Powerpoint based on Holts Lifetime Health 2009 chapters 9101112 Whats Your Health IQ TrueFalse Side effects of overthecounter medicines are rare Not following doctors orders while taking a prescription medicine can be dangerous ID: 739880
Download Presentation The PPT/PDF document "Drugs Medicine-Alcohol-Tobacco-Recreatio..." is the property of its rightful owner. Permission is granted to download and print the materials on this web site for personal, non-commercial use only, and to display it on your personal computer provided you do not modify the materials and that you retain all copyright notices contained in the materials. By downloading content from our website, you accept the terms of this agreement.
Slide1
DrugsMedicine-Alcohol-Tobacco-Recreational Drugs
Powerpoint based on Holt’s
Lifetime Health
, 2009; chapters 9-10-11-12.Slide2
What’s Your Health IQ? True/False
Side effects of over-the-counter medicines are rare.
Not following doctor’s orders while taking a prescription medicine can be dangerous.
Generic drugs work equally as well as brand-name drugs.Nutritional supplements are not approved by the FDA in the same way medicines are.Drugs that come from natural products are safer than drugs made from chemicals.People cannot become addicted to prescription drugs.Slide3
Drug
Any substance that causes a change in a person’s physical or psychological stateSlide4
Medicines
Drugs used to cure, prevent, or treat illness or discomfort
Effective
Safe Minor side effectsSlide5
Drugs of abuse
Drugs used for mind-altering effects with no medical purpose
Recreational use
Leads to changes in the brainSerious long-term health problemsSlide6
All drugs come from labs or nature. All drugs contain chemicals.Slide7
Analgesic
Relieves pain
Antihistamine
Relieves allergy symptoms
Antacid
Neutralizes stomach acid; heartburn relief
Antibiotic
Kills bacteria to cure infections
Steroid anti-inflammatory
Reduces inflammation and itching of skin
Hormone
Different hormones do different things
Antianxiety
Relieves anxiousness
Vaccine
Prevents infections
Sedative
Causes sleepinessSlide8
How drugs enter your body
Implanted pumps
- surgically implanted; injects drugs directly into a specific part of the body
Inhalation- drugs enter the body through blood vessels in the lungsInjection- drugs are injected using hypodermic needlesTransdermal patches- patches placed on the skinIngestion- drugs are swallowed and absorbed through blood vessels in the intestinesTopical application- drugs are applied directly to the body and are absorbed through the skinSlide9
Section Review
Compare
drug
with medicine.What is a side effect?Identify the two sources of all medicines and drugs.Which drug delivery method involves the intestine?Why does an inhaler deliver asthma medicine faster than an ingested pill does?Slide10
Imagine that you have a bad cough. You took medicine that your doctor gave you, but it doesn’t seem to be helping. Your friend has some cough syrup that she bought at the store. She says that it works really well and offers to share it. Is this a good idea? Explain why you feel this way.Slide11
Approving drugs for medical use
The FDA was created in 1906 to control the safety of food, drugs, and cosmetics.
Tests are required to make sure the drugs are safe.
First tests are in labsAnimal testingHuman volunteersClinical trials- tests on humans who have the condition that the drug is supposed to treatApplication for FDA approvalSlide12
Prescription medicines
Require the written order from a doctor
Always for a limited amount of medicine
Misuse can be harmful or cause the medicine to not workShould ONLY be taken by the person whose name is on the labelSlide13
Prescriptions
The dose
When you should take it
How often you should take itThe length of time you should take itYou should also get a drug information sheet that has all the information about the medicine including side effects, interactions, and what you should do if you have them.Slide14
Over the Counter medicines
Used to treat common illnesses, injuries, and disorders
Decide what kind of OTC will work for you
Decide if you want generic or brand-nameRead the label and follow directionsSlide15
OTC labels
Ingredients-
active ingredients are listed by amount
Uses- list of symptoms the medicine relievesDirections- dosage and frequencyWarnings- possible side effects, drug interactions, and the likelihood of overdoseSlide16
Herbal remedies and dietary supplements are NOT approved by the FDA.Slide17
Problems with medicines
Allergic reactions
- can range from mild itchiness to
anaphylactic shock which can be fatalSide effects- effects caused by a drug that are different from the drug’s intended effectDrug interactions- occur when a drug reacts with another drug, food, or dietary supplement to increase or decrease the effect of one of the substancesSlide18
Using medicines wisely
Be an active part of your healthcare team
Be prepared to ask questions
Learn the facts BEFORE you take a medicineListen to your bodyKnow it isn’t always safe to suddenly stop taking a drugSpeak up and enlist your parents’ help if something seems wrongSlide19
Section Review
Define
active ingredient
.Define drug interaction.Summarize steps in the FDA medicine approval process.Explain why you should not take another person’s prescription medication.Describe three problems that can occur when taking medicine.Slide20
Prescription use mini-poster project
DO
DON’T
1 Tell your doctor your health history
6 Don’t hide health information- even the embarrassing stuff
2 Pay attention to warning labels
7 Don’t mix medicines that cause drowsiness
3 Ask your doctor before combining medications
8 Don’t take someone else’s prescription medicines
4 Call your doctor immediately if you see signs of allergic reaction
9 Don’t continue to take medicine that makes you feel worse
5 Take ALL of your antibiotics
10 Don’t stop taking antibiotics just because you feel betterSlide21
Respond to the following statement:If I want to use drugs, it’s my choice and doesn’t affect anyone else besides me. Slide22
Addiction
Condition in which a person can no longer control his drug use; he has a physical need for the drug and can’t function without itSlide23
No one starts using drugs to become an addict. Every addict starts as someone experimenting with drugs.Slide24
Dangers of drug use
Drug use causes biological changes in the brain- these changes could be permanent
Adolescent brains are more vulnerable to drug use than adult brains
The adolescent brain is still developingDrug use interferes with normal changes at this time of lifeSlide25
Path to addiction
Drug use
- activates the brain reward system
Tolerance- the user needs more of the drug to produce the same effectDependence- the user experiences uncomfortable withdrawal symptoms if he tries to stop using the drugAddiction- drug use is out of control; the addict keeps using even in the face of severe consequences such as arrest or even deathSlide26
Treatment for addiction
Abusers and addicts CAN free themselves from drug dependency
Physical and psychological dependence must be addressed
Treatment programs give help in getting off the drugs as well as counseling to cope with lifeAvoiding the use of drugs in the first place is the best way to avoid addictionSlide27
Section Review
Define
addiction
.Differentiate between tolerance and dependence.Why can addiction be difficult to overcome?Describe the relationship between physical dependence and withdrawal.Why is it important to avoid starting to use drugs?Slide28
Illustrate a “chain of events” leading to drug addiction; include changes in behavior as well as consequences for these changes
Drugs & medicines review packet (STP)Slide29
What’s Your Health IQ? True/False
A shot of vodka has the same amount of alcohol that a can of beer has.
One drink can affect a person’s ability to drive.
Alcohol overdose can be fatal.Children of alcoholics have an increased risk of becoming alcoholics themselves.Alcoholism affects only the alcoholic.Drink driving is the number 1 cause of death among teens in the US.Slide30
Alcohol
The drug found in beer, wine, and liquor that causes intoxicationSlide31
Intoxication
Physical and mental changes produced by drinking alcoholSlide32
All forms of alcohol are dangerous.
The following contain equivalent amounts of alcohol:
One beer
Glass of wineShot of liquorSlide33
Short term effects of alcohol on the BODY
Irritation of the mouth, throat, esophagus & stomach
Heart works harder because vessels are dilated
Body loses heat because vessels are dilatedLiver works harder because it processes toxic substances like alcohol- one drink per hourCauses dehydration because processing alcohol requires waterSlide34
Short term effects of alcohol on the MIND
Loss of judgment and self-control
Unable to follow complex thoughts or cope with difficult situations
Loss of inhibitions- natural limits people put on their own behaviorInability to focus eyesSlurred speechMood swingsSlide35
BAC
Blood alcohol concentration
Impacted by the following:
Gender Weight Amount of food in stomachAmount of alcohol consumedSlide36Slide37
Legal concerns are important, but it is ESSENTIAL that you remember that you can consume a fatal amount of alcohol
before
you show signs of intoxication.Slide38
Binge drinking
Drinking five or more drinks in one sitting for men or four or more drinks for women
Causes the part of the brain that controls breathing & heart rate to dangerously slow
The brain & heart can stop workingAlcohol poisoning can be fatalSlide39
Long term effects of alcohol
Irregular heartbeat, high blood pressure, anemia, enlarged heart
Brain damage shrunken & dead brain cells
Diminished immune systemIrritation to the esophagus & stomach, stomach bleeding, cancer of the mouth, esophagus, & stomachHepatitis, liver cancer, cirrhosisDecreased ability to absorb vitaminsSlide40
You do not have to be an alcoholic to suffer long term effects of alcohol use.Slide41
Section Review
Explain why alcohol is considered to be a drug.
Describe BAC and various factors that impact it.
Summarize the short term effects of alcohol on the body and on the mind.Define binge drinking and describe its dangers.What type of behavior would you expect to find at a party where people are drinking? Why do you think teens drink?Slide42
Write a 4-6 sentence paragraph describing what you think the stereotype of an alcoholic is.Slide43
Alcohol abuse
Drinking too much alcohol, drinking it too often, or drinking it at inappropriate times
Alcohol is the most widely used and abused drug in our society.Slide44
Alcoholism
Disease that causes a person to lose control of her drinking behavior- the drinker is physically and emotionally addicted to alcoholSlide45
Path to alcoholism
Problem drinking
- experimentation and social drinking
Tolerance- the user needs more for the same effectDependence- alcohol is needed to function normally; withdrawal occurs without itAlcoholism- the user is addicted to alcohol; alcohol comes before everything else, including food Slide46
Risk factors for alcoholism
Age
- brains of teenagers are still developing which makes them particularly vulnerable to alcohol’s effects
Social environment- hanging out with friends who drink alcohol increases the chance a person will drinkGenetics- alcoholism tends to run in families; scientists have identified genes linked to alcohol dependenceRisk-taking personality- people who are impulsive have a greater risk than people who are notSlide47
Warning signs of alcoholism
Drinking to deal with anger, frustration & disappointment
Changing friends, personal habits, & interests
Feeling depressedDrinking more for the same highDrinking aloneDrinking to get drunk
Experiencing memory lapses as a result of drinking alcoholSlide48
Alcoholism affects the family
Feelings of guilt
Unpredictable behavior
ViolenceEnabling- helping the alcoholic avoid the negative consequences of her behaviorCodependency- family or friend sacrifices his needs to meet the needs of the alcoholicSlide49
Fetal alcohol syndrome
Set of physical & mental defects that affect a fetus who has been exposed to alcoholSlide50Slide51
Treatment for alcoholism
Treatment programs can help alcoholics deal with withdrawal from alcohol
Nervousness, headaches, chills, nausea, seizures, and uncontrollable shaking
Inpatient centers provide a sheltered place to go through withdrawal while getting counselingAlcoholics anonymous is the most widely used outpatient treatment programSlide52
Al-anon and Alateen are programs to support family members of alcoholics.Slide53
Write a 4-6 sentence paragraph describing characteristics of alcoholics. (Use composition paper.)Slide54
Section Review
Compare
enabling
and codependency.What’s the difference between alcohol abuse and alcoholism?Describe the stages leading to alcoholism.Describe warning signs of alcoholism.Explain how alcoholism affects society.Slide55
The number one cause of death among teens is motor vehicle accidents.
Many of these accidents are alcohol related.Slide56
Driving skills impacted by alcohol
Slows your reaction time
Affects your vision
Makes you drowsyReduces coordinationImpairs judgmentSlide57
Drinking, driving, and the law
Alcohol use is illegal for people under the age of 21
For legal drinkers, a BAC of .08% or higher is illegal
There is zero tolerance for people under the age of 21- it is illegal for them to have any alcohol in their systemsIn PA, teens with a BAC of .02% or higher can face serious penalties.http://www.penndot.gov/TravelInPA/Safety/TrafficSafetyAndDriverTopics/Pages/Young-Driver.aspxSlide58
Getting home safe & sober
Don’t drink
Plan ahead & use a
designated driver- a person who chooses not to drink so that he can safely driveArrange for a parent to pick you upCall a cabSlide59
Drinking puts your future at risk
JAIL
SEX
DRIVING
YOUR BRAINSlide60
Section Review
Define
designated driver
.What is the number one cause of death among teens?Describe 3 ways in which alcohol use can impact a teen’s future.Describe how alcohol impacts your driving skills.Given all the problems with alcohol abuse, alcoholism, and underage drinking, why do people continue to drink?Slide61
Poster project describing how alcohol use could impact your plans for the future- including marriage, parenting, & career.Slide62
Review packet for alcohol (STP)Slide63
What’s Your Health IQ? True/False
At high doses, nicotine is a nerve poison.
Chewing tobacco is safer than smoking tobacco because no smoke gets into the lungs.
Herbal cigarettes are safer than tobacco cigarettes because they don’t contain tobacco.You can smoke for many years before you start to harm your lungs.Secondhand smoke is dangerous to nonsmokers.
The placenta protects a fetus from chemicals in smoke from women who smoke during pregnancy.
Nonsmokers get fewer colds than smokers.Slide64
Types of tobacco products- they ALL contain nicotineSlide65
Nicotine
A mild stimulant and muscle relaxant at low doses
A powerful nerve poison at high doses
Sixty mg can kill most people1-2 mg are inhaled with each cigaretteAddictive drug found in all tobacco productsSlide66
Chemicals in cigarette smoke
There are over 4000 chemicals in cigarette smoke including ammonia and carbon monoxide
There are at least 40
carcinogens- chemicals or agents that cause cancerTar is the sticky, black substance that coats the airways and contains many carcinogens including:Cyanide- a poisonous gas used in photo developmentFormaldehyde- substance used to preserve lab animalsVinyl chloride- flammable gas used to make plasticsSlide67
Chemicals in other tobacco products
Snuff contains 2-3 times more nicotine than cigarettes
Carcinogens found in chew include arsenic, nickel, benzopyrene, & polonium
Pipes & cigars have been linked to oral cancerSlide68
Section Review
Define
carcinogen
.What is nicotine?What is the black, sticky substance in tobacco smoke that contains many carcinogens and coats the lungs?Identify 5 tobacco products.List 4 harmful chemicals found in cigarette smoke.Slide69
Chemicals in cigarettes video selection and reflectionSlide70
Draw an outline of a human person. Draw and label all the parts that you think might be affected by tobacco use.
SLO Pre-testSlide71
Short term effects of tobacco use
Nicotine causes the following:
Stimulates the brain reward system
Increases heart rate and blood pressureIncreases breathing rateIncreases blood sugar levelsStimulates the vomit reflexCarbon monoxide blocks oxygen from the bloodstream
Tar irritates the lungs
Chemicals in chew damage the inside of the mouthSlide72
Long term effects of tobacco use
Addiction
Bronchitis &
emphysema- a respiratory disease in which air cannot move in & out of the lungs because the alveoli lose their elasticityHeart & artery diseaseCancer. Many kinds of cancer, not just lungImmune system suppressionUlcers, stained fingers & teeth, bad breath, receding gums, smelly clothes, dulled sense of smell & tasteSlide73
Effects of smoke on nonsmokers
Sidestream smoke
is the smoke that escapes from the end of the cigarette, cigar, or pipe
Mainstream smoke is the smoke that is inhaled from the tobacco product and then exhaled by the smokerEnvironmental tobacco smoke is a new name for secondhand smoke which is a combination of sidestream and mainstream smokeSlide74
Dangers of secondhand smoke
Lung cancer kills 3400 nonsmokers every year
Linked with nasal sinus, cervix, breast, & bladder cancers
Children of smokers suffer from more asthma and lower respiratory & ear infections than other kidsCauses headaches, nausea, and dizzinessSlide75
Dangers of tobacco use during pregnancy
Chemicals from cigarette smoke pass through the placenta to the developing baby
Increased risk of miscarriage, premature birth, low birth weight, and
SIDS- a condition in which infants die during sleep for unknown reasonsInfants may have developmental problems and can even be physically dependent on nicotineSlide76
Section Review
Define
emphysema.
Compare mainstream and sidestream smoke.Define environmental tobacco smoke.Describe short term effects of tobacco use.Describe problems that infants can have if they are born to a mother who smokes.
What would your
healthful
response be to a friend who claims that smoking one cigarette won’t hurt?Slide77
SLO Post-testSlide78
Mark Twain said, “Quitting smoking is easy; I’ve done it dozens of times.” Write a 4-5 sentence paragraph explaining what you think he meant by this.Slide79
We have special reasons not to use tobacco.
Athletes
Brass or wind instrument players
Singers
Family with allergies or breathing problems
Family with smoking related illness
Anyone who wants to live a full, healthy lifeSlide80
Why do people choose to use?
Family and friends
Misconceptions
AdvertisingCuriosityRebellion Slide81
Costs of tobacco use
Families
Over $1500 per year for tobacco products
Lost wages due to illnessMedical billsFuneral costsSociety$167 billion per year
Medical care for smokers who can’t pay
Insurance costs paid by employers
Accidental firesSlide82
Tips for quitting smoking
Decide that you can do it
Get started- set a date; get rid of cigarettes & lighters
Change your habits- replace an unhealthy habit with a healthy oneSet goals- keep a calendar; celebrate your successGet support- parents, teachers, support groupsNicotine replacement therapy is a form of medicine that delivers a small amount of nicotine to the body to help a person quit smoking- ask your doctor first.Slide83
Section Review
Define
nicotine replacement therapy
.List 3 reasons why people begin using tobacco.Describe 3 ways tobacco use affects family and society.Describe how a person could make quitting smoking easier.Imagine that you have a family member who smokes heavily. What do you think would be the best way to try to convince them to quit?Slide84
Tobacco review packet (STP)Slide85
What’s Your Health IQ? True/False
If recreational drugs were really dangerous, people wouldn’t use them.
People can’t get addicted to marijuana.
Stimulants can help you study more effectively.Anabolic steroids are male hormones that make you appear more masculine.Opiates are safe because they’re used as medicine.Because I’m young, any damage drugs do to my brain will heal by the time I’m an adult.Slide86
Drug abuse
Intentional improper or unsafe use of a drugSlide87
Many recreational drugs are illegal. Possessing, using, buying, or selling these drugs is illegal.Slide88
Illegal drugs are dangerous
Dangerous & permanent effects on the brain & body
Addiction to almost all illegal drugs
Are a factor in many suicides, motor vehicle accidents, and crimesNeedle sharing brings the risk of infectious diseasesOverdose- taking too much of a drug causing sickness, loss of consciousness, permanent damage, or deathLoss of judgment leading to even more poor decisionsSlide89
Why do people choose to use?
Experimentation
Escape from depression or boredom
Risk-takingBelief that drugs will solve problemsPeer pressure Glamorization of drug use by the mediaSlide90
Teens and drugs
Teens feel lots of pressure which can put them at risk for abusing illegal drugs
Teens have a higher risk for addiction than adults
Young brains are still developingDrug use can have permanent effects on brain functionAltering brain development with drug use can result in a lifetime of struggle with addictionSlide91
Re-write the school’s drug & alcohol policy using terms & phrases used by teensSlide92
Section Review
Define
drug abuse
.Describe reasons why recreational drugs are dangerous.Identify reasons why teens try recreational drugs.Why are teens more vulnerable to recreational drug use than adults are?Describe two ways recreational drug use would affect your personal values and goals.Slide93
Robin Williams drug use documentarySlide94
Questions from day 1 of the Robin Williams drug use documentary. Slide95
What drugs do to your body reflection questionsSlide96
List 5 strategies that you think would help a teen avoid or refuse to use recreational drugs.Slide97
Marijuana video clipSlide98
Marijuana
Active chemical is THC
Can be detected in urine for several weeks after use
Usually smoked but can be eatenPot, weed, reefer, dopeSlide99
Marijuana
Effects of marijuana last 2-3 hours
Effects of smoked marijuana are felt within minutes while effects of ingested marijuana take 30-60 mins.
Slowed thinking
Loss of short-term memory
Attention problems
Panic attacks
Distorted sense of time & distance
Loss of balance & coordination
Giddiness
Increased appetiteSlide100
Marijuana and driving
Marijuana use directly impacts and impairs skills needed for safe driving
Using marijuana AND alcohol at the same time increases the dangers of drivingSlide101
People who use marijuana regularly build up tolerance. Tolerance leads to dependence, and users will experience withdrawal.Slide102
Inhalants videoSlide103
Inhalants
Drugs that are inhaled as vapors
Inexpensive & easy to get- makes it common with young people
Can be the first step in trying other illegal drugs- a gateway drugSlide104
Inhalants
Effects- hyperactivity, loss of inhibition, dizziness, loss of coordination, difficulty speaking & thinking, fear, anxiety, depression, nausea, vomiting, headache, loss of consciousness
Dangers- organ damage, death of brain cells, brain damage, coma, deathSlide105
Ecstasy videoSlide106
Ecstasy
MDMA, X, Adam, XTC
Most commonly abused club drug
Stimulant and hallucinogenicMuscle tension, teeth clenching, impaired learning & memory, nausea, chills, rapid heartbeat, heart attack, brain damage, deathSlide107
Section Review
Define
inhalants.
What makes inhalants especially dangerous?What are effects of marijuana use?Can you become physically dependent on marijuana?If a friend told you he bought some pills at a party, what good healthy advice would you give him about trying the pills?Slide108
Stimulants
Drugs that temporarily increase energy and alertnessSlide109
Stimulants
Caffeine and nicotine
- relatively mild; legal
Amphetamines- made in labs; can be used to treat neurological disorders and obesityMethamphetamine- meth, crystal, ice; permanent brain, kidney, & liver damage; EXTREMELY addictive & tolerance develops quicklyCocaine- agitation, paranoia, aggression; users can’t eat or sleep; addiction is very difficult to escapeSlide110
Methamphetamine or cocaine videoSlide111
Depressants
Drugs that cause relaxation and sleepiness; slows breathing & reduces brain activitySlide112
Depressants
Rohypnol
- roofies; date-rape drug; loss of inhibitions, disoriented, memory loss
DXM- legal ingredient in cough syrup; spacey feeling, loss of muscle control, hallucinationsTranquilizers- treat anxietyOverdose can cause breathing to stop resulting in brain damage, coma, or deathSlide113
Opiates
Highly addictive drugs derived from poppy plants; pain relievers, anesthetics, & sedativesSlide114
Opiates
Highly addictive with very unpleasant withdrawal symptoms
Heroin
OpiumMorphine & codeineSlide115
Heroin videoSlide116
Hallucinogens
Drugs that distort perception and cause the user to experience things that aren’t realSlide117
Hallucinogens
Emotional experiences seem deeper
Can produce extreme anxiety, fear, & paranoia
LSD- users can experience flashbacks: feeling the effects of the hallucinogen long after it has worn offMushrooms- flashbacks can occur months after use; it is hard to distinguish psilocybin from more toxic varieties of mushrooms and using the wrong kind can result in deathSlide118
Section Review
Define
stimulant
.Define depressant.Define opiate.Define hallucinogen.Identify medical uses for three drugs of abuse.
Why should police be cautious when confronting someone high on LSD?Slide119
List several of your life goals, people, and things that are important to you. Slide120
A few moments of feeling high can risk
EVERYTHING
else that is important to you.Slide121
Individual risks of drug abuse
Car accidents
Accidental injury or death
Violence & other criminal activityUnplanned pregnancySexually transmitted diseasesSlide122
Family risks of drug abuse
Trust is destroyed
25-50% of all family violence is drug related
Babies exposed to drugs in the womb are at risk for premature birth, low birth weight, and developmental problemsMothers who are addicted are at risk of delivering a baby who is physically dependent on that drugThe babies go through withdrawalSlide123
Societal risks of drug abuse
Economic cost- $350 billion per year in the US; $80 billion on substance abuse and addiction treatment
Lost work productivity, accidental injuries, car crashes, suicide, & overdose all hurt society
Crime- drug-related crime costs Americans $100 billion per yearOver 50% of violent crimes, 60-80% of child abuse & neglect, and 50-70% of property crimes are linked to drugsSlide124
Treatment for drug abuse
Because drugs affect the brain, addiction is a LONG and difficult problem
Recovering
is the process of learning to live without drugsMost addicts need support to recoverShould be managed by a professionalIn-patient and out-patient optionsHelp with the drug dependency and why the drug abuse started in the first placeSlide125
Effective treatment programs
No single treatment program works for everyone.
Treatment should be easy to access.
The longer an abuser stays in treatment, the more effective it will be.Interventions can be effective.Recovery may require several periods of treatment to combat relapse- a return to using drugs while trying to recover.Slide126
Local drug treatment programs- wallet card project Slide127
Section Review
Define
intervention
.Define relapse.Describe 3 ways that drug abuse can negatively affect an individual.Explain how drug abuse can hurt families.Why do you think drug treatment doesn’t have to be voluntary to be effective?Slide128
Illegal drugs review packet (STP)