Transcript What Do You Know - Overdose Lifeline

Opioid and Heroin Education and Prevention Program
Presenter Training
www.overdose-lifeline.org
About the Program
This presenter training is designed to assist teachers, family, law
enforcement and community members in the delivery of the
Opioid and Heroin Education and Prevention Program Lesson.
PART 1
Overdose Lifeline, Inc. has developed this
educational program to help inform students
regarding the risks of opioids and heroin use
and provide alternatives to using drugs and
alcohol in dealing with the issues, stresses,
and pressures facing today’s youth.
About Overdose Lifeline, Inc.
Overdose Lifeline, Inc. is a non-profit working on behalf of
addicts and their families to assure adequate resources
and support exist.
Justin Phillips created Overdose Lifeline after her son
Aaron's tragic death by heroin overdose. Pictured here
are Justin Phillips and her children, left to right: Aaron,
Audrey, and Bryan.
www.overdose-lifeline.org
Educational Program Pilot Period
January – May 2015, Overdose Lifeline, Inc. partnered with
IMPD to deliver the Opioid and Heroin Educational and
Prevention program across 5 Indianapolis area high schools,
reaching more than 1900 students.
• Collecting feedback from educators and students
• Modifying the program based upon pilot experience
Education Program Objectives
After completing the lesson, students will know and understand
• Drug use can lead to heroin use, addiction, overdose, and death
• The risks of heroin and prescription pain drug use
• The impacts of heroin, drugs and alcohol on the user and the
user’s family and friends
• Alternatives to using heroin, drugs, and alcohol
• The many ways to ask for help with drugs and addiction
• Available information and assistance resources
Educational Program Package
The lesson plan and program materials are mapped to the program
objectives and designed to provide the student with the opportunity to
learn through a guided and practical exercise -- deepening their
understanding and retention.
Program elements include
Lesson Plan,
Presenter Support
& Background
Pre Assessment
Film
Discussion
and
Companion
PowerPoint
Post Assessment
Student
Info Card
& Website
Survey
Data
Lesson Plan Outline & Timeframe
Lesson plan activities are designed for a 45 minute timeframe
1 minute
2 minutes
12 minutes
25 minutes
4 minutes
1 minute
Film
Discussion
and
Companion
PowerPoint
Post Assessment
Student
Info Card
& Website
2 minutes
Lesson
Introduction
Pre Assessment
= 45 Minutes
Lesson Plan, Presenter Support & Background
• The Lesson Plan provides an outline and presenter script to follow from
the lesson start (“Introduce the lesson”) through the lesson completion
• Sample pre-recorded lesson to watch as you prepare
• Presenter Edition of What Do You Know worksheet with selection of
associated presenter notes for each statement
• Discussion Guide containing background and information regarding
addiction, prescription pain pills and heroin
• Companion PowerPoint with presenter notes for use during the
discussion portion of the lesson
Pre- and Post-Lesson Assessment
What Do You Know Worksheet
The student worksheet ”Before the Lesson” activity
captures the student’s established perception and opinion.
The “What Do You know” statements model the lesson
objectives, using terminology from the film to help with the
students retention and acquisition of the information.
The student worksheet “After the Lesson" activity asks the
student to re-assess the same statement after they have
benefited from the film and the discussion.
The three survey questions provides Overdose Lifeline
feedback to help improve the lesson for future groups.
Heroin Education Project Film
The lesson objectives are the blueprint
of the film which finds students talking
to students using real, everyday terms.
Discussion
The discussion portion of the lesson allows students to express their
opinion/feelings about what they just watched and the presenter to guide
the discussion.
Presenter support:
• “What Do You Know” presenter edition with notes
• Discussion Guide
• Lesson companion PowerPoint with presenter notes
Student Information Card & Website
An information card and website containing the film,
more information, and resources supports the student
after the lesson.
Survey Data & Feedback
By mailing the completed “What Do You Know” student worksheets and
the “After the Lesson” presenter survey to Overdose Lifeline, Inc. you
will help Overdose Lifeline track and measure the effectiveness of the
lesson plan and education materials and improve upon the program.
Mail Survey and Student Worksheets:
Overdose Lifeline, Inc., 7331 Lakeside Drive, Indianapolis, IN 46278 ,
Attn: EDU Program
ONLINE edition of Survey and Student Worksheets coming soon.
Discussion Guide
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Helpful Notes for the Presenter
Heroin and Prescription Pain Medicine (Opioids) Facts
Impact on the Body/Brain - Addiction
Two Stages of Withdrawal
Impact on the Body/Brain – Overdose/Poisoning
PART 2
Helpful Notes for the Presenter
• Build a rapport with the students before you start the session.
• Example: Tell a joke or personal story so the students don’t see the presenter as a
separate “expert”
• Establish common ground, but don’t fabricate a personal story.
• While the film is playing, sit with the students – be a part of their
community.
• Bring candy and hand out to encourage questions and participation in the
discussion.
• Communicate that this is about saving lives – the information that will be
shared can help save their own lives and the lives of others – ask the
student to share what they have learned with others.
Helpful Notes for the Presenter, continued
• Be sure not to create a stigma surrounding addiction. Explain that
addiction is not due to a of lack of willpower. Nor is it a mental illness.
Addiction is a chronic brain disease -- that can be compared to other
chronic diseases like diabetes. Chronic diseases don't really go away but a
person can recover with regular care and attention, maybe medicine, to
avoid getting worse or dying.
• A person does not choose to become an addict, the person's body responds
differently when exposed to alcohol and drugs.
• Being addicted to alcohol or drugs does not make a person flawed or wrong. They
just need help and regular care and attention.
• Ask the students if they have been affected by drugs and addiction
through family or friend, presenter raise their hand too – also creates
common ground.
Helpful Notes for the Presenter, continued
• Make sure to communicate that prescription pain medications are needed and
useful when properly taken and monitored by a doctor.
• Use open ended questions and encourage participation whenever possible.
Example of closed-ended question
“Did you feel sad for the people who shared their stories in the film?”
Example of open-ended question
“What are some words that come to mind when you think about the people who shared their
stories in the film?”
• When presenting within a school environment ask the school in advance if they
want to refer students with additional questions to the school counselor, nurse,
health teacher, etc.
• Consider inviting a “speaker” from the recovery community to share their story
and experience .
Heroin & Prescription Pain Pill (Opioids) Facts
• Heroin and Prescription Pain Pills are the same thing, both fall within the Opioids
class of drugs.
• Opioids are highly addictive, dangerous and leading cause of death in U.S.
• Overdose can occur on the 1st, 2nd, 3rd, etc. use – one cannot control when an
overdose will occur.
• According to the National Institute on Drug Abuse (NIDA), about 23% of heroin
users develop chronic opioid addiction disease.
• In 2013, the National Survey on Drug Use and Health (NSDUH) estimated that 1.9
million Americans live with opioid pain reliever addiction and 517,000 are addicted
to heroin.
• While Heroin poisoning continue to rise each year by approx. 20%, prescription
pain pill poisonings rise by 90%.
• About 75% of opioid addiction users switch to heroin as a cheaper opioid source.
Heroin & Prescription Pain Pill (Opioids) Facts
• Pharmacy robberies across the U.S. are on the rise.
• In the News (MAY 2015): Scott County Indiana is experiencing an
outbreak of HIV and Hepatitis C due to the sharing of needles during
the use of opioids. Similar news stories are emerging across the U.S.
• When one chooses to take an opioid drug, their choice to continue to
use or stop is taken away from them as the chemistry of the drug takes
over ones body, central nervous system and brain mechanism,
• Opioids are highly addictive, when no longer available, severe
withdrawal occurs,
• Initial Opioid withdrawal lasts for 7 days to 2 months, Post-AcuteWithdrawal (PAW) continues for approximately 2 years with risk of
relapse high during PAW episodes.
Impact on the Body/Brain - Addiction
• Prescription opioid pain medications and heroin bind to molecules on cells
known as opioid receptors. These receptors are found on nerve cells in
many areas of the brain and body, especially in brain areas involved in the
perception of pain and pleasure.
• Medications that affect the brain can change the way it works—especially
when they are taken over an extended period of time or with escalating
doses.
• They can change the reward system, making it harder for a person to feel
good without the drug and possibly leading to intense cravings, which make
it hard to stop using.
• When a person is addicted to a drug, finding and using that drug can begin
to feel like the most important thing—more important than family, friends,
school, sports, or health.
• The effect of opioids on the developing brain of a teenager compounds the
addiction outcomes – making it all the more risky for teenagers.
The Two Stages of Withdrawal
• Opiate withdrawal symptoms can last anywhere from one week to one month. Especially the emotional
symptoms such as low energy, anxiety and insomnia can last for a few months after stopping high doses of
opiates.
• The second stage of withdrawal is called the Post Acute Withdrawal Syndrome (PAWS). During this stage you'll
have fewer physical symptoms, but more emotional and psychological withdrawal symptoms.
• Post-acute withdrawal occurs because your brain chemistry is gradually returning to normal. As your brain
improves the levels of your brain chemicals fluctuate as they approach the new equilibrium causing postacute withdrawal symptoms.
• Post-acute withdrawal feels like a rollercoaster of symptoms. In the beginning, your symptoms will change
minute to minute and hour to hour. Later as you recover further they will disappear for a few weeks or
months only to return again. As you continue to recover the good stretches will get longer and longer. But the
bad periods of post-acute withdrawal can be just as intense and last just as long.
• Each post-acute withdrawal episode usually last for a few days. There is no obvious trigger for most episodes.
You will wake up one day feeling irritable and have low energy. If you hang on for just a few days, it will lift just
as quickly as it started. After a while you'll develop confidence that you can get through post-acute
withdrawal, because you'll know that each episode is time limited.
• Post-acute withdrawal usually lasts for 2 years. This is one of the most important things you need to remember,
prepare for and guard against potential relapse.
Impact on the Body/Brain - Overdose
Heroin and opioids tell your body to stop breathing and can also cause your blood
pressure to dip significantly and cause your heart to fail.
Signs of depressant drug overdose (e.g. heroin, morphine, oxycodone, fentanyl,
methadone) include:
• shallow breathing or not breathing at all
• snoring or gurgling sounds (this can mean that a person’s airway is partly blocked)
• blue lips or fingertips
• If you pick up their arm or leg, it will just fall and flop
• no response to stimulus
• disorientation
• unarousable (can’t be woken up) unconsciousness.
Companion PowerPoint with Presenter Notes
For Delivering the Program Lesson within a Classroom, Forum, or
Community Event
www.overdose-lifeline.org
PART 3
Opioid and Heroin
Education and Prevention
Lesson
What Do You Know?
Do Not Write Your Name
on the Worksheet
A message from Justin Phillips, founder of
Overdose Lifeline Inc.
Heroin Education Project Film
Prescription Pain Pills
• Hydros
• Oxycotton
• Percs
• Vikes
NOT the same as Heroin?
NOT as risky?
Does Heroin hook people faster than other drugs?
Do Heroin and other drugs change a person?
What do these people all have in common?
Does overdose happen only with heavy drug use?
Will I ever try anything as risky as Heroin?
Can people just like me become addicted?
Are drugs and alcohol the best choice for escape?
Most Important Message
• Heroin and prescription pills are rarely the starting point First is marijuana, alcoholic and other drugs or drugs
prescribed by their doctor
• Prescription Pain Pills = Heroin
• When you use opioids and heroin, you lose your ability to
choose
• You can become addicted and you can overdose with just 1
use, with the 2nd, the 3rd , etc.
Need Help?
If you or someone you know needs help, PLEASE know there is someone who will listen and help you.
If you or a friend are in crisis and need to speak with someone now, please call:
• National Suicide Prevention Lifeline at 1-800-273-TALK (they don't just talk about suicide—they cover a lot
of issues and will help put you in touch with someone close by)
• Community Hospital Indianapolis 24-hour crisis services: call 317-621-5700 or toll-free at 800-662-3445
• Dial 2-1-1 Helpline
If you need information on treatment and where you can find it, you can call:
• Substance Abuse Treatment Facility Locator at 1-800-662-HELP or visit www.findtreatment.samhsa.gov
• Eskenazi Health Midtown 317-880-8491
• Your favorite teacher, your coach, your neighbor, your school nurse, your school counselor, etc.
• Visit www.overdose-lifeline.org for more information and list of resources
What Do You Know?
Please share what you have learned today –
inform others about the risks – Save a life.