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ALCOHOL AND DRUG ABUSEWorkforce TrainingFort Knox, Kentucky20111

Helping to bring balance back intothe lives of employeesJohn Emary

Self-Referral:contactsS lf R fl theth employeelt t thethprogram on their ownInformal Referral: the supervisor cantell the employee about the EAPFormal Referral: The supervisor uses theFormal Referral Form

Marital problems CommunicationissuesCi tii Parenting concerns and parent-child conflictAdjustment to separation and divorce Single parenting concerns Blended families Step-parentingStep parenting Domestic violence and abuse Caring for an aging parent Personal and Emotional Problems Stress, Anxiety, Depression, Suicide

ReviewTrue or FalseThe EAP can assist an employee with the following:Marital problemsCommunication issuesParenting concerns and parentparent-child conflictAdjustment to separation and divorceSingle parenting concernsBlended familiesStepStep-parentingDomestic violence and abuseCaring ffor an aging parentPersonal and Emotional ProblemsStress, Anxiety, Depression, SuicideAnswer: True

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Most off us are introducedbydd to drugsdb variousmeans:up * Where we grew up* Our friends * Socialization * Peer pressures to belong * Relieve stress – depression Athi elsel you can thik of?f?Anythingthink7

UppersDownersAll Arounders

SpeedCrystalyMethBenniesDexies IceGlassCrankCrackCocaineNicotine9

Short Term Increased blood pressureIIncreaserespirationi tiratetDepressed appetiteDecreased need for sleepDecreased fatigueLong Term Inability toconcentrateTremorsHeart PalpitationspConfusionBlurred visionFatigueDepression10

Cocaine

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Home Lab

AlcoholAl h l Barbiturates Narcotics Librium Tranzene RohypnolR hl GHB Xanax Valium 20

Short Term Slurred speechDisorientationDrunken behaviorR lRelaxationtiLower inhibitionsFalse sense of wellbeingLong Term Dilated pupilsWeak and rapid pulseComaCardiac arrestIrritabilityMood swingshl andd psychologicalh llPhysicaldependence21

Alcohol

Most states have set the standard forUnderage Drinking below age 21.For military personnel – Fort Knox willenforce what State of Kentucky law dictatesdictates.Legal Drinking Age for Kentucky is 21 23

.0202 - slight euphoria,euphoria loss of shyness.05 - Legal limit for military personnel onduty.06 - Lowered inhibition, minor impairment.08 - Judgment, self-control, reasonimpaired.15 - Impaired balance, difficulty standing.20 - Decreased pain and sensation, erratic30 - Sii.30Semi-consciousness.40 - Loss of consciousness.5050 - DEATH24

Rohypnol GHB

All Arounders Acid-LSDAcid-LSDSugarSugarMescaline hermsShermsEcstasyEcstasygMagicMagicAdamAdam ((MDMA)(MDMA))26

All Arounders The EffectsShort Term Distortion of time andspaceHyper-sensitivityMood and PerceptualdistortionsLong Term PanicParanoiaFl hb kFlashbacksAdjustment problemsPersonalityy changesgNeurosis-abnormalbehaviorDementia – intellectualand emotionalinstability27

Short Term CalmC l EuphoricE h i FeelingF liRelaxed inhibitionsIncreased appetiteDisoriented BehaviorIncreased heart rateDry mouthParanoiaImpaired short termmemory Long TermEnhanced risk forcancer Decreasedtestosteronelevels(men)Increase Physical dependence28

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GluesPaintGasolineNail Polish RemoverHair Sprayp yMarkersSprays32

HyperactivityIrritationTensionFrightPanicSelf destructive behaviorPhysicalaggressionyggAcute psychosisSudden death33

Almost half a million young people useinhalants in any monthInhalants are the fourth most abusedsubstance after alcohol,alcohol tobacco,tobacco andmarijuana among high school studentsAlmost as many eighth graders have abusedinhalants (18%) as have usedmarijuana/hashish (20%).34

Rave

Sexstasy

1. Prevention is considered a “proactiveapproach” to addressing problems or issues.True False1. The answer is True. Prevention isconsidered a “Proactive Approach” toaddressing possible issues and concernsto offset a possible incident or problemfrom occurring.37

2. Some of the influences that affects ourchoicesh ito use ddrugs are ffriends,i d socialization,i liipeer pressure, and relieve stress.True FalseFalse2. The2Th answer iis TTrue. MostMoff us areintroduced to drugs by various means suchas: FriendsFriends, socializationsocialization, peer pressurepressure, andto relieve stress. There are other influencesbut these are considered primarypy ones.

3. Uppers are considered depressants anddowners are considered stimulants.True False3. The answer is False. Uppers arestimulants such as speed,speed crystal,crystalmethamphetamines, and even nicotine.Downers are depressantssuch aspvalium, narcotics, barbiturates,rohypnol and GHB (date rape drugs).39

4. Alcohol is considered a “depressant”drug True Falsedrug.False4. The answer is True. Alcohol is considereda “depressant” drug even though manypeople see the use of alcohol as a stimulantbecause it lowers their inhibitionsinhibitions.40

5. H5Huffingffiandd sniffingiffiisi referredfd tot asMarijuana Use. True False5. The answer is False. Huffingffand sniffingffisrelated to use the use of “Inhalants”. Commonproducts found in homes, offices, and schoolssuch as hairsprays, glues, markers, and paintcan come under the description as an Inhalant.The danger lies in “sudden sniffing death” andirreparable damage to their organs, includingthe brain.

SUBSTANCE ABUSE IS LIKE RIDING AN ELEVATORELEVATOR YOU CAN GET OFF AT THE TOPFLOOR OR RIDE IT ALL THE WAY TOTHE BOTTOM Addiction is the bottom formost!42

4) DDefensefMMechanismsh i43

Denial - inability to believe that somethingis true, despite evidence that it is soExternalization - blamingg behavior on anoutside forceRationalization - Making up excuses for abehavior44

Avoidance - Creating diversions that keep theattention off of your behavior.Minimizes - Downplaying or rejecting aparticular behavior as insignificant – no bigdeal – I deserve the right to drink – it’s legal –“after deployments, everyone does it” – calmsme down – helps me to cope45

1. As a reaction to the alcohol abuse in thefamily, family members adopt a particulardysfunctional role whether it becodependency or other behaviors in theirattempt to cope. True False1. The answer is True. Family Roles in analcoholic dysfunctional family is aresponse byb ffamilyl membersbin theirhattempt to cope with the alcoholic’sbehaviorbehavior. UnfortunatelyUnfortunately, this creates moreconfusion and creates additional stressand uncertainty for everyone.46

2. Facts that impact on “BAC”2BAC (can vary fromage, gender, body weight, to the medicationsyou’ve taken.True False2. The2Th answer isi True.TO h factorsOtherfthath canimpact on BAC (blood alcohol content), includesaltitude, recent illness, fatigue,gand stomachcontent.

3. There are alwaysy risk factors when someoneis abusing alcohol or using other drugs thatultimately impact on the Unit Readiness.S h as, a lloss off trust bySuchb command,d lloss offjob, morale of the unit, increased familyviolence issuesissues, and worse scenario – “LossLoss ofLife” True False3. The answer is True. The very worst scenario is“Loss of Life”.48

Realize that even people with thebest intentionscan become enablers Our Families Our Friends 49

6) HOW ARE EMPLOYEES SELECTEDFOR TESTING1. Pre-employment Testing2. Random Testing:100% off allll TDPsTDP selectedl t d byb a computert programannually3. Reasonable Suspicion Testing-Any employee suspected of on-duty drug use orimpairment-AnyAny employee in a TDP suspected of using illegaldrugs4. Post Accident TestingSt i t guidelinesid li-Strict5. Follow-up Testing6. Other - Volunteer for Testing

WHAT DRUGS ARE DETECTED? MARIJUANA COCAINE AMPHETAMINES OPIATES PHENCYCLIDINEQUESTION: WHAT ABOUT PRESCRIPTION DRUGS?ANSWER NO PROBLEM IF YOU HAVE A PRESCRIPTION.ANSWER:PRESCRIPTION

The Original Whizzinator was a product intended tofraudulently defeat drug tests. The Whizzinator comesas a kit complete with dried urine and syringe, heaterpacksk (to(t keepkth urinethei att bbodyd ttemperature),t ) a ffalselpenis (available in several skin tones including white,tan, latino, brown, and black) and instruction manual.The company also offered a female version of theWhizzinator, called "Number One." Though there is noinformation on exactly how this product differs from the'disposable unisex' product also on the market. It wasmanufactured by Puck Technology of Signal Hill,California; a suburb of Los AngelesAngeles.

7) OBJECTIVESDEPARTMENT OF DEFENSE 1010.9,JRTC & FP REG 690-19, AND ADAPCP AR 600-85MANDATORY GUIDELINE FOR FEDERALWORKPLACE DRUG TESTING PROGRAM1. TO ASSIST IN DETERMINING FITNESS FORAPPOINTMENT TO, OR RETENTION IN A TESTINGDESIGNATED POSITION.

OBJECTIVES -Cont2. TO IDENTIFY DRUG ABUSERS AND NOTIFY THEEMPLOYEE OF THE AVAILABILITY OFAPPROPRIATE COUNSELING, REFERRAL ANDREHABILITATION SERVICES OR OTHER MEDICALTREATMENT.

OBJECTIVES Cont.3. TO ASSIST IN MAINTAINING NATIONALSECURITY AND THE INTERNAL SECURITY OFTHE ARMY BY IDENTIFYING THOSE WHOSEDRUG ABUSE COULD DISRUPT OPERATIONS,DISTRUCTION OF PROPERTY, THREATS TOSAFETY FOR THEMSELVES OR OTHERS, OR THEPOTENTIAL FOR UNWARRANTED DISCLOSUREOF CLASSIFIED INFORMATION THROUGH DRUGRELATED BLACKMAIL.

OBJECTIVES Cont.4. TO COMPLY WITH EXECUTIVE ORDER12564 OF SEPTEMBER 15, 1986, DRUGFREE FEDERAL WORKPLACE.

JohnEmaryEMPLOYEE ASSISTANCE PROGRAMArmy Substance Abuse OfficeBldg 122494 PPershinghiDDriveiFort Knox, KY 40121(502) 6248361 Phone624-8361(502) 624-4935 Fax

C tifi t off CompletionCertificateCl tiis hereby granted toto certify that he/she has completed to satisfactionArmy Substance Abuse ProgramWorkforce TrainingDATE:Fort Knox Army Substance Abuse Program59

appropriate counseling, referral and rehabilitation services or other medical treatment. objectives cont. 3. to assist in maintaining national securityand the internal security ofsecurity and the internal security of the army by identifying those whose drug abuse could disrupt opera