Appalachian States See Increase in Marijuana

FRANKFORT, Ky. — Appalachian states have seen an increase in marijuana production, and a federal drug official said Thursday that a sour economy may have turned some people in need of cash to the clandestine crop.

Ed Shemelya, head of marijuana eradication for the Office of National Drug Control Policy's efforts in Appalachia, said helicopter spotters and ground crews found and cut more than 1.1 million plants worth some $2 billion in Kentucky, Tennessee and West Virginia during the 2011 growing season.

That was an increase of more than 100,000 plants over 2010.

Shemelya estimated that local, state and federal authorities rooted out roughly half of the marijuana being grown in the impoverished central Appalachian region where, he said, economic woes are fueling cultivation.

"It is no secret that all three states have been adversely impacted by economic problems," he said. "The only thing that really separates them is the state line. There's not a lot of opportunity, and when things get really, really tough, people gravitate toward marijuana cultivation."

Shemelya said authorities confiscated 550,000 plants in Tennessee, 385,000 in Kentucky and 185,000 in West Virginia. The U.S. Drug Enforcement Administration estimates the street value of an average mature plant at $2,000.

"It's hugely profitable, and that's why we continue to deal with it year after year," Shemelya said.

Marijuana growers in Appalachia, Shemelya said, can be hard-core criminals or hard-luck entrepreneurs supplementing their income. Most of the crops that authorities find in the region are less than 100 plants, which can easily be tended by a single grower.

The region, a haven for moonshiners during Prohibition, has a near-perfect climate for marijuana cultivation, plus remote forests that help growers to camouflage their crops.

Sociologist Roy Silver, a New York City native who has spent 30 years in central Appalachia, said several factors are at play, including the economy of a region that he said was suffering long before the national recession.

"Generally speaking, if people go to an alternative means of sustaining their family, if there's not employment opportunities, it's more likely that they turn to the illegal underground economy," Silver said.

Authorities point to stricter border controls that have made it more difficult to import pot from Mexico. They say that has pushed up demand for domestically grown marijuana at a time when law enforcement authorities are being pinched by budget cuts.

Shemelya said investigators were being told early in the year that growers believed those budget cuts would mean fewer spotters in the air over Appalachia and fewer cutters on the mountainsides, making this an opportune time for growers to plant.

"All the law enforcement agencies of the three states are feeling the fiscal impacts of our economy," he said. "And I am amazed by the quality of work that's being done. We do our very best to get everything, and work diligently to find it, identify who is cultivating it, and arrest those we can."

Early Intervention Program Reduces Youth Substance Abuse in WV

A pilot program in Logan and Mercer counties is cutting down on youth substance abuse in the Mountain State. WV’s Substance Abuse Early Intervention Program (EIP) targets youth ages 12-18 who have just begun to use alcohol, tobacco, or other substances and/or are engaging in delinquent behavior often associated with substance use. Since its inception in 2010, 65 youth have completed the program, which enhances accurate understanding of the risks of alcohol, tobacco, & other drug (ATOD) use and develops ATOD refusal skills.

The program also provides an alternative option for youth who may be on their way into the juvenile justicesystem. “WV’s Early Intervention Program is appropriate for youth who fall BETWEEN the stages of needing primary prevention services and those who need actual substance abuse treatment,” says Jamie Albert, WV EIP Statewide Coordinator. “Youth in need of counseling, therapy or other treatment services are NOT appropriate candidates for the EIP.” Youth are referred to the local programs by the WV Department of Health & Human Resources (WV DHHR), school personnel, the court system, and parents. EIP Specialists conduct a screening assessment with referred youth to confirm eligibility to participate. Youth who opt to participate and their parents attend separate two-hour orientation sessions. Youth then experience a 12 hour evidence-based prevention education course. Classes are usually six two-hour sessions over a two week period. The curriculum addresses the consequences of substance use and decision making skills. A parenting and wellness workshop
is also available to parents.

WV’s EIP is based on a similar statewide initiative in Kentucky, which has proven to prevent teen substance use. A recent evaluation report on the pilot programs in Logan and Mercer counties confirms increased risk perceptions of substance abuse, increased disapproval substance abuse, and decreased intentions to further use drugs. The report is available at http://www.prevnet.org/earlyintervention/default.aspx.

WV’s EIP is funded by Drug Free WV grants (Purdue Pharma Asset Forfeiture Funds) and a federal Projects of Regional and National Significance grant. The program is administered by the WV Prevention Resource Center, an affiliate of Marshall University. Local contractors facilitate the EIP at the county level.

Chewing Tobacco Not Allowed by Major League Baseball Players

This week, Major League Baseball announced it would no longer allow the use of chewing tobacco when fans are present, ending a longstanding tradition, but pleasing health advocates who say it’s a long overdue social norm change.

Since baseball became a professional sport in the mid-19th century, players and coaches have been tucking tobacco between their gums and cheeks and spitting out brown saliva. It's a ritual that has permeated the game.

Senate leaders and health officials have been calling on Major League Baseball to get tough on tobacco. Dr. Cynthia Simmons, Arlington, Texas’ public health authority, and Pamela Walker, her counterpart in St. Louis, Mo., asked their respective hometown baseball players to refrain from using smokeless tobacco throughout the recent World Series and asked the MLB Players Association to discuss a ban on smokeless tobacco in the 2012 contract negotiations. Baseball Commissioner Bud Selig promised anti-tobacco groups that he would propose a ban on smokeless tobacco during 2012 contract talks.

Prevention advocates say a big part of the problem is that young people aren’t aware of the dangers posed by spit tobacco and many believe it’s safer than smoking cigarettes. However, research shows that spit tobacco can be as harmful as cigarettes. In fact, according to Tobaccofacts.org, a person who uses eight to 10 dips or chews of tobacco a day receives the same amount of nicotine as a heavy smoker who smokes 30 to 40 cigarettes a day. The American Cancer Society notes that oral tobacco can cause cancer of the mouth, pancreas, and esophagus, in addition to many other health problems, such as gum disease, destruction of the bone sockets around the teeth, and tooth loss.

The practice is such a problem among the communities that CADCA member-coalitions across West Virginia have joined forces to launch a campaign that aims to cut down on spit tobacco use—a growing problem in West Virginia. The campaign, "Save Face: Stop Spit Tobacco," counters the tobacco industry’s century-old advertising strategy to market their products by painting barns in rural areas.

Greg Puckett, Executive Director of West Virginia’s Community Connections, says this week’s news of the Major Leagues prohibiting players from using “snuff” is probably the best news he has heard about tobacco in the past several years.

“This is a huge environmental change shift, affecting fans of Major League Baseball and raising the bar for fans and players all the way down to the Little League,” Puckett said.

Rural Teens Who Volunteer, Help Others Have Lower Levels of Substance Use

Young adults between the ages of 18 and 25 report the highest rates of substance use and dependence, according to the National Survey on Drug Use & Health. A new study from the University of Missouri found that rural adolescents who engage in pro-social behaviors, such as volunteering and helping others, are less likely to use substances as young adults.

Gustavo Carlo, Millsap Professor of Diversity in the Department of Human Development and Family Studies, examined data from surveys given to a group of rural youths from junior high school to young adulthood. Carlo found that pro-social behaviors serve as protective factors against adolescents engaging in risky behaviors. Thus, teens who engage in more pro-social behaviors are less likely to get drunk or use marijuana as young adults.

"Pro-social behaviors are good for society and communities, but also they are a marker of moral development," Carlo said. "Parents want their kids to be kind, selfless, considerate and respectful. We now have evidence that these pro-social behaviors make adolescents less likely to break moral codes and engage in illegal activities like getting drunk and smoking marijuana."

The study focused on rural youths because previous research indicates they may be more apt to use illicit substances earlier, putting them at risk for developing addiction problems as adults. Rural communities tend to be more spread out, making it difficult for adolescents to get transportation to events and activities. In addition, rural communities often have less access to recreation centers, spaces for meetings, volunteers to run programs and funding for organized activities.

"There is a tendency for youths to take part in risky behaviors if they are not engaged in positive, structured activities," Carlo said. "Many rural communities have suffered from the economic downturn and are unable to offer opportunities for youth activities. Financial stress can also affect the psychological health of parents making them less cognizant of how children spend their time."

Carlo says the research has important implications for substance use prevention and intervention programs aimed at teens.

"Research shows that prevention programs are more effective and economical," Carlo said. "If we can develop programs that foster pro-social behaviors, we know the programs will decrease the likelihood that adolescents will use substances in adulthood.

The study, "The Longitudinal Relationships Between Rural Adolescents' Pro-social Behaviors and Young Adult Substance Use," was published in the Journal of Youth and Adolescence.

NIDA Study Finds Sustained Buprenorphine/Naloxone Effective at Treating Painkiller Abuse

People addicted to prescription painkillers reduce their opioid abuse when given sustained treatment with the medication buprenorphine plus naloxone (Suboxone), according to research published in yesterday’s Archives of General Psychiatry and conducted by the National Institute on Drug Abuse (NIDA), part of the National Institutes of Health. The study, which was the first randomized large scale clinical trial using a medication for the treatment of prescription opioid abuse, also showed that the addition of intensive opioid dependence counseling provided no added benefit.

"The study suggests that patients addicted to prescription opioid painkillers can be effectively treated in primary care settings using Suboxone," said NIDA Director Nora D. Volkow, M.D. "However, once the medication was discontinued, patients had a high rate of relapse — so, more research is needed to determine how to sustain recovery among patients addicted to opioid medications."

Pain medications are beneficial when used as prescribed, but they have significant abuse liability, especially when taken for non-medical reasons. This study examined whether the FDA-approved medication Suboxone could help combat this growing problem. Suboxone is a combination of buprenorphine to reduce opioid craving plus naloxone, which causes withdrawal symptoms in someone addicted to opioids if Suboxone were taken by a route other than orally, as prescribed. This combination was specifically designed to prevent abuse and diversion of buprenorphine and was one of the first to be eligible for prescribing under the Drug Addiction Treatment Act, which permits specially trained physicians to prescribe certain FDA approved medications for the treatment of opioid addiction.

In the study, more than 600 treatment-seeking outpatients addicted to prescription opioids received Suboxone in combination with brief standard medical management, in which physicians evaluated treatment effectiveness and recommended abstinence and self-help participation. Half of the participants also received varying intensities of addiction counseling as provided by trained substance abuse or mental health professionals.

Results showed that approximately 49 percent of participants reduced prescription painkiller abuse during extended (at least 12-week) Suboxone treatment. This success rate dropped to 8.6 percent once Suboxone was discontinued. Reductions in prescription painkiller abuse were seen regardless of whether or not the patient reported suffering chronic pain, and participants who received intensive addiction counseling did not show better outcomes when compared to those who did not receive this additional counseling.

The study can be found online at http://archpsyc.ama-assn.org/cgi/content/full/archgenpsychiatry.2011.121