This Summer.

1
This Summer.
Angel Glover 08/03/2007
2
Recruiting

• Flyers
• Have careful word choice in describing the study
• Handed out in very popular areas, age appropriate
  
• Have to be IRB approved
• Be friendly and knowledgeable about the
  information
• on the flyer
• Phone recruiting
• the best person to make the initial contact is
• Friendly, enjoys talking to people
• Understanding, Relaxed
• Unscripted, Considerate
• Script
• Confidential, this study is a confidential study
• This is not a marketing study
• Who funds the study
• Subsections, for any situation that might happen

3
Recruiting Continued

• First Five Minutes
• The initial contactor needs to make sure the
  following has be stated or asked
• Introduce yourself, hello my name is (1st name
  only)
• We really need your help
• Do you have a few minutes to talk?
• Get the respondent to agree to talk with you
• Restate your credibility and make sure the tone
  of your voice is appropriate (towards the end if
  respondent seems skeptical)
• If someone is busy or says no, inform them that
  you will call them later (do not ask when would
  be a good time to call, just call)
• The initial contactor needs to
• Speak slowly and clearly
• Practice with friends and family
• Practice by talking on the phone
• Have someone listen to them and hear their voice
  on the phone

4
What It Takes to Make an Assessment

• Determination
• Different ideas and opinions
• DSM-IV criteria
• Drafts, and dedicated staff members
• Focus Groups
• Grant funded criteria
• Beta testing and sample scenarios
• Careful word choice

5
Terminology

• Major Concerns
• There needs to be a considerable amount of time
  determining word choice in assessments and papers
• There needs to be a unified category system for
  prescription drugs. Three Categories
• Stimulants
• Opioids
• Sedatives
• There needs to be a unified way in prescription
  terminology
• misuse,
• abuse,
• dependence,
• illicit use,
• Unsanctioned use
• Diversion

6
Stimulants
Main questions Who is using stimulants? How are
stimulants being used? How are stimulants being
obtained? Who is most at risk for illegal use of
prescription stimulants? What are factors that
are used in determining usage? Is there any
information missing about stimulant use?
7
Misuse of Meth. and Prescription Stimulants
amongYouths and Young Adults in the Community.
Li-Tzy Wu a, Daniel J. Pilowsky, William E.
Schlenger c, Deborah M. Galvin

• Main points
• Focused on gender as a significant factor in
  stimulant misuse
• National survey
• Stimulant misusers were categorized into three
  subgroups meth users only, meth and prescription
  stimulant users, and prescription stimulant users
  only
• About 1 in 10 youths reported any misuse of
  stimulants in their lifetime.
• Prescription stimulant misuse occurred earlier
  and was more frequent than meth misuse.
• About 47 of meth misusers reported prescription
  stimulant misuse.
• Among misusers of meth and prescription
  stimulants, males were more likely than females
  to misuse meth.
• Multidrug use is common among stimulant misusers.

8
Misuse of "study drugs" Prevalence,
Consequences and Implications for Policy. Sussman
S., Pentz M., Spruijt-Metz D., Miller T

• Main Points
• Nicknames Kiddy Coke, Cramming Pill
• Pills can be sold from anywhere between 3-15
  dollars per pill (street value)
• Misuse of study drugs have tend to be more in the
  college age group
• Study drugs are being misused annually by
  approximately 4 of older teens and emerging
  adults
• People between the ages of 16-24 are most at risk
• Use is slightly higher in very large urban areas.
• More misuse has been reported in white males.
• Misuse at Historically Black Universities is low.
• Non medical use was higher in students in
  sororities and fraternities.
• Can be taken oral or through other administration
  routes
• Can have similar consequences (if used other than
  orally) to crack.
• Taking it oral has less effects of dependence.
• There are other drugs that can be used that are
  believed to be less addictive.

9
Non-medical use of prescription stimulants among
US college students prevalence and correlates
from a national survey Sean Esteban McCabe, John
R. Knight, Christian J. Teter, Henry Wechsler

• Main Points
• Examined the rates and correlates of non-medical
  use of prescription stimulants (Ritalin,
  Dexedrine or Adderall) among US college students
• A self-administered mail survey.
• One hundred and nineteen nationally
  representative 4-year colleges in the United
  States
• More white males than any other demographic
• A small number had life time use
• In many cases both or at least one parent has a
  degree
• Other side factors such as housing, sorority and
  fraternity, grades, race, age, and gender were
  taken in to consideration
• The more competitive the school the higher the
  use of stimulants
• Non commuter schools have the highest use
• Those who abuse other substances were more likely
  to abuse Prescription Drugs

10
Facts Page

• Nonmedical users of prescription stimulant drugs
  are more likely than other nonmedical drug users
  to be poly drug users.(1)
• Nonmedical users of prescription stimulants have
  over four times greater odds than other drug
  users to experience three or more prescription
  stimulants in non-oral routes of
  administration.(1)
• Some study have shown that there will be an
  increase of elderly prescription drug users in
  upcoming years(2)

11
Message Boards on Stimulants

• Whatever you do, DO NOT let your son go off it
  cold turkey. Let him taper off. Cut the dose in
  half for a few days, then cut off altogether. And
  all the while, constantly monitor him and ask him
  how he feels. If he is showing signs of increased
  depression or personality changes, let your
  doctor know IMMEDIATELY. good luck!
• Dear friend, Is it Ok to take Prozac first thing
  in the AM followed by Adderall about an hour
  later? Have tried this and it certainly gets me
  out of my persistent state of lethargy.
  (depression?) Am concerned about cardiovascular
  effects. Please communicate. Thank you
• Hello. My doctor will only let me take 15 mg per
  day of Adderall. It used to work great. I need
  more and he won't give me more. I need another
  source or sources. Please Help!

12
St. Louis Overview

• Arch
• Culture
• Food
• Transportation
• Central West End
• Olin Residence Hall
• Shopping
• Movies
• New Friends

13

• Thanks EPRG for all the help and support this
  summer. I am very proud that I was able to work
  with such a great group of people. Thanks So
  Much!!

14
Works Cited

• Wilens T.E., M.D., Gignac M., Swezey A.,
  Monuteaux M.C., Biederman J. Characteristics of
  Adolescents and Young Adults with ADHD Who Divert
  or Misuse Their Medications. The American
  Academy of Child and Adolescent Psychiatry (2006)
  page numbers
• Sussman S., Pentz M., Spruijt-Metz D., Miller T.
  Misuse of "study drugs" Prevalence,
• Consequences and Implications for Policy.
  Substance Abuse Treatment, Prevention,
• and Policy (2006) 1-15
• McCabe S.E., Knight J.R., Teter C.J., Wechsler H.
  Non-medical Use of Prescription
• Stimulants among US College Students
  Prevalence and Correlates from a National
  Survey. Society for the Study of Addiction
  (2005) 96-106
• RX Message Board http//mb.rxlist.com/rxboard/adde
  rall.pl?read465
• Facts page
• 1. McCabe S.E., Teter C.J. Drug Use Related
  Problems among Nonmedical Users of Prescription
  Stimulants a Web-based Survey of College
  students from a Midwestern University. Drug and
  Alcohol Dependence (2007)
• 2Colliver J.D., Compton W.M., Gfroerer J.C.,
  Condon T. Projecting Drug Use Among Aging Baby
  Boomers in 2020. Epidemiol (2006) 16 257-265