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Guideline Be able to hold your own with sources. We often seek the expertise of specialists who might have a greater grasp of facts within their specialty. This means we strive to know enough about a subject that we can tell when a source is advocating a disputed position, advancing a vested interest or making a faulty claim. Daily reporting might require a different threshold of knowledge than long-term investigative reporting, but the general principle holds true in that context as well: Transcript Intro Hey there podcast listeners, Jonathan here.
When I was first practicing social work in the mids, I was taught that adolescents could use drugs and alcohol with impunity. In fact, adolescence was the best time for kids to use drugs and alcohol. Because teenagers are healthy, resilient and if they did anything too stupid their criminal records would get expunged on their 18th birthday.
The brain is way more likely to get addicted during adolescents than adulthood. In episode 90 of the Social Work Podcast, Larry Steinberg told us that the adolescent brain is set up to seek out risk and reward. Drugs are risky and rewarding. Drugs and alcohol affect the parts of the brain associated with reward, motivation, memory and related circuitry. Just kidding about that last one.
So when someone uses drugs, it affects the way the cortical and hippocampal circuits and brain reward structures communicate. It actually triggers memories of prior use and creates cravings. When we feel cravings, we do whatever we can to satisfy those cravings. Imagine feeling thirsty for the better part of a day.
You would be singularly focused on quenching your thirst, even if that meant drinking water that might be dirty. So where were we? Now, popular culture still promotes this idea that adolescence is the perfect time to party. Hit songs and music videos float around in a cloud of pot smoke, red Solo cups, and an endless supply of cheap beer. It becomes her 5th consecutive 1 single from the same album and solidifies her status as a pop star legend.
Because she knows that we idealize the high school party. And she knows how to capitalize on a cultural moment. Online, Rebecca Black is a total social reject and Katie Perry is the ultimate cool kid. Her pop genius sells us a fantasy that in a world with massive suburban houses populated by rich White teenagers, no parents, endless partying, references to date rape, binge drinking, vandalism, or Kenny G, even the person who in real life is the joke of the party can become the cool kid.
To be the cool kid? And I went in part because I wanted to be cool. In the parlance of Hamilton, I wanted to be in the room where it happens. And seeing a cool kid look stupid because of alcohol convinced me that if I wanted to be cool, I should avoid drugs and alcohol. The adolescent brain is incredibly vulnerable to addiction. High school is a terrible time for kids to party. So what services are out there for kids struggling with addiction? There are residential options - inpatient hospitalization with or without detox.
And recently sober schools — recovery high schools and collegiate recovery programs. And now, without further ado, on to Episode of the Social Work Podcast: Lori, thanks so much for being here on the social work podcast today and talking with us today.
Thanks for having me today. I want to start by saying most adolescents can go through high school without a substance use disorder. That being said, the average age of onset has dropped to 14, which is really really young when you think about the span of time that it takes for an adolescent have that full brain development. The research these days shows that plasticity continues all the way until about the age of We have babies using substances.
There are parents who are using at home and sort of setting the stage for that. Layered on top of that is a culture that is often orientated around substances. Each culture is different. There are others that are very anti-drug and yet drowning in alcohol. So tell me how this recovery high school works [ The reason is that the school itself is exactly that with the primary mission of providing academic services with recovery support serves to bolster that for the youth.
If anyone is interested they need to visit these recovery schools and experience for themselves. When I went to my first association of recovery schools, which was held at a recovery high school in Houston, my mind was blown. The kids were so poised, so comfortable in their own skin—they hugged each other when they saw each other.
They are laughing and having fun; they are putting their nose to the grindstone when it comes to their work. There are still recovery schools that are all about dropout prevention. These kids have had a very tough time in their own high schools and academic life, so part of the beauty of the schools being relatively small is we can have an individualized program both academically and the formal and informal support services can supplement their experience at school.
We do a typical school day to the surprise of many people who come to witness recovery high schools, other than the check-in in the morning and available recovery coaching when needed during the day, it really appears to be a regular school. So I think that the most important piece in all this, if you could put everything in a colander and shake it, some of the things that stay in the colander, the big rocks as some describe it, these kids are having more fun clean and sober they ever had high.
The high was no longer a fun place for them, they were absolutely out of fun, and when they come here, they have peers who care about them, who know their experience, and the other big rock is that they are not being judged for who they are.
Because, as you were mentioning before, brain plasticity and brain development, we know that adolescent brains are wired for pleasure, right? They want experiences that will feel good and boy, drugs feel really good, you know? But for the kids who have, I think the best cut point is, that which creates ongoing problems is a problem. Oh my gosh that exists?!