1	Raising a Drug-Free Family © 2005, Department of Family Medicine, Case Western Reserve University, All Rights Reserved.
2	How Risky Behaviors Are Related
3	Why Tobacco Use is Harmful For Children Can lead to using stronger drugs Increased risk of: Lung, throat, and mouth cancers Asthma and allergies Fatalities due to fires
4	The Early Teens: The Dangerous Years Most teens who use alcohol, cigarettes and marijuana do so by the time they are 14. Among teens who admit to smoking, drinking or having tried marijuana, the average age of first use is 12 years and six months for cigarettes, 12 and 2 months for alcohol and 13 and 11 months for marijuana. (Source: The National Center on Addiction and Substance Abuse at Columbia University, 2003.)
5	Why Kids Use Peer Pressure Need to escape anxiety/relaxation Desire for pleasurable feelings, excitement
6	Why Kids Use Satisfy curiosity Reduce boredom Escape from an intolerable situation or as a means of masking low self-esteem
7	High Wire Act
8	“Hands-on” Parents - 1
9	“Hands-on” Parents - 2
10	“Hands-on” Parents - 3
11	Results of Hands-on parenting
12	Sources for the information in this presentation: Cox, N.S. & Pfeifer, J., eds. (1995). CSAP Training System Physician Curriculum: Participants Manual, p. F25. Kansas City, MO: Center for Substance Abuse Prevention and the Society of Teachers of Family Medicine. Grant, B.F., & Dawson, D.A. (1997). “Age At Onset of Alcohol Use and its Association with DSM-IV Alcohol Abuse and Dependence: Results from the National Longitudinal Alcohol Epidemiologic Survey”, J Subst Abuse, 9, 103-110. Orr, D.P., Beiter, M., & Ingersoll, G. (1991). “Premature Sexual Activity s an Indicator of Psychosocial Risk”. Pediatrics, 87(2), 141-147. The National Center on Addiction and Substance Abuse at Columbia University (2001). Malignant Neglect: Substance Abuse and America’s Schools. New York, NY: CASA. The National Center on Addiction and Substance Abuse at Columbia University (2001). National Survey of American Attitudes on Substance Abuse VI: Teens. New York, NY: CASA. The National Center on Addiction and Substance Abuse at Columbia University (2002). National Survey of American Attitudes on Substance Abuse VII: Teens, Parents and Siblings. New York, NY: CASA. The National Center on Addiction and Substance Abuse at Columbia University (2003). National Survey of American Attitudes on Substance Abuse VIII: Teens and Parents. New York, NY: CASA. United States Department of Health and Human Services, Centers for Disease Control and Prevention (2001). The Surgeon General’s Report for Kids About Smoking. Atlanta, GA: Centers for Disease Control and Prevention. United States Department of Health & Human Services, Centers for Disease Control and Prevention (2002). “MMWR—Annual Smoking-attributable Mortality, Years of Potential Life Lost, and Economic Costs—United States, 1995-1999.” MMWR Highlights, April 12, 2002, 51(14). Atlanta, GA: Centers for Disease Control and Prevention. United States Department of Health & Human Services, Substance Abuse and Mental Health Services Administration, National Clearinghouse for Alcohol and Drug Information (2000). “Tips for Teens: The Truth About Tobacco”. Rockville, MD: SAMHSA.