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Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,*,*,*,Alcohol and Cocaine,Meg Wright,PREVALENCE IN SCOTLAND,Alcohol-50%of men 30%of women consume more than recommended limit.,Scotland has the 8th highest alcohol consumption rate in the world,Many social,health and economic problems as a result,PREVALENCE IN SCOTLAND,Cocaine use in Scotland is the 3rd highest in Europe,75%of cocaine users use alcohol-independently and also while using cocaine,Harm from using both is greater than using either separately,EFFECTS of MIX,Physical,Liver produces COCAETHYLENE,30%increase in blood levels of cocaine if alcohol taken at same time or just before,Increase in heart rate and blood pressure,Increase load on the heart can lead to sudden cardiac death,EFFECTS of Mix,Psychological,Alcohol is a depressant,cocaine a stimulant people feel they can drink more,More euphoric and rewarding leading to increased high,Feelings of wellbeing,Co-dependency,EFFECTS of Mix,Behavioural,Increase in physical violence,Increase in risk taking behaviours,Increase in impulsive decision making,Reduced memory and ability to learn,Typical alcohol and cocaine user,Recreational not seen as a problem,not taboo,Seen as a glamorous sociable activity,Educated/Aspirational/Affluent/Employed,Addiction related to lifestyle,culture,availability,pressures of work and status,Outcome for users,Spiral into unemployment,debt,poverty,Breakdown of relationships,Child protection issues,Collapse of self-esteem,Criminal record,Poor health,Paranoia/anxiety/mental health issues,Case Study,37 year old male,employed,Consumes 32-35 units in one session,Started taking cocaine to“last the pace and keep awake,Cocaine stopped him feeling depressed and worrying about money problems,Got arrested:“best thing ever happened to him,Rude awakening;abstinent from alcohol and cocaine for last five months,Case Study,32 year old male,employed,homeowner,Strongly into image,appearance,suntan lounge,Spends 300-600 a w/end on cocaine and alcohol,Takes116 units of alcohol and 2-3 grams of cocaine a weekend,“Dont think youre drunk,think youre cool,Involved in fighting-broken teeth,black eyes,Problems with work:Tired,depressed and paranoid,In alcohol counselling allied to motivational interviewing,stress management and anger management,Case Study,20 year old male from deprived area,unemployed,Drank heavily along with frequent use of cocaine,Motivating factor-boredom;the combination gave him a greater“buzz,Made him feel happy and upbeat about his life,Began having seizures,which stopped immediately he ceased using cocaine,Still drinking,but not as heavily,Receiving counselling,Conclusions,Potentially lethal combination within a relatively short period of time,Use of these two substances would appear to be increasing,Often used as part of a lifestyle and not as a response to deep underlying causes,Other problems e.g.criminal record,abuse,unemployment,tend to follow on from the use of the substances and not the other way around,Conclusions,Important for assessment and screening to picks up dependency on both,Staff have to be empowered and trained to deal with both substances,More research has to be carried out into the combined effects of both and to treat them as their joint use increases,
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