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[Virtual Presenter] We are excited to present to you the drug and alcohol awareness course. As a construction industry professional you know the importance of staying alert and focused on the job. Unfortunately substance use disorders can affect the safety and well-being of your colleagues and even yourself. That's why we have designed this course to provide you with the knowledge and skills you need to recognize and address drug and alcohol use in the workplace. By the end of this course you will have a better understanding of substance use disorders drug and alcohol statistics and the consequences of addiction on the human body. You will also learn about the effects of alcohol on the human body and how to prevent and control drug and alcohol use. And most importantly you will discover how to help yourself and others avoid becoming victims to drug and alcohol dependency. We believe that this course will provide you with valuable information that you can apply to your personal and professional life. So we invite you to join us and take the first step towards a safer and healthier workplace..

[Audio] We will discuss the impact of substance use on individuals and the construction industry. You will gain the necessary knowledge and skills to recognize and address substance use in the workplace. Participation is mandatory and no distractions are allowed during the 2-hour contact time. In case of an emergency locate the exit or egress and follow emergency procedures. Restroom locations will be provided. We will provide a quick trainee introduction and explain your expectations for the course including the content we will cover..

[Audio] Our Drug & Alcohol Awareness Course has been approved by the NYCDOB. This course educates trainees on the adverse effects of drug and alcohol use in the workplace. By the end of this course trainees will be able to recognize problems associated with substance dependency and learn strategies to avoid working while under the influence of drugs and/or alcohol. They will also have tools to become less susceptible and better at recognizing avoiding and preventing adverse consequences of drug and/or alcohol use and abuse. Additionally trainees will be able to recognize and understand issues of chemical dependence that may adversely effect the lives of others who they know and love. They will understand why dependence disorders happen to “normal” people and unsuspecting people can become dependent on chemicals including alcohol without trying. We believe that this course will provide valuable information and tools to help trainees navigate the workplace safely and effectively..

[Audio] This course aims to provide a comprehensive understanding of drug and alcohol use its impact and effects and how it can be prevented and controlled. At the end of this course you will have a written knowledge assessment to evaluate your understanding of the material. We hope that you find this course informative and useful in your personal and professional life. If you have any questions please don't hesitate to ask..

[Audio] 21.5 million Americans in 2014 had a significant problem with alcohol or drugs. Substance use disorders occur when the recurrent use of alcohol and/or drugs causes clinically significant impairment including health problems disability and failure to meet major responsibilities at work school or home. In 2014 21.5 million Americans ages 12 and older (8.1%) were classified with a substance use disorder in the past year. Of those 2.6 million had problems with both alcohol and drugs 4.5 million had problems with drugs but not alcohol and 14.4 million had problems with alcohol only. It is essential for individuals in the construction industry to understand the impact of substance use disorders on their personal lives and to seek help if needed..

[Audio] Discussing the serious issue of substance use disorders. Our nation state and city are facing a war for survival. More New Yorkers die from drug overdoses than homicides suicides and car crashes combined. This is a staggering statistic that highlights the severity of this issue. Our responsibility is to take action and educate ourselves on the dangers of substance use and how to prevent them. This course aims to provide you with the knowledge and tools needed to make informed decisions and help your community combat this crisis..

[Audio] Discuss the negative impact of substance use disorders on individuals and their families. Understand that not everyone who uses substances will develop a disorder but for those who do it can be a life-threatening and challenging condition to overcome. Treatment is available and we encourage those struggling to seek help. Our course will discuss the different types of substance use disorders their signs and symptoms and available treatments. Additionally we will explore the role that family and communities play in supporting individuals with substance use disorders..

[Audio] Drugs are substances natural or synthetic that are used to diagnose treat or prevent diseases or to relieve pain. They also produce states of arousal contentment euphoria and sleep-inducing properties. However continuous or excessive use of drugs can lead to addiction with possible withdrawal symptoms upon cessation. It is crucial to recognize that the legality of drugs does not necessarily influence their potential for addiction or harm..

[Audio] Drugs are used for a variety of reasons such as diagnosis treatment prevention of diseases or to relieve pain and produce a state of arousal contentment euphoria and/or sleep-inducing properties. However when used excessively drugs can be addictive which can lead to withdrawal symptoms when drug use is stopped. It's important to recognize that drugs can be legal or illegal but their potential for addiction and harm is not always related to their legality. Addiction is a chronic often relapsing brain disease that can limit a person's self-control and strengthen the urge to use drugs. Initiating drug use is usually a conscious choice but changes to the brain associated with addiction can make it more difficult to resist the urge to use drugs..

[Audio] Substance use disorders are a significant problem in America. These numbers have a profound impact on individuals families and communities..

[Audio] Substance use disorders can occur in normal individuals and dependence can develop when the use of alcohol and/or drugs causes clinically significant impairment including health problems disability and failure to fulfill major responsibilities at work school or home. It's important to remember that addiction and dependence are not moral shortcomings but rather medical conditions that require treatment and support. If you or someone you know is struggling with a substance use disorder or dependence don't delay seeking help. There are resources available to assist you on your journey to recovery..

[Audio] Addiction is a disease that requires medical and psychiatric treatment. It is important to understand that addiction affects the brain and can be a complex issue..

[Audio] Has anyone ever seen the effects of drugs or alcohol in a workplace? Please provide descriptions of occurrences. As the instructor I would like to share an article with you that highlights the dangers of opioid addiction among law enforcement officers. In the linked article you will read about Dan Gosnell a former Aberdeen police lieutenant who became addicted to opioids after neck surgery and lost his career after he resorted to stealing drugs from the evidence vault at the police station. Gosnell now counsels addicts as a clinical aide at Harbor Grace Recovery Center. We hope that this article will give you a better understanding of the effects of drugs and alcohol in the workplace. As we continue through the course we will discuss the importance of prevention and intervention in addressing these issues..

[Audio] The effects of substance use on workplace injuries will be discussed. The rand Institute for Civil Justice and rand Health conducted a study funded by the Commonwealth of Pennsylvania and the Allegheny County Department of Human Services which found an association between substance use and occupational injury. This association is stronger for males and in certain industries such as manufacturing and construction and may also be stronger for younger workers. The study also concluded that addictive behavior has an affect on Occupational Safety. Employers should understand the risks associated with substance use in the workplace and take steps to protect their employees. The course will cover topics such as the effects of drugs and alcohol on the body the impact of substance use on workplace safety and strategies for prevention and intervention. By the end of this course you will have a better understanding of the risks associated with substance use in the workplace and how to prevent and intervene when necessary..

[Audio] Discussing the prevalence of Substance Use Disorders in the construction industry recent statistics show that adults in the construction industry category have higher past month heavy alcohol use than any other industry category..

[Audio] Prescription pain reliever misuse is a common problem among people who misuse these drugs. A study by Dr Elinore F McCance-Katz shows that the most prevalent source of prescription pain reliever misuse among people who misuse these drugs is actually friends and family. Nearly 60% of those who misused prescription pain relievers obtained them from friends and family. Other sources include prescription from more than one doctor doctor shopping and stolen from healthcare..

[Audio] We will discuss Section Three of our NYCDOB approved 2-hour Drug & Alcohol Awareness Course. This section focuses on drug and alcohol use in the construction industry and its impact and effects. Construction sites can be hazardous and require a high level of concentration and focus. Substance use can impair judgment coordination and reaction time leading to accidents and injuries on the job site. It is important for all construction workers to understand the risks associated with substance use and how to identify and report any instances of drug or alcohol use on the job site. Our course provides valuable information on the legal and safety implications of substance use in the construction industry. We cover topics such as drug and alcohol testing policy development and best practices for maintaining a safe and drug-free workplace. We believe that by providing this training to our construction workers we can help create a safer and more productive workplace for all..

[Audio] Impairment affects learning judgment dexterity and coordination decision-making stress memory behavior increase risk-taking family relationship and financial preoccupations. It is our responsibility to ensure that our team is always safe and productive. We must take a proactive approach to drug and alcohol awareness and educate ourselves and our colleagues about the dangers of impairment on construction sites. We cannot tolerate impairment on our construction sites. The consequences of impairment can be severe and we cannot afford to take the risk. We must take action to protect ourselves and our team from the dangers of impairment..

[Audio] We want to address the risks of substance use and prescription medication use disorders among construction workers. Due to their strenuous work and stress construction workers have a higher risk for these disorders. Easy access to medications through work increases the likelihood of abuse. Alcohol consumption is also common in the construction industry which can lead to substance use disorders. It is crucial for construction workers to understand the dangers of substance use and seek help if necessary..

[Audio] Discuss Substance Use Disorders. These conditions involve the excessive or compulsive use of substances such as drugs or alcohol. They can have serious consequences for individuals including physical harm legal problems and relationship problems. Trainees should understand the signs and symptoms of Substance Use Disorders and how to identify them in themselves and others. We will discuss the different types of Substance Use Disorders and the various treatment options available. It is important to be aware of the signs and symptoms of Substance Use Disorders and how to identify them in yourself and others. This can help prevent harm and promote health and wellness in the workplace..

[Audio] We'll discuss the consequences of addiction on the brain organs and health. We'll analyze changes in chemical composition structure and function of the brain and the impact on the heart lungs and organs. We'll explore the link between addiction and mental health conditions such as depression anxiety and bipolar disorder. By the end you'll have a more comprehensive understanding of addiction's effects on the human body and mental health..

[Audio] Discussing Consequences of Addiction Addiction is a major health concern which can have severe penalties on health mental wellbeing and society. Illicit drug use is a major contributor to this issue with a vast and varied range of consequences that can impact individuals and communities. HIV/AIDS hepatitis B and C are also associated with addiction increasing the risk of certain cancers and strokes or heart attacks. Negative impacts of addiction include violence and abuse chronic pulmonary conditions liver and kidney disorders mental disorders family breakdowns and financial consequences. Criminal incarceration is also a common consequence of drug addiction with many individuals falling into this category. To prevent addiction from occurring in the first place it is crucial to understand the dangers of addiction and take steps to prevent it. By educating ourselves and others about the risks and consequences of addiction we can work together to create a safer and healthier society..

[Audio] Drug use can put individuals at risk for contracting or transmitting viral infections such as HIV/AIDS or hepatitis. This is because viruses spread through blood or body fluids. It happens primarily in two ways: when people inject drugs and share needles or other drug equipment; and when drugs impair judgment and people have unprotected sex with an infected partner – this can happen with both men and women. Women who become infected with a virus can pass it to their baby during pregnancy whether or not they use drugs. They can also pass H-I-V to the baby through breastmilk. It’s important to understand the consequences of addiction and how it can lead to the spread of HIV/AIDS. By being aware of these risks we can take steps to protect ourselves and others from contracting or transmitting viral infections..

[Audio] Hepatitis is an inflammation of the liver the largest internal organ in the human body which plays a vital role in metabolism and detoxification. Hepatitis can lead to cirrhosis resulting in loss of liver function. It can also lead to liver cancer. In the US HBV and H-C-V infections are the major risk factors for liver cancer. Addiction to drugs can significantly impact the liver. Hepatitis B and C can be contracted through sharing drug needles and equipment leading to liver damage and scarring. It is important to protect your liver health and educate yourself about the dangers of drug use. Understanding the relationship between drug use and Hepatitis B and C is essential to make informed decisions about drug use and to seek treatment if necessary..

[Audio] Substance use disorders can increase the risk of both hemorrhagic and ischemic stroke. Hemorrhagic stroke occurs when a blood vessel in the brain bursts causing bleeding in the brain. Ischemic stroke occurs when a blood clot blocks the flow of blood to the brain. Psychomotor stimulants such as amphetamine and cocaine are the most commonly associated drugs with stroke. These drugs increase the risk of stroke by causing changes in the blood vessels in the brain leading to blockages and strokes. Seeking help is important if you are struggling with addiction..

[Audio] Discussing the consequences of addiction and its relationship to violence and abuse. Drug-related violence among drug dealers and distributors can occur when people trade in illicit substances as they compete for criminal markets and customers. Personality disorders can result from chemical dependency and the alteration of the brain’s neural networks. Recognizing the dangers of addiction and its impact on individuals and communities is important. Promoting healthy behaviors and reducing the prevalence of addiction is necessary..

[Audio] Addiction affects many people and their families. It can lead to serious consequences and harm their daily lives. It's crucial for everyone to understand addiction and its effects. Seeking help and support is vital when facing addiction..

[Audio] Marijuana is a highly potent drug that was once considered 10 times stronger or more potent than in the 60s. One of the most significant effects of marijuana use is arrested development. Abusers are likely to have low emotional maturity and the drug causes the user’s emotional maturity to stop developing so even though the person is 30 they may be acting as though they are 17. Marijuana use can also lead to memory and learning problems. Detection of marijuana use can be challenging but alternative testing methods such as hair testing can be used to detect its presence in the body. The push to legalize marijuana may undermine compliance issues. Its only medically confirmed uses are for cancer chemotherapy nausea and A-I-D-S wasting syndrome anorexia..

[Audio] Cocaine and crack often referred to as stimulants are highly addictive drugs that can have a high relapse potential. These substances provide a significant stimulation of the brain reward zones which can be highly rewarding for users. In fact studies have shown that rats are willing to work tirelessly for cocaine even prioritizing it over sex until they die of exhaustion. The use of cocaine can lead to a range of negative effects including euphoria agitation paranoia and a crash or feeling of being exhausted. Additionally cocaine can cause sleep and euthymia a state of feeling contentment. However users may also experience cravings which can lead to the progression of use. Cocaine addiction is characterized by obsessive rituals that trigger use such as getting money from an A-T-M or seeing white powder. It is crucial to find ways to break these triggers in order to effectively treat addiction..

[Audio] Methamphetamines are highly addictive drugs that have severe consequences. These man-made substances commonly known as speed meth chalk and ice are debilitating and destroy certain nerve tissue in the brain. High energy levels are a common effect of methamphetamines even with small doses. This can lead to increased physical activity decreased appetite and repetitive behavior patterns that are similar to compulsive disorders such as picking at skin or pulling out hair. Incoherent thoughts and confusion are also common with the use of methamphetamines. Auditory hallucinations and paranoia can occur in extreme cases resulting in homicidal and suicidal thoughts formication delusions or the belief that insects or parasites are crawling on one's skin. Binge behavior is a common issue with methamphetamines as users try to maintain the high by consuming more of the drug even when the pleasurable effects have worn off. Methamphetamines can have long-lasting effects up to 12 hours which makes it harder to control the drug's effects. Related issues with methamphetamines include addiction seizures heart attacks and strokes which can lead to death in extreme cases..

[Audio] This slide will focus on the drug heroin. Heroin is an opiate meaning it is a type of drug that is derived from the opium poppy plant. Detoxification medications are available to help individuals overcome their heroin addiction. The initial surge of euphoria also known as the rush is a common effect of heroin use. Craving is a significant factor in the relapse and ability to comply with treatment. Intense withdrawal can occur quickly and is characterized by physical pain. It's important to note that heroin use can lead to related issues such as overdose which can be fatal. It's important to be.

[Audio] We will discuss the types of drugs that are considered NEW DRUGS in this slide. We have three types of drugs to cover: Ecstasy (M-D-M-A-) GHB (Gamma Hydroxyl Butyrate) and Rohypnol (related to Valium). Ecstasy (M-D-M-A-) is a popular club drug that is often associated with raves and dance parties. It is highly addictive and can cause significant damage to the brain and nervous system. G-H-B (Gamma Hydroxyl Butyrate) is another club drug that is commonly used for date rape. It is highly addictive and can cause severe memory loss and confusion. Rohypnol (related to Valium) is a powerful sedative that is often used for date rape. It can cause severe memory loss and confusion and it is highly addictive. It's important to note that youth and young adults often believe they know how to reduce the risks associated with these drugs but they are wrong. The use of these drugs is increasing particularly for OxyContin while the use of Ecstasy is decreasing. As we continue our presentation we will discuss the significant health risks associated with these NEW DRUGS and the importance of understanding the facts about addiction..

[Audio] When using alcohol individuals may experience a range of effects including loss of judgment slurred speech and impaired memory. If an individual stops using alcohol they may experience detoxification which can be severe and life-threatening especially during alcohol withdrawal. It is important for individuals to receive supervision during detox to ensure their safety. It is also important to consider the impact of alcohol on the fetus in pregnant individuals. There is a special concern for the fetus to be born intact and healthy if an individual is pregnant and using alcohol. Additionally alcohol abuse can lead to higher rates of suicide and homicide as well as D-W-I and D-U-I concerns which pose significant public safety hazards. Poly-drug use or the use of alcohol in conjunction with other substances is a common occurrence among addicts. It is important to be aware of the potential risks associated with this practice. Finally the legality of alcohol in our society can contribute to the normalization of excessive drinking. It is important for judges to be aware of the significance of alcoholism and to consider the unique characteristics of addiction when crafting orders for individuals struggling with this disease. In terms of treatment options medications such as Antabuse and Naltrexone are available to assist in treating alcoholism..

[Audio] This drug and alcohol awareness course is designed to raise awareness about the dangers of drug and alcohol abuse in our community. It will equip you with the tools to recognize issues surrounding addiction and help others including those you love. By taking this course you are taking a step towards becoming a more informed and responsible member of our community. Together we can combat the negative effects of drug and alcohol abuse and create a safer and healthier environment for all..

[Audio] Discuss the prevalence of alcohol use and disorders in the United States including binge drinking and heavy alcohol use and the economic burden of alcohol misuse. Additionally discuss the global burden of alcohol consumption and the consequences of underage alcohol use including the impact on brain development and the risk of developing A-U-D--. Moreover discuss the consequences of alcohol use during college years including the prevalence of alcohol-related sexual assault and academic consequences. Furthermore discuss the impact of alcohol use on human health including the risk of developing liver disease and certain types of cancer. Lastly discuss the impact of alcohol use on family relationships and the social costs of alcohol misuse..

[Audio] Trainees should be aware that younger people and those with less experience tend to consume more alcohol than they realize. Each beverage on the slide represents one U S standard drink which can vary in alcohol content depending on the type of beverage. Being aware of the alcohol content in different types of drinks and knowing when to stop drinking is important. The U S defines a standard drink as containing roughly 14 grams of pure alcohol so it's important to keep track of how many drinks you consume and be mindful of your alcohol intake. Moderation is key..

[Audio] This guide will discuss the effects of alcohol on individuals. Alcohol affects people differently based on various factors such as age gender physical condition food consumption and the type of alcohol consumed. Women may have a higher blood alcohol level than men due to differences in bodies. However impairment begins with the first drink and driving after consuming alcohol can be dangerous. For safety never drive under the influence of alcohol!.

[Audio] Discuss the effects of alcohol on the body particularly in men. Highlight the specific chart that can inform individuals' decisions about their alcohol use and potentially reduce their risk of developing alcohol-related health problems..

[Audio] We outline the impact of alcohol on women in this chart. It's essential to be aware of the impact of alcohol on yourself and others..

[Audio] During this course we will learn about the similarities between behavioral obsessive cravings and compulsions and traditional addictions such as loss of control disregard for risks and consequences and similar physiologic brain responses. The formal classification of “addiction” is the American Psychiatric Association (A-P-A--) classifies these behaviors in the Diagnostic and Statistical Manual of Mental Disorders Fifth Edition (DSM-5). The U S Substance Abuse and Mental Health Services Administration (SAMHSA) estimates that in 2014 approximately 21.5 million Americans aged 12 years or older have a significant problem with alcohol or drugs. However alcohol uppers downers and other commonly abused substances aren't the only things Americans abuse or think they're addicted to. In fact just substitute the word “behavior” for “substance ” and you open up the definition of addiction to all kinds of dependencies. Whether it's sex the Internet or bungee jumping the desire to experience a “high” becomes so strong that the so-called addict loses control and seeks the activity despite all negative consequences. While experts don't agree on whether they're all true addictions these are eight behaviors that people get hooked on. Gambling Hypersexual Behavior Disorder Shopping Internet Use Electronic Video Game Body Dysmorphic Disorder Eating disorders Thrill Seeking..

[Audio] We will discuss the substance dependencies and corresponding dependency ratings..

[Audio] Drugs interact with the brain’s communication system disrupting the normal flow of information between nerve cells. Different drugs due to their chemical structures work in various ways. Some drugs mimic the brain’s natural chemical messengers while others overstimulate the “reward circuit” of the brain by flooding it with dopamine a neurotransmitter found in parts of the brain that regulate feelings of pleasure. Drug use can lead to the release of large quantities of dopamine causing other activities to lose their pleasurable qualities. It’s crucial to understand the effects of drugs on the brain to make informed decisions about drug use and to seek help if needed. This course provides valuable knowledge and resources to help individuals make positive changes in their lives and the lives of those around them..

[Audio] In our drug and alcohol awareness course we will discuss the lasting impact of chemical and neurological changes on the brain. We'll explain how drug and alcohol use can lead to long-term changes in the brain's wiring affecting behavior mood and cognitive abilities. We'll also discuss the lasting impact of neurological changes on memory attention and decision-making abilities. However despite these changes the brain has the ability to rewire itself through a process known as neuroplasticity. With the right mindset and effort we can make positive changes to our brain and behavior and lead to a healthier happier life..

[Audio] On slide 44 we will discuss the ways that addiction affects the brain including the impact of biological historical and environmental factors. Addiction is a complex disease that affects people in different ways and it is not something that individuals choose or develop on their own. Behaviors can have undesirable effects and personal responsibility and behavioral change are crucial components of any credible treatment program. Addiction can impact anyone and seeking help is important. Understanding the mechanisms of addiction can help individuals and families better understand and address this issue..

[Audio] We are currently on slide 45 of our presentation on the NYCDOB approved 2-hour drug and alcohol awareness course. Today we will be exploring the interplay between genetics and the environment in the development of addiction. This is a chronic disease that can have biological as well as environmental factors. Through human studies we have found that both genetics and the environment in which we are raised play a major role in defining who we are. It is essential to understand the influences that shape our behavior and the role that genetics and the environment play in addiction. By understanding these factors we can better prevent and treat addiction..

[Audio] We will discuss the neurotransmission of dopamine and how it is modulated by endogenous opiates. Dopamine is synthesized in the nerve terminal and packaged in vesicles. The process of neurotransmission involves the fusion of the vesicle with the membrane and the release of dopamine into the synaptic cleft. The dopamine molecules then bind to a dopamine receptor. After binding the dopamine is removed from the receptor and uptake pumps reside on the terminal remove it from the synaptic cleft. This process ensures that not too much dopamine remains in the synaptic cleft. Neuromodulators such as endorphins help to enhance or inhibit neurotransmission. Endorphins bind to opiate receptors which can reside on the post-synaptic cell or the terminals of other neurons. Endorphins are destroyed by enzymes rather than removed by uptake pumps. Addiction is a chronic disease similar to other chronic diseases such as type II diabetes cancer and cardiovascular disease. Human studies have shown that addiction is influenced by both environmental and genetic factors. The environment we are raised in is equally important as genetics in defining who we are..

[Audio] Dopamine is a neurotransmitter that is synthesized in the nerve terminal and packaged in vesicles. The vesicle fuses with the membrane and releases dopamine which then binds to a dopamine receptor. After binding the dopamine comes off the receptor and is removed from the synaptic cleft by uptake pumps. Neuromodulators such as endorphins help to enhance or inhibit neurotransmission that is controlled by neurotransmitters such as dopamine. Endorphins bind to opiate receptors which can reside on the post-synaptic cell or other neurons. Unlike uptake pumps endorphins are destroyed by enzymes rather than removed from the synaptic cleft. Addiction is a chronic disease that affects tissue function and chemistry similar to other diseases such as type II diabetes cancer and cardiovascular disease. It is important to understand the role of neurotransmitters such as dopamine and neuromodulators in addiction. Recognizing the signs and symptoms of addiction can help prevent it from taking hold and causing harm..

[Audio] Dopamine neurotransmission and modulation by endogenous opiates are important in the brain's reward system. Dopamine is a neurotransmitter that is synthesized in nerve terminals and released in the synaptic cleft when vesicles fuse with the membrane. Neuromodulators such as endorphins help to enhance or inhibit neurotransmission controlled by dopamine and addiction is a chronic disease that affects both environmental and genetic factors..

[Audio] Dopamine and endogenous opiate modulation play a significant role in neurotransmission in the brain. Dopamine is synthesized in nerve terminals and packaged in vesicles which are released when the vesicle fuses with the membrane. The released dopamine binds to receptors which can be removed by uptake pumps. Neuromodulators like endorphins can enhance or inhibit neurotransmission binding to opiate receptors and being destroyed by enzymes. Drugs and alcohol can disrupt this chemistry causing permanent changes that can lead to addiction and chronic diseases. To prevent such outcomes it is important to understand these processes..

Brain Reward: Understanding How the Brain Responds to Natural Rewards and Drugs of AbuseOnline Media 7.