To the members of the
Expert Advisory Group for Reducing the Alcohol and Drug Toll
It’s come to my attention that you want to improve drug and
alcohol education in Victorian Schools. Specifically your Victorian Alcohol and Drug Strategy paper states that you want to;
“Better promote
awareness of drug and alcohol issues in schools through comprehensive,
evidence-based alcohol and drug education and health promotion programs that
will strengthen well being and resilience among young people.”
That’s a combination of two topics- drugs and education-
that are both of interest to me. I’d like to offer you my own thoughts which
come from over eight years working in the drug and alcohol field with both
adult and youth clients as well as sending my own child off to prep this year.
Firstly the problem; We have school leavers who have a very
poor understanding about how drugs and alcohol work. Young people rely on
scattered and unauthoritive information about specific substances from the
media, friends, dealers and government but lack the skills to evaluate what
they are hearing. Consequently they are making uninformed decisions about drugs
and alcohol use. They are also unable to give sound advice to friends and
family about drugs and alcohol. Lastly they don’t as citizens shape drug and
alcohol policy from an informed perspective. This can mean that policy makers
can feel that a sensible drug and alcohol policy has to be sheltered from
community opinions. This is rightfully understood as an affront to democracy.
This is how I conceptualise the problem; not in terms of the
number of drug overdoses or chronic addictions, which I see as the tragic
symptoms, but in terms of a lack of people’s individual and collective control
over their own lives in relation to drugs and alcohol. When you are looking at
education as your solution this is the only way to conceptualise the problem.
Education ought to see all problems in terms of peoples control over their
lives. This is because belonging to such a democratic project is what gives
Education its moral high ground to insist students attend to it. Anything else
is propaganda and justifies being ignored.
Politicising drug and alcohol education as propaganda is
what we usually do. We usually have political objectives such as the reduced
use of illegal substances and we measure our education programs by their impact
on this goal. This is sometimes what is called “evidence based”. However
evidence based is a term borrowed from drug and alcohol treatment programs
which can legitimately use it in this way only because they have explicit goals
around reduced use. Evidence based is great – the only way to proceed certainly
– but the progress that must be evidenced can’t borrow the goals of treatment
which have the consent of patients.
Instead we should politicize drug and alcohol education in the same way that good teaching will politicize history. That is, not to push a particular patriotic agenda, but to teach kids that with a knowledge of how to do history comes power. The power to make connections between events, to appropriately credit the past and to foresee the future are all derived from the ability to do history. A good teacher capitalizes on the brains evolution as a tool to unmask deception and shows how historical knowledge and skills makes you less of a fool and a tool in the hands of others. Best of all a teacher might be able to encourage a young historian to pit their skills directly against either propaganda or a culture that only knows the recent.
Instead we should politicize drug and alcohol education in the same way that good teaching will politicize history. That is, not to push a particular patriotic agenda, but to teach kids that with a knowledge of how to do history comes power. The power to make connections between events, to appropriately credit the past and to foresee the future are all derived from the ability to do history. A good teacher capitalizes on the brains evolution as a tool to unmask deception and shows how historical knowledge and skills makes you less of a fool and a tool in the hands of others. Best of all a teacher might be able to encourage a young historian to pit their skills directly against either propaganda or a culture that only knows the recent.
Eg. A Toy company might want to sell kids some version of
knucklebones with an added rule or two that requires extra purchasing – like
the need to collect randomly packaged special knuckles. Teaching kids the
history of children’s games can help them see through the marketing to
recognize merely a repackaged idea that they might be able to play much
cheaper, or even learn of games they can play with no purchasing required.
The first step then in drug and alcohol education might be
to teach kids about who are the other vested interests in the topic.
Government, parents, liquor merchants and pharmaceutical companies, cafes and
other drug dealers all can be identified as people with their own agendas and
thus only partial allies to the democratic agenda of education around drugs and
alcohol. Cigarette smoking is an obvious example topic for older kids given the
amount of resources that exist mapping the changes over tobacco laws in recent
history. However better still is to look at sugar, a ubiquitous substance that
serves to elevate energy levels and boost mood, has become synonymous with
celebration and self-reward – and lies close to even the youngest kids heart.
Caffeine is another great one for kids to investigate
because caffeine dependence is rife amongst adults (and growing amongst teens).
This means that many teachers and parents can talk about their own dependence,
tolerance, withdrawals and cravings for caffeine. Kids can be encouraged to
monitor caffeine usage in their families or to identify where and how caffeine
is sold and marketed.
I want to stress that it does not matter that young people are learning about sugar and caffeine when the bigger health risks for them lie in cannabis and alcohol or even methamphetamines. It is a misconception that drug and alcohol education can ever teach kids the right content. Firstly drugs are evolving constantly and what is sold on the street is not what is talked about in textbooks. Cannabis is a hugely different drug today than it was ten years ago primarily due to concentration of THC. The facts about drugs and alcohol can only ever be responsibly taught to kids as the “historical facts”.
Secondly young people themselves are going to be (if they aren’t already) confronting widely divergent questions about drugs and alcohol. For some the issues will be around a party drug sold as ecstasy, for others it will be the anti-depressants their GP prescribed. In both those situations and no matter how drugs change there is still a process similar to the process of doing history, that is, how to consider drugs and alcohol. It’s this process of what questions to ask and how to answer them that should be taught and can just as easily be taught about caffeine as about sugar as about heroin. Just as in the teaching of history where what history you cover is less important than how to do history, what drugs a teacher covers is less important that how the class studies them. It may be better to pick substances relevant to most or it might be better to pick substances that are easiest to teach (the Opium War is a spectacularly dramatic event), whatever engages the student.
I want to stress that it does not matter that young people are learning about sugar and caffeine when the bigger health risks for them lie in cannabis and alcohol or even methamphetamines. It is a misconception that drug and alcohol education can ever teach kids the right content. Firstly drugs are evolving constantly and what is sold on the street is not what is talked about in textbooks. Cannabis is a hugely different drug today than it was ten years ago primarily due to concentration of THC. The facts about drugs and alcohol can only ever be responsibly taught to kids as the “historical facts”.
Secondly young people themselves are going to be (if they aren’t already) confronting widely divergent questions about drugs and alcohol. For some the issues will be around a party drug sold as ecstasy, for others it will be the anti-depressants their GP prescribed. In both those situations and no matter how drugs change there is still a process similar to the process of doing history, that is, how to consider drugs and alcohol. It’s this process of what questions to ask and how to answer them that should be taught and can just as easily be taught about caffeine as about sugar as about heroin. Just as in the teaching of history where what history you cover is less important than how to do history, what drugs a teacher covers is less important that how the class studies them. It may be better to pick substances relevant to most or it might be better to pick substances that are easiest to teach (the Opium War is a spectacularly dramatic event), whatever engages the student.
Regardless of the topical substance, drug and alcohol
education should introduce students to the following ideas;
1. That drugs work because our brains have their own
chemistry which is how we feel different moods.
2. That our taste buds can begin to identify tastes according to the effect we anticipate on our brain’s chemistry from substances.
2. That our taste buds can begin to identify tastes according to the effect we anticipate on our brain’s chemistry from substances.
3. That we can adapt to regular substances and experience
both tolerance and dependence – the substance becomes necessary just to achieve
what was normal before without it.
4. That once dependence has occurred, the absence of a
substance doesn’t feel normal but instead is experienced as withdrawal.
5. That repeated patterns of experiencing withdrawals trains
us on a subconscious level into patterns of addiction.
Key concepts in this process are efficacy, side effects,
reliability, tolerance and dependence. The investigation of efficacy and side
effects for substances which affect our mood should be broadened to include
comparisons with other ways of affecting mood. A sleep-in is an option for
treating tiredness instead of caffeine. It has different side-effects such as missing class. A range
of other wake-up methods could be investigated. An enterprising young person
might even invent an alternative to caffeine such as a scary short movie
designed to wake a person up with a quick shot of adrenalin. Figuring out
efficacy will introduce mathematical concepts such as statistical significance.
The notion of the placebo effect would be interesting to most.
Addiction is a huge idea that is worth talking about in the
context of non-chemical addictions as well. Addiction will be a part of many
young peoples life’s in regard to computer games or the internet and
particularly social media usage. Some of their parents will deal with gambling
addictions. Some high school students do too. If young people understand that
their brains have the chemistry that produces the effect of drugs and that
substances merely trigger them, then the notion of addiction to behaviours that
trigger changes in brain chemistry without substances will still make sense to
them.
All of this however needs to be located in its democratic and wider civic context. Why not encourage high school kids to set their own individual or even class policy around something like facebook usage for example? Young people can ask the hard questions of whether it is better or fairer to develop a school wide rule or whether individuals should be allowed to set their own limits. What about caffeine usage? Does the school have a policy about energy drinks?
All of this however needs to be located in its democratic and wider civic context. Why not encourage high school kids to set their own individual or even class policy around something like facebook usage for example? Young people can ask the hard questions of whether it is better or fairer to develop a school wide rule or whether individuals should be allowed to set their own limits. What about caffeine usage? Does the school have a policy about energy drinks?
There are consistent historical relationships between
prohibition of substances, the amount of people using those substances and the
harms associated with using those substances. Generally when substances are
illegal they become both less commonly used and more harmful for those who use
them. These would be great relationships for young people to explore. What are
the ethical issues about permitting the sale of addictive substances? What are
the ethical issues about penalizing people for taking addictive substances?
Note that I don’t think it should be the goal of any
education program to finally answer these questions, just pose them. These are
after all the questions adults have to ask each other in the formation of society’s
rules.
I really hope that we wont just see more of the usual educational pushes to come out of this Victorian Alcohol and Drug Strategy – essentially a well-designed pamphlet and poster drop and a visit by a drug and alcohol counselor to share war stories. I care too much about both drug and alcohol issues and education, including my child’s to be satisfied with that. I urge you to at least consider a process focused drug and alcohol education that explicitly aims to give people more control over their lives.