Trending Topics Track The Naked Truth About “Medical” Marijuana: Translating the Science into Messages that Matter Presenters: • Susan R. Thau, MCRP, Public Policy Consultant, Community Anti-Drug Coalitions of America • Thomas J. Gorman, Director, Rocky Mountain High Intensity Drug Trafficking Area (HIDTA) Moderator: Nancy Hale, President and CEO, Operation UNITE
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
Transcript
Trending Topics Track
The Naked Truth About “Medical” Marijuana: Translating the Science
into Messages that Matter
Presenters:
• Susan R. Thau, MCRP, Public Policy Consultant, Community Anti-Drug Coalitions of America
• Thomas J. Gorman, Director, Rocky Mountain High Intensity Drug Trafficking Area (HIDTA)
Moderator: Nancy Hale, President and CEO, Operation UNITE
Disclosures
Susan R. Thau, MCRP; Thomas J. Gorman; and Nancy Hale have disclosed no relevant, real, or apparent personal or professional financial relationships with proprietary entities that produce healthcare goods and services.
Disclosures
• All planners/managers hereby state that they or their spouse/life partner do not have any financial relationships or relationships to products or devices with any commercial interest related to the content of this activity of any amount during the past 12 months.
• The following planners/managers have the following to disclose:– Kelly Clark – Employment: Publicis Touchpoint Solutions;
Consultant: Grunenthal US– Robert DuPont – Employment: Bensinger, DuPont &
Associates-Prescription Drug Research Center– Carla Saunders – Speaker’s bureau: Abbott Nutrition
Learning Objectives
1. Identify concerns related to marijuana, medical marijuana and legalization.
2. Evaluate the impact of marijuana legalization in Colorado.
3. Describe the impact of marijuana use on the adolescent brain.
4. Explain how to track the impact of medical marijuana and marijuana legalization on public health and safety.
5. Prepare attendees to deliver science-based messages that resonate with the general public.
The Naked Truth About “Medical” Marijuana:
Translating the Science into Messages that Matter
Sue Thau, Public Policy Consultant, Community Anti-Drug Coalitions of
America
5
Sue Thau, Public Policy Consultant, Community Anti-Drug Coalitions of America, has disclosed no relevant,
real or apparent personal or professional financial relationships
with proprietary entities that produce health care goods and services.
6
Goals
• Understand the latest science about marijuana use
• Understand how CADCA has framed marijuana prevention messages from the science
• Understand how to employ these prevention messages locally to educate residents and key community leaders
7
“The naked truth is always better than the
best-dressed lie.” – Ann Landers
8
Marijuana is Addictive
9
• Long-term marijuana use can lead to addiction. Approximately 9 percent of users will become addicted to marijuana.
• This number increases to 17 percent among those who start young.
Budney AJ, Vandrey RG, Hughes JR, Thostenson JD, Bursac Z. 2008. “Comparison of cannabis and tobacco withdrawal: Severity and contribution to relapse.” J Subst Abuse Treat, e-publication ahead of print.
who start using marijuana in adolescence become addicted.
So…1 in 6 Young People
National Institutes of Health, National Institute on Drug Abuse. 2011. Topics in Brief: Marijuana. Available: http://www.drugabuse.gov/publications/topics-in-brief/marijuana
According to the 2014 Monitoring the Future Survey, perceptions about the risks of marijuana
are going down among 12th graders.
11
FACTS on Medical Marijuana
• Less than 3% of state “medical marijuana” users have cancer, HIV, or glaucoma.
• Vast majority are white males in
30s and 40s with self-diagnosed pain.
• Most cancer doctors and other physicians do not recommend smoking or ingesting marijuana.
California average medical marijuana patient statistics, found at: O'Connell, T and Bou-Matar , C.B. (2007). Long term cannabis users seeking medical cannabis in California (2001–2007): demographics, social characteristics, patterns of cannabis and other drug use of 4117 applicants. Harm Reduction Journal,
• Teens who know somebody with a medical marijuana license are more like than those who don’t to report ‘fairly’ or ‘very’ easy access to marijuana
• 74% of Denver-area teens in treatment said they used somebody else’s medical marijuana an average of 50 times
Thurstone, 2013; Salomonsen-Sautel et al., 2012
14
Diversion To Youth
15
Increased Use Among Teens
Pacula et al found that two features of medical marijuana – home cultivation and dispensaries –are positively associated with youth marijuana use and “have important implications for states considering legalization of marijuana.”
Wall, M., et al., 2011; Johnston, L.D., et al., 2011. and Pacula et al 2013
Pacula slide 16
17
A Recent Australian Study on Individuals Prescribed Opioid Painkillers That Also
Used “Medical Marijuana” (1 in 6 participants)
• Were more likely to take opioids in ways not recommended by their doctor
• Were over twice as likely to have an alcohol use disorder and four times
as likely to have a heroin use disorder
• Medical marijuana users were over 50 percent more likely to be taking
anti-anxiety medications (benzodiazepines), which when combined with
opioids are particularly likely to cause an overdose
Degenhardt, Louisa. ,Humphreys, Keith. Medical Marijuana and the Risk of Painkiller Overdose. Scope, Published by Stanford Medicine. January 13, 2015.Experience of adjunctive cannabis use for chronic non-cancer pain: Findings from the Pain and Opioids IN Treatment (POINT) study. Drug Alcohol Depend. 2015 Feb . http://www.ncbi.nlm.nih.gov/pubmed/25533893 18
19
20
Play #1
•Pass “medical” marijuana initiatives
21
Using “Marijuana as Medicine”a “Permission Structure” was built
about the safety and acceptability of marijuana use with the general
public.
23
24
25
Play #2
• Open “medical” marijuana dispensaries
26
Play #3•Full legalization of marijuana
27
The Ultimate Play?
•Full legalization of all drugs
28
“I’m always telling my marijuana reform allies, when they say we need to legalize marijuana and get tougher on the other drugs, ‘shut the hell up’”
The whole, of course, is safe and legal access to all drugs. Cocaine. Heroin. Hash. Ecstasy.
“Legalize all drugs? The man behind loosening pot laws in US eyes new goal” Available: http://usnews.nbcnews.com/_news/2013/11/27/21578665-legalize-all-drugs-the-man-behind-loosening-pot-laws-in-us-eyes-new-goal
Using Science with High Evidence from NIDA to Change the Frame:
From negative to positive
From “old” to “new”
From complicated to simple
31
Volkow, Nora M.D., Baler, Ruben D. Ph.D., Compton, Wilson M. M.D., Weiss, Susan Ph.D. Adverse Health Effects of Marijuana Use. The New England Journal of Medicine. June 5, 2014.
NIDA Scientific Evidence
Marijuana Effects on Health and Well-Being.
Overall Level
of Confidence*
Addiction to marijuana and High
other substances
Diminished lifetime achievement High
Motor vehicle accidents High
Symptoms of chronic bronchitis High
33
Based on the Science
We need to give people an “A Ha! I got it!” message.
It’s going to actually affect ME.
Best Example: Second Hand Smoke
If you care about academic achievement:
You need to care about increased marijuana use.
34
Because:Use by age 15=
1.) 3.6 times less likely to graduate from high school
2.) 2.3 times less likely to enroll in college
3.) 3.7 times less likely to get college degree.
Thurstone, Christian, Dr. Marijuana Use & Pregnancy. May 14, 2014. Available at http://drthurstone.com/?s=pregnancy&x=0&y=0.
35
Because:
Marijuana Use Lowers IQ1
• A recent study found that those who used marijuana heavily in their teens and continued through adulthood showed a permanent drop in IQ of 8 points.
• A loss of 8 IQ points could drop a person of
average intelligence into the lowest
third of the intelligence range.
1M.H. Meier, Avshalom Caspi, et al. 2012. “Persistent cannabis users show neuropsychological decline from childhood to midlife.” Proceedings of the National Academy of Sciences
36
37
The more a student uses marijuana, the lower their grade point average is likely to be and the more likely they are to drop out of school.1
1 Johnston, L. D., O'Malley, P. M., Bachman, J. G., & Schulenberg, J. E.. University of Michigan, 2011. Monitoring the Future Study
Because:
• Marijuana use negatively effects motivation, memory, AND learning.1
1 National Institute on Drug Abuse, “Marijuana: Facts Parents Need to Know.” 2011. Available: www.nida.nih.gov/marijbroch/parents/001.php
Increased marijuana use will result in reduced academic
achievement for which teachers/school system will
be blamed.
If you care about college completion:
You need to care about increased marijuana use.
41
• College students with high levels (17 days/month) of marijuana use were twice as likely as those with minimal use (less than 1 day/month) to have an enrollment gap while in college.1
• (e.g. dropout and not graduate on time)
1 Amelia M. Arria , MD. Drug Use Patterns and Continuous Enrollment in College: Results From a Longitudinal Study. January 2013. Vol 24 Issue 1. Available: http://www.jsad.com/jsad/article/Drug_Use_Patterns_and_Continuous_Enrollment_in_College_Results_From_a_Long/4775.html
Source: National Association for College Admission Counseling 2012-2013.
44
Take Away Message for Parents:
Your child’s marijuana use could derail their college career and be very costly to you!!
45
IF YOU CARE ABOUT HIGHWAY SAFETY:
YOU NEED TO CARE ABOUT INCREASED MARIJUANA USE.
46
Why?
Because marijuana use
impairs driving ability1
1For a comprehensive review, see DuPont, R. et al. 2010. “Drugged Driving Research: A White Paper.” Prepared for the National Institute on Drug Abuse. Available at http://stopdruggeddriving.org/pdfs/DruggedDrivingAWhitePaper.pdf
47
• Between 1999 and 2010, the prevalence of drugs other than alcohol in fatally injured drivers increased significantly.
• While the prevalence of alcohol remained stable at 39%, the prevalence of other drugs increased from 16.6% in 1999 to 28.3% in 2010.
• The greatest increase was for marijuana, which tripled, from 4.2% in 1999 to 12.2% in 2010.
Because: Marijuana Most Prevalent Drug Detected in Fatally Injured
Drivers
Source: Adapted by CESAR from Brady, J.E. and Li, G., “Trends in Alcohol and Other Drugs Detected in Fatally Injured Drivers in the United States, 1999-2010,”
American Journal of Epidemiology, Advance Access, 1/29/2014. For more information, contact Dr. Guohua Li at [email protected].
48
Impaired Driving in Colorado:
• Traffic fatalities involving operators testing positive for marijuana have increased 100% from 2007 to 2012.
• The majority of driving-under-the-influence-of-drugs arrests involve marijuana and 25 to 40% were marijuana alone.
• Toxicology reports with positive marijuana results for driving under the influence have increased 16% from 2011 to 2013.
Driving under the influence of marijuana is associated
with a 92% increased risk of vehicular crashes.
1
Such driving is associated with a 110% increase in
fatal crashes.2
50
1 Asbridge, M., Hayden, JA, Cartwirght, JL. Acute cannabis consumption and motor vehicle collision risk: systematic review of observational studies and meta-
analysis. British Medical Journal, 2012; 344 (ePub): e536. PMID: 22323502.
2 Ibid.
Because:
Because:
• According to the 2012 Monitoring the Future Study, three times as many high school seniors reported driving after smoking marijuana than drinking alcohol (8.6% to 2.9%)
Because:Researchers at the University of Massachusetts, Amherst, found 44 % of college men said they drove after smoking marijuana in the previous month, compared with 12% who said they drove after drinking.
Jennifer M. Whitehill, PhD; Frederick P. Rivara, MD, MPH; Megan A. Moreno, MD, MSEd, MPH; Marijuana-Using Drivers, Alcohol-Using Drivers, and Their Passengers. AMA Pediatr. Published online May 12, 2014. doi:10.1001/jamapediatrics.2013.5300
52
IF YOU CARE ABOUT
EMPLOYMENT:
YOU NEED TO CARE ABOUT
INCREASED MARIJUANA USE.
53
According to the American Council for Drug Education in New York, employees who abuse drugs are:
• 10 times more likely to miss work
Why? Because:
54
Because:
3.6 times more likely to be involved in
on-the-job incidents.
55
Because:5 times more likely to file a workers’
compensation claim.
And since regular users can’t pass drug tests, this hurts employability!
56
Many big companies, industries and professions nationwide
conduct drug testing
• Big Retailers (Target, Walmart)
• Food Services
• Police/Fire Departments
• Military
• Transportation
• Banking
• Real Estate
57
These students are virtually unemployable.
58
TAKE AWAY MESSAGEFOR JOB SEEKERS:
Marijuana use can RUIN
your chances of employment!
59
TAKE AWAY MESSAGEFOR BUSINESS:
Increased marijuana use is BAD for your business and
your bottom line.
60
IF YOU CARE ABOUT YOUR TAX BURDEN,
YOU NEED TO CARE ABOUT INCREASED MARIJUANA USE
61
Why? BecauseBecause the total overall costs of substance
abuse in the U.S., including productivity, health and crime-related costs, exceed
$600 billion annually.1
This includes approximately:• $235 billion for alcohol
• $193 billion for tobacco • $181 billion for illicit drugs
1 Office of National Drug Control Policy. The Economic Costs of Drug Abuse in the United States, Executive Office of the
President (Publication No. 207303). 2004. Available at www.ncjrs.gov/ondcppubs/publication/pdf.economic_costs.pdf