| Indicators of Substance Abuse |
| Environmental Indicators |
Behavioral Indicators |
Physical Indications of Parental Substance Abuse |
| Home infested with rodents and insects |
Irritability/aggression/paranoia |
Increased alertness/activity |
| Chaotic environment (dirty clothes, dirty dishes) |
Memory problems/not age related |
Increased/Decreased sleep or sleeplessness |
| Yard cluttered and littered |
Missed appointments |
Abnormal Sweating |
| Drug paraphernalia (razor blades, syringes, pipes) |
Depression/anxiety |
Skin lesions/open sore/"track marks" |
| Inoperable bathroom facilities |
Nasal problems (sniffing) |
Body odor (chemical smell) |
| Guns |
Twitching/shaking, or involuntary body movements |
Age inappropriate thinning hair/ brittle hair |
| Pornographic material |
Visual or auditory |
Eye Movements (Move rapidly/ enable to focus or glassy eyes) |
| Inappropriate play/sleep areas for children |
Hyperactivity |
Increased respiratory rate |
| Large or vicious dogs |
Lethargy (crashing) |
Poor dental hygiene. rotting teeth/ no teeth |
| Refrigerator (absence/presence of food, chemicals being stored) |
Frequent accidents (often unexplained) |
Nasal Problems |
| Presence of booby traps |
Personality changes/inconsistent behavior |
Nausea, Vomiting, diarrhea |
| Presence of large amounts of cold medicine |
Inconsistent attention to child's emotional and physical needs |
Unexplained weight loss |
| Excess matches, propane tanks, coffee filters, drain cleaner, lithium batteries, and hot plates |
Tweaking |
Itching/scratching of, "imaginary" bugs/insects on skin |
| Unidentified odors (ammonia smell) |
Lying |
Inappropriate clothing (wearing long sleeves in hot weather) |
| Windows covered with foil or black plastic |
Flat affect/ inappropriate affect |
Petechiae (minute red spots near the surface of the skin) |
| Police scanners |
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Large bulbous nose (seen in males) |
| Sign posting/no trespassing |
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| Excessive traffic |
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| Unexplained poverty or wealth |
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