Transcript IPV and meth conference

IPV and meth conference
April 27th
Level III (Lab)
(Heavy use;
distributing)
•Neglect
•Chemicals
•Hyper
sexuality
•Process
•Violence
•Product
(meth)
and aggression
•Caretaker Behavior
“Parents who are
addicted to drugs
have a primary
commitment to
chemicals,
not to their
children.”
Beckwith, 1989
Psychoactive Substances and
Sexual Behaviors
73%
57%
42%
ne
C
oc
ai
at
pi
O
oh
Al
c
Rawson R; Matrix Instit., CA
M
A
16%
e
100%
90%
80%
70%
60%
50%
40%
30%
20%
10%
0%
ol
• My sexual drive is
increased by the use
of the following
substance(s)
Psychoactive Substances and
Sexual Behaviors
Rawson R; Matrix Instit., CA
67%
40%
16%
C
oc
M
A
ai
at
pi
O
oh
ne
e
0%
ol
100%
90%
80%
70%
60%
50%
40%
30%
20%
10%
0%
Al
c
• My use of the
following
substance(s) has
made me become
obsessed with sex
and/or made my sex
drive abnormally
high.
Psychoactive Substances and
Sexual Behaviors
55%
34%
12%
M
A
ne
C
oc
ai
at
pi
O
oh
Al
c
Rawson R; Matrix Instit., CA
4%
e
100%
90%
80%
70%
60%
50%
40%
30%
20%
10%
0%
ol
• My sexual behavior
under the influence
of the following
substance(s) caused
me to feel sexually
perverted or abnormal
Sexual Abuse
• Meth increases sexual arousal in adults
• Pornography copious and accessible
• Children unsupervised around multiple
strangers (drug buyers and associates)
• Children may be sexually abused by their
own parents, prostituted for drugs, or
forced to view sexual acts, pornography
Methamphetamine, Violence and
Aggression
(27 – 80%)
• Methamphetamine Abuse and Emergency Department Utilization.
Richards J; WJM, April 1999, Vol 170, No. 4.
• The Toll of Methamphetamine on the Trauma System.
Tominaga G, et al.; Arch Surg 2004;139:844-847.
• Abuse and Violence History of Men and Women in Treatment for
Methamphetamine Dependence; Cohen J, et al.; Am J Addict,
12:377-385, 2003.
• Psychiatric Symptoms in Methamphetamine Users;
Zweben J, et al. Am J Addict, 13:181-190, 2004.
• Methamphetamine in Psychiatric Emergencies; Szuster R.
Hawaii Medical Journal, 49(10); Oct.1990.
Methamphetamine Use and Violence;
Sommers I, Baskin D. J Drug Issues; Winter 2006; pp.77-96.
• Meth based violence may be more likely to occur
within private domestic contexts (51% in this study)
due to longer lasting high.
• “Pharmacology is not destiny….”
• “…violent behavior resulted from a complex
interaction among a variety of social, personality,
environmental and clinical factors whose relative
importance varied across situations and time.”
CONTROL Subjects
Brain Serotonin Transporter
Density and Aggression
in Abstinent Methamphetamine
Abusers
Sekine, et al.
Arch Gen Psychiatry.
2006;63:90-100
METHAMPHETAMINE Abuser
•
•
•
•
12 abstinent meth users
Use: 6 years (1.5 to 11)
Abstinent: 1.6 yrs (0.5 – 5)
Matched controls
(education, alcohol)
• Abused only methamphetamine
• No history of psychiatric,
antisocial or intermittent
explosive disorders
• No history of increased
aggression before the use of
methamphetamine.
CONTROL Subjects
Brain Serotonin Transporter
Density and Aggression
in Abstinent Methamphetamine
Abusers
Sekine, et al.
Arch Gen Psychiatry.
2006;63:90-100
METHAMPHETAMINE Abuser
• Global, severe reduction in
serotonin transporters
• All had psychosis during
methamphetamine use
Serotonin Transporter Density
Serotonin Transporter Density
Meth Use, years
Aggression Score
• Serotonin transporter density was closely associated with
the magnitude of aggression in methamphetamine
abusers
• Methamphetamine abusers showed increased levels of
aggression compared with controls.
Sekine, et al. Arch Gen Psychiatry. 2006;63:90-100
Case Series:
Mental Health
Needs and
Children’s
experiences
of
Perspectives of Rural Children
Reared
by
methamphetamine
use in the
home
Parents Who Abuse Methamphetamine*
*Ostler T, et al. J Am Acad Child Psych. 46:4, April 2007.
Case Series: Mental Health Needs and
Perspectives of Rural Children Reared by
Parents Who Abuse Methamphetamine*
• Children reported:
–
–
–
–
clear emotional pain (74%)
negative relationships with parents(78%)
absence of social support, isolation (52%)
some joined in the violence to protect their
mothers or siblings
• Most children displayed:
– significant emotional or behavior problems (57%)
– posttraumatic or dissociative symptoms (61%)
*Ostler T, et al. J Am Acad Child Psych. 46:4, April 2007.