I ONCE HEARD George Soros say that for a politician,
drug policy reform is the "third rail." Touch it and you die.
Reformers know that the issue of adolescents and drugs is
the third rail within the third rail. While we have been
able to win the support of an increasing number of
Americans on issues like medical marijuana and treatment
instead of incarceration, even those who
think "Just Say No" is too simplistic are skeptical of alternative
approaches to teenage drug use.
Many mistakenly believe that if
you're not saying no, you must be
saying yes.
I began to look closely at
prevention education when in
1988 my daughter was subjected to
the DARE program without my
permission. I first learned then that
calling such programs "drug education" was a misnomer. Adolescents
and preadolescents, the targets of
media and school-based anti-drug
messages, were taught "refusal skills"
rather than being provided with
objective information.
Today's parents of
adolescents were
themselves
teenagers in the
1960s and 1970s.
The majority
have used
marijuana and
other drugs.
In a nutshell, kids were repeatedly
told that all illegal drugs are equally
bad, and use inevitably leads to abuse
and addiction. That message "took" until
savvy teens figured out that drugs are
vastly different from one another in
terms of effects and risks; that the vast majority of users do
not progress to increasingly harder drugs or become
addicted; and that many legal drugs are far more toxic
than illegal drugs. With this knowledge, and the realization that they'd been duped, many teenagers became
cynical about any drug information coming from adults,
no matter how well-meaning the source. This scared me.
By the mid-1990s, I had become convinced that the
use of a harm reduction perspective was the way to go
with teenagers and drugs, just as it had been with teenagers
and sexuality. As a NIDA-funded researcher I was
familiar with the survey data and knew that the vast
majority of teens who experimented with drugs did not
get into trouble with them. Having looked at a variety of
programs and curricula, I also knew that teens were not
getting information they trusted that might help them
make responsible decisions about the nature and amounts
of drugs they might use.
All this (frightening) information about drug education was immensely personal,
since by this time both my
children were teenagers. I tried to convince them that I,
unlike the other adults they'd heard, was objective about
alcohol and other drugs; that the information I would
offer was based on the latest scientific evidence rather
than propaganda and hype. I gave
them Marijuana Myths Marijuana Facts
and From Chocolate to Morphine to read,
and urged them to do their own
research. Although I told them up
front that I thought abstinence was
the best choice, my bottom line was
their safety. More than anything
else, I wanted them to stay out of
cars if they or their friends became
intoxicated, and I was prepared to
do anything to keep them out of
harm's way.
My friends who were also
parents felt exactly as I did.
While that was no surprise, I
suspected that other, possibly
more conventional, parents also
honored safety above all else. In
1998 my hunch was validated.
The San Francisco Chronicle
published a letter I wrote to
my son, Johnny, who was then
entering high school. In the
letter (which has now been
translated into ten languages and can be found at
www.safety1st.org), I told Johnny about the drugs he
might encounter in high school and that abstinence would
be his wisest choice. What distinguished my message from
that of Nancy Reagan's were four little words, "but if you
do." That's where harm reduction came in. I advised my
son to become informed about whatever substances he
chose to use, and most importantly, to "be safe." I assured
him that his father and I, as well as our friends, were
available to help, if he should find himself in a compro-
mising situation.
The response I got to that letter was overwhelming.
Parents asked if they could duplicate the letter and send it
to friends; schools began using it in health education
classes; students thought it was the most "real" thing
they'd seen about drugs.
The Drug Policy Alliance and I created the Safety First
drug education project a year later, in 1999--kicking it off
with a conference, "Just Say Know: New Directions in
Drug Education," and an expanded version of the Chronicle
letter in a booklet entitled, Safety First: A Reality-Based
Approach to Teens, Drugs, and Drug Education.
The project was dedicated to parents and educators.
We advocated abstinence while providing a "fallback"
strategy addressing those teens who said "sometimes," or
"maybe," or even "yes" to alcohol and other drugs. Our
position was clear:
- Regarding alcohol and other drugs, in order to eliminate
the possibility of potential problems, abstinence is the
wisest choice for teens.
- Conventional prevention programs,
providing misinformation and utilizing
scare tactics, are ineffective because they
have failed to gain the confidence of
young people.
- Teens, whether we like it or not, will
make their own decisions about alcohol
and other drug use.
- Everyone needs honest, science-based
drug education because America is a drug
culture (using alcohol, over-the-counter
substances, and prescription drugs, as
well as illegal drugs), and we all will
have to deal with a wide array of legal
and illegal substances throughout our
lifetimes.
- Safety should be the end result of any
program or approach.
By 2002, Safety First had been shunned
and embraced by parents all over the world.
The usual cadre of zealots denounced the
approach as encouraging and facilitating
drug use among teens by not "drawing a
line in the sand" and sticking to an abstinence-only agenda. I gave up on them early
on, knowing they were mired in a moral
and cultural fantasy-like belief system that
forced them to use the same failed approach,
over and over, despite its obvious failures.
But real parents in the real world with real teenagers
have gotten and appreciate the message. The California
State PTA partnered with us in 2002 to make Safety First
available to all parents of secondary school students. We
published a practical brochure, Getting Real about Teens and
Drugs, and created the web site www.safety1st.org for
parents and educators that includes facts about commonly
used drugs, a question and answer column, news about
drugs and drug education, and strategies for parents
dealing with teens and drugs. We have conducted parent
workshops all over the country, as well as in Australia,
Canada, New Zealand, Poland, and Slovakia, urging
parents to:
- Open a dialogue by listening to what teens say about
drug use.
- Get educated about teenage culture and the nature of
drug use within that world.
- Remain calm, non-judgmental, and honest.
- Recognize that teens will make their own decisions.
- Be of assistance when teens find themselves in compromising situations.
- Learn how to help those teens who get into abusive
patterns with alcohol and other drugs.
Due to high demand, we are now in the
process of working with the Department of
Education, the Department of Drug and
Alcohol Programs, and other prevention
professionals in California to create a harm
reduction-oriented drug education model
for middle and high school students,
couched in Student Assistance Programs.
Those of us introducing innovative
approaches to teenage drug use know that
this Drug War "issue," more than any other,
comes closer to connecting us to and
alienating us from conventional America.
Relatively few people know someone who's
incarcerated on a drug charge or is strung
out on heroin; more know someone who
needs or uses medical marijuana. But the
vast majority are, were, or will be, the
parent of a teenager; and over half of those
teenagers admit to using an illegal drug
before they graduate from high school. In
this sense, the issue of teenage drug use --potential or real-- touches almost all of us.
Today's parents of adolescents were
themselves teenagers in the 1960s and
1970s. The majority have used marijuana
and other drugs. Most have long since quit,
bowing to the pressures of parenthood and
conventional life. They now struggle with
how to talk with their teens, and whether to divulge
information about their past use. While they're concerned
that today's marijuana might be stronger than the stuff
they smoked, the parents I talk with repudiate the propa-
ganda being promulgated on their kids. They know our
government is waging a failed war on drugs, and prevention of
teenage drug use, due to extreme Reefer-madness-style tactics,
is part of that failure.
I am encouraged by the thousands of requests for our
Safety First materials and by the enthusiasm of prevention
professionals to seek new approaches. But mostly I am
heartened by teenagers themselves, who have shown
themselves to be resilient enough to cut through the
propaganda aimed at them, and make increasingly safer
decisions about alcohol and other drug use.
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