SOLVENTS Not Suitable for Children This material contains information on different solvents and methods of use which can encourage experimentation in children. Please do not distribute to children. What they are and how they are used Solvents include a range of products which give off fumes and cause intoxication (similar to alcohol or anaesthetics). They include butane (eg cigarette lighter gas), aerosol sprays, petrol, some glues, correction fluids, paint thinners, dry cleaning fluid, nail polish removers and others. Solvents are also called inhalants or volatile substances. The behaviour of inhaling these substances to get intoxicated is called 'sniffing', 'glue sniffing', solvent abuse or volatile substance abuse (VSA). Solvents can be directly inhaled through the mouth or nose from its container or place into another container such as a plastic bag or tin or by putting the substance on a sleeve or rag. Effects of solvents As with all drugs, the effects of solvent sniffing will depend on: the amount inhaled; the environment in which the substance is used; individual characteristics such as age, gender, mood, previous experience and mood; and the way the substance is inhaled. The effects of solvents are similar to alcohol. However, they differ in their speed of onset which can occur within seconds. This can cause disorientation. Unless more gas is inhaled, the primary effects tends to wear off in 1 - 5 minutes. In some cases where large amounts have been inhaled over a period of time, these effects can last up to 1 hour after the last dose. Up to half of those using solvents also report visual distortions (mild hallucinations or illusions). These tend to be frightening in nature. Solvents can sometimes cause irritation to the nose, eyes and mouth during and after use. Hangovers and headaches often occur shortly after use. Problems Research suggests that the physical effects of solvents on organ tissue (including the brain), rarely causes permanent damage. Where there is evidence of effects such as memory problems, reduced impulse control, kidney or liver effects, these are mostly reversible if the person stops using solvents. Long term use of some solvents can cause permanent damage to brain, liver and kidney function although this is relatively rare. _________________________________ Solvent Information 2000 Page 1 of 5 Long term use of leaded petrol can, however, cause brain damage as well as other health problems including leukemia, cancers, pneumonia and anorexia. Some solvents, particularly butane gas in lighter refills, aerosols, cleaning fluid and petrol can cause 'Sudden Sniffing Death' (SSD). Heart failure can occur during strenuous exercise or if suddenly frightened immediately after or during sniffing. Sudden death from solvents can also be caused by lack of oxygen if a plastic bag is placed over the head or from suffocation is aerosols are sprayed directly into throat from swelling and spasm of the larynx. Accidents such as drowning and injury from motor vehicles occur in much the same way as intoxication from alcohol. Some people can become dependent upon solvents, which may cause serious disruption to their lives as well as resulting in developmental delays. Some young people use solvents to manage psychological pain and as a way to show others they have problems. It's use may be similar to self-harming behaviours. Suicide is a high risk with these young people, particularly in unsupported detoxification. Tolerance (needing more of the substance for similar effects) can occur with regular solvent use. Cross tolerance, (tolerance to other substances) particularly to alcohol and anaesthetic gases can also occur. Withdrawal symptoms tend to be reduced as solvents are absorbed into the fatty tissue and slowly released from the body. However, if heavily reliant on solvents, a range of symptoms from anxiety and depression to headaches and abdominal cramps can occur. Who uses solvents Most Young People DO NOT use solvents ASSAD 1996 WA School Survey Students who have not used solvents in the past week, month, year and ever 100 80 60 40 20 0 Week Month Year Ever While the peak age range of solvent use is between 11 and 16, the vast majority (around 4 out of 5) of this age group have never use solvents. Of those who have use solvents, the majority only try once or twice (experimental). Some may continue to use socially for a period while the drug is in fashion (social). A small minority will continue to use and may become dependent. While there is a modest over-representation of Aboriginal children using solvents in some communities, by far the largest number of solvent users in Western Australia are non-Aboriginal. There seems to be a relatively equal distribution between gender of solvent users in WA. _________________________________ Solvent Information 2000 Page 2 of 5 The majority of those who use solvents report that use other substances such as alcohol or marijuana more often and in preference to solvents. Why they use solvents and why they don't Generally speaking, young people use solvents for much the same reasons as adults use alcohol or other substances. These reasons can be grouped into: a) seeking pleasure or b) avoiding discomfort and pain. In addition, young people may try these substances out of curiosity, to challenge adult values, to draw attention to themselves, to be the best at being bad, and to be part of a sub-culture they may identify with. Protective Factors Possibly a more important question is why don't the majority of young people use these substances, given that they are cheap, available, legal and provide a short-term 'high' which can be easily controlled and extended. The naturally occurring protective factors which reduce the amount of solvent inhalation include: seen as 'gutter drugs' by most youth; social disapproval including peers; not advertised or glamorised by media; fear of harm, particularly brain damage; disapproval by parents and adults; bad smell; effects can be frightening and disorientating; headaches and irritation to eyes, nose and mouth. The above protective factors are particularly important in designing interventions. That is, where possible they should be maximised. They definitely should not be compromised as these factors affect the majority of young people. Law It is not illegal to supply, possess or use inhalants in Western Australia. One reason for this is that it is difficult to restrict the supply of products which have legitimate uses. In the United Kingdom, where laws were introduced to reduce supply of solvents, solvent deaths increased as users moved to more hazardous products (aerosols & butane gas) which were difficult to control. However, voluntary controls are encouraged. Retailers have the legal right to refuse sale of solvents if they choose. Having a written store policy will help protect stores against the unlikely event of discrimination issues. Police in WA are able to apprehend young solvent users, transport them to a responsible adult or detain them until a responsible adult can be found under Section 18 of the Young Offenders Act or Section 138B of the Child Welfare Act. Police may also use other laws to manage conduct disorder such as threatening or violent behaviour. _________________________________ Solvent Information 2000 Page 3 of 5 What can be done Identify exactly what's happening, what's working and what's not How much use & by whom? What are the key issues associate with solvent sniffing to be managed? What's already being done (what's working and what's not) Who needs to be involved Supply of Solvents Retailer interventions (eg Retailers Acting Against Solvent Use Resource Kit ) Av gas in remote communities Intoxication Management Community patrols Safe house (ie sobering-up beds) Police/welfare link-up Truancy Chronic Abusers Rehabilitation services Case management Parent & Family Support Education (eg booklet Solvent Sniffing - An Information Guide for Parents About Glue and Other Solvent Use) Support for families (attempt to both support families in distress as well as mobilise parents as a key resource) Drug Education Training health & welfare workers Young people & parents Schools Make sure schools are part of the School Drug Education Project Ensure that there is a school drug management policy which is well known and practiced Provide resources, training & support to student services staff regarding solvent sniffing Encourage the development of peer support programs within the school Provided well targeted interventions rather than whole of school approach to specific solvent issues _________________________________ Solvent Information 2000 Page 4 of 5 Alternative Activities Recreation Education & vocational Involve in community service (eg helping family, school or community projects) Media Management Code of practice Central point(s) for media contact Link Up With Others Develop a working relationship with key stakeholders Form a committee or working party Discuss with your local Community Drug Service Team and/or other specialist drug service. Ring ADIS Review, Plan, Act, Review... Use this action learning cycle to ensure quality and effectiveness of interventions What not to do Media Don't support media scare stories - they advertise solvents Groups Be cautious running groups for solvent users: it may reinforce a delinquent group Schools Don't announce solvent issues to all students - it advertises solvents Don't pay special attention to solvents - discuss in the context of general intoxication Don't describe all solvents or methods of use - speak in general terms, possibly mention glue Be cautious about suspending for solvent use - may be positive reinforcement & duty of care Parents Don't lecture or blame parents - provide supportive engagement where possible Previous experience Don't do more of what hasn't worked in the past - try something different Sudden Sniffing Death Don't chase or frighten intoxicated solvent users - may cause heart failure _________________________________ Solvent Information 2000 Page 5 of 5