Knowledge is Power
NCADD-Maryland plays a vital role in ensuring that substance use disorder and recovery services are recognized and understood in the changing landscape of healthcare reform. NCADD-Maryland collaborates with a number of valuable and influential organizations, and takes pride in sharing as much information as we can to our constituents, consumers, families, and policy makers.
What is Substance Use, Misuse and Abuse?
Substance use, misuse, and abuse represent pervasive and destructive behaviors that affect millions of individuals and families across the United States. Despite their widespread prevalence, these behaviors are often misunderstood and underestimated in their severity.
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Substance misuse takes a heavy toll on various facets of a person’s life. From serious health complications to emotional instability, financial strain, and strained relationships, the consequences are profound and far-reaching. Consider these staggering facts about substance use:
Annually, 88,000 deaths are attributed to excessive alcohol use alone, making it the 3rd leading lifestyle-related cause of death in the nation.
Excessive alcohol consumption is responsible for a loss of 2.5 million years of potential life annually.
Up to 40% of all hospital beds in the United States, excluding maternity and intensive care units, are occupied by individuals with health conditions stemming from substance use.
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The health risks associated with long-term substance misuse are extensive and alarming. From neurological impairments to chronic diseases and social problems, the impact can include:
Neurological disorders like dementia, stroke, and neuropathy
Cardiovascular issues such as heart attacks, cardiomyopathy, and hypertension
Psychiatric disorders including depression, anxiety, and suicide
Social problems like unemployment, family discord, and violence
Unintentional injuries such as motor vehicle accidents, falls, and drownings
Increased risk for various cancers, liver diseases, gastrointestinal problems, and more.
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Contrary to common misconceptions, substance misuse isn’t solely determined by the type or duration of substance use. Rather, it’s characterized by an uncontrollable craving that transcends willpower. Individuals with substance use disorders can find themselves in a cycle that often requires recovery treatment.
The Scope of Substance Use, Misuse, and Abuse
Substances, including alcohol and drugs, are widely used in the United States. Approximately 30 million people, about one in ten adults, face challenges with substance use. This statistic is compounded by the fact that millions more engage in risky patterns of use, setting the stage for potential substance-related problems.
The impact extends beyond the individual, affecting families and communities. More than half of all adults have a family history of substance use issues, and over seven million children reside in households where at least one parent struggles with substance dependence or abuse.
FAQ About Substance Use
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The age when individuals first start drinking alcohol is crucial, as it can influence their future health and social outcomes. Early initiation of alcohol consumption has been correlated with a higher likelihood of facing challenges in both academic and social spheres.
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Yes, it is often a gradual process, not an immediate event. Even occasional use can escalate to frequent or constant use, leading to a more serious issue.
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While not all marijuana users progress to other drugs, long-term studies show most individuals start with marijuana. Exposure to other drugs through marijuana use increases the likelihood of trying other substances.
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Various factors play into individual well-being, including genetic predisposition, the age when substance use begins, supportive family and social environments, and the specific substances involved.
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Yes, misuse of prescription pain drugs is on the rise among youth, making it a significant concern alongside illegal drugs.
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Alcohol-related fatalities extend beyond road accidents, including unintentional injuries, assaults, and sexual assaults, particularly among college students.
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One standard drink contains about 14 grams of pure alcohol, with different alcoholic beverages varying in alcohol content.
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Alcohol is metabolized primarily by the liver at a rate of one standard drink per hour, with a small percentage eliminated through urine and breath.
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While genetics can play a role, it’s important to note that not all children of individuals with a history of substance use develop the condition, and some individuals without such family history may still experience challenges.
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Yes, treatment programs provide valuable support for individuals striving to overcome challenges related to substance use, empowering them to rebuild their lives.
How to Help a Loved One Experiencing Substance Use Disorder
Helping a loved one who is challenged by substance use can be incredibly challenging, but with the right support and resources, it is possible to make a positive difference. Ignoring the problem or hoping it will go away will not help the situation. Now is the time to take action and offer your support.
Substance use affects not only the individual but also their family members and loved ones. It can disrupt normal routines, cause stress, and strain relationships. Denying or minimizing the problem only worsens the situation and prevents healing from taking place.
Support groups such as Al-Anon and Nar-Anon provide a safe space for friends and family members to connect with others who understand what they’re going through. Additionally, seeking professional therapy for both the individual challenged with substance use and their family members can be incredibly beneficial. Therapy can help improve communication, address underlying issues, and provide support for everyone involved.
It’s important to remember that recovery is a lifelong process, and ongoing support is crucial. Encouraging your loved one to seek treatment and supporting them throughout their journey can make a significant difference in their recovery.
Suggestions for helping a loved one through this experience:
Learn All You Can: Educate yourself about substance use and its effects. Understanding the nature of the problem can help you offer better support.
Speak Up and Offer Support: Express your concerns to your loved one and let them know you’re there to help.
Express Love and Concern: Don’t wait for them to hit rock bottom before offering help. Be specific about the behaviors that worry you and offer your support without judgment.
Don’t Expect Recovery Without Help: Understand that overcoming substance use requires professional help, support, and coping skills. Simply trying to cut down or quit is rarely effective.
Support Recovery as an Ongoing Process: Stay involved in your loved one’s recovery journey. Encourage participation in treatment, meetings, and support groups.
Things to avoid while offering your support:
Don’t Preach or Lecture: Avoid guilting them into quitting.
Avoid Being a Martyr: Emotional appeals can backfire and worsen guilt.
Don’t Cover Up or Make Excuses: Confront the problem and encourage accountability.
Don’t Assume Their Responsibilities: Allowing them to face consequences is crucial for their recovery.
Avoid Arguing When They’re Using: Rational conversations are impossible when under the influence.
Don’t Feel Guilty: Remember that this health condition is not your fault.
Don’t Join Them: Avoid drinking or using substances with them, as it only enables their behavior.
By offering love, support, and understanding, you can help your loved one on their journey to recovery and healing. Remember, you’re not alone, and there is help available for both you and your loved one.

