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A DEA resource for parents, educators and caregivers.

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Hotline for supportive counseling and quick access to treatment 855-652-3737
Family & virtual supports

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NJ CONNECT FOR RECOVERY-BLOG

NJ Connect for Recovery Helps Families Fight Addiction with CRAFT Method - To assist families, NJ Connect for Recovery offered an educational session featuring Robert Meyers, Ph.D. co-author of CRAFT, an evidence-based intervention program to help families of people living with substance use disorder. NJTV's Michael Hill covered the training. Learn more in the full article, "A different approach to intervene and get a substance user to

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NJConnectForRecovery - NJ Connect For Recovery

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NJ CONNECT FOR RECOVERY-BLOG NJ Connect for Recovery Helps Families Fight Addiction with CRAFT Method - To assist families, NJ Connect for Recovery offered an educational session featuring Robert Meyers, Ph.D. co-author of CRAFT, an evidence-based intervention program to help families of people living with substance use disorder.

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NJ's 24/7 Addiction Helpline 1-844-732-2465
Addiction Helpline & resources for NJ residents who are looking for help with a substance use disorder (SUD)

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The State of NJ site may contain optional links, information, services and/or content from other websites operated by third parties that are provided as a convenience, such as Google™ Translate. Google™ Translate is an online service for which the user pays nothing to obtain a purported language translation.

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Source: TherapistAid

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Source: teen line

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Fentanyl- United States Drug Enforcement Administration (DEA)

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Fentanyl- United States Drug Enforcement Administration (DEA)

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Official websites use .gov
A .gov website belongs to an official government organization in the United States.

Secure .gov websites use HTTPS
A lock ( ) or https:// means you've safely connected to the .gov website. Share sensitive information only on official, secure websites.

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Fentanyl is a potent synthetic opioid drug approved by the Food and Drug Administration for use as an analgesic (pain relief) and anesthetic. It is approximately 100 times more potent than morphine and 50 times more potent than heroin as an analgesic.

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Source: Centers for Disease Control and Prevention (CDC)

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As the nation’s health protection agency, CDC saves lives and protects people from health, safety, and security threats.

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Source: Centers for Disease Control and Prevention (CDC)

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¿Qué es la naloxona?

La naloxona es un medicamento con el poder de salvar vidas que puede revertir una sobredosis de opioides, incluidos heroína, fentanilo y medicamentos opioides recetados. La naloxona es segura y fácil de usar, y con frecuencia se administra con un atomizador nasal.

¿Cómo funciona la naloxona y cómo se usa?

La naloxona revierte rápidamente una sobredosis al bloquear los efectos de los opioides. Puede restablecer en 2 a 3 minutos la respiración normal de una persona cuya respiración disminuyó, o hasta se detuvo, como resultado de una sobredosis de opioides. Se podría requerir más de una dosis de naloxona en el caso de opioides más fuertes como el fentanilo.

La naloxona es fácil de usar y de llevar. Hay dos formas de naloxona que todos pueden usar sin capacitación ni autorización médica.

Si le administra naloxona a una persona, quédese con ella hasta que llegue el personal de emergencia, o por al menos cuatro horas para asegurarse de que vuelva a respirar normalmente.

La mayoría de los estados tienen leyes del buen samaritano para proteger contra arrestos, cargos, o ambas cosas, a las personas que tienen sobredosis y a cualquiera que las ayude en una emergencia. Obtenga más información acerca de las leyes de su estado.

¿Por qué llevar consigo naloxona?

La naloxona salva vidas.

En el 2019, casi 50 000 personas murieron de una sobredosis relacionada con opioides. En un estudio se determinó que más de una de cada tres sobredosis relacionadas con opioides fueron presenciadas por alguien. Con los recursos apropiados, esa persona puede tomar medidas para prevenir muertes por sobredosis. Cualquier persona puede llevar consigo naloxona, administrarla a alguien que tiene una sobredosis, y potencialmente salvar una vida. La naloxona no perjudica a una persona que tiene una sobredosis de drogas que no sean opioides, así que siempre es mejor usarla si cree que alguien tiene una sobredosis.

¿Quién debe llevar consigo naloxona?

Si usted o alguien que usted conoce tiene un riesgo mayor de una sobredosis por opioides, especialmente las personas que tengan un trastorno por consumo de opioides ( OUD, por sus siglas en inglés), deben llevar consigo naloxona y guardarla en su hogar. Las personas que toman dosis altas de medicamentos opioides (50 miligramos equivalentes de morfina o más al día) recetados por un médico, las personas que usan opioides y benzodiazepinas al mismo tiempo, y las personas que usan opioides ilegales como heroína, deben llevar naloxona. Como no puede usar la naloxona en usted mismo, informe a otros que la tiene en caso de que usted tenga una sobredosis con opioides.

Llevar naloxona es lo mismo que llevar un autoinyector de epinefrina (frecuentemente conocido por el nombre de marca EpiPen) para alguien con alergias. Simplemente es una capa adicional de protección para aquellos que tienen mayor riesgo de una sobredosis.

En casi el 40 % de los fallecimientos por sobredosis, otra persona estaba presente. Tener la naloxona disponible permite que esa otra persona pueda ayudar en caso de una sobredosis mortal y salvar vidas.

La naloxona está disponible en su estado.

La naloxona está disponible en todos los 50 estados. Si le recetaron dosis altas de opioides, hable con su médico sobre una receta conjunta de naloxona. Sin embargo, en la mayoría de los estados puede conseguir naloxona en su farmacia local sin una receta. También puede conseguir naloxona en programas comunitarios de naloxona y en la mayoría de los programas de servicios de jeringas.

El reconocimiento de los signos de una sobredosis por opioides puede salvar una vida. Estas son algunas de las cosas que se deben observar:

Pupilas pequeñas, contraídas, como de punta de alfiler

Quedarse dormido o perder el conocimiento

Respiración lenta, débil o sin respiración

Qué hacer si cree que alguien tiene una sobredosis

Podría ser difícil saber si una persona está drogada o tiene una sobredosis. Si no está seguro, trátela como si tuviera una sobredosis; podría salvar una vida.

Llame al 911 de inmediato.*

Administre naloxona, si la hay disponible.**

Trate de mantener a la persona despierta y respirando.

Coloque a la persona de costado para evitar que se asfixie.

Quédese con la persona hasta que llegue el personal de asistencia en emergencias.

*La mayoría de los estados tienen leyes que podrían proteger contra problemas legales a una persona que tiene una sobredosis o a la persona que llamó para pedir ayuda. ** La naloxona es un medicamento que puede revertir los efectos de una sobredosis de opioides y salvar vidas. Está disponible en todos los 50 estados y se puede comprar en una farmacia local, y en la mayoría de los estados no se requiere una receta.

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La naloxona es un medicamento con el poder de salvar vidas que puede revertir una sobredosis de opioides, incluidos heroína, fentanilo y medicamentos opioides recetados. La naloxona es segura y fácil de usar, y con frecuencia se administra con un atomizador nasal. La naloxona revierte rápidamente una sobredosis al bloquear los efectos de los opioides.

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Source: centers for Disease Control & Prevention (CDC)

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Source: Youth.gov
Risk and protective factors regarding the use of substances and other adverse behaviors

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Research shows that the risk for substance abuse and other adverse behaviors increases as the number of risk factors increases, and that protective factors may reduce the risk of youth engaging in substance use that can lead to substance abuse. This interactive effect of risk and protective factors has substantial implications for the design and implementation of successful preventive interventions. The more a program reduces risk factors and increases protective factors, the more it is likely to succeed in preventing substance abuse among children and youth. Learn more about critical components and principles of effective adolescent substance abuse prevention programs.

Risk and Protective Factors

Early aggressive behavior, lack of parental supervision, academic problems, undiagnosed mental health problems, peer substance use, drug availability, poverty, peer rejection, and child abuse or neglect are risk factors associated with increased likelihood of youth substance use and abuse. Risk factors that occur during early childhood further increase the risk of youth substance abuse. Risk factors of prolonged duration, for example, those that continue on from childhood through adolescence, are also associated with increased likelihood of youth substance abuse. Risk factors frequently associated with substance abuse are common across multiple disorders.

Not all youth will develop substance abuse problems, even if they have experienced these risk factors. Some individuals are exposed to protective factors that may keep them from using substances. The presence of multiple protective factors can lessen the impact of a few risk factors. For example, strong protection, such as parental support and involvement, could diminish the influence of strong risks, such as having peers who abuse substances.

While risk and protective factors have been presented in different ways, the table below provides examples of risk and protective factors adapted from the National Research Council and Institute of Medicine.

View risk and protective factors by developmental period:

Preconception/Prenatal

Infancy/Early Childhood

Middle School

Poor impulse control

Low harm avoidance

Sensation seeking

Lack of behavioral self-control/regulation

Aggressiveness

Anxiety

Depression

Hyperactivity/ADHD

Antisocial behavior

Early persistent problem behaviors

Early substance use

Mastery of academic skills (math, reading, writing)

Following rules for behavior at home, at school, and in public places

Ability to make friends

Good peer relationships

Permissive parenting

Parent-child conflict

Inadequate supervision and monitoring

Low parental warmth

Lack of or inconsistent discipline

Parental hostility

Harsh discipline

Low parental aspirations for child

Child abuse/maltreatment

Substance use among parents or siblings

Parental favorable attitudes toward alcohol and/or drugs

Consistent discipline

Language-based, rather than physical, discipline

Extended family support

School, Peers, Community

School failure

Low commitment to school

Accessibility/ availability

Peer rejection

Laws and norms favorable toward use

Deviant peer group

Peer attitudes toward drugs

Interpersonal alienation

Extreme poverty for those children antisocial in childhood

Healthy peer groups

School engagement

Positive teacher expectations

Effective classroom management

Positive partnering between school and family

School policies and practices to reduce bullying

High academic standards

Adolescence

Behavioral disengagement coping

Negative emotionality

Conduct disorder

Favorable attitudes toward drugs

Rebelliousness

Early substance use

Antisocial behavior

Substance use among parents

Lack of adult supervision

Poor attachment with parents

Family provides structure, limits, rules, monitoring, and predictability

Supportive relationships with family members

Clear expectations for behavior and values

School, Peers, Community

School failure

Low commitment to school

Associating with drug-using peers

Not college bound

Aggression toward peers

Norms (e.g., advertising) favorable toward alcohol use

Accessibility/ availability

Young Adulthood

All tables adapted from O'Connell, M. E., Boat, T., & Warner, K. E. (2009). Preventing mental, emotional, and behavioral disorders among young people: Progress and possibilities. Washington, DC: The National Academies Press and U.S. Department of Health and Human Services, Substance Abuse and Mental Health Administration (2009). Risk and protective factors for mental, emotional, and behavioral disorders across the life cycle. Retrieved from http://dhss.alaska.gov/dbh/Documents/Prevention/programs/spfsig/pdfs/IOM_Matrix_8%205x11_FINAL.pdf

Resources

Preventing Drug Abuse Among Children and Adolescents
This In Brief Web edition from NIDA provides highlights from the Preventing Drug Use Among Children and Adolescents: A Research-Based Guide for Parents, Educators, and Community Leaders, Second Edition booklet. It presents the updated prevention principles, an overview of program planning, and critical first steps for those learning about prevention.

Substance Use and Sexual Risk Behaviors Among Youth
This resource from the Centers for Disease Control and Prevention (CDC) provides information on substance use and sexual risk behaviors among youth and the related risk factors (PDF, 2 pages).

Centers for Disease Control and Prevention's Adolescent and School Health: High Risk Substance Use in Youth
This webpage from the Centers for Disease Control and Prevention (CDC) provides information and resources on high risk substance use in youth.

¹ U.S. Department of Health and Human Services, 2010
² Robertson, David, & Rao, 2003
³ Robertson, David, & Rao, 2003
⁴ National Research Council and Institute of Medicine, 2009

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Research shows that the risk for substance abuse and other adverse behaviors increases as the number of risk factors increases, and that protective factors may reduce the risk of youth engaging in substance use that can lead to substance abuse. This interactive effect of risk and protective factors has substantial implications for the design and implementation of successful preventive interventions.

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Source: National Institute on Drug Abuse (NIDA)

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Prescription Opioids DrugFacts | National Institute on Drug Abuse

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A plain language summary of prescription opioids that explains effects on the brain and reported use.

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Opioides de prescripcion medica- DrugFacts

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Opioides de prescripcion medica- DrugFacts

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Source: National Institute on Drug Abuse (NIDA)

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¿Qué son los opioides de prescripción médica?

Los opioides son una clase de drogas que se encuentran en forma natural en la planta de amapola o adormidera. Algunos de los opioides recetados por los médicos se elaboran directamente de la planta, mientras que otros se crean en laboratorios, donde los científicos utilizan la misma estructura química. Con frecuencia los opioides se usan como medicamento porque contienen sustancias químicas que relajan el cuerpo y pueden aliviar el dolor. Los opioides recetados se emplean mayormente en el tratamiento de dolores moderados o intensos, si bien algunos opioides se pueden usar para tratar la tos y la diarrea. Los opioides también pueden hacer que una persona se sienta muy relajada y eufórica ("high"), motivo por el cual a veces se consumen sin que exista una necesidad médica. Esto puede ser peligroso porque estas sustancias pueden ser muy adictivas y es común ver casos de sobredosis y muerte. La heroína es uno de los opioides más peligrosos del mundo y nunca se utiliza como medicina en los Estados Unidos.

¿Cuáles son los opioides que se recetan comúnmente?

¿Cómo se abusa de los opioides recetados?

Por lo general, los opioides recetados que se usan como analgésicos son inocuos (no causan daño) cuando se toman por un período breve y según las indicaciones del médico, pero también es posible utilizarlos en forma indebida. Los opioides recetados se utilizan en forma indebida cuando:

el paciente toma el medicamento en forma o en dosis distintas a las indicadas

alguien toma el medicamento recetado para otra persona

alguien toma el medicamente sólo por el efecto que causa (para drogarse)

Es posible abusar de un opioide recetado ingiriendo el medicamento en su presentación común. A veces la gente tritura las pastillas o abre las cápsulas, disuelve el polvo en agua y se inyecta el líquido en una vena. Algunos también aspiran el polvo.

¿Qué efectos tienen en el cerebro los opioides recetados?

Los opioides se adhieren a los receptores opioides y los activan. Estos receptores están en varias zonas del cerebro, la médula espinal y otros órganos, especialmente los que participan en las sensaciones de placer y dolor. Cuando los opioides se adhieren a los receptores, bloquean las señales de dolor que el cerebro envía al cuerpo y liberan grandes cantidades de dopamina en todo el organismo. Esta liberación puede reforzar tremendamente el acto de consumir la droga, haciendo que el usuario quiera repetir la experiencia.

¿Cuáles son algunos posibles efectos de los opioides recetados en el cerebro y el cuerpo?

A corto plazo, los opioides pueden aliviar el dolor y hacer que la persona se sienta relajada y feliz. Sin embargo, también pueden tener efectos perjudiciales, entre ellos:

El abuso de los opioides puede hacer más lenta la respiración, lo que a su vez puede causar hipoxia, una afección que ocurre cuando el cerebro recibe muy poco oxígeno. La hipoxia puede tener efectos psicológicos y neurológicos a corto y a largo plazo que incluyen daño cerebral permanente, estado de coma y muerte.

Los investigadores también están estudiando los efectos a largo plazo que la adicción a los opioides tiene en el cerebro, incluida la determinación de si los daños que causa se pueden revertir.

¿Qué otros efectos tienen los medicamentos opioides sobre la salud?

Las personas de más edad tienen un mayor riesgo de abuso o uso indebido accidental porque por lo general toman varios medicamentos recetados y sufren de varias enfermedades crónicas, lo que aumenta el riesgo de interacción entre los distintos medicamentos y entre los medicamentos y las enfermedades. También tienen un metabolismo más lento, lo que afecta la descomposición de los fármacos.

Compartir los elementos que se utilizan para inyectar drogas y no poder pensar con claridad por los efectos de dichas drogas puede aumentar el riesgo de contraer enfermedades infecciosas como el VIH y de tener relaciones sexuales sin protección.

Los opioides recetados y la heroína

Los opioides recetados y la heroína son químicamente similares y pueden producir una euforia similar. En ciertos lugares la heroína es más económica y se consigue más fácilmente que los opioides recetados, por lo que algunas personas reemplazan con ella los opioides. Datos disponibles del 2011 mostraron que entre aproximadamente un 4% y un 6% de quienes consumen opioides recetados en forma indebida pasan a consumir heroína y alrededor del 80% de las personas que consumían heroína habían consumido anteriormente opioides recetados en forma indebida. Datos más recientes sugieren que la heroína es con frecuencia el primer opioide que consumen las personas. En un estudio de quienes ingresan a tratamiento por trastorno por consumo de opioides, aproximadamente un tercio reportó la heroína como el primer opioide que consumieron en forma regular para lograr un estado de euforia o "high".

Esto sugiere que el consumo indebido de opioides recetados es solo uno de los factores que conducen al consumo de heroína. Infórmese más sobre la interconexión entre estos dos problemas en nuestro Informe de investigación sobre los opioides recetados y la heroína (en inglés).

¿Se pueden tomar opioides recetados durante el embarazo?

Si una mujer embarazada toma opioides recetados, es posible que el feto desarrolle dependencia y el bebé tenga síntomas de abstinencia después de nacer. Esto se llama síndrome de abstinencia neonatal y puede tratarse con medicamentos. El consumo durante el embarazo también puede causar un aborto espontáneo, o el bebé podría nacer con poco peso. Infórmese más en el el Informe de investigación sobre el consumo de drogas en las mujeres (en inglés).

Para una persona adicta a los opioides puede ser difícil dejar de consumirlos, pero las mujeres embarazadas que buscan tratamiento obtienen mejores resultados que quienes dejan de consumir opioides abruptamente. La metadona y la buprenorfina son el tratamiento de uso habitual para las mujeres embarazadas que tienen adicción a los opioides. El mantenimiento con metadona y buprenorfina combinado con la atención prenatal y un programa completo de tratamiento contra la droga pueden mejorar muchos de los efectos adversos asociados con una adicción a opioides que se deja sin tratar. Si una mujer es incapaz de dejar de consumir opioides antes de quedar embarazada, el tratamiento con metadona o buprenorfina durante el embarazo mejora las posibiliidades de que el bebé sea más sano al nacer.

En general, es importante vigilar de cerca a las mujeres que están tratando de dejar de consumir drogas durante el embrazo y brindarles el tratamiento que sea necesario.

Tolerancia vs. dependencia vs. adicción

El uso de opioides recetados por un período prolongado, aun cuando se tomen en la forma indicada por el médico, puede hacer que ciertas personas desarrollen tolerancia, lo cual significa que necesitan dosis más altas de la droga o tienen que consumirla con mayor frecuencia para lograr el efecto deseado.

La dependencia de la droga ocurre con el uso continuo, que hace que las neuronas se adapten de tal manera que solo funcionan normalmente en presencia de la droga. La ausencia de la droga causa varias reacciones psicológicas que van desde reacciones suaves, como en el caso de la cafeína, hasta reacciones que pueden poner en peligro la vida, como la heroína. Algunos pacientes con dolor crónico tienen dependencia de los opioides y necesitan ayuda médica para dejar de tomar la droga.

La adicción es una enfermedad crónica que se caracteriza por la búsqueda y el consmo compulsivo o incontrolable de la droga a pesar de las consecuencias perjudiciales que acarrea y los cambios duraderos que causa en el cerebro. Los cambios pueden dar lugar a comportamientos dañinos por parte de quien consume la droga, ya sea que se trate de un medicamento recetado o de una droga ilegal.

¿Es posible sufrir una sobredosis de opioides recetados?

Sí, una persona puede sufrir una sobredosis de opioides recetados. La sobredosis de opioides ocurre cuando la persona consume una cantidad suficiente de la droga como para producir síntomas que ponen en peligro su vida o le causan la muerte. Cuando una persona sufre una sobredosis de medicamentos opioides, su respiración se hace más lenta o se detiene. Esto puede reducir la cantidad de oxígeno que llega al cerebro, lo que puede llevar a un estado de coma, causar daño permanente en el cerebro u ocasionar la muerte.

¿Cómo se trata una sobredosis de opioides?

Si sospecha que alguien ha sufrido una sobredosis, lo más importante es llamar al 911 para que la persona pueda recibir atención médica inmediata. Al llegar, el personal médico le administrará naloxona al paciente. La naloxona es un medicamento que puede servir para contrarrestar una sobredosis de opioides si se administra inmediatamente. Se adhiere con rapidez a los receptores opioides y bloquea los efectos de las drogas opioides. La naloxona está disponible como solución inyectable y como rociador nasal (NARCAN ® Nasal Spray y KLOXXADO ®).

En algunos estados se han aprobado leyes que permiten que los farmacéuticos vendan naloxona sin una receta personal. Los rociadores nasales de naloxona pueden ser usados por amigos, familiares u otras personas para salvar a alguien que ha sufrido una sobredosis.

Infórmese más en nuestra Naloxona DrugFacts en español.

¿El consumo de opioides recetados puede causar adicción?

Sí, el abuso repetido de los opioides recetados puede llevar a un trastorno por abuso de drogas, una enfermedad que puede variar entre leve y grave y puede ser temporaria o crónica. La adicción es la forma más grave del trastorno por abuso de drogas. Cuando el consumo continuo de una droga modifica el cerebro y crea problemas de salud y en el cumplimiento de las responsabilidades de la persona en la escuela, el trabajo o el hogar, se produce un trastorno por consumo de drogas.

Las personas adictas a un medicamento opioide que dejan de consumir la droga pueden experimentar síntomas graves de abstinencia que comienzan apenas unas pocas horas después de haber consumido la droga por última vez. Estos síntomas incluyen:

dolores en músculos y huesos

problemas para dormir

diarrea y vómitos

escalofríos con "piel de gallina"

movimientos incontrolables de las piernas

deseos intensos de consumir la droga

Estos síntomes pueden ser sumamente desagradables y son el motivo por el cual a muchas personas se les hace tan difícil dejar de consumir opioides. Se están desarrollando medicamentos para ayudar en el proceso de abstinencia, y la Administración de Alimentos y Medicamentos de Estados Unidos (U.S. Food and Drug Administration, FDA) aprobó recientemente un dispositivo, el NSS-2 Bridge, que puede ayudar a aliviar esos síntomas. El NSS-2 Bridge es un pequeño electroestimulador nervioso que se coloca detrás de la oreja y se puede usar hasta cinco días durante la fase aguda de la abstinencia.

¿Qué tipos de tratamiento existen para las personas adictas a los opioides recetados?

Hay varios tratamientos eficaces para ayudar a quienes son adictos a los opioides recetados. Estos tratamientos incluyen medicamentos y terapias conductuales.

Los medicamentos para los trastornos por consumo de opioides son seguros, eficaces y salvan vidas. Estos medicamentos interactúan con los mismos receptores de los opioides en el cerebro en los que actúan los otros opioides recetados. Dependiendo del medicamento o medicamentos recetados, es posible que una persona desarrolle una adicción. Los medicamentos consumidos según lo indicado puede que no produzcan los mismos efectos que otros opioides recetados cuando se consumen de forma indebida.

La metadona, un agonista completo de los receptores de los opioides, se adhiere a los receptores de los opioides y los activa para aliviar los síntomas de abstinencia y el deseo de consumo.

La buprenorfina, un agonista parcial de los receptores de los opioides, se adhiere a los receptores de los opioides y los activa parcialmente para aliviar los síntomas de abstinencia y el deseo de consumo.

La naltrexona, un antagonista de los receptores de los opioides, impide que los opioides se adhieran a los receptores de los opioides, bloqueando así sus efectos.

Más información sobre los medicamentos para la sobredosis, la abstinencia y la adicción a los opioides.

Las terapias conductuales para la adicción a los opioides recetados ayudan a las personas a modificar su actitud y comportamiento con relación al consumo de la droga, a aumentar la aptitud para llevar una vida sana y a continuar con otras formas de tratamiento, como la medicación. Algunos ejemplos incluyen la terapia cognitivo conductual, que ayuda a modificar las expectativas y el comportamiento del paciente con relación al consumo de la droga, y el control de los factores desencadenantes y el estrés. La terapia familiar multidimensional, desarrollada para adolescentes que tienen problemas de consumo de drogas, aborda una serie de influencias personales y familiares sobre las pautas de consumo de drogas que tiene el adolescente y su objetivo es mejorar su funcionamiento general. Estos métodos de tratamiento conductual han demostrado ser eficaces, especialmente cuando se los combina con medicamentos. Infórmese más sobre los tratamientos par la drogadicción.

Puntos para recordar

Los opioides recetados se emplean principalmente en el tratamiento de dolores moderados a intensos, si bien algunos opioides se pueden usar para tratar la tos y la diarrea.

Las personas abusan de los opioides recetados cuando los toman en forma distinta a la indicada, toman el medicamento de otra persona o lo toman para drogarse. Quien abusa de un opioide recetado puede ingerir, inhalar o inyectarse la droga.

Los opioides se adhieren a los receptores opioides y los activan. Estos receptores se encuentran en varias zonas del cerebro, la médula espinal y otros órganos, especialmente los que participan en las sensaciones de placer y dolor, y pueden renforzar tremendamente el acto de consumir la droga, haciendo que el usuario quiera repetir la experiencia.

Las personas que consumen opioides recetados pueden sentirse relajadas y felices, pero también pueden sentir aletargamiento o confusión y tener náuseas, estreñimiento y respiración lenta.

Los opioides recetados tienen efectos similares a los de la heroína. Si bien el uso indebido de los opioides recetados es un factor de riesgo para comenzar a consumir heroína, solo una pequeña fracción de las personas que abusan de los analgésicos opioides pasan a la heroína.

Es posible sufrir una sobredosis de opioides. La naloxona es un medicamento que puede servir para contrarrestar una sobredosis de opioides si se administra inmediatamente.

El consumo de opioides recetados, aun cuando se tomen de acuerdo con las indicaciones del médico, puede causar un trastorno por consumo de drogas, que en los casos más graves se convierte en adicción. Los síntomas de abstinencia incluyen dolores musculares y óseos, problemas para dormir, diarrea, vómitos y un deseo intenso de consumir la droga.

Hay varios tratamientos eficaces para ayudar a las personas que sufren un trastorno por consumo de opioides. Estos tratamientos incluyen medicamentos y terapias conductuales.

Infórmese más

For more information about opioid medications, see our:

Referencias

1. Muhuri PK, Gfroerer JC, Davies MC. Associations of Nonmedical Pain Reliever Use and Initiation of Heroin Use in the United States. Rockville, MD: Substance Abuse and Mental Health Services Administration; 2013. http://archive.samhsa.gov/data/2k13/DataReview/DR006/nonmedical-pain-reliever-use-2013.pdf. Accessed May 13, 2016.

2. Cicero TJ, Ellis MS, Surratt HL, Kurtz SP. The Changing Face of Heroin Use in the United States: A Retrospective Analysis of the Past 50 Years. JAMA Psychiatry. 2014;71(7):821-826. doi:10.1001/jamapsychiatry.2014.366.

3. Carlson RG, Nahhas RW, Martins SS, Daniulaityte R. Predictors of transition to heroin use among non-opioid dependent illicit pharmaceutical opioid users: A natural history study. Drug Alcohol Depend. 2016;160:127-134. doi:10.1016/j.drugalcdep.2015.12.026.

4. Cicero TJ, Ellis MS, Kasper ZA. Increased use of heroin as an initiating opioid of abuse. Addict Behav. 2017 Nov;74:63-66. doi: 10.1016/j.addbeh.2017.05.030. Epub 2017 May 23. PubMed PMID: 28582659. https://www.ncbi.nlm.nih.gov/pubmed/28582659

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Opioides de prescripción médica - DrugFacts | National Institute on Drug Abuse

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Un resumen sobre los opioides recetados que explica en lenguaje claro los efectos que tienen en el cerebro e informa sobre el consumo reportado.

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"Helping a Loved One Dealing with Mental and/or Substance Use Disorders"

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"Helping a Loved One Dealing with Mental and/or Substance Use Disorders"

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Source: National Institute on Drug Abuse (NIDA)

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"Supporting a Loved One Dealing with Mental and/or Substance Use Disorders"

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"Supporting a Loved One Dealing with Mental and/or Substance Use Disorders"

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Source: National Institute on Drug Abuse (NIDA)

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Source: National Institute on Drug Abuse (NIDA)

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What are some signs of an opioid overdose?

unconsciousness

very small pupils

slow or shallow breathing

vomiting

an inability to speak

faint heartbeat

limp arms and legs

pale skin

purple lips and fingernails

What is naloxone?

Naloxone is a medicine that rapidly reverses an opioid overdose. It is an opioid antagonist. This means that it attaches to opioid receptors and reverses and blocks the effects of other opioids. Naloxone can quickly restore normal breathing to a person if their breathing has slowed or stopped because of an opioid overdose. But, naloxone has no effect on someone who does not have opioids in their system, and it is not a treatment for opioid use disorder. Examples of opioids include heroin, fentanyl, oxycodone (OxyContin ®), hydrocodone (Vicodin ®), codeine, and morphine.

How is naloxone given?

Naloxone should be given to any person who shows signs of an opioid overdose or when an overdose is suspected. Naloxone can be given as a nasal spray or it can be injected into the muscle, under the skin, or into the veins. Steps for responding to an opioid overdose can be found in the Substance Abuse and Mental Health Administration's (SAMHSA) Opioid Overdose Prevention Toolkit.

First Responders Can Safely Administer Naloxone during the COVID-19 Pandemic (HHS)

What are the different naloxone delivery systems?

Naloxone comes in two FDA-approved forms: injectable and prepackaged nasal spray. No matter what dosage form you use, it's important to receive training on how and when to use naloxone. You should also read the product instructions and check the expiration date.

Injectable brands of naloxone are offered by different companies listed in the FDA Orange Book under "naloxone" (look for "injectable"). Typically, the proper dose must be drawn up from a vial. Usually, it is injected with a needle into muscle, although it also may be administered into a vein or under the skin. The FDA recently approved , a single-dose, prefilled syringe that can be injected into the muscle or under the skin.
Note: Some people use an improvised nasal spray emergency kit not approved by the FDA that combines injectable naloxone with an attachment designed to deliver naloxone through the nose. However, this improvised intranasal device is not easy to assemble, especially when under pressure in an emergency, and requires training beforehand. Additionally, the FDA-approved naloxone devices have been shown to produce substantially higher blood levels of naloxone than the improvised nasal spray. These outcomes suggest that the approved prepackaged nasal spray technology is preferable over non-FDA-approved forms.

Prepackaged Nasal Spray (generic naloxone, Narcan, Kloxxado), developed as a result of NIDA-funded research, is an FDA-approved prefilled, needle-free device that requires no assembly and is sprayed into one nostril while the person lays on their back. This device can also be easier for loved ones and bystanders without formal training to use.

Is Narcan® the same as naloxone?

When naloxone was first approved to reverse opioid overdoses, its brand name was "Narcan." There are now other formulations and brand names for naloxone, but many people continue to call all of these products "Narcan." However, the proper generic name is "naloxone."

Is there a preferable delivery system?

All systems used by first responders deliver the stated dose of naloxone and can be highly effective in reversing an opioid overdose. Study findings released in March 2019 suggests that the FDA-approved naloxone devices deliver higher blood levels of naloxone than the improvised nasal devices.

Can I give naloxone to someone who has overdosed?

Yes. Families with loved ones who struggle with opioid addiction should have naloxone nearby; ask their family member to carry it; and let friends know where it is. People should still call 911 immediately in the event of an overdose.

Naloxone is being used more by police officers, emergency medical technicians, and non-emergency first responders than before. In most states, people who are at risk or who know someone at risk for an opioid overdose can be trained on how to give naloxone. Families can ask their pharmacists or health care provider how to use the devices.

What precautions are needed when giving naloxone?

Naloxone works to reverse opioid overdose in the body for only 30 to 90 minutes. But many opioids remain in the body longer than that. Because of this, it is possible for a person to still experience the effects of an overdose after a dose of naloxone wears off. Also, some opioids are stronger and might require multiple doses of naloxone. Therefore, one of the most important steps to take is to call 911 so the individual can receive immediate medical attention. NIDA is supporting research for stronger formulations for use with potent opioids like fentanyl.

People who are given naloxone should be observed constantly until emergency care arrives. They should be monitored for another 2 hours after the last dose of naloxone is given to make sure breathing does not slow or stop.

Tolerance vs. Dependence vs. Addiction

Long-term use of prescription opioids, even as prescribed by a doctor, can cause some people to develop a tolerance, which means that they need higher and/or more frequent doses of the drug to get the desired effects.

Drug dependence occurs with repeated use, causing the neurons to adapt so they only function normally in the presence of the drug. The absence of the drug causes several physiological reactions, ranging from mild in the case of caffeine, to potentially life-threatening, such as with heroin. Some chronic pain patients are dependent on opioids and require medical support to stop taking the drug.

Drug addiction is a chronic disease characterized by compulsive, or uncontrollable, drug seeking and use despite harmful consequences and long-lasting changes in the brain. The changes can result in harmful behaviors by those who misuse drugs, whether prescription or illicit drugs.

People with physical dependence on opioids may have withdrawal symptoms within minutes after they are given naloxone. Withdrawal symptoms might include headaches, changes in blood pressure, rapid heart rate, sweating, nausea, vomiting, and tremors. While this is uncomfortable, it is usually not life threatening. The risk of death for someone overdosing on opioids is worse than the risk of having a bad reaction to naloxone. Clinicians in emergency room settings are being trained to offer patients immediate relief and referral to treatment for opioid use disorder with effective medications after an opioid overdose is reversed. NIDA offers tools for emergency clinicians here.

Side effects from naloxone are rare, but people might have allergic reactions to the medicine. Overall, naloxone is a safe medicine. But it only reverses an overdose in people with opioids in their systems and will not reverse overdoses from other drugs like cocaine or methamphetamine.

How much does naloxone cost?

The cost varies depending on where you get the naloxone, how you get it, and what type you get. Patients with insurance should check with their insurance company to see if this medicine is covered. Patients without insurance can check the retail costs at their local pharmacies. Some drug companies have cost assistance programs for patients unable to pay for it.

Where can I get naloxone?

Many pharmacies carry naloxone. In some states, you can get naloxone from a pharmacist even if your doctor did not write you a prescription for it. It is also possible to get naloxone from community-based distribution programs, local public health groups, or local health departments, free of charge.

Co-Prescribing Naloxone with Prescription Opioids

Research indicates that clinicians prescribing naloxone along with prescription opioids may reduce the risk of opioid-related emergency room visits and prescription opioid-involved overdose deaths. The U.S. Centers for Disease Control and Prevention recommends co-prescription of naloxone for some patients who take opioids. This recommendation was first outlined in the 2016 CDC Guideline for Prescribing Opioids for Chronic Pain and is still present in the updated 2022 CDC Clinical Practice Guideline for Prescribing Opioids for Pain.

Points to remember

Naloxone is a medicine that rapidly reverses an opioid overdose. It attaches to opioid receptors and reverses and blocks the effects of other opioids.

Naloxone is a safe medicine. It only reverses overdoses in people with opioids in their systems.

There are two FDA-approved formulations of naloxone: injectable and prepackaged nasal spray.

Police officers, emergency medical technicians, and first responders are trained on how to give naloxone.

In some states, friends and family members can be trained on how to give naloxone.

Naloxone only works in the body for 30 to 90 minutes. It is possible for a person to still experience the effects of an overdose after naloxone wears off or need multiple doses if a potent opioid is in a person's system.

In some areas, you can get naloxone from pharmacies with or without a personal prescription from community-based distribution programs, or local health departments. The cost varies depending on where and how you get it as well as what type you get.

Learn more

For more information about naloxone and opioid use disorder, visit:

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Naloxone DrugFacts | National Institute on Drug Abuse

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Naloxone can quickly restore normal breathing to a person during an opioid overdose.

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Naloxona- DrugFacts "Que es la naloxona?"

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Naloxona- DrugFacts "Que es la naloxona?"

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Source: National Institute on Drug Abuse (NIDA)

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Naloxona – DrugFacts | National Institute on Drug Abuse

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Un resumen en lenguaje sencillo de la naloxona, las diferentes formas de dosificación, cómo se usan y las precauciones a tener en cuenta al administrar naloxona.

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"How to Deal with a Drug Addicted Family Member"

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"How to Deal with a Drug Addicted Family Member"

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Source: Addiction Education Society

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Addiction Education Society- "Tips to Talk to a Friend about Drug Use"

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Addiction Education Society- "Tips to Talk to a Friend about Drug Use"

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Tips to Talk to a Friend about Drug use | Addiction Education Society

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If your friend is not will to get help, talk to a trusted adult about the situation. Tell the adult that you think your friend is abusing drugs and needs help. Several anonymous resources exist to help people struggling with drug abuse.

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Hazelden Betty Ford Foundation- "Early Warning Signs of Teen Substance Use"

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Hazelden Betty Ford Foundation- "Early Warning Signs of Teen Substance Use"

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Chances are your teen's mood swings can be attributed to the racing and changing hormones that come with adolescence. In other words, teen mood swings are normal. You'll want to pay attention, though, if your teenage son or daughter is experiencing mood swings along with changes in behavior or appearance, such as:

Losing interest in activities they once enjoyed

Dropping old friends for a new group

Acting despondent, aggressive or angry

Sleeping more than usual

Breaking rules

Exhibiting physical changes like sudden weight loss, frequent nosebleeds, bloody or watery eyes, or shakes and tremors

These are behavioral and physical signs that your child could be misusing medications, or using drugs or drinking alcohol. Knowing the signs and symptoms of teen drug use can help you better understand if or when you should involve a professional.

What are some early signs of teen drug abuse and addiction?

One of the most challenging aspects of addiction is that it is a progressive disease. Early warning signs can be hard to spot, and unhealthy patterns can develop into a full-blown substance use disorder (often referred to as substance abuse) if not addressed.

When you know your teenage son or daughter's passions, interests and habits, the early warning signs of trouble will be more apparent because you will sense when something seems off or amiss. Casual drug use can quickly spiral out of control if you ignore problems, rationalize underage drinking or smoking marijuana as "experimentation" or "just a phase," or avoid having open and honest discussions with your child. It's much easier to turn problematic behavior around when warning signs first surface, rather than when the situation escalates or an emergency occurs. Especially for kids who are at higher risk of alcohol or other drug addiction, paying attention to early signs of trouble can reduce the likelihood of a future problem. As a parent or concerned adult, you can never intervene too soon.

Friends in a teen's social circle may be aware of drug use before adults are, either by directly observing the risky behavior or hearing stories from others in their friend group. Don't expect adolescent friends to convince their peers to stop drinking or using drugs, though. Adolescents will typically avoid having such a potentially awkward conversation or otherwise intervening. Unfortunately, this has the effect of passively enabling the unhealthy behaviors. If your child is surrounded by friends who avoid saying anything negative about smoking marijuana, drinking alcohol, using prescription drugs such as opioids, or other stimulants in a non-medical way, or doing cocaine or heroin, the unspoken message is that those dangerous behaviors are acceptable. At this age, a friend's opinion has power, so it's more important than ever to keep the lines of communication open with your son or daughter, rather than relying on their friends to intervene.

What kinds of behaviors or symptoms could indicate teen drug abuse or substance abuse?

Behavioral signs of drug use or substance abuse include:

Avoiding eye contact

Ignoring or breaking curfew

Acting irresponsibly

Frequently asking for money

Stealing

Locking bedroom doors

Making secretive calls

Isolating from others/damaging relationships with family or friends

Making excuses (or outright lying)

Withdrawing from classroom participation/slipping in grades

Resisting discipline or feedback

Missing school or work

Losing interest in hobbies or activities

Abandoning long-time friends

Physical indicators of possible substance use or abuse include:

Poor hygiene/change in appearance

Glazed or bloodshot eyes

Frequent runny nose or nosebleeds

Paranoia, irritability, anxiety, fidgeting

Changes in mood or attitude

Difficulty staying on task/staying focused

Small track marks on arms or legs (wears long sleeves even in warm weather)

Pupils larger or smaller than usual

Cold, sweaty palms or shaking hands

Sores on mouth

Headaches

Puffy, swollen face

Extremely tired or extremely hyperactive

Rapid weight gain or loss

What are the risk factors for teen drug abuse?

At the Hazelden Betty Ford Foundation, we have worked with thousands of adults invested in keeping the young people healthy and safe in their homes and communities. If you discover that your child has a drug or alcohol problem, it's normal to wonder what you could have done differently, if you should have seen it coming and what signals you may have missed. In other words, how could you have prevented this problem? And, perhaps more urgently, when does drug use or abuse progress to addiction?

These are complicated questions with complicated answers. The good news is that science has defined tangible early warning signs and symptoms that, if recognized and addressed, can help adults steer kids away from risks that could make them more vulnerable to addiction.

There are five main factors that contribute to a heightened risk for addiction, spelling out the acronym FACTS.

Family
When someone in a child's biological family-parents, siblings, or extended family members-has a history of substance use (alcohol, tobacco/nicotine, marijuana, prescription drugs or other drugs), that child may have a predisposition to addiction and will be at a greater risk of developing the disorder than a young person without a family history. Research from the Yale University School of Medicine indicates that first-degree relatives (children, siblings and parents) of alcoholics have eight times the risk of developing alcoholism than individuals without a family link.

Age
Age is another important risk factor for substance use disorder. The younger a person is when they start using alcohol or other drugs, the more likely they are to develop an addiction. Current research by the National Institute of Mental Health suggests that a person's brain isn't fully developed until they're in their twenties-alcohol and drugs can damage the "wiring" in a teenager's brain, leading to issues in the future.

Cravings and Tolerance
Because younger brains are still developing, they are more sensitive to alcohol and other drugs than fully developed adult brains. As a result, when a teen uses alcohol or other drugs early on, they can develop physical cravings and tolerance to the substances being used-a progressive cycle that may very rapidly lead to active addiction.

Surroundings
Surroundings may be the most noticeable warning sign of substance use. Exposure to the use of alcohol and other drugs, whether within a family or a peer group, "normalizes" use so that it's perceived as what everyone is doing. In this regard, parents have a critical opportunity to act as positive role models. Such environment also increases access to substances, making a person more vulnerable to first-time use and opportunities to keep using.

There are many circles of influence in a teenager's life. Beginning with families, teens gain an understanding of both healthy and unhealthy behaviors. When parents and other caregivers clearly discuss the risks of drug abuse with their children, the likelihood that they will misuse substances is reduced by 50 percent. Set a good example. The positive behavior that you and other family members model can have a dramatic impact on how your teenager perceives alcohol and other drugs.

A teen's circle of friends can also shape their beliefs and behavior regarding substance use. Teens are constantly trying to figure out how they fit into their world. As they work to find their place, they can be strongly influenced by peer pressure. If young people spend time with other teens who are engaged in risky, unhealthy behaviors, they are more likely to engage in those behaviors themselves.

As a caring adult, be aware of any shifts in friendships, associations and activities. Ask simple questions of the teens in your life (e.g., "How's so-and-so doing these days?") as a way to uncover any red flags in peer relationships. If a teen is vague about who they hang out with-or how they're spending their time away from home-take that opportunity to dig a little deeper. In these conversations, relate, don't interrogate. Don't lecture. Listen and show that you're genuinely interested. Try to establish a strong bond of trust.

What's portrayed in movies, on TV, online and in music can also help shape perceptions about alcohol and drug addiction. Whether it's Ewan McGregor shooting heroin in Trainspotting, Tony Montana snorting cocaine in Scarface, or glamorizing underage drinking and smoking marijuana in Superbad, the media can portray drug use as cool, fun and entertaining-while neglecting to broadcast the negative consequences of addiction and drug abuse, serious health consequences, relationship troubles, financial issues, incarceration, overdose and even death. Incomplete media messages can lead to dangerous misperceptions. If your teenager likes a movie or a song referencing alcohol or other drug use, this might not be a warning sign in and of itself; however, these interests can lead to misperceptions about substance use. Perceptions shape behavior.

Being aware of your teenager's views regarding alcohol and other drug use can be a valuable tool in identifying risk and taking a preventative stance in their lives. Talking with your teenager about the realities of substance use can powerfully impact their perceptions; don't be afraid to finish a conversation that society has started.

Ten facts about teen alcohol and drug abuse

1. Some teens are at higher risk due to genetics, the age when they start using, and socioeconomic circumstances (and other factors).

2. Casual drug use can lead to abuse and addiction, causing health issues, financial problems and legal trouble.

3. Today's marijuana is much stronger than it was in the past, making it more dangerous. And yes, marijuana is addictive.

4. Many teens with addiction also have a co-occurring mental health disorder.

5. A teenager's brain is much more susceptible to addiction because it is still developing.

6. Addiction, whether in a teenager or adult, is a disease. It is not a moral failing. Focus on the behavior, not the person.

7. As a caregiver or parent, remind yourself: you did not cause it, you cannot control it and it cannot be cured. Addiction can, however, be managed over the course of a lifetime just like any other chronic disease, like diabetes or hypertension.

8. The best prevention is to talk with your kids. Spend time with them, and let them know what your expectations are, what the rules are and what the consequences are if they break the rules. Check in regularly.

9. Vaping rates, whether nicotine or THC, have increased tremendously in the last few years among teens. Vaping is not harmless.

10. Addiction treatment works; lives can be restored.

How effective are residential treatment centers for teens suffering from anxiety and mild substance abuse?

Many teens who struggle with addiction also have a co-occurring mental health disorder, such as anxiety or depression. The most effective treatment integrates care for both issues, so look for outpatient or residential/inpatient treatment centers with licensed professionals who are trained to address co-occurring substance use and mental health treatment at the same time. It's important to recognize that one disorder does not cause the other; they occur at the same time.

Where can my teen and I find help for substance abuse?

While resources vary from community to community, be assured that help is within reach. Local resources include schools, medical professionals, mental health specialists and treatment providers. If you are searching for an addiction treatment provider specializing in care for teens, start with your insurance company. They can provide you with a list of in-network treatment providers. Regardless of the program you choose, treatment should always start with a physical, as well as mental health assessments and chemical use history, to determine the appropriate level of care. Given the right treatment and support, adolescents struggling with a substance use disorder can move into happy, healthy, productive lives.

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Early Warning Signs of Teen Substance Use

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Chances are your teen's mood swings can be attributed to the racing and changing hormones that come with adolescence. In other words, teen mood swings are normal.

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Hazelden Betty Ford- Addiction & Mental Health Treatment Services

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Hazelden Betty Ford- Addiction & Mental Health Treatment Services

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Confidential 24/7 Hotline- 1-855-461-7803
Check out Hazelden Betty Ford's website to locate Treatment Services near you, find help for yourself or a loved one, & other programs/services

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Together, we will overcome addiction.

Online Treatment and Support Services

Telehealth services bring our addiction, mental health and recovery support resources to you.

Hazelden Betty Ford stands with people of color and all who are working to achieve change, providing hope and healing in our most diverse communities.

Professional Education and Continuum Solutions

We partner with local providers and communities to help make quality treatment and recovery possible.

Hazelden Betty Ford: World-renowned Provider of Addiction and Mental Health Treatment Services

For more than 70 years, Hazelden Betty Ford has been at the forefront of providing lifesaving, compassionate care and specialized services to help people from all walks of life get to feeling like their best self.

Why choose the Hazelden Betty Ford Foundation for treatment?

Our experts are dedicated to providing clinical care, education and research in the field of addiction and mental health prevention, treatment and recovery so that you are assured of receiving the most-effective services available-care that is personalized to meet the needs of each patient, evidence based, and aimed at achieving long-term health.

Beyond inpatient and outpatient addiction and mental health treatment programs, the Hazelden Betty Ford Foundation offers the field's most innovative recovery support services and resources including virtual and phone-based coaching, web tools, mobile apps, Hazelden Publishing self-help books and more.

Our holistic approach to addiction treatment and recovery has been emulated throughout the world, and we are seen as a standard-bearer of quality and integrity in the field. When the Hazelden Foundation, based in Center City, Minnesota, and the Betty Ford Center, located in Rancho Mirage, California, merged in 2014, the Hazelden Betty Ford Foundation became the nation's leading nonprofit addiction and mental health treatment provider. Learn more about the rich history and pioneering work of Hazelden and the Betty Ford Center and why we are seen as the leader in treatment of addiction and co-occurring mental health disorders. Hazelden was established 1949, with a forward-thinking approach to the problem of alcoholism-an approach built on emerging Twelve Step principles and practices, lay counseling and abiding respect and compassion for the individual receiving care. The Betty Ford Center was established in 1982, with Betty Ford-"the First Lady of Recovery"-bringing unprecedented visibility to the problem of drug addiction and the promise of treatment and recovery.

Today, with headquarters on the lakeside campus in Center City where it all began in 1949, the Hazelden Betty Ford Foundation has 17 addiction and mental health treatment centers throughout the United States, with locations in Minnesota, California, Oregon, Illinois, Florida, Washington and New York. You will be able to easily find a treatment center location near you. In addition, most services can be accessed virtually.

See the Hazelden Betty Ford Difference

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Hazelden Betty Ford Drug and Alcohol Addiction Treatment Centers

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Together, we will overcome addiction. Online Treatment and Support Services Telehealth services bring our addiction, mental health and recovery support resources to you. Hazelden Betty Ford stands with people of color and all who are working to achieve change, providing hope and healing in our most diverse communities.

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Source: SAMHSA
Fact sheets regarding Substance Abuse Confidentiality Regulations
42 CFR Part 2

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Frequently Asked Questions (FAQs) and Fact Sheets regarding the Substance Abuse Confidentiality Regulations.

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NJ Substance Use Resources

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Understanding Drug Use and Addiction DrugFacts

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Understanding Drug Use and Addiction DrugFacts

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Source: National Institute on Drug Abuse (NIDA)

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Entendiendo el uso de drogas y la adiccion- DrugFacts

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Entendiendo el uso de drogas y la adiccion- DrugFacts

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Source: National Institute on Drug Abuse (NIDA)

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Words Matter: Preferred Language for Talking About Addiction

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Words Matter: Preferred Language for Talking About Addiction

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Click to learn more about stigma, how we can make a change, and terms to use or avoid & why

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Addiction is a chronic but treatable medical condition. Often unintentionally, many people still talk about addiction in ways that are stigmatizing-meaning they use words that can portray someone with a substance use disorder (SUD) in a shameful or negative way and may prevent them from seeking treatment.With simple changes in language harmful stigma and negativity around SUD can be reduced or avoided. Read on to learn more about what stigma is, how it affects people with SUD, and how you can help make a change.

Stigma and Addiction

What is stigma?

Stigma is a discrimination against an identifiable group of people, a place, or a nation. Stigma about people with substance use disorders might include inaccurate or unfounded thoughts like: they are dangerous, incapable of managing treatment, or at fault for their condition.

Where does stigma come from?

Stigma around addiction may come from old and inaccurate ideas, or fear of things that are different or misunderstood. Today, we know that addiction is a chronic, treatable medical condition. We also know that people can recover and continue to lead healthy lives.

How does it affect people with SUD?

Feeling stigmatized can make people with SUD less willing to seek treatment.

Negative stereotypes about people with SUD can make others feel pity, fear, and even anger.

How can we make a change?

When talking to or about people with SUD, make sure to use words that aren't stigmatizing. See the table below for some helpful tips to get started.

Use person-first language, which focuses on the person-not their illness. It focuses on removing words that define a person by their condition or have negative meanings. For example, "person with a substance use disorder" has a neutral tone and separates the person from his or her disorder.

Let people choose how they are described. If you're not sure what words to use, just ask! Check in with friends or loved ones about how they refer to themselves and how they would like others to refer to them.

Read more from NIDA Director Dr. Nora Volkow:

Learn about preferred language for health professionals with NIDAMED:

Health Professions Education:

Terms to use, terms to avoid, and why

The chart below can help you choose words to reduce stigma and use person-first language when talking about addiction.

Person with a substance use disorder¹⁰

Person with an opioid use disorder (OUD) or person with opioid addiction

Using person-first language shows that SUD is an illness.

Using these words shows that a person with a SUD "has" a problem/illness, rather than "is" the problem.

The terms avoid elicit negative associations, punitive attitudes, and individual blame.

Person with alcohol use disorder

Person who misuses alcohol/engages in unhealthy/hazardous alcohol use

Use medically accurate terminology the same way it would be used for other medical conditions.

These terms may decrease a person's sense of hope and self-efficacy for change.

"Habit" implies that a person is choosing to use substances or can choose to stop. This implication is inaccurate.

Describing SUD as a habit makes the illness seem less serious than it is.

Use (for illicit drugs)

Misuse (for prescription medications used other than prescribed)

The term "abuse" was found to have a high association with negative judgments and punishment.

Use outside of the parameters of how medications were prescribed is misuse.

Medication treatment for OUD

Medications for OUD

Opioid agonist therapy

Pharmacotherapy

Medication for a substance use disorder

Opioid substitution

Replacement therapy

Medication-assisted treatment (MAT)

It is a misconception that medications merely "substitute" one drug or "one addiction" for another.

The term MAT implies that medication should have a supplemental or temporary role in treatment. Using "MOUD" aligns with the way other psychiatric medications are understood (e.g., antidepressants, antipsychotics), as critical tools that are central to a patient's treatment plan.

Being in remission or recovery

Abstinent from drugs

Not drinking or taking drugs

Testing negative (on a drug screen)

Use of medical terminology (the same way you would for other illnesses) can help reduce stigma.

Baby born to a parent who used drugs while pregnant

Baby with signs of withdrawal from prenatal drug exposure

Newborn exposed to substances

Baby with neonatal abstinence syndrome

Babies cannot be born with addiction because addiction is a behavioral disorder.

Using person-first language can reduce stigma.

Use of medical terminology (the same way you would for other illnesses) can help reduce stigma.

References

1. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5937046

2. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5854406

3. https://www.ncbi.nlm.nih.gov/pubmed/31140667

4. https://apastyle.apa.org/6th-edition-resources/nonhandicapping-language

5. https://obamawhitehouse.archives.gov/sites/whitehouse.gov/files/images/Memo%20-%20Changing%20Federal%20Terminology%20Regrading%20Substance%20Use%20and%20Substance%20Use%20Disorders.pdf

6. www.thenationalcouncil.org/wp-content/uploads/2016/10/Substance-Use-Teminology.pdf

7. https://journals.sagepub.com/doi/abs/10.1177/002204261004000403

8. https://jamanetwork.com/journals/jama/article-abstract/1838170

9. https://pubmed.ncbi.nlm.nih.gov/29863411/

10. https://pubmed.ncbi.nlm.nih.gov/31551647/

# data[].attributes.attachment_link.title
Words Matter: Preferred Language for Talking About Addiction | National Institute on Drug Abuse

# data[].attributes.attachment_link.description
Learn what stigma is, how it affects people with SUD, and how you can help make a change.

# data[].attributes.headline
Truth Initiative- Inspiring Lives Free From Smoking, Vaping & Nicotine

# data[].attributes.subject
Truth Initiative- Inspiring Lives Free From Smoking, Vaping & Nicotine

# data[].attributes.body
Truth Initiative is America's largest nonprofit public health org. tackling tobacco and nicotine addiction through campaigns, community activism, & resources

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"Kathy's impressive background, extensive experience and passion for public health make her an exceptional choice to lead Truth Initiative."

-Truth Initiative Board Chair Mike Moore

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Truth Initiative: inspiring lives free from smoking, vaping, and nicotine

# data[].attributes.attachment_link.description
Truth Initiative is America's largest nonprofit public health organization dedicated to a future where tobacco and nicotine addiction are things of the past. Our mission is clear: achieve a culture where young people reject smoking, vaping, and nicotine.

# data[].attributes.headline
Marijuana Talk Kit- "What you need to know to talk with your teen about marijuana"

# data[].attributes.subject
Marijuana Talk Kit- "What you need to know to talk with your teen about marijuana"

# data[].attributes.body
Source: Partnership to End Addiction

# data[].attributes.body
"NJ's Source to Support Individuals, Youth & Families"
Statewide system of provider agencies for substance use prevention programs & resources in NJ's 21 counties

# data[].attributes.headline
Las palabras importan: terminos preferidos al hablar de la adiccion

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Las palabras importan: terminos preferidos al hablar de la adiccion

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Source: National Institute on Drug Abuse (NIDA)

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La adicción es un trastorno médico crónico que se puede tratar. Todavía hay muchas personas que, a menudo sin intención, se refieren a la adicción en formas estigmatizantes, es decir, utilizan palabras que pueden arrojar un matiz negativo o vergonzante sobre la persona que sufre el problema, lo que puede impedir que esa persona busque tratamiento. Con unos simples cambios en el lenguaje es posible reducir o eliminar la negatividad y el estigma asociados con los trastornos por consumo de sustancias. A continuación, se describe qué es el estigma, cómo afecta a las personas con trastornos por consumo de sustancias y cómo usted puede ayudar a crear un cambio.

El estigma y la adicción

¿Qué es el estigma?

El estigma es una forma de discriminar a un grupo identificable de personas, un lugar o un país. El estigma que recae sobre las personas con trastornos por consumo de sustancias puede incluir conceptos incorrectos o infundados como por ejemplo, la creencia de que esas personas son peligrosas, no son capaces de manejar el tratamiento o son responsables por su condición.

¿De dónde proviene el estigma?

Es posible que el estigma que rodea a la adicción provenga de ideas anticuadas e incorrectas o del miedo a lo que es diferentes o se malinterpreta. Hoy en día, sabemos que la adicción es un trastorno médico crónico que se puede tratar. También sabemos que las personas pueden recuperarse y continuar viviendo vidas saludables.

¿Cómo afecta el estigma a quienes sufren un trastorno por consumo de sustancias?

La estigmatización puede hacer que las personas que sufren de un trastorno por consumo de sustancias estén menos dispuestas a buscar tratamiento.

Los estereotipos negativos sobre las personas con trastornos por consumo de sustancias pueden hacer que otros sientan lástima, miedo o incluso enojo.

¿Qué podemos hacer para cambiar la situación?

Al hablar con personas con trastornos por consumo de sustancias o sobre ellas, es necesario asegurarse de que las palabras empleadas no sean estigmatizantes. La tabla siguiente presenta algunos consejos útiles como punto de partida.

Utilice lenguaje que invoque primero a la persona, de modo de poner el énfasis en la persona y no en la enfermedad. Esto significa eliminar las palabras que definen a una persona por su condición o que tienen connotaciones negativas. Por ejemplo, la frase "persona con un trastorno por consumo de drogas" tiene un tono neutral y separa a la persona del trastorno.

Deje que las personas elijan cómo se las describe. Si no está seguro de qué palabras utilizar, simplemente pregunte. Consulte con amigos y seres queridos sobre cómo se refiere la persona a sí misma y cómo le gustaría que otros se refirieran a ella.

El blog de la Dra. Nora Volkow, directora del NIDA, contiene más información:

Infórmese sobre las preferencias de terminología para los profesionales de la salud en NIDAMED:

Educación de profesionales de la salud:

Qué términos utilizar, cuáles evitar y por qué

La tabla siguiente puede resultar útil para elegir palabras que reducen el estigma y utilizar un lenguaje que coloca primero a la persona al hablar de la adicción.

Persona con un trastorno por consumo de sustancias¹⁰

Persona con un trastorno por consumo de opioides o persona con adicción a los opioides

El lenguaje que nombra primero a la persona indica que el trastorno por consumo de sustancias es una enfermedad.

Al usar estas palabras, estamos indicando que la persona con un trastorno por consumo de sustancias tiene un problema/enfermedad, en vez de decir que la persona es el problema.

Las expresiones sugeridas evitan suscitar asociaciones negativas, actitudes de castigo y culpas individuales.

Persona con un trastorno por consumo de alcohol

Persona que hace mal uso del alcohol/consume alcohol en formas no saludables/peligrosas

Persona en recuperación o recuperación a largo plazo/persona que antes consumía drogas

Resultado positivo (en una prueba de detección de drogas)

Utilice terminología médica precisa, igual a lo que haría con cualquier otro problema médico.

Los términos negativos pueden disminuir la sensación de esperanza y la autoeficacia en el intento de cambiar de una persona.

La palabra "hábito" implica que una persona elige consumir drogas y puede elegir dejar de hacerlo. Esa implicación es incorrecta.

Cuando un trastorno por consumo de drogas se describe como un hábito, la enfermedad parece menos grave de lo que es.

Consumo (de drogas ilegales)

Uso indebido (en el caso de medicamentos recetados que se usan en forma diferente a la indicada)

Se encontró que el término "abuso" está fuertemente asociado con juicios negativos y castigo.

El uso que no se ajusta a los parámetros indicados por el médico para un medicamento constituye uso indebido.

Tratamiento con medicamentos para el trastorno por consumo de opioides

Medicamentos para el trastorno por consumo de opioides

Terapia de agonistas opioides

Farmacoterapia

Medicamentos para un trastorno por consumo de drogas

Sustituto de opioides

Terapia de reemplazo

Tratamiento asistido con medicamentos (MAT, por sus siglas en inglés)

Es un concepto erróneo que los medicamentos simplemente "sustituyen" una droga o reemplazan "una adicción" con otra.

El término MAT implica que el medicamento tiene una función suplementaria o temporal en el tratamiento. La frase "medicamentos para el trastorno por consumo de opioides" se alinea con la manera en que se entienden otros medicamentos psiquiátricos (por ejemplo, los fármacos antidepresivos o antipsicóticos); es decir, como herramientas críticas que son parte esencial del plan de tratamiento de un paciente.

Estar en remisión o recuperación

En abstinencia de drogas

Sin beber o consumir drogas

Resultado negativo (en una prueba de detección de drogas)

El uso de terminología médica (tal como se usaría para cualquier otra enfermedad) puede ayudar a reducir el estigma.

Bebé de una madre que consumió drogas durante el embarazo

Bebé con síntomas de abstinencia por exposición prenatal a las drogas

Recién nacido expuesto a drogas

Bebé con síndrome de abstinencia neonatal

Los niños no pueden nacer con una adicción porque la adicción es un trastorno conductual.

Expresarse con la persona en primer término puede reducir el estigma.

El uso de terminología médica (tal como se usaría para cualquier otra enfermedad) puede ayudar a reducir el estigma.

Referencias

1. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5937046

2. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5854406

3. https://www.ncbi.nlm.nih.gov/pubmed/31140667

4. https://apastyle.apa.org/6th-edition-resources/nonhandicapping-language

5. https://obamawhitehouse.archives.gov/sites/whitehouse.gov/files/images/Memo%20-%20Changing%20Federal%20Terminology%20Regrading%20Substance%20Use%20and%20Substance%20Use%20Disorders.pdf

6. www.thenationalcouncil.org/wp-content/uploads/2016/10/Substance-Use-Teminology.pdf

7. https://journals.sagepub.com/doi/abs/10.1177/002204261004000403

8. https://jamanetwork.com/journals/jama/article-abstract/1838170

9. https://pubmed.ncbi.nlm.nih.gov/29863411/

10. https://pubmed.ncbi.nlm.nih.gov/31551647/

# data[].attributes.attachment_link.title
Las palabras importan: términos preferidos al hablar de la adicción | National Institute on Drug Abuse

# data[].attributes.attachment_link.description
La adicción es un trastorno médico crónico que se puede tratar. Todavía hay muchas personas que, a menudo sin intención, se refieren a la adicción en formas estigmatizantes, es decir, utilizan palabras que pueden arrojar un matiz negativo o vergonzante sobre la persona que sufre el problema, lo que puede impedir que esa persona busque tratamiento.

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"NJ's Good Samaritan Law protects people who seek help for victims of overdose."

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Find information, resources, and support to help you get ready to quit tobacco and successfully stop smoking.

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Smokefree.gov

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Quitting vaping can be tough, but we have resources that can help. Find out how to quit vaping and stay vape-free.

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Posted by Mass. General Hospital

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Source: Poe Center

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Source: Sunshine Behavioral Health

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A Guide to Teen Vaping - Sunshine Behavioral Health

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Vaping products, often known as vapes, e-cigarettes, and other names, are popular products with teens and are often seen as safer alternatives to cigarettes and other traditional tobacco products, but they can pose their own dangers.

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Source: Center for Tobacco Products, FDA

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Source: SAMHSA

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7 Things You Need to Know about Edible Cannabis

# data[].attributes.subject
7 Things You Need to Know about Edible Cannabis

# data[].attributes.body
Source: Canadian Centre on Substance Use and Addiction

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Source: Partnership for Drug-Free Kids

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A Do-It-Yourself Guide to Quitting Cannabis

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A Do-It-Yourself Guide to Quitting Cannabis

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Source: National Cannabis Prevention and Information Centre (Australia) www.ncpic.org.au

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"Teen Weed Use May Cause Permanent Brain Changes"

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"Teen Weed Use May Cause Permanent Brain Changes"

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Article
Source: CanniControl Inc.

# data[].attributes.headline
What You Need to Know About Tobacco to Talk to Your Teens

# data[].attributes.subject
What You Need to Know About Tobacco to Talk to Your Teens

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Source: CDC

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Source- "Talk. They Hear You." SAMHSA Campaign

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Source: School Mental Health Ontario

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"Why It's Hard to Quit" American Lung Assoc.

# data[].attributes.subject
"Why It's Hard to Quit" American Lung Assoc.

# data[].attributes.headline
E-Cigarette Resources- American Lung Assoc.

# data[].attributes.subject
E-Cigarette Resources- American Lung Assoc.

# data[].attributes.headline
E-Cigarette Fact Sheet for Parents & Caregivers (Spanish)

# data[].attributes.subject
E-Cigarette Fact Sheet for Parents & Caregivers (Spanish)

# data[].attributes.headline
E-Cigarette Fact Sheet for Parents & Caregivers

# data[].attributes.subject
E-Cigarette Fact Sheet for Parents & Caregivers

# data[].attributes.body
Source: Centers for Disease Control and Prevention (CDC)
Learn more about Fentanyl, Naloxone, Stigma reduction & how to help someone recover

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To address the increasing number of overdose deaths related to both prescription opioids and illicit drugs, we created a website to educate people who use drugs about the dangers of illicitly manufactured fentanyl, the risks and consequences of mixing drugs, the lifesaving power of naloxone, and the importance of reducing stigma around recovery and treatment options. Together, we can stop drug overdoses and save lives.
Click on a topic below to ﬁnd out more.

How to help someone recover

If you know or think someone is struggling with addiction, ask them if you can help. Your concern might be just what they need to start their recovery journey, and your support could make all the diﬀerence in their success.

Recovery is possible

Don't wait to get started. Look for information on your state or local health department's website or ask your healthcare provider for treatment and referral services available in your area.

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To address the increasing number of overdose deaths related to both prescription opioids and illicit drugs, we created a website to educate people who use drugs about the dangers of illicitly manufactured fentanyl, the risks and consequences of mixing drugs, the lifesaving power of naloxone, and the importance of reducing stigma around recovery and treatment options.

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Source: CanniControl Inc.

* This assessment is for entertainment purposes only and is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always consult with a qualified and licensed physician or other medical care provider, and follow their advice without delay. This assessment was adapted from Adamson SJ, Kay-Lambkin FJ, Baker AL, Lewin TJ, Thornton L, Kelly BJ, and Sellman JD. (2010). An Improved Brief Measure of Cannabis Misuse: The Cannabis Use Disorders Identification Test – Revised (CUDIT-R). Drug and Alcohol Dependence 110:137-143.

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Learn more about a variety of drugs

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Official websites use .gov
A .gov website belongs to an official government organization in the United States.

Secure .gov websites use HTTPS
A lock ( ) or https:// means you've safely connected to the .gov website. Share sensitive information only on official, secure websites.

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Official websites use .gov A .gov website belongs to an official government organization in the United States. Secure .gov websites use HTTPS A lock ( Lock A locked padlock ) or https:// means you've safely connected to the .gov website. Share sensitive information only on official, secure websites.

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SAMHSA's national substance use prevention campaign for parents, caregivers, educators & community members

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SAMHSA's national youth substance use prevention campaign helps parents and caregivers, educators, and community members get informed, be prepared, and take action to prevent underage drinking and other substance use.

"Talk. They Hear You." celebrated its 10th anniversary by hosting a campaign relaunch event during National Prevention Week 2023! Watch the May 8 event and check out the newest suite of products here.

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SAMHSA's national youth substance use prevention campaign helps parents and caregivers, educators, and community members get informed, be prepared, and take action to prevent underage drinking and other substance use.

# data[].attributes.headline
Talking w/ Your College-Bound Young Adult About Alcohol

# data[].attributes.subject
Talking w/ Your College-Bound Young Adult About Alcohol

# data[].attributes.body
Resource provided by SAMHSA

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Talking With Your College-Bound Young Adult About Alcohol | SAMHSA Publications and Digital Products

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Check out these fact sheets to learn more about a variety of substances

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Search SAMHSA Publications and Digital Products

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Interagency Coordinating Committee on the Prevention of Underage Drinking

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Interagency Coordinating Committee on the Prevention of Underage Drinking

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ICCPUD works with state and local governments and organizations to reduce & prevent underage drinking

# data[].attributes.attachment_link.title
Portal for Federal Underage Drinking Prevention Resources

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An official website of the United States government

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NJ Mercer Drug & Alcohol Abuse Treatment Overview (2021)

# data[].attributes.subject
NJ Mercer Drug & Alcohol Abuse Treatment Overview (2021)

# data[].attributes.body
Check out the Mercer County Substance Abuse Overview (2021) provided by the Dept. of Human Services for last year's drug trends by township

# data[].attributes.body
Alcoholics-Anonymous mutual support groups for teens and family members for those affected by someone else's drinking

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Who Are Al-Anon Members? Al-Anon members are people, just like you, who are worried about someone with a drinking problem. Family members have the opportunity to learn from the experiences of others who have faced similar problems. Read More Teens come together to

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Search for A.A. meetings near you. Search for resources for yourself, a family member or friend

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Have a problem with alcohol? There is a solution.

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Have a problem with alcohol? There is a solution. A.A. has a simple program that works. It's based on one alcoholic helping another.

# data[].attributes.headline
Mercer Council on Alcoholism and Drug Addiction

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Mercer Council on Alcoholism and Drug Addiction

# data[].attributes.body
Community prevention & intervention resources

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Resources and support groups for those struggling with substance addiction

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Welcome to NA in NJ

Narcotics Anonymous is a nonprofit Fellowship or society of men and women for whom drugs had become a major problem. We are recovering addicts who meet regularly to help each other stay clean.
--Narcotics Anonymous Basic Text, page 9.
Narcotics Anonymous is an international, community-based association of recovering drug addicts with over 61,000 weekly meetings in over 131 countries worldwide. Narcotics Anonymous is FREEDOM from active addiction Recovery from addiction is possible and available through the 12 Steps and 12 Traditions of Narcotics Anonymous.

If you feel you have a problem with drugs and would like to speak to a recovering addict, You are viewing our site designed for Mobile Devices - click here to go to the full site.

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Narcotics Anonymous is a nonprofit Fellowship or society of men and women for whom drugs had become a major problem. We are recovering addicts who meet regularly to help each other stay clean. --Narcotics Anonymous Basic Text, page 9. Narcotics Anonymous is an international, community-based association of recovering drug addicts with over 61,000 weekly meetings in over 131 countries worldwide.

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Confidential & anonymous mental and substance use disorder treatment search engine

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SAMHSA's confidential and anonymous resource for persons seeking treatment for mental and substance use disorders in United States and its territories. Find treatment for substance use disorders (e.g., opioid use disorder, alcohol use disorder), and mental disorders (e.g., PTSD, depression, SMI).

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Substance Abuse and Mental Health Services Administration

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Substance Abuse and Mental Health Services Administration

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National free & confidential 24/7 Helpline 1-800-662-4357
Check out SAMHSA for mental and substance use disorder information.

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SAMHSA - The Substance Abuse Mental Health Services Administration

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SAMHSA - Substance Abuse and Mental Health Services Administration

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SAMHSA.gov, Substance Abuse and Mental Health Services Administration

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Latest science-based info. about drugs, drug use, health, & the brain

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Parents & Educators | National Institute on Drug Abuse

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Find science-based education materials and conversation starters to educate young people about drug use and health.

# data[].attributes.body
Call 800-852-8336 (6pm-10pm)
Text TEEN to 839863 (6pm-9pm)
Teen Line provides highly trained teen listeners to provide support & resources for teens struggling with substance use or mental health. Anonymous and nonjudgmental

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Teen Line | Teens Support hotline - Connect, talk, get help!

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If you have a problem or just want to talk with another teen who understands, this is the place for you! Support, resources, and hope to any teen struggling.

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Call or Text 888-222-2228
A confidential & anonymous helpline for NJ youth and young adults

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PerformCare Substance Use Treatment Service Providers

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PerformCare Substance Use Treatment Service Providers

# data[].attributes.body
Check out the list for Substance Use Treatment Providers based throughout NJ

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A free NJ telephone program for residents who need support in quitting tobacco use. English & Spanish Quit Coaches/interpreters are available.

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What Happens When I Enroll?

Live Quit Coaches and Online Tools Are Available!

How Much Does Smoking Really Cost You?

Have you ever wondered about how much you spend on smoking and/or tobacco use? Finding out about how much tobacco costs you both in dollars and life lost can be one way to motivate yourself to quit! Use this information to help you to make a life change!

Do You Know? The Reality of Menthol

Make The Cycle of Menthol Stop w/ You

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NJ Quit Smoking Quit Vaping | NJQuitline #NJQuitline

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NJ Quitline offers free telephone-counseling service for smokers who are NJ residents and who are ready to stop. 1-866-NJSTOPS #NJQUITLINE NJ Quit Smoking Quit Vaping NJQuitline

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Their Mission: To empower people to achieve independence from addiction problems. Free meetings available

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Demonstrate Your Support for SMART Recovery, Join the SMART Insiders+ Program!

When you take part in SMART Insiders+, our only recurring donation program, you will help others who seek a balanced and healthy life beyond addiction. For as little as $7/month, you will provide materials and other resources to volunteers who connect directly with SMART participants seeking recovery. To show our appreciation, you'll receive an attractively designed, high-quality medallion that signifies your commitment to helping all of us live our best lives. Thank you taking part.

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Controlled Substance Public Disposal Locations - Search Utility

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PerformCare- Youth Substance Use Treatment Services

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PerformCare- Youth Substance Use Treatment Services

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1-877-652-7624
PerformCare can refer or authorize substance use treatment services for eligible youth who meet the clinical criteria.

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Substance use treatment services for children and adolescents

If your child is struggling and you suspect or know that drugs or alcohol are involved, appropriate substance use treatment services can help your child get back on track.

PerformCare can refer and authorize substance use treatment services for eligible youth who meet the clinical criteria for treatment. Please call PerformCare at 1-877-652-7624 for more information about eligibility.

If you and your child are enrolled in a Care Management Organization, or are involved with the Division of Child Protection & Permanency (DCP&P), speak to your Care Manager or case worker about additional treatment services that may be available.

You can also contact your health insurance provider (either private insurance or NJ FamilyCare) to find out about substance use treatment services benefits.

Appropriate assessment is the first step in obtaining the right treatment. Children authorized for a BioPsychoSocial (BPS assessment) through PerformCare are also able to receive a substance use screening as part of the assessment, when indicated.

PerformCare utilizes the ASAM (American Society of Addiction Medicine) criteria for making clinical decisions about what type of service is most appropriate. These decisions are made by Licensed Clinical Alcohol and Drug Counselors (LCADCs) with appropriate specialized training.

Special information about consent for substance use treatment services

PerformCare considers the privacy of your information as a central component of providing quality services to children, youth, and families. It is important for family members to be aware that substance use treatment services are covered under even stricter privacy rules than behavioral health and general health rules. Youth seeking substance use treatment services must consent on their own to treatment and to release of records. Parents may not access the substance use treatment portion of the record without their child's consent, nor may they sign on behalf of their child.

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substance use treatment services for children and adolescents

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If your child is struggling and you suspect or know that drugs or alcohol are involved, appropriate substance use treatment services can help your child get back on track. PerformCare can refer and authorize substance use treatment services for eligible youth who meet the clinical criteria for treatment.

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We can all help prevent suicide. The 988 Lifeline provides 24/7, free and confidential support for people in distress, prevention and crisis resources for you or your loved ones, and best practices for professionals in the United States.

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The 988 Lifeline is a national network of local crisis centers that provides free and confidential emotional support to people in suicidal crisis or emotional distress 24 hours a day, 7 days a week in the United States. We're committed to improving crisis services and advancing suicide prevention by empowering individuals, advancing professional best practices, and building awareness.

About The Lifeline

Anyone could be struggling with suicide. Find more specific resources below.

I'm Struggling With Individuals with Neurodivergence

We understand that every struggle is different. Experience the stories of people like you, and how they overcame crisis to find hope and recovery.
read stories of hope & recovery

First, you'll hear an automated message featuring additional options while your call is routed to your local 988 Lifeline network crisis center.

We'll play you a little music while we connect you to a skilled, trained crisis worker.

A trained crisis worker at your local center will answer the phone.

This person will listen to you, understand how your problem is affecting you, provide support, and get you the help you need.

988 Lifeline Center calls are free and confidential, and we're available 24/7.

Show What Happens When You Call The Lifeline

Everyone Plays A Role In Suicide Prevention

Get in touch

Call the Lifeline

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Skip to main content We can all help prevent suicide. The 988 Lifeline provides 24/7, free and confidential support for people in distress, prevention and crisis resources for you or your loved ones, and best practices for professionals in the United States. 988 ¡Los servicios de texto y chat de 988 Lifeline ya están disponibles en español!

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Parent & Educator info. regarding adolescent substance use

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HOW NATURAL HIGH WORKS

We believe in the power of storytelling to transform lives.

We engage storytellers who kids admire and trust and work with these influencers to create free and impactful content for educators and parents.

Our evidence-based program is used in all 50 states and makes use of current scientific findings on youth behavior, brain development, social norming, and substance abuse prevention.

Over 80% of kids said that having a natural high would help them fight the temptation to turn to substance abuse, and 84% said that after participating in our program, they intended to make better decisions.

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Natural High - Drug Prevention Program for Youth

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We believe in the power of storytelling to transform lives. We engage storytellers who kids admire and trust and work with these influencers to create free and impactful content for educators and parents. Our evidence-based program is used in all 50 states and makes use of current scientific findings on youth behavior, brain development, social norming, and substance abuse prevention.