71 23,239 - SAKAMOTO, Paul Shigeichi, 1934A STUDY OF DRUG ABUSE EDUCATION PROGRAMS OF SELECTED PUBLIC HIGH SCHOOLS IN MICHIGAN. Michigan State University, Ph.D., 1971 Education, administration University Microfilms, A XEROX Company , Ann Arbor, M ichigan A STUDY OF D RUG A B U S E E D U C A T I O N P ROGRAMS OF SELECTED P U B L I C H I G H SCHOOLS IN M I C H I G A N By Paul S . ^Sakamoto A THESIS S u b m i t t e d to M i c h i g a n State Un i v e r s i t y in partial f u l f i l l m e n t of the requir e m e n t s for the d e g r e e of D O C T O R OF P H I L O S O P H Y Department of A d m i n i s t r a t i o n and Hig h e r E d u c a t i o n 1971 ABSTRACT A STUDY OP DRUG ABUSE EDUCATION PROGRAMS OF SELECTED PUBLIC HIGH SCHOOLS IN MICHIGAN By Paul S. Sakamoto The drug use and abuse problem, especially among teenagers, is considered by some to be one of the most serious ever faced by our society. Some state that a whole generation of young people will be lost unless measures are taken to solve the problem. This alarm has caused citizens to respond by placing the responsibility for solutions on certain individuals, agencies, and organizations, The school is one of the public agencies which has been asked to react. In view of the outcry by the public for the schools to do something, this study was made to gather pertinent information on current drug abuse education programs in an attempt to discover what the response of some of the schools has been to this point. The population of this study consists of selected large public high schools in the State of Michigan. A large high school is defined by the author as one which has a student Paul S . Sakamoto enrollment of 2,000 or more and which is administratively organized on a ten through twelve grade level. The survey focused on several aspects of the drug abuse education program including the description of the type of program, the determination of need, school policy related to student drug users, for teachers, in-service training programs school-community cooperative programs, and evaluation techniques. Because of the size of the population of the study, it was possible for the investigator to personally inter­ view each principal, or his designate, whose school met the criteria mentioned above. An interview questionnaire guide was used so each interviewee was asked the same question and in the same manner by the interviewer. The findings of the status of drug abuse education in the large public high schools of this study are as follows: 1. One-third of the large public high schools in this study reported not having a drug abuse education program as part of their curriculum. 2. Drug abuse education programs of the large public high schools of this study have the following ch aracteristics: a. most programs are required of all students some time during their matriculation through high school Paul S. Sakamoto b. the programs are most commonly placed at the tenth grade level c. most high school programs are not articulated with their respective junior high school programs d. most high school programs are not coordinated in such a way that the programs avoid repeti­ tion e. most programs are conducted in the studies d e p a r t m e n t s , or the health social and physical education departments f. most teachers w h o teach in the drug abuse education programs are not required to have special training in the field before teaching the subject g. the most common length of the drug education programs is two to three weeks h. teachers and administrators (local district) and/or are the personnel most commonly involved in the planning of the drug education programs M ost principals interviewed, for a variety of reasons, would not venture to make a guess as to the percentage of students in their school who have experimented with drugs. Paul S . Sakamoto 4. Principals interviewed will not make a survey of students to discover how widespread drug use is in their schools because most think that the data gathered is not reliable or the information may cause community reaction. 5. Slightly over half of the principals interviewed thought that drug abuse was a major student behavior problem. 6. Most schools do not have a district board of education policy pertaining to student drug users. 7. When a student drug user is discovered, most school officials would notify parents and/or police. 8. The most common in-service training program on drug abuse consists of one faculty meeting devoted to the subject. 9. Most schools do not have a cooperative schoolcommunity drug abuse program though many make referrals to agencies in the communities. 10. Very few of the schools attempt to evaluate their drug abuse education programs to discover their effectiveness. The findings of this study have many implications for changes and improvements needed in current drug abuse education programs. The areas of weakness seem to be Paul S. Sakamoto in-service training for school personnel, evaluation of current educational programs, cooperative programs between school and community, involvement of representatives from the total school community in program planning, and a well defined school drug policy which does not focus only on the punitive aspect. The author recommends that similar studies be undertaken so that comparisons might be made in schools of different size and grade levels. This study should also be replicated in another state to compare the status of drug abuse education between states. A sound evaluation of current practices in drug abuse education is needed. ACKNOWLEDGMENTS The author is indebted to the many people who gave him encouragement and guidance during the various stages of the doctoral program. A heartfelt expression of gratitude is extended to: A supportive committee: Dr. Richard Featherstone, Chairman, whose personal qualities made Michigan a warm place to be even during its coldest winters, his sensitivity, concern for others, and profes­ sional competence make him a model for school administrators; Dr. Howard Hickey, whose assistance from the beginning of the program to the very end was immeasurable; Dr. Vandel Johnson, whose humanism gave depth and meaning to the study; and Dr. John Useem, whose willingness, despite his busy schedule, to serve on the committee was appreci­ ated . The principals of the large public high schools in the state whose participation made this study possible. ii Dean Donald Leu, School of Education, San Jose State College, whose dynamism and educational leadership inspired the author to pursue the doctoral degree. Dr. Edward Lynn, Assistant Professor of Psychiatry, whose generosity in lending his expertise and his library on drugs made the research more relevant. Dr. Allen Enelow, Chairman, Department of Psychiatry, whose assistance made it financially possible to complete the degree. Dean, Fred Vescolani, College of Education, University of Arkansas, whose guidance in the early stages of the program was greatly appreciated. Dr. Donald Tatroe, whose interest and support as an original member of the committee was invaluable. His sudden death was a great loss to education. iii TABLE OF CONTENTS Page LIST OF T A B L E S ........................................ vii CHAPTER I. II. III. IV. INTRODUCTION .................................. 1 A General Overview ......................... Statement of Purpose ...................... Definition of Terms ...................... Limitation of The S t u d y .................. M e t h o d o l o g y ............................... Organization of Subsequent Chapters ... 1 6 6 9 10 10 RELATED LITERATURE ........................... 12 F o r e w a r d ............................... H i s t o r y .................................... About D r u g s ............................... M a r i j u a n a ............................... Hallucinogens ........................... N a r c o t i c s ............................... Barbiturates ............................. A m p h e t a m i n e s ............................. Volatile Chemicals ...................... The Drug A b u s e r ........................... Drugs and T r e a t m e n t ...................... Drugs and The L a w ......................... Why D r u g s ? .................................. Drug Abuse E d u c a t i o n ...................... 12 12 16 16 21 27 31 33 36 37 40 45 50 55 PLANNING AND CONDUCTING STUDY ............. 62 Introduction ............................... P r o c e d u r e .................................. Method of Reporting Findings ............. 62 64 72 FINDINGS OF S T U D Y ........................... 73 Introduction ............................... iv 73 CHAPTER Page PART I Drug Abuse Education Programs ........... 74 PART II Determination of N e e d ................... 81 PART III Drug P o l i c i e s ............................ 83 PART IV In-Service Training Programs ........... 84 School-Community Programs ............... 85 PART V PART VI E v a l u a t i o n ............................. 86 PART VII V. Open Ended Q u e s t i o n s ................... 87 CONCLUSIONS, IMPLICATIONS, RECOMMENDATIONS AND S U M M A R Y .............................. 89 C o n c l u s i o n s .............................. Implications ........................... Recommendations ......................... Part I--School-Community Programs . . . Part II— School Drug P o l i c y ........... Part III--Drug Abuse Education P r o g r a m .............................. P h i l o s o p h y ......................... Determination of N e e d ............... Instructional Approach ............. C u r r i c u l u m ......................... E v a l u a t i o n ......................... Part IV— In-Service Training Program . A p p r o a c h ........................... C o n c e p t s ........................... O b j e c t i v e s ......................... v 89 93 97 97 104 108 108 109 110 112 118 119 120 120 122 CHAPTER Page E v a l u a t i o n ............................. P l a n n i n g ............................... P r o g r a m ............................... Part V — P e r s o n n e l ...................... Part VI— Further S t u d y .................. S u m m a r y ................................... 123 124 125 126 127 129 BIBLIOGRAPHY .......................................... 131 vi LIST OF TABLES TABLE 3-1. Page High Schools Selected for Study, Their Enrollments, Cities in Which the School is Located and Names of P r i n c i p a l s ......... 65 Grade Level Placement of Drug Abuse E d u c a t i o n .................................... 75 Some Characteristics of the Fifteen (15) Existing Drug Abuse Education Programs ... 76 Placement of Drug Abuse Education in the ........................... Curriculum 78 Number of Years Drug Abuse Education Has Been O f f e r e d ...................................... 79 School Community Members Involved in Planning the Drug Abuse. Education P r o g r a m s ......... 80 4-6. Estimates by Principals of Student Drug Use 82 4-7. Reasons Given by Principals for Not C o n ­ ducting a Student Survey on Drug Use . . . . 82 Type and Frequency of In-Service Training Programs on Drug A b u s e ...................... 85 Principals' Opinions on Best Approaches to Solving Drug P r o b l e m ......................... 88 4-1. 4-2. 4-3. 4-4. 4-5. 4-8. 4-9. . CHAPTER I INTRODUCTION A General Overview The problem of drug abuse, can be traced back to our earliest civilizations. From the herbs and other botanicals of early times to the present day barbiturates and amphetamines, man has discovered substances which would help to ease his tensions. But as the world became more complex and change took place at a more rapid r a t e , the tensions and anxieties increased. With this increase, came the increase in self-medication to relieve one temporarily of the responsibilities and harsh realities with which one was faced. Such mind relieving drugs were widely used by people who lived in the slums of our large cities for many years. Heroin was a way of forgetting the daily poverty and the hopelessness, but not many people became too excited about drug use and abuse until it became common among the youngsters of the white middle class. Today neither small rural towns nor large suburban communities are immune to the drug problem. 1 2 A pamphlet published by Kiwanis International describes the situation as follows: The problem of drug abuse is not new, but in our nation it is becoming more and more widespread. It occurs in the large city, in the small town, and even in rural areas. It is not limited to people of any particular area, age group, environment, or level of income.1 Though drug abuse is not a new phenomenon, the substantial number of young people currently involved is without precedent. The full dimension of the teenage drug problem is difficult to assess because of the illegal aspect. Statistics published on the number of drug users and abusers can only be estimates. Newsweek magazine, on February 16, 1970, reported: "The use of drugs, particularly marihuana, is now an accepted fact of life for anywhere from 30 to 50 percent of all U.S. secondary school students." Ochberg states, the 2 "estimates of marihuana usage in United States run as high as 20 million— on the other hand estimates of heroin use in the U.S. are between ^"Kiwanis International, Deciding About D r u g s , Chicago, Illinois, 1969, p. 1. 2 Staff Reporter, "The Drug Scene: High Schools are Higher Now," Newsweek, Vol. LXXV No. 7, February 16, 1970, p. 67. 3 40 and 100 thousand, with a large concentration in New York City slums and other low income areas."3 People compiling drug use and abuse data tend to lump all drug users, from the first time experimenter to the person who is dependent, into one category. This tends to make the information less useful to those attempting to study the degree of seriousness of the problem. Though the data may not define the drug problem well, one only needs to select teenagers at random in most any community today and talk with them about drugs to get some notion of the extent of drug use and abuse. The problem, however, is not one which is charac­ teristic of certain local communities or states, but one of national scope. In March, 1970, President Nixon, concerned over reports of growing drug use among the nation's youth, announced a $12.4 million drive to educate students and teachers about the dangers of drug abuse. As with many of our social problems, people turn to the schools for a partial solution. Barrins states. The facts speak for themselves and for an obliga­ tion on the part of schools to arm youngsters early in life with knowledge of drugs. Although the federal government is considering a new bill to control drugs, only education will save the 3Frank M. Ochberg, "Drug Problems and the High School Principal," The Bulletin of the National Association of Secondary School Principals, Vol. 54 N o . 34 £ , Hay 1S76, p. SS. ----------- --- 4 life or the healthy brain of a child tempted to experiment. If properly educated in drug dangers most youngsters will react with reason when the temptation arises.4 Most writers in the field agree with Barrins that schools have an obligation to offer drug education. The federal, state, and local governments are allocating money for such programs in the schools. Administrators are suddenly challenged to design an effective drug education program. What has happened all over the country is the generation of crash and piece-meal programs. To para­ phrase Halleck, many programs consist of assembling all the students in the school auditorium to show them a film which was designed to scare students and which many times gives them inaccurate information. Others consist of having police officers come into the classrooms to tell the students what would happen to them if they were caught using drugs illegally.5 In a highly departmentalized secondary school, there is a struggle to determine where drug education should be taught. 4 Since most teachers know little about Phyllis C. Barrins, "Drug Abuse: New Problem for Boards," The American School Board Journal, Vol. 157 No. 4, October 1969, p. 15. 5 Seymour Halleck, "The Great Drug Education Hoax," The Progressive, The Progressive, Inc., Madison, Wisconsin, Vol. 34 No. 7, 1970, p. 30. the subject, departments are reluctant to accept it as part of its curriculum though most would agree that it should be taught. Some schools may include a unit on drugs in the homemaking department, others may place it in science, and still others may find it best suited for physical education. If none of these departments are appropriate, it might be placed in a course where all subjects which do not easily fit into any one department could be lumped, e.g. use and abuse. first aid, driver education, drug Therefore, the problem of the placement of drug abuse education in the curriculum must be considered. The shortage of qualified teachers to teach drug abuse education is another problem. School districts mandated to teach drug education and given money to do so are floundering because drug education calls for some expertise of which there is a limited supply. Usually one of the first things educators think about when a new course or subject is proposed is a curriculum guide. But such a guide presupposes some knowledge of the subject matter. There have been many drug education classes where the students sit back and snicker at the teacher because they know more about the subject from first hand experience than the teacher. This calls for more and better in- service training programs for teachers concerning d r u g s , their use and abuse. 6 The tasks that face school administrators today are to (1) become more knowledgeable about drugs them­ selves, (2) assess the drug use and abuse problem in their schools, (3) provide in-service training for teachers so they will become more informed and more aware, and (4) initiate a drug education program based on identified needs. Statement of Purpose The purpose of this study is to gather current information and data concerning drug education programs, in-service training programs on drug abuse for school personnel, and school-community cooperative programs on drug use and abuse so that results of this investigation will: (1) enlighten readers on the current status of drug abuse education in the large high schools of this study, (2) give educators information which might be of value in bringing about changes in current practices of drug education, and (3) help others who may wish to institute drug abuse programs in their schools and communities. Definition of Terms In order for the reader to better understand this study, it is necessary for him to know the way in which 7 the author will use certain terms. The definition of these terms are as follows: comprehensive high school--a school which provides (1) a general education for all the future citizens, (2) elective programs for those who wish to use their acquired skills immediately after graduation and (3) programs for those whose vocations will depend on their subse­ quent education in a college or university.^ drug— any substance which by its chemical nature affects the structure or function of the ... . 7 living organism. drug abuse— use of a non-medically approved drug or of a medically approved drug for nonmedically approved purposes.8 drug abuse education— an educational program which gives students reasonably accurate information Dn abused or illegal drugs and which is offered in the curriculum as a separate course or as part of other existing courses during the regularly scheduled school day. g James B. Conant, The American High School Today (McGraw-Hill Book Company, I n c . , New York, 1959), p^ 17. 7 Helen H. Nowlis, "Student Drug Use," Paper presented at the American Psychological Association Convention, Washington, D . C . , September 7, 1969. 8Ibid. 8 drug dependence— a state arising from repeated administration of a drug on a periodic or continuous basis.^ large high school— a public high school with an enrollment of 2,000 or more students, which is administratively organized on a ten through twelve grade b a s i s . ^ narcotic— a drug which produces lethargy or stupor, and relief of pain. This family of drugs includes opium derivatives and synthetic o p i a4t e s . ■ - physical dependence— a reliance on a substance to a point that progressively larger doses are required for the desired effect and, if the substance is withheld, a painful withdrawal 12 illness will occur. 9 James B. Landis and Donald K. Fletcher, Drug Abuse, A Manual for Law Enforcement Officers, S m i t h , Kline and French Laboratories, 1966, p^ 15. "^Jack K. Mawdsley, "A Study of the Delegation of Administrative Tasks by Principals of the Large High Schools in Michigan as Related to Selected Variables" (unpublished Doctor's dissertation, College of Education, Michigan State University, 1968), p. 11. 11 Angela Kitzinger and Patricia J. Hill, Drug Abuse (California State Department of Education, Sacramento, California, 1967), p. 4. 12 Norman W. Houser, Drugs (Scott, Foresman and Company, Glenview, Illinois^ 1969), p. 46. 9 psychological dependence— a psychic reliance on a substance which is so persistent it may be considered compulsion, 13 tolerance— the ability of the body, over a period of time, to adapt itself to the drug so it takes a larger and larger amount to obtain the effects originally produced by its use. 14 Limitation of The Study This study is a survey of drug use and abuse education programs currently in operation in the large high schools of the State of Michigan. No attempt will be made to evaluate the effectiveness of the programs. A description of the types of programs, drug abuse policies of the schools, in-service training programs for staff members, and cooperative school-community drug programs will be reported. Though there may be many drug use and abuse education programs on the junior high school or middle school levels as well as other size high schools, this study reports only on large high schools because most drug education programs to date have been offered at this level in this state. This also served to limit the study to a manageable portion of the educational system. 14 Houser, op. c i t . , p. 47. 10 The reader is cautioned not to make generaliza­ tions about drug education programs in other states based on the conclusions reached in this study; for it is limited to the State of Michigan. Methodology The population of this study will be defined by the parameters of a large high school as described by the author in the definition of terms. Schools will be selected which meet the criteria established. Each school principal will be contacted for a personal interview and a standard survey verbal question­ naire technique will be used. The information will then be summarized and the findings will be reported as a descriptive study. A more detailed description of the methodology will be given in Chapter III. Organization of Subsequent Chapters The content of Chapter I has included a general introduction to the study, a statement of the problem, the purpose for the study, definition of terms, and the limitations of the study. In Chapter II the author presents a review of the literature related to the study. It includes a historical perspective of drug abuse, factual information about drugs, 11 a view of the drug abuser and treatment m o d a l i t i e s , a report on the reasons for drug abuse in our society, a review of the laws as they relate to drug abuse, and an account of current drug education p r o g r a m s . In Chapter III the author describes the methodology used in making this study including the approach, p opu l a ­ tion selection, method of investigation, and data gathering instrument. In Chapter IV, the author presents the findings from the study and in Chapter V, he gives his analysis of the findings in the form of conclusions, recommendations. assumptions, and CHAPTER II RELATED LITERATURE Foreward To better understand the context of the study, it would help both the reader and the author to review some of the related literature which is relevant. This review will serve to introduce the reader to a background body of knowledge which will make the study more meaningful. The literature reported here will deal with the history of drug abuse, factual information about groups of drugs which are more commonly abused, a picture of the abuser, treatment modalities, laws related to drug abuse, the causes of drug abuse, and drug abuse education programs. Historically, drugs have been part of every culture. History Drug use dates back to our earliest civilization. 15 The knowledge of marijuana dates back to before 2737 B.C. 15 D. Solomon, The Marihuana Papers New York, 1966), p. 7. 12 (Bobbs-Merrill, 13 16 when it was mentioned in a Chinese herbal. Records also indicate that the substance played an important part in religious ceremonies of the Hindus, Scythians, Chinese, 17 Iranians, and American Indians. There is also evidence of fanaticism and evil misuse of hashish, the concentrated resin from Cannabis, which took place in the 11th century as told in a story 18 about a group known as "Hashishin." As Leonard explains: At the time of the crusades a Mohammedan sect was organized to terrorize the invading Christian armies. The young men of this sect were trained to commit murder while under the influence of hashish and were therefore called, "Hashishin” from which the term "assassin” was ultimately derived.19 Another drug extracted from a plant, the oriental poppy, is opium which has historically been used to ease man's pains or as a form of self indulgence as a confec­ tion, or for smoking. used by Egyptians. As early as 1500 B.C., opium was Smoking of opium for pleasure was introduced to this country by immigrants from China, who 16Thomas N. Burbridge, "Marijuana: An Overview," Journal of Secondary Education, Vol. 43 No. 5, May 196 8, p. “T 9 7 .--------------------------------17 Ara H. Der Marderosian, "Marijuana Madness," Journal of Secondary Education, Vol. 43 No. 5, May 1968, pTTffO.-------- 18Ibid. 19 Effects Journal B . E. Leonard, "Cannabis: A Short Review of its and the Possible Dangers of its Use," British Addict, Vol. 84, 1969, p. 121. 14 were brought here to work at low wages to build railroads in the West. "For many years it was medically considered 20 a panacea for most ills,1' states Lasagna. Morphine, a natural alkaloid of opium, was d i s­ covered in 1805 and with the subsequent invention of the hypodermic syringe in the middle of the 19th century it was used extensively to relieve pain. During the Civil War, morphine addiction became so common it was called the "Army” disease. Heroin was discovered in 1898 and was thought to be non-addicting; therefore, a good replacement for morphine. Man has recorded other plants such as cacti and mushrooms which have a historical record in the area of hallucinogens. Peyote was used by the Indian tribes of Central America and Mexico when the white man came to this continent. Psilocybin, which is extracted from mushrooms, 21 has been used in Indian religious rites for centuries. For many y e a r s , drug agents remained limited to botanicals and their derivatives. 22 But in the 1850*s, 20 Louis Lasagna, "The Many Faces of Drug Abuse," Modern Med i c i n e , April 6, 1970, p. 144. 21 Michigan Department of Education, A Teacher Resource Guide for Drug Use and Abuse for Micfilgan's Schools, Lansing,"Michigan, 1970, p. 2 1 . 22 Committee on Alcoholism and Addiction, AMA, "Dependence on Barbiturates and Other Sedative D r u g s ," Journal of the American Medical Association, Vol. 193 No. 3, August 23, 19 (>5, p. 107. 15 modern chemistry introduced a w h ole array of new substances. For example, from the bromides as sedatives came the innumerable barbiturates whi c h have b een 23 synthesized. The amphetamines, however, came m u c h later being first introduced in 1936 as a t r e atment for narco24 lepsy (uncontrolled sleeping s p e l l s ) . In 1938, Or. Albert Hofmann, a Swiss pharmaceutical firm, acid diethylamide (LSD). research chemist for first synthesized lysergic He later d i s c o v e r e d its effects when he accidently swallowed s o m e . He recorded the results of this experience as follows: I noted with dismay that m y enviro n m e n t was undergoing progressive change. Everyt h i n g seemed strange and I had the gre a t e s t diffic u l t y in expressing myself. My vis u a l fields wav e r e d and everything appeared deformed as in a faulty mirror. I was overcome by a feeling that I was going crazy, the w orst part of it being that I was clearly aware of my c o n d i t i o n . 25 Between the botanicals and the synthetic c h e m i c a l s , the list of substances of abuse seems to go on endlessly. The historical perspective indicates the search and d i s ­ covery of new substances will continue. 23 But to quote an Michigan Department of Education, op. c i t . , p. 31. 24 S. B. Penich, "Amphetamines in Obesity," Seminars in P s y c h i a t r y , Vol. 1 No. 2, May 1969, p. 145. 25 Houser, o p . c i t ., p. 15. 16 Intuitive 18th century remark, "the mischief is not really 26 in the drug, but in the people." About Drugs In order to present drugs and volatile chemicals in some organized way, these substances will be catego­ rized into six groups. This classification is based on the similarities of the chemical composition of the substance and the symptomology it causes in the user. six groups are as follows: The marijuana, hallucinogens, narcotics, barbiturates, amphetamines, and volatile chemicals. Marijuana Though marijuana can be classified as a hallucino­ gen, it will be dealt with separately because it is the most commonly abused drug and because there is so much literature on the subject. The marijuana plant, Cannabis sativa, L . , was introduced into the United States from Mexico about sixty years ago. It grows wild in Oklahoma, Texas, Kansas, 27 Iowa, and Michigan. The ideal climate for the plant is 26 George B. Griffenhagen, "A Brief History of Drug Abuse," Teaching About D r u g s , American School Health Association, p V "l^SY 27 Michigan Department of Education, op. c i t ., p. 24. 17 warm and dry, and it will grow in any waste or fertile area. The plant is considered an annual and can reach a 28 size of fifteen feet or more. Factors related to cultivation seem to have an effect on its psychic potency. The highest concentration of the active ingredients comes from the resinous exudate of the tops of the female 29 plant. Marijuana is used around the world and it has been estimated by the World Health Organization that the drug is used in some form or another by at least 200 million people. This is probably a conservative figure.30 Burbridge reports, "In the Middle East, North Africa, and the Far East, bagga, such names as hashish, c h a r a s , blang, ganja, 31 are used as well as marijuana." Some countries that are less medically advanced still use marijuana as medicine. It is used to treat many maladies such as tetanus, asthma, delirium tremens, c o n ­ vulsions, hydrophobia, and others. Marijuana is no longer used in modern medicine and, in this country, 28 it was Der Marderosian, op. c i t . , p. 202. 29 J. Robertson Unwin, "Non-Medical Use of Drugs," The Canadian Medical Association Journal, Vol. 101, December 27, 1965, p. S12.---------------30Burbridge, op. c i t ., p. 197. 18 deleted from the United States Pharmacopoeia over 32 thirty years ago. Marijuana may be taken into the body in several ways— by chewing the leaves, by sniffing it in powder form, by using it in cooking as seasoning, by mixing it with honey for drinking, or by making it into candy or cookies for eating. smoking. However, the most common use is by A special technique of slow, deep inhalation is used in order to achieve maximum vaporization and absorp33 tion of the resin in the smoke. Leonard reports that the inhaled smoke from a marijuana cigarette produces the initial effect within a few minutes and the maximum effect is produced in 30-60 minutes and persists for three to five hours. The setting jk in which it is taken has much to do with its effects. Der Marderosian states that the effects of cannabis intoxication is dependent upon the quality and quantity of the preparation and even how far to the end the 35 cigarettes are smoked. Though many and varying effects have been experi­ enced by marijuana users, the most commonly described 32 33 34 35 Der Marderosian, op. c i t ., p. 201. Kitzinger and Hill, op. c i t ., p. 25. Leonard, op. c i t ., p. 123. Der Marderosian, op. cit., p. 203. 19 ones are increased appetite, headache, dizziness, vertigo, fainting, and perspiration. Contrary to popular belief, 36 hangover effects have been described. There is m uch disagreement between authorities concerning the effects of marijuana. Burbridge states, " . . . marijuana appears to be relatively harmless in most users and creates fewer serious problems than 37 alcohol." Eddy reports, "For the individual, harm resulting from abuse of cannabis may include inertia; lethargy; self-neglect; feeling of increased capability, with corresponding failure; and precipitation of psychotic episodes." Unwin describes this lack of agreement on the effects of marijuana this way: Despite m any studies and reports, reliable facts are scant and elusive, and there have been surprisingly few adequately conducted experiments in man, particularly in North America. Experts with impeccable credentials and long experience give diametrically opposed and mutually contra­ dictory interpretations of available information. Reviewers of the same reports and literature markedly disagree in their c o n c l u s i o n s .39 36 Conrad J. Schwarz, "Toward a Medical Under­ standing of Marijuana," Canadian Psychiatric Association Journal, Vol. 14 No. 6, 1969, p. 593. 37 Burbridge, op. c i t . , p. 198. 38 N. B. Eddy, et a l . , "Drug Dependence: Its Significance and C h a r a c t e r i s t i c s ," World Health O rganiza­ tion, Vol. 32, 1965, p. 721. 39 Unwin, op. c i t . , p. 812. 20 One of the most comprehensive reviews of the English language medical literature over the past 35 years on marijuana was done by Conrad J. Schwarz. He reports the following points relative to the current level of medical understanding of marijuana: 1. Marijuana is a poorly defined intoxicant derived from the Indian Hemp plant (Cannabis sativa). It is qualitatively similar to, but quantita­ tively weaker than hashish, the other commonly used natural intoxicant derived from the plant. 2. The Indian Hemp plant varies widely in its botanical properties. 3. Marijuana, hashish and chemical extracts of cannabis vary widely in potency and deteriorate with time. 4. The chemical composition of these substances is largely unknown at this t ime. 5. There are wide variations in human response to these substances, and variations may also occur in the same individual using the same substance at different times. 6. The acute intoxicated state is of variable duration, and the individual is not necessarily aware that he is intoxicated. 7. The acute intoxicated state characteristically involves a feeling of euphoria, distortions of the sense of time and space, heightened sensory perceptions and impairment of complex psycho­ motor activity. However, fluctuations in mood and behavior may occur and a state of toxic psychosis may result, which is not necessarily related to high dosage. 8. In order to achieve the state of intoxication, the individual may have to accept some degree of unpleasant physical and psychological experiences. 21 9. Depending on the complex interaction of a number of variables of which the drug is only one, hashish, and to a lesser extant, marijuana, can be associated with acute psychological distress requiring medical attention, intoxicated behaviors dangerous to the individual or to others, drug dependency, personality d e t eriora­ tion, and chronic physical ill-health. 10. The incidence of acute side effects is unknown, but it is generally considered that chronic side effects are more likely to occur with hashish when used regularly over a period of time. 11. To date, studies of regular users of both marijuana and hashish tend to show basic defects in p e r s o nality.40 Hallucinogens Hallucinogen is any substance which generates or produces hallucinations when ingested. Another name given these substances is psychedelic drugs because it is believed that the drug improves the psychic power of the 41 mind. Actually hallucinogen is a poor name for this group since true hallucinations are infrequent. Since almost invariably, distortions of perception from sensory cues are noted, "illusinogen" is probably a more appropri­ ate n a m e .^ 40 41 Schwarz, op. c i t ., p. 812. Michigan Department of E d u c a t i o n , op. c i t ., p . 20. 42 Sidney Cohen and Keith S. Ditman, "Prolonged Adverse Reactions to Lysergic Acid D i e t h y l a m i d e ," Archives of General P s y c h i a t r y , Vol. 8, May 1963, p. 71. 22 Hallucinogens include lysergic acid diethylamide (LSD), marijuana, mescaline (also called peyote), psilocybe 43 mushroom, STP, and dimethyltryptamine (DMT). Lysergic acid diethylamide is a colorless and odorless substance which is a derivative of the ergot fungus of r y e , a black substance that grows on the grain. LSD is taken orally as a tablet or capsule. It can be saturated on a sugar cube, on chewing gum, hard candy, crackers, vitamin pills, aspirin, even on blotting paper and postage stamps. An extremely small amount is needed for an effect. As little as 100 micrograms can produce 44 hallucinations which may last for hours. Masters and Houston report: Theoretically, one ounce of the substance could "turn on" a city of 30,000 inhabitants, though fears that someone might contaminate the water supply of cities are groundless, because the chemical purifiers in the reservoirs would in­ activate the LSD. All the LSD obtained today is through the black market since the single legitimate manufacturer of the drug, Sandoz Laboratories, discontinued production early 43 Michigan Department of Education, op. cit., p. 20. 44 Staff Reporter, "A Schoolman's Guide to Illicit Drugs," School Management, February 1968, p. 57. 45 R. E. Masters and J. Houston, The Varieties of Psychedelic Experience (Rinehart and Winston Inc., New York, 1966) . 23 in 1966.^** One dose of LSD costs about two cents to make 47 and sells for from $3.00 to $8.00 on the illegal market. LSD seems to effect each individual in a different way and predictions cannot be made by personality types. Ungerleider states: It is known that there are both acute and chronic side effects, and that their occurrence cannot be predicted. Psychiatric interviews and psychological testing do not screen out adverse reactors. Some of the worst reactions have been in persons, often physicians and other professionals, who appeared stable by every indicator.48 Four major types of acute symptoms of LSD ingestion identified by Kitzinger and Hill are: 1. illusion and hallucinations 2. anxiety, often to the point of panic 3. severe depression with suicidal thoughts and attempts 4. confusion, often to the point of not knowing where one 1s self is The occurrence of these symptoms is totally 49 unpredictable. a a J. Thomas Ungerleider and Duke D. Fisher, Today," Medical D i g e s t , July 1967, p. 33. 47 "LSD Michigan Department of Education, op. cit., p. 21. ^®J. Thomas Ungerleider, "A Medical Look at the Facts and Fantasies," The San Francisco Examiner, April 23, 1967. 49 Kitzinger and Hill, op. c i t ., p. 38. 24 To paraphrase Houser, LSD affects the central nervous system and results in physical symptoms such as these: dilated pupils, lowered temperature, chills with "goose bumps," increased blood sugar, rapid heartbeat, 50 increased pulse rate, nausea, loss of appetite. An unusual characteristic of LSD is that a user can experience a recurrence of symptoms, as intense as the original intoxication, many months after taking it, without having taken another dose during that period of t i m e . ^ Some LSD users report sensory perceptions such as tasting color and seeing and feeling sound. They say they feel more sensitive, aware and creative; however, tests of performance while under the influence of the drug show 52 poorer rather than better performance. Dr. Sidney Cohen states: Artistic inspiration can only be executed by one who has already mastered the technique of the medium. The drive to achieve is another requisite for creative accomplishment. LSD will reduce motivation as often as it will intensify it.53 50 Houser, o p . c i t ., p. 16. ^Ki t z i n g e r and Hill, op. c i t ., p. 37. 52 Michigan Department of Education, op. c i t ., p. 22. 53 J. Thomas Ungerleider and Duke D. Fisher, "LSD: Fact and Fantasy," Arts and Architecture, Vol. 83 No. 11, December 1966, p. 27T, 25 Many users state that LSD enables them to be more loving individuals and aids them in developing warm inter­ personal relationships. these claims. Ungerleider, however, refutes He states: The ability to love, to have psychic intimacy with other persons, seems also to be decreased by LSD. In contradiction to the claims that the drug helps one to get closer to other people, we have noticed that users become more introspective and invested in themselves.54 LSD does not produce a physical dependence; therefore, cannot be considered an addictive drug, but continued use requires a larger and larger dose to obtain the same sensation.55 Mescaline is the active hallucinatory substance which is found in the peyote cactus. It is a small dome shaped cactus that grows in northern Mexico and the southwestern part of the United States. Indians in North and Central America have used peyote for hundreds of years for ceremonial purposes. When the chopped cactus buttons are digested, hallucinations characterized by the presence of brilliant colors occur.56 Dr. Albert Hofmann, the discoverer of LSD, first isolated psilocybin and psilocin, the two active 54 Ungerleider (San Francisco Examiner ) , op. cit. 55 Michigan Department of Education, op. cit., p. 22. 56Ibid., p. 27. 26 hallucinogens in the psilocybe mushroom. These drugs have also long been used by Indians in religious rites. They have been said to produce brilliant visual hallucinations which are generally followed by a period of emotional disturbance.57 DMT, dimethyltryptamine, is also a product of a mushroom. The effects are relatively short in duration lasting about 45 minutes to an hour. substituting DMT for LSD. Some drug users are 58 Users state that STP stands for serenity, tranquility, and peace; but it was more likely named after the oil additive. STP was first discovered by Dow Chemical Company in their research for drugs to treat mental illness. The company called it DOM (4-methyl-2, 5-dimethoxy-a-methylphenethylamine). have not yet been determined. 59 Its full effects Other substances which produce hallucinogenic or psychodelic effects are nutmeg and morning glory seeds. Nutmeg has long been popular with sailors and prisoners. It is sniffed or mixed in juice and swallowed. The active substance, myristicin, produces a visual phenomena similar 57 Houser, op. c i t ., p. 19. 58 Michigan Department of Education, op. cit., p. 28. 59 Houser, op. c i t ., p. 19. 27 to LSD, although less marked, and is accompanied by malaise.60 Morning glory seeds are crushed, prepared into a potion, and swallowed to produce these effects. The active ingredients are alkaloids of lysergic acid.6'*' Narcotics Pain-killing drugs which are made from opium or opium derivatives are called narcotics. They are also called "hard drugs" and produce a state of euphoria, tranquility, drowsiness, unconsciousness, or sleep. Narcotics are particularly useful in medicine to relieve or modify almost any type of pain and have aided patients suffering from acute short-term pain, e.g. accident victims, as well as long-term pain, e.g. cancer patients. Though narcotics are effective pain-killers they have the potential of causing both psychological and physical dependence. The raw material of opium is the juice extracted from the immature flower pod of the opium poppy, Papaver somniferum. This brown poppy-gum collected from the fruit is then refined into opium and its derivatives, morphine, fi0 Unwin, op. cit., p. 811. 6^J. S. Pollard, L. Uhr and E. Stern, Drugs and Phantasy: Effects of LSD, Psilocybin and Sernyl on College Students (Little, Brown and Company Inc., Boston, 1965). 62 Michigan Department of Education, op. cit., p. 17. 28 heroin and codeine. Most of the world supply, both licit 63 and illicit, comes from India, Turkey, and Iran. Of the narcotics, heroin is the most potent and the most abused. It has been estimated that of all addicts of hard drugs, 92% are on heroin and most of them call within the twenty one to twenty seven year old age 64 group. Heroin, or diacetylmorphine, is a white crystalline powder which is odorless and has a bitter taste. It is usually sniffed or injected in the vein with a hypodermic syringe. The injection method is especially hazardous, because if the needle is not sterilized, it may spread hepatitis and tetanus and may cause blood poisoning. Also, repeated injections may cause the walls of the veins to deteriorate. Another danger is the fact that the strength of the dose purchased illegally is not known; therefore, the user may have a severe reaction or may even die from an o v e r d o s e . ^ Heroin produces the same general effect as the other narcotics. The immediate effects are a dulling of the sense, a depressing of the central nervous system, grogginess, a sense of well-being, lack of coordination, 63 64 Kitzinger and Hill, o p . c i t ., p. 47. Houser, op. c i t ., p. 27. ^5Kitzinger and Hill, op. c i t ., p. 49. 29 impaired thinking, a drop in blood pressure, slowing of respiration and circulation, stupor, or coma. Continued use of heroin will cause loss of appetite, malnutrition, serious loss of weight, and constipation. 66 Because narcotics can cause physical dependence if the user becomes addicted, he will suffer withdrawal ill­ ness unless he continues to use the drug. This withdrawal symptom usually appears about eighteen hours after the discontinuance of the drug. Dr. Paul Zimmering states that the intensity of withdrawal symptoms depends on these four factors: the daily amounts of heroin taken, the length of time of addiction, the possible constitutional 67 factors, and the degree of psychological dependency. Kitzinger and Hill describe the symptoms of withdrawal as follows: Several hours after the last dose, the addict feels his habit coming on and begins to yawn, to sweat, and to suffer running of the eyes and nose as though he had an acute head cold. These symptoms increase in severity and are followed, after about 24 hours, by violent muscle spasms and waves of gooseflesh; dilation of the pupils, vomiting, and diarrhea; functions which have been depressed are now hyperactive. The respiration rate is elevated, blood pressure and temperature are heightened, and basal metabolism is accelerated. The flow of body fluids is overabundant. These symptoms may last 66 Houser, op. c i t ., p. 28. 67 Committee on Public Health Relations of the New York Academy of Medicine, Drug Addiction Among Adolescents (The Blakiston Company, New York, 1953) , W T T T . ------- 30 for two or three days and then diminish gradually over a period of a week or m o r e . The addict may suffer a general feeling of discomfort for several months.68 A synthetic narcotic, methadone, is currently being used to treat heroin addicts. Dr. Marie E. Nyswander, Program Director of the Methadone Maintenance Research Project, Beth Israel Medical Center in New York, has pioneered a program in which she has successfully rehabilitated, in a three year period, more than three hundred heroin addicts and transformed them into socially useful human beings. Dr. Nyswander states, "Under proper medical supervision, a single daily dose of methadone achieves a blockade of the narcotic effects of heroin without producing euphoria in the addict and without escalation of dosage. Morphine is medically the most valuable of the narcotics in relieving severe pain. When a patient becomes dependent upon morphine through medical treatment, it is usually more curable since psychological dependence is not ordinarily experienced. Morphine is a powerful drug and must be used in small controlled dosages because an overdose may result in unconsciousness and even death. 68 Kitzinger and Hill, op. c i t ., pp. 51-52. 6 9Marie E. Nyswander, "The Methadone Treatment of Heroin Addiction," Hospital Practice, April 1967, pp. 27-3 3. 31 Morphine was named after the Greek god of dreams, Morpheus, 70 since it makes the user sleepy. Codeine is one of the oldest drugs to be abused since it is found in most cough syrups and can be purchased over the counter without prescription. It is similar to morphine in its analgesic and addictive properties but is much milder in its effects. Because it does not produce euphoria as effectively as morphine or heroin, it is not as popular among drug abusers.^ Pharmaceutical companies in their search for a narcotic which is not addicting have discovered several * synthetic products such as meperidine, methadone, oxy­ codone, and pethidine which are known by commercial names such as Demeral, Dolophine, Percodan, and Methadon. How­ ever, none of the synthetic substances are addiction 72 free. * Barbi turates Barbiturates affect the central nervous system as depressants and are used medically for the relief of nervousness, tension and anxiety, or to produce sleep. They are often referred to as sedatives or hypnotics. 70 Houser, o p . cit., p. 27. 71 Kitzinger and Hill, o p . cit., p. 52. 72 Michigan Department of Education, op. cit., p . 16. 32 Because of their sedative but non-analgesic effects, barbiturates are used in treating both physical and mental illnesses. Barbiturates usually have names that end in the letters a l ; pentobarbital, phenobarbital, amobarbital, secobarbital, and are commonly called "sleeping pills," "barbs," "goofballs," "downs," " r e d s . T h o u g h there are some fifty commercial brands of barbiturates on the market, the American Medical Association states that five or six types are sufficient for most clinical purposes. 7 4 Continued use of barbiturates result in the following symptoms: 1slurred speech, loss of coordination, staggering walk, sluggishness, emotional instability, quarrelsomeness, depression, and coma. 75 Unlike stimulants, depressants may produce both physical and psychological dependence. Harold S. Feldman warns physicians that, though barbiturates are useful drugs in the practice of medicine, they must be aware of the potential addicting dangers of barbiturates and must regulate their therapeutic use. He states: Every medical practioner must be able to recognize the four types of barbiturate-drug abusers, namely: persons seeking sedative or hypnotic effects, individuals that develop excitation from 73 Houser, o p . c i t ., p. 13. 74 Richard R. Lingeman, Drugs from A to Z: A Dictionary (McGraw-Hill Book Company, New York, 19(59) , pT 15. 75 Houser, op. c i t ., p. 13. barbiturates to counteract amphetamines, and lastly, persons who use combinations of barbiturates with alcohol and opiates. Unwin states that physicians and pharmacists must exercise caution when repeating or refilling prescriptions because barbiturates are common vehicles for suicide. 77 The Committee on Alcoholism and Addiction of the American Medical Society reports: Barbiturates are high on the list of suicidal poisons. These suicides may be either intentional or unintentional. Most depressed patients, particularly those with psychoneurotic depressions, know that barbiturates are an effective suicidal means. Patients often accumulate large amounts of drugs by hoarding.?8 Amphetamines Amphetamines stimulate the nervous system and produce a feeling of general well-being, energy, alert­ ness, and endurance. Since amphetamines keep the user alert, awake, and active, they are often called "pep pills." Conam Kornetsky states, "In man an effective dose produces wakefulness, decreased feelings of fatigue, alertness, and an increase in mood often accompanied by ^ H a r o l d S. Feldman, "The Pill Head Menace," Psychosomatics, Vol. 11 No. 2, March-April 1970, p. 100. 77 Unwin, op. cit., p. 8 08. 78 Committee on Alcoholism and Addiction, AMA, op. cit., p. 109. loquaciousness and euphoria." 79 Amphetamines are commonly used by students who are cramming for examinations and by truck drivers who have long distances to travel and want to make sure they stay awake.80 The American Medical Association reports that over 100,000 pounds of amphetamines and methamphetamines are produced in the United States each year. This is enough to provide every man, woman, and child with from 25 to 50 doses.8^ The slang names for amphetamines are "speed," "dexies," "ups," "bennies," and "drivers" and are sold under the trade names, Benzedrine, Dexedrine, Methedrine, Desoxephedrine, Dexamyl, and Desyphed. 82 ' 83 The symptoms from amphetamine abuse are as follows dryness of mouth, loss of appetite, heavy perspiration, enlarged pupils, talkativeness, nervousness, restlessness, 79 Conam Kornetsky, "The Pharmacology of the Amphetamines," Seminars in Psychiatry, Vol. 1 No. 2, May 1969, p. 223"! 8 0TT ■, , Houser, op. cit., p. 11. 81 Committee on Alcoholism and Addiction, AMA, "Dependence on Amphetamines and Other Stimulants," Journal of the American Medical Association, September 19, 19’8, pp. 1-7.----------------159 Rhode Island Department of Education, An Educational Program Dealing With Drug Abuse--Grades K - 1 2 , Providence, Rhode I s l a n d , September 1969, pp. 17-42. 115 (1) Drugs have been used by man for thousands of years. (2) We live in a society where drug and chemical use is socially acceptable. (3) Drugs are of value to mankind when properly used. (4) People take drugs for a variety of reasons. (5) Use of drugs to avoid problems is only a temporary escape. (6) Drug abuse causes problems for the individual, the family, and society. (7) Factual and accurate information about drugs is essential to wise decision making. (8) Some mild discomfort and unhappiness should be endured without relief from drugs. (9) Critical attitudes are needed to evaluate advertising practices which are intended to increase the sale of alcohol, tobacco, and drugs. (10) Personal values directly influence behavior. (11) Socio-psychological conditions play a role in drug abuse. 116 (12) Relief of daily stress and tension through acceptable activities is important. (13) Treatment of individuals for drug abuse is difficult and often ineffective. (14) Control of drug abuse is difficult. (15) Drug problems require the cooperation of many agencies and individuals. b. Objectives should be written in behavioral terms and should describe the level of compe­ tency the student should reach upon completion of the program. Each concept should have a set of objectives which are congruent with each concept. These are examples of terminal behavioral objectives described above: (1) Differentiate between known and suspected, short and long range, effects of alcohol, drugs, and tobacco. (2) List five community resources and agencies where a person with a drug problem could go for help. (3) Cite seven of the most common reasons given by teenagers for taking drugs. (4) Given a list of factual information and myths about drugs, the student should be able to discriminate at a 90% level of 117 accuracy which statements are fact and which are fiction, c. It is very important that learning activities which are appropriate for adolescents be selected for each objective. The activities should be real, informative, and relevant to the student. The following are examples of such learning activities: (1) Visit a court of law during the trial of a person accused of drug abuse. Evaluate the sentence in terms of fairness to the accused. (2) Have the class evaluate audio-visual materials on drugs and have the class discuss the strengths and weaknesses of each. (3) Analyze the resistance of a community against the establishment of a rehabilita­ tion center. (4) Compare the American and British methods of rehabilitation from drug abuse. (5) Conduct individual surveys among family and friends to find the drugs most commonly used and the reasons for their use. 118 (6) Monitor mass media drug ads. Critique the message and quality and keep track of frequency and quantity, d. There have been many teaching materials on the market in recent years. racies. Many have inaccu­ Some are designed to scare students with emotionalism and dramatics. The author recommends the use of students, especially those knowledgeable about the drug scene, to help evaluate drug education materials. 5. Evaluation: One of the greatest weaknesses of most educational programs is the evaluation which usually comes at the end of the program. An effective evaluation procedure is designed during the planning stages when the goals and objectives for the program are being formulated. Evaluation criteria should report the degree of success or failure in meeting the objectives. If the objec­ tives for the program are written in terminal behavioral terms, the evaluative measures are built into the objective statement. Evaluation measurements may take place throughout the program and/or several years after the completion of the program. For example, the effectiveness of a drug abuse education program to deter drug use may 119 have to be made a year or two after the student has matriculated through the program. Such a follow-up study could result in valuable "feed back" information which would be useful in program revisions. Part IV— In-Service Training Program Up to this point, educators have relied heavily on outside consultants on drugs to teach both students and teachers. Experts such as pharmacists, psychiatrists, and narcotics law enforcement officers have been asked to share their background and knowledge. Many times their input has become the major segment of the total drug education program. Though educators must continue to use their particular expertise, they cannot be as exclusively dependent upon them. Educators must give serious con­ sideration to the training of teachers so they will be comfortable and confident in teaching the subject of drug use and abuse. Since the teacher is the key person in an effective drug abuse education program, and has the greatest influence on students, educators must focus their effort on giving classroom teachers the background and tools to accomplish the task. The magnitude of drug abuse crisis in our society today and the number of teachers who are in need of 120 -raining to prepare themselves to teach in a drug educa­ tion program would appear overwhelming to anyone assigned the responsibility of implementing an in-service training program for staff members. But the task must begin. Educators must approach this task systematically and realistically. Below are some recommendations for the various aspects of a model in-service training program on drug use and abuse for teachers. The author will make recommendations on the following aspects: approach, concepts, objectives, evaluation, planning, program content, participants, and knowledge base. 1. Approach: Since there are so many teachers who need to be trained in drug use and abuse in all school districts, to assure maximum spread of an effective in-service training program, the author recommends a process in which teams composed of teachers and students from the same school are trained who will then return to their respective 160 schools and, in turn, train other groups. 2 • Concepts: When planning an in-service training program on drug use and abuse, certain concepts should be considered. The following are suggested for consideration: Wayne County, Intermediate School District, "Reducing Delinquency and Drug Abuse— A School Program," Action Grant Application, Detroit, Michigan, June 1970. 121 a. We live in a drug-using society where the mass media have sold adults and young people alike the notion that an acceptable escape from physical and psychological discomfort is through drugs. b. The motivations few of the for drug abuse are varied. A most common causes seem to b e : rebellion against adults or authority figures, peer pressure or influence, boredom, curiosity, frustration with current problems, escape from psychological inferiority, and "feels good." c. Schools may contribute to the drug abuse problem by not offering an educational program which is designed to meet the needs of students. d. Drug information should be presented factually without exaggerating, sensationalizing, or moralizing. e. The difference between drug use and abuse is the behavior of the user. If drug use results in a behavior not acceptable to the norms of the community, it is then considered abuse. f. Young people are disenchanted with the values and goals of our society and feel impotent to bring about change. 122 g. Inconsistencies and hypocrisies which exist in the adult world must be discussed openly. h. Many young people are not aware of the dangers involved in the use of drugs and need factual information to make a decision to use or not to use drugs when the temptation arises. i. Opportunities for involvement and participa­ tion in school or community activities for students are basic deterrents to drug use. 3. Objectives; Any program should have well defined objectives. Representatives of the training program participants should be involved in the establishing of objectives and planning stages. In setting objectives for an in-service training program the planners should consider the following points: a. The objectives established for the program should be stated in measureable terms so the effectiveness of the program can be determined. b. Most objectives for an in-service training program fall into two categories. One is the content objectives, which are those dealing with the subject matter or knowledge base. The other is the process objectives, which are related to certain learned skills. 123 (1) The content objectives will generally include the following topics: pharma­ cology, physiological reaction, legal aspects, psychosocial aspects, youth sub­ culture, and history of drugs. (2) The process objectives will include skills which will facilitate the student-teacher relationship, such as, communicative skills (verbal and nonverbal), empathy skills, decision making process, and listening skills. 4. Evaluation: If the objectives for the in-service training program are stated in terminal behavioral terms, i.e. "by the end of the in-service training sessions the participant should be able to . . . ," the evaluation of its effectiveness is an easier task. Pre-post tests to measure progress in content information and attitudinal change about drugs and drug users are recommended. Evaluation of process objectives can be accomplished by a qualified observer studying the performance of the learned skill by the workshop participant. Evaluation is generally the weakest and most difficult phase of an in-service plan. Planning: As emphasized earlier, representatives of the participants should be involved in the planning of the program. Factors such as the schedule, time, length, speakers, and facilities need to be considered. The author recommends the following: a. The program should be a continuous workshop rather than one which is offered on a certain day of the week for several weeks. In a continuous workshop situation the participants get to know each other better, time is more flexible, and the sessions are used more efficiently since less time is taken up re­ constructing what happened at the last session. b. In order for an attitudinal change to take place, a continuous program lasting from two to seven days is recommended. Participants are more likely to express their own feelings and beliefs in this situation. c. Facilities away from the daily work routine environment should be used. d. Speakers should be selected after a thorough investigation. Speakers who are knowledgeable and interesting and who are able to move the group toward its ultimate goal should be asked 125 ho participate. A few well chosen guest speakers can contribute greatly to the success of a workshop. Program: Large group in-service training programs where all teachers in a particular school or school district are mandated to attend a meeting on drug abuse are totally ineffective. Program planners must carefully consider group size, workshop participants, and the content. a. Groups should be kept small enough for group process activities to take place such as role playing, awareness experiences, exercises of skill in observations, decision making, empathy training, and communication skills. b. Participants should represent the disciplines involved in drug education. Those teachers who are best qualified, and who show concern for young people, should be invited to attend. Students should be involved in selecting these teachers. Students should also be invited to participate on an equal basis with teachers. c. The content portion of the program will be dependent upon the length of the workshop. The following are some of the subjects which should be part of the knowledge base of the 126 participants: history of drug and drug u s e , pharmacology of drugs including alcohol and tobacco, psychosocial and legal aspects of drugs, latest medical and scientific research on drugs, and the role of education in drug abuse.161 Part V — Personnel As stated before, the success of an effective drug abuse education program is dependent to a large extent upon the teacher and his ability to create an atmosphere in the classroom which promotes open discussion and expression of thoughts and ideas. In this way, a student will feel free to talk about his inner conflicts and problems. 16 2 This means that teachers who have the ability to create this type of atmosphere must be selected to participate in the drug education program. Students are very skillful and perceptive in identifying these teachers. As Feinglass states, The element of over-riding importance in drug education is the teacher. His role is not merely that of a conduit of knowledge. He must, in addi­ tion, personify an active force in molding student actions and beliefs. Honesty and integrity that will gain student respect, ability to recognize and respond to student problems, and needs, and to 16iFeinglass, op. c i t ., pp. 102-110. 162 Stamford Public Schools, op. c i t ., p. 1. 127 show care and concern— these are the prerequisites for a successful mentor in the drug abuse educa­ tion field.163 Teachers who lack these qualities should undergo intensive in-service training to learn these skills. Since warm, empathic, and caring kinds of teachers are needed in all educational programs, not just drug abuse education, teacher training institutions should focus their attention on developing these essential skills as a part of the professional preparation. School administrators in charge of personnel must also make a greater effort to recruit and to employ more candidates who have these qualities. Part VI — Further Study The review of related literature, the scope of the investigation and the findings of this study on drug abuse education in the large public high schools of Michigan leads to the possibility of some interesting further study. Some of these are as follows: 1, A similar study might be conducted to assess the status of drug abuse education in other size high schools or other school grade levels. 2. The same study might be replicated in another state of like size for comparison purposes. 16 3 Feinglass, op. c i t ., p. 99. 128 3. It has been frequently reported that high school students know more about drugs than teachers. A comparative study, taking a sample from each, might be conducted. 4. A statistically sound evaluation needs to be conducted of current drug abuse education programs. 5. A study might be conducted to discover how many young teachers who have recently entered the teaching profession have experimented with drugs. 6. A comparative study of effectiveness might be conducted between drug abuse education programs which are offered as a separate course and programs which are integrated into existing courses at the high school level. 129 Summary Drug use and abuse has attracted a great deal of attention in recent years. The problem is considered by some to be one of the most serious ever faced by our society. Some state that a whole generation of young people will be lost unless measures are taken to solve the problem. This alarm has caused citizens to respond by placing the responsibility for solutions on certain individuals, agencies, and organizations. The school is one of the public agencies which has been asked to react. In view of the outcry by the public for schools to do something, this study was made to gather pertinent information on current drug abuse education programs in an attempt to discover what the response of some of the t schools has been to this point. The population of this study consists of selected large public high schools in the State of Michigan. A large high school is defined by the author as one which has a student enrollment of 2,000 or more and which is administratively organized on a ten through twelve grade level. The survey focused on several aspects of the drug abuse education program including the description of the type of program, the determination of need, school policy related to student drug users, in-service training 130 programs for teachers, school-community cooperative programs, and evaluation techniques. Because of the size of the population of the study, it was possible for the investigator to personally interview each principal, or his designate, whose school met the criteria mentioned above. An interview question­ naire guide was used so each interviewee was asked the same question and in the same manner by the interviewer. The findings are reported in Chapter IV of this thesis. The author cautions the reader not to make generalizations about the status of drug abuse education programs in public high schools based on these findings. The results of the survey describe the drug education practices of those schools in the population study as reported by the principals. It is the.hope of the author that this study will contribute to the program development in drug abuse educa­ tion which is so sorely needed. It is also hoped that the findings and recommendations will assist in the enlighten­ ment and improvement of current drug abuse education practices at the high school level. BIBLIOGRAPHY BIBLIOGRAPHY Books Committee on Public Health Relations of the New York Academy of Medicine. Drug Addiction Among Adolescents. The Blakiston Company, New York, 1953. Conant, James B. The American High Schools Today. McGraw-Hill Book Company, Inc., New York, 1959. Houser, Norman W. Drugs. Scott, Poresman and Company, Glenview, Illinois, 1969. Kitzinger, Angela and Patricia J. 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"Narcotic and Dangerous Drug Laws: Penalties for Illegal Possession and Sales of Depressant and Stimulant Drugs, Narcotics and Marijuana," Teaching About D r u g s , American School Health Association, Ke n t , O h i o , 1970, pp. 174-176. Rawlin, J ohn W. "A Review of Sociologically Relevant Literature on Drug Abuse," Southern Illinois University, Edwardsville, Illinois, 1967 (mimeograph). 137 Rhode Island Department of Education. An Educational Program Dealing with Drug Abuse— Grades K-12, Providence, Rhode Island, September 19^9, Rothman, Jack. "How to 0rgani2e a Community Action Plan," The Next Step, Governor's Office of Drug Abuse, Lansing, Michigan, pp. 1-16. San Francisco Unified School District. Drugs and Hazardous Substances--Grades K-12, San FranciscoV California, October 1969. Stamford Public Schools. The Behavioral Approach to Drug Education, Stamford, Connecticut. Tacoma Public Schools. Curriculum Guide for Drug Educa­ tion Grades 6-12, Tacoma, Washington, 1968 . 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