National Alcohol Screening Day

National Alcohol Screening Day (NASD) is an initiative first launched in 1999 by the National Institutes of Health (NIH).  NASD is held annually on the first Thursday of the first full week of April. The purpose of this event is to increase public awareness that alcohol abuse and alcoholism are recognized disorders which can be treated. During this day, members of the public are encouraged to visit screening centers and asked to complete written self-assessments about their alcohol use.

According to The Community Guide, there are 2,000 alcohol poisoning deaths in the U.S. each year and alcohol abuse is higher in college students, who do tend to frequently drink in large volumes.  Excessive, fast consumption of alcohol is known as ‘binge drinking’, and this kind of alcohol abuse can lead to many recognized health problems such as anxiety, depression or sexual problems.  The long-term effects of alcohol abuse include an increased risk of developing certain cancers, liver cirrhosis, high blood pressure and heart problems.
National Alcohol Screening Day awareness continues to grow nationally, and the U.S. government is supporting programs and policies to reduce binge drinking and expand access through the Affordable Care Act to new health insurance plans to cover alcohol screening and brief counseling. The National Institute on Drug Abuse (NIDA) has launched two online screening tools that providers can use to assess for substance use disorder (SUD) risk among adolescents 12-17 years old.

Two Screening Options: Providers can select the tool that makes sense for their clinical practice.

CAGE Questionnaire  

The CAGE can identify alcohol problems over the lifetime. Two positive responses are considered a positive test and indicate further assessment is warranted.

The questionnaire takes less than one minute to administer and is often used in the primary care of other general settings as a quick screening tool rather than as an in-depth interview for those who have alcoholism.  The CAGE questionnaire does not have a specific intended population and is meant to find those who drink excessively and need treatment. The CAGE questionnaire is reliable and valid for assessment of alcohol abuse; however, it is not valid for diagnosis of other substance use disorders, although somewhat modified versions of the CAGE questionnaire have been frequently implemented for such a purpose.

AUDIT-C Overview 

The Alcohol Use Disorders Identification Test (AUDIT) can detect alcohol problems experienced in the last year. A score of 8+ on the AUDIT generally indicates harmful or hazardous drinking. Questions 1–8 = 0, 1, 2, 3, or 4 points. Questions 9 and 10 are scored 0, 2, or 4 only. The Audit-C is a 3-item alcohol screen that can help identify persons who are hazardous drinkers or have active alcohol use disorders (including alcohol abuse or dependence). The AUDIT-C is a modified version of the question AUDIT instrument.

Bizzell’s Tips for Having a Healthy Spring Season

The official day of spring is on March 20th, and after being cooped up inside the house all winter, this is the best time to plan activities for the new season. Feel the new energy of spring! Take a look at where you are and how you feel; use this new season to set new goals and plan where you want to go moving forward. 

Here are a few tips for having a healthy and purposeful spring season:

Get outdoors more:  The spring season is one of the best times to be outdoors. The weather is not too hot nor too cold, and the days are longer. Some examples of outdoor activities include hiking, bike riding, swimming, sports activities, and running. 

Spring cleaning: Take this time to clean your home to air out dust and remove unnecessary clutter. Rearranging your furniture can also provide a “new energy” for the season. Also, let’s not forget to clean out the pantry and fridge to get rid of expired foods or foods that are not good for you. 

Eat for the season: Spring is probably one of the easiest times of the year to eat healthily. There are many fruits, vegetables, and herbs that are in season, you can also take the time to enjoy some of your favorite healthy meals such as pasta salad or stir-fry dishes.  

Black Youth and Suicide

Suicide rates among black youth have never been higher than they are now. A 2016 CNN report indicates that the suicide rate among young black boys, ages 5 to 11, has nearly doubled within the past two decades. The increase was large enough to raise the “deaths due to suicide” rate among all black children from 1.36 to 2.54 per million. Hanging and suffocation are the most common suicide methods in black boys, accounting for 78% of all suicide deaths. Shooting is the second most common method of suicide and accounts for more than 17% of the cases.

Causes of the increase remain unknown, but the National Alliance on Mental Illness (NAMI) reports that black youth are more likely to be exposed to violence and trauma than other children, and those stressors have been linked to suicidal behavior. Black youth are also less likely to receive services for mental health issues, such as depression and suicidal tendencies, than other youth. NAMI also reports that the shame and stigma associated with mental health issues within the black community may be a reason for the lack of treatment.

Undoing the stigmatization of mental health care is an ongoing challenge in the black community. Addressing mental health stigma and ensuring appropriate, proper care for black boys who are suicidal or exhibiting warning signs is crucial in the reduction of suicide rates. Some health care professionals have begun to reframe conversations about mental health to remove clinical labels and contour conversations to reflect positive themes within communities of color. Jessmina Archbold, a social worker and mental health advocate in New York, suggests that it is imperative to educate white mental health care professionals about how to engage communities of color. She has coined her reframed approach as a “strength-building process” as opposed to treating an “illness.”

Adults who deal with children, including parents and teachers, must be trained to recognize the warning signs of suicide and know how to intervene properly. All threats and talk of suicide by children and youth should be taken seriously.

According to the American Association of Suicidology, the following behaviors or symptoms may signal a suicidal crisis in a young person:

  • Feelings of hopelessness
  • Anxiety, agitation, trouble sleeping or sleeping all of the time
  • Expressions of having no reason for living or no sense of purpose in life
  • Feelings of being trapped, like there’s no way out
  • Increased alcohol and/or drug use
  • Withdrawal from friends, family and community
  • Rage, uncontrolled anger, expressions of wanting or seeking revenge
  • Reckless behavior or more risky activities, seemingly without thinking
  • Dramatic mood changes
  • Giving away prized possessions

More research is needed to explain the factors involved in the increased rates of suicide among young black boys. Adults are encouraged to talk to young children about mental health, emotions, and suicide. Research has dispelled the idea that asking children directly about suicide will trigger suicidal thinking or behavior.

Overdose Awareness Day

International Overdose Awareness Day

International Overdose Awareness Day is a global event that raises awareness of overdose, prevention and through open communication, aims to reduce the stigma of drug-related death. It also acknowledges the grief felt by families and friends, by remembering those who have lost their lives, or have experienced permanent injury as a result of drug overdose.

The Substance Abuse Mental Health Services Administration (SAMHSA) and Howard University have partnered to present a keynote and panel discussion titled “Your Community, Your Conversation”. This program provides an opportunity to educate our community about opioids,recovery, and the lifesaving medicine (Narcan/Naloxone) that reverses the effects of overdose.

Together, we can support a cause to find practical ways to prevent overdose in our community. Overdose is preventable and by being aware of the risks associated with opioid use, and knowingwhat to do when you see someone experiencing an overdose, CAN save lives.

The Opioid Crisis and Community Engagement keynote includes the following learning objectives:

  1. Understanding social and racial demographics of the opioid epidemic.
  2. Understanding evidence-based interventions for prevention, identification and treatment of opioid use disorders.
  3. Understanding social, racial and geographic distribution of current resources to address the opioid epidemic.
  4. Understanding how to employ community engagement strategies to bolster interventions aimed at curbing the opioid epidemic in communities of color.

For more information on other International Overdose Awareness Day events across the US and other countries, please visit https://www.overdoseday.com/events-2017/.