Drugs and alcohol
LO: Maintain awareness of personal health and wellbeing, accessing appropriate support when required and understanding available sources of help for stress, substance misuse or other concerns
Risks
- Driving under the influence
- Suspension of clinical placement
- Breakdown in relationships

- Financial difficulties

- Criminal behaviour
- Poor mental health
Definitions
- Intoxicating substance - substance that changes the way the user feels mentally/physically
- Controlled drugs - covered by the misuse of drugs act 1971
- Substance misuse - use of intoxicating substance that harms health/physical/psychological/social/work performance but without dependency present
- Dependency - phenomena where a use of psychoactive substance takes much higher priority than other behaviours

- Alcohol misuse - drinking in a harmful way, more than 14 units a week

- 1 unit of alcohol - half a pint, small shot of spirit, small glass of wine (1.5)
- Addiction - repeated behaviour that becomes a major focus of a person's life, causing harm or distress, difficult to stop
Drugs

- Depressants - slow down CNS activity, causing relaxation/sedation
- Stimulants - accelerate brain activity, increased alertness and energy
- Opioids/narcotic analgesics - relieve severe pain and induce euphoria, high risk of dependence and respiratory depression
- Hallucinogens/psychedelics - alter perception, mood and cognitive processes, distorts reality
- Cannabinoids - compounds derived from or mimicking cannabis plants that contain THC
- Inhalants - volatile substances that produce chemical vapours inhaled for a psychoactive effect
- New psychoactive substances (NPS)/legal highs - the Psychoactive Substances Act, UK introduced a blanket ban that makes it illegal to produce supply import or export
- Benzo fury - stimulant
- Spice - synthetic cannabinoid
- Mephedrone - potent stimulant
- Etizolam - sedative
- Clockwork Orange - synthetic cannabinoid
- Methoxetamine - hallucinogenic drug
Signs and symptoms
- Smell of alcohol on breath or intoxication
- Frequent absences
- Irritability during week
- Difficult with fluency of speech
- Errors in note work
- Unexplained anxiety
- Not 'well'
- Story does not add up
- Large amount of time in the toilet
- Sweating, shaking, seizures, coma, breakdown of immune system