Notes
Outline
Kevin Leehey M.D.
Child, Adolescent, and Adult Psychiatry
Board Certified
296-4280
leeheymd.com
University of Arizona
Campus Health Service
 Update on Substance Use Among College Students  1/6/09
Kevin Leehey M.D.
leeheymd.com
296-4280
Slide 3
"Twenty-five is the best..."
  Twenty-five is the best estimate for when the brain is reasonably fully mature.
The teen brain is more vulnerable to the stimulating, damaging, and addicting effects of nicotine, alcohol, and other drugs.
 One in three teens who start smoking as a teen will die of a tobacco related disease.
 90% of adult smokers began as teens.
Almost 45% of kids who start drinking alcohol by 13 will become alcoholic, while only 10% of those who wait till 21 will.
Substance use in youth thus becomes hard wired in as a tendency for life.  This is in addition to any genetic predisposition.
"Healthy Subject watching video of..."
Healthy Subject watching video of using
Substance abuser in remission watching video of using
Causes of death ages 15-24 :
Causes of death ages 15-24 :
 Accidents -primarily motor vehicle, many are substance impaired.
 Suicide
 Homicide
These 3 account for 75% of all deaths in our kids. Suicide and homicide are mostly by guns and many are substance impaired.
Slide 9
SSRI prescription rates in the United States*
Suicide rates in children and adolescents (aged 5 – 19 years) in the United States
Case 1
Prescription medicine abuse
Case 2
Teens do best with 8 to 10 hours sleep, few get it; and phase shift. REM occurs about every 90 minutes.  REMs get longer and deep sleep shorter overnight. REM key for neurotransmitters and memory. Naps lack REM.
Slide 16
Other sleep aides
Case 3
Inhalants
Case 4
“Speed” and extended family
Hallucinogens
Dissociatives
Body builders, bulk then“cut”
Case 5
Marijuana
Case 6
Opiates
Vicodin (hydrocodone)- Watsons, vics, #
Percodan, Percocet (oxycodone)- percs,
Oxycontin (oxycodone ER)- use oral or crush and snort, $1/mg - oxy, o/c’s, oxygen
Heroin- smoked in foil, $40-60/gm – tar, BT, black tar, H, horse, smack, dope, junk
“Speedball” – opiate with speed/coke/crack/meth killed John Belushi and Chris Farley
Death by respiratory suppression- Anna Nicole Smith, Heath Ledger and several local youth. #1 or 2 behind alcohol OD or combo
Opiates #1 New Use
Case 7
Drug Screens
Smoke and “Head” Shops
Case 8
Alcohol
Case 9
Tobacco
Actual Causes of Preventable Deaths
Case 10
"Most college age youth have..."
Thank you and good luck…
Kevin Leehey M.D.
leeheymd.com
296-4280