Drugs, Culture & Society Spring 2013 832:350:90 On-Line/E-College Alexandra Lopez, MA, LCADC, SAC, CPS, CCS, ICCS Email: alexopez@rci.rutgers.edu alexvlopez@yahoo.com Cell: 732-910-6595 Course Overview This course is designed to explore the disease of addiction. Students will examine historical, societal, psychological, behavioral and familial perspectives of substance use and abuse. Social and global concerns in regards to the sensationalization of this widespread and deadly epidemic will be discussed with a special focus on current trends and process addictions. Topics of review and exploration will also include culture and chemical use, pharmacology and physiology of mood altering substances, historical and current treatment options, and the journey through relapse and recovery. Trending subject matter will include the sensationalization of drugs and addiction by the media and health care reform and its impact on addiction and mental health treatment and on- going recovery. The on- line section of this course will be conducted and managed using a weekly syllabus which will indicate weekly goals and expectations set forth by the instructor. Students will be expected to keep up weekly assigned readings, the viewing of on-line video links, television series viewing, suggested films, on- line weekly journaling and threaded discussions. ****Please note that the syllabus is subject to change : Any changes will be posted in the announcements section on E college with time for review and submission. Course Texts Sheff, N. (2008). Tweak: Growing up on methamphetamines. New York: Atheneum Books for Young Readers. Sheff, D. (2008). beautiful boy. A fathers journey through his sons addiction. New York: Mariner Books, Houghton Mifflin Harcourt. Course Policies Confidentiality: Due to the focus and nature of this course, students may share their personal experiences in either journal format or in on line discussions. This information is private and should not be repeated or duplicated for personal use, gain or recreation. Our academic environment is designed for learning, so remember to keep an open mind. Every assignment is due on the specified date listed in the syllabus and on E college. No late assignments will be accepted. Students must comply with all university standards on academic conduct (see attached Statement of Academic Integrity). Written assignments must be submitted using 12- point font and typed double-spaced. Papers are expected to be edited prior to submission. Points will be deducted if a student fails to edit a Drugs, Culture & Society 832:350:90 Spring 2013 On Line Alexandra Lopez, MA, LCADC, SAC, ICCS, CPS, CCS Page 1 of 15 submission. All papers must be submitted as word document attachments/ no in line attachments will be accepted. On Line Course Expectations Grading for this course will be based upon weekly course expectations delineated in the syllabus and available on E-College. Students are expected to maintain and monitor personal academic course goals in order to achieve instructor expectations. Class assignments, readings etc. will be listed on the syllabus and the E college schedule by week and unit. A week refers to the scheduled class week running Monday- Friday. The actual “class” week will end on the Friday of the scheduled week; however, journal entries are due no later than the Sunday evening (midnight) prior to the beginning of the next scheduled “class” week. There will be One Final Paper/Exam for this course Due on May 3, 2013. You will be expected to read two books, beautiful boy and TWEAK You will be expected to journal and submit weekly entries on specific themes and topics outlined in this syllabus and on E college. In order to keep up with the course expectations, you will need to read the text daily and also check on line daily as new readings and discussions might be posted for review and discussion. There will be a number of on- line video links & articles that you will be expected to keep up with during the semester. All on- line video links are mandatory! Also, all television series are mandatory.. “Intervention” and “Hoarding” are shows that can be found on regularly scheduled cable channels as well as on-on line feeds. These should be mentioned in your journaling and in the final paper. Movies listed are suggested; but please note that they are highly recommended! The HBO Film “Thin” is not a suggested film. This documentary must be viewed and is listed as an assignment. _________________________________________________________________________ Assignments & Weekly Expectations 1. “Title Themes” of Addiction for Weekly Journal Assignments 50% All journal entries, assignments and readings are to be completed and submitted by the Sunday (midnight) prior to the next scheduled syllabus week. How you will be graded will be based on your on time submission and the content of the weekly journal. Please note that although the entry is due by the Sunday prior to the beginning of the next week, you should not wait until the last minute to submit these journals. I give you ample time to complete these assignments throughout the scheduled class week, so asking for extensions because of work or other unrelated interruptions on Sundays is unacceptable! Submissions should be titled Last Name First Initial week #.doc Drugs, Culture & Society 832:350:90 Spring 2013 On Line Alexandra Lopez, MA, LCADC, SAC, ICCS, CPS, CCS Page 2 of 15 The following themes are the themes that will be accepted and expected as the “Title Themes” of your weekly entries. You must choose from this list. You cannot duplicate “Title Themes” from one week to another; however, you can write about more than one theme in your entries and you can reflect more than once on a theme as you see fit throughout the semester. For full credit on journals (10 points) you must: Choose one or two themes and discuss it based on readings. You will be expected to mention/reflect upon your reading of the texts “beautiful boy” (1st half of the semester) and Tweak, (2nd half of the semester). You must reference and interpret a minimum of 3 weekly additional readings in your weekly journals. Mention of the article is not enough. Lectures found in the Units on E-college should also be referenced. If you reference an article- you must place it in bold. If you do not apply additional articles, you will not be given full credit !!! Remember 3 is a minimum. The series Hoarders/Intervention should be mentioned in your weekly journal entries. Reference and a short anecdote from the specific episode will be sufficient for each week. You must include your opinion on the topic of discussion as well. Each entry should be an average of 1 page equivalent (word doc). Shorter entries will be cause for a deduction in points. **Specific due dates for all journal entries and other assignments are posted on e-College!!!! On Line Weekly Journal: “Title Themes” of Addiction: You do not have to use them together – this is only suggested! Denial/Loss of Control Shame/Guilt Grandiosity/Manipulation Anger/Resentment/Loss Hopelessness/Despair Blame/Regret Honesty/Truth Forgiveness/Letting Go Love/Spirituality Journal Grading: Journal entries are graded 1-10: 10 is perfect 9 is excellent 8 is good Anything below and 8 needs improvement: Comments will be included for you each week A sample “10” is included for you on line Journal submissions must be posted in the “journal” tab on e college: Title all entries: Last Name First Initial Week #.doc Drugs, Culture & Society 832:350:90 Spring 2013 On Line Alexandra Lopez, MA, LCADC, SAC, ICCS, CPS, CCS Page 3 of 15 No late journals will be accepted You must wait until the end of the week to post – in case there are additional questions or a changes to the expected discussion ! On Television or on line …Series to watch: “Hoarders”, “Intervention”: One episode of either show per week is expected. You will be expected to mention how the themes relate to an episode you have watched of either show for the week you submit the journal. Mention the name of the person in the episode and reference a brief anecdote of their situation in relation to the theme you have chosen. A sample journal entry will be included on e- college for your perusal. Link to full schedule of listings, on line episodes & descriptions for the show Hoarders on line. Please note that it will be perfectly acceptable for a students to watch either new or older episodes of this series. http://www.aetv.com/search/schedule.do?keywords=Hoarders&Search.x=0&Search.y=0 Link to full schedule of listings, on line episodes of the A& E series “Intervention” : http://www.aetv.com/intervention/index.jsp 2. Reading: Texts “beautiful boy” & “TWEAK” David Sheff’s book “beautiful boy” is the true story of Nic’s Sheff’s father, David and his struggle with his son’s addiction. This book will walk you through the many complex feelings and experiences of a family who is devastated by addiction- This book is very different than Nic Sheffs book – TWEAK: In TWEAK you are thrown into Nic’s real and raw account of addiction – one day at a time. His addiction to methamphetamines, amongst other drugs and a multitude of other issues/concerns and diagnosis that surface throughout his life, will allow you to walk through, first hand, the life of an addict. Be warned, that as with any true story of addiction, THIS BOOK IS VERY GRAPHIC in nature! His story is told from the perspective of a daily journal. 3. Threaded Discussions: Class Participation 10% You will be expected to participate in all weekly threaded discussions. One entry each week, based on the assigned question is expected to be completed by each student by the Friday night of that week. Discussion threads/ questions will be included in the weekly unit on e college. The response should be meaningful and serve a purpose! You must wait until the end of the week to post – in case there are additional questions or a change in the weeks progress ! Each discussion will be graded based on weighted percentages listed on E college (usually a 6.6 is max). The instructor will also have regular access to time (minutes) you have spent in each unit, per day, everyday that you are a student in this section of the course. This will also be a reflection on your grade. E College allows for the instructor to access daily reports of your total log in times. Comments, questions, feedback and general information on course material are encouraged throughout the semester. You are welcomed to e mail me at any time. Drugs, Culture & Society 832:350:90 Spring 2013 On Line Alexandra Lopez, MA, LCADC, SAC, ICCS, CPS, CCS Page 4 of 15 4. Final Paper and Exam Grade: 40% Your final paper will be a written formal discussion on the Disease of Addiction and as you have learned to interpret the concept. You should use personal opinion as well as examples from readings and other resources throughout the semester. The paper should be no longer than 5 pages in length, 12 point font- double spaced. Please EDIT all papers for spelling and grammar prior to submission. Points will be deducted for unedited papers. Please refer to readings and lectures throughout the paper. There is no minimum or max number of references for this paper, but I want to see that you can go back and connect things. This paper, although still in need of your opinion, should be more formal in structure and should be substantiated with solid references to readings and lectures. Include in the discussion: Myths and Social Implications of Addiction Discussion on your understanding of the Disease Model of Addiction as it relates to David & Nic (include codependency and addiction as a Family Disease) Define Process Addictions and How You connected them to the "Addiction" to substances... Explain Why recovery is a lifelong process Options/Alternatives in treating addiction- including the need for sensitivity in assessment of co-occurring disorders. Spirituality and Addiction: as you understand it... Where do you see Nic going from here and why? Your Personal Journey: How has your worldview changed or stayed the same this semester? How will you incorporate what you have learned into your own future either personally or professionally? Commonly Asked Questions about the Final Paper/ Exam … You can use first person in this paper. You do not have to submit formal references - just be sure to be clear about what you are referencing in the paper itself- full names of articles, movies, lectures. Do not say things like ... "in that article we read about the disease of addiction... " :( The paper should be in full paragraph format. All papers will need to be submitted via the e college drop box as an word attachment. The paper should include your name, student ID, section number and my name in the header. No Late papers will be accepted All papers must be edited This is not an extended JOURNAL this is a Formal Paper !!! Course Calendar/Weekly Expectations The following week-by-week syllabus will list the class expectations inclusive of all additional readings, video links, films, etc. Any additional readings or added articles of interest beyond what is listed on this syllabus will be added in the announcements on the E College course site… any changes will also be listed there! Although this seems like a lot, many of the articles and reading links are short… so please do not be discouraged. Still you will need to pace yourself and use your time wisely. All readings can be found on the webliography on E College. Drugs, Culture & Society 832:350:90 Spring 2013 On Line Alexandra Lopez, MA, LCADC, SAC, ICCS, CPS, CCS Page 5 of 15 Please note that this syllabus is subject to change. The Syllabus is the foundation for this course… Use this as a guide! When in doubt, all explanations for assignments can be found here! Help with the Syllabus: Expected Text Reading: This is your weekly assigned reading from the course Texts: We will begin the course with “beautiful boy” and end with “TWEAK”. Please feel free to read ahead, however I will warn you, that by doing so, you may want to write your journal entries as you read! If you do not, you will be ahead of the class and find limited “themes” to write about that make sense if you are at the end of the book vs. staying within the “conceptual” journey I will walk you through… this will make more sense as we move along. Topics to Be Introduced & Reviewed/Lectures: The topics and lectures will be found as Units on E- college. These are my lectures/writings on the subject matter. You should be sure to open each Unit inclusive of the Intro to the Unit (sometimes students miss this as they think it is a header – but it will have a lecture in it!) If there is no lecture… keep checking. I have a tendency to wait on some lectures because I do not want students to rush or read beyond where we are in the course outline. This will only be the case for my lectures. All articles, links are up and ready to go on the Webliography. Additional Readings & Video Links: All additional readings can be found in the webliography on E –College. Each reading is listed in the webliography with listed units/weeks. The webliography is your source for all course materials. Every article, video link, etc. can be found here. Threaded Discussions are mandatory but will not be posted until the end of the week to ensure that folks base their responses on the full weeks’ readings and lectures! The Only Threaded Discussion Question Posted on the Syllabus is the first one… A Check in with the class… Listed under week 1! You have access to the course PowerPoint /Overview of the semester topics. This is listed in the webliography as “The Disease of Addiction/ppt.” It is recommended that you review the functions of E- college prior to beginning the course and that you take a tutorial available on line at https://ecollege.rutgers.edu/index2.jsp Week 1: 1/22-1/25 2013 Course Overview Expected Text Reading: beautiful boy: 1-65 Topics to Be Introduced & Reviewed/Lectures: Drugs, Culture & Society 832:350:90 Spring 2013 On Line Alexandra Lopez, MA, LCADC, SAC, ICCS, CPS, CCS Page 6 of 15 Introduction of Instructor Review of Syllabus: Questions & Explanations READ THE SYLLABUS… REVIEW THE FUNCTIONS OF E COLLEGE AND TAKE A TUTORIAL! Threaded Discussion: Check In Additional Readings & Video Links: Listed on E college/webliography Weekly Journal Entry: None Additional Assignments: Check in via Threaded Discussion with class! Introduce yourself, your name, year and what you hope to get out of the course Week 2: 1/28-2/1, 2013 Addiction Defined Expected Text Reading: beautiful boy: 1-65 (same as last week) Topics to Be Introduced & Reviewed/Lectures: Addiction Defined: The History of Addiction & the Disease Model Common Myths About Addiction Personal Bias: Your Worldview Introduction of common themes in the disease of addiction (Note: Also listed in syllabus above) Threaded Discussion: Due 2/1/2013 Additional Readings & Video Links: Listed on E college/webliography Themes of Addiction Journal entry Week 2 “beautiful boy”: Due no later than Sunday February 3rd, 2013 before midnight Additional Assignments: On Going Television or on line …Series to watch: “Hoarders” & “Intervention” Week 3: 2/4-2/8, 2013 Addiction & the Brain Expected Text Reading: beautiful boy: 66-121 Topics to Be Introduced & Reviewed/Lectures Progression of the Disease: Stages of Change Drugs, Culture & Society 832:350:90 Spring 2013 On Line Alexandra Lopez, MA, LCADC, SAC, ICCS, CPS, CCS Page 7 of 15 Physiology and Pharmacology of Addition: Beyond Willpower Threaded Discussion: On E college Due by 2/8 midnight Additional Readings & Video Links: On E- college Webliography Themes of Addiction Journal Entry Week 3 “beautiful boy”: Due no later than Sunday February 10, 2013 Before midnight Additional Assignments: On Going Television or on line …Series to watch: “Hoarders” & “Intervention” Week 4: 2/11-2/15, 2013 Pharmacology of Abuse Expected Text Reading: beautiful boy: 121-182 Topics to Be Introduced & Reviewed/Lectures Review of Substances of Abuse: NIDA & SAMHSA When Someone is Addicted? Addiction as a Diagnosis Chasing the Dragon Denial… The Disease Progresses Threaded Discussion: On E College Due by 2/15 before midnight Additional Readings & Video Links: Listed on E college/webliography Themes of Addiction Journal Entry Week 4 “beautiful boy”: Due No later than Sunday 2/17, 2013 before midnight. Additional Assignments: On Going Television or on line …Series to watch: “Hoarders” & “Intervention” Week 5: 2/18-2/22, 2013 Addiction & the Family: Beyond the Addicted Self Expected Text Reading: beautiful boy: 183-250 Topics to Be Introduced & Reviewed/Lectures The Impact of Addiction on the Family/A Family Systems Disease Children of Alcoholics and Addicts: The Elephant in the Living Room Drugs, Culture & Society 832:350:90 Spring 2013 On Line Alexandra Lopez, MA, LCADC, SAC, ICCS, CPS, CCS Page 8 of 15 Threaded Discussion: On E College Due no later than Friday 2/22, 2013 before midnight Additional Readings & Video Links: Listed on E college/webliography Themes of Addiction Journal Entry Week 5 “beautiful boy”: Due No later than Sunday 3/24, 2013 before midnight. Additional Assignments: On Going Television or on line …Series to watch: “Hoarders” & “Intervention” Suggested Film: “Rachel Getting Married” Week 6: 2/25-3/1, 2013 Addiction & the Family: Roles & Dynamics Expected Text Reading: beautiful boy: 251-317 Topics to Be Introduced & Reviewed/Lectures Addiction & Family Roles Codependency in Addiction Adolescents & Addiction Are We Products of our Environment? Threaded Discussion: On E College Due by March 1st before midnight Additional Readings & Video Links: Themes of Addiction Journal Week 6 “beautiful boy” Final Entry: Due No later than Sunday March 3, 2013 before midnight Additional Assignments: On Going Television or on line …Series to watch: “Hoarders” & “Intervention” Week 7: 3/4-3/8, 2013 Process Addictions: Beyond the Drug Expected Text Reading: TWEAK: 1-61 Topics to Be Introduced & Reviewed: Understanding and Defining Process Disorders Drugs, Culture & Society 832:350:90 Spring 2013 On Line Alexandra Lopez, MA, LCADC, SAC, ICCS, CPS, CCS Page 9 of 15 Eating Disorders: Close to Home o Not Just About drugs… The Facebook Experiment Threaded Discussion: On E College Due no later than 3/8 before midnight Additional Readings & Video Links: Listed on E college/webliography Themes of Addiction Journal Entry Week 7 “TWEAK”: Due No later than Sunday March 10th, 2013 before midnight Additional Assignments: On Going Television or on line …Series to watch: “Hoarders” & “Intervention” There is no Journal Assignment Due this Week/ Spring Break begins !!! Week 8: 3/11-3/15 2013 Addiction A Global Disease Expected Text Reading: TWEAK: 62-130 Topics to Be Introduced & Reviewed/Lectures Meth Addiction: Nic’s Sheff & the History of Methamphetamines in the US Health Care & Addiction: Costs to Society Global Epidemic… How do we stop what started at home? In America? Threaded Discussion: On E College Due by 3/15 before midnight Additional Readings & Video Links: Listed on E college/webliography Themes of Addiction Journal Entry Week 8 “TWEAK”: No Journal this week …Spring Break Begins ! Additional Assignments: On Going Television or on line …Series to watch: “Hoarders” & “Intervention Week 9: Spring Break No Class 3/18-3/22 No Class Drugs, Culture & Society 832:350:90 Spring 2013 On Line Alexandra Lopez, MA, LCADC, SAC, ICCS, CPS, CCS Page 10 of 15 Week 10: 3/25-3/29, 2013 The Addicted Self Expected Text Reading: TWEAK: 131-194 Topics to Be Introduced & Reviewed/Lectures Hitting Rock Bottom o I Am You Disease Spirituality & Addiction Understanding Co-Occurring Disorders Threaded Discussion: Listed on E College Due by 3/29 before midnight Additional Readings & Video Links: Listed on E college/webliography Themes of Addiction Journal Week 10 “TWEAK”: Due No later than 3/31, 2012 Additional Assignments: On Going Television or on line …Series to watch: “Hoarders” & “Intervention” Suggested Film: “Things We Lost in the Fire” Week 11: 4/1-4/4 2013 Treatment & Recovery Expected Text Reading: TWEAK: 195-263 Topics to Be Introduced & Reviewed/Lectures Understanding Treatment Options: No One Fit for All Patients o Levels of Care Relapse as a part of Recovery Introduction to Mutual Self Help o Support in Recovery o Family in Recovery Threaded Discussion: On E College Due by 4/4 before midnight Additional Readings & Video Links: Listed on E college/webliography Themes of Addiction Journal Entry Week 11 “TWEAK”: Due No Later than April 6th, 2013 Drugs, Culture & Society 832:350:90 Spring 2013 On Line Alexandra Lopez, MA, LCADC, SAC, ICCS, CPS, CCS Page 11 of 15 Additional Assignments: On Going Television or on line …Series to watch: “Hoarders” & “Intervention” Week 12: 4/8- 4/12, 2013 Addiction & Society: Myths, Stigma & Social Denial Expected Text Reading: TWEAK: 264-319 Topics to Be Introduced & Reviewed/Lectures: The Stigma of Addiction and Mental Health Personal Bias: Worldview Shift? The Media and Addiction Threaded Discussion: On E College Due by 4/12 Additional Readings & Video Links: Listed on E college/webliography Themes of Addiction Journal Entry Week 12 “TWEAK”: Due No later than 4/14, 2013 before midnight Additional Assignments: On Going Television or on line …Series to watch: “Hoarders” & “Intervention” Suggested Film: HBO Documentary: “Something’s Wrong With Aunt Diane” Week 13: 4/15-4/19 Expected Text Reading: TWEAK: Epilogue (end) Threaded Discussion: On E college Due by 4/19 no later than midnight Additional Readings & Video Links: On E- college Themes of Addiction Journal Entry Week 13: Due no later than 4/21 Additional Assignments: On Going Television or on line …Series to watch: “Hoarders” & “Intervention Drugs, Culture & Society 832:350:90 Spring 2013 On Line Alexandra Lopez, MA, LCADC, SAC, ICCS, CPS, CCS Page 12 of 15 Week 14: 4/22-4/26 Current Trends in Addiction Topics to Be Introduced & Reviewed/Lectures: Prescription Drug Abuse: A National Epidemic Medical Marijuana Substance Abuse & the Law Illegal Drug Trafficking Expected Text Reading: None Threaded Discussion: On E -college Due by 4/26 no later than midnight Additional Readings & Video Links: Any additional readings will be posted on E College, however, you should take this opportunity to read any and all articles you have not read thus far. Themes of Addiction Journal Entry: None Week 13: 4/29- 5/6 /End of Semester Current Trends in Addiction Final Paper due May 3 2012 Topics to Be Introduced & Reviewed/Lectures: Prescription Drug Abuse: A National Epidemic Medical Marijuana Substance Abuse & the Law Illegal Drug Trafficking Expected Text Reading: None Final Threaded Discussion Due: Sunday May 5th, 2013 Additional Readings & Video Links: Any additional readings will be posted on E College, however, you should take this opportunity to read any and all articles you have not read thus far. Themes of Addiction Journal Entry: None Additional Course Resources and Links to Resources: You are expected to visit each of these websites and “surf” the site to get to know the available resources! National Institute on Drug Abuse: http://www.nida.nih.gov/nidahome.html National Institute on Alcohol Abuse and Alcoholism: http://www.niaaa.nih.gov/Pages/default.aspx Mental Health America: http://www.mentalhealthamerica.net Substance Abuse and Mental Health Services Administration: http://www.samhsa.gov/ Drugs, Culture & Society 832:350:90 Spring 2013 On Line Alexandra Lopez, MA, LCADC, SAC, ICCS, CPS, CCS Page 13 of 15 SAMHSA’s Center for Co-Occurring Excellence: http://coce.samhsa.gov/ Office Hours: Office hours available by appointment. Appointments can be arranged via e mail alexopez@rci.rutgers.edu. I will be available via e mail at all times throughout the semester. I will also be available via cell phone once we have established communication via e mail. Please be advised that all grades are strictly based upon the course average/grades that are inputted weekly throughout the semester on e college: Please be sure to review your average before the end of the semester. Course Grading Policy: Letter % Range A B+ B C+ C D F 90-100 % 85-89.99 % 80-84.99 % 75-79.99 % 70-74.99 % 60-69.99 % <60% Academic Integrity Academic integrity is essential to the success of the educational enterprise and breaches of academic integrity constitute serious offenses against the academic community. Every member of that community bears a responsibility for ensuring that the highest standards of academic integrity are upheld. Only through a genuine partnership among students, faculty, staff, and administrators will the University be able to maintain the necessary commitment to academic integrity. The University administration is responsible for making academic integrity an institutional priority and for providing students and faculty with effective educational programs and support services to help them fully understand and address issues of academic integrity. The administration is also responsible for working with other members of the academic community to establish equitable and effective procedures to deal with violations of academic integrity. The faculty shares the responsibility for educating students about the importance and principles of academic integrity. Individual faculty members are also responsible for informing students of the particular expectations regarding academic integrity within individual courses, including permissible limits of student collaboration and, where relevant, acceptable citation format. Finally, all members of the faculty should report all violations of academic integrity they encounter. Drugs, Culture & Society 832:350:90 Spring 2013 On Line Alexandra Lopez, MA, LCADC, SAC, ICCS, CPS, CCS Page 14 of 15 Students are responsible for understanding the principles of academic integrity fully and abiding by them in all their work at the University. Students are also encouraged to report alleged violations of academic integrity to the faculty member teaching the course in which the violation is alleged to have occurred. All members of our community must be confident that each person's work has been responsibly and honorably acquired, developed, and presented. Any effort to gain advantage not given to all students is dishonest, whether or not the effort is successful. A violation of academic honesty is a breach of trust, and will result in penalties, including possible suspension or expulsion. When in doubt about plagiarism, paraphrasing, quoting, or collaboration, consult the course instructors. For additional information, go to: http://academicintegrity.rutgers.edu/students.shtml Drugs, Culture & Society 832:350:90 Spring 2013 On Line Alexandra Lopez, MA, LCADC, SAC, ICCS, CPS, CCS Page 15 of 15