South Dakota Methamphetamine Prevention Toolkit

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South DakotaMethamphetaminePreventionToolkitProvided by:South Dakota Department of Social Services;SE Prevention Resource Center - Volunteers of America, Dakotas;NE Prevention Resource Center - Human Service Agency;W Prevention Resource Center - Youth and Family ServicesNovember 20171

Table of ContentsPage 3Page 5Page 7Page 8Page 9Page 10Page 11Page 12Page 14Page 15Page 17Page 18Page 20Page 22Page 24Overview of Methamphetamines in South DakotaWhat is MethamphetamineSigns and Symptoms of UseChildren at Risk Fact SheetTips for Property Owners Fact SheetTips for Home Visitors Fact SheetEmployee Safety Tips Fact SheetMeth Changes Everything CampaignProject Stand-Up CampaignClassroom EducationHow to Get HelpHow to Build a Coalition to Combat MethamphetamineStrategic Prevention FrameworkRisk and Protective FactorsSD Prevention Network2

Meth in South DakotaThe use of methamphetamine continues to affect rural areas as well as urban areas throughout thestate of South Dakota. This increased use and demand for methamphetamine has continued to riseover the past few years.Methamphetamine has come to the attention of the public through media, informed public officialsfrom the local to national level, and concerned citizens.Public efforts are underway by law enforcement, politicians, social service agencies and the media tofurther educate the public of the dangers of methamphetamine use.Interstate 90 which runs east to west through South Dakota is increasingly being used for thetransportation of drugs and currency by trafficking organizations.In 2016 there were 2,687 arrests in 46 counties across South Dakota with 64 pounds of meth seizedand 9 labs found. The South Dakota Youth Risk Behavior Survey (YRBS) indicates that South Dakotayouth have higher rates of trying meth at 3.8% compared to the national avaerage of 3%.Methamphetamine Stats At-A-GlanceSource: SD Attorney General’s nomethever.com website3

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What ismethamphetamine?Methamphetamine is a stimulant drug usually usedas a white, bitter-tasting powder or a pill. Crystalmethamphetamine is a form of the drug that lookslike glass fragments or shiny, bluish-white rocks. Itis chemically similar to amphetamine [a drug usedto treat attention-deficit hyperactivity disorder(ADHD) and narcolepsy, a sleep disorder].Other common names for methamphetamine include chalk, crank, crystal, ice, meth, and speed.How is methamphetamine used?People can use methamphetamine by inhaling or smoking, swallowing (pill), snorting, or injecting thepowder that has been dissolved in water or alcoholMethamphetamine’s effects on the brainMethamphetamine increases the amount of the natural chemical dopamine in the brain. Dopamine isinvolved in body movement, motivation, pleasure, and reward (pleasure from natural behaviors suchas eating). The drug’s ability to release high levels of dopamine rapidly in reward areas of the brainproduces the “rush” (euphoria) or “flash” that many people experience.Short-term effectsTaking even small amounts of methamphetamine can result in many of the same health effects asthose of other stimulants such as cocaine or amphetamines.These include: Increased wakefulness and physical activity Decreased appetite Faster breathing Rapid and/or irregular heartbeat Increased blood pressure and body temperature5

Long-term effectsPeople who inject methamphetamine are at increased riskof contracting infectious diseases such as HIV and hepatitisB and C. These diseases are transmitted through contactwith blood or other bodily fluids. Methamphetamine usecan also alter judgment and decision making leading torisky behaviors. Long-term methamphetamine use hasmany other negative consequences.These include: Extreme weight loss Severe dental problems Intense itching, leading to skin sores from scratching(meth mites, crank bugs) Anxiety Confusion Sleeping problems Violent behavior Paranoia—extreme and unreasonable distrust of others Hallucinations—sensations and images that seem real though they aren’tThe methamphetamine addictionMethamphetamine is highlyaddictive. When people stop takingit, withdrawal symptoms can include: AnxietyFatigueSevere depressionPsychosisIntense drug cravingsSource: nomethever.com6

Signs & Symptoms of Methamphetamine UseThere are certain signs associated with meth use that can be noticeable from the first time someonetries the drug. Not every user will display every one of these symptoms; other illicit drugs may alsocause similar signs.Signs of early meth use include: Euphoric "high" state (excessively happy) Decreased appetite Increased physical activity Anxiety, shaking hands, nervousness Incessant talking Rapid eye movementIncreased body temperature (can rise as high as 108 degrees and cause death) Dilated pupilsSweating not related to physical activityIf you suspect someone might be using meth, symptoms can include: Paranoia Sleeplessness and severe depression Nausea, vomiting, diarrhea Extreme irritability and anxiety Seizures Teeth grinding, bad teeth, and body odorSkin ulceration and infections, the result of picking at the skin or imaginary bugs Auditory and visual hallucinations Violent and erratic behavior Nervousness Anhedonia - loss of pleasure Dryness of mucous membranes Burnt or blistered lips and/or fingertips from holding hot "Ice Pipes"Source: This information was accessed in 2011 from NIDA InfoFacts:Methamphetamine which is no longer available on the NIDA website.7

Fact Sheet: Methamphetamine - Children At RiskRisks to children include: Exposure to explosive, flammable, toxic ingredients stored in kitchen cabinets, bathrooms and bedrooms Access to methamphetamine and paraphernalia Presence of loaded weapons in the home and booby traps (due to paranoia of methamphetamine users) Physical and sexual abuse Exposure to high risk populations (sexual abusers, violent drug users) Neglect including poor nutrition, poor living conditions Presence of pornographyIf a pregnant woman uses meth, the baby mayexperience: Premature birth Growth retardation Withdrawal symptoms includingabnormal sleep patterns, high pitchedcry, poor feeding Cerebral injuries Limpness Apparent depression Shaking and tremor Irritability Fits of rage Sensitivity to stimuli including humantouch and regular light Coordination problems Birth defects (6 times more likely)including effects on the central nervoussystem, heart and kidneys Cerebral palsy and paralysis arecommonThe effects of meth last longer than crack and can lead tomore damage. Levels of meth present in breast milk arehigher than the level in blood.Medical personnel may notice:Agitation, inconsolability, tachycardia,respiratory problems (often meth kids presentwith asthma), nausea, protracted vomiting,hyperthermia, ataxia, roving eye movements,seizures, and headaches.Source: Mesa Center Against Family Violence Parents who use meth often exhibit:Extreme mood fluctuationsViolent behaviorDepressionPoor impulse controlBizarre behaviorsLack of attention to hygieneAcute psychotic episodesPoly-drug use Children whose parents use or manufacture methmay experience:Respiratory problemsDelayed speech and language skillsHigher risk for kidney problems and leukemiaMalnourishmentPoor school performance/attendance problemsIsolationPhysical, sexual and emotional abusePoor dental healthHyperactivity and attention disordersLiceObesityOther developmental problemsViolent behaviorDrug usageLack of boundaries/easy attachment to strangersAs meth use continues, the parent is unable to provide basic needsto the child. Due to changes in brain chemistry, the parent loses the capacityto care about anything but meth.If you suspect meth production, leave the area immediately and contact local law enforcement!8

Fact Sheet: Tips forProperty OwnersMethamphetamine is a dangerous drug thatposes serious health and environmental dangers.The drug can be manufactured in homes,apartments, garages and outbuildings using toxichousehold and agricultural chemicals that canexplode or ignite without warning. Innocent bystandersvisiting or living near the site of a meth lab are extremelyvulnerable and at riskfor injury.Potential Costs of Labs on Your Property: Lost rental income while property is cleaned to removeall traces of meth contamination. Properly cleaning a property can cost up to 10,000. Inmost cases, the property owner is responsible. Compromised health of tenants, staff and yourself. Possible premise liability lawsuit Decline in property values.Be A Vigilant Property Owner! Perform background checks on all individuals applyingto live in the property. Perform regular inspections of the rental property. Train your staff about drug paraphernalia and thedangers and warning signs of meth use/ manufacture. In multiple-housing properties, host tenant“Neighborhood Watch” meetings or safety socials anddistribute methamphetamine education materials. Screen tenants.Safety While Visiting the Property Keep your hands as free as possible. Leave the home immediately if you smell chemicals. Do not touch any suspicious items. Be aware of your surroundings and leave if yourinstincts tell you to. Call law enforcement and report any suspiciousactivities or items.Property InspectionsChemical Odors of Meth Manufacture: Ether-like: Aromatic, sweet odor often accompaniedby a sweet taste. Sometimes described as a “hospitalodor”. Nasal irritant Solvent-like: Sweet odor from common solvents. Usedin paint thinners, paint removers, adhesives andcleaning fluids. Type of odor often found in an autobody shop. Eye and nasal irritant Ammonia-like: Intense, sharp, irritating odor similarto, but much stronger than that of wet diapers, glasscleaners, cattle feedlots or fertilizers. Eye and nasalirritantLarge Quantities of Meth Ingredients: Canning jars with multi-colored or layered liquids Aquarium tubing used in bottles or jugs Cold and allergy tablets Lithium battery casings Anhydrous ammonia Table or rock salt Gas-line additive Drain cleaner Camping fuel Matchbooks Starter fluidTenant Behavior: Respiratory irritation and/or chemical burns Hyperactivity and compulsiveness Aggressive and violent behavior Paranoia and hallucinations Restlessness/agitation Dilated pupils TalkativenessUnusual Security/Ventilation Measures: Baby room monitors being used outdoors Video surveillance systems positioned to observeexterior of home. Elaborate fencing and heavy duty locks when it is notevident what is being secured. Fans positioned to ventilate the home. Windows blacked out or covered. Protective, aggressive dogs. Night vision equipment.9Be sure to include outbuildings on your inspection,including garages, storage sheds and barns.

Fact Sheet: Tips for Home VisitorsBefore You Go: Ensure that you have obtained as much informationabout your client as possible. If possible, canvass the area around the home’saddress. Assess potential safety concerns and takeprecautions. Communicate your schedule and likely route to yoursupervisor. Notify your office of yourarrival. Carry only your ID, a cell phone and/orpager, and keys. Do not wear clothes and shoes that can impede yourmovement. Pants are best. Wear a name badge if you have one, but don’t wearone around your neck. A clip-on is best.Upon Your Arrival: Park within direct sight of the home’s entry. Park in a well lit, unobstructed area. Don’t park in thedrive way of the home. As you exit the car, be attentive to people in the areaand any unsecured dogs. Be aware of any meth paraphernalia in the areasurrounding the home. Keep your hands as free as possible. Do not bedistracted by talking on a cell phone. Carry a personalalarm if feasible. (Clip-on)Safety During the Visit: Present yourself as calm, confident, observant, and incontrol. Position yourself between the client and the exit. Sit in a hard backed chair. Have an excuse to leave in advance. Be aware of your surroundings and leave if yourinstincts tell you to. Pay particular attention to the client’s protectivenessrelating to certain rooms of the home. Leave the home immediately if you smell chemicals.Possible Meth Lab ActivityUnusual Security/ Ventilation Measures: Baby room monitors being used outdoors. Video surveillance systems positioned to observeexterior of home. Elaborate fencing and heavy duty locks when it is notevident what is being secured. Numerous fans or industrial-type fans positioned toventilate the home. Alarm systems and large, protective dogs.Chemical Odors Associated with MethProduction: Ether-like: Aromatic, sweet odor often accompaniedby a sweet taste. Sometimes described as a “hospitalodor”. Nasal irritant Solvent-like: Sweet odor from common solvents usedin paint thinners, paint removers, adhesives, andcleaning fluids. Type of odor often found in an auto body shop. Eyeand nasal irritant Ammonia-like: An intense, sharp, irritating odorsimilar but much stronger than that from wet diapers,glass cleaners, cattle feedlots or fertilizers. Eye andnasal irritantAdditional Indicators of a Meth Lab: Numerous chemical containers, matchbooks withstriker plates removed, abundance of cold tablet/dietpill containers. Reddish stained coffee filters, canning jars with multicolored liquids, aquarium-type tubing used in bottles. Battery casings, crumpled/burnt foil. Windows blacked out or covered. People in and around meth manufacturing may exhibitrespiratory irritation and/or chemical burns to skin.Indicators of Meth Use: Dilated pupilsRestlessness/agitationParanoia and hallucinationsHyperactivity and compulsivenessAggressiveness and violent behaviorTalkativenessIf you suspect methamphetamine production,leave the home immediately and contactyour local law enforcement agency.10

Fact Sheet: Employee Safety TipsPossible Meth Lab ActivityMethamphetamine is a dangerous drug that poses serioushealth and environmental dangers. The drug can bemanufactured cheaply using household and agriculturalchemicals that are very toxic and can explode or ignitewithout warning. Individuals who work in or near homeswhere a meth lab is present are extremely vulnerable and athigh risk for injury. Sanitation workers, postal servicesemployees, utility workers, cable installers, meter readersand delivery drivers should all be aware of the risks.UNUSUAL SECURITY/VENTILATION MEASURES: Baby room monitors being used outdoors. Video surveillance systems positioned to observeexterior of home. Elaborate fencing and heavy duty locks when it isnot evident what is being secured. Fans positioned to ventilate the home. Night vision equipment. Protective, aggressive dogs.BEFORE YOU GO: Communicate your schedule and likely route to yoursupervisor. Notify your office of your arrival. Carry only your ID, a cell phone and/or pager, keys anditems necessary to your work. Do not wear clothes and shoes that might impede yourmovement. Wear a name badge if you have one, but don’t wear itaround your neck. A clip-on ID is best.CHEMICAL ODORS OF METH PRODUCTION: Ether-like: Aromatic, sweet odor often accompanied bya sweet taste. Sometimes described as a “hospitalodor”. Nasal irritant Solvent-like: Sweet odor from common solvents used inpaint thinners, paint removers, adhesives, and cleaningfluids. Type of odor often found in an auto body shop.Eye and nasal irritant Ammonia-like: Intense, sharp, irritating odor similar tobut much stronger than that of wet diapers, glasscleaners, cattle feedlots or fertilizers. Eye and nasalirritantUPON ARRIVAL: Park within direct sight of the home’s entry. Park in a well-lit, unobstructed area. Don’t park in thedriveway of the home. As you exit your vehicle, be attentive to people in thearea and any unsecured dogs. Be aware of any drug paraphernalia in the areasurrounding the home. Keep your hands as free as possible. Do not bedistracted by talking on a cell phone. Carry a personalalarm if feasible.WHILE AT THE HOME: Present yourself as calm, confident, observant and incontrol. Be aware of your surroundings and leave if yourinstincts tell you to. Leave the home immediately if you smell chemicals.BE AWARE OF INDICATORS OF METH USE: Hyperactivity and compulsiveness Aggressive and violent behavior Paranoia and hallucinations Restlessness/agitation Dilated pupils TalkativenessADDITIONAL INDICATORS OF A METH LAB: Reddish stained coffee filters, canning jars with multicolored liquids, aquarium-type tubing used in bottles orjugs. Battery casings, crumpled/burnt foil. Light bulbs with filament removed. Windows blacked out or covered. Bottles with clear tubing in the cap. People in and around meth manufacturing may exhibitrespiratory irritation and/or chemical burns.LARGE AMOUNTS OF METH INGREDIENTSSUCH AS: Cold and allergy medicine Anhydrous ammonia Lithium batteries Gas-line additive Table or rock salt Sidewalk de-icer Drain cleaner Starting fluid Camping fuel Matchbooks IodineAdapted from the Kansas Methamphetamine11Prevention Project.

In the fall of 2016, the SD Department of Social Services launched a campaign called“Meth Changes Everything” to address the rising use rate in South Dakota.This campaign is geared at educating 9-12th grade high school students plus communities about thedangers of meth use, the effects on families and communities, and resources for individuals battlingmeth addiction.The school presentation includes a power point and video that lasts about 45 minutes. It is ideal to dothe presentation in a classroom setting to allow for more interaction and discussion with the students.While it can be presented in a large group setting if the school prefers, that is not ideal for groupdiscussion or learning. A prevention specialist in the region will come in to provide the presentations.Just as important, a community presentation and video for a town hall meeting are available toeducate the public. Preferably the town hall meeting would be held the same day as the schoolpresentations. The town hall meeting could include the video, presentation and a panel ofprofessionals in the local community to discuss the issue of meth. The panel could include, (but is notlimited to) police officers, child protection services, EMT’s, emergency room staff, and addictioncounselors.The methchangeseverything.com website has resources for community members to utilize. Twolocally produced videos are listed on the website for both high school students and communitymembers. People can go to the site and take the pledge to stand against meth. There is a section thatlists available treatment options for those who may have dependence or addiction tomethamphetamines and/or other drugs. There is also a section were people can share their story ofhow meth has impacted his or her life.Social media is a component of the campaign. More can be found at the following sites:Facebook - agram at: https://www.instagram.com/methchangeseverything/12

“Meth Changes Everything” Campaign Images13

STAND UP TO ILLEGAL DRUGS.TEXT ‘DRUGS’ TO 82257Citizens are hesitant to use 911 to report crime tips due to identity issues. This is why texting hasbecome the preferred method of communication among young citizens. Anonymous texting givespeople the reassurance that their identity will not be known by suspects. Project Stand Up givescitizens the chance to support law enforcement in their communities with a fast and confidential text.Anonymous text tips sent to Project Stand Up are connected to EVERY sheriff and police chief in SouthDakota. All text tips will be monitored for drug trends and movement between communities to helpreduce the use and distribution of illegal drugs in South Dakota.For more information on Project Stand Up and/or on the“No Meth Ever” Campaign go to www.nomethever.com14

Classroom Education1. LifeSkills is an evidence-based curriculum for grades 3-1

In 2016 there were 2,687 arrests in 46 counties across South Dakota with 64 pounds of meth seized and 9 labs found. The South Dakota Youth Risk Behavior Survey (YRBS) indicates that South Dakota youth have higher rates of trying meth at 3.8% compared to the national avaerage of 3%. Methamphetamine Stats A t-A-Glance /p div class "b_factrow b_twofr" div class "b_vlist2col" ul li div strong File Size: /strong 1MB /div /li /ul ul li div strong Page Count: /strong 25 /div /li /ul /div /div /div

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