CALIFORNIA STATE UNIVERSITY, NORTHRIDGE A SLIDE-TAPE PROGRAM FOR USE IN INSTRUCTION ON THE DANGERS OF PHENCYCLIDINE ABUSE A project submitted in partial satisfaction of the requirements for the degree of Master of Science in Health Education by Ross Jay Snyder January, 1982 The Project of Ross Jay Snyder is approved: Dr. Shelia C. Harbet, H.S.D. Mr. Erwin M. G~bloom, M.S. Dr?"dohn T. Fodor, Ed.D., Chair California State University, Northridge ;i ACKNOWLEDGEMENTS The author wishes to express his appreciation to Mr. Mike Reynolds and Mr. Greg Battes whose efforts made the slide-tape program of this project possible. Special appreciation is acknowledged of Dr. Margret McCaren of Los Angeles County Hospital and Sergeant Don Swift and Officer Jim Lyle of the Los Angeles Sheriff•s Department for the time they spent giving interviews for the program. iii TABLE OF CONTENTS Page ACKNOWLEDGEMENTS ;;; ABSTRACT . . . . v Chapter 1. 2. 3. 4. INTRODUCTION . . . . . . . Statement of the Problem Purpose of the Project 1 JUSTIFICATION Trends in the Use of PCP Slide-Tape Presentation 3 METHODOLOGY Establishing the Need Development of the Program . SUMMARY AND RECOMMENDATIONS Summary Recommendations SELECTED BIBLIOGRAPHY 1 2 6 8 10 10 11 16 16 17 18 APPENDICES A. TEACHERS' GUIDE FOR PROGRAM . . B. INTERVIEW QUESTIONS FOR THE SLIDETAPE PROGRAM . . . . . . c. SLIDE-TAPE PROGRAM - PCP - IT'S YOUR CHOICE . . . i v 22 62 64 ABSTRACT A SLIDE-TAPE PROGRAM FOR USE IN INSTRUCTION ON THE DANGERS OF PHENCYCLIDINE ABUSE by Ross Jay Snyder Master of Science in Health Education The illegal use of drugs has been present for years. However, in the last decade a new drug problem has arisen. This new problem is the use of the drug phencyclidine. Phencyclidine, or P.C.P., has been in use since the late 1950 s, and it has taken twenty years 1 for its use to become widespread enough to cause alarm in health and law enforcement agencies in the Los Angeles area. The purpose of this project was to design an audiovisual (AV) program to inform students of the nature of the drug 11 phencyclidine. 11 The program includes a slide-tape presentation, called PCP: accompanied by a teacher•s guide. v It•s Your Choice, The AV program was developed with two basic purposes: to present a short history of PCP's development and to identify health risks associated with PCP use. A five-part teacher's guide is included with this instructional program. The guide contains a program script, program concepts and objectives, suggested followup activities, suggested questions, and a student worksheet. It is hoped that this program along with its follow-up activities will have a positive influence on students' drug-taking behavior. vi Chapter l INTRODUCTION Statement of the Problem The illegal use of drugs has been present for years. However, in the last decade a new drug problem has arisen. This new problem is the use of the drug phencyclidine. Phencyclidine, or PCP, has been in use since the late l9so•s, and it has taken twenty years for its use to become wide-spread enough to cause alarm in health and law enforcement agencies in the Los Angeles area. Dr. Margaret McCaren, director of the jail ward of Los Angeles County General Hospital reported that approximately five patients per day are admitted to that hospital because of PCP intoxication or accidents related to the use of PCP. According to a Services Research Report by the National Institute on Drug Abuse published in 1978, Phencyclidine has recently surfaced as one of the most publicized Street .. drugs in the United States and for some very important reasons. There are serious physiological and psychological dangers associated with the use of this drug and there is evidence that it is becoming more widely used. Phencyclidine is relatively easy and inexpensive to manufacture and consequently can be targeted to youthful drug users of relative modest means 11 ( 23: 7). l 2 Purpose of the Project The purpose of the project was to design an audiovisual (AV) program to inform students of the nature of the drug 11 phencyclidine. 11 The program includes a slide-tape presentation, called PCP: rt•s Your Choice, accompanied by a teacher•s guide. The AV program was developed with two basic purposes: to present a short history of PCP's develop- ment and to identify health risks associated with PCP use. A five-part teacher•s guide is included with this instructional program. The guide contains a program script, program concepts and objectives, suggested follow-up activities, suggested questions, and a worksheet students should use to write down their responses to questions posed in the slide-tape presentation. The severe problems which may be caused by phencyclidine use certainly warrant inclusion of a PCP education program in the drug education units at the secondary level. This instructional program was designed to help meet that need. Chapter 2 JUSTIFICATION In December of 1977 the Alcohol, Drug Abuse and Mental Health Administration of the Department of Health, Education and Welfare sent a letter to program directors of public health agencies that work with drug related programs. The letter states . . . The abuse of phencyclidine (PCP) and its analogues appears to have noticeably increased within the past year. The National Youth Polydrug Study found that 32 percent of youth in drug abuse programs have used PCP . . . PCP differs from other drugs in that it produces extreme, severe, long-lasting behavioral toxicity. PCP use may pose a psychiatric emergency because of misperceptions, paranoia, schizophrenia, hostility, confusion, and a tendency towards violence, and extremely unpredictable behavior. Chronic PCP intoxication, once a rarity, is an increasingly serious problem often characterized by mental dullness, low motivation, as well as severe paranoia and violent outbursts (6:1). The emergence of phencyclidine (PCP) as a drug of choice by youthful drug abusers leads to a new challenge for those responsible for teaching about drug use and abuse. Medical complications of PCP intoxication will vary depending on the amount taken and the method used for administration. 3 4 PCP can produce symptoms that range from a comatose state to agitated violent behavior. In addition, because of PCP's behavioral toxicity and anesthetic properties, individuals may present as victims of auto accidents, burns, drownings and other trauma (6:1). Although PCP users exhibit many different symptoms, some cardinal signs of PCP use are: catatonic staring, ataxia, horizontal and vertical nystagmus, assaultiveness and generalized anesthesia. In heavy overdoses, convulsions, respiratory depression, coma or death may occur. A useful summary of the range of clini- cal symptoms likely to be encountered with PCP intoxication is provided by Arnow and Done (1). At low doses (of approximately 5 mg) they describe the patient as being agitated or excitable, with lack of coordination, an inability to speak and a blank stare appearance. At moderate doses (of approximately 5-10 mg) Arnow and Done describe the patient as being in a stupor or coma, with a fever, flushed complexion and a decreased sensation to pain, touch, and position. With doses of more than 10 mg, Arnow and Done indicate that the patient may be in a prolonged coma with muscular rigidity, decreased reflexes or possibly having convulsions (1). This wide variation in the effects of PCP use can be shown in case histories involving PCP users: Case 1: a emergency room while drinking blood pressure 33-year-old man was admitted to the in a stage 4 coma, having collapsed in a tavern. On admission, his was 90/50, min. HG, pulse 120 beats 5 per minute, with shallow respiration and temperature 35.8° C (96.6 F). Results of neurological examinations showed no response to painful stimuli, absent deep tendon reflexes, sluggishly reactive pupils (2 mm. in diameter), absent gap reflex and doll•s head phenomenon (31:512). Case 2: A 27-year-old man was found in his apartment by friends who described him to be moving "strangely" about, randomly waving and jerking his arms in an agitated state, screaming incoherently and apparently hallucinating. On arrival to the emergency room, he was awake but was unresponsive to verbal or tactile stimuli. He appeared diaphoretic, flushed, salivating, writhing, excited and frightened. Blood pressure was 140/90 mm Hg., pulse 100 beats per minute, respiration 8/minute and temperature 38.3C (lOlF) (31:512). Case 3: A 15-year-old Caucasian male with no clothes on was found by the police in a field, hanging on a barbed wire fence. He was disoriented and incoherent upon questioning. A medical examination revealed a confused, disoriented youth with inflamed eyes, bloody mouth with an upper incisor missing, multiple scratches of the trunk, and scratches and lacerations of the extremities. Fluctuations in orientation were observed over the next seven hours ranging from cooperative and alert to unrousable. Prior to being discharged, the patient stated that he had 11 Smoked some phencyclidine and got a\..rfully stoned (32:31). 11 Case 4: An 18-year-old Caucasian male ingested tablets and capsules in his possession prior to a police traffic stop. Immediately after the officers departed he was driven to an apartment where the other occupants of the automobile induced vomiting of what they believed to be all the ingested material. Later he began screaming and having convulsions. He was driven to the hospital where he was pronounced dead on arrival. The coroner ruled that death was caused by aspiration of gastric contents due to phencyclidine ingestion. Phencyclidine (urine level of .5 mg./ml.) was the only drug found on toxicological examination (32:31). Case 5: During the summer a youth gave a pool party while his parents were away on vacation. A 17-year-old Caucasian female guest was discovered at the bottom of the swimming pool. Post mortem examination revealed no head or neck trauma and the 6 isolated presence of phencyclidine in the urine (15 mg./ml.) (32:31}. These symtpoms and case histories show phencyclidine's ability to affect central nervous system function. Along with the medical problems associated with this drug, many complications, such as gunshot wounds, stabbings, burns, drownings and auto accidents have been reported to have occurred while the users were intoxicated with PCP. The National Institute on Drug Abuse described the dangers of phencyclidine as follows: " . . . phencyclidine users engage in significantly more self-destructive behavior, intentional and/or unintentional, in the form of overdoses (OOs) and suicide attempts, than do non-users of phencyclidine . . . (23:23). Trends in the Use of PCP During the past several years, the use of PCP has been increasing in the teenage population throughout the United States. Peterson and Stillman indicated some of the problems in identifying PCP users. "Since the drug is often sold as any one of a variety of other psychoactive substances, the user, especially if he or she is inexperienced, may not realize PCP is involved 11 (24:3). They further described other difficulties such as 11 ••• Patients admitted with injuries from automobile accidents, fires and drownings in which PCP was a cause 7 may not be so identified .. (24:3). Despite these limitations a number of points suggest that PCP use is on the rise. Law enforcement agencies are reporting increasing numbers of PCP labs which have been discovered. Also, more users are being identified as they come in contact with medical or law enforcement personnel . . . . In NIDA's 1976 National Survey, 3 percent of youth between 12 and 17 years of age at the time of the survey acknowledged having used PCP at some time in their lives. Among young adults 18-25, the age category in which virtually all drug use peaks, nearly one in ten reported having used PCP prior to the 1976 survey. By contrast, data from the 1977 National Survey suggests that the percentage who have ever used PCP in the 12-17 year old group has nearly doubled since the earlier survey (5.8 percent vs. 3.0 percent in 1976). Use by the 18-25 age group also has increased markedly, from 9.5 percent to 13.9 percent. The likelihood that these increases were simply the result of year to year sampling variation was less than one in a hundred (24:3). In 1976-77 in response to a National Institute on Drug Abuse request, the staff of the National Youthful Polydrug Study (NYPS) made a special analysis of its data to produce information about phencyclidine use among youth. The study provides insight to the increased use of PCP by school-aged children. 11 Within the total NYPS sample, 875 cases of the 2,750 (31.8%) reported either current or past use of phencyclidine . II (23:7). 8 Slide-Tape Presentation It has been established that there is an increase in the use of PCP and that the use of PCP may be highly dangerous to the user. It follows that instruction about the use and abuse of PCP is warranted. The slide-tape program PCP - It's Your Choice and its follow-up activities were designed to aid those who are responsible for teaching about PCP. The purpose of PCP: It's Your Choice is to inform students of the risks associated with PCP use and to influence student practices relative to their use of PCP. The program was designed to insure active participation by students during the slide-tape presentation. That is, the program attempts to help students personalize information about PCP by allowing the students to set goals for themselves and then describe how PCP could hinder the achievement of those goals. The program also invites the students to list viable alternatives to PCP use. inclusion of 11 goals 11 and 11 alternatives 11 The which will be selected by students is to help set the stage for the follow-up activities outlined in the teacher's guide. In addition a worksheet is provided for use by students at various points in the program (See Appendix A, Page 55). These worksheets give the students the oppor- tunity to be actively involved with what is being studied. 9 Their active participation is designed to help keep them motivated and to further their quest for learning. Also, because the worksheet will be filled out before any discussions take place, students will have some answers in front of them, and this may make the students more willing to participate during the discussion period. Finally, by allowing the students to form their own goals and to identify the risks and alternatives, the learning experience may become more personalized and the risks of PCP use may become 11 perceived risks .. for the individual. Hochbaum explains, 11 ••• As whether or not a person takes a particular health action that promises to provide him with some protection against a particular disease depends on whether he does or does not 'perceive• the disease as a threat . 11 (12:56). Chapter 3 METHODOLOGY The design procedures for this project can be divided into two classes: 1) establishing the need; 2) development of the slide-tape program and guidebook. Establishing the Need At the time this project was started~ the writer was a health educator at Horace Mann Junior High School~ located in South Central Los Angeles with a predominantly black student body. Before joining the faculty at Horace Mann the writer had been a teacher at James Madison Jr. High School which is located in the East San Fernando Valley and has an integrated student body. Students at both schools had indicated an interest in PCP to the writer through questions about the drug and stories of individuals who were seen in the area and were apparently using the drug. Faculty members at the schools also had questions about PCP as they felt that some of their students might be experimenting with the drug. While attempting to gain more information about PCP through the literature, the writer saw the extent of the PCP problem and decided to include lessons on PCP abuse in his health classes. 10 However, when attempting 11 to obtain audiovisual materials for this purpose through the Media Service of the Los Angeles Unified School District, the writer found that no audiovisual material pertaining to PCP was available through that service. These circumstances along with informal discussions with Sgt. Mike Guy, a narcotics officer working for the Los Angeles Police Department drug education unit~ convinced the writer that audiovisual programs pertaining to PCP education were needed (10). This project was designed for general use in the junior high school in the Los Angeles area. Because the socioeconomic status and racial backgrounds vary tremendously throughout the Los Angeles Unified School District the writer has left room for some diversity in the follow-up activities contained in the teacher•s guide (See Appendix A, Page 57). Development of the Program The development of this project differs somewhat from that of other curriculum in that the atd of several specialists was needed. The project required the talents of an illustrator, narrator, photographer and sound technician in order to complete the slide-tape program. At times these specialists worked independently of each other so their collected efforts could only be integrated when the program was edited. The following are the steps 12 that were followed in developing the program. Step 1 The first step in developing the slide-tape presentation on the use of PCP was to establish the need for such a program. As previously described, the need was established when the writer saw an increased interest in PCP from both students and faculty in the schools where he was employed. A subsequent search of the literature pertaining to PCP, its effects, and the extent of PCP use among school-age children indicated that a need for PCP education in the secondary schools did exist. In addi- tion, educational media catalogues of L.A. City Schools and the major media production companies were reviewed to determine what educational media was available for PCP instruction in the secondary schools. Step 2 Once the need for such a program was established, data from the review of the literature was used to develop general goals for the project. Step 3 These goals became the basis for developing appropriate concepts to be stressed and objectives to be obtained. Health Instruction: Theory and Application (8) was used as a guideline in developing these concepts and objectives. The concepts would serve as a framework 13 of the major ideas of the program and provide focal points for instruction. The objectives would give spe- cific, measurable, learning tasks of the program. Step 4 Working with an illustrator, a general story board based on the concepts and objectives was developed. This story board was used in developing the style of the program, showing the general flow of information as it was to be given, and indicating the general type of visuals to be used with the program. Step 5 Using the rough story board, concepts, objectives and information gained from the search of the literature, a working script was developed. The following procedures were used to enable the different parts of the program to be recorded independently of each other. This allowed greater freedom for photographers and the director to complete their assigned tasks. a. Using the story board, a narrative was written covering all concepts and objectives. This narrative was then put into a script format. b. Consulting with an illustrator and technical director, the visuals needed for each part 14 of the script were determined. c. The script was then revised to a final working script including all audio portions of the program and a description of all visuals which would be needed. d. Questions were developed for use when interviewing police and medical personnel (see Appendix B, Page 62). Step 6 Program narration was recorded and visuals were photographed. The interviews were recorded separately then edited into the program. The sound portion of the program was then edited into a final 11 master tape 11 • Individual photographs were then selected for each part of the narrative (see Appendix C, Slide-Tape Program). Step 7 A teacher's manual to accompany the slide-tape program was developed (see Appendix A, Page 22). The manual contains the program's script, concepts and objectives, follow-up activities, suggested questions and a worksheet to be used by students during the program. 15 Step 8 The slide-tape program was evaluated by an eighth grade health class and its instructor. Comments obtained from this evaluation were used to make minor modifications in the program. Chapter 4 SUMMARY AND RECOMMENDATIONS The approach to drug education used in this project differs from that in many other drug education materials. As a health education teacher, the writer saw many programs which just said a big 11 don•tn about drugs, or even lied to students about the dangers of these drugs. The writer tried to make this program more relevant to students by using a worksheet which invites their active participation during the program. Summary The purpose of this project was to develop an audiovisual program to inform students of the nature of the drug phencyclidine. The program includes a slide-tape presentation and a teacher•s guide. The program attempts to help students personalize information about PCP by allowing them to set personal goals and then describe how PCP could hinder the achievement of those goals. The program also invites the students to list alternatives to PCP use. of student selected 11 goals 11 and 11 The inclusion alternatives 11 will set the stage for later follow-up activities (see Appendix A, Page 57). 16 17 Justification for this project came from the expressed interest of numerous students and faculty of two j u n i or h i g h s c ho o 1 s in Los An g e 1 e s , a s we 11 a s 1 iter a ture pertaining to the abuse of PCP. It is hoped that this program along with its follow-up activities will favorably influence students• drug-taking behavior. What this program offers is a different approach to an educational ~roblem. Recommendations It is recommended that a further study be made to test the efficacy of this program. The study should measure the extent to which behavior, attitudes and knowledge are changed or are influenced by this program. SELECTED BIBLIOGRAPHY 1. Arnow, Regine and Alan Done, 11 Phencycl idine Overdose: An Emergency Concept of Management~" Journal of American College of Emergency Physicians, Vol. 7, No. 2~ February~ 1978, pp. 56.:.69. 2. Audio Visual Narrative Arts, Inc., Media Catalogue. Pleasantville, New York, 1976. 3. Cohen, Sidney, M.D. 11 Angel Dust, 11 Journal of the American Medical Association, Vol. 238, No. 6, August 8, 1977, pp. 515-516. 4. County of Los Angeles, Dept. of Health~ Some Things You Ou ht to Know About PCP - Whether You Want to or Not, Los Angeles pamphlet . 5. Dolan, Michael, PCP- A Plague Whose Time Has Come, .. American Pharmacy, Vol. N518, No. 2, February, 1978, pp. 23-29. 6. DuPont, Robert, M.D., Bertram S. Brown, M.D., 11 Letter to Drug Abuse Program Directors," De p t . o f He a 1t h, Ed uc a t i o n a nd We 1fa r e , December 6, 1977 (not published). 7. Fauman, Beverly J., M.D., "PCP Abuse, JACEP, Vol. 7, No. 6, June, 1978, p. 255. 8. Fodor~ 9. Guidance Associates, Instructional Media 1978-79Secondary, New York, Harcourt, Brace and Jovanovich, Inc. 11 11 John T.~ GusT. Dalis, Health Instruction Theory and Application, Lea & Febiger, Philadelphia, 1980. 10. Guy, Mike, Sgt., Los Angeles Police Dept., Narcotics Information Division, Personal Interview, Los Angeles, California, November, 1978. 11. Hahn, Robert 0. and Dave Bidna, Secondary Education, Origins and Direction, The MacMillan Company, New York, 1970. 18 19 12. Hochbaum, Godfrey, Health Behavior, Wadsworth Publishing Co., Inc., Belmont, California, 1970. 13. Hawks, Richard L., Robert Willette, Phencyclidine/ Analytic Methodology, Research Technology Branch Division of Research, National Institute on Drug Abuse, Rockville, 1978. 14. Hawley, Robert C. and Isabel L. Hawley, Human Values in the Classroom, A Handbook for Teachers, Hart Publishing Company, New York, 1975. 15. Jain, Naresh, C., Robert D. Budd, Barbara S. Budd, "Growing Abuse of Phencyclidine: California •Angel Dust, •u New England Journal of Medicine, Vol. 297, No. 12, September, 1977, p. 673. 16. Lohs, Lilha, PCP, White House Caution vs. Senatorial Ire, .. American Pharmacy, Vol. 518, No. 9, August, 1978, pp. 32-33. 17. Los Angeles City Schools, Media Catalogue, 1977-78. 18. Lyle, Jim, Personal Interview, Los Angeles, California, August, 1980. 19. McCaren, Dr. Margaret, Personal Interview, Los Angeles, California, August, 1980. 20. McMahon, Brian, M.D., John Ambre, M.D., Ph.D, John Ellis, M.D., Hyptertension During Recovery From Phencyclidine Intoxication," Clinical Toxico:!.._Q_g_r, Vol. 12, No. 1, 1978, pp. 37-40. 11 11 21. Modanaro, Josette, M.D., Notice of Federal PCP Activities, Dept. of Health, State of California, March 14, 1978. 11 11 22. Office of Drug Abuse Policy, The Executive Office of the President, Drug Use, Patterns, Consequences and the Federal Response: A Policy Rev i e w, Wa s h i n g to n , D. C. , Ma r c h , 19 78 . 23. National Institute on Drug Abuse, Phencyclidine Use Among Youth in Drug Abuse Ireatment, Rockville, 1977. 20 24. Peterson, Robert C. Ph.D., Richard C. Stillman, M.D., "Phencyclidine: A Review," National Institute on Drug Abuse, May, 1978 (not published). · 25. Raifman, Mark A., M.D., Moshe Beerant, M.D., 11 Flying High With Angel Dust, 11 American Journal of Diseases in Children, Vol. 132, April, 1978. 26. Smith, R.J., "Congress Considers Bill to Control Angel Dust, n Science, Vol. 250, No. 4349, June 30, 1978, pp. 1463-66. 27. Spenco, Health Education Catalog, Waco, Texas, 197 8. 28. Sumell, Sherry, Jeff Canion, Kim Byung, Enrique Vasquez, Bich Phoung Le, 11 The Adventures of Oz and Harriet, The Football Follies or Dusted, 11 Asian American Drug Abuse Program, Los Angeles, California, October, 1977. 29. Sunburst Color Sound Filmstrips, 1978 Health Catalog, Pleasantville, New York. 30. Swift, Don, Personal Interview, Los Angeles, California, August, 1980. 31. Tong, Theodore G., Pharm.D., Heal L. Benowitz, M.D., Charles Becker, M.D., Peter J. Forni, Pharm.D., Udo Beoner, DSC, 11 Phencyclidine Poisoning,~~ Journal of the American Medical Association, Vol. 234, No. 5, November 3, 1975, pp. 512-516. 32. Wells, John, 11 Phencyclidine: A Major Drug of Abuse, 11 The Journal of the National Athletic Trainers Association, Vol.l5, No. 1, Spring, 1980, pp. 30-33. (/) LLJ - u Cl z LLJ a. a. ex: LlJ u ...... 0 ::c LlJ u Cl c:( ...... >< <..!) Cl (/) ::::> ........ z LlJ c... c... c:( 0:: 0:: ::::> 0:: 0 LL. 0 >(/) LlJ :r: u 1........ c:( LlJ 1- c... u c... N N 23 TABLE OF CONTENTS CHAPTER PAGE 1. Introduction . . 24 2. Program Concepts and Objectives 26 3. Program Script . 28 4. Program Worksheet 55 5. Suggested Follow-up Acitivities 57 6. Suggested Questions 59 7. Selected References 61 24 INTRODUCTION This teacher's guide was developed as a supplement to PCP - It's Your Choice, a slide-tape presentation designed to aid classroom teachers with instruction on the dangers of phencyclidine (PCP) use. The guide contains concepts and measurable objectives related to the program. The concepts serve as a framework of the major ideas of this program and provide focal points for instruction. The objectives give the specific, measurable, learning tasks of this program. Both the concepts and objectives are keyed to specific slides. Also included in this guide is a program script and a sample of the student worksheet. The program was designed for use with this worksheet and every student should have a copy to use during the program. The work- sheet may also be useful to students during the followup activities. The program script may be used by the teacher to familiarize himself or herself with the narrative of the program or as a reference during later activities. Finally, there are included suggested follow-up activities and suggested questions. These were designed to supplement the slide-tape presentation and serve as an aid to help students attain the measurable learning 25 objectives. It is suggested that teachers familiarize themselves with this guide before using the program with their students. 26 PROGRAM CONCEPTS AND OBJECTIVES Concept 1: Each person is faced with the task of setting goals for himself or herself (Slides 2-34) Objectives: Following instruction, students should be able to 1. Define the word 11 goals" in their own words (Slides 2-21). 2. Differentiate between long and shortterm goals (Slides 9-18). 3. Develop a list of at least five goals for themselves and indicate whether the goals are long or short-term goals (Slide 21). 4. Outline a plan for obtaining one of their long range goals (Slides 22-34). Concept 2: The use of phencyclidine (PCP) may be dangerous to the user•s health (Slides 3549). Objectives: Following instruction, students should be able to: 1. Describe how PCP was first tested (Slides 35-38). 2. Describe at least three behaviors associated with PCP use (Slides 39-48). 27 3. Describe at least three health risks associated with PCP use (Slides 4148). 4. Describe how PCP could put each of their five listed goals at risk (Slide 49). Concept 3: There are often many alternatives available when making a decision (Slides Objectives: 59-60~ Following instruction, students should be able to: l. Define the word 11 al ternative 11 in their own words (Slide 59-60). 2. List five alternatives to PCP use which would help them reach their goals (Slide 60). 3. Explain how their listed alternatives might help them reach their stated goals (Slide 60). 28 PROGRAM SCRIPT Slide Description Narrative Slide 1 (TITLE) PCP- IT'S YOUR CHOICE Slide 2 (NARRATOR SEATED AT DESK) Hi, gang. I want to tell you about some really bad dope! Remember that advertisement, and the TV detective's grim warning? Well, listen care- fully, gang, because the man wouldn't lie to you. I'm going to tell you why! Slide 3 (NARRATOR SITTING) Now I know everyone here is concerned about his or her future. 11 Who am I? wi 11 I become? going? 11 What Where am I These are questions we all ask ourselves from time to time in our lives. Important questions, since we only have one life; and what we do with it depends on each one of us . . . alone! What 29 Slide Description Narrative has all this to do with bad dope? Now don•t get ahead of me; I 11 come to that. 1 Slide 4 (FOOTBALL GOALPOST) Is there anyone here who doesn•t know what this is? Of course not. post. It•s a goal- Everyone has a goal- post of some kind; whether Slide 5 and 6 it•s this kind, or this . . . Slide 7 (SUCCESSIVE PICTURES OF SOCCER GOAL, HOME PLATE AND BASKETBALL NET ARE SHOWN) or this . Slide 8 (STUDENTS IN CLASSROOM) All of life is a matter of goals. Think about it. Don•t you have at least one goal right now? Maybe it•s a class project, maybe it • s just a passing grade or a Slide 9 (FOOTBALL GOALINE) rock record you•d like Dad to pay for. Anything we desire in life, anything we want badly enough to work for, becomes a goal. 30 Slide Description Slide 10 (DOCTOR EXAMINING PATIENT) Narrative So far, we've been discussing short range goals, but what about long range goals? do~ What want from life? Maybe you'd like to be a doctor; to grapple with the great man-killers, cancer and heart disease, or perhaps discover a cure for arthritis. Slide 11 (SOFTBALL BATTER) Pas- sibly, your ambition is more inclined to the playing field; swatting homers . Slide 12 {FOOTBALL PLAYER) making touchdowns . . . Slide 13 (GYMNAST) or competing in the Slide 14 (CLOUD SHAPED LIKE DOLLAR BILL) Maybe you see yourself as a Olympics . . . millionaire, manipulating the stock market, managing giant corporations . . . counting money . . . 31 Slide Description Slide 15 (MECHANIC) Narrative You could even be a master mechanic, whom everybody depends on to get them where Slide 16 (POT OF GOLD) they're going. These are all goals, and a very rich man once defined success as the gradual realization of worthwhile goals. Slide 17 (NARRATOR SITTING) Planning ahead then, that is setting goals for yourself, is an important step toward success. What do you see as a goal for yourself? you admire? Whom_do What is it about him or her that would make you want to be like them? We already know what makes successful people what they are: The gradual realization of their goals, and to arrive at success one has to take 51 ide 18 (NARRATOR SITTING) the first step . . . but the direction in which you take that first step, and where it 32 Slide Description Narrative ultimately leads is entirely up to you. Now we•re going to stop the presentation, and ask you to answer some questions about ~ future on the paper handed out by your teacher. Be as honest as you can in answering because this may be the first step in getting what you want out of life. At other times during the presentation the 1 ights will go on, and you can clarify on paper what you think. Remember, there are no right or wrong answers and this is not a test. It is simply a thinking aid. Your task will be to list five goals for yourself. 33 Slide Description Slide 19 (COMPOSITE OF ATHLETE, ACTRESS AND BUSINESSMAN) Narrative To help you in your thinking, you may want to ask these questions: admire? Whom do you What i s it about the person that makes you \-Jan t to be 1 ike them? What can you do to achieve this? Now your teacher will turn on the lights and give you sufficient time to write your answers. LIGHTS: (Allow 5 minutes for students to write answers.) Slide 20 (NARRATOR SITTING) Welcome back. During this portion of the program we•11 discuss what was meant by the last question. Slide 21 (WEIGHTLIFTER) No one breaks the record for the bench press until they learn how to lift heavy weights! First they train with light weights and work up gradually 34 Slide Description Slide 22 ( WEI GHTLI FT ER) Narrative five pounds at a time, and if the individual wants to become a champion weight- Slide 23 (WEIGHTLIFTER) lifter, he or she practices and trains, and most importantly, sticks with it! Each one of these small steps leads the person toward a goa 1. direct ~ ~ The more steps are toward final goal, the sooner you will achieve it. Doesn't it make sense then, not to let anything stand between Slide 24 (GIRL IN TREE LOOKING ·DOWN) you and your goal? Let's suppose you want to be a champion runner, and just for fun you're climbing a tree. Suppose some other kids dare you to jump, you do and break a leg. That would certainly endanger your chances to be a star athlete of any kind. You took a chance without 35 Slide Description Narrative considering the risk to your goals. On the other hand, if you had kept sight of your dream of being a champion, you would have seen the danger and never let anyone coax you into jumping. Slide 25 (BOY ON PHONE) ~our short-term goals are the steps toward your long-range goal! Suppose you want to see a baseball game with your cousin Bill. The game starts at noon and you must buy your Slide 26 (TWO BOYS ARGUING) tickets there. You tell him you' 11 pick him up at 11 : 00. You get to Bill's at 11:00 sharp and he's in the house watching TV re-runs. Slide 27 (TWO BOYS LOOKING AT MAP) He says he'll be right out but you don't get rolling until 11:30. You're going to be late. Bill says he knows a short cut, so you turn off and start taking streets that 36 Slide Description Narrative take longer than usual to get you to the ball park. Well, there you are, an hour Slide 28 (TWO BOYS AT TICKET WINDOt~) late. You dash up to buy the tickets, but good old Bill forgot his money. So you decide he can wait in the car Slide 29 (TWO BOYS AT TICKET WINDOW) while you go in to watch what is left of the game. There are many Bills in this world. He couldn•t keep sight of his goals and lost out on seeing the game altogether. That•s bad enough, but he also kept you from your goal -- that of seeing Slide 30 (BOY SITTING ON FIRE HYDRANT) the entire game. Now, Bill•s not a bad guy, but how many times will you let him ruin your day before you stop taking him along? Slide 31 (BASEBALL GAME) You know what you must do to have an enjoyable afternoon at the ballgame, so why let him 37 Slide Description Narrative spoil it for you? problem! Bill is a You will have to deal with problems alone a 11 your 1 i fe, so you might as well start making decisions for yourself that will make things work for you. Slide 32 (NARRATOR STANDING AT FILE CABINET) Now Bill and the ballgame was just an illustration of how one person can disrupt your day, a minor annoyance, but it demonstrates how each of us must think for ourselves. We must form habits of thinking for ourselves, regardless of what our friends say. Remember the tree we almost jumped out of? At the beginning of this presentation, I mentioned a problem which could well affect~ life and goals. Perhaps you•re already aware 38 Slide Description Slide 33 (PCP SAMPLES ON TABLE) Narrative of it. This problem is a drug called PCP, or angel dust. It has many aliases such as peace, goon, cosmos, tick, dummy, dust and many others. Whatever you call it, it•s real name is death. PCP was first developed as an anesthetic in the late so•s. During the early 6o•s it was tested by doctors and was found to be unsafe for medical use. Slide 34 (NARRATOR STANDING AT FILE CABINET) It seems that when the patients woke up after being given PCP they exhibited some very bizarre behavior. They hallucinated, became violent, and often tried to hit their doctors. It was found that PCP overdose effects can even resemble epileptic seizures. As a 39 Slide Description Narrative result it was considered unsafe for medical use and further experiments with humans were discontinued. Slide 35 (ELEPHANT) Today PCP is used only on large animals, which is why it is sometimes called elephant tranquilizer. How- ever, there is no set schedule of dosage even for animals. Slide 36 (JIM LYLE - SHERIFF'S DEPUTY SITTING AND TALKING) Los Angeles County Sheriff's Deputy Jim Lyle talks about the PCP problem: The type of behavior that you run into with somebody under the influence of PCP runs all the way from a person who is in a coma or into a near coma and very sedate to the person who is ultra violent. other words, doesn't In 40 Slide Description Narrative understand reasoning, he wants to fight. Every time you attempt to contact the person, they're very belligerent, they want to fight you, and there's no reasoning with them. Slide 37 (JIM LYLE SITTING) The first I noticed PCP on the streets was in 1972 or the first part of 1973 down in Carson area. I believe that the first place it surfaced in Los Angeles County was in the Carson area, and it has escalated throughout the county now. Probably the largest concentration of PCP is in the South Central Los Angeles area. Many PCP users injure themselves while under the influence of the drug. Deputy Lyle comments on his experience with this problem. 41 Slide Description Slide 38 (JIM LYLE SITTING) Narrative The types of injuries caused to themselves would also run the gamut all the way from scratches to deep gouges. They tend to accelerate. If normally you have an itch and you want to scratch it they would gouge it because they don't feel the pain. They don't feel the sensation of the fingernails on the skin. It can run all the way from scratches to the person who gouges his eyes out, to the person who cuts his fingers off. drownings. We see a lot of For some reason people under the influence of PCP are attracted to water and they get disoriented and drown. Slide 39 (JIM LYLE SITTING) I think some of the big risks for an individual who decides to take PCP as a 42 Slide Description Narrative drug are: you don't really know the concentration of the drug you're getting that's on the material you're buying, in other words, if you are buying a Sherman cigarette you don't know the concentration of PCP on that cigarette. You can't really predict how you're going to act. You don't know what you're going to do, you are not really responsible, in a manner of speaking, for your actions because the drug causes you to do what you normally wouldn't do. We've had people who have committed murders, who were normally not that type of person, didn't have a violent background. You also have a problem with an overdose. Because you don't know the strength, PCP can cause 43 SLIDE DESRIPTION NARRATIVE one to go into a coma. You also have the problem of PCP being stored in the fatty tissues and the possibility of a recurring trip is always present because it is like a time release capsule, you don•t know when the fatty tissue is going to release more of the drug. Slide 40 (SGT. DON SWIFTL.A. SHERIFF S DEPT. SITTING AND TALKING) 1 In January of 1980, Sgt. Don Swift of the L.A. Sheriff•s Department was investigating a suspected PCP lab. In the course of his investigation he was overcome by the fumes of this drug. Here he describes the results of his experience to a brief PCP exposure. The original incident started on Sunday the 20th of Januar~ One of my field crews had 44 Slide Description Narrative contacted me and said they had detected the odor of PCP up in the area called 58th and Morgan, and our idea at the time was to formulate a plan to safely take the lab down. What occurred was, the suspects became aware that we were there. They tried to escape and destroy their evidence and we became Slide 41 (DON SWIFT SITTING) committed into the problem. When I entered into the 1 a b, I had to fight with one of suspects inside. He was wearing a scuba mask and an aqua lung. I fought with him. I finally got him out- side. I got him handcuffed. I then collapsed. The next thing I knew the deputies were carrying me to a radio car and I was having difficulty breathing. I remember I was told later on that they 45 Slide Description Narrative had to take my gun away from me. I was very violent. I was screaming and tried to kick out the windows of the police car. Slide 42 (DON SWIFT SITTING) I could not catch my breath. not breathe. I could It felt like somebody was strangling me on the throat. When I got to the hospital, the recollections that I had when I was being treated, was that I had a tingling sensation in my feet, up to my ankles, across the mid-section to my stomach and in my hands. I remember I couldn•t talk. It was like somebody was holding onto my lips. When the doctors were asking me questions at the hospital, I could just murmur replies. Medically, my blood pressure was doubled. My blood 46 Slide Description Narrative pressure was 220 over 110, and I m fortunate that I 1 didn•t have a stroke. Slide 43 (DON SWIFT SITTING) They used tranquilizers to calm me down and lower my blood pressure. They had to give me oxygen and then they used an intravenous to flush my system. I remained with that intravenous for three days to keep my system flushed out. I developed severe chest pain in both lungs as well as across my heart. From the hydro- chloric acid that was inside this lab I developed severe bronchitis. I was off work for a total of seven months. I think that PCP is the most dangerous drug experience that could happen to anybody. I m very fortunate to be 1 alive. I think that people 47 Slide Description Narrative who take it are fools. They're not going to accomplish anything and it's going to kill them. Slide 44 (DR. MARGARET McCAREN SITTING AND TALKING) Dr. Margaret McCaren, Physician in charge at the prison ward of the Los Angeles County USC Medical Center concurs. We treat many cases of PCP intoxication on this ward. Each night we see about five patients who are admitted either because of medical complications of PCP use or because of auto accidents, gunshot wounds, stabbings or some other kind of accident that has occurred because of the use of PCP. I have personally treated more than 2,000 patients who have had medical complications of this 48 Slide Description Narrative particular drug. Because we don't know how it works, we are unable to administer any type of antidote to relieve its effects. Slide 45 (JIM LYLE SITTING AND TALKING) PCP has created a whole new ballgame as far as law enforcement and society is concerned. In the ten years I have worked narcotics~ I thought I really ran the gamut between LSD, heroin, cocaine, all the different kinds of drug classifications; marijuana, hash oil. I thought, boy, they can't come up with anything more, but sure enough, PCP comes up. The problem with PCP is that it's unclassified. It was originally thought to be a tranquilizer. People really thought that it would have a tranquilizing effect 49 Slide Description Narrative on human beings, as it does large animals, but they find Slide 46 (JIM LYLE SITTING) out that it doesn't. When I first became a policeman in narcotics I had a guy tell me one time that if a human being is given the opportunity he will smoke, drink, or shoot anything he can get his hands on and PCP just confirmed this feeling in me, because two of the ingredients in PCP are sodium cyanide and hydrochloric acid, and anybody that has had elementary chemistry can tell you that that's what is used in the gas chamber . Anybody that smokes the stuff I think really first of all ought to know what's in it, because it's like playing Russian roulette. 50 Slide Description Slide 47 (NARRATOR SITTING) Narrative You now know about PCP. You have heard police officers, doctors and victims tell you what they know and how they feel about PCP. At this point, to refresh your memory, your teacher will stop the filmstrip so that you can list five risks of PCP use on your worksheet. LIGHTS: (Allow five minutes for students to list risks.) Slide 48 (NARRATOR SITTING) Now that you•ve listed five risks of PCP use, how do they apply to you? In the same way a firebell applies to you if your house is burning. At some time in your life, you may encounter this drug. You may be asked to try it. The person trying 51 Slide Description Narrative it is placing himself squarely between you and your lifelong goals. Look at your goals. See yourself as having reached it, and enjoying all the good things that go with it. Now imagine someone trying to take it all away from you. How will you react? Do you really want your good life, or will you just give it up without a fight? . . . PCP use could take away the good things that you•re determined to have. Slide 49 (POT OF GOLD) Is this a risk you want to take? Do you believe you can reach your goals? for you. No one will do it Someone in this room may be a bank president, a successful homemaker, a concert pianist, or perhaps most importantly, a good 52 Slide Description Narrative citizen in a free country. Will it be you? it! You can do If you have the desire and the ability you can accomplish whatever goal you Slide 50 {MAN WALKING ON THE MOON) set for yourself. Long before man landed on the moon he dreamed of doing so. Then he took the many small steps that led to that one giant step for mankind. When Neil Armstrong was a boy, no one truly believed space exploration was possible in this century, but he walked on the moon! Slide 51 {MARTIN LUTHER KING COMPOSIT PAINTING) Martin Luther King Jr. knew about the power of setting goals. dream! He said, 11 11 I have a He knew it wouldn't be easy, but he changed the conscience of society! Slide 52 {MARGARET THATCHER PAINTING) And on just as grand a scale, Margaret Thatcher may have 53 Slide Description Narrative dreamed of being the first woman elected as Prime Minister of England. If so, she certainly realized that goal. Slide 53 (BOY HOLDING GLOBE) You are no different. You can make your world the way you want i t . Don•t 1 et any- thing stand in your way. Show the world you can. Slide 54 (NARRATOR SITTING) To conclude the discussion you will now be asked to list five alternatives to the use of PCP on your worksheet. For example one of your goals might be musical expression. Certainly PCP will do nothing to advance that ambition; so one alternative is to practice playing your instrument instead of using PCP. What- ever your goals, large or small, there are certain prerequisites to their 54 Slide Description Narrative realization. These stepping stones are alternatives to PCP use. Now list five alternatives that pertain to ~goals. Your success or failure depends on you. Slide 55 (CREDITS) Slide 56 (CREDITS) 55 PROGRAM WORKSHEET PCP - rt•s Your Choice was designed to be used in conjunction with the worksheet on the following page. During the program there are pauses where the teacher should turn on the room lights and allow students time to complete the parts of their worksheets before continuing with the program. Once completed, the worksheet can be used in conjunction with other activities described in the ••follow-up activities" section of this guide and/or as a graded assignment. It is suggested that the teacher hand out a worksheet to every member of the class before starting the program. 56 SUGGESTED FOLLOW-UP ACTIVITIES WORKSHEET PCP - IT S YOUR CHOICE 1 A. List five goals you have for yourself. 1. 2. 3. 4. 5. B. List five ways that PCP use could stop you from achieving your goals. 1. 2. 3. 4. 5. C. List five alternatives to PCP use which you find acceptable. (Try to find alternatives which might help you achieve one of your goals.) 1. 2. 3. 4. 5. 57 SUGGESTED FOLLOW-UP ACTIVITIES The following activities are suggested as possible follow-up for PCP- It•s Your Choice. The teacher may choose to use any or all of them depending on the needs or ability levels of their students. Activity 1: After stud~nts have completed their work- sheets, have them turn the worksheets over and, as a homework assignment, paste pictures of one of their long-range goals, one risk of PCP use and one alternative to PCP use on the back of the worksheet. Be sure to have students label each picture. Activity. 2: Solicit one or two goals from selected students and have the class discuss how PCP could interfere with attaining goals. As a second part of the discussion, have the class select alternatives to PCP use which would help the student achieve these goals. Activity 3: Hold class discussions on PCP use with the students allowing them to use their worksheets as notes. Example topic questions: A. How do you feel about PCP? B. What should we do about PCP? 58 Activity 4: Hold a 11 role-playing" or 11 Situation" activity with students trying to help a PCP user or convincing a friend not to use PCP. Activity 5: Have students select a long-range goal from their worksheets and outline a plan for achieving it. Have students include all schooling or training required, if applicable. 59 SUGGESTED QUESTIONS The following questions can be used after the program to test whether or not students have met some of the learning objectives of the program. 1. Define the \'lord 11 goal S 11 (Slides 3-21). Goals are objectives or ends that one strives to obtain. 2. Define the word 11 alternatives 11 (Slides 59-60). Alternatives are choices between two or more things. 3. Describe how PCP use might interfere with the achievement of your goals (Slides 34-46)? PCP could interfere with personal goals by damaging the individual•s capacity to reason. cause personal injury, or even death. It might Since PCP is illegal, its use may lead to arrest and imprisonment. 4. How was PCP first tested (Slides 36-37)? PCP was first tested as an anesthetic for hospital patients. Because of the side effects of this drug, testing was discontinued. 60 5. How do PCP users act when they are stoned? at least three specific behaviors (Slides Give 37~ 39, 40) . Behaviors which might be associated with PCP use are: Coma or near coma~ sedate behavior, hallucina- tion, extremely belligerent; (in general, behavior during a PCP trip is somewhat unpredictable). 6. How might PCP affect the human body? least three specific examples Give at (Slides 40-45) Some of the effects of PCP on the body are: loss of pain sensation, disorientation, rise in blood pressure, and coma. 61 SELECTED REFERENCES 1. Cohen, Sidney, M.D., Angel Dust, Journal of the American Medical Association, Vol. 238, No. 6, August 8, 1977, pp. 515-516. 2. County of Los Angeles, Dept. of Health, Some Things You Ought to Know About PCP - Whether You Want to or Not, (pamphlet). 3. Dolan, t4ichael, "PCP- A Plague Whose Time Has Come, American Pharmacy, Vol. N518, No. 2, February, 1978, pp. 23-29. 11 11 11 4. Lerner, Steven R., Stanley Burns, PCP The Devil s Dust - Recognition, Management and Prevention of Phencyclidine Abuse, Wadsworth Publishing Co., Belmont, Calif., 1981. 5. National Institute on Drug Abuse, Let•s Talk About Drug Abuse (pamphlet). 1 Speaker Sources The following are agencies which might provide guest speakers in the Los Angeles area: 1. Los Angeles Police Dept., Narcotics Information Division. 2. Los Angeles Office of the United States Drug Enforcement Administration. LLJ :I: 10::: :;::: 0 c( LL.. 0::: (.!l co >< ....... 0 V} z: 0 ....... 1- 0 0::: a. LLJ a. z: V} a. a. LLJ c( :::> 1- LLJ 0 I LLJ c( 3 0 LLJ ....... > V} ....... 0::: LLJ 1- z: ....... ....J N 1.0 63 The following questions were developed for use when interviewing police and medical personnel. l. How do you feel about PCP use? 2. What are the medical consequences of PCP use? 3. Are PCP overdoses difficult to manage? 4. How much PCP does it take to get someone stoned? 5. Would you consider PCP as dangerous as heroin? 6. How did PCP develop? 7. What types of behaviors do you see with PCP users? 8. What problems occur when you have to handle PCP users? 9. When did PCP first surface as a street drug problem? 10. What types of injuries do people cause themselves and others when under the influence of PCP? ll. What are the big risks of PCP use? :z: 0 ...... 1c( 1- :z: u LLJ (/') LLJ >< ...... 0::: 0.. 0 :z: LLJ LLJ 0.. 0.. 0.. 1- c( c( I LLJ 0 ...... -l (/') LLJ ::c 1- <d" 1.0