Understanding Mental Health and Trauma in Juveniles Quiz

Difficulty focusing and forgetfulness

Lots of energy and fidgeting

Increased heart rate and decreased appetite

70%

Depression, anxiety, difficulty concentrating

Substance use/misuse in the home, domestic violence in the home

Anxiety, Depression, ADD/ADHD

Highly likely

Substance use/misuse in the home, domestic violence in the home

Difficulty concentrating

Racing heart beat, fear, irritation

Lethargy, sadness, anger

Brain development, attention, decision-making

80%

Physical, emotional, sexual abuse, physical or emotional neglect

Nervousness, excessive worrying, lack of concentration

Loss of interest in things previously enjoyed, difficulty sleeping, changes in appetite

Difficulty focusing, forgetfulness, loss of items

Hyperactivity, interrupting conversations, excessive physical movement

Caffeine, nicotine, meth, amphet

Alcohol, opiates (pain meds: Oxycodone, Vicodin, Percoset, Lortab), benzos (Valium, Klonopin, Xanax)

LSD, mushrooms (psilocybin), PCP, mescaline

Over time, look for differences in behavior or personality

Preoccupation with use, legal issues related to substance use, neglecting responsibilities

DAST (Drug Abuse Screening Tool)

For treatment referral and information

After managing mental health or substance use disorder

Stimulants speed up or stimulate the Central Nervous System, causing increased alertness and confidence. They can also cause increased heart rate, blood pressure, body temperature, and rate of breathing. In larger doses, they can cause agitation, sleeplessness, paranoia, panic, seizures, and anxiety.

Depressants slow or depress the Central Nervous System, resulting in relaxation or decreased inhibition in small quantities. They can also decrease heart rate and respiration, slow the ability to respond, and affect concentration and coordination. Larger quantities can lead to vomiting, unconsciousness, and even death.

Some defining characteristics of SUDs include preoccupation with substance use, legal issues related to substance use, neglecting responsibilities due to use, inability to cut back on use, increased tolerance, continued use despite negative consequences, withdrawal symptoms, cravings, and giving up important activities due to use. The severity is categorized as mild (2-3 criteria), moderate (4-5 criteria), or severe (6 or more criteria).

The DAST is a screening tool for drug abuse, and the scores indicate the severity of the abuse. A score of 3-5 indicates moderate abuse, while a score of 9-10 indicates severe abuse.

The text explains that mental health, trauma, and SUDs can all manifest similarly, making it essential to manage mental health or SUDs first before addressing trauma. Additionally, experiencing mental health issues, trauma, or SUDs puts individuals at greater risk for all three, and trauma cannot be effectively addressed in counseling until the individual is stable, as it may trigger new substance use.

Nervousness, excessive worrying, lack of concentration

Loss of interest in previously enjoyed activities, difficulty sleeping, changes in appetite

Difficulty focusing, forgetfulness, impulsiveness

Hyperactivity, lots of energy, fidgeting

Increased heart rate, increased blood pressure, decreased appetite

Decrease heart rate and respiration, affect concentration and coordination

LSD, mushrooms, PCP

Caffeine, nicotine, meth

Alcohol, opiates, benzos

Marijuana

Look for differences in behavior or personality

Preoccupation with use and obtaining substance, neglecting or disrupting school/work/childcare responsibilities due to use

True

True

True

True

False

Excessive worrying, lack of concentration, racing thoughts = Anxiety Loss of interest in previous hobbies, changes in sleep and appetite = Depression Difficulty focusing, forgetfulness, impulsiveness = ADD Hyperactivity, interrupting conversations, excessive physical movement = ADHD

Stimulants = Increase heart rate, decrease in appetite, agitation, sleeplessness Depressants = Decrease heart rate and respiration, affect concentration and coordination, vomiting, unconsciousness Hallucinogens = Distort sense of reality, create hallucinations, perceptional abnormalities Marijuana = Can have effects of all three categories, depending on type

Stimulants = Caffeine, nicotine, meth, amphet, cocaine, crack, MDMA (extacy) Depressants = Alcohol, opiates (Oxycodone, Vicodin, Percoset, Lortab), benzos (Valium, Klonopin, Xanax) Hallucinogens = LSD, mushrooms (psilocybin), PCP, mescaline, peyote Marijuana = Can be in all 3 categories, depending on type

DAST (Drug Abuse Screening Tool) = Meant for referral for specialized care related to substance use disorder CAGE and CAGE AID = Brief tools meant for referral for specialized care SAMHSA helpline (800-662-4357) = Available 24/7 for treatment referral and information, in English and Spanish DSM 5 (Diagnostic Statistical Manual of Mental Disorders) = Used by professionals to diagnose mental health and substance use disorders

2-3 mild, 4-5 moderate, 6 or more severe = Severity levels of SUD 3-5 moderate, 9-10 severe = DAST 10 score indicating severity 4 questions, 2+ problem = CAGE and CAGE AID indicating possible SUD Preoccupation with use, legal issues, neglecting responsibilities, tolerance, withdrawal symptoms, cravings = Defining characteristics of SUD as per DSM 5

Some examples of stimulants mentioned in the text are caffeine, nicotine, meth, amphetamines, cocaine, crack, and MDMA (ecstasy).

Examples of depressants mentioned in the text are alcohol, opiates (such as Oxycodone, Vicodin, Percocet, Lortab), and benzodiazepines (Valium, Klonopin, Xanax).

Hallucinogens mentioned in the text include LSD (lysergic acid diethylamide), mushrooms (psilocybin), PCP, mescaline, and peyote.

Some signs of anxiety mentioned in the text are nervousness, excessive worrying, lack of concentration, racing or unwanted thoughts, fear, restlessness, inability to calm down, irritability, and sleeping issues.

To provide a voluntary alternative to court involving all affected parties

Encouragement to personal transformation and integration back into the community

Psychologist and practitioner advocating for Restorative Justice in D.C. High School

To repair harm and prevent future occurrences collaboratively

Linking to community resources and addressing root causes