Pediatricians call youth overdoses a public health emergency. What will end it? - Global News | Canada News Media
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Pediatricians call youth overdoses a public health emergency. What will end it? – Global News

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Most parents assume substance addiction and overdoseing isn’t an immediate threat to their children, says Drug Free Kids Canada (DFKC) executive director Chantal Vallerand, but studies pointing to a growing crisis say otherwise.

As students prepare to go back to school — where peer influence is highly prevalent — prevention organizations are urging parents, caregivers and schools to take action against the rising risk of substance abuse to youth.

“Parents don’t think their kids are at risk. It’s always somebody else’s kid. But it’s more important than ever to take preventative measures,” Vallerand told Global News.

A report by the 2022 Canadian Paediatric Surveillance Program (CPSP) surveying 1,000 pediatricians has called drug overdoses among children and teens a public health emergency.

The number of youth suffering from severe, life-threatening overdose is increasing and has become the leading cause of death in children 10 to 18 years of age in Western Canada, the report says.

Stimulant overdose was the most commonly reported, followed by sedatives, then opioid overdoses.

A survey by DFKC found that only 11 per cent of Ontario high-schoolers admitted to using opioids or prescription drugs for recreational use, but Vallerand warns there is still a high risk.

“It’s not the vast majority, it’s not the substance of choice for initiation… but things could still turn up bad like the stats we’re seeing on overdosing,” Vallerand said.

Vallerand says parents or any trusted adults that have a relationship with a child, play an essential role in limiting the risk of harm to youth when it comes to substance use.

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DFKC’s annual tracking study surveys parents and children separately. Each year kids have listed their parents as their most reliable source of information, followed by school and then peers.

‘Just say no’ approach is outdated, say experts

Vallerand says the “just say no” lecture approach to educating youth on substance use is outdated, as it is anchored in the belief of abstinence as a solution.

Instead, DFKC aims to help educate and empower parents to normalize the conversation, she says.

“We’re proposing for parents to have early discussions, informed discussions, approaching it with curiosity as opposed to lecturing a kid,” Vallerand said.

Vallerand adds that while she is all for supporting youth who are already suffering from addiction, prevention is important.

“Let’s make sure we equip kids to make informed decisions about their health. When they go to a party and they’re being offered whatever drug, you want them to make the best decisions for themselves,” she said.

“It’s not easy, it can be intimidating, but we really encourage parents to start the conversation early.”



2:05
Why early intervention in youth mental health is important, according to expert


This year’s tracking survey also found that 49 per cent of kids who admitted to using prescription drugs recreationally got them from home.

As part of National Drug Drop-Off month during August, DFKC encouraged parents to limit accessibility to prescription drugs at home, making sure they are safely stored or disposed of if no longer needed. Safe disposal means bringing drugs back to the pharmacy, for example, rather than throwing them in the toilet or garbage.

Another reliable source of information on substance use are schools. D.A.R.E. (Drug Abuse Resistance Education) originated in 1983 and offers schools around the world curriculums that aim to provide kids with the skills they need to live healthy and safe lives.

One ten-week program offered in Canada and internationally is keepin’ it REAL, taught by law enforcement officers rather than teachers. It covers problem solving, risk, peer pressure, bullying and stress.

“It’s very much about empowering young people to use their brain, to educate themselves, to become more confident… more resilient, so that when… there’s peer pressure for them to do something or try a drug, they have more confidence and more skills to resist,” Shawn Evans, retired Ontario Provincial Police (OPP) officer and member of D.A.R.E Canada, told Global News.

A three-year, multi-longitudinal study of D.A.R.E.’s keepin’ it REAL program by UNC Greensboro and Prevention Strategies found statistically significant reductions in the prevalence of alcohol consumption, cigarette smoking and vaping among students who received the program. It was entirely successful in preventing marijuana use, the report found.

ABC’s of Youth Substance Use is another project aiming to build up the capacity of adults around young people.

The initiative is funded by the government of British Columbia and promotes evidence-based approaches to youth substance use education in B.C. schools.

The ABCs refers to Autonomy, Belonging and Competencies. According to Ash Amlani who co-leads the program, the ABCs are essential stepping stones to promoting youth wellbeing, preventing, delaying and reducing harms related to substance use.

“A lot of our focus and attention on the ABCs is really on all of the adults in the school building, as well as the administrators that are surrounding and supporting youth as they grow older,” Amlani told Global News.

One way the project supports schools is by giving them the ability to refer parents with tools and resources on youth substance use.

“Sometimes the folks in the school building become the bridge between the two systems,” said Amlani, who is also the former harm reduction epidemiologist for the B.C. Centre for Disease Control.

“A lot of times teachers or principals are called on to support parents (by) talking to parents about what’s happening with their child,” she said.



1:20
Program launched in Richmond to help at-risk youth receive support


Amlani echoed Vallerand’s sentiments on the “just say no” tactic for substance use discussions, saying it limits the conversation.

“When you just say no, well, what if I’m in an environment when someone else has said yes? What do I do in that situation? So we want to create that sense of safety. Being able to have those open, candid conversations (is part of that),” she said.

What is causing youth to seek substances?

Amlani says sometimes substance use is introduced as a coping mechanism for some young people. While substances aren’t often the first thing they go to, for some it becomes a critical part of coping.

“Post-COVID I would say this is a very common experience. Youth have really struggled with their mental health. Some experience social anxiety… sleep patterns have been very disrupted. So there’s lots of things that youth are dealing with,” Amlani said.

In a 2022 study by the Canadian Centre on Substance Use and Addiction (CCSUA), only one in four youth between the ages of 16 and 24 reported having excellent or very good mental health

Fifty-one per cent of participants reported problematic cannabis use. 37 per cent reported increased alcohol use.

Wellstream is another initiative investigating how to better support youth substance use through the school system.

Based in B.C., and part of the Canadian Centre for Innovation in Child and Youth Mental Health and Substance Use, the initiative launched as a response to the need for research and programming aimed at addressing the upstream issues that affect mental health and substance use for kids.

Dr. Emily Jenkins is the head of research for Wellstream. She says there have been a number of initiatives to address the crisis of overdosing as the leading cause of death among young people in B.C., but other interventions that “span the whole spectrum of substance use” are missing. That includes initiatives aimed at mitigating crimes and preventing the early onset of substance use.

Jenkins notes that a large portion of the youth who died in B.C. due to overdose in the last few years had involvement with the child welfare system.

“What that tells us is that this issue is particularly concentrated among youth who experience or have histories of trauma, of violence, poverty, of racism, the complex relationships between these issues,” Jenkins told Global News.

“In order to help address where the need is concentrated, we need to have approaches that are really responsive to the underlying issues that are influencing substance use,” she said.

Jenkins says treatment beds are important, but it’s also essential to pay attention to how governments provide safe and secure housing and opportunities for education and meaningful employment.

“Without doing that, we’re going to continue to be chasing this problem, which is not an okay solution,” she said.

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What’s the greatest holiday gift: lips, hair, skin? Give the gift of great skin this holiday season

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Give the gift of great skin this holiday season

Skinstitut Holiday Gift Kits take the stress out of gifting

Toronto, October 31, 2024 – Beauty gifts are at the top of holiday wish lists this year, and Laser Clinics Canada, a leader in advanced beauty treatments and skincare, is taking the pressure out of seasonal shopping. Today, Laser Clincs Canada announces the arrival of its 2024 Holiday Gift Kits, courtesy of Skinstitut, the exclusive skincare line of Laser Clinics Group.

In time for the busy shopping season, the limited-edition Holiday Gifts Kits are available in Laser Clinics locations in the GTA and Ottawa. Clinics are conveniently located in popular shopping centers, including Hillcrest Mall, Square One, CF Sherway Gardens, Scarborough Town Centre, Rideau Centre, Union Station and CF Markville. These limited-edition Kits are available on a first come, first served basis.

“These kits combine our best-selling products, bundled to address the most relevant skin concerns we’re seeing among our clients,” says Christina Ho, Senior Brand & LAM Manager at Laser Clinics Canada. “With several price points available, the kits offer excellent value and suit a variety of gift-giving needs, from those new to cosmeceuticals to those looking to level up their skincare routine. What’s more, these kits are priced with a savings of up to 33 per cent so gift givers can save during the holiday season.

There are two kits to select from, each designed to address key skin concerns and each with a unique theme — Brightening Basics and Hydration Heroes.

Brightening Basics is a mix of everyday essentials for glowing skin for all skin types. The bundle comes in a sleek pink, reusable case and includes three full-sized products: 200ml gentle cleanser, 50ml Moisture Defence (normal skin) and 30ml1% Hyaluronic Complex Serum. The Brightening Basics kit is available at $129, a saving of 33 per cent.

Hydration Heroes is a mix of hydration essentials and active heroes that cater to a wide variety of clients. A perfect stocking stuffer, this bundle includes four deluxe products: Moisture 15 15 ml Defence for normal skin, 10 ml 1% Hyaluronic Complex Serum, 10 ml Retinol Serum and 50 ml Expert Squalane Cleansing Oil. The kit retails at $59.

In addition to the 2024 Holiday Gifts Kits, gift givers can easily add a Laser Clinic Canada gift card to the mix. Offering flexibility, recipients can choose from a wide range of treatments offered by Laser Clinics Canada, or they can expand their collection of exclusive Skinstitut products.

 

Brightening Basics 2024 Holiday Gift Kit by Skinstitut, available exclusively at Laser Clincs Canada clinics and online at skinstitut.ca.

Hydration Heroes 2024 Holiday Gift Kit by Skinstitut – available exclusively at Laser Clincs Canada clinics and online at skinstitut.ca.

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Here is how to prepare your online accounts for when you die

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LONDON (AP) — Most people have accumulated a pile of data — selfies, emails, videos and more — on their social media and digital accounts over their lifetimes. What happens to it when we die?

It’s wise to draft a will spelling out who inherits your physical assets after you’re gone, but don’t forget to take care of your digital estate too. Friends and family might treasure files and posts you’ve left behind, but they could get lost in digital purgatory after you pass away unless you take some simple steps.

Here’s how you can prepare your digital life for your survivors:

Apple

The iPhone maker lets you nominate a “ legacy contact ” who can access your Apple account’s data after you die. The company says it’s a secure way to give trusted people access to photos, files and messages. To set it up you’ll need an Apple device with a fairly recent operating system — iPhones and iPads need iOS or iPadOS 15.2 and MacBooks needs macOS Monterey 12.1.

For iPhones, go to settings, tap Sign-in & Security and then Legacy Contact. You can name one or more people, and they don’t need an Apple ID or device.

You’ll have to share an access key with your contact. It can be a digital version sent electronically, or you can print a copy or save it as a screenshot or PDF.

Take note that there are some types of files you won’t be able to pass on — including digital rights-protected music, movies and passwords stored in Apple’s password manager. Legacy contacts can only access a deceased user’s account for three years before Apple deletes the account.

Google

Google takes a different approach with its Inactive Account Manager, which allows you to share your data with someone if it notices that you’ve stopped using your account.

When setting it up, you need to decide how long Google should wait — from three to 18 months — before considering your account inactive. Once that time is up, Google can notify up to 10 people.

You can write a message informing them you’ve stopped using the account, and, optionally, include a link to download your data. You can choose what types of data they can access — including emails, photos, calendar entries and YouTube videos.

There’s also an option to automatically delete your account after three months of inactivity, so your contacts will have to download any data before that deadline.

Facebook and Instagram

Some social media platforms can preserve accounts for people who have died so that friends and family can honor their memories.

When users of Facebook or Instagram die, parent company Meta says it can memorialize the account if it gets a “valid request” from a friend or family member. Requests can be submitted through an online form.

The social media company strongly recommends Facebook users add a legacy contact to look after their memorial accounts. Legacy contacts can do things like respond to new friend requests and update pinned posts, but they can’t read private messages or remove or alter previous posts. You can only choose one person, who also has to have a Facebook account.

You can also ask Facebook or Instagram to delete a deceased user’s account if you’re a close family member or an executor. You’ll need to send in documents like a death certificate.

TikTok

The video-sharing platform says that if a user has died, people can submit a request to memorialize the account through the settings menu. Go to the Report a Problem section, then Account and profile, then Manage account, where you can report a deceased user.

Once an account has been memorialized, it will be labeled “Remembering.” No one will be able to log into the account, which prevents anyone from editing the profile or using the account to post new content or send messages.

X

It’s not possible to nominate a legacy contact on Elon Musk’s social media site. But family members or an authorized person can submit a request to deactivate a deceased user’s account.

Passwords

Besides the major online services, you’ll probably have dozens if not hundreds of other digital accounts that your survivors might need to access. You could just write all your login credentials down in a notebook and put it somewhere safe. But making a physical copy presents its own vulnerabilities. What if you lose track of it? What if someone finds it?

Instead, consider a password manager that has an emergency access feature. Password managers are digital vaults that you can use to store all your credentials. Some, like Keeper,Bitwarden and NordPass, allow users to nominate one or more trusted contacts who can access their keys in case of an emergency such as a death.

But there are a few catches: Those contacts also need to use the same password manager and you might have to pay for the service.

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Is there a tech challenge you need help figuring out? Write to us at onetechtip@ap.org with your questions.

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Pediatric group says doctors should regularly screen kids for reading difficulties

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The Canadian Paediatric Society says doctors should regularly screen children for reading difficulties and dyslexia, calling low literacy a “serious public health concern” that can increase the risk of other problems including anxiety, low self-esteem and behavioural issues, with lifelong consequences.

New guidance issued Wednesday says family doctors, nurses, pediatricians and other medical professionals who care for school-aged kids are in a unique position to help struggling readers access educational and specialty supports, noting that identifying problems early couldhelp kids sooner — when it’s more effective — as well as reveal other possible learning or developmental issues.

The 10 recommendations include regular screening for kids aged four to seven, especially if they belong to groups at higher risk of low literacy, including newcomers to Canada, racialized Canadians and Indigenous Peoples. The society says this can be done in a two-to-three-minute office-based assessment.

Other tips encourage doctors to look for conditions often seen among poor readers such as attention-deficit hyperactivity disorder; to advocate for early literacy training for pediatric and family medicine residents; to liaise with schools on behalf of families seeking help; and to push provincial and territorial education ministries to integrate evidence-based phonics instruction into curriculums, starting in kindergarten.

Dr. Scott McLeod, one of the authors and chair of the society’s mental health and developmental disabilities committee, said a key goal is to catch kids who may be falling through the cracks and to better connect families to resources, including quicker targeted help from schools.

“Collaboration in this area is so key because we need to move away from the silos of: everything educational must exist within the educational portfolio,” McLeod said in an interview from Calgary, where he is a developmental pediatrician at Alberta Children’s Hospital.

“Reading, yes, it’s education, but it’s also health because we know that literacy impacts health. So I think that a statement like this opens the window to say: Yes, parents can come to their health-care provider to get advice, get recommendations, hopefully start a collaboration with school teachers.”

McLeod noted that pediatricians already look for signs of low literacy in young children by way of a commonly used tool known as the Rourke Baby Record, which offers a checklist of key topics, such as nutrition and developmental benchmarks, to cover in a well-child appointment.

But he said questions about reading could be “a standing item” in checkups and he hoped the society’s statement to medical professionals who care for children “enhances their confidence in being a strong advocate for the child” while spurring partnerships with others involved in a child’s life such as teachers and psychologists.

The guidance said pediatricians also play a key role in detecting and monitoring conditions that often coexist with difficulty reading such as attention-deficit hyperactivity disorder, but McLeod noted that getting such specific diagnoses typically involves a referral to a specialist, during which time a child continues to struggle.

He also acknowledged that some schools can be slow to act without a specific diagnosis from a specialist, and even then a child may end up on a wait list for school interventions.

“Evidence-based reading instruction shouldn’t have to wait for some of that access to specialized assessments to occur,” he said.

“My hope is that (by) having an existing statement or document written by the Canadian Paediatric Society … we’re able to skip a few steps or have some of the early interventions present,” he said.

McLeod added that obtaining specific assessments from medical specialists is “definitely beneficial and advantageous” to know where a child is at, “but having that sort of clear, thorough assessment shouldn’t be a barrier to intervention starting.”

McLeod said the society was partly spurred to act by 2022’s “Right to Read Inquiry Report” from the Ontario Human Rights Commission, which made 157 recommendations to address inequities related to reading instruction in that province.

He called the new guidelines “a big reminder” to pediatric providers, family doctors, school teachers and psychologists of the importance of literacy.

“Early identification of reading difficulty can truly change the trajectory of a child’s life.”

This report by The Canadian Press was first published Oct. 23, 2024.

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