Latest / Recovery Chronicles / Recovery Chronicles Ep. 188 - Sue Kaylor
Transcript
- 0:29Speaker 1: Hello, This is Jennifer with Recovery Chronicles and I am
- 0:33Speaker 1: doing a three part series about prevention here in North Dakota.
- 0:39Speaker 1: So today I have Sue Kaylor with me from Bismarck
- 0:43Speaker 1: Burley Public Health and we are going to talk a
- 0:45Speaker 1: little bit about what Bismarck does as far as prevention.
- 0:50Speaker 2: So welcome Sue, Thank you for having me. I work
- 0:54Speaker 2: at Bismarck Burley Public Health and I oversee the substance
- 0:58Speaker 2: abuse Prevention program, which is based on three different grants.
- 1:03Speaker 2: Our first one, our original one, is tobacco prevention, so
- 1:06Speaker 2: we assist people with quitting but also try to prevent
- 1:10Speaker 2: youth from starting and young people. So there's We're based
- 1:15Speaker 2: on three best practices for the Center of Disease Control.
- 1:19Speaker 2: The first one is the prevention of youth and young
- 1:21Speaker 2: adults from starting. Our second one is protecting people from
- 1:24Speaker 2: secondhand smoke and vapes, and our third is assisting people
- 1:29Speaker 2: with quitting resources, and we do that also for youth,
- 1:32Speaker 2: which I'll explain a little bit more today for you.
- 1:35Speaker 2: My next grant is the State Opioid Response Grant, and
- 1:39Speaker 2: that is educating our community and training our community on
- 1:43Speaker 2: how to use NARCAN and we to reduce people dying
- 1:49Speaker 2: from overdoses from opioids. We also place narcan in our
- 1:53Speaker 2: communities located with your ads at your office buildings or
- 1:57Speaker 2: if you go to Kirkwood Mall, all of our public
- 2:00Speaker 2: schools and private schools have dark camp place there. Our
- 2:04Speaker 2: third one, our third portion of our program is prevention
- 2:09Speaker 2: of underage drinking and underage marijuana use. And as you know,
- 2:13Speaker 2: as I've said prevention, a lot of public health units
- 2:16Speaker 2: are about preventing promoting, which is educating and protecting. So
- 2:21Speaker 2: those are that's our model for public health. I'm here
- 2:25Speaker 2: in Bismarck. There are people across the state of North
- 2:28Speaker 2: Dakota that are located at other public health units that
- 2:31Speaker 2: do similar jobs there too. Like I'm explaining so perfect.
- 2:35Speaker 1: So going back, I know this is question isn't on
- 2:38Speaker 1: our list, but going back to the smoking kind of
- 2:43Speaker 1: prevention with kids, what are some of the things that
- 2:47Speaker 1: you work on in that area.
- 2:49Speaker 2: So with our youth, we have we have a tobacco
- 2:53Speaker 2: prevention specialist who oversees the youth and young adults. In
- 2:57Speaker 2: the fall, we host a event that is statewide. We
- 3:01Speaker 2: have one here in Bismarck, and then there's another one
- 3:03Speaker 2: over in Fargo, and it's called their Youth Action Summit.
- 3:06Speaker 2: At that event, we bring in a national speaker and
- 3:10Speaker 2: then youth from the west side of the state comes
- 3:12Speaker 2: to Bismarck and we have information on the latest trends,
- 3:17Speaker 2: but all the tobacco industry is marketing and what things
- 3:20Speaker 2: they can do back at their schools for peer to
- 3:22Speaker 2: peer education. It was phenomenal this year. It was the
- 3:26Speaker 2: biggest we've had. We had two hundred and thirty three
- 3:28Speaker 2: students that arrived. We had a national speaker that was
- 3:32Speaker 2: from Truth Initiative, Samuel Allen, and it was phenomenal. It's
- 3:38Speaker 2: kind of hard to show over the radio, but as
- 3:41Speaker 2: you can tell my my voice, it was an excellent
- 3:43Speaker 2: event from that. Here in the Bismarck area, in our
- 3:47Speaker 2: middle school and high school, we have youth groups clubs
- 3:52Speaker 2: and they work on different events during the year. So
- 3:56Speaker 2: in the fall, if you've ever heard about the Great
- 3:58Speaker 2: Americans spoke Out, it was a day that originated to
- 4:02Speaker 2: assist people to just quit for one day. Well, now
- 4:05Speaker 2: we're vape. Now we have a new product out there
- 4:08Speaker 2: with vapings, so a lot of times it's educating about
- 4:11Speaker 2: what the vapes are and for kids to be aware
- 4:14Speaker 2: of that and then what resources there are for quitting.
- 4:17Speaker 2: Throughout the year, our groups in the middle school and
- 4:20Speaker 2: high school do different activities to educate. We also have
- 4:25Speaker 2: a youth board called the Break for Youth Board. It's
- 4:28Speaker 2: made up of eleven members and that's from our area
- 4:31Speaker 2: high school and they are they learn leadership skills, speaking skills.
- 4:37Speaker 2: They actually now in January till the spring, we'll be
- 4:40Speaker 2: doing peer to peer education with our fifth grade when
- 4:46Speaker 2: with that being said, they go into different fifth grade
- 4:50Speaker 2: classrooms in our elementary schools. They will be doing a
- 4:54Speaker 2: presentation called Flavors plus Nicotine Equals Addiction and it's to
- 5:03Speaker 2: bring awareness of how the tobacco industry markets these products.
- 5:07Speaker 2: We also our Tobacco Prevention Coordinators does a presentation on
- 5:12Speaker 2: refusal skills, So what to do when you're in that
- 5:15Speaker 2: situation in somebody offers you a vabe or a tobacco product,
- 5:19Speaker 2: how can you say? Now, we've been doing that refusal
- 5:23Speaker 2: skills training lately. It's been with our church. Youth groups
- 5:27Speaker 2: have been inviting us in which is pretty cool. Our
- 5:31Speaker 2: other activity that we do is called Hidden in Plain Sight.
- 5:35Speaker 2: We will be hosting one of those events here at
- 5:39Speaker 2: our local elementary school and they'll invite their middle school
- 5:42Speaker 2: and a high school that feed into it. That has
- 5:46Speaker 2: been going on for the last three years. It started
- 5:49Speaker 2: out in the Bismarck public schools, then we moved it
- 5:52Speaker 2: to our private schools, and this last fall we were
- 5:56Speaker 2: at the North Dakota Council of Education leaders moving into
- 6:00Speaker 2: the school staff to educate them to be aware of
- 6:05Speaker 2: what are some of those hidden things to be aware of?
- 6:11Speaker 2: If you find them, what they are, how do I
- 6:13Speaker 2: address them? Awesome?
- 6:15Speaker 1: So when you talk about like vaping and like the
- 6:18Speaker 1: flavors and things like that, what trends are you seeing
- 6:24Speaker 1: as far as like what they're marketing to kids and
- 6:27Speaker 1: or what parents should do or anything about that or.
- 6:31Speaker 2: With that question, It seems like every year there's something
- 6:35Speaker 2: new that comes out on the market. And I think
- 6:38Speaker 2: when vapes showed up, the e cigarettes, the electronic cigarettes,
- 6:43Speaker 2: they have evolved there. If you've ever seen there was
- 6:48Speaker 2: like a big device you've seen somebody's puffing on that
- 6:50Speaker 2: was called the mod system. We're now over with disposable
- 6:54Speaker 2: vapes that are very smaller, very easy to conceal. They
- 6:59Speaker 2: come a variety of different flavors, so that fifteen thousand
- 7:04Speaker 2: different flavors are out there. So anything you can think of,
- 7:06Speaker 2: you enjoy. They have developed a flavor for it. It's
- 7:11Speaker 2: not like the cigarette smoke, you know, when you smell
- 7:14Speaker 2: it the vapes, it's a fruity smell that you're trying
- 7:17Speaker 2: to put a finger on. Where is this coming from?
- 7:21Speaker 2: That is where the vapes come from. They have a
- 7:23Speaker 2: higher level of nicotine in it in than a pack
- 7:27Speaker 2: of cigarettes, which makes it real difficult too when people
- 7:31Speaker 2: are using them, because they tend to take a couple
- 7:34Speaker 2: of puffs, or they might wake up in the middle
- 7:36Speaker 2: of the night and puff on their vape and the
- 7:40Speaker 2: addiction becomes very strong. Our new product that's on the
- 7:44Speaker 2: market is called nicotine pouches. They look like they're similar
- 7:51Speaker 2: to their like chewing tobacco that were in pouches. They're
- 7:55Speaker 2: called nicotine pouches now and they try to market a
- 7:58Speaker 2: mass tobacco free because it's just nicotine. Well, the tobacco
- 8:03Speaker 2: plant is where you get the nicotine. So the poweh
- 8:06Speaker 2: says nicotine, it contains nicotine is addicting. So now it's
- 8:11Speaker 2: educating on that every year it seems like we're there's
- 8:15Speaker 2: a new product that's showing up that we have to
- 8:17Speaker 2: let our community know about and our youth to be
- 8:22Speaker 2: aware of the power of that addiction to the nicotine products.
- 8:26Speaker 1: Yeah, I think I mean vapes kind of we're first
- 8:31Speaker 1: marketed as almost like a safer alternative, but I work
- 8:34Speaker 1: on the heartview side of the some of the tobacco
- 8:38Speaker 1: grams and they're so much harder to quick because they're
- 8:41Speaker 1: so strong, and I think a lot of people don't
- 8:44Speaker 1: realize that and so addicting. So, yeah, is there anything
- 8:50Speaker 1: else new? You talked about the Hidden Plaint site. That's
- 8:55Speaker 1: really cool program. Is there anything else new happening in
- 8:57Speaker 1: Bismarck regarding prevention?
- 9:01Speaker 2: I would say we're kind of trying to get the
- 9:04Speaker 2: message out to our parents and on what to be
- 9:07Speaker 2: aware of, how to spot those high risky behaviors or signs,
- 9:11Speaker 2: but also given the tools for communicating how to talk
- 9:15Speaker 2: to your youth, your child about different substances, and how
- 9:20Speaker 2: to start that conversation and to keep that conversation going.
- 9:24Speaker 2: I would say those are Oh, I have one more
- 9:27Speaker 2: thing that's happening. Good question with our prevention of underage
- 9:33Speaker 2: drinking and underage marijuana youth. We have our we have
- 9:37Speaker 2: a youth group with that, a youth coalition, and they
- 9:41Speaker 2: are there's actually twenty members which is awesome, from two
- 9:44Speaker 2: different schools, and they're going to do peer to peer
- 9:47Speaker 2: education with the middle schoolers. Their project is called Things
- 9:52Speaker 2: to Know about Alcohol. But they're doing it in a
- 9:54Speaker 2: manner of a kind of similar to a monopoly game
- 9:59Speaker 2: where they will have teams and they will have ID cards,
- 10:03Speaker 2: and they will have a banker, and in the PowerPoint
- 10:07Speaker 2: slide they will learn about, you know, what's the risks
- 10:11Speaker 2: of drinking alcohol, But also they will have this ID
- 10:15Speaker 2: card that a question will pop up like did you
- 10:19Speaker 2: eat five vegetables today or three servings of vegetables? And
- 10:23Speaker 2: if you said yes, you would get paid money. If
- 10:25Speaker 2: you said no, you'd have to pay the banker. So
- 10:28Speaker 2: at the end of this presentation, besides learning mass skills
- 10:32Speaker 2: and learning about the health and learning about alcohol, they
- 10:36Speaker 2: will also it kind of brings in real life in
- 10:40Speaker 2: a way, if you're making healthy choices, better choices for you,
- 10:44Speaker 2: if you're making choices that affect your health hull that
- 10:48Speaker 2: occurs with spending money on that for sure. Yeah, have.
- 10:52Speaker 1: What trends are you seeing as far as youth usage
- 10:57Speaker 1: in Chismeric and Braley County in the area, we use
- 11:01Speaker 1: the Youth Risk Behavioral Survey, which is done every two
- 11:04Speaker 1: years and we that's our data trend line that we
- 11:08Speaker 1: go with and what we've seen over the years.
- 11:11Speaker 2: From twenty nineteen to twenty twenty three is the latest
- 11:15Speaker 2: data that we've had. We have had seen a decrease
- 11:18Speaker 2: a seven percent decrease in alcohol use. We have seen
- 11:23Speaker 2: a little bit of increase with marijuana use about one
- 11:26Speaker 2: point five. With tobacco products as a whole, we have
- 11:31Speaker 2: seen a decrease too of nine percent. Vaping was really
- 11:36Speaker 2: high for a while there. It is now decreasing, but
- 11:39Speaker 2: we have a little bit uptake over on they call
- 11:43Speaker 2: it non combustible products, So you're talking about the nicotine
- 11:47Speaker 2: poaches and the cigars, okay, which is combustible both too.
- 11:51Speaker 1: Share Why is it important for parents to be involved
- 11:56Speaker 1: and having conversations about alcohol and jugs when if kids
- 12:01Speaker 1: are teens, So it's.
- 12:03Speaker 2: Really important to start when they're early to start laying
- 12:08Speaker 2: that groundwork and having that discussion and using those teachable
- 12:12Speaker 2: moments about what is healthy use and what is unhealthy use,
- 12:17Speaker 2: what is what the products? You know what this is,
- 12:20Speaker 2: so they're aware of it. Sometimes we're having with even
- 12:25Speaker 2: in the elementary level, is that maybe their friend saw
- 12:31Speaker 2: their parents use it or older brother use it and
- 12:33Speaker 2: they bring it to school like a vape, which is unfortunate,
- 12:37Speaker 2: or even with alcohol or pills. So it's like being
- 12:40Speaker 2: aware of what you're taking from you know what is
- 12:42Speaker 2: being offered, and also how to say no or not
- 12:46Speaker 2: to take things from your friends. You don't know what
- 12:48Speaker 2: it is. So it's educating and talking with them early
- 12:52Speaker 2: on and taking that teachable moment, and you also want
- 12:56Speaker 2: to continue that in middle school. This is not just
- 12:59Speaker 2: a one time conversation to have. This is an ongoing
- 13:02Speaker 2: conversation in high school or students. Are you are our
- 13:07Speaker 2: kids when they get to high school. I know they're
- 13:09Speaker 2: so busy and they're getting jobs and they're in sports
- 13:12Speaker 2: or clubs. It's finding that time to you know, have
- 13:16Speaker 2: that meal if you can, but to have those conversations
- 13:19Speaker 2: if it's in the car at meal time, or to
- 13:22Speaker 2: just talk about what's going on and let them know
- 13:26Speaker 2: that you're aware of You know, we've seen so much
- 13:29Speaker 2: how this has evolved with the tobacco products, like you know, hey,
- 13:32Speaker 2: have you heard about these fapes? What do you know
- 13:34Speaker 2: about them? And sometimes you might not have all the
- 13:37Speaker 2: answers too, so it's learning together. Sure.
- 13:40Speaker 1: Yeah, I have two little kids, and I think that
- 13:45Speaker 1: what's easiest for me is having I think there are
- 13:47Speaker 1: so many moments like you walk out of a store
- 13:50Speaker 1: and there's somebody smoking or something, and I do always
- 13:54Speaker 1: want them to wait until we're not standing right in
- 13:57Speaker 1: front of that person.
- 13:58Speaker 2: To ask those questions.
- 14:00Speaker 1: But like, by nature of my job too, I think
- 14:05Speaker 1: they have a lot of questions all the time.
- 14:06Speaker 2: So having those conversations.
- 14:08Speaker 1: About like like why do you people use alcohol as
- 14:12Speaker 1: something my daughter will ask in minutes. You know, people
- 14:15Speaker 1: think it makes them feel better for a little bit,
- 14:18Speaker 1: but then it can It can be really addictive and
- 14:21Speaker 1: it can cause a lot of problems and if you
- 14:25Speaker 1: use too much, and as for you as a child,
- 14:28Speaker 1: it can be really bad for your brain. And kind
- 14:30Speaker 1: of having those conversations throughout life maybe makes it a
- 14:34Speaker 1: little less daunting than thinking like you have to sit
- 14:37Speaker 1: down with your middle schooler and have this like big conversation.
- 14:42Speaker 1: I think scares parents sometimes too, So yeah, so what
- 14:49Speaker 1: tools or resources. H does your organization have for parents
- 14:55Speaker 1: or caregivers who want to prevent substance use in their children.
- 14:59Speaker 2: Sure, I'm with Bismarck Burley Public Health and so we're
- 15:02Speaker 2: with the City of Bismarck, and if you go to
- 15:05Speaker 2: the City of Bismarck website, go down to Bismarck Burly
- 15:08Speaker 2: Public Health to the Substance Abuse Prevention tab. We have
- 15:12Speaker 2: a hidden in plane site, virtual bedroom and car and
- 15:16Speaker 2: there are videos that you click on it and it
- 15:19Speaker 2: will it will pop up what is this? What to
- 15:22Speaker 2: look for? We have school resource officers that are there
- 15:28Speaker 2: PYB so Plice see Bureau, myself and another tobacco prevention
- 15:33Speaker 2: specialist and we share about what the different items are
- 15:36Speaker 2: and then we also talk about what resources are there. Parents.
- 15:40Speaker 2: Lead is one of those big ones that you've your
- 15:43Speaker 2: previous episode had shared about. So that's an awesome website
- 15:47Speaker 2: to go to. Along with our website, there are handouts
- 15:51Speaker 2: and infographics. If you're looking for something, our phone numbers
- 15:55Speaker 2: on there, give us a call and we can help
- 15:57Speaker 2: you out. We do a variety of different presentations in
- 16:00Speaker 2: the community, so give us a call to if you
- 16:04Speaker 2: want a presentation to your youth group, or we've gone
- 16:08Speaker 2: into boy Scouts, we've gone into four age clubs to present,
- 16:14Speaker 2: or if you yourself are having to do a presentation,
- 16:17Speaker 2: let us know and we can connect you with those
- 16:20Speaker 2: websites that are really good to go to. The Center
- 16:23Speaker 2: for Disease Control is a great website to SANSA. One
- 16:28Speaker 2: that maybe people have not really heard a lot about
- 16:31Speaker 2: is Johnny Ambassadors. It is about marijuana and the person
- 16:36Speaker 2: who started this lost her son to marijuana youth and
- 16:40Speaker 2: so she's got great resources there about what to be
- 16:43Speaker 2: aware of. But how do you talk to yours How
- 16:46Speaker 2: do you talk to your son or daughter about that?
- 16:48Speaker 2: So those are a couple that I can offer. As
- 16:52Speaker 2: I said, with public health, we're all about prevent, promote
- 16:55Speaker 2: and protect. Awesome.
- 16:58Speaker 1: So what are some common myths parents or caregivers believe
- 17:02Speaker 1: about teen substance use?
- 17:05Speaker 2: Sure? And before we go there, yeah, well, Nick for
- 17:09Speaker 2: quitting tobacco and nicotine products. We do have a couple
- 17:13Speaker 2: great things that are out there, like endy Quits. I'm
- 17:16Speaker 2: sure you're well aware of that. One that is a
- 17:19Speaker 2: free program that's here in our state that people can
- 17:22Speaker 2: call to. They can call the number one a hander quits,
- 17:26Speaker 2: or they can go on the website and they can
- 17:28Speaker 2: talk to a counselor by phone or through a chat
- 17:33Speaker 2: with that one. If you qualify, you do receive two
- 17:37Speaker 2: months free of nicotine replacement therapy. So that's your patch,
- 17:41Speaker 2: your gum, and your logines. I've also teamed up with
- 17:45Speaker 2: our local pharmacy here and the pharmacists can now prescribe
- 17:50Speaker 2: nicotine replacement therapy if you didn't want to have that
- 17:52Speaker 2: prescribed by your doctor, which is kind of cool too
- 17:55Speaker 2: because they look at all your meds and tell which
- 17:57Speaker 2: one's going to fit you the best. Bismarck really Public Health,
- 18:01Speaker 2: they can come in and see myself. I'm a trained
- 18:05Speaker 2: certified through MAO Clinic as a tobacco treatment specialist, so
- 18:08Speaker 2: we do individual counseling with our youth too. On Bismarck
- 18:14Speaker 2: Public Schools, Cake Gardner is a tobacco treatment specialist there
- 18:17Speaker 2: and she will see kids to assist them with what
- 18:20Speaker 2: resources and they'll develop a plan for them. And we
- 18:24Speaker 2: have the My Life, My Quit. It's another program geared
- 18:27Speaker 2: towards thirteen to seventeen year olds and it's an app
- 18:31Speaker 2: but also text messaging, which is pretty cool. Very cool.
- 18:34Speaker 1: Yeah, I'm sure a lot of Teitans feel more comfortable
- 18:38Speaker 1: with like the text message option and things, so that's
- 18:41Speaker 1: really cool. Yeah, okay, now now my next question, what
- 18:47Speaker 1: are some common myths parents believe about teen substance youth?
- 18:52Speaker 2: So if you talk about it, they're going to do it, sure,
- 18:56Speaker 2: which is is very much a myth that you need
- 19:00Speaker 2: to just kind of let that go and focus on
- 19:04Speaker 2: having that comment conversation, right. It's it gives them the
- 19:09Speaker 2: knowledge of where you stand on that subject and the
- 19:12Speaker 2: information you can provide, so they're not just you know,
- 19:15Speaker 2: thinking it's all what they see on TV or seeing
- 19:19Speaker 2: the movies or the influencers, you know, to have those
- 19:23Speaker 2: honest conversations, not just having one conversation just once. Yeah,
- 19:30Speaker 2: and that it's it's also setting. It's also the thing
- 19:35Speaker 2: that I would know if my kid was using just
- 19:40Speaker 2: just step back and if the child's behavior, if it's changing,
- 19:46Speaker 2: it's not like it's you don't communicate, they're kind of
- 19:48Speaker 2: shutting down, they're not talking with you, start having trying
- 19:52Speaker 2: to get those conversations started. It's not easy to spot
- 19:56Speaker 2: vaping for some people. It's it's been real sealed. We
- 20:02Speaker 2: call it that's why we have that event called hidden
- 20:04Speaker 2: in place silent site, because it seems kind of stealth
- 20:07Speaker 2: is what's happening. So being aware if there's different form,
- 20:13Speaker 2: different chargers in their rooms or in their car, if
- 20:16Speaker 2: you're smelling a lot of fruity smell, you know, you know,
- 20:19Speaker 2: ask a lot of questions and be involved the misconception.
- 20:25Speaker 2: Like you said, when vapes came out, it was it
- 20:28Speaker 2: was sold as well, this is safer. It's just a
- 20:30Speaker 2: water vapor. It's actually an aerosol, but it was the
- 20:34Speaker 2: tobacco industry trying to sell you something safe. They haven't
- 20:38Speaker 2: been approved as a way of quitting nicotine. So that's
- 20:43Speaker 2: the other thing, is like, oh, this is going to
- 20:45Speaker 2: be a safer way or a healthy, healthier way of
- 20:48Speaker 2: using nicotine. It isn't. Nicotine is still addicting. The nicotine
- 20:53Speaker 2: pouches they say, well, there's not a you're not there's
- 20:57Speaker 2: no smoke. Well, placing it in your mouth and there's
- 21:01Speaker 2: oral health issues to be aware of. So the receding
- 21:05Speaker 2: gum lines or gum decay or teeth decay are the
- 21:10Speaker 2: side effects with that. So it's kind of the myth
- 21:14Speaker 2: of here's this new product it's going to be better,
- 21:17Speaker 2: and it's like, oh, step back, it's still nicotine. It's
- 21:20Speaker 2: still addicting, and there's still consequences that are happening. I know,
- 21:25Speaker 2: when those vapes showed up in the market, it was like,
- 21:28Speaker 2: what is this? Is this going to be helpful because
- 21:30Speaker 2: we all want to make things easy for people for
- 21:32Speaker 2: quitting this addiction to nicotine. And then we learned over
- 21:37Speaker 2: the years. I mean, and this is going to kind
- 21:40Speaker 2: of date me. Is I started in the early two
- 21:44Speaker 2: thousands on helping people quit nicotine, and we would say
- 21:51Speaker 2: there's three thousand chemicals and a cigarette. Now we know
- 21:54Speaker 2: there's seven thousand chemicals. Vape products came out in two
- 21:58Speaker 2: thousand and nine and learning every day the new chemicals
- 22:02Speaker 2: that are showing up, and they are definitely mirroring what's
- 22:05Speaker 2: in a cigarette. So they're not safer, Sure, it's just
- 22:09Speaker 2: a different way of using it.
- 22:11Speaker 1: Sure, Yeah, And who knows what those long term consequences
- 22:15Speaker 1: even maybe yet if they haven't been out that long.
- 22:19Speaker 2: Yes.
- 22:19Speaker 1: Yeah, I liked what you said about having those like
- 22:24Speaker 1: honest conversations because I think something that I learned that
- 22:29Speaker 1: had stuck with me is I think, like, if you
- 22:32Speaker 1: think back to like nineties prevention, it was maybe just
- 22:35Speaker 1: like oh, drugs are bad, like drugs are dirty whatever.
- 22:39Speaker 2: Well, and then a.
- 22:40Speaker 1: Kid tries a vape for the first time maybe and
- 22:42Speaker 1: they're like, oh, that felt good.
- 22:45Speaker 2: So being honest, like, you know.
- 22:47Speaker 1: For a short period of time, you might feel better,
- 22:50Speaker 1: but then you're gonna have withdrawals and you're gonna you don't, like,
- 22:54Speaker 1: feel bad. I think having that kind of conversation and
- 22:57Speaker 1: not being afraid to admit like that short term benefit
- 23:01Speaker 1: because in a kid's mind, I think sometimes that's all
- 23:05Speaker 1: they're going to see is that that was very short
- 23:08Speaker 1: term benefit and then do it again.
- 23:10Speaker 2: So yeah, and it's been glorified, right for sure. It's
- 23:15Speaker 2: and you were right on when you said about the
- 23:18Speaker 2: brain not being fully developed, right, But it's also we
- 23:22Speaker 2: were just out of high school talking about narcan and
- 23:25Speaker 2: what narcans use for for opioids and and how that
- 23:28Speaker 2: opioid connects with that neurotransmitter. It's the same thing when
- 23:32Speaker 2: that nicotine connects with that neuro transmitter. It gives that
- 23:35Speaker 2: good feeling that dope for me. And I said, you guys,
- 23:38Speaker 2: remember you know when you brey laugh, Sure you get
- 23:41Speaker 2: that happy feeling. Well, that's that quick thing, but then
- 23:44Speaker 2: all of a sudden, your body's going to call for
- 23:46Speaker 2: it again, and it's no fun. When I've talked to
- 23:51Speaker 2: individuals trying to quit, you know, this day, I want
- 23:54Speaker 2: to quit because I don't want my grandkids seeing this
- 23:57Speaker 2: and becoming addicted, you know, and or I don't want
- 24:00Speaker 2: my kids to know. My kids don't even know I
- 24:02Speaker 2: do this, right, But then even when it's our youth,
- 24:05Speaker 2: it's like, well, we kind of keep it hidden. We don't,
- 24:08Speaker 2: you know, we don't want people knowing we're doing this.
- 24:09Speaker 2: It's I sold my PlayStation to buy bape vapes. Sure,
- 24:14Speaker 2: so that's you know, yeah, the cost.
- 24:17Speaker 1: Yeah, I don't think I know an adult that's really
- 24:19Speaker 1: happy that they started smoking when they were a teenager.
- 24:24Speaker 1: Like everybody, that's something they want to quit. So what
- 24:31Speaker 1: does an effective conversation about substance use look like at
- 24:36Speaker 1: different ages?
- 24:36Speaker 2: We talked about it a little bit, but so elementary school,
- 24:41Speaker 2: it's more talking in terms of what the products are
- 24:45Speaker 2: and taking those. Like you said, when you're walking out
- 24:48Speaker 2: of a store and and you're with your child and
- 24:52Speaker 2: somebody is smoking your vaping, it's waiting to get a
- 24:55Speaker 2: little waiting when mom and then to say, hey, you know, well,
- 25:00Speaker 2: you know, you notice what's going on. They're they're they're
- 25:03Speaker 2: out there. This is what's going on when they when
- 25:05Speaker 2: you use nicotine, it causes you to have to use
- 25:08Speaker 2: it again. In the middle school, it's just making sure
- 25:13Speaker 2: you're don't You don't want to do a PowerPoint presentation,
- 25:17Speaker 2: you don't want to lecture them. You want to have
- 25:19Speaker 2: it interactive. So when I talked about even with our alcohol,
- 25:24Speaker 2: the game that we kind of make it play so
- 25:27Speaker 2: it's kind of more interactive, like let's have this discussion.
- 25:30Speaker 2: Maybe you're watching something on Netflix and it shows up
- 25:34Speaker 2: in the Netflix movie or show. Talk about that with
- 25:38Speaker 2: the high schoolers too. It's that ongoing discussion about those
- 25:43Speaker 2: products and you know, giving them to our middle schools
- 25:48Speaker 2: and high schoolers and probably even down in an elementary
- 25:51Speaker 2: is if there's something happening when you're with your group
- 25:53Speaker 2: of friends that you definitely they're asking you to use
- 25:57Speaker 2: something like a vape or alcohol or something, and your
- 26:01Speaker 2: child is trying to say no or get out of
- 26:02Speaker 2: that situation. Is having that code word, you know, they
- 26:06Speaker 2: send a text saying or they say, you know, what
- 26:08Speaker 2: I think I forgot we have a family dinner tonight
- 26:11Speaker 2: and they text you and say, you know, remember that
- 26:15Speaker 2: family dinner, or you know I've I forgot to take
- 26:19Speaker 2: the you know this out that you know that's there,
- 26:22Speaker 2: that's your word of Okay, I need to go pick
- 26:24Speaker 2: them up. You know I need to say nope, they
- 26:26Speaker 2: need to come home right now. Sure, so you give
- 26:30Speaker 2: them an out too, Sure, yeah, you want to give
- 26:32Speaker 2: them that you know, I I'll take all the blame
- 26:34Speaker 2: if my child said, you know my mom, you know
- 26:38Speaker 2: my mom would kill me, or you know what, my
- 26:40Speaker 2: mom needs to see me right or you know, we
- 26:42Speaker 2: have this meeting. But you want to give them that
- 26:44Speaker 2: easy out, that protection.
- 26:46Speaker 1: Sure yeah, sure yeah. I think Another thing that I've
- 26:51Speaker 1: heard a lot too is like connecting them, helping them
- 26:56Speaker 1: understand the consequences in their like short term the term consequences. Right,
- 27:01Speaker 1: So if they're like a if they're into sports or something,
- 27:03Speaker 1: you know, like vaping it might make you run slower
- 27:08Speaker 1: or like have these like a media sects is a
- 27:10Speaker 1: little easier for kids to understand than like, oh, it's
- 27:13Speaker 1: going to give you cancer in thirty years. You know,
- 27:15Speaker 1: when they're children and don't understand.
- 27:18Speaker 2: So yeah, yeah, we talk more about that cold that
- 27:20Speaker 2: you might get. Sure, getting colds easier, but also that's
- 27:24Speaker 2: sports if you like to run and shoot your baskets.
- 27:29Speaker 2: And definitely students have seen it interfere right for sure,
- 27:35Speaker 2: you know, and how it's affecting their breathing or how
- 27:37Speaker 2: it's affecting their concentration.
- 27:40Speaker 1: Yeah yeah, yeah, okay. And then how can community members
- 27:46Speaker 1: get involved in prevention in our area?
- 27:49Speaker 2: Sure, so we have the Bismarck Tobacco Free Coalition that
- 27:53Speaker 2: works on different that's more of your policy focus. So
- 28:00Speaker 2: during legislative session, it's educating your senators and representatives on
- 28:04Speaker 2: how that bill would impact. Sometimes it's at the local level.
- 28:08Speaker 2: There might be some ordinance work in the past. I
- 28:11Speaker 2: think people might be more familiar with our smoke free
- 28:14Speaker 2: ordinance that facious. That was an awesome thing that happened,
- 28:18Speaker 2: but that happened because of people in our community wanting
- 28:22Speaker 2: this and educating on it. We have another coalition called
- 28:26Speaker 2: the Burly Moulten Death Burly I Mortant Behavioral Health Coalition,
- 28:31Speaker 2: and that is focused on prevention of it's on the
- 28:35Speaker 2: continuing care. So we have our prevention aspect with our
- 28:38Speaker 2: state Opioid Response grant and then prevention of underage drinking
- 28:42Speaker 2: and marijuanas. Then we also have treatment people that come
- 28:46Speaker 2: in and talk about what they're doing for treatment, and
- 28:48Speaker 2: then we have our recovery section that come in and
- 28:52Speaker 2: talk about what is being done. It's an awesome group.
- 28:56Speaker 2: There's over one hundred members. We're also some of the
- 29:00Speaker 2: initiatives that they're working on is how do address our
- 29:02Speaker 2: homeless population because substance abuse is very much tied to that.
- 29:08Speaker 2: That group meets during the day, so it's a little
- 29:10Speaker 2: difficult too, and it's a virtual meeting. There's over one
- 29:13Speaker 2: hundred members.
- 29:16Speaker 1: And while we're on the topic of narkan, and since
- 29:18Speaker 1: I have you here, where can community members like and
- 29:24Speaker 1: nar can if anyone isn't familiar I mean even if
- 29:28Speaker 1: you don't think your child is using I mean NARCAN
- 29:32Speaker 1: communes in all sorts of situations, right, like elderly individuals
- 29:35Speaker 1: who might take too many pills or something like that.
- 29:38Speaker 1: So where could if somebody was interested in having narkan,
- 29:43Speaker 1: what would be the easiest way for them to get that?
- 29:46Speaker 2: Great question? So narkan helps with reversal of taking too
- 29:51Speaker 2: many opioids, and it could be somebody that's prescribed it,
- 29:54Speaker 2: just like you said. I've had people share situations where
- 29:57Speaker 2: their grandmother had a fetanel patch put it on and
- 30:01Speaker 2: accidentally put another one on, and they've came in and
- 30:04Speaker 2: the grandmother was passed out on the floor. Or you know,
- 30:08Speaker 2: your kid gets wisdom teeth pulled out, they get an
- 30:11Speaker 2: opioid or a surgery and might have taken one too
- 30:14Speaker 2: many because they couldn't remember the last time they took it,
- 30:16Speaker 2: or somebody took their pain meds and drank alcohol, or
- 30:20Speaker 2: it could be somebody who does use it illegally. We
- 30:24Speaker 2: are lucky because this is the only tool we have
- 30:27Speaker 2: in our tool tool box to reverse an overdose, and
- 30:32Speaker 2: it is just for opioids. I wish we had it
- 30:34Speaker 2: for other things, but this is a tool we got
- 30:36Speaker 2: right now. And narcn has been approved by FDA to
- 30:41Speaker 2: be bought over the counter, so you can go to Target, Walmart,
- 30:45Speaker 2: any of your pharmacies pick it up for forty five dollars.
- 30:48Speaker 2: Bismarck Burly Public Health receives funding from the state, which
- 30:52Speaker 2: is from the state Opioid Settlement dollars. We provide it
- 30:55Speaker 2: free of charge, so they can come to our public
- 30:57Speaker 2: health unit, which is lowkey it right across from Bobcat
- 31:01Speaker 2: four oh seven South twenty sixth Street and pick it
- 31:04Speaker 2: up right there. Or there is on the state website
- 31:10Speaker 2: for the North Dakota Department of Health and Human Services
- 31:13Speaker 2: you can order narcan online. It will be shipped directly
- 31:17Speaker 2: to your house. So it's it's we've we tried to
- 31:21Speaker 2: eliminate all the barriers we could have. We will provide
- 31:24Speaker 2: it at different events We're at handing it out at booths,
- 31:28Speaker 2: or I've had different businesses asked me to come in
- 31:32Speaker 2: and do a presentation. We talk about NARCAN, how to
- 31:35Speaker 2: administer it, and provide it free of charge. I do
- 31:38Speaker 2: have a community NARCAN training coming up. We do that
- 31:42Speaker 2: quarterly throughout the years. So you just call our office
- 31:45Speaker 2: at three five, five, one nine seven and say I'm
- 31:50Speaker 2: interested in getting trained on NARCAN or a need DARCAM
- 31:54Speaker 2: and it's there so awesome.
- 31:56Speaker 1: Yes, that is for sure a great tool to have
- 32:00Speaker 1: and definitely saves lives in our community. Just don't leave
- 32:03Speaker 1: it in your car in the extreme.
- 32:06Speaker 2: Weather of North Dakota. You are so right on that
- 32:09Speaker 2: it will freeze, so you can take it out and
- 32:13Speaker 2: thought out. It takes about ten to fifteen minutes to
- 32:16Speaker 2: thaw that out. You can do it about ten times.
- 32:19Speaker 2: And hot weather, we don't want it above one hundred
- 32:22Speaker 2: and four degrees in a car. That's why we've been
- 32:24Speaker 2: working hard to place it with the eighties. But it's
- 32:28Speaker 2: definitely something to have on hand though, too. I a
- 32:33Speaker 2: couple of years ago got trained on narcnon friend of
- 32:35Speaker 2: mine up and mine. I did too, and you know,
- 32:38Speaker 2: you think, oh, I got trained on this, why would
- 32:40Speaker 2: I ever need this? And unfortunately she was over visiting
- 32:45Speaker 2: her daughter and her granddaughter comes out and says, something's
- 32:48Speaker 2: wrong with Ethan. Ethan was passed out on his floor.
- 32:52Speaker 2: He was a color gray, matching his walls, and they
- 32:57Speaker 2: called nine one one. She administered in NARCAN started CPR,
- 33:01Speaker 2: ambulance arrived, The police were there and they said he
- 33:05Speaker 2: was this close. You're lucky you had nar camp. Yeah.
- 33:09Speaker 2: So you know, you just think, me, it's not going
- 33:11Speaker 2: to be my family or I wouldn't know anybody, but
- 33:14Speaker 2: you just never know. Yeah, for sure. We handed it
- 33:17Speaker 2: out at the North Coast of Safety CONSOL conference and
- 33:22Speaker 2: a guy a year later stopped by the booth and
- 33:24Speaker 2: he says, yeah, I could pick this up and you're
- 33:26Speaker 2: not even gonna know what happened. I was driving home
- 33:28Speaker 2: on the strip from Bismarck to Amandaan and here was
- 33:30Speaker 2: this individual passed out, pulled over, gave him the nar camp.
- 33:35Speaker 2: So it could be a stranger, it could be a
- 33:38Speaker 2: family member, right, yeah, right for sure. Awesome.
- 33:41Speaker 1: Well, thank you so much Sue for coming in today
- 33:44Speaker 1: and chatting with me, and thanks to everyone listening, and
- 33:48Speaker 1: we will have a new episode for you soon.
- 34:00Speaker 2: To to st