NIDA for Teens: The Science Behind Drug Abuse
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Heroin

Finding Your Voice: Using Creativity for Positive Change

In 2011, at age 14, Grant Davis was recognized by NIDA and the GRAMMY Foundation for his song, “Just a Child,” a tribute to his older sister Kelly, who struggled with addiction.

Recently, Grant shared his story during a TEDx event at the University of Nevada. TED (Technology, Entertainment, and Design) and TEDx are a series of conferences designed to share “ideas worth spreading.”

Grant, now 16, says that as he prepared his TED talk, he remembered how he felt seeing his sister passed out on the floor. “I couldn’t get that image out of my head,” he says. “Heroin, Kelly’s drug of choice, is incredibly difficult to overcome. Every second of every day, I know she wishes she could go back and live her life differently.”

But Grant’s latest song, “What About Me?” focuses on another aspect of drug addiction—how it also affects the person’s loved ones and overshadows everything else.

Grant says, “At 10 years old, I experienced many scary thoughts about my sister’s addiction. My parents were wrapped up with helping her, and I kept thinking, ‘What about me?’ The pain was overwhelming.”

Singing gave Grant a way to release the pain he was feeling. “I began singing, first in the shower, then in my room. Through singing, I found the pain was nearly gone, and I could think clearly,” Grant explains.

A conversation with his mother gave Grant a new idea. He says, “I thought, I can’t be the only kid suffering. So I decided to start an afterschool club for anyone having troubles at home.”

Creativity for Positivity

Grant calls this club WAM, for “What About Me?” and sees it providing a creative outlet for kids who might otherwise give in to negative influences and peer pressure. WAM has three main goals, to help kids:

  • Build friendships.
  • Find their creative place in the world.
  • Share their talent.

“The process of sharing and discovering your talent can have a genuine impact on self-esteem so that kids do not fall prey to drugs,” Grant says. Noting his sister’s continuing struggles, he observes, “It’s easier than having to fix a drug problem afterwards.”

Grant envisions WAM as a way for kids to find and share their voices in whatever form of creative expression they choose. “I do believe that anyone who wants to can fly.”

Tell us in comments: Do any creative pursuits help when you get down or go through hard times?

Grant speaking at the TED Talks

Real Teens Ask about Effects of Heroin

At NIDA’s last Chat Day, we got this question from a high school student:

”Why do people scratch a lot when they are high on heroin?"

A NIDA scientist responded that he had done years of research on this topic. He explained: “Heroin activates connections in the brain called opioid receptors. These receptors then activate fibers that transmit itch information (aka ‘pruritus’) to the brain. Thus, heroin users feel itchy. Good question.”

But before heroin can activate opioid receptors, it has to enter the blood stream and reach the brain. So how does this happen?

People usually inject heroin into their blood stream with a syringe. Soon afterwards, the heroin crosses the “blood-brain barrier”—a protective membrane that separates circulating blood from brain fluid in the central nervous system. Once in the brain, heroin is converted to a chemical called morphine and binds rapidly to the opioid receptors already mentioned. These receptors recognize chemicals affecting pain, like morphine.

Various drugs names.

Heroin users typically report feeling a surge of pleasure, or a “rush,” which makes sense because heroin enters the brain so rapidly. This quality also makes it extremely addictive. Along with the rush usually comes a warm flushing of the skin, dry mouth, and a heavy feeling in the arms and legs, which may be accompanied by nausea, vomiting, and, of course, severe itching. Also, since heroin is a depressant, it clouds your thinking and can slow—or even stop—breathing.

Because heroin is mostly sold on the street, users can’t be sure of the purity (or strength) of the drug they’re taking. Also, because it’s so addictive, they may crave bigger and bigger amounts of the drug to get the same rush they got the first time—which often leads to overdose and death.

Scratching teen

Prescription Opioid Abuse Can Lead to Heroin Abuse

You may have heard marijuana referred to as a “gateway drug,” meaning that it can open doors to other kinds of drug abuse. But did you know that prescription painkillers can be gateway drugs to heroin? Some studies show that people who are addicted to heroin often started out abusing prescription painkillers (opioids), like OxyContin or Vicodin. Not everyone who abuses a prescription opioid will move on to heroin—but why take the risk? It might begin innocently enough—you think that taking a family member’s prescription painkiller is safer than abusing an illicit drug like Ecstasy, and you start using your dad’s prescription to get high. But what if you can’t stop? Prescription painkillers act on the same brain areas as heroin, after all, and can be very addictive. Once the pills run out, what do you do? If you’re addicted, you may look for another source, and sometimes that means buying heroin, a dangerous move, considering the potential consequences. NIDA’s Monitoring the Future survey of teen drug use and attitudes shows that high school students have long seen heroin as one of the most dangerous drugs out there. However, once a person is addicted to prescription painkillers and can’t get them anymore, heroin might not sound like such a bad deal. Both prescription opioids and heroin are extremely hard to stop once a person is addicted. A person trying to quit abusing opioids or heroin usually goes through severe withdrawal, which can cause restlessness, muscle and bone pain, insomnia, diarrhea, vomiting, cold flashes with goosebumps, and involuntary leg movements. Read more about the dangers of abusing prescription opioids. Curious what could happen if you abuse someone else’s prescription drugs? “Choose Your Path” with NIDA’s interactive videos. The best part is, if you don’t like your outcome, you can go back and try another path!

Choose Your Path BFF or the Ex

Transforming Tragedy Into Hope

One of the things I love most about music is its ability to transform tragedy into hope, as anyone who has listened obsessively to a "breakup song" knows. But, as artists like Bob Dylan, Marvin Gaye, Bob Marley, Joan Baez, and countless others have shown, songs can do more than comfort. They can change who we are as a culture and inspire us to work together to make the world a better place.

So, when I first met with a group of advanced music production students at the

A Life Lost to Addiction

The high school class of eight fledgling producers, songwriters, rappers, and musicians were all highly enthusiastic about the project. When considering issues to address, they reflected on the senseless 2010 death of a schoolmate, 16-year-old Haley Paternoster, of a heroin overdose. It turned out almost all of us had seen someone—a friend, a family member—destroyed by addiction, whether from heroin, prescription drugs like OxyContin, or alcohol. Haley’s death offered us a tragic common bond.

The class decided to make an album of original hip-hop music focused on addiction, dedicated to Haley's memory. Her father, Steve Paternoster, a local restaurateur, talk show host, and philanthropist, talked to our class several times. His words were raw, real, and deeply moving. Other students, also touched by addiction, began sharing personal stories, allowing us to begin working through our losses and permitting us to dive in, fully aware and sensitive to how addiction can wreck lives.

Haley, We Miss You

It took just 2 weeks to complete the title track, "Haley, We Miss You." We pushed forward. It was very important to the students that we keep the message real, unlike many other antidrug education programs they had experienced in the school system. We wanted an album to be thoughtful and hard hitting while keeping in mind the many complexities surrounding the issue.

The students composed songs about the power of music, the apparent contradictions of the "war on drugs," and the hardships of growing up in the rougher parts of our hometown. They wrote about the dangers of prescription painkillers and how advertisers try to manipulate youth to buy their products. We looked at addiction as part of the larger context of the mental and emotional health of our community.

Jennifer Weiss of the Albuquerque Heroin Awareness Committee, whose son Cameron had overdosed after a long struggle with heroin addiction, approached us. Cameron was a poet and rapper who, before he died, had composed and partially recorded a song about his struggle, "A One Way Track To Hell." It was a haunting and powerful work that unknowingly foreshadowed Cameron’s death; we accepted the challenge of completing the backing music and remixing the song to include in the album.

A CD for Every 8th Grader in Albuquerque

A graffiti mural of a young girl.

The album was just the first step. Our ultimate goal: to produce a CD for every 8th grader in Albuquerque. Prevention experts suggest that 8th graders are at the highest risk for experimenting with opioid painkillers, usually in the form of OxyContin, which was the case for Haley before switching to heroin. We felt the best approach was to try to reach out to kids at risk of using before they start.

 

Our label, "SoundOven," was created both as a musical identity and as the name for the organization we wanted to launch using music and film as media for positive social change. We knew we needed a budget for CD duplication, printing costs, and a music video. So, we started a crowd-funding campaign on Indiegogo asking for help. The fundraising appeal has concluded, but you can still check out our pitch video.

We received an overwhelming response: in 90 days, we had raised more than $10,000. Haley’s dad Steve was personally very generous, but we also got a big helping hand when the Albuquerque Journal did a front-page story on our campaign, subsequently picked up in local TV newscasts. In the end, more than 100 people from 5 countries contributed to our cause.

The Mission Continues

I could not be prouder of my students, Floyd Moya, Robert Serrano, Falon Cole, Ruben Valenzuela, Caelan Harris, Issac Leeman, Alex Wilson, Quinlan Spears, and Alex Torres. Their creativity, passion, and dedication makes me excited to get up every morning to do this work.

But the work is not yet done. We now have 2,000 copies of the finished CD to place into the hands of youth at risk for opioid addiction—which could really be anyone. We are coordinating with the heroin awareness committee and Albuquerque Public Schools substance abuse counselors, the culmination of our yearlong effort.

Along the way, I have been thrilled and humbled. I learned that empowering young people to find their voices, express themselves, and make a difference gives them a chance to accomplish much more than a school project. It allows them to shape their world. I have learned that when you reach out to your community with passion and conviction, the community will return that gift a hundredfold. Most of all, though, I have learned that tragedy can become opportunity—to learn, to take action, and to heal. And, to remember. Haley, we miss you, but I think you would be proud of what we have done in your name.

 

Blake Minnerly is a musician, filmmaker, and educator whose passion is helping young people make meaningful, professional media projects that advocate for positive social change in their communities. Besides his work at the Media Arts Collaborative Charter School, he plays in several bands and does freelance soundtrack composition, sound design, and editing. He is currently in the process of incorporating SoundOven as an independent nonprofit to continue and expand the project started in his advanced music production class.

More than 300 people helped develop the music video for “Haley, We Miss You,” including funders, extras, cast and crew, fire marshals, and city officials who waived fees for permits. Mr. Minnerly would like to especially acknowledge the following organizations for their contributions: Author’s note: Anyone wishing to use the video or the full album (available for free download at www.soundoven.bandcamp.com) for their own educational or prevention efforts can do so for FREE. Both are under a Creative Commons license that, with appropriate attribution, allows all uses other than reproducing the work for profit.

 

Blake Minnerly