YEAR 3 / 4 : TOPIC : DRUGS, MEDICINES AND RISKS LEARNING OUTCOME Session 1: To begin to think about drugs, their forms and their uses To be able to define what a drug is. KEY QUESTIONS What is a drug? Who might use drugs? What might they do with them? What should I do if I find some drugs? THEMES AND CONTENT AREAS Jugs and herrings activity (see resources): Introductory activity to establish level of children’s knowledge, understanding and identify any existing misconceptions. It is important that children complete the activity individually. Write the word drug on a flip-chart. Make a class list of all the drug names they know: also use names from Jugs and Herrings activity. Brainstorm ideas of what this word means and draw up a class definition from these ideas. Compare it with the World Health Organisation definition ‘A drug is a substance that effects the way we think, feel and behave’ and compare to own definitions. Research different dictionary definitions of the word drug – how and why are they different? Session 2: To explore different ways drugs can be categorised. To learn about some of the associated risks of these substances. What legal and illegal drugs are there? What does legal / illegal mean? What are the different ways they are taken? Which ones are prescription drugs and which are ‘over the counter drugs’? What is the difference? What does ‘age-restricted’ mean? Why are there different rules and laws for different drugs? What effects do these drugs have? What are solvents? (if this is raised) Gloucestershire Guidance Scheme of Work In small groups, children write the name of each drug onto a post-it note and then sort these according to legal/ illegal/ unsure; medicines/ non-medicines; need adult permission and supervision/ OK to take without adult permission. After each activity, groups share and discuss any they found difficult to categorise. Clear up any misunderstandings and highlight the fact that some (e.g. tobacco) will be difficult to categorise. This will not be a straightforward activity and will therefore lead to discussion about the law as per key questions. It is the discussion that is Year 3/4 programme Page 1 of 6 Session 3: To understand that medicines can be harmful if they are not used properly What risks are there? What would someone need to know before they tried a legal / illegal drug (the risks) important rather than arriving at the ‘correct answer’! (This could tie in with a visit from the police) What medicinal drugs are there? What information does someone need to take a medicine safely? Where do they find out that information? Why could medicines be harmful if they are not taken safely? Whose responsibility is it to use a medicine safely? Ask children to imagine they can only eat their favourite food. In pairs, get them to talk about how they would feel when they only had a small amount and then as they had more and more. Then ask them to talk about how they would feel if they had too much medicine. Discuss what might happen to their body. In groups of 4, look at examples of medicine labels (real or pitcures) to find out how medicines should be used safely. Draw a poster for a doctor’s surgery explaining how medicines need to be taken safely – try and include all the points discussed above. Session 4: To know the main effects of drinking alcohol Which drinks contain alcohol? How does drinking alcohol make people feel / behave? Does it always have these effects? Why not? Gloucestershire Guidance Scheme of Work Make a list of alcoholic and non-alcoholic drinks. (Why do people sometimes add non-alcoholic drinks to alcoholic ones?) Choose a name not connected with any of the children in the class. Individually draw a picture of this person, who has been drinking alcohol – show what they have been drinking: where they Year 3/4 programme Page 2 of 6 are, who they are with and how they are feeling. Compare their picture with a partner’s – how is it different? Why? Now make a group of 4 – what differences are there? Discuss as a class why there are so many different effects. Session 5: To know the main effects of drinking alcohol (contd) Would a child’s body be more affected by alcohol or less? Why? Why are there recommended limits on alcohol consumption? What does the liver do with alcohol? How might drinking lots of alcohol affect the liver? (NB Sensitive issue – processes) In groups of 4, children to think of some reasons why only over-18s are allowed to buy alcohol. Discuss as a class: checking understanding of greater effect of alcohol on smaller bodies. Demonstrate this by showing two clear containers (one large and one small), add 2 drops of food colouring and discuss how the concentration levels are different and why. In groups, look at the label on a bottle of alcohol (real or on a picture)– what information does it give you. Look at government guidance on alcohol consumption – why is it different for men and women? Is it going to be the same for all men and all women? Why not? Try writing a new label for a bottle of alcohol using the medicines format. Why is it difficult? Gloucestershire Guidance Scheme of Work Year 3/4 programme Page 3 of 6 Session 6: To know the main effects of smoking cigarettes Session 7: To develop attitudes towards smoking; explore the reasons people might start and to understand the reasons why people sometimes find it hard to stop smoking What is a cigarette made from? What is tar? What effect does tar have on the lungs? What is nicotine? What happens to the heart when someone smokes a cigarette? Why might someone start smoking? Why might they choose to continue? Do people find it easy or hard to give up smoking? What does addicted mean? Is it impossible for people to give up smoking once they’ve started? Why do some people find it easier than others to give up smoking? Is it normal for teenagers to smoke? (NB no - only 9% 11- 15 year olds smoke regularly) Dissect a cigarette. Cigarette and cotton wool experiment (teacher led). In groups, children find out as much information as they can from a cigarette packet about the harm from smoking. (Why are there health warnings? Who puts them there?). The children could continue this research on the internet. This work will be continued in session 7. Circle time activity – ‘I would find it hard to live without…’ ‘If I had to live without it I would feel…’ Children to work in groups. Tell them that Sam is 12 years old and has just started smoking. Get them to discuss: what was happening just before she had her first puff? Who was she with and how was she feeling? What influenced her choice? Why did she decide to carry on smoking? Set these ideas out as a storyboard. Children to compare their stories. Ensure the children have a realistic view of a first cigarette offer and have discussed the fact that usually it is friends, family members and people they may like who offer the first cigarette. Ask the children to suggest ways that Sam could have changed the situation to avoid taking her first puff? You could then take the role of Sam and the children could ask questions or make suggestions. Small group discussion as per key questions. Gloucestershire Guidance Scheme of Work Year 3/4 programme Page 4 of 6 Which things are going to help people give up? Design a poster to encourage people to give up smoking. Consider what sort of things would make people want to stop. Optional: Session 8: To begin to develop critical attitudes towards media messages about alcohol, tobacco and other legal drugs Session 8/9: To begin to recognise influences from friends and consider how they might deal with these When do I see people using these drugs in the media? Why do they use them? What effects are the drugs having on the people/ person who uses them? What’s the message behind what I’m seeing? Remind the children of the legal drugs they know (including alcohol, tobacco and caffeine). In pairs, children discuss the programmes they watch which may have a portrayal of these drugs. What’s the difference between persuasion and influence? How might I feel when someone is trying to persuade me to do something I don’t really want to do? What might I be able to do to keep myself safe/ enable me to make my own choices Ask the children for ideas about how they would recognise a ‘robot persuader’. What would they say or do? In pairs, children to draw a ‘robot’ persuader and list its abilities and characteristics. Then ask the children to explain how they would feel the robot persuader was at work. How would they know they were being persuaded? Explore the differences between being ‘persuaded’ and being ‘influenced’. We often feel uncomfortable when we are being persuaded and that a decision is needed; however when we are being influenced, we feel more comfortable and already may really want to do the thing being suggested. Working with a partner, children decide on three Gloucestershire Guidance Scheme of Work Gather adverts for caffeine, alcohol and tobacco. Children to look at a selection of these in small groups and note the age and mood of the people portrayed and comment on ‘What sort of people are they?’ Children to look for health warnings considering how big these are and whether you notice them easily. Children to decide how the advertisers are trying to persuade us to buy their product. Year 3/4 programme Page 5 of 6 signals that a ‘human’ persuader is at work. Share these. Then each pair to think of 2 reasons why they might refuse the offer being made, and 2 actions they could do to get themselves out of the situation. You could begin to explore the differences between passive, aggressive and assertive responses with them. Session 9/10: To think about the risks surrounding unknown substances and consider what to do if they come across them To learn about the dangers of handling discarded syringes and needles Why might it be dangerous to pick up litter? Why might it be dangerous to pick up a syringe? What might the dangers be of unknown substances and what might I do to keep myself, and others, safe? Who might you tell if you found a syringe or unknown substance? Gloucestershire Guidance Scheme of Work Ask the children to think of reasons why it might be dangerous to pick up litter. Show a picture of a syringe and ask why it might be dangerous to pick it up. Ensure they understand that it is sharp, may have been in someone else’s body and may contain an unknown substance. Using pre-prepared set of cards (see resources) with different types of drug written on (e.g. pills, bottle of medicine, packet of cigarettes, syringe) and another set with places (e.g. school playground, in the park, in the kitchen). As a class, children to take it in turns to pick one ‘drug card’ and one ‘situation card’ and consider what they should do and who might help them if they found that drug in the place described. Explore what the risks are, what help they might need, who might they tell and how they might tell. In small groups, each choosing one scenario, children briefly act out the situation. Make a short set of rules as a class: ‘You should always tell an adult if ..’; ‘You shouldn’t touch it if …’ Year 3/4 programme Page 6 of 6