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H HALLUCINOGENA substance that induces hallucinations (i.e. visions, sounds, smells, tastes, or sensations) that do not actually exist. Common examples include LSD (“acid”) and psilocybin (“magic mushrooms”). Cannabis/marijuana in high doses also can act as a hallucinogen. HARM REDUCTIONPolicies, programs and practices that aim to reduce the harms associated with the use of alcohol or […]

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G GATEWAY HYPOTHESISThe gateway hypothesis postulates that use of a certain drug increases the risk for the subsequent use of more potent and addictive or harmful drugs. For instance, marijuana is sometimes referred to as a “gateway drug” because its use has been shown to increase the risk for the use of other drugs. This

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F FENTANYL A potent opioid synthetically produced in laboratories, that activates the reward centers of the brain to produce sensations of euphoria and provide pain relief. Side effects have included alterations in consciousness, sensations of heaviness, decreases in mental function, constipation, anxiety, changes in mood and appetite, nausea, dry mouth, intense itching, constricted pupils, and

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E EARLY RECOVERYThe first year of remission from a substance use disorder.ECSTASYA synthetic substance with stimulant and hallucinogenic effects, that produces feelings of increased energy, euphoria, and distorted sensory and time perception. Side effects include nausea, muscle cramping, involuntary teeth clenching, blurred vision, chills, and sweating. Also known as Molly, E, M&M, MDMA, XTC, Adam,

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D DEATHS OF DESPAIRDeaths by drug, alcohol, and/or suicide. DEDUCTIBLEA dollar amount a patient must pay before their health insurer will contribute benefit payments. DELIRIUM TREMENSA severe form of alcohol withdrawal involving sudden & severe mental or nervous system changes resulting in varying degrees of severe mental confusion and hallucinations. Onset typically occurs 24 hours

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C CASE MANAGEMENTThe collaborative process of assessment, planning, care coordination, evaluation, and advocacy for options and services to facilitate disease management (e.g. connecting individuals to mutual help organizations, peer & family support services and counseling, employment, housing, basic healthcare, childcare, etc.). CLEAN(stigma alert) A reference to a state of a person being abstinent from drugs

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B BARBITURATEA type of medication and class of compounds that are central nervous system depressants causing sedation and sleep. These medications have been replaced largely by benzodiazepines because they are less toxic and benzodiazepines have lower potential for overdose risk. Barbiturates are still sometimes used medically, however, as anticonvulsants (e.g., phenobarbital). BEHAVIORAL HEALTHThe field of

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A ABSTINENCE The absence of substance use. However, there are many different types of abstinence. Abstinence is typically interpreted as complete abstinence, defined below: Continuous abstinence:not consuming the drug of choice during a specified period of time Essentially abstinent:not consuming more than a specified amount of the drug over a period of time Minimal abstinence:achieving

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