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The primary focus of this toolkit is to extend the principles and practices of harm reduction beyond substance use, given that there are several excellent resources dedicated specifically to drugs and alcohol. This section offers a brief overview of the main substance classes being used by students and resources for reducing substance use related harms.

It is important to note that there are overlaps between these substance groups, and that the effects one experiences by combining them will be distinct from those experienced when a single type of substance is consumed. The effect of any psychoactive drug is impacted by the mindset of the person taking the substance (‘set’), the environment they are in (‘setting’), and the dose.

Category Examples & Names Effects
Depressants Alcohol (Paton, 2005)

GHB

Benzodiazepines
(e.g., Xanax, Valium)

  • Acts like a sedative and mild anaesthetic
  • Can produce feelings of pleasure, relaxation, disinhibition, nausea, vomiting, and/or impairment of motor functions
  • Alcohol is linked with aggression
  • Withdrawal can be fatal and must be medically supervised, symptoms can include nausea, tremors, vomiting, extreme irritability, anxiety, hallucinations, and seizures
  • Can contribute to respiratory depression when used in combination with other substances (e.g., opioids)
Cannabinoids Cannabis, including synthetic

weed, pot, marijuana (NIDA, 2024)

  • Can produce feelings of calm, hunger, dry mouth, levity, arousal, lethargy, drowsiness, anxiety, paranoia
  • Intoxicating effects of Cannabis are associated with a compound called tetrahydrocannabinol (THC) while the non-intoxicating effects are associated with cannabidiol (CBD)
  • THC can result in a “high” that alters perception of time and affects memory, thinking, and motor skills
  • Adolescents who use cannabis are at higher risk of developing psychotic disorders (McDonald et al., 2024)
  • Smoking or vaping cannabis causes harm to the lungs
  • Frequent and high cannabis use has been linked to deficits in attention, memory, learning, and language
Stimulants
(ADF, 2024)
Cocaine

Caffeine

Amphetamines
(e.g., Adderall)

Methamphetamines
(e.g., crystal meth)

Nicotine

  • Have an intense activating effect on the brain, making people feel more energetic, confident, and alert Increase energy and euphoric feelings but reduce appetite
  • An overdose on stimulants is often called ‘overamping’ and can lead to heart attack, stroke, seizure or overheating (NHRC, n.d.-b)
  • Physical symptoms might include nausea/ vomiting, tremors, teeth grinding, chest pain, convulsions, and accelerated heart rate
  • Psychological symptoms might include anxiety, panic, paranoia, hallucinations, extreme agitation, and aggressiveness
Opioids
(Johns Hopkins Medicine, n.d.)
Heroin (dope, smack)

Fentanyl (fetty, fent)

Oxycodone

Codeine

Morphine

Methadone

  • Effects include pain relief, relaxation, euphoria, drowsiness, nausea, and constipation
  • Opioids suppress breathing and can lead to overdose, respiratory arrest, and death
  • Depending on the person, dependence, tolerance, and opioid use disorder can develop, with dangerous and life-threatening consequences
Hallucinogens/ Psychedelics Psylocibin (magic mushrooms)

LSD (acid)

DMT

MDMA (ecstasy,
molly, M)*

  • Can contribute to heightened senses, visual or auditory hallucinations, distorted perception, euphoria, spiritual connection, loss of coordination, unusual behaviour, anxiety, panic, psychosis
  • Have lower dependence potential
  • *MDMA has both stimulant and hallucinogenic properties
Dissociatives Ketamine
(special K, ket)

Nitrous oxide

PCP

  • Can produce feelings of relaxation, weightlessness, euphoria, disconnectedness, numbness, hallucinations, panic, loss of motor skills, blurred sense of own identity
  • Dissociatives are considered a class of psychedelic drugs


The Drugs Wheel by CATIE
provides a visual summary of substance categories, examples, and effects


REFLECTION:

Does this toolkit bring up any feels or attitudes towards substance use or harm reduction? Where do they come from? Do you think they might contribute to stigma?

Toolkits & Infosheets

Documentation to help campus staff and students with mental health issues.