Monday, May 29, 2017

Adolescent Substance Abuse

Abstract
Adolescence is a stage in which young children are transitioning into adulthood and during this time there are challenges that can be encountered that can impact development. Prior to reaching adulthood substance abuse is an issue that many adolescents are faced with.  The National Institute on Drug Abuse (2014), states that nearly 70 percent of high school students will have consumed alcohol by the time they become seniors, 50 percent will have engaged in the use of illegal drugs, almost 40 percent tried smoking a cigarette on more than one occasion, and a little over 20 percent experimented with prescription drugs for recreational use.  There are many factors that influence adolescent substance abuse and it is a serious problem that can affect cognitive, physical and social development and providing a breakdown of those factors will allow the opportunity to identify successful intervention techniques.

  Substance Abuse
The act of ingesting, inhaling, or injecting something that can be detrimental to the health of an individual, “usually for psychoactive (mood-altering) purposes” (Wulffson, 2015) is known as substance abuse.  Alcohol, tobacco, prescription drugs and medications purchased over-the counter are commonly used products that are legal substances and cocaine, marijuana, hallucinogens, methamphetamine, and heroin are illegal substances.  Substance abuse is a problem that has been increasing amongst our youth and efforts have been made to gain a better understanding on the issue by examining biological and environmental factors that could be contributing factors in adolescents deciding to experiment with substances.  The National Survey on Drug Use and Health performed a study in 2014 stated that approximately 27 million Americans 12 years of age and older was reportedly used illegal substances within one month of the survey being conducted.  Therefore, it is imperative that an explanation on how adolescents develop substance abuse issues is provided.
During the adolescent years, the human brain is experiencing major changes that involve their “emotional/social network outpace development of the cognitive-control network” (Berk, 2014, p. 368) and because of these changes they are more than likely to engage in risky behavior such as substance use.  As the brain is developing during this period there are biological and environmental factors that could increase the chances of adolescents developing substance abuse problems.  Substance abuse and addiction disorders have been linked to biological factors such as genetics.  Research is continuously being performed to determine if substance abuse and addiction disorders can be inherited though genetics and thus far it has been acknowledged that inherited factors do exist, however there has not been any concrete evidence to determine what is inherited.  For example, an adolescent with a family history of drug abuse can “have an increased susceptibility or sensitivity to the effects of drugs with reinforcing properties” (Biological Components of Substance Abuse and Addiction, 1993) and those reinforcing properties are environmental factors.
Factors that Influence Substance Abuse
Environmental factors that influence adolescent substance abuse problems include access to substances, exposure to substance abuse through observing others and socioeconomic status.  Socioeconomic status is an individual’s social status which represents their place in society and is “earned through actions or accomplishments” (Campbell, 2016).  Adolescents that live in an environment of a lower socioeconomic status, meaning that education levels and income are less than average, tend to have more access to illegal substances because there is a high level of the availability of drugs in those types of communities and are exposed to substance abuse though the observation of others.  Communities that are of a lower socioeconomic status often have a high presence of outlets that distribute alcoholic beverages and tobacco sales that increase the exposure to adolescents and “facilitate substance use and initiation and potential abuse” (Mennis, Stahler, & Mason, 2016).  Albert Bandura’s Social Learning Theory suggest that human behavior is learned through observing others and that is a contributing factor to how adolescents begin to abuse substances in environments that are of a lower socioeconomic status, by simply watching others such as older teenagers and/or adults partake in these behaviors without receiving any consequences. Biological and environmental factors increase risk factors associated with adolescents who develop addictive disorders.
  
Addiction
Addiction is a mental disorder associated with functions of the brain and is related to substance abuse because when an individual reaches a point in which they are doing something and not able to stop then they have developed an addiction (O'Driscoll, 2014).  Adolescents that continuously abuse drugs and alcohol impact their physical, psychological and cognitive development.  Substance abuse can impact physical development because adolescents are most likely not receiving the proper nutrition needed to ensure the proper development.  Psychological development is effected because cognitive functions are impaired because of the effects that alcohol and drugs have on the human brain.  Substance abuse alters human behavior which affects psychological development because adolescents are engaging in risky behavior that could be detrimental to the health of themselves and others. 
Developmental Theories
Erik Erickson developed a theory on eight stages of human development that can provide some insight on adolescent’s engaging in substance abuse.  The adolescent stage is identity vs. role confusion and is focused on fidelity.  (Gould, 2015) states that during this stage individuals are focused on what they do and often struggle with finding their own identity, peer relations and determining their place in society.  The identity vs. identity confusion stage can influence substance abuse because adolescents are trying to fit in societal norms that often involve drugs and alcohol.  Adolescents that partake in drug and alcohol abuse to fit in often can develop an addiction because of the feelings that are experienced when under the influence.
Intervention
Intervention can be identified as a method used to “produce an effect or to interrupt or stop the progression of a disease” (Frey, 2015) such as substance abuse and addiction.  In efforts community should join forces to develop intervention techniques.  Early detection of possible drug and alcohol abuse is the most effective because adolescents can be referred to treatment programs to help combat those issues.  A change of environment has always been the most recommended solution; however, it is not always the most feasible decision, therefore community efforts should be made to deter adolescents from partaking in the use of drugs and alcohol. Drug Abuse Resistance Education (DARE) is a proactive intervention technique that was designed to teach students about making decisions that will help them lead a safe and healthy life that is free from risky behaviors that involve substance abuse. 
Conclusion
Substance abuse is a serious problem in society and providing an explanation on how adolescents develop substance problems can help with developing intervention techniques that can assist with reducing the risk of the urge to experiment with alcohol and drugs.  There are several biological and environmental factors that contribute to adolescents developing addictive disorders and developmental theories have provided information on the different stages and how they relate to how substance abuse is dealt with.  Developing intervention techniques is the most appropriate and effective method that can be used to reduce the risk of adolescent experimenting with drug and alcohol abuse and it is important for everyone to be a part of the efforts.

  References
Berk, L. E. (2014). Development Through the Lifespan (Vol. Sixth Edition). Upper Saddle River, New Jersey: Pearson.
Biological Components of Substance Abuse and Addiction. (1993). Retrieved from Princeton.edu: www.princeton.edu/~ota/disk1/1993/9311/931103.PDF
Campbell, J. (2016). Social status. Salem Press Encyclopedia.
Frey, R. P. (2015). Intervention. Salem Press Encyclopedia of Health.
Gould, M. A. (2015). Erikson's Eight Stages of Development. Research Starters: Sociology (Online Edition).
Mennis, J., Stahler, G. J., & Mason, M. J. (2016). Risky Substance Use Environments and Addiction: A New Frontier for Environmental Justice Research. International Journal of Environmental Research and Public Health, 13(6). doi:10.3390/ijerph13060607
NIDA. (2014). Retrieved from Principles of Adolescent Substance Use Disorder Treatment: A Research-Based Guide: www.drugabuse.gov/publications/principles-adolescent-substance-use-disorder-treatment-research-based-guide
O'Driscoll, C. (2014). Addiction: A Guide to Understanding Its Nature and Essence. Hauppauge, New York: Nova Science Publishers, Inc.

Wulffson, R. M. (2015). Substance abuse. Salem Press Encyclopedia of Health.

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