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R. Gil Kerlikowske

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Youth Drug Use: The Good, the Bad and the Ugly

Posted: 12/21/11 05:04 PM ET

Last week, I joined officials from the National Institute on Drug Abuse and the Department of Health and Human Services to announce the results of the largest annual survey on youth drug use in America. NIDA's annual "Monitoring the Future" study, which questions more than 46,000 teens in over 400 public and private schools across America, is a vital source of information about the types of substances young people are using, as well as their attitudes and perceptions regarding substance use -- including alcohol, tobacco and other drugs.

This year's data revealed some troubling new trends, including startling new information showing an emerging threat of so-called "synthetic drugs," which have been marketed as "legal" alternatives to marijuana. According to the survey, one in nine high school seniors has used synthetic marijuana marketed as "K2" and "spice" in the past year. That means the use of these drugs now rank as the second most frequently used illegal drug among high school seniors, second only to marijuana.

To address this emerging challenge, the Drug Enforcement Administration recently used their emergency regulatory authority to temporarily ban the sale of the chemicals used to manufacture K2 and spice. I have also convened officials from across the federal government at the White House to share data and coordinate a federal response to the threat of synthetic drugs. We are also working with Congress; and just two weeks ago the House of Representatives passed legislation that would permanently ban the chemicals used to make synthetic drugs, including those marketed as "bath salts."

New data also shows that youth marijuana use is on the rise. In fact, more high school 10th graders smoke marijuana than smoke cigarettes. Making matters worse, young people's perception of harm regarding marijuana use is declining. Unfortunately, the barrage of mixed media messages and legalization campaigns that seek to normalize drug use shape young people's attitudes toward drug use. Let's keep this in mind: Using illegal drugs is not part of everyday life in America, nor is it a rite of passage. Given the wide array of public health research outlining the serious consequences of using marijuana, we must work to ensure teens understand that marijuana use can harm a young person's health and his or her future.

Despite these challenges, this year's survey also contains some very promising trends. Rates of drug use among young people are far lower than they were 30 years ago. And while still far too high (alcohol is still the most widely abused drug among teens), rates of teen cigarette smoking and drinking are at the lowest levels ever measured. Moreover, far more teens disapprove of smoking today than they did 20 years ago.

This progress didn't happen overnight or by accident. Over the past several decades, a concerted effort by parents, the private sector, and public health and safety institutions was mounted to keep young people healthy and protected from harmful substances through a balanced combination of education, treatment and enforcement. Nationwide media campaigns have encouraged young people to make healthy choices by rejecting drug use. Local community coalitions have formed across the nation to address local threats with local solutions. Law enforcement agencies have targeted the supply of substances, making them expensive and less available to teens. Not only have these efforts substantially reduced the number of young people hurt by drugs, but they have also changed the culture surrounding these substances. This is important because when society disapproves of drug use, and its harms are accurately and frequently communicated to young people, fewer will begin using drugs. For example, the rate of smoking goes down when the acceptability of smoking goes down. The percentage of students reporting daily cigarette use is significantly lower, along with the percentage of students who think smoking is acceptable.

Preventing drug use before it ever begins is, after all, the most cost-effective way to address our drug problem. Successful prevention means fewer people will develop substance use disorders, and the consequences of substance use -- including health care, treatment costs and criminal justice system costs -- will all decrease.

The Obama administration has taken a comprehensive approach to the substance abuse problem, and science directs that effort. Research shows time and again that adult influencers are the most powerful force in the lives of young people. We will continue working with local communities to decrease substance use rates across the nation. In the meantime, we hope you will join us in making America healthier and safer.


For more information or help on how to talk to teens about drugs, visit TheAntiDrug.com.

 

Follow R. Gil Kerlikowske on Twitter: www.twitter.com/ONDCP

 
 
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HUFFPOST SUPER USER
Paul Stacey
Kill guns, not children.
12:56 AM on 01/14/2012
Hilarious.
03:35 PM on 01/11/2012
I think that no matter where you stand on marijuana, most of us can agree that it's a good thing to keep kids off of really debilitating and addictive substances while they're in their formative years. I work for a drug rehab here in Louisiana, (http://www.drugrehabs.info/louisiana-drug-rehabs/) and I've seen 12-year-olds hooked on bath salts who then have to go through detox and addiction treatment that takes them out of school, away from their social lives...That kind of thing is hard enough for adults, imagine doing it while you're still developing physically and emotionally! I don't think there's anything wrong with public officials encouraging adults to take an active communication-centered approach to dissuading young people from doing drugs. Just my opinion.
11:50 AM on 01/08/2012
This guy gets paid (and rather handsomely) to spew this horse hockey and would be breaking the law if he did not...this is all any thinking person needs to know...
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ken derow
07:32 PM on 01/04/2012
I feel there is one area of appeals to today's youth that has been very underutilized and under-represented in the governmental efforts to combat drug abuse by young people. By drugs, I am including the use of tobacco products, especially cigarettes. Most of the negative warnings regarding smoking involve the use of negative health-related concerns. But, these concerns, especially for young people, are by their nature very long-term, very uncertain, somewhat vague and somewhat nebulous and unreal to a vibrant, energetic young person. Far more compelling would be appeals based on the highly negative consequences of smoking on the smoker's social acceptabilty and social status and standing. That is, I am advocating the use of promoting the highly negative impact of smoking on the smoker's breath, hair, skin, yellowing of the teeth, stench on the clothes, "smelling-up" the hair, turning-off potential romantic targets, that is, in summary smoking makes the smoker much less attractive to the opposite sex, reducing a chance to find a long-run partner or a short-run hook-up.

There is now, a brand new mobile app available on all Android smartphone/tab computer devices, called, "Quit Smoking, Start Now," that uses an integral incorporation of these types of negative social consequences to activate and enhance a smoker's own willpower and resolve to quit smoking. These socially-based appeals are likely to be far more effective than the old, traditional health-based warnings.
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Doug Watt
Not ready for 2012
05:22 PM on 01/01/2012
"New data also shows that youth marijuana use is on the rise. In fact, more high school 10th graders smoke marijuana than smoke cigarettes."

Sigh, this is all still the same old propaganda we were fed when I was in high school, 30 years ago. It was proved false then and it is false now. Marijuana has been decriminalized in some states, but the federal government is going after sellers and users with a new zeal, at the behest of the Alcohol distributors and for profit prisons.

The man who had your job when I was a kid had no credibility and Gil, you don't either.
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highhymes
10:42 AM on 12/27/2011
Okay, first and foremost, I'm so sick and tired of you Drug Tsars demonizing weed. Get off your self-serving, ignorant band wagon.

There is no question that ALCOHOL is far and away the most lethal drug consumed by teens.

Here's my question to you. Explain why marijuana is more an issue than alcohol, cigarettes, valium, zanex (I could go on with my list of legal drugs, but I'll assume your medical expertise give you the intelligence to get the gist).

Yes, I'm an advocate for legalization and yes, I'm a regular pot smoker and so what. I've led a responsible life, went to a military academy, have provided for my family, and have been a contributing member to society for overy 40 years (all the while a pot smoker).

My children know this, my friends know this, my family know this.

If you really care about the kids, as you claim, spend more time addressing alcohol, the violence that comes with it, the automobile deaths they cause, yada, yada, yada.
10:31 AM on 12/28/2011
I was in an automobile accident with my mother. We were t-boned by another driver who was intoxicated by marijuana; read marijuana only. My perspective on marijuana legalization is strongly influenced by the memory of the sound of that crash and my mother's scream.
Put that in your pipe and smoke it.
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10YearTeacher
11:03 AM on 12/30/2011
I am sorry to hear about the pain your family went through. Understand that alcohol intoxication harms and kills orders of magnitude more people every year. In fact, you are the first person I have EVER heard of with a story like that.

BTW, if Marijuana were legalized, it could be controlled and regulated. Things like what happened to you could be curbed easier.
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Doug Watt
Not ready for 2012
05:25 PM on 01/01/2012
If you hadn't just created your id for this post your story would be more believable.
This user has chosen to opt out of the Badges program
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09:05 PM on 12/23/2011
When Mr. Kerlikowski claims that marijuana is a “threat” to young people, and that it has “serious” health consequences, he is scaring away those who are least likely to use it, and enticing those who are most likely to use it. While many teens dutifully follow adult direction, others wait to hear what they’re not supposed to consume and then they go binge on it. We call it the “forbidden fruit” phenomenon. Marijuana is the perfect forbidden fruit because most teens know something that Mr. Kerlikowski doesn't: marijuana is relatively harmless.

If we want a safe environment, we should embrace marijuana as a cultural norm (legalize it), and let embedded cultural controls reinforce responsible habits. This means that parents, not federal bureaucrats, would set rules for their own teens.

M. Reznicek M.D.
www.drrez.com
04:08 AM on 12/24/2011
No, most teens know marijuana is "relatively harmless" and think that means "marijuana is harmless." It's not - "relatively" is a very important word here.
12:42 PM on 12/27/2011
Marijuana is absolutely 100% physically harmless; in fact, using it provides the body with cannabinoids which is actually good for the body. But there's no doubt harm can come from cannabis when abused. It can be a strong distraction, be strongly psychologically addicting, and cloud the mind when used at the wrong times. However, if every human used cannabis responsibly, this world would be a MUCH better place.
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02:04 PM on 01/01/2012
Driving, skiing or riding horses, if not done carefully, can also damage the brain. Where is the outrage?

Living a full life has its risks. Yes, let's protect children, but prohibition laws do nothing but feed the egos of those who think they are smart enought to protect people from themselves.
08:09 PM on 12/23/2011
Alcohol is the top deadliest drug on my list! It's still socially accepted and totally destroys people's lives. Both physically and mentally. It kills innocent people everyday and tears families apart. When one is intoxicated, they lose control of their body and mind. It's the number one reason for sick days from work. Yet, it remains legal! I can't stand the smell of it or to even be around it. I'd rather be in a smoke filled room than to be subjected to the stench of alcohol and the potentially fatal results of it's abuse. It disgusts me. And how it changes a person's whole personality after consuming just a few ounces of the poisonous liquid.
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casualtysr
02:03 PM on 12/23/2011
Are you endorsing cigarettes Mr. Drug Czar? "New data also shows that youth marijuana use is on the rise. In fact, more high school 10th graders smoke marijuana than smoke cigarettes. Making matters worse, young people's perception of harm regarding marijuana use is declining."

How does it feel to get paid to lie to the American public about Marijuana. How does it feel to be on the wrong side of history. Your job is disgusting.
02:56 AM on 12/27/2011
Well said!
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highhymes
10:44 AM on 12/27/2011
Should have read your post first, much less beligerent than mine. Well said.
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10YearTeacher
12:19 PM on 12/23/2011
Viewing marijuana as harmless is on the decline. Maybe because people are realizing that compared to alcohol, its effects are significantly less damaging. Yes, I have been a teacher for 10 years and have seen much more damage to children and families come from alcohol than marijuana.
02:57 AM on 12/27/2011
I think you mean "harmful," not "harmless." But I'm with you!
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10YearTeacher
11:04 AM on 12/30/2011
yes...typo
TomMartin
Freedom and equality.
11:53 PM on 12/22/2011
One of the worst drugs is alcohol. It has such an almost harmless reputation, yet it can make people so violent. On the other hand, marijuana is not likely to make you violent. But still, I would not legalize marijuana under 18 years except for medical use.
04:04 AM on 12/24/2011
A very reasonable post.
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DougDeWitt
progressive social-capitalist
05:09 PM on 12/22/2011
Get this through that thick skull of yours, Gil... marijuana is NOT a drug. Just because the federal government calls it a "Schedule I Narcotic" does NOT make it a drug. It is a plant that grows in the wild.

Many drugs are indeed processed from plant sources, in fact most of them are... but the difference is that the native plants are just that: native plants. Drugs are processed active ingredients from those plants, not the plants themselves.

As for teen use of marijuana on the rise, and alcohol and tobacco at historic low levels, I am encouraged at the general rise in teenage intelligence clearly demonstrated by current trends. Not only do they realize the inherent health risks of both alcohol and tobacco, substances freely abused with abandon by their supposedly more responsible elders... but they equally realize the ludicrous falsehoods being foisted on them by your office. They actually think your "Reefer Madness" propaganda studies done with federal funding, so obviously intended to frighten old people and little children, are funny...

Good for them! I'm proud of an entire generation...
02:09 PM on 12/22/2011
It astonishes me that the government thinks it is any of its business what anybody ingests. It all has to do with the private prison industry, which can only stay in business because of the drug war. The only health risk I'm aware of from my forty year association with it is the risk of getting caught.
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BillKen
12:43 AM on 12/23/2011
We must all remember that the business of America is business, citizens be damned. I've been
listening to this government 'hogwash' for as long as I can remember and the story is always the same, a different year but still the same story, first we were winning, then it was a holding action, we're keeping it from getting worse. What could really solve the problem would be for the government to get out of peoples lives and try telling the truth because you're all to shallow to be good liars.
Semper Fi
03:20 AM on 12/27/2011
Amen. It's one sign of a sick society when incarceration is big business.
And we can't forget the roles of tobacco, alcohol and pharmaceutical companies in this great fraud. Partnership for a Drug-Free America? More like Partnership for Wackenhut, R.J. Reynolds, Anheuser-Busch, Pfizer...
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Raven1970
Do not be a pre-checked box, opt out
12:46 PM on 01/03/2012
Thank you for being one of the few posts that mention the transfer of "drug" use to legal drugs... "Pfizer" . This survey completely ignores one of the scariest and fastest moving trends in teen drug abuse which is that of legal narcotics and stimulants and those drugs have a far greater risk on their health and their future.

Children use less "Illegal" drugs also because they are prescibed drugs by their doctors or get them from friends, relatives and neighbors that get prescriptions for them.
12:11 PM on 12/22/2011
Don't you people ever recognize the intense damage you do to ordinary people for small possession when you criminalize them? Lock them up or not, you damage their ability to get a good job or professional license the rest of their life for even a minor possession or intent to sell charge. You effectively cap their lifetime income for themselves ad their families as well. I think that is far more immoral than someone taking something. I would support a civil infraction code, high school drug education, (as well as defensive driving instruction for everybody) and proper classifications of drugs on the dea schedule so we have an accurate base to start from. The goal would be to keep it manageable but not criminalize where ever possible.
11:52 AM on 12/22/2011
At least when Kerlikowske lies or distorts the truth, even if it's before congress while under oath, he is allowed to by law.

Facts and a knowledgeable public would put an end to the "Drug War" and seek sensible controls and health based policies.