YOUTHS' DRUG OF CHOICE? PRESCRIPTION

Baby Boomers Made Marijuana Their 'Gateway' -- and Some Still Can't
Let Go, a Report Says -- but a Younger Generation Finds Prescription
Drugs Are an Easier Score.

It's been four decades since the dawning of the Age of Aquarius, but
aging baby boomers haven't stopped turning on. The federal
government's National Survey on Drug Use and Health, released earlier
this month, finds that as boomers move into their 50s in large
numbers, drug use among older adults in the United States has hit its
highest point ever.

In the government's latest report -- reflecting drug use in 2007 -- 1
in 20 Americans ages 50 to 59 told researchers they had taken illicit
drugs in the last month.

More than half of these older users still like their street drugs,
including marijuana and cocaine. But as they contend with the aches
and pains of aging, boomer drug users are adding prescription drug
use to their mix of vices, according to the report from the Substance
Abuse and Mental Health Services Administration.

A new generation of drug users, by contrast, isn't waiting to reach
middle age to add prescription drugs to its portfolio of abuse, the
report says. Among teens and young adults 12 to 25, one-third of
those who use illicit drugs say they recently have abused
prescription drugs -- including painkillers, tranquilizers and
stimulants. Among kids 12 to 17, 3.3% had abused prescription
psychotherapeutic drugs in the last month. Among 17- to 25-year-olds,
6% had abused prescription drugs in the last month.

Those generational trends are driving a significant change on the
landscape of American drug abuse. After years of declining American
use of street drugs -- cocaine, hallucinogens and even marijuana --
prescription medications have begun moving front and center as the
nation's drug of choice.

The result, according to the latest federal drug-use survey: Last
year, Americans who began abusing prescription drugs outnumbered
those who took up smoking marijuana -- traditionally the nation's
"gateway drug."

Dr. Nora Volkow, director of the National Institutes of Health's
National Institute on Drug Abuse, says the report underscores a
"paradigm shift" in drug abuse -- and hence, in its likely treatment.
Though addiction to prescription drugs is not new, the current
generation of teens and young adults has grown up around
unprecedented widespread medical use of prescription drugs, Volkow
says, and is inclined to view them as safe because they are
prescribed by doctors.

"That comfort level," Volkow says, "facilitates the abuse" of these
medications. Add to that the high from such drugs as narcotic pain
relievers, she adds, and young users are at high risk of becoming addicted.

Reaching for Mom and Dad's Pills

Peter S., a 26-year-old recovering addict from New Jersey, says the
ubiquity of prescription drugs in American homes is reassuring to
kids eager to take a controlled risk or dull the emotional challenges
of being a teenager.

"You don't have to go to the drug dealer, or even leave the house,"
says Peter, who spoke on condition that his last name not be used.
"You can just go upstairs to Mom's medicine chest and boom! You're
locked and loaded. . . . People feel like, 'Wow, how bad could it be?
It came from our doctor. And I'm not doing street drugs -- cocaine or
mushrooms. I'm doing what Mom has in her medicine cabinet.'"

Many adults, whose images of drug abuse may be dominated by street
drugs, "just don't realize," Peter says, that the leftover pain pills
from Mom's back spasm or the unused anti-anxiety pills prescribed for
Dad during a rough patch at work may furnish a kid's first chance to
experiment with drugs. Parents "take one and feel better and put the
rest up there in the medicine chest," Peter says. "They just don't know."

Volkow adds that a shift toward prescription drug abuse also may make
it harder for the new generation's drug users to "age out" of their
habit, as many baby boomers -- though clearly not all -- have done.
Users of street drugs, Volkow says, frequently quit as they find that
unpleasant side effects become more pronounced with age and prolonged use.

Users of prescription medications, by contrast, tend to build
tolerance to the effects over time, prompting them in some cases to
use more, not less, and more often, Volkow says.

Researchers with the federal substance abuse agency said they remain
uncertain if baby-boomer drug users had continued to take illicit
substances through mid-adulthood or, rather, returned to a youthful
habit as they aged. John P. Walters, the nation's drug czar,
expressed surprise that although young Americans are turning away
from cocaine and methamphetamine, use of such street drugs continues
among their elders.

Jim Steinhagen, executive director of the Hazelden Center for Youth
and Families in suburban St. Paul, Minn., says that for young people,
experimentation with prescription drugs only seems safer than their
parents' drug forays.

"We're seeing kids coming to the treatment center more acutely
addicted than we ever have before, so the degree of detox we need is
more extensive and takes a longer period of time," says Steinhagen, a
32-year practitioner of addiction treatment. "The kind of substance
use that goes on today is like extreme sports for this generation --
quicker, faster, a more dangerous thrill-seeking experience."

Easy Access

Studies suggest that for the current generation, as for past drug
users, efforts to thwart distribution of some drugs shift
thrill-seekers to others that are easier to score -- a dynamic that
helps explain the move toward prescription drugs.

The recent government report comes on the heels of a study by the
National Center on Addiction and Substance Abuse at Columbia
University, showing that 19% of 12- to 17-year-olds believed
prescription drugs were easier to lay hands on than cigarettes, beer
and street drugs. The new report also underscores the ease with which
abusers of prescription drugs can get these controlled substances.
More than half who reported they had recently taken prescription
drugs for nonmedical uses said they got the drugs from a friend or
relative for free, and almost 20% got them from a physician. About 1
in 10 who took prescription pain relievers said they bought or stole
them from a friend or relative.

Drug enforcement officials have long noted that teens and young
adults widely trade, sell and steal stimulant medications, heavily
prescribed among student populations to treat symptoms of attention
deficit hyperactivity disorder.

Fewer than 5% told interviewers that they had had to resort to a
drug-dealing stranger to acquire prescription drugs, or even to log
onto an Internet site selling prescription drugs.

Peter S. says his initiation to prescription drugs came from the
medicine chests of his -- and a friend's -- parents.

"I had found Vicodin and Percocet and had heard about them and Xanax
and Valium -- the benzodiazepams -- and took a couple," Peter says.
"I reached up in that medicine chest and took a couple and thought,
'Oh this is fun.' It made me feel floaty . . . . It was fun in the beginning."

The government report, which also tallies Americans' mental health
status, makes clear that illicit drug use is frequently a form of
self-medication. It found that among 12- to 17-year-olds, roughly 2
million had experienced a major depressive episode in 2007 -- about
8.2% of that age group's population. Illicit drug use was roughly
twice as high -- 35% -- among those youths who had experienced
depression than among those who had not.