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A group of thirty chemically dependent adolescents, age 12-17, decided that parents do not know what behavior and personality changes to look for that indicate their child might be harmfully involved with alcohol and drugs. As a special project while in treatment, they prepared the following checklist to help parents assess the chemical use of their child. They say if parents check 2 or 3 items that they would not have checked a year ago, than it is time to begin a more thorough chemical assessment.
| ___ | A drop in grades |
| ___ | Switch in friends |
| ___ | Lots of emotional highs and lows; often not related to events |
| ___ | Increased defiance of rules and regulations; push of limits |
| ___ | More secretive |
| ___ | Loss of initiative |
| ___ | Sometimes can't remember things |
| ___ | Pull-back in family matters and communications; withdrawing from family functions |
| ___ | Change in physical hygiene; fewer shampoos; wear same clothes next day, etc. |
| ___ | Defensive when parents go to school or to school activities; afraid their behavior will be discussed |
| ___ | Lots of excuses for staying our beyond curfew |
| ___ | Vegetate in the basement or bedroom; isolate themselves in the home |
| ___ | Suspicious compliance, i.e. you know they are following rules only to avoid being grounded |
| ___ | Suspicion of money missing; questionable cash flow, valuables missing |
| ___ | Ask for frequent increases in their allowance |
| ___ | Terrorize their brothers and sisters |
| ___ | Sell their possessions (or household possessions) |
| ___ | Increasingly manipulate and bargain with their parents |
| ___ | Never home |
| ___ | Miss meals |
| ___ | Sudden weight changes |
| ___ | Changes in appearance of skin: pimples, rings under eyes, "pasty" look |
| ___ | Short tempered; increased hostility |
| ___ | Increased defensiveness when confront |
| ___ | Doze in class |
| ___ | Redness of eyes; glazed-over look |
| ___ | Spaciness; not engageable |
| ___ | Find paraphernalia; drug lingo; pills; empty beer cans; alcohol in coke cans; pot stash; eye drops; breath deodorizers; room deodorizers; incense, razor blades, white powder, pipes, crack vials, etc. |