’t go to the mall, you can only go to the mall if you’re with at least another friend, two friends and you can’t stay beyond such-and-such a time.’”

After four long years, with the help of her friends, Amanda was finally able to break free.

“I stopped answering his phone calls, I deleted every single message that he sent me, emails, IM’s - blocked them, took his number out of my phone and everything stopped,” she says. “Months later it stopped. It finally stopped.”

Tips for Parents

‘Dating violence’ may seem like a vague, murky term, but the National Center for Injury Prevention and Control defines ‘dating violence’ very specifically:

Dating Violence: “The perpetration or threat of an act of violence by at least one member of an unmarried couple on the other member within the context of dating or courtship. This violence encompasses any form of sexual assault, physical violence, and verbal or emotional abuse.”

How often does dating violence happen? Estimates vary, but the NCIPC offers these statistics:

24% of 8th and 9th graders have been victims of nonsexual dating violence.
8% of 8th and 9th graders have been victims of sexual dating violence.
Among high school students, the average prevalence rate for nonsexual dating violence is 22%.
Among college students the rate is 32%.
27% of college females have been victims of rape or attempted rape since age 14.
Over half of 1,000 females at a large urban university surveyed said they had experienced some form of “unwanted sex.”
Women are 6 times more likely than men to experience violence at the hands of an intimate partner.
According to the Massachusetts Department of Education, teen dating violence follows a pattern which is similar to adult domestic violence. The major elements of this pattern are:

Violence that affects people from all socio-economic, racial and ethnic groups.
Repeated violence that escalates.
Violence that increases in severity the longer the relationship continues.
Violence and abusive behaviors are interchanged with apologies and promises to change.
Increase danger for the victim when trying to terminate the relationship.
Occurrence in heterosexual and gay and lesbian relationships.
How can you tell if your teenager may be suffering from dating violence? Here are some signs from the Massachusetts Department of Education.
Is your child involved with someone who:

Is overly possessive and demonstrating a real need to control
Is jealous to the extreme point where it becomes an obsession
Is into controlling your child’s everyday events
Is prone to violent outbursts
Is a person who has a history of poor relationships
Is infringing upon your child’s freedom to make choices for himself/herself
Is limiting the time your child spends with other people
Is using external pressure to influence decision making
Is into passing blame and denying their own mistakes
Is in the habit of using put downs or playing mind games
Is not a person who can be disagreed with easily
Is encouraging your child to keep secrets
Is causing your child to become more withdrawn
And for teenagers trying to get out of a violent relationship, the following advice from the Boulder (CO) Police Department:

Tell your parents, a friend, a counselor, a clergyman, or someone else whom you trust and who can help.

The more isolated you are from friends and family, the more control the abuser has over you.
Alert the school counselor or security officer. Keep a daily log of the abuse.

Do not meet your partner alone.

Do not let him or her in your home or car when you are alone.
Avoid being alone at school, your job, on the way to and from places.
Tell someone where you are going and when you plan to be back.
Plan and rehearse what you would do if your partner became abusive.

References

Boulder (CO) Police Department
California Adolescent Health Collaborative
Children’s Hospital of Philadelphia
Massachusetts Department of Education
National Center for Injury Protection and Control

Sue Scheff: Struggling Teens and Drug Use

More from SAMSHA:

SAMSHA has created a site (http://ncadi.samhsa.gov/cfoy.aspx ) that provides quick links to information in packaged bundles, available for quick download or mail order. These resources provide tips for families and educators to talk to teens about drug use. This is a great opportunity to access legitimate research and gather additional facts on signs and symptoms of drug use, tips for addressing teen use of hallucinogens, club drugs, heroin, and methamphetamines, and family guides (also available in Spanish) designed to facilitate a healthy and open discussion about raising drug free teens.

Quick, easy to read information is available, such as these signs of possible drug use:

• Skipping classes or not doing well in school
• Unusual odors on their clothes or in their room
• Hostility or lack of cooperation
• Physical changes (red eyes, runny nose)
• Borrowing money often, or suddenly having extra cash
• Lack of interest in activities
• Significant mood changes
• Loss of interest in personal appearance
• Change in friends
• Heightened secrecy about actions or possessions

Our website (http://ncadi.samhsa.gov/cfoy.aspx ) will provide the information needed to arm yourself with the right tools to quickly and easily get the facts you need to talk to teens about drugs. If you like, you can download a free badge that you can add to your blog to show your support for education and communication around teen drug use. The badge will link directly to SAMSHA’s resources and provide a quick reference guide for your readers.

Sue Scheff: African American Suicide and Kids

Source: Connect with Kids

“A very achieving, gentle, loving, spiritual, sweet child.”
– Doris Smith, describing her son, Mark, who committed suicide.

When he was 10 years old, Mark Smith’s mother and father divorced.

“It affected Mark greatly,” says his mother, Doris Smith. “I found out in later years he told me it devastated him.”

Throughout his teen years, Mark had trouble sleeping and eating. He also talked about death and dying --typical signs of depression.

“He was giving me all the signs and the symptoms of a person who would take their own life,” says Smith.

Finally, he did. With a gunshot to the head.

New research finds that 4 percent of all black teens will attempt suicide. And while it’s still lower than the suicide rate for whites, the gap is closing.

“We’re more aware of it, there’s more reporting of it,” explains Psychiatrist Dr. Saundra Maass-Robinson. “There’s less… I don’t want to say there’s less stigma, but there’s less reluctance for those loved ones to identify it as a suicide than in the past.”

Maass-Robinson says that in the past 18 years, approximately 50 percent of her clients have been black teens. Still, she says, too often the ones that need help never get it.

“I will more often than not hear these young men say they’ve been wanting to get help for a while but their parents have discouraged it. So the very people they turn to for help are still part of the problem.”

Maass-Robinson says if you do see signs of depression -- no matter how subtle – take action.
“As the parent, I always take the position, ‘I know something’s wrong, I’m not here debating that. I’m not here [saying] how are you doing’,” says Maass-Robinson. “If you can’t talk to me, is there anybody you can? Because if you can’t I’m going to find you somebody and we’re going to do this.”

Doris Smith will always wish she had done more…
“I miss Mark so very much,” she says. “He was my only child. There’s not a day that goes by that I don’t think about him.”

Tips for Parents

When someone commits suicide, even people who were close to the victim often voice surprise and shock. Yet suicide is a prevalent issue, particularly among youth, who seemingly have their whole lives ahead of them. Consider the following statistics:

Suicide is the third leading cause of death for people ages 15 to 24. In fact, more teenagers and young adults die from suicide than from cancer, heart disease, AIDS, birth defects, stroke, pneumonia, influenza and chronic lung disease combined.

Risk factors for attempted suicide in youth are depression, alcohol or other drug use, and aggressive or disruptive behavior.

Over the last several decades, the suicide rate in young people has increased dramatically, nearly tripling in the last 50 years.

Male teenagers are much more likely to commit suicide than female teenagers, at a ratio of five-to-one.

Since 1980, suicide rates increased most rapidly among young black males.
According to the American Academy of Child and Adolescent Psychiatry, many of the symptoms of suicidal tendencies are similar to those of depression. Parents should be aware of the following signs that could indicate your child is at risk:

Change in eating and sleeping habits
Withdrawal from friends, family, and regular activities
Violent actions, rebellious behavior, or running away
Drug and alcohol use
Unusual neglect of personal appearance
Marked personality change
Persistent boredom, difficulty concentrating, or a decline in the quality of schoolwork
Frequent complaints about physical symptoms (often related to emotions) such as stomachaches, headaches, fatigue, etc.
Loss of interest in pleasurable activities
Intolerant of praise or rewards
A teenager who is planning to commit suicide may also …
Say that they are “a bad person” or feel "rotten inside."
Give verbal hints such as, "I won't be a problem for you much longer;" "Nothing matters;" "It's no use," or, "I won't see you again."

Put his or her affairs in order; for example, give away favorite possessions, clean his or her room, throw away important belongings, etc.

Become suddenly cheerful after a period of depression.

Have signs of psychosis (hallucinations or bizarre thoughts).

If a child or teen says, "I want to kill myself," or "I'm going to commit suicide," always take the statement seriously and seek evaluation from a psychiatrist and/or physician who specializes in children. People often feel uncomfortable talking about death. However, asking the child or adolescent whether he or she is depressed or thinking about suicide can be helpful. Don’t be afraid that this will "put thoughts in your child's head." Instead, asking the question lets the child know somebody cares, and can give him/her the chance to talk about his/her problems.
Experts at the American Association of Suicidology have developed the following suggestions to help deter someone who might be suicidal:
Be direct. Talk openly and matter-of-factly about suicide.
Be willing to listen. Allow expressions of feelings. Accept the feelings.
Be non-judgmental. Don’t debate whether suicide is right or wrong, or if feelings are good or bad. Don’t lecture on the value of life.
Get involved. Become available. Show interest and support.
Don’t dare him or her to do it.
Don’t act shocked. This will put distance between you.
Don’t be sworn to secrecy. Seek support.
Offer hope that alternatives are available, but do not offer glib reassurance.
Take action. Remove any means, such as guns or stockpiled pills.

Get help from doctors, therapists or agencies that specialize in crisis intervention and suicide prevention.

References
American Association of Suicidology
National Center for Health Statistics
The American Association of Child and Adolescent Psychiatry
University of Michigan

Sue Scheff: Teens and Medicine Abuse

Source: StopMedicineAbuse

Recent studies among middle and high school aged kids across the country show a disturbing form of substance abuse among teens: the intentional abuse of otherwise beneficial medications, both prescription (Rx) and over-the-counter (OTC), to get high.

Teens who learn a lot about the dangers of drugs from their parents are half as likely to abuse drugs.

According to the Partnership for a Drug-Free America, one in five teens reports having abused a prescription drug to get high. Where OTC medicines are concerned, data from the Partnership for a Drug-Free America indicate that one in 10 teens reports having abused OTC cough medicines to get high, and 28 percent know someone who has tried it.

The ingredient the teens are abusing in OTC cough medicines is dextromethorphan, or DXM. When used according to label directions, DXM is a safe and effective ingredient approved by the U.S. Food and Drug Administration and is found in well over 100 brand-name and store-brand over-the-counter cough medicines. When abused in extreme amounts, DXM can be dangerous.

StopMedicineAbuse.org was developed by the leading makers of OTC cough medicines to build awareness about this type of substance abuse behavior, provide tips to prevent it from happening, and encourage parents to safeguard their medicine cabinets. Substance abuse can touch any family: The key to keeping teens drug-free is education and talking about the dangers of abuse.

Parents Universal Resource Experts - Sue Scheff - Teen Drug Use Prevention

Source: Dr. John Fleming

A generation ago, with the idea to prevent drug addition for future generations, former first lady Nancy Reagan launched her famous anti-drug campaign with the slogan, “just say no to drugs.” Sadly, addiction and drugs still plague our children despite the best efforts of educators and parents. The benefits of drug prevention are real but our approach to prevention has not been successful.

Now, drug and alcohol prevention research is available from Dr. John Fleming in the book Preventing Addiction. In this first-of-its-kind book, Dr. Fleming introduces real ideas to prevent drug use and alcohol consumption in our children based on medical science and on Dr. Fleming’s personal experience as a parent of four grown children. He helps to fully explain the phenomenon of addiction and shows parents the best new ways to raise and train children to avoid drug and alcohol addiction.

Sue Scheff: Parenting Tips on Talking to Your Teen about Inhalant Abuse

Source: Inhalant.org

• Ask your pre-teen or teenager if he or she knows about Inhalant Abuse or
is aware of other kids abusing products.

• Reinforce peer resistance skills. Tell him or her that sniffing products to get
high is not the way to fit in. Inhalants are harmful: the “high” comes with
high cost.

• Encourage your child to come to you if he or she has any questions about
Inhalants.

• Tell your child that the consequences of Inhalant Abuse are as dangerous as
those from abusing alcohol or using illegal drugs. Be absolutely clear
— emphasize that unsafe actions and risky behavior have serious consequences.

• Monitor your teen’s activities — set boundaries, ask questions. Be firm,
know his or her friends and his or her friends’ parents, know where they
meet to “hang out.”

• Educate your child about the dangers, but don’t mention specific
substances unless your child brings them up. While many youngsters know
kids are sniffing some substances, they may not know the full range of
products that can be abused; and you don’t want to give them suggestions.

• Tell your children that you love them and that their safety is your number
one priority. Tell them again…and again…and again.

Sue Scheff: Teens Smoking Cigarettes

Many parents call me about their teens and sometimes tweens that are lighting up. We like to say pick and choose issues, and we don’t condone smoking cigarettes - but we can’t panic. Let’s continue talking to our kid about how damaging smoking cigarettes is to your body as well as your overall health. Smoking is not cool - but it is cool to be an educated parent.

By Jessica Stevenson, About.com

Most people who smoke first light up a cigarette when they’re teenagers. In fact, 80% of smokers began the habit before they turned 18. Here are a few quick facts about cigarette smoking, nicotine and tobacco that you may not have heard before. Even if you have, they’re facts that are worth keeping in mind when your friends and relatives light up a cigarette.
Nearly 70% of people who smoke say they wish they could quit.

Teens who smoke cough and wheeze three times more than teens who don’t smoke.
Smoking causes cancer, heart disease, lung disease and strokes.

Smokers as young as 18 years old have shown evidence of developing heart disease.
More than 70% of young people who smoke said they wish they hadn’t started doing it.
Smoking a pack of cigarettes each day costs about $1,500 per year — enough money to buy a new computer or Xbox.

Studies show that 43% of people who smoke three or fewer cigarettes a day become addicted to nicotine.

More than 434,000 Americans die each year from smoking-related diseases.
One-third of all new smokers will eventually die from a smoking-related disease.
Nicotine — one of the main ingredients in cigarettes — is a poison.
Nicotine is as addictive as heroin and cocaine.
All tobacco products — that includes cigarettes, cigars and chewing tobacco — have nicotine in them.
Smoking makes you feel weaker and more tired because it prevents oxygen from reaching your heart.
Smoking decreases your sense of taste and smell, making you enjoy things like flowers and ice cream a little bit less.
Smoking hurts the people around you: More than 53,000 people die each year from secondhand smoke.
Cigarettes have tons of harmful chemicals in them, including ammonia (found in toilet cleaner), carbon monoxide (found in car exhaust) and arsenic (found in rat poison).
Quitting smoking is one of the best things you can do for your health.
Just days after quitting smoking, a person’s sense of taste and smell returns to normal.
Ten years after quiting smoking, a person’s risk of lung cancer and heart disease returns to that of a non-smoker.
Most teens (about 70%) don’t smoke. Plus, if you make it through your teen years without becoming a smoker, chances are you’ll never become a smoker.

Adapted from “50 Things You Should Know About Tobacco” by Journeyworks Publishing.

Sue Scheff - Parenting Difficult Teens

Is your teen pushing your buttons?
Not sure how to handle it?

We're here to help you make the most of your relationship, stay ahead of the game and find common ground with your teenager. Shoulder to Shoulder is dedicated to making your job easier by connecting parents and caregivers and sharing the insights of those who have been there before. From written resources and a Blog for parents of teens to relevant research and parenting tips, we hope you find our resources useful as you navigate the teen years with your child.

Sue Scheff - Parenting Troubled Teens- Teen Mischief

Today is the last day of school for many kids around the country. It is important to keep your kids busy in constructive and positive ways. Bored teens can sometimes lead to trouble. Teen Shoplifting, vandelism and more may haunt your homes - be an educated parent, take the time to create activities for the entire family.

Criminal Activity and Your Teen

For many kids, adolescence is a trying phase of life. Body changes, school pressures, and personality changes can be very overwhelming to your teen when occurring all at once. Because of these pressures, adolescents can be more susceptible to things like peer pressure. Whether it’s out of a desire to fit in or stand out, your normally levelheaded teen can be easily pressured into committing dangerous and illegal acts they might never otherwise consider.

Sometimes, these activities are relatively harmless, and can include things like dying their hair a bold color, or cutting a class or two. But often, many teens find the desire to fit in so strong they are willing to compromise their own morals to be part of the ‘in’ crowd. They may be more likely to experiment with drugs or alcohol, or commit other criminal activities, all for the sake of ‘fitting in’.

Though there are many dangers your teen may encounter, this site deals specifically with teenagers and criminal activity, like shoplifting, vandalism, and violent crime. Teens can partake in these activities for many reasons- peer pressure being just one of a long list of possibilities.
My name is Sue Scheff™, and I am not only a parent, but the founder of the Parents Universal Resource Experts (P.U.R.E.)™. P.U.R.E™ came about after I found myself feeling alone and scared when my then-teenage daughter began experiencing troubles of her own. Those of us at P.U.R.E.™ know what many parents go through. We are here for you and want to provide you with resources, advice and the support you’ll need to get through trying times.

Click here for my website on Teen Mischief.

Sue Scheff: Counseling Cuts Down on Youth Drinking

Source: Connect with Kids

“If it comes from me, I’m the objective observer. I’m interested in the child, and I try to let them know that. I want what’s best for them, but yet it’s not Mom or Dad saying that.”

– Rhonda Jeffries, M.D., Pediatrician

It’s a troubling fact of life: some kids drink.

“Especially the older they get,” says Dr. Rhonda Jeffries, a pediatrician. “And by senior year, 50 percent or more of kids are drinking. And in fact, by 12th grade, usually 80 percent of the kids have tried alcohol.”

But can a doctor persuade kids not to drink? Kids seem to think so.

“I think coming from somebody besides, maybe, just the parents for some people it will help,” says 18-year-old Andrew Scott, a high school senior.

Lars Thrasher, 17, agrees. “I would think it would be more helpful from a doctor,” he says.

And Christine Terrell, calls doctors advice on drinking and other potentially touchy subjects “extremely beneficial.”

According to a study published in the Annals of Family Medicine, when a physician spends just a few minutes talking to kids about the dangers of alcohol, those kids are 50 percent less likely to drink.

Dr. Jeffries says: “If it comes from me, I’m the objective observer. I’m interested in the child, and I try to let them know that. I want what’s best for them, but yet it’s not Mom or Dad saying that.”

The study reports when kids talked with their doctor, they had 55 percent fewer traffic accidents, 42 percent less emergency room visits and fewer arrests for underage drinking. It seems that when doctors warn kids about alcohol, they listen.

Christine Terrell explains: “They’re not invested in you as their child. They’re invested in you for your health, for your interests, for your sake. And I would definitely listen to a doctor, and I have listened to doctors who have talked to me about subjects like that.”

The study suggests it’s a good idea to ask your doctor to talk with your children about alcohol. Of course, experts add, parents should bring up the subject as well. “They need to be open to discussion and to bringing these issues up with their kids,” says Dr. Jeffries. “And I think that parents who are in touch with their kids and connected to them are really helpful in getting their children though adolescence without negative effects.”

LaShauna Pellman, 17, sums it up best. “If my parents tell me something,” she says, “then I listen to them even more.”

Tips for Parents

Alcohol-related fatalities are a leading cause of death among young adults in the United States. In the United States, 70.8 percent of all deaths among persons aged 10 to 24 result from only four causes – motor-vehicle crashes, other unintentional injuries, homicide and suicide.

Should your family doctor take just a few moments to counsel your child about the risks of alcohol, there is great potential for positive outcome. Just a few minutes of a doctor's counseling helped young adults reduce their high-risk drinking and the number of traffic crashes, emergency room visits, and arrests for substance or liquor violations, says a study in the Annals of Family Medicine. Consider the following:

Underage drinking causes over $53 billion in criminal, social and health problems.
Alcohol is a leading factor in the three leading causes of death for 15- to 24-year-olds: automobile crashes, homicide and suicide.

Primary-care doctors should make it a priority to counsel young adults about high-risk drinking. Young adults, ages 18 to 30, who received counseling about reducing their use of alcohol:

Experienced a 40 to 50 percent decrease in alcohol use.
Reported 42 percent fewer visits to the emergency room.
Were involved in 55 percent fewer motor vehicle crashes.

The ways a parent can influence his or her teen’s drinking habits is complex. A universal method regarding what works best in preventing underage drinking may not exist. A study published in the Journal of Adolescent Health found that a parent’s attitude toward drinking influences a child's behavior in various ways. One controversial finding was that teens who drank with their parents were less likely than others to have binged or used alcohol at all in recent weeks. Others, of course, argue passionately that parents who drink with their underage children are not only breaking the law but encouraging dangerous behavior that can lead to life-long consequences.

The Journal study also found that strict parenting can curb kids' drinking. Teens who said they feared they would have their privileges taken away if they got caught drinking were half as likely to drink as those who thought their parents would not punish them. In addition, consider the following:

The average girl takes her first sip of alcohol at age 13. The average boy takes his first sip of alcohol at age 11.

Teenagers who said their parents or their friends' parents had provided alcohol for a party during the past year were twice as likely as their peers to have used alcohol or binged during the previous month.

Nearly 75 percent of teens surveyed said they had never used alcohol.

About 25 percent of teens in the study said they'd been at party in the past year where parents supplied alcohol.

Fourteen percent of teens surveyed said they were with their parents the last time they drank.

References
The Centers for Disease Control and Prevention (CDC)
Focus Adolescent Services
Health Day
National Youth Violence Prevention Center
Reuters
U.S. Department of Health and Human Services
University of California, Irvine

Sue Scheff: Mistreated Depression

Source: Connect with Kids

“Basically, psychiatrists are pretty busy. They don’t want to spend a lot of time with people. They want to get people in and out, maybe two or three an hour. … It pays better to do that than spending an hour doing psychotherapy.”

– David Gore, Ph.D., clinical psychologist

Fifteen-year-old Sarah McMenamin suffers from depression. It started a year ago with the death of her father.

“I was just like, ‘I just want to die,’” she says, describing her feeling before seeing a therapist. “I would never kill myself, but I just wish I was dead, I just wish I was never going to wake up.”

For depressed teens, experts at the American Academy of Child and Adolescent Psychiatry say what can help is medicine – combined with talk therapy.

“I think the therapist helped me,” explains Sarah, “’cause it was talking, you know, I got it out. I didn’t bottle everything up.”

“The advantage to getting some therapy along with medication is that you get to the root of the problem,” explains Dr. David Gore, clinical psychologist. “You get to see why you’re feeling that way. And if you start understanding why you’re feeling that way, chances are pretty good you’ll stop feeling that way.”

But according to a new study from Thomson-Reuters, more teens than ever are getting medication without psychotherapy. Why? Gore has an answer.

“Basically, psychiatrists are pretty busy,” Dr. Gore says. “They don’t want to spend a lot of time with people. They want to get people in and out, maybe two or three an hour. … It pays better to do that than spending an hour doing psychotherapy.”

Three months ago, Sarah started seeing a new doctor.

“Right away he put me on Zoloft,” she says. “He didn’t even know me for an hour and he put me on it.”

But psychologists say medicine alone just won’t work as well.

“You take your pill, you’ll get some immediate relief,” explains Dr. Gore, “but the problem’s going to crop up again in two months or four months or six months. You’ve got to get to the root of the problem.”

Sarah will resume talk therapy again in a few months. She says she is looking forward to it.

“You get it out on the table and you know your feelings’” she says, “and you go in thinking it’s one thing and you come out finding out it’s like 10 different things and you’re like, ‘Wow.’”

Tips for Parents

All teens experience ups and downs. Every day poses a new test of their emotional stability – fighting with a friend, feeling peer pressure to “fit in” with a particular crowd or experiencing anxiety over a failed quiz – all of which can lead to normal feelings of sadness or grief. These feelings are usually brief and subside with time, unlike depression, which is more than feeling blue, sad or down in the dumps once in a while.

According to the Nemours Foundation, depression is a strong mood involving sadness, discouragement, despair or hopelessness that lasts for weeks, months or even longer. It also interferes with a person’s ability to participate in normal activities. Often, depression in teens is overlooked because parents and teachers feel that unhappiness or “moodiness” is typical in young people. They blame hormones or other factors for teens’ feelings of sadness or grief, which leaves many teens undiagnosed and untreated for their illness.

The Mayo Clinic reports that sometimes a stressful life event triggers depression. Other times, it seems to occur spontaneously, with no identifiable specific cause. However, certain risk factors may be associated with developing the disorder. Johns Hopkins University cites the following risk factors for becoming depressed:

Children under stress who have experienced loss or who suffer attention, learning or conduct disorders are more susceptible to depression.
Girls are more likely than boys to develop depression.
Youth, particularly younger children, who develop depression are likely to have a family history of the disorder.
If you suspect that your teen is clinically depressed, it is important to evaluate his or her symptoms and signs as soon as possible. The National Depressive and Manic-Depressive Association cites the following warning signs indicating that your teen may suffer from depression:

Prolonged sadness or unexplained crying spells
Significant changes in appetite and sleep patterns
Irritability, anger, worry, agitation or anxiety
Pessimism or indifference
Loss of energy or persistent lethargy
Feelings of guilt and worthlessness
Inability to concentrate and indecisiveness
Inability to take pleasure in former interests or social withdrawal
Unexplained aches and pains
Recurring thoughts of death or suicide

It is important to acknowledge that teens may experiment with drugs or alcohol or become sexually promiscuous to avoid feelings of depression. According to the National Mental Health Association, teens may also express their depression through other hostile, aggressive, risk-taking behaviors. These behaviors will only lead to new problems, deeper levels of depression and destroyed relationships with friends and family, as well as difficulties with law enforcement or school officials.

The development of newer antidepressant medications and mood-stabilizing drugs in the last 20 years has revolutionized the treatment of depression. According to the Mayo Clinic, medication can relieve the symptoms of depression, and it has become the first line of treatment for most types of the disorder. Psychotherapy may also help teens cope with ongoing problems that trigger or contribute to their depression. A combination of medications and a brief course of psychotherapy are usually effective if a teen suffers from mild to moderate depression. For severely depressed teens, initial treatment usually includes medications. Once they improve, psychotherapy can be more effective.

Immediate treatment of your teen’s depression is crucial. Adolescents and children suffering from depression may turn to suicide if they do not receive proper treatment. Suicide is the third leading cause of death for Americans aged 10-24. The National Association of School Psychologists suggests looking for the following warning signs that may indicate your depressed teen if contemplating suicide:

Suicide notes: Notes or journal entries are a very real sign of danger and should be taken seriously.

Threats: Threats may be direct statements (“I want to die.” “I am going to kill myself”) or, unfortunately, indirect comments (“The world would be better without me.” “Nobody will miss me anyway”). Among teens, indirect clues could be offered through joking or through comments in school assignments, particularly creative writing or artwork.

Previous attempts: If your child or teen has attempted suicide in the past, a greater likelihood that he or she will try again exists. Be very observant of any friends who have tried suicide before.

Depression (helplessness/hopelessness): When symptoms of depression include strong thoughts of helplessness and hopelessness, your teen is possibly at greater risk for suicide. Watch out for behaviors or comments that indicate your teen is feeling overwhelmed by sadness or pessimistic views of his or her future.

“Masked” depression: Sometimes risk-taking behaviors can include acts of aggression, gunplay and alcohol or substance abuse. While your teen does not act “depressed,” his or her behavior suggests that he or she is not concerned about his or her own safety.

Final arrangements: This behavior may take many forms. In adolescents, it might be giving away prized possessions, such as jewelry, clothing, journals or pictures.

Efforts to hurt himself or herself: Self-injury behaviors are warning signs for young children as well as teens. Common self-destructive behaviors include running into traffic, jumping from heights and scratching, cutting or marking his or her body.

Changes in physical habits and appearance: Changes include inability to sleep or sleeping all the time, sudden weight gain or loss and disinterest in appearance or hygiene.

Sudden changes in personality, friends or behaviors: Changes can include withdrawing from friends and family, skipping school or classes, loss of involvement in activities that were once important and avoiding friends.

Plan/method/access: A suicidal child or adolescent may show an increased interest in guns and other weapons, may seem to have increased access to guns, pills, etc., and/or may talk about or hint at a suicide plan. The greater the planning, the greater the potential for suicide.

Death and suicidal themes: These themes might appear in classroom drawings, work samples, journals or homework.

If you suspect suicide, it is important to contact a medical professional immediately. A counselor or psychologist can also help offer additional support.

References
American Academy of Child and Adolescent Psychiatry
American Foundation for Suicidal Prevention
Johns Hopkins University
Mayo Clinic
National Association of School Psychologists
National Depressive and Manic-Depressive Association
National Institute of Mental Health
National Mental Health Association
Nemours Foundation
Thomson-Reuters

Sue Scheff: Teens, Sex and Depression

Source: Connect with Kids

“It hurts, because I care so much about him.”

– Teagan, 15 years old

Fifteen-year-old Teagan says her new boyfriend is wonderful. “I never thought anyone like Preston could come along,” Teagan says. “He’s the greatest guy I’ve ever known.”

But is she as lucky as she thinks?

Studies show that romantic involvement brings adolescents down, rather than up. What’s more, researchers at the University of North Carolina find that teen girls who are sexually active are twice as likely to be depressed compared to girls not having sex.

But, even among abstinent teens who date, one of the problems is trust.

“Say your boyfriend went off to work and never called you that day,” Teagan says. “And you talked every single day on the phone. I mean you’d be kind of concerned and kind of wondering why. And then someone comes along and says ‘well maybe he’s cheating on you…’”

Combine adolescent insecurity with imagination and the result is a lot of questions: Where is he? Why doesn’t she call? Does he really like me? Why is she talking to that other boy?

That’s where most of the stress comes in,” Teagan says. “Getting thoughts in your head about what might be going on, when it probably isn’t going on at all.”

Experts say parents can help ease their child’s pain by listening and taking them seriously. It’s not puppy love to them, it’s real. “It hurts,” Teagan says, “because I care so much about him.”

Experts also advise teaching your child that early relationships may hurt, but they’re indispensable. “They will have many relationships before they finally settle on a life mate,” says Cheryl Benefield, a school counselor. “Let them know that when things happen, it’s maybe just preparing them for a better relationship in the future.”

Tips for Parents
According to the National Institute of Mental Health, boys and girls seem to be equally at risk for depressive disorders during childhood, but during adolescence, girls are twice as likely as boys to develop depression. Family history and stress are listed as factors, but another factor that often causes depression in girls is the break-up of a romantic relationship.

The authors of a study conducted at Cornell University titled “You Don’t Bring Me Anything but Down: Adolescent Romance and Depression,” found that females become “more depressed than males in adolescence partly as a consequence of their involvement in romantic relationships.” The reason? According to the study, “females’ greater vulnerability to romantic involvement explains a large part of the emerging sex difference in depression during adolescence.”

At any given time, five percent of children suffer from depression. Children under stress, who have experienced a loss, or who suffer from other disorders are at a higher risk for depression. Here are some signs of depression from the American Academy of Child and Adolescent Psychiatry (if one or more of these signs of depression persist, parents should seek help):

Frequent sadness, tearfulness, crying
Hopelessness
Decreased interest in activities, or inability to enjoy previously favorite activities
Persistent boredom; low energy
Social isolation, poor communication
Low self-esteem and guilt
Extreme sensitivity to rejection or failure
Increased irritability, anger or hostility
Difficulty with relationships
Frequent complaints of physical illnesses such as headaches and stomachaches
Frequent absences from school or poor performance in school
Poor concentration
A major change in eating and/or sleeping patterns
Talk of or efforts to run away from home
Thoughts or expressions of suicide or self destructive behavior
Getting an early diagnosis and medical treatment are critical for depressed children.

Depression is a serious condition, which, if left untreated, can even become life threatening. Suicide is the third leading cause of death among young people, leading to nearly 4,000 deaths a year. The rate has tripled since 1960. Therapy can help teenagers understand why they are depressed and learn how to handle stressful situations. Treatment may consist of individual, group or family counseling. Medications prescribed by a psychiatrist may be needed to help teens feel better.

Ways of treating depression include:

Psychotherapy: to explore events and feelings that are painful and troubling. Psychotherapy also teaches coping skills.
Cognitive-behavioral therapy: to help teens change negative patterns of thinking and behaving.
Interpersonal therapy: to focus on ways of developing healthier relationships at home and school.
Medication: to relieve some symptoms of depression (often prescribed along with therapy).
References
Journal of Health and Social Behavior
National Institute of Mental Health
American Academy of Child and Adolescent Psychiatry
National Mental Health Association
University of North Carolina

Sue Scheff: American School Counselor Association

The American School Counselor Association (ASCA) supports school counselors' efforts to help students focus on academic, personal/social and career development so they achieve success in school and are prepared to lead fulfilling lives as responsible members of society. ASCA provides professional development, publications and other resources, research and advocacy to more than 24,000 professional school counselors around the globe. Join today!

Teen Pregnancy

Teenage Pregnancy

Every year approximately 750,000 teenage girls become pregnant in the United States. This is roughly 1/3 of the age group’s population, a startling fact. Worse, more than 2/3 of teens who become mother will not graduate high school. Many young teen girls that are suffering with low self worth or feelings of not being loved believe that having a baby will give them a purpose in life. Unfortunately they are not looking at the whole picture and the reality of raising a child.

These girls are not emotionally prepared to make such a major decision in their young life – yet many are in this situation. As a parent, we need to keep the lines of communication open, as hard as that is, it is necessary.

If you are parent who recently discovered that your teenage daughter is pregnant or may be pregnant, we understand your fear and pain. This is a difficult and very serious time in both of you and your daughter’s life.

No matter what happens, you and your daughter must work together to make the best choice for her and her unborn child. Your support and guidance is imperative as a parent. You can and will make it through this as a family.

For more information on Teen Pregnancy visit http://www.sue-scheff.org/.

Sue Scheff: Teen Substance Abuse - Parents Universal Resource Experts

With today's society, kids have access to many different substances that can be addictive and damaging. If you suspect your child is using drugs or drinking alcohol, please seek help for them as soon as possible. Drug testing is helpful, but not always accurate. Teen Drug use and Teen Drinking may escalate to addiction.

We get calls constantly, that a child is only smoking pot. Unfortunately in most cases, marijuana can lead to more severe drugs, and marijuana is considered an illegal drug. Smoking marijuana is damaging to the child's body, brain and behavior. Even though marijuana is not considered a narcotic, most teens are very hooked on it. Many teens that are on prescribed medications such as Ritalin, Adderall, Strattera, Concerta, Zoloft, Prozac etc. are more at risk when mixing these medications with street drugs. It is critical you speak with your child about this and learn all the side effects. Educating your child on the potential harm may help them to understand the dangers involved in mixing prescription drugs with street drugs. Awareness is the first step to understanding.

Alcohol is not any different with today's teens. Like adults, some teens use the substances to escape their problems; however they don't realize that it is not an escape but rather a deep dark hole. Some teens use substances to "fit in" with the rest of their peers – teen peer pressure. This is when a child really needs to know that they don't need to "fit in" if it means hurting themselves. Using drug and alcohol is harming them. Especially if a teen is taking prescribed medication (refer to the above paragraph) teen drinking can be harmful. The combination can bring out the worse in a person. Communicating with your teen, as difficult as it can be, is one of the best tools we have. Even if you think they are not listening, we hope eventually they will hear you.

If your teen is experimenting with this, please step in and get proper help through local resources. If it has extended into an addiction, it is probably time for a Residential Placement. If you feel your child is only experimenting, it is wise to start precautions early. An informed parent is an educated parent. This can be your life jacket when and if you need the proper intervention. Always be prepared, it can save you from rash decisions later.

A teen that is just starting to experiment with substance use or starting to become difficult; a solid short term self growth program may be very beneficial for them. However keep in mind, if this behavior has been escalating over a length of time, the short term program may only serve as a temporary band-aid.

Drugs and Alcoholic usage is definitely a sign that your child needs help. Teen Drug Addiction and Teen Drinking is a serious problem in today’s society; if you suspect your child is using substances, especially if they are on prescribed medications, start seeking local help. If the local resources become exhausted, and you are still experiencing difficulties, it may be time for the next step; Therapeutic Boarding School or Residential Treatment Center.

Visit www.helpyourteens.com for more information.

Preventing Drug Abuse

Preventing Drug Abuse: What Can You Do?

If you suspect your teen is doing any form of gateway drug, it's important to talk to them about it as soon as possible. Again, it is important to not yell or threaten. You will no doubt be scared and angry, but so is your teen. If they feel as though you don't support them or they can't talk to you, scaring them will only make the problem worse! Try to remain calm.

Assure your teen they can trust you and that you love them and want to help them. Explain harmful side effects of drugs, but assure them it's not too late to get help, and that you will support them. Tell them about any changes you've noticed in their behavior and how those changes make you feel. Let them talk to you, and listen to them. Do not judge them or criticize them.

The first you need to do in order to prevent your teen from abusing drugs, alcohol or tobacco is to take seriously the threat posed by these substances to your child. You have to take seriously the risks posed because this will ultimately be the one catalyst that will allow you to talk to your teen about the problem in a frank and open manner. By taking to heart the importance of the matter at hand, you will be in a better position to urge your teen to do the same. You do not need to be harsh or judgmental with them. It is a better strategy to be as supportive as you can. If you insist on being hostile and angry with your teen, you will likely succeed in pushing them away form you and deeper into possible addiction.

Any treatment plan you decide upon for your teen should be dictated by the substances they abuse and how much they abuse them. For example, to send a child to a strict military-style school because they have tried drugs or alcohol a handful of times is something of an overreaction. Many times if a teen’s experiments with drugs, alcohol and tobacco are minor, a good open talk with them can convey all the information you want, and achieve very positive results in terms of future behavior.

Of course, the story is entirely different if your teen has become addicted to drugs and alcohol. In this instance, a detoxification program may be in order, along with a treatment regimen that helps wean the child off of drugs and replaces that with medicine. Studies have shown that the effectiveness of prescription medicine treatment for substance abuse is greatly enhanced when combined with one-on-one and/or family counseling.

One thing to remember if treatment becomes the order for the day when addressing your child’s substance issues is that relapse after treatment is common. This does not mean that you or your teen have failed any part of the recovery process. Addiction is extremely difficult to overcome and the most important thing to keep in mind is to take things one step at a time.

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/

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

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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.