Age-related

Students with the Illinois Prevention Network at the Capitol on Wednesday, Feb. 25, 2026, pushing for bills aimed at drug regulation and reduction. (Courtesy of Kate Bell / Illinois Prevention Network)

by Georgia Epiphaniou, Jacques Abou-Rizk and Medill Illinois News Bureau, Capitol News Illinois


SPRINGFIELD — Youth advocates against substance abuse swarmed the Capitol this week, navigating their way into lawmakers’ offices, sharing their experiences in school and addressing what they viewed as gaps in Illinois’ drug and alcohol regulations.

Brought together by the Illinois Prevention Network – a coalition of organizations working to create safe, healthy and drug-free communities in Illinois – high schoolers canvassed the Capitol on Wednesday in support of bills aimed at reducing and regulating substance use throughout Illinois.

“Many kids, myself included, often feel as though we don’t have much power to do things and change things in the world,” Amber Diepenbrock, 14, of Wredling Middle School in St. Charles, said. “I’m here because I want to be able to represent kids my age more and talk about the problems I’m seeing in my own school.”

Kratom Regulation

Kratom is a plant that’s used as a stimulant and opioid substitute. Currently, it is only regulated by the 2014 Kratom Control Act, which makes it illegal for anyone under the age of 18 to purchase the substance. Five bills currently in House committees seek to amend or replace the act.

Kratom acts as a stimulant, but can also act as a cardiac or a respiratory depressant, similar to opioid. The drug is not Food and Drug Administration approved, with the organization warning consumers against its use because of the risk of serious adverse effects, including seizures, drug-induced liver injuries and substance-use disorder. In 2018, the Centers for Disease Control and Prevention found salmonella contamination in kratom products. The FDA said it is often used “to self-treat conditions such as pain, coughing, diarrhea, anxiety and depression, opioid use disorder, and opioid withdrawal.”

House Bill 1303 and House Bill 3127 seek to raise the age restriction to 21 and prohibit child-attractive products while imposing a 5% retail tax. House Bill 3215 would create a registration and labeling system for kratom products.

House Bill 3129 would add kratom’s active compounds as Schedule III controlled substances and repeal the existing Kratom Control Act. It would essentially ban the substance in Illinois with the exception of some medical uses. Another bill, House Bill 4930, would take the hardest line, prohibiting the distribution, manufacture and sale of kratom entirely unless they have been approved by the FDA. All five were referred to the House Rules Committee in March, 2025, meaning they all have a long way to go legislatively.

Senate Bill 1570, which is also awaiting a committee assignment, would effectively ban kratom for all individuals, regardless of age.

Rep. Bill Hauter, R-Morton, citing six kratom-related deaths in Tazewell County in 2023, said there is a need to regulate the drug, but he emphasized a complete ban would be more effective.

“Nobody really knows (how it works), so it has to be regulated,” Hauter, who is a physician, said. “More and more, municipalities are just saying to ban it completely. It’s so easily available, and it’s hard to regulate it, so they’re just banning it totally so nobody can have it unless they go to a municipality where they can buy it.”

Yana Malpani, a 17-year-old senior at Stevenson High School in Lincolnshire, Illinois, who is also president of its Catalyst substance prevention program, said that she has observed excessive use of both unregulated cannabis derivatives and kratom among teenagers.

“This is because it’s so accessible at gas stations, feed shops and convenience stores, anyone can technically go and purchase it without realizing,” Malpani said.

A lot of kratom products, such as candy and vapes, are marketed with bright colors, enticing teenagers to purchase them.

“Kratom and delta-8 are being marketed as products that look identical to candies,” Malpani said. “We aren’t able to tell if it is candy or not unless you really look at the fine print.”

Lowering the Legal Blood-Alcohol Content Limit

The group also pushed for House Bill 4333, which aims to lower the legal blood-alcohol content limit from 0.08 to 0.05 for DUIs. The bill is awaiting a hearing in the House Judiciary Committee.

Fifteen percent of alcohol-related deaths happen to drivers with a BAC less than 0.08, and crash risks are seven times higher for those testing at 0.05 than sober driving, according to a Boston Medical Center study.

“Right now, if your blood alcohol content is at 0.08, you’ll get a DUI,” Malpani said. “The problem is at 0.06, you become legally and physically impaired to drive. But right now, I can be at 0.06 and get behind the wheel.”

Utah experienced a 19.8% drop in fatal crashes in one year after lowering the BAC to 0.05 in 2018, according to the National Highway Traffic Safety Administration.

Youth Advocacy for Drug and Alcohol Abuse Prevention

Diepenbrock emphasized that although she and other students are unable to vote, their voice plays an important role in the push to regulate drug and alcohol use among youth. She said she’s seen students pass vapes and other substances around in her school and the impact it has on teenagers.

“When you actually try and look deeper into it, you can see the effects and how it impacts not only an adult, but also a child,” Diepenbrock said. “A child may not get their hands on a drug, but their parents may, and that can heavily impact them.”

Hauter said that it is important to include the youth in the drafting of such legislation to raise awareness for the effects of drug usage.

“I think it’s time that Illinois took this seriously,” Hauter said. “I can’t believe it’s taken this long, because, you know, this is one of those things that we need to address.”

How drug and alcohol-use policy affects teenagers is often left out of legislation, Malpani said, failing to address a major contributor to underage DUIs. In 2024, 245 drivers in Illinois under the age of 21 lost their license due to drug and alcohol use while driving, according to a report by the secretary of state’s office.

Illinois State Police report that drivers under age 21 represent 10% of licensed drivers but are involved in 17% of alcohol-related fatal crashes and that crashes are a leading cause of death for teens.

“I think a lot of times policy around substance-use prevention is drafted by adults who don’t have a full understanding of how the policy affects their teens and high schoolers,” Malpani said. “So right now, I think having youth draft the policy themselves is so much more beneficial because we know how it affects us.”

Georgia Epiphaniou and Jacques Abou-Rizk are graduate students in journalism with Northwestern University’s Medill School of Journalism, Media, Integrated Marketing Communications, and fellows in its Medill Illinois News Bureau working in partnership with Capitol News Illinois.

Capitol News Illinois is a nonprofit, nonpartisan news service that distributes state government coverage to hundreds of news outlets statewide. It is funded primarily by the Illinois Press Foundation and the Robert R. McCormick Foundation.

Source: https://news.wttw.com/2026/02/27/high-schoolers-flood-state-capitol-advocate-drug-abuse-prevention-bills

Press Release by media@phi.org – Oakland, CA –

Adolescents who use cannabis could face a significantly higher risk of developing serious psychiatric disorders by young adulthood, according to a large new study published today in JAMA Health Forum. The longitudinal study followed 463,396 adolescents ages 13 to 17 through age 26 and found that past-year cannabis use during adolescence was associated with a significantly higher risk of incident psychotic (doubled), bipolar (doubled), depressive and anxiety disorders. The study was conducted by researchers from Kaiser Permanente, the Public Health Institute’s Getting it Right from the Start, the University of California, San Francisco and the University of Southern California, and was funded by a grant from NIH’s National Institute on Drug Abuse (R01DA0531920).

The study analyzed electronic health record data from routine pediatric visits between 2016 and 2023. Cannabis use preceded psychiatric diagnoses by an average of 1.7 to 2.3 years. The study’s longitudinal design strengthens evidence that adolescent cannabis exposure is a potential risk factor for developing mental illness.

“As cannabis becomes more potent and aggressively marketed, this study indicates that adolescent cannabis use is associated with double the risk of incident psychotic and bipolar disorders, two of the most serious mental health conditions,” said Lynn Silver, M.D., program director of the Getting it Right from the Start, a program of the Public Health Institute, and a study co-author.

Cannabis is the most used illicit drug among U.S. adolescents. The Monitoring the Future study shows use rising with grade level — from about 8% in 8th grade to 26% in 12th grade — and according to the 2024 National Survey on Drug Use and Health, more than 10% of all U.S. teens aged 12 to 17 report past-year use. At the same time, average THC levels in California cannabis flower now exceed 20%, far higher than in previous decades, and concentrates can exceed 95% THC.

Unlike many prior studies, the research examined any self-reported past-year cannabis use, with universal screening of teens during standard pediatric care, rather than focusing only on heavy use or cannabis use disorder.

“Even after accounting for prior mental health conditions and other substance use, adolescents who reported cannabis use had a substantially higher risk of developing psychiatric disorders — particularly psychotic and bipolar disorders,” said Kelly Young-Wolff, Ph.D., lead author of the study and senior research scientist at the Kaiser Permanente Division of Research.

The study also found that cannabis use was more common among adolescents enrolled in Medicaid and those living in more socioeconomically deprived neighborhoods, raising concerns that expanding cannabis commercialization could exacerbate existing mental health disparities.

SOURCE: https://www.phi.org/press/study-adolescent-cannabis-use-linked-to-doubling-risk-of-psychotic-and-bipolar-disorders/

###

by Drew Davison and Catherine LaBrenz – UTA – Jan 28, 2026 •

One in four U.S. adolescents is exposed to violence in their neighborhood, and those teens are more than twice as likely to use cigarettes, alcohol or drugs to cope, according to a new study from The University of Texas at Arlington.

Published in the Journal of Affective Disorders, the study was led by UT Arlington School of Social Work Professor Philip Baiden and drew on national data from the 2023 Youth Risk Behavior Survey. Researchers analyzed responses from 20,005 adolescents ages 12 to 18, offering new insights into early pathways to substance use, a persistent public health concern.

“Our study reminds us that violence is not a rare or isolated experience for many young people—it is a daily reality,” Dr. Baiden said. “Youth exposed to neighborhood violence often carry the psychological weight of chronic stress, fear and trauma. Many turn to alcohol, marijuana, vaping or other substances to self-medicate or numb the emotional impact of these experiences.”

According to the 2024 National Institute on Drug Abuse annual report, 58.3% of individuals ages 12 or older reported using tobacco, vaping nicotine, alcohol or an illicit drug in the prior month. Substance misuse contributes to preventable illness and death nationwide.

Catherine LaBrenz, coauthor of the study and a UTA School of Social Work associate professor, noted that previous research has shown neighborhood violence can alter how the brain processes emotions.

“When teens experience chronic fear or trauma, it can increase vulnerability to substance use,” Dr. LaBrenz said.

The researchers examined five substance categories: cigarette smoking, alcohol use, electronic vaping products, marijuana use, and prescription opioid misuse. Exposure to neighborhood violence was associated with higher odds of using all five substances, even after controlling for demographics, mental health symptoms, physical activity and bullying involvement.

The study also revealed several notable patterns. Cyberbullying is more strongly linked to substance use than traditional school bullying. In addition, students who participate in team sports tend to report higher rates of alcohol use.

“Cyberbullying is distinct in that it follows adolescents everywhere—there is no escape,” Baiden said. “If someone is bullied on a school playground, it’s traumatizing but you could brush it off and might be able to outgrow it. When it is cyberbullying, it spreads widely, persists indefinitely and you don’t know who has access to it, which makes its emotional impact even more traumatic. You can’t just delete it.”

Related: Researchers uncover surprising link to stroke risk

The study also identified a nuanced relationship between team sports and substance use. Participation in team sports such as football, for example, was linked to increased alcohol use.

“Team sports can offer structure, belonging and social support, but they also expose adolescents to peer cultures where alcohol use may be normalized,” Baiden said. “That helps explain why we see increased odds of drinking among youth who participate.”

Baiden and LaBrenz said the findings could help inform policies and prevention strategies aimed at reducing substance use among adolescents. Further research will focus on specific populations and potential interventions.

“It’s not enough to document adverse effects,” Baiden said. “We want to identify interventions that counselors, mental health professionals and social workers can use when working with youth who experience neighborhood violence.”

UTA Social Work professors Angela J. Hall and Joshua Awua were contributing authors to the study.

About The University of Texas at Arlington (UTA)

The University of Texas at Arlington is a growing public research university in the heart of the thriving Dallas-Fort Worth metroplex. With a student body of over 42,700, UTA is the second-largest institution in the University of Texas System, offering more than 180 undergraduate and graduate degree programs. Recognized as a Carnegie R-1 university, UTA stands among the nation’s top 5% of institutions for research activity. UTA and its 280,000 alumni generate an annual economic impact of $28.8 billion for the state. The University has received the Innovation and Economic Prosperity designation from the Association of Public and Land Grant Universities and has earned recognition for its focus on student access and success, considered key drivers to economic growth and social progress for North Texas and beyond.

Source: https://www.uta.edu/academics/schools-colleges/social-work/news/releases/2026/01/28/one-in-four-teens-face-violence-higher-substance-use

     Staff Sgt. Shane Sanders  – 161st Air Refueling Wing    

Red Ribbon Week, the nation’s largest and longest running drug prevention campaign, serves as a reminder of the importance of prevention, education, and community involvement.

by Staff Sgt. Shane Sanders  – 01.28.2026 – PHOENIX, ARIZONA, UNITED STATES

Observed annually from Oct. 23 through Oct. 31, the campaign brings together schools, families, and organizations nationwide to promote drug-free lifestyles and encourage young people to make healthy choices.

The campaign was established in honor of Drug Enforcement Administration Special Agent Enrique “Kiki” Camarena, who was killed in 1985 while investigating drug cartels in Mexico. His sacrifice sparked a national movement symbolized by the red ribbon, which represents a collective stand against substance misuse and a commitment to protecting future generations. Since then, Red Ribbon Week has educated millions through educational programs, student pledges, rallies, and prevention-focused activities.

In Arizona, the Counterdrug Task Force’s Drug Demand Reduction and Outreach (DDRO) program has played an increasing role in Red Ribbon Week by expanding statewide prevention efforts and access to education and outreach services.

In 2023, DDRO recorded 8,107 engagements during Red Ribbon Week, along with 8,050 student pledges. In 2024, those numbers tripled to 25,183 engagements and 11,110 pledges. In 2025, DDRO reached a new milestone, achieving 82,829 engagements and 28,236 student pledges during the campaign.

These figures represent more than attendance totals, they reflect points of connection where prevention messaging reached students, families, and communities. Engagements included in-person classroom presentations, community outreach events, public service announcements, online interactions, YouTube views, and joint outreach efforts conducted with the Drug Enforcement Administration (DEA). DDRO also expanded access through virtual presentations, ensuring schools and organizations unable to host in-person events could still participate.

A major enhancement in 2025 was DDRO’s decision to extend Red Ribbon Week outreach beyond the traditional calendar. Instead of limiting activities to a single week, prevention efforts were expanded from Oct. 1 through Nov. 5. This extended timeframe provided schools greater flexibility to participate, increased accessibility for underserved communities, and amplified statewide impact.

According to Daniel Morehouse, Community Outreach Specialist with the U.S. Drug Enforcement Administration, collaboration between DDRO and DEA played a critical role in amplifying prevention messaging during this year’s Red Ribbon Week. He emphasized that the scale of reach achieved in 2025 would not have been possible without shared resources and coordinated efforts. When agencies work together, Morehouse noted, audiences, particularly youth, are more engaged and receptive.

“Our drive for a Fentanyl Free America requires not just the enforcement side of things, but also outreach and education,” Morehouse said, adding that DDRO’s professionalism and prevention expertise significantly strengthens DEA’s prevention tools and messaging.

The success of DDRO’s Red Ribbon Week is rooted in strong partnerships. Schools across Arizona coordinated schedules, engaged students, and supported prevention activities. Community organizations, prevention coalitions, and agency partners worked alongside DDRO to strengthen outreach and reinforce consistent prevention messaging.

Merilee Fowler, Executive Director of the Substance Awareness Coalition Leaders of Arizona, highlighted the importance of collaboration in achieving meaningful impact. She shared that it was inspiring to see the number of students and adults reached during the 2025 campaign; noting that students across Arizona proudly pledged to grow up safe, healthy, and drug-free.

Fowler emphasized that coordinated prevention efforts strengthen communities statewide. When prevention organizations and coalitions work together, she explained, they create collective impact that improves the ability to prevent and reduce substance use. She also stressed the importance of a comprehensive approach that balances enforcement with education and outreach.

“Preventing and solving drug problems in our communities is complex and requires a combination of enforcement, education, and outreach,” Fowler said. “Success depends on all of us working together as a united team.”

She further noted that effective prevention must include families as well as youth. Partnerships among DDRO, SACLAZ, DEA, and other organizations have expanded outreach to parents and caregivers, and open conversations at home about the real harms of substance use play a critical role in prevention, she said.

U.S. Arizona Air National Guard Senior Master Sgt. Michael Gunderson, serves as the Non-Commission Officer in Charge of Arizona DDRO. In this role, Gunderson oversees the planning, coordination, and execution of statewide substance-use prevention and education efforts, working closely with schools, community coalitions, law-enforcement agencies, and prevention partners.

“At the heart of Red Ribbon Week and DDRO’s expanding efforts are the students themselves. Each pledge represents a personal commitment, and each engagement reflects a conversation that may influence future decisions,” said Gunderson. “The continued growth of DDRO’s Red Ribbon Week outreach demonstrates the power of prevention when communities unite around a shared purpose, protecting youth, honoring legacy, and building healthier, safer futures.”

As DDRO continues to grow, the program remains committed to refining its practices through evaluation, evidence-based strategies, and flexible delivery methods tailored to community needs. These efforts ensure prevention messaging remains accessible, relevant, and effective.

Source: https://www.dvidshub.net/news/556965/arizona-red-ribbon-week-expands-reach-spreading-prevention-awareness

PHOENIX, ARIZONA, UNITED STATES

by Staff Sgt. Shane Sanders  – 161st Air Refueling Wing  01.28.2026

Red Ribbon Week, the nation’s largest and longest running drug prevention campaign, serves as a reminder of the importance of prevention, education, and community involvement.

Observed annually from Oct. 23 through Oct. 31, the campaign brings together schools, families, and organizations nationwide to promote drug-free lifestyles and encourage young people to make healthy choices.

The campaign was established in honor of Drug Enforcement Administration Special Agent Enrique “Kiki” Camarena, who was killed in 1985 while investigating drug cartels in Mexico. His sacrifice sparked a national movement symbolized by the red ribbon, which represents a collective stand against substance misuse and a commitment to protecting future generations. Since then, Red Ribbon Week has educated millions through educational programs, student pledges, rallies, and prevention-focused activities.

In Arizona, the Counterdrug Task Force’s Drug Demand Reduction and Outreach (DDRO) program has played an increasing role in Red Ribbon Week by expanding statewide prevention efforts and access to education and outreach services.

In 2023, DDRO recorded 8,107 engagements during Red Ribbon Week, along with 8,050 student pledges. In 2024, those numbers tripled to 25,183 engagements and 11,110 pledges. In 2025, DDRO reached a new milestone, achieving 82,829 engagements and 28,236 student pledges during the campaign.

These figures represent more than attendance totals, they reflect points of connection where prevention messaging reached students, families, and communities. Engagements included in-person classroom presentations, community outreach events, public service announcements, online interactions, YouTube views, and joint outreach efforts conducted with the Drug Enforcement Administration (DEA). DDRO also expanded access through virtual presentations, ensuring schools and organizations unable to host in-person events could still participate.

A major enhancement in 2025 was DDRO’s decision to extend Red Ribbon Week outreach beyond the traditional calendar. Instead of limiting activities to a single week, prevention efforts were expanded from Oct. 1 through Nov. 5. This extended timeframe provided schools greater flexibility to participate, increased accessibility for underserved communities, and amplified statewide impact.

According to Daniel Morehouse, Community Outreach Specialist with the U.S. Drug Enforcement Administration, collaboration between DDRO and DEA played a critical role in amplifying prevention messaging during this year’s Red Ribbon Week. He emphasized that the scale of reach achieved in 2025 would not have been possible without shared resources and coordinated efforts. When agencies work together, Morehouse noted, audiences, particularly youth, are more engaged and receptive.

“Our drive for a Fentanyl Free America requires not just the enforcement side of things, but also outreach and education,” Morehouse said, adding that DDRO’s professionalism and prevention expertise significantly strengthens DEA’s prevention tools and messaging.

The success of DDRO’s Red Ribbon Week is rooted in strong partnerships. Schools across Arizona coordinated schedules, engaged students, and supported prevention activities. Community organizations, prevention coalitions, and agency partners worked alongside DDRO to strengthen outreach and reinforce consistent prevention messaging.

Merilee Fowler, Executive Director of the Substance Awareness Coalition Leaders of Arizona, highlighted the importance of collaboration in achieving meaningful impact. She shared that it was inspiring to see the number of students and adults reached during the 2025 campaign; noting that students across Arizona proudly pledged to grow up safe, healthy, and drug-free.

Fowler emphasized that coordinated prevention efforts strengthen communities statewide. When prevention organizations and coalitions work together, she explained, they create collective impact that improves the ability to prevent and reduce substance use. She also stressed the importance of a comprehensive approach that balances enforcement with education and outreach.

“Preventing and solving drug problems in our communities is complex and requires a combination of enforcement, education, and outreach,” Fowler said. “Success depends on all of us working together as a united team.”

She further noted that effective prevention must include families as well as youth. Partnerships among DDRO, SACLAZ, DEA, and other organizations have expanded outreach to parents and caregivers, and open conversations at home about the real harms of substance use play a critical role in prevention, she said.

U.S. Arizona Air National Guard Senior Master Sgt. Michael Gunderson, serves as the Non-Commission Officer in Charge of Arizona DDRO. In this role, Gunderson oversees the planning, coordination, and execution of statewide substance-use prevention and education efforts, working closely with schools, community coalitions, law-enforcement agencies, and prevention partners.

“At the heart of Red Ribbon Week and DDRO’s expanding efforts are the students themselves. Each pledge represents a personal commitment, and each engagement reflects a conversation that may influence future decisions,” said Gunderson. “The continued growth of DDRO’s Red Ribbon Week outreach demonstrates the power of prevention when communities unite around a shared purpose, protecting youth, honoring legacy, and building healthier, safer futures.”

As DDRO continues to grow, the program remains committed to refining its practices through evaluation, evidence-based strategies, and flexible delivery methods tailored to community needs. These efforts ensure prevention messaging remains accessible, relevant, and effective.

Source: https://www.dvidshub.net/news/556965/arizona-red-ribbon-week-expands-reach-spreading-prevention-awareness

Commentary-  Articles| – January 18, 2026

by Brian Walker, RPh

Substances marketed as “legal” or “natural” alternatives are increasingly accessible to adolescents through gas stations, convenience stores, and vape shops. Although legality may reassure consumers, pharmacists are seeing a growing disconnect between regulatory status and clinical risk. Products such as nitrous oxide inhalants, kratom, Delta-8 and Delta-9 tetrahydrocannabinol (THC), and Salvia divinorum are associated with dependence, neurologic injury, psychiatric effects, and accidental harm—particularly in younger populations.

As medication experts, pharmacists are uniquely positioned to recognize the public health implications of these products and to educate patients, caregivers, and policymakers on risks that often remain hidden in plain sight.

Nitrous Oxide: Retail Availability, Clinical Consequences

Nitrous oxide—commonly referred to as “whippets” or “laughing gas” and increasingly marketed under brand names such as “Galaxy Gas”—has gained popularity among adolescents through social media exposure. Although intended for culinary use, flavored nitrous oxide canisters are frequently misused for their euphoric effects.3

Clinically, nitrous oxide misuse has been associated with hypoxia, syncope, cardiac arrhythmias, and vitamin B12 depletion leading to myeloneuropathy.4-6 Chronic exposure can result in irreversible neurologic injury, including gait disturbance and sensory loss. Of concern to pharmacists, no standardized manufacturing or purity requirements exist for recreational nitrous oxide products sold at retail, contributing to unpredictable dosing and adverse outcomes.7

Kratom: Opioid Activity Without Oversight

Kratom (Mitragyna speciosa) is marketed as a dietary supplement for pain relief, anxiety, and opioid withdrawal. Its primary alkaloids—mitragynine and 7-hydroxymitragynine—exert activity at μ-opioid receptors, conferring both analgesic and addictive potential.8.9

Although not federally scheduled, kratom has been linked to seizures, hepatotoxicity, hypertension, and opioid-like withdrawal symptoms.10,11 FDA analyses have identified contamination with heavy metals and pathogenic organisms in unregulated products.12 Regulatory approaches vary by state, creating inconsistent consumer protections and increasing the likelihood of misuse.

Delta-8 and Delta-9 THC: Potency and Labeling Concerns

Delta-8 THC and Delta-9 THC products are widely marketed as legal cannabis alternatives in the form of edibles, vape cartridges, and tinctures. Delta-9 THC is the primary psychoactive component of cannabis, and Delta-8 THC is a synthetically derived isomer with similar psychoactive effects.13

FDA and CDC warnings have highlighted concerns regarding inaccurate labeling, excessive THC concentrations, and contamination with residual solvents from chemical synthesis.14,15 Adverse events reported include anxiety, paranoia, impaired cognition, and psychosis—effects that may be amplified in adolescents and young adults.16

Salvia Divinorum: A Legal Hallucinogen

Salvia divinorum, a potent kappa-opioid receptor agonist, remains legal in several US jurisdictions despite its intense psychoactive effects. When smoked or chewed, salvinorin A produces rapid-onset hallucinations, dissociation, and loss of environmental awareness.17

From a safety perspective, Salvia use has been associated with panic reactions, accidental injuries, and prolonged psychological distress.18 Its sale as a novelty or incense product may obscure its clinical risks.

Implications for Pharmacy Practice

The normalization of these substances—amplified by influencer culture and online marketing—has outpaced regulatory oversight. Many do not appear on standard toxicology screens, complicating detection and counseling.19

Pharmacists can play a critical role by:

  • Educating patients and caregivers on risks associated with legally marketed substances
  • Monitoring emerging substance-use trends
  • Encouraging age restrictions and improved labeling standards
  • Collaborating with clinicians and public health organizations

Legality does not equate to safety. Increased awareness and pharmacist engagement are essential to addressing the public health risks posed by these widely available products.

Source: https://www.drugtopics.com/view/hidden-in-plain-sight-legal-substances-putting-children-at-risk

Use of most drugs remains low among U.S. teens and abstention from drug use remains at historic highs, according to NIDA.

According to the National Institute on Drug Abuse (NIDA), reported use of most drugs remains low among U.S. teens and abstention from drug use remains at historic highs, according to the 2025 Monitoring the Future Survey. Monitoring the Future (MTF) is one of the nation’s most relied upon scientific sources of valid information on trends in use of licit and illicit psychoactive drugs by U.S. adolescents, college students, young adults, and adults up to age 60. MTF is conducted each year by researchers at the University of Michigan, Ann Arbor, and funded by the National Institute on Drug Abuse (NIDA), part of the National Institutes of Health and has been doing so since 1975.

The MTF survey is given annually to students in eighth, 10th, and 12th grades who self-report their substance use behaviors over various time periods, such as past 30 days, past 12 months, and lifetime. The survey also documents students’ perception of harm, disapproval of use, and perceived availability of drugs. The results were gathered from a national representative sample, and the data were statistically weighted to provide national numbers. The investigators collected 23,726 surveys from students enrolled across 270 public and private schools nationwide from February through June 2025. Students took the in-school survey via the web – either on tablets or on a computer.

For the fifth year in a row, use of most substances among teenagers in the United States has continued to hover around the low-water mark reached in 2021. Researchers detected a sharp decline in reported use of most drugs from 2020 to 2021. This substantial falloff was largely attributed to disruptions in drug availability and in the social lives of teens during the pandemic, when many were isolated at home with parents or other caregivers and spending less time with friends. The researchers also found that the percentage of teens currently abstaining from alcohol, tobacco, and nicotine use held steady at historically high levels.

The data indicates that, compared to 2024, reported use of most drugs in most grades held steady in 2025. These are some of the key findings:
  • Abstaining from, or not using, marijuana, alcohol, and nicotine remained stable for all grades, with 91% of eighth graders 82% of 10th graders, and 66% of 12th graders reporting abstaining in the past 30 days.
  • Alcohol use remained stable among all three grade levels, with 11% of eighth graders, 24% of 10th graders, and 41% of 12th graders reporting use in the past 12 months.
  • Cannabis use remained stable among all grades, with 8% of eighth graders, 16% of 10th graders, and 26% of 12th graders reporting use in the past 12 months. Of note, 2% of 8th graders, 6% of 10th graders, and 9% of 12th graders reported use of cannabis products made from hemp, which include intoxicating products such as delta-8-tetrahydrocannabinol, in the past 12 months.
  • Nicotine vaping remained stable among all grades, with 9% of eighth graders, 14% of 10th graders, and 20% of 12th graders reporting use in the past 12 months.
  • Nicotine pouch use remained stable among all grades, with 1% of eighth graders, 3% of 10th graders, and 7% of 12th graders reporting use in the past 12 months.
  • Nicotine pouch use remained stable among all grades, with 1% of eighth graders, 3% of 10th graders, and 7% of 12th graders reporting use in the past 12 months.
  • Cocaine use also remained low and stable for 10th graders, with 0.7% reporting use in the past 12 months; though values increased significantly among the other grades surveyed, with 0.6% of eighth graders (compared to 0.2% in 2024) and 1.4% of 12th graders (compared to 0.9% in 2024) reporting use in the past 12 months.
  • Heroin use among all three grades remains low, though values increased significantly from 2024, with 0.5% of eighth graders (compared to 0.2% in 2024), 0.5% of 10th graders (compared to 0.1% in 2024), and 0.9% of 12th graders (compared to 0.2% in 2024) reporting use in the past 12 months.

Researchers maintain the slight increase in cocaine and heroin use warrants close monitoring. However, to put these current levels of use in context, they are leagues below what they were decades ago.

SAFE, Inc. is the only alcohol and substance abuse prevention, intervention and education agency in the City of Glen Cove. Its Coalition is conducting alcohol, tobacco and other drug use prevention awareness campaigns entitled, “Keeping Glen Cove SAFE,” to educate and update the community regarding alcohol, prescription and illicit drug use and its consequences. To learn more about the SAFE Glen Cove Coalition please follow us on www.facebook.com/safeglencove or visit SAFE’s website to learn more at www.safeglencove.org.

Source: https://patch.com/new-york/glencove/safe-gc-coalition-nida-reports-encouraging-news-regarding-youth-alcohol-substance

Srinagar, Jan 3: Leaving the pulpits of their Masjids for the meeting hall of the Institute of Mental Health and Neurosciences (IMHANS) at Government Medical College (GMC), Srinagar, Imams from across Kashmir gathered on Saturday to take on another religious responsibility of saving the youth from the grip of drugs.

The resolve of the gathering was to reduce demand for drugs, while strengthening channels where those who are already in the deadly trap could be helped free from it.

A day-long brainstorming session was organised at the IMHANS, GMC Srinagar.

It aimed to equip religious leaders with the skills and information to speak about substance abuse and reach young people vulnerable to addiction.

The initiative was organised to empower the religious leaders with medical knowledge and Islamic insights to create an environment for the prevention of substance abuse. The event included sessions on early detection and referral of individuals struggling with addiction, ultimately towards the goal of reducing drug demand among youth.

The event saw the participation of religious scholars, medical experts, and officials from the administration, joining hands to create a bridge between spiritual guidance and professional treatment.

The pivotal role of Imams as trusted figures in local communities was highlighted and explored.

An interactive session on ‘Imams as First Responders’ moderated by Dr Fazle Roub, Assistant Professor Psychiatry, GMC Srinagar, opened pathways to youth.

The discussion covered how community members often turn to Imams first for help.

The participants spoke about their understanding and scientific view on dos and don’ts while providing assistance. It weighed various approaches to encourage youth to seek help at de-addiction centres while maintaining confidentiality and reducing stigma.

The participants discussed the Quranic guidance and Islamic perspective on addiction.

Masjids and Friday sermons, the participants agreed, could help in breaking through the shells that people with addiction disorders often retreat into.

“Religious scholars are key to raising awareness, reducing stigma, and encouraging early help-seeking,” said Anshul Garg, Divisional Commissioner, Kashmir, who was the chief guest on the occasion.

He reiterated the administration’s endeavour to a multi-sectoral strategy involving health services, civil society, and religious institutions.

Guest of honour, Akshay Labroo, echoed these sentiments and stressed the need for coordinated action.

He said that Imams with the tools to address addiction compassionately could strengthen community-based responses and protect youth from this growing menace.

Principal GMC Srinagar Prof Iffat Hassan Shah underscored the importance of Imams in prevention efforts, early intervention, and reducing societal stigma around addiction. Head of the Department of Psychiatry, GMC Srinagar, Prof Arshad Hussain, delved deep into the escalating burden of substance use disorders while emphasising early intervention and broad community involvement.

Dr Sajjid Wani, Assistant Professor of Psychiatry, GMC Srinagar, talked about ‘medical understanding of addiction’ and explained addiction as a disease rather than a moral failing. He detailed common substances abused in Kashmir, warning signs for families and brain changes that undermine willpower.

Source: https://www.greaterkashmir.com/front-page-2/imams-join-fight-against-drug-abuse/

 by Karim Easterbrook* – Oman Observer – Dec 27, 2025 the author is a former school principal and author

Preventative action in the earliest stages is urgently needed; the earlier the better. Silence is perceived as consent. Thus, schools in Oman carry a heavy responsibility. They are among the first places where changes in behaviour can be noticed. Experience from Western societies shows that drug dealers approach even very young schoolchildren, who are easily influenced. However, schools must be careful: drug warnings founded solely on fear soon lose their force.Fear fades and curiosity or defiance takes its place. What endures is clarity: age‑appropriate information about the physical and psychological harm of drugs, the legal consequences that follow and the social isolation that often accompanies dependency.

Teachers, frequently the first adults to sense that something is wrong, must be trained to recognise early warning signs and to respond with confidence.

A school ruled by punishment alone encourages concealment, whereas one that allows students to seek help without stigma and reprisal may prevent lasting harm. Strengthening life skills, particularly resistance to peer pressure regarding drugs, remains a practical and effective defence. The damage extends far beyond users. It spreads through public health, education and economic life, weakening each in turn. Careers are lost and communities lose capable members long before the problem is acknowledged.

Social stability is central to national identity and long‑term progress. Illegal drugs represent a serious threat to Omani society. The experience of North America and Europe offers a stark warning. There, widespread drug availability has contributed to rising addiction, increasing overdose deaths and the decline of once‑stable communities.

Drug dealers are everywhere, health services struggle with long‑term physical and psychological harm, families fracture and crime increases. Youngsters are especially vulnerable because judgement, concentration and emotional balance are still forming. Exposure to drugs at this early age can cause lasting impairment: academic failure, school dropout, mental illness and long‑term dependency.

Government action must therefore be firm and consistent. Drug trafficking thrives where enforcement is weak or uneven. Strong border controls, intelligence‑led policing, police departments dedicated to arresting drug dealers and swift prosecution send a clear message that trafficking will not be tolerated.

While users require rehabilitation rather than punishment, those who profit from supplying drugs must face severe penalties. Delay and denial allow the problem to grow quietly until it becomes deeply entrenched.

Rumours that illegal drugs in Oman are sold mainly by non‑Omani residents must be treated with caution. Assigning blame on the basis of nationality distorts justice and weakens enforcement. Responsibility must be determined by evidence and applied impartially to all involved: Omanis and expats.

Families can be the most influential line of defence. Young people who feel supported and connected to their families are far less vulnerable to external pressure.

Open discussion, clear boundaries, awareness of friendships and online influences and early intervention when concerns arise can prevent experimentation from becoming a habit.

Waiting for unmistakable signs is often waiting too long. International evidence also indicates that vaping devices are sometimes used to consume illegal drugs discreetly, increasing the need for awareness at home and in schools.

Protecting Omani youth requires coordinated effort rather than isolated gestures. Families, schools and authorities must act together. Oman’s stability has been built patiently over generations.

Allowing illegal drugs to spread would place that inheritance at risk. Early, decisive action remains far less costly than prevention attempted too late. What is needed immediately, especially for parents and their children, is a drug hotline which can be called for advice without fear of social repercussions.

Source: https://www.omanobserver.om/article/1181724/opinion/why-schools-must-act-early-against-drugs

Published in Deccan Herald  – Deccan, India, 13 December 2025,

Overall, 15.1 per cent of participants reported lifetime use, 10.3 per cent reported past year use, and 7.2 per cent reported use in the past month of any substance, the study found.

New Delhi: School-going children are picking up drug and smoking habits and engaging in consumption of alcohol, with the average age of introduction to such harmful substances found to be around 13 years, suggesting a need for earlier interventions as early as primary school, a multi-city survey by AIIMS-Delhi said.

The findings also showed substance use increased in higher grades, with grade XI/XII students two times more likely to report use of substances when compared with grade VIII students. This emphasised the importance of continued prevention and intervention through middle and high school.
The study led by Dr Anju Dhawan of AIIMS’s National Drug Dependence Treatment Centre, published in the National Medical Journal of India this month, looks at adolescent substance use across diverse regions.

The survey included 5,920 students from classes 8, 9, 11 and 12 in urban government, private and rural schools across 10 cities — Bengaluru, Chandigarh, Delhi, Dibrugarh, Hyderabad, Imphal, Jammu, Lucknow, Mumbai, and Ranchi. The data were collected between May 2018 and June 2019.

The average age of initiation for any substance was 12.9 (2.8) years. It was lowest for inhalants (11.3 years) followed by heroin (12.3 years) and opioid pharmaceuticals (without prescription; 12.5 years).

Overall, 15.1 per cent of participants reported lifetime use, 10.3 per cent reported past year use, and 7.2 per cent reported use in the past month of any substance, the study found.

The most common substances used in the past year, after tobacco (4 per cent) and alcohol (3.8 per cent), were opioids (2.8 per cent), followed by cannabis (2 per cent) and inhalants (1.9 per cent). Use of non-prescribed pharmaceutical opioids was most common among opioid users (90.2 per cent).

On being asked, ‘Do you think this substance is easily available for a person of your age’ separately for each substance category, nearly half the students (46.3 per cent) endorsed that tobacco products and more than one-third of the students (36.5 per cent) agreed that a person of their age can easily procure alcohol products.

Similarly, for Bhang (21.9 per cent), ganja/charas (16.1 per cent), inhalants (15.2 per cent), sedatives (13.7 per cent), opium and heroin (10 per cent each), the students endorsed that these can be easily procured.

About 95 per cent of the children, irrespective of their grade, agreed with the statement that ‘drug use is harmful’.

The rates of substance use (any) among boys were significantly higher than those of girls for substance use (ever), use in the past year and use in the past 30 days. Compared to grade VIII students, grade IX students were more likely, and grade XI/XII students were twice as likely to have used any substance (ever).

The likelihood of past-year use of any substance was also higher for grade IX students and for grade XI/XII students as compared to grade VIII students.

About 40 per cent of students mentioned that they had a family member who used tobacco or alcohol each. The use of cannabis (any product) and opioid (any product) by a family member was reported by 8.2 per cent and 3.9 per cent of students, respectively, while the use of other substances, such as inhalants/sedatives by family was 2-3 per cent, the study found.

A relatively smaller percentage of students reported use of tobacco or alcohol among peers as compared to among family members, while a higher percentage reported inhalants, sedatives, cannabis or opioid use among peers.

Children using substances (past year) compared to non-users reported significantly higher any substance use by their family members and peers.

There were 25.7 per cent students who replied ‘yes’ to the question ‘conflicts/fights often occur in your family’. Most students also replied affirmatively to ‘family members are aware of how their time is being spent’ and ‘damily members are aware of with whom they spend their time’.

Source: https://www.deccanherald.com/india/average-age-of-school-going-children-picking-up-drugs-smoking-habit-in-10-indian-cities-around-13-years-study-3829926

In fact, 20% of people over 50 who use cannabis products reported that at least once in the past year, they had driven within two hours of using the drug.

That means they likely got on the road while the THC in cannabis still impaired their reaction times, attention and other abilities that are important to driving safely.

The findings, from a University of Michigan team led by addiction psychologist Erin E. Bonar, Ph.D., are published in the journal Drug and Alcohol Dependence. The data behind the study come from the National Poll on Healthy Aging, based at the U-M Institute for Healthcare Policy and Innovation.

Bonar and the poll team published an initial analysis in late 2024, but the new paper dives deeper into the data.

So much of the effort to reduce ‘driving while high’ through awareness campaigns has focused on young people, but our findings show this is a cross-generational issue. Targeting messages at those middle age and older adults with the highest risk of post-use driving could also include message about the options for addressing the health issues that they may be trying to self-treat with cannabis.”

Erin E. Bonar, Ph.D., professor of psychiatry, U-M Medical School

Those most likely to drive after using cannabis

Adults age 50 and over who use cannabis products daily or nearly daily were three times as likely to say they had driven soon after using, compared with those who only use cannabis rarely, the study finds.

Those who use cannabis for mental health reasons were twice as likely to say they’d driven after using it, compared with those who didn’t list mental health among their reasons for choosing to use cannabis.

And men over 50 who use cannabis were 72% more likely to drive after using THC-containing products, compared with women in the same age group who use cannabis.

In all, the poll showed that 21% of people age 50 and up had used a cannabis product at least once in the last year, including 27% of those aged 50 to 64 and 17% of those aged 65 and up.

Of the 729 respondents over 50 who said they had used cannabis in the past year, 27% said they use it daily or almost daily, while 43% had used it only once or twice. The rest were divided between those who use monthly (14%) and weekly (16%).

Beyond the riskiest groups

While the study results suggest some groups of people over 50 who could especially benefit from targeted preventive messaging about the risks of driving after using cannabis, broad-based messaging appears to be needed, Bonar says.

 

There were also no differences in post-use driving by age, race, ethnicity, income, history of loneliness, or caregiver status.

Those who live in states where recreational cannabis has been legalized were no more likely to drive after using the drug than those living in other states.

In addition to mental health, the poll asked about other reasons that adults over 50 might use cannabis, including several related to health. In all, 52% of people over 50 who use cannabis cited a mental health or mood-related motive for using cannabis, and 67% cited a sleep-related motive.

There was no difference in whether participants drove after cannabis use based on using it for pain, other medical reasons or sleep-related reasons, once the researchers adjusted the data. However, there was some signal that those who use it for sleep reasons may be more likely to drive after using.

This suggests a need to help adults age 50 and up understand that there are options for treating these conditions that have much more evidence behind them than cannabis, said Bonar. It also highlights the need for more robust research on which health conditions cannabis might address most effectively.

Age-specific messaging

Bonar and her coauthors also note that driving guidelines for people over age 50 who choose to use cannabis should also consider the effects of aging on cognitive and motor abilities, and the potential for interactions between cannabis and the prescription drugs that these adults are more likely to take.

Helping adults over 50 who choose to use cannabis understand the potential impacts of today’s more potent cannabis, compared with the forms available in their younger years, is also important, says Bonar.

And when advising people over 50 about reducing driving risks related to their cannabis use, she said, health care providers and public health agencies may want to focus on strategies like using cannabis at times when they’re unlikely to need to drive, such as before bedtime, and the importance of planning ahead for safe transportation via a designated driver or ride share service.

Bonar is a member of IHPI and of the U-M Addiction Center, the U-M Injury Prevention Center and the U-M Eisenberg Family Depression Center.

In addition to the new paper on cannabis use and driving among people over 50, the National Poll on Healthy Aging recently issued a report on driving behaviors among people age 65 and over. Find it at https://michmed.org/w4Ayn

Bonar and colleagues also recently published an Injury Prevention Center report on the impact of recreational cannabis legalization in Michigan, including data on motor vehicle crashes and fatalities linked to cannabis.

In addition to Bonar, the study’s authors are Lianlian Lei, Matthias Kirch, Kristen P. Hassett, Erica Solway, Dianne C. Singer, Sydney N. Strunk, J. Scott Roberts, Preeti N. Malani, and NPHA director Jeffrey T. Kullgren.

Source: https://www.news-medical.net/news/20251209/Prevention-efforts-for-cannabis-impaired-driving-should-also-focus-on-older-adults.aspx

by Erin E. Bonar, Ph.D et al. – News Release Michigan Medicine – University of Michigan

Among people over 50 who use cannabis, those most likely to drive after partaking are men, people who use daily, and those who use THC-containing products for mental health reasons

With cannabis-related vehicle crashes on the rise, a new study suggests that prevention campaigns shouldn’t focus just on young people.

In fact, 20% of people over 50 who use cannabis products reported that at least once in the past year, they had driven within two hours of using the drug.

That means they likely got on the road while the THC in cannabis still impaired their reaction times, attention and other abilities that are important to driving safely.

The findings, from a University of Michigan team led by addiction psychologist Erin E. Bonar, Ph.D., are published in the journal Drug and Alcohol Dependence. The data behind the study come from the National Poll on Healthy Aging, based at the U-M Institute for Healthcare Policy and Innovation.

Bonar and the poll team published an initial analysis in late 2024, but the new paper dives deeper into the data.

“So much of the effort to reduce ‘driving while high’ through awareness campaigns has focused on young people, but our findings show this is a cross-generational issue,” said Bonar, a professor of psychiatry at the U-M Medical School. “Targeting messages at those middle age and older adults with the highest risk of post-use driving could also include message about the options for addressing the health issues that they may be trying to self-treat with cannabis.”

Those most likely to drive after using cannabis

Adults age 50 and over who use cannabis products daily or nearly daily were three times as likely to say they had driven soon after using, compared with those who only use cannabis rarely, the study finds.

Those who use cannabis for mental health reasons were twice as likely to say they’d driven after using it, compared with those who didn’t list mental health among their reasons for choosing to use cannabis.

And men over 50 who use cannabis were 72% more likely to drive after using THC-containing products, compared with women in the same age group who use cannabis.

In all, the poll showed that 21% of people age 50 and up had used a cannabis product at least once in the last year, including 27% of those aged 50 to 64 and 17% of those aged 65 and up.

Of the 729 respondents over 50 who said they had used cannabis in the past year, 27% said they use it daily or almost daily, while 43% had used it only once or twice. The rest were divided between those who use monthly (14%) and weekly (16%).

Beyond the riskiest groups

While the study results suggest some groups of people over 50 who could especially benefit from targeted preventive messaging about the risks of driving after using cannabis, broad-based messaging appears to be needed, Bonar says.

In all, 65% of the people in the survey who said they use cannabis were between the ages of 50 and 64, with the rest over 65. But there was no difference between the age groups in likelihood of post-cannabis-use driving.

There were also no differences in post-use driving by age, race, ethnicity, income, history of loneliness, or caregiver status.

Those who live in states where recreational cannabis has been legalized were no more likely to drive after using the drug than those living in other states.

In addition to mental health, the poll asked about other reasons that adults over 50 might use cannabis, including several related to health. In all, 52% of people over 50 who use cannabis cited a mental health or mood-related motive for using cannabis, and 67% cited a sleep-related motive.

There was no difference in whether participants drove after cannabis use based on using it for pain, other medical reasons or sleep-related reasons, once the researchers adjusted the data. However, there was some signal that those who use it for sleep reasons may be more likely to drive after using.

This suggests a need to help adults age 50 and up understand that there are options for treating these conditions that have much more evidence behind them than cannabis, said Bonar. It also highlights the need for more robust research on which health conditions cannabis might address most effectively.

Age-specific messaging

Bonar and her co-authors also note that driving guidelines for people over age 50 who choose to use cannabis should also consider the effects of aging on cognitive and motor abilities, and the potential for interactions between cannabis and the prescription drugs that these adults are more likely to take.  

Helping adults over 50 who choose to use cannabis understand the potential impacts of today’s more potent cannabis, compared with the forms available in their younger years, is also important, says Bonar.

And when advising people over 50 about reducing driving risks related to their cannabis use, she said, health care providers and public health agencies may want to focus on strategies like using cannabis at times when they’re unlikely to need to drive, such as before bedtime, and the importance of planning ahead for safe transportation via a designated driver or ride share service.

Bonar is a member of IHPI and of the U-M Addiction Center, the U-M Injury Prevention Center and the U-M Eisenberg Family Depression Center.

In addition to the new paper on cannabis use and driving among people over 50, the National Poll on Healthy Aging recently issued a report on driving behaviors among people age 65 and over. Find it at https://michmed.org/w4Ayn

Bonar and colleagues also recently published an Injury Prevention Center report on the impact of recreational cannabis legalization in Michigan, including data on motor vehicle crashes and fatalities linked to cannabis.

In addition to Bonar, the study’s authors are Lianlian Lei, Matthias Kirch, Kristen P. Hassett, Erica Solway, Dianne C. Singer, Sydney N. Strunk, J. Scott Roberts, Preeti N. Malani, and NPHA director Jeffrey T. Kullgren.

Citation: Driving after cannabis consumption among US adults ages 50 years and older: A short communication, Drug and Alcohol Dependence, DOI:10.1016/j.drugalcdep.2025.112985, https://authors.elsevier.com/a/1mCG51LiD3LPLZ

Source: https://www.eurekalert.org/news-releases/1109142

Opening Statement by NDPA:

This research provides useful information which is relevant to study of prevention of health-compromising behaviours, such as drug misuse.

 

Image source,Monty Rakusen/Getty

by James Gallagher  – BBC Health and science correspondent – 25 November 2025The brain goes through five distinct phases in life, with key turning points at ages nine, 32, 66 and 83, scientists have revealed.

Around 4,000 people up to the age of 90 had scans to reveal the connections between their brain cells.

Researchers at the University of Cambridge showed that the brain stays in the adolescent phase until our early thirties when we “peak”.

They say the results could help us understand why the risk of mental health disorders and dementia varies through life.

The brain is constantly changing in response to new knowledge and experience – but the research shows this is not one smooth pattern from birth to death.

Instead, these are the five brain phases:

  • Childhood – from birth to age nine
  • Adolescence – from nine to 32
  • Adulthood – from 32 to 66
  • Early ageing – from 66 to 83
  • Late ageing – from 83 onwards

“The brain rewires across the lifespan. It’s always strengthening and weakening connections and it’s not one steady pattern – there are fluctuations and phases of brain rewiring,” the lead author of the research, Dr Alexa Mousley, told the BBC.

Some people will reach these landmarks earlier or later than others – but the researchers said it was striking how clearly these ages stood out in the data.

These patterns have only now been revealed due to the quantity of brain scans available in the study, which was published in the journal Nature Communications.

The five brain phases

Childhood – The first period is when the brain is rapidly increasing in size but also thinning out the overabundance of connections between brain cells, called synapses, created at the start of life.

The brain gets less efficient during this stage. It works like a child meandering around a park, going wherever takes their fancy, rather than heading straight from A to B.

Adolescence – That changes abruptly from the age of nine when the connections in the brain go through a period of ruthless efficiency. “It’s a huge shift,” said Dr Mousley, describing the most profound change between brain phases.

This is also the time when there is the greatest risk of mental health disorders beginning.

Unsurprisingly adolescence starts around the onset of puberty, but this is the latest evidence suggesting it ends much later than we assumed. It was once thought to be confined to the teenage years, before neuroscience suggested it continued into your 20s and now early 30s.

This phase is the brain’s only period when its network of neurons gets more efficient. Dr Mousely said this backs up many measures of brain function suggesting it peaks in your early thirties, but added it was “very interesting” that the brain stays in the same phase between nine and 32.

Adulthood – Next comes a period of stability for the brain as it enters its longest era, lasting three decades.

Change is slower during this time compared with the fireworks before, but here we see the improvements in brain efficiency flip into reverse.

Dr Mousely said this “aligns with a plateau of intelligence and personality” that many of us will have witnessed or experienced.

Early ageing – This kicks in at 66, but it is not an abrupt and sudden decline. Instead there are shifts in the patterns of connections in the brain.

Instead of coordinating as one whole brain, the organ becomes increasingly separated into regions that work tightly together – like band members starting their own solo projects.

Although the study looked at healthy brains, this is also the age at which dementia and high blood pressure, which affects brain health, are starting to show.

Late ageing – Then, at the age of 83, we enter the final stage. There is less data than for the other groups as finding healthy brains to scan was more challenging. The brain changes are similar to early ageing, but even more pronounced.

Dr Mousely said what really surprised her was how well the different “ages align with a lot of important milestones” such as puberty, health concerns later in life and even the pretty big social shifts in your early 30s such as parenthood.

‘A very cool study’

The study did not look at men and women separately, but there will be questions such as the impact of menopause.

Duncan Astle, professor of neuroinformatics at the University of Cambridge and part of the team responsible for the research, said: “Many neurodevelopmental, mental health and neurological conditions are linked to the way the brain is wired. Indeed, differences in brain wiring predict difficulties with attention, language, memory, and a whole host of different behaviours.”

The director of the centre for discovery brain sciences at the University of Edinburgh, Prof Tara Spires-Jones, who did not work on the research paper, said: “This is a very cool study highlighting how much our brains change over our lifetimes.”

She said the results “fit well” with our understanding of brain ageing, but cautioned “not everyone will experience these network changes at exactly the same ages”.

Source: https://www.bbc.co.uk/news/articles/cgl6klez226o.amp

Rutgers University – News Release

Rutgers Health researchers reveal how attention difficulties and impulsivity may heighten vulnerability to early and frequent substance use among young sexual minority men

Young sexual minority men – a term used to describe gay, bisexual, and other men who have sex with men – with attention-deficit/hyperactivity disorder (ADHD) symptoms are more likely to begin using substances such as cigarettes, alcohol, cannabis, stimulants and illicit drugs at an earlier age, according to Rutgers Health researchers.

The study, published in the Journal of Gay & Lesbian Mental Health and led by the Center for Health, Identity, Behavior & Prevention Studies (CHIBPS) at the Rutgers School of Public Health, analyzed data from 597 young sexual minority men to assess ADHD symptoms and their associations with substance use.

The researchers found clinically significant ADHD symptoms were both common and strongly associated with heightened risk and earlier initiation of substance use. Inattentive symptoms were closely tied to cigarette use, while both inattentive and hyperactive/impulsive symptoms predicted earlier use across all substances assessed.

“Given that young sexual minority men are disproportionately impacted by several other mental and physical health problems, this phenomenon warrants further attention from healthcare providers, researchers, and policymakers alike,” said Kristen Krause, an assistant professor at the School of Public Health and co-author of the study.

Findings also suggested key differences across subgroups. The connection between ADHD and early-onset substance use was stronger among bisexual men than among gay men, suggesting that tailored prevention strategies may be needed to address distinct vulnerabilities within the sexual minority population.

Krause, who also is the deputy director of the center, said the findings underscore the importance of integrating mental health and substance use screening and prevention efforts for sexual minority youth, particularly young men. Early identification of ADHD and intervention strategies could help reduce long-term health disparities in this group.

“At CHIBPS, we have long understood that health risks do not occur in a vacuum but that they are the result of the complex interplay of person, social conditions, and physical and mental health,” said Perry N. Halkitis, dean of the School of Public Health and senior author of the study. “Modern and relevant public health approaches recognize that simply telling people to become vaccinated, wear a condom every time, and/or of banning menthol cigarettes is simply not enough.”

“The focus must be on the person not the drug or the pathogen,” said Halkitis, whose forthcoming book, Humanizing Public Health: How Pathogen-Centered Approaches Have Failed Us, will be published by Johns Hopkins University Press in the winter.

Halkitis, who is the director of the center, and the researchers said future studies should use different measurement tools to better estimate ADHD prevalence and severity in sexual minority men. Longitudinal approaches that account for factors such as resilience, mental health comorbidities and social support could offer deeper insights and inform more effective interventions.

Source: https://www.eurekalert.org/news-releases/1105751

ABOUT RUTGERS HEALTH 

As New Jersey’s academic health center, Rutgers Health takes the integrated approach of educating students, providing specialized and compassionate clinical care for its communities, and conducting innovative research, with the goal of life-changing health  for all. Rutgers Health is a “bench-to-bedside” institution, bringing discoveries in the lab  directly to patients across the state and around the world. It includes eight schools, a  behavioral health network, and 11 centers and institutes in Newark and New  Brunswick

Kate Dubinski · CBC News ·

Faced with teens drinking alcohol and using drugs at higher rates than others in the province, a local health unit will try to reverse the trend by using a system first developed in Iceland.

The Icelandic Prevention Model will be adapted to reflect local data and community needs, officials with Southwestern Public Health told CBC News.

“Local health status data is clear: reported use of alcohol, cannabis, tobacco, and other substances among youth is higher here than in Ontario,” said Peter Heywood, director of healthy communities at the health unit, which covers St. Thomas, Woodstock, and Oxford and Elgin counties.

More than one in three young people in that region reported using alcohol, cannabis and smoking a full cigarette for the first time in Grade 9, according to public health data, and more than half of young people reported drinking alcohol in the previous year, about 10 per cent higher than the Ontario average.

High school students will be asked to take a survey from Nov. 24 to Dec. 5, asking about substance use. They’ll be asked about their experiences in school, their communication with parents and siblings, their friendships, what they do in their spare time, how they see their mental health and what substances they use and how they perceive that use.

The results will be analysed and will guide how officials apply the Icelandic model locally, said Jessica Austin, a health promotor with Southwestern Public Health.

“The Icelandic Prevention Model was developed in Iceland by social scientists in the 90s (who) looked at factors that influence youth substance use to inform their community that had high substance rates on where they could focus their efforts to lower those rates,” Austin said.

Iceland’s teenagers used drugs and alcohol at the highest rates in Europe. Now, their rates are among the lowest.

Approach adopted worldwide

The approach has been adopted in communities around the world, including some in Canada. It focuses on prevention rather than targeting specific behaviours. Using the local data, the health unit works with community agencies, recreational facilities, faith groups, police officers, and school boards to give teens a sense of belonging.

“We know substance use is a complex issue and it requires a complex solution,” Austin said. “We’ve done a lot of work using provincial data, but now we will be able to work more effectively with the local data, to come together and get into the root causes.”

It typically takes a few years for change to happen, she added.

“I think everybody gets excited when we see the Icelandic graph sitting at one per cent for smoking rates and six per cent for alcohol-use rates, when we are sitting in the nearly 50 per cent alcohol-use rates for our youth,” Austin said.

“We would love to get down to that under the 10 per cent marker. In the short term, we want to at least get to the provincial rate.”

Source: https://www.cbc.ca/news/canada/london/icelandic-prevention-model-southwestern-public-health-9.6971289

Red Ribbon Week and Cobb County School District, Georgia – Oct. 30, 2025

Every October, schools across the nation celebrate Red Ribbon Week, a time dedicated to promoting healthy, drug-free lifestyles for students of all ages. This year, the Cobb County School District and our school resource officers are joining forces to remind families that staying drug-free isn’t just a one-week message, but a lifelong commitment that begins with open and honest communication.

While traditional drugs are a concern, School Resource Officer Edwin Ainsworth says vaping has become one of the most visible and dangerous trends among students. 

Ainsworth explained that a distinct fruity scent is a telltale sign that students have been vaping. The smell of THC also doesn’t get past him. 

Officer Ainsworth estimates that as many as eight in ten high school students have tried vaping at least once.

“These kids like them because they’re easy. They can pull them out and smoke them quickly. Some of them are odourless, some don’t even have smoke coming out of them, and kids can hide them,” he said.

Beyond the discreet design and flavours, the health risks are real and long-lasting. “It can cause them to have a hole in their lung, and if they get really addicted, their attitude changes. They start being a little more defensive when you talk to them,” Ainsworth added, “If your lung capacity gets full with popcorn lung, you could end up on a ventilator.”

Best Practices from Cobb Schools Police

Cobb School Resource Officers emphasize that parents play the most powerful role in prevention. The best protection is to get involved. 

Here are some strategies to help keep students drug-free! 

  • Know the Signs. Watch for changes in friends, social groups, mood, and sleep patterns.
  • Stay Involved. Get to know your students’ teachers, coaches, and friends. Encourage participation in sports, clubs, and community activities. 
  • Set Clear Expectations. Be explicit about rules and consequences. Discuss them calmly and consistently. 
  • Teach the Facts. Talk about how drugs and vaping can affect decision-making, athletic performance, and future goals.
  • Start Early. Begin age-appropriate conversations in elementary school about making healthy choices.
  • Model Healthy Behaviour. Avoid using substances in front of students. 
  • Be Proactive. Conduct regular checks of bedrooms, backpacks, and vehicles.

When students make safe, healthy choices, classrooms become stronger, and communities thrive. Red Ribbon Week serves as a reminder that prevention begins at home through honest conversations, clear expectations, and supportive environments. 

Together, we can help every Cobb student stay drug-free for life.

Source: https://www.cobbk12.org/osborne/_ci/p/120665

Overdose deaths among people 65 and older linked to fentanyl mixed with stimulants such as cocaine and methamphetamines have skyrocketed by 9,000% in the past eight years, reaching levels similar to those seen in younger adults. The findings, presented at the ANESTHESIOLOGY 2025 annual meeting, highlight an alarming and often overlooked trend affecting older Americans.

This research is one of the first to use Centers for Disease Control and Prevention (CDC) data to demonstrate that older adults, a group rarely centered in overdose studies, are now deeply involved in the growing wave of fentanyl-stimulant fatalities. Those 65 and older are particularly at risk because they are more likely to have chronic health issues, take multiple medications, and process drugs more slowly as they age.

The Fourth Wave of the Opioid Epidemic

The opioid crisis has evolved through four distinct stages, each dominated by a different substance driving overdose deaths: prescription opioids in the 1990s, heroin around 2010, fentanyl beginning in 2013, and a combination of fentanyl and stimulants starting in 2015.

“A common misconception is that opioid overdoses primarily affect younger people,” said Gab Pasia, M.A., lead author of the study and a medical student at the University of Nevada, Reno School of Medicine. “Our analysis shows that older adults are also impacted by fentanyl-related deaths and that stimulant involvement has become much more common in this group. This suggests older adults are affected by the current fourth wave of the opioid crisis, following similar patterns seen in younger populations.”

Tracking the Deadly Trend in CDC Data

To examine the trend, researchers analyzed 404,964 death certificates listing fentanyl as a cause of death between 1999 and 2023, using data from the CDC Wide-ranging Online Data for Epidemiologic Research (WONDER) system. Of these, 17,040 deaths were among people age 65 and older, while 387,924 were among those aged 25 to 64.

Between 2015 and 2023, fentanyl-related deaths rose from 264 to 4,144 among older adults (a 1,470% increase) and from 8,513 to 64,694 among younger adults (a 660% increase). The most striking finding was the rapid rise in deaths involving both fentanyl and stimulants. Among older adults, these cases grew from 8.7% (23 of 264 fentanyl deaths) in 2015 to 49.9% (2,070 of 4,144) in 2023—a 9,000% jump. For younger adults, the proportion rose from 21.3% (1,812 of 8,513) to 59.3% (38,333 of 64,694) over the same period, an increase of 2,115%.

Cocaine and Methamphetamine Drive the Surge

The researchers highlighted data from these individual years because 2015 marked the onset of the fourth wave of the opioid epidemic and was also the year fentanyl-stimulant deaths among older adults were at their lowest, and 2023 as it was the most recent year of CDC data available.

The researchers noted that the rise in fentanyl deaths involving stimulants in older adults began to sharply rise in 2020, while deaths linked to other substances stayed the same or declined. Cocaine and methamphetamines were the most common stimulants paired with fentanyl among the older adults studied, surpassing alcohol, heroin and benzodiazepines such as Xanax and Valium.

Multi-Substance Overdoses and Prevention Strategies

“National data have shown rising fentanyl-stimulant use among all adults,” said Mr. Pasia. “Because our analysis was a national, cross-sectional study, we were only able to describe patterns over time — not determine the underlying reasons why they are occurring. However, the findings underscore that fentanyl overdoses in older adults are often multi-substance deaths — not due to fentanyl alone — and the importance of sharing drug misuse prevention strategies with older patients.”

The authors noted that anesthesiologists and other pain medicine specialists should:

  • Recognize that polysubstance use can occur in all age groups, not only in young adults.
  • Be cautious when prescribing opioids to adults 65 or older by carefully assessing medication history, closely monitoring patients prescribed opioids who may have a history of stimulant use for potential side effects, and considering non-opioid options when possible.
  • Use harm-reduction approaches such as involving caregivers in naloxone education, simplifying medication routines, using clear labeling and safe storage instructions and making sure instructions are easy to understand for those with memory or vision challenges.
  • Screen older patients for a broad range of substance exposures, beyond prescribed opioids, to better anticipate complications and adjust perioperative planning.

A Call to Action for Clinicians and Caregivers

“Older adults who are prescribed opioids, or their caregivers, should ask their clinicians about overdose prevention strategies, such as having naloxone available and knowing the signs of an overdose,” said Richard Wang, M.D., an anesthesiology resident at Rush University Medical Center, Chicago and co-author of the study. “With these trends in mind, it is more important than ever to minimize opioid use in this vulnerable group and use other pain control methods when appropriate. Proper patient education and regularly reviewing medication lists could help to flatten this terrible trend.”

Source: https://scitechdaily.com/a-9000-spike-in-fentanyl-deaths-is-devastating-older-americans/

Adolescence is a critical stage of growth, a time when young people begin to make their own independent choices in preparation for adulthood. However, it is also a time of vulnerability, especially when it comes to exposure to drugs and other harmful substances.

Because the brain is still developing, particularly in areas that control decision-making and impulse regulation, adolescents face unique risks that can affect their health and overall well-being. 

It is a well-established fact that the human brain does not fully mature until around the age of 25, leaving adolescents and young adults more vulnerable to the harmful effects of harmful substances. When exposure occurs during these critical years of development, it can cause both immediate harm and long-term consequences that may follow individuals well-into adulthood. 

One of the key reasons for this vulnerability lies in the development of the brain itself. According to the Harvard Health article “Adolescence: A high-risk time for substance use disorders” by Sharon Levy and Siva Sundaram, “the adolescent brain is ‘deliberately’ set up for risk-taking.” 

Areas such as the prefrontal cortex, a part of the brain which plays a central role in judgment, impulse control, and decision-making, are still “under construction” during adolescence. Because of this, younger individuals are more likely to engage in risky behaviors, including experimenting with drugs, often without fully understanding the dangers. The earlier drug use begins, the greater the potential for lasting harm. 

Substance use during this developmental period primes the brain for addiction and chronic health problems. Addiction occurs when the brain’s pleasure receptors are overstimulated, creating an artificial “reward system” that encourages repeated drug use.

For adolescents, this effect is magnified due to their still-developing neural pathways. With a heightened sensitivity to pleasure and a weaker ability to assess long-term consequences, teens are more likely to fall into cycles of use and dependency. 

What further exacerbates this issue is the limbic system, the part of the brain that processes emotions and rewards. Unlike the prefrontal cortex, the limbic system matures earlier, meaning teens often experience intense emotional responses and a stronger drive for immediate gratification.

Drugs offer that instant burst of dopamine, which quickly reinforces use through a “use-reward-repeat” pattern. 

Over time, this can disrupt the brain’s natural ability to feel pleasure, making ordinary activities less satisfying and increasing reliance on substances. 

The health risks tied to early drug use extend far beyond the brain. Adolescents who use drugs, as noted in the article “Teen drug abuse: Help your teen avoid drugs” published by Mayo Clinic, face heightened risks of heart attacks, strokes, organ damage, and worsening mental health conditions. 

Early experimentation can also serve as a gateway to more harmful substances, escalating the risks over time. Adding to the concern, research published in Neuropharmacology reports that patterns of substance use can pass down genetically, making future generations more susceptible to addiction as well.

Ultimately, drug use during adolescence is not just a temporary risk, but one that can set the stage for a lifetime of consequences. By understanding the unique vulnerabilities of the developing brain, it becomes clear why prevention and education are important. 

Protecting adolescents from early exposure to drugs is not only about safeguarding their present, but about preserving their future health as well. 

Source: https://www.pleasantonweekly.com/alameda-county/2025/10/06/how-drugs-alter-the-developing-brain-priming-adolescents-for-risk-and-dependency/

by Allysia Finley       Wall Street Journal          Sept. 14, 2025

What causes a young man to spiral from success toward loneliness, self-destruction and violence?

A police officer guards Tyler Robinson’s apartment complex in Washington, Utah, Sept. 12. Photo: andrew hay/Reuters

The descent of Tyler Robinson, the 22-year-old man suspected of murdering Charlie Kirk, is itself a tragedy worth mourning. How did a high-school whiz kid devolve into an assassin?

Such spirals aren’t so uncommon among young men, even if Mr. Robinson’s played out in a more calamitous and public way than most. Political violence is a problem. But so is the atomized culture in which young men retreat into confused inner worlds and virtual realities, which can be as addictive and destructive as any drug.

Mr. Robinson’s relatively normal background makes his actions jarring. He came from a good middle-class family. Having excelled in high school, he was awarded a scholarship to Utah State University, though he dropped out after one semester.

At some point, he appears to have become steeped in a dark digital world and videogames. He inscribed ammunition with obscure online memes (“Notices bulges OwO what’s this?”), lyrics to an anti-Fascist Italian song, and an apparent reference to the videogame “Helldivers 2,” a satire of a fascist interstellar empire inspired by the 1997 movie “Starship Troopers.”

Marinating in an internet cesspool can’t be good for the young and malleable male mind. Might killing villains in videogames desensitize the conscience? Studies have found an association between playing violent videogames and aggressive behavior, though most people who assume online avatars and fight monsters don’t become violent.

A broader problem, as Jonathan Haidt explains in his book “The Anxious Generation,” is that videogames cause boys to get lost in cyberspace. They have “put some users into a vicious cycle because they used gaming to distract themselves from feelings of loneliness,” Mr. Haidt notes. “Over time they developed a reliance on the games instead of forming long-term friendships.” They “retreat to their bedrooms rather than doing the hard work of maturing in the real world.”

The same is true of social-media platforms like Discord and Reddit, where young men often seek fraternity under pseudonyms. The platforms become substitutes for real-world camaraderie and can lead men down dark holes. Frequent social-media use has been found to rewire neurological pathways in young brains and compromise judgment.

Mr. Robinson’s spiral recalls Luigi Mangione, the 27-year-old University of Pennsylvania graduate who allegedly shot and killed UnitedHealthcare CEO Brian Thompson on a New York City street. Attractive and athletic, Mr. Mangione developed an obsession with self-improvement even as he suffered bouts of excruciating back pain. He was also an avid videogame player and active on Reddit.

Prior to the shooting, he cut off communications with family and friends. Men in their late teens and 20s sometimes experience psychotic breaks. Mr. Mangione’s apparent mental-health struggles, however, seem to have gone unnoticed as he got lost in a digital wilderness.

Or consider Thomas Crooks, the 20-year-old who attempted to assassinate President Trump at a rally last summer. Crooks graduated high school with high honors and scored 1530 on the SAT, then enrolled in an engineering program at a community college. His father said his mental health began declining in the year before the shooting.

Crooks lost social connections as he started spending more time online, visiting news sites, gaming platforms, Reddit and weapons blogs. He at one point searched for information on “major depressive disorder” and “depression crisis,” suggesting he suspected he had a mental illness. Instead of psychiatric treatment, he turned to the internet.

Like drugs, the internet can fuel delusions. Patrick Joseph White, 30, last month opened fire on the Centers for Disease Control and Prevention headquarters in Atlanta, then fatally shot himself. He was apparently exercising his rage against Covid shots, which he wrote were “always meant to indiscriminately murder as many as possible” and believed had caused his depression.

He had threatened self-harm numerous times in the previous year. In April police officers came to his home after he called a veterans’ crisis line and said he had been drinking and taking medication. White told officers he had called the crisis line “just to talk to someone.”

Videogames and the digital world may not cause mental illness, but they can be a form of self-medication that provides illusory relief from emotional troubles even as they propel antisocial behavior. The solution isn’t to ban them, but to create social structures that prevent young men from falling through the cracks.

Lost boys pose a broader cultural problem. The share of men 20 to 34 who work has been declining over the past 30 years, even as employment among young women has increased. Too many young men spend their days playing videogames, watching porn, smoking pot and trolling the internet rather than engaging with the real world.

Mr. Kirk sought to bring young people like Mr. Robinson out of their virtual caves. It’s harder to hate someone you meet in the flesh than an avatar in a digital dystopia.

Source:  Drug Watch International – www.drugwatch.org

Received from DFAF – 16 September 2025

The swift legalization of marijuana across the United States is impacting the rates of use and increasing the social acceptance among veterans 65 and older. A recent study is shining a light on this group of individuals whose struggle with marijuana use had largely flown under the radar.

The study included more than 4,500 Veterans Health Administration (VHA) patients nationwide, revealing a concerning picture of marijuana use and cannabis use disorder (CUD) in this population. Over half of respondents (57%) reported having used marijuana at some point in their lives, and 1 in 10 had used it within the past 30 days—a rate nearly double the national average for adults 65 years or older in the general population. Among these recent users, more than half were frequent users (defined as using on 20 or more days in the past month), and the majority (72%) consumed marijuana by smoking.

Perhaps most concerning was the prevalence of CUD. Among those who reported recent use:

  • One-third (36.3%) met the criteria for CUD, including 10.9% with moderate CUD and 2.5% with severe disorder CUD.

The risks were even higher among those who consumed marijuana through smoking or vaping, those who reported anxiety symptoms, and those with functional impairments in daily activities. Veterans aged 65–75 were also more likely to meet criteria for CUD compared to those over 76, and risk increased among individuals who used other substances or faced economic hardship.

Geography mattered as well: veterans living in states with legal recreational marijuana use were more than twice as likely to report use compared to those in non-legal states. In contrast, living in a medical-only state did not significantly increase odds of use—suggesting that broader legalization may be a key driver of accessibility and behavior.

The findings highlight the need for veterans to understand the risks associated with use and to receive screening for CUD, which could help identify problematic use early and connect patients with evidence-based treatment.

 

Source:  Drug Free America Foundation | 333 3rd Ave N Suite 200 | St. Petersburg, FL 33701 US

Back to top of page

Powered by WordPress