Saturday, July 5, 2008

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

Thursday, July 3, 2008

Sue Scheff: Prescription Drugs and Teens


“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

Monday, June 30, 2008

Parents Universal Resource Experts (Sue Scheff) Teen Smoking - How Can Parents Prevent It


By Aurelia Williams

Teen smoking statistics are on the rise. It is very important that children are informed of the teen smoking statistics and the harmful effects of smoking.Having involved parents — those who know a lot about their children’s friends, activities and performance in school — can help children overcome peer influence to start teen smoking, according to a study by a researcher at the National Institute of Child Health and Human Development (NICHD).

The study also confirmed earlier findings that the more widespread children think smoking is, the more likely they are to start. Moreover, children who are socially competent — who have the ability to exercise self-control and good judgment — and have parents who monitor their behavior tend not to start smoking. The study, which was published in the December 2002 issue of Prevention Science, surveyed students in four middle schools in a suburban Maryland school district.

Why Parental Involvement Is Key

While researchers have known that both peers and parents play an important role in whether young teens and preteens start smoking, they’ve known less about whether the effects of peer influence on starting smoking is affected by other factors, such as parents’ involvement and children’s adjustment to school and degree of social competence.

“Many children start to experiment with smoking in early adolescence,” said Duane Alexander, M.D., director of the NICHD. “Many then go on to develop a life-long addiction that can cause them serious health problems later in life. This study shows that by staying involved in their children’s lives, parents can help them to avoid the smoking habit.”

Bruce Simons-Morton, Ph.D., of NICHD’s Division of Epidemiology, Statistics and Prevention Research, surveyed 1,081 students in four middle schools at the beginning and again at the end of sixth grade. The students completed a questionnaire that measured a variety of factors, including their friends’ behavior and expectations; their own ability to resist dares, resolve conflicts and retain self-control; and how well they follow rules, complete school work on time and get along with classmates and teachers. The questionnaire also asked children about their parents’ involvement in their lives, their parents’ expectations for them and whether their parents check to see if the children have done what they’ve been asked to do.

The researchers found that teens with friends engaging in problem behavior — those who smoked, drank, cheated on tests, lied to parents, bullied others or damaged property — were more likely to smoke if their parents were relatively less involved than if their parents were relatively more involved. This finding pertained to all of the children studied — boys, girls, African-Americans, whites, children living with one parent and children with mothers who had not attended college. Parents’ expectations about smoking and whether an adult at home smokes did not significantly influence children’s decision to start smoking.

“Parents’ involvement may be particularly important during early adolescence,” said Dr. Simons-Morton. “It is a time when many young people first begin asserting their independence from their parents, but before peer influences reach their full strength. It’s also a time when young people are still sensitive to their parents’ values and concerns, and may be reluctant to try smoking, because they know their parents would disapprove.”

The study also confirmed two earlier findings. The researchers found that students who provided higher estimates of how many other youth smoke were more likely to smoke than those who provided lower estimates. This finding was true regardless of whether children had relatively more or relatively fewer friends who smoked. In addition, the researchers found that sixth graders who had the ability to exercise self-control and good judgment, and had parents who monitored their behavior, were less likely to start smoking. Dr. Simons-Morton noted that the study was not a nationally representative survey, but was limited to four middle schools in one suburban location. Also, some groups of children may not have been fully represented in the study, because their parents did not give permission for them to participate, or because they were absent from class on survey days.

From a December 2002 National Institutes of Child Health and Human Development news release. Providing teen smoking statistics and other health relate information

www.helpyourteens.com

www.witsendbook.com

Saturday, June 28, 2008

Sue Scheff: Building Social Skills for 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.

Monday, June 23, 2008

Parents Universal Resource Experts (Sue Scheff) Teens with ADD: Making the Transition to Adulthood




How to help your teenager with ADD make a smooth transition to an adulthood with greater responsibility.


Welcome to adulthood! Late adolescence and early adulthood are exciting times, bringing tremendous change and personal growth. From choices about higher education to decisions about a career and family, there is so much ahead that it may seem overwhelming. Take heart - every adult has faced these same decisions and met the same challenges. You'll do fine.


As a young teen with attention deficit disorder (ADD ADHD), however, be aware that you have some additional responsibilities and concerns to shoulder. As someone who has been there, let me outline six points to consider, and offer some advice and inspiration, as you enter the next phase of your life.
Read entire article here: http://www.additudemag.com/adhd/article/839.html

Sunday, June 22, 2008

The Dangers of Inhalant Abuse




Inhaled chemicals are rapidly absorbed through the lungs into the bloodstreamand quickly distributed to the brain and other organs. Within minutes, the userexperiences intoxication, with symptoms similar to those produced by drinkingalcohol. With Inhalants, however, intoxication lasts only a few minutes, so someusers prolong the “high” by continuing to inhale repeatedly.


Short-term effects include:


headaches, muscle weakness, abdominal pain, severe mood swings and violent behavior, belligerence, slurred speech, numbness and tingling of the hands and feet, nausea, hearing loss, visual disturbances, limbspasms, fatigue, lack of coordination, apathy, impaired judgment, dizziness, lethargy, depressed reflexes, stupor, and loss of consciousness.


The Inhalant user will initially feel slightly stimulated and, after successive inhalations, will feel less inhibited and less in control. Hallucinations mayoccur and the user can lose consciousness. Worse, he or she, may even die. Please see Sudden Sniffing Death Syndrome below.


Long-term Inhalant users generally suffer from:


weight loss, muscle weakness, disorientation, inattentiveness, lack of coordination, irritability and depression. Different Inhalants produce different harmful effects, and regular abuse of these substances can result in serious harm to vital organs. Serious, but potentially reversible, effects include liver and kidney damage. Harmful irreversible effects include: hearing loss, limb spasms, bone marrow and central nervous system (including brain) damage.


Sudden Sniffing Death Syndrome:


Children can die the first time, or any time, they try an Inhalant. This is known as Sudden Sniffing Death Syndrome. While it can occur with many types of Inhalants, it is particularly associated with the abuse of air conditioning coolant, butane, propane, and the chemicals in some aerosol products. Sudden Sniffing Death Syndrome is usually associated with cardiac arrest. The Inhalant causes the heart to beat rapidly and erratically, resulting in cardiac arrest.


Learn more:



Friday, June 20, 2008

Sue Scheff: New England Inhalant Abuse Prevention Coalition




Click on the links below for more information about inhalant abuse, prevention, and treatment.



Inhalant Web Sites
Our Prevention Approach Inhalants, more than any other drug, are readily available to children, and can be deadly on first use. Therefore, to do no harm, inhalant prevention messages for children should not teach them what products can be abused, how to abuse inhalants, or what their euphoric effects are. We do not want to engage their curiosity.


Today’s prevailing expert consensus about best practices recommends disconnecting inhalant abuse prevention from substance abuse prevention for children who do not already know about inhalants. Instead, education about inhalants should stress their poisonous, toxic, polluting, combustible and explosive nature and should emphasize product safety. When targeting young children who have had little or no exposure to the nature of inhalants, there is no reason to make the association for them, thereby giving them an easily accessible way to get high. When children already know about inhalants as a drug, we still teach about it as we would for a naïve child, but may add a substance abuse component. The materials in this section follow this approach.