Awareness. Prevention. Support.

Possible Signs of Substance Use

School or Work

• A sudden drop in grades or performance
• Frequently missing or incomplete assignments
• Increased absences or truancy
• Questionable or altered absence notes

Mood or Behavior

• Noticeable attitude changes or mood swings
• A lack of interest, energy, or motivation
• Becoming unusually defensive when alcohol or drugs are discussed
• Withdrawing from family members or regular activities

Health or Appearance

• Changes in personal appearance or hygiene
• Changes in eating or sleeping habits
• Frequent illness, coughing, or other unexplained health changes

Friends and Relationships

• A sudden change in friends or social groups
• Spending time with individuals who may be involved with alcohol or other substances
• Increased secrecy about activities, friends, or whereabouts

Items or Changes at Home

• Finding unfamiliar items that may be associated with substance use, such as pipes, rolling papers, bottles, or tobacco containers
• Missing money, alcohol, prescription medications, or personal belongings

What Parents and Guardians Can Do

Keep Communication Open

• Talk regularly with your child about alcohol, tobacco, vaping, prescription medication, and other substances.
• Choose a calm and appropriate time for the conversation.
• Listen carefully to what your child has to say and encourage honest communication.

Set Clear Expectations

• Clearly communicate that underage alcohol, tobacco, vaping, and illegal drug use are not acceptable.
• Establish consistent family rules and explain the reasons behind them.
• Make sure your child understands the possible health, safety, academic, and legal consequences.

Model Healthy Choices

• Remember that your habits and attitudes can influence how your child views alcohol, tobacco, and other substances.
• Demonstrate healthy ways to manage stress, solve problems, and make responsible decisions.

Encourage Positive Activities

• Help your child become involved in school activities, clubs, sports, hobbies, volunteer opportunities, or other positive interests.
• Encourage friendships and activities that support healthy choices and a sense of belonging.

Respond Calmly to Concerns

• If you suspect substance use, speak with your child when they are calm and not under the influence.
• Focus on specific changes or behaviors you have observed.
• Express concern without accusing, threatening, or judging.
• Give your child an opportunity to explain what may be happening.

Seek Support

• Do not wait to ask for help if you are concerned.
• Contact your child’s school counselor, school psychologist, administrator, or another trusted staff member.
• Consider speaking with a healthcare provider or qualified substance-use professional for additional guidance and support.